0.7540

SIGNATURE OF DECLARANT DRIVER ?S SIGNATURE SIGNATURE OF DECLARANT
NAME / STATUS OF DECLARANT
JULIO FERNANDO MARTINEZ ALAMILLA
SIGNATURE AND DATE EXPORT OPERATIONS CLERK
PLACE AND DATE PLACE AND DATE

TLALNEPANTLA, EDO DE MEXICO
JANUARY 5TH, 2022

MUST BE COMPLETED AND SIGNED FOR ALL CONTAINER / VEHICLE
LOADS BY PERSON RESPONSIBLE FOR PACKING/LOADING
NAME OF COMPANY NAME OF THE COMPANY(OF SHIPPER PREPARING

THIS NOTE) HAULIER ?R NAME

INTERNATIONAL FLAVORS &
NAME / STATUS OF DECLARANT VEHICLE REG NO. FRAGRANCES (MEXICO), S DE RL DE CV
CONTAINER / VEHICLE PACKING CERTIFICATE RECEIVING ORGANIZATION RECEIPT

RECEIVED THE ABOVE NUMBER OF PACKAGES/CONTAINERS/TRAILERS IN APPARENT
GOOD ORDER AND CONDITION, UNLESS STATED HEREON:

I HEREBY DECLARE THAT THE GOODS DESCRIBED ABOVE HAVE BEEN PACKED/LOADED INTO
THE CONTAINER/VEHICLE IDENTIFIED ABOVE IN ACCORDANCE WITH THE APPLICABLE
PROVISIONS. †

RECEVING ORGANIZATION REMARKS

VEHICLE REGISTRATION NO.

32.00 532.00

CONTAINER IDENTIFICATION NO. /

SEAL NUMBER(S) CONTAINER/VEHICLE
SIZE & TYPE

TARE MASS
(KG) TOTAL GROSS MASS (INCLUDING TARE KG)

UN1197 EXTRACTS, FLAVOURING, LIQUID
CLASS 3, PG III, FP 25 °C, EMS F-E, S-D NOT MARINE POLLUTANT
0.29*0.26*0.50