0.5278

4/4 0.1508

PLACE AND DATE
TLALNEPANTLA, EDO DE MEXICO
NOVEMBER 23TH, 2022
SIGNATURE OF DECLARANT DRIVER ?S SIGNATURE SIGNATURE OF DECLARANT

HAULIER ?R NAME

INTERNATIONAL FLAVORS &
NAME / STATUS OF DECLARANT VEHICLE REG NO. FRAGRANCES (MEXICO), S DE RL DE CV
NAME / STATUS OF DECLARANT
JULIO FERNANDO MARTINEZ ALAMILLA
SIGNATURE AND DATE EXPORT OPERATIONS CLERK

PLACE AND DATE

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

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)
28.80 517.72
CONTAINER / VEHICLE PACKING CERTIFICATE RECEIVING ORGANIZATION RECEIPT
CONTAINER IDENTIFICATION NO. /

SEAL NUMBER(S) CONTAINER/VEHICLE
SIZE & TYPE

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

VEHICLE REGISTRATION NO.
CLASS 3, PG II, FP 15°C, EMS F-E,S-D NOT MARINE POLLUTANT
CLASS 3, PG III, FP 52°C, EMS F-E,S-D NOT MARINE POLLUTANT
4 PLASTIC JERRICANS (3H1) 106.40 100.00
UN1197 EXTRACTS, FLAVOURING, LIQUID
14 PLASTIC JERRICANS (3H1)
0.29 X 0.26 X 0.50 
NO ESTIBABLE