Sample Bill of Lading

Customs on the border	UA0
Type of declaration	40
Post clearance	Departments of customs clearance of N 2 and N 3 customs post Specialized checkpoint Dnepropetrovsk airport
Post clearance 2	NULL
Customs clearance	Dnipropetrovsk customs
Transport at the border	Unknown
Delivery conditions	CIP
Sender	Pharmaceutical Works Polfa in Pabianice Joint Stock Companymarsz J Pilsudskiego Str 5 95 200 Pabianice Poland
Transport at the border 2	AA1040PH AA5172XK
Recipient	21947206
Declarant	21947206
Recipient 2	LLC Venta LTD 49000 m Dnepropetrovsk Peasant descent 3
Broker	2993516841
HS Code	3004900000
Declaration number	UA110030 / 2938 / 08.2018
Product description	AlerdzHir tablets coated film coated 5 mg 10 tablets in a blister, 1 blister in a cardboard box 1 tablet contains Levocetirizine dihydrochloride 5 mg Pub yanitskyy pharmaceutical plant Polfa OJSC primary and secondary packaging quality control and batch release Poland
Trademark	ADAMED
Method	1
Country of origin	Poland
Doed	0
Gross weight kg	10
Dope 2	kg
Net weight kg	7
Customs value USD	422
Invoice value USD	422
Code	387224
Price kg	61,54

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Import shipment Details of Pharmaceutical works polfa in pabianice joint stock companymarsz j pilsudskiego str 5 95 200 pabianice poland

HS Code	Product description	Gross weight kg	Dope 2	Net weight kg	Customs value USD	Invoice value USD	Code	Price kg	Country of origin	[20] More Fields
3004900000	AlerdzHir tablets coated film coated 5 mg 10 tablets in a blister, 1 blister in a cardboard box 1 tablet contains Levocetirizine dihydrochloride 5 mg Pub yanitskyy pharmaceutical plant Polfa OJSC primary and secondary packaging quality control and batch release Poland	10	kg	7	422	422	387224	61,54	Poland	View Coulmn name
3004900000	Medicinal products for people for therapeutic use packaged for retail trade non-penicillin antibiotics hormones alkocolides vitamins iodine compounds not in aerosol packaging MULUKANT tablets coated with 10 mg film 7 tablets in a blister 4 blisters in a cardboard box 1 tablet contains montelukast sodium 10 4 mg in transfer to montelukast 10 mg Pub farm Pharmaceutical Plant Polfa A T primary and secondary packaging quality control and authorization for the production of a series of Poland ZAFIRON capsules containingápowder for inhalation of 12 micrograms per 10 capsules in a blister of 6 blisters together with an inhaler in a cardboard box 1 capsule contains formoterol fumarate dihydrate 12 5 micrograms equivalent to a formoterol fumarate 12 micrograms Pharmacological establishment Adamed Pharm S A producer of primary and secondary packaging Poland Pubiyanki	511	kg	418	47 612	47 612	425829	113,88	Poland	View Coulmn name
3004320000	Drugs for people who have adrenal hormones packaged for retail sale in a cartridge box. KORTINEFF tablets 0 1 mg 20 tablets in bottles of 1 bottle in a cardboard box. 1 tablet contains 0mg fludrocortisone acetate. POLKORTOLON R tablets 4 mg 25 tablets in a blister, 2 Blisters in a carton box 1 tablet contains 4 mg of triamcinolone. Pub yanitskyy pharmaceutical plant Polfa OJSC Poland	7	kg	6	981	981	445638	174,25	Poland	View Coulmn name
3004900000	Biseptol R tablets, 400 mg, 80 mg, 14 tablets in a blister, 1 blister in a cardboard box, 1 tablet of 400, for oral administration. mg 80 mg contains trimethoprim sulfamethoxazole 400 mg 80 mg Pab'yanitskyy pharmaceutical plant Polfa OJSC Poland UROFURAHIN tablets 50 mg 30 tablets in a blister, 1 blister in a cardboard box 1 tablet contains 50 mg Furamagum Pab'yanitskyyáarmatsevtychnyy Plant OJSC Polfa Poland ZAFIRON capsules containing a powder for inhalation of 12 mg 10 capsules in blister 6 blister with a cardboard box in an inhaler 1 capsule contains formoterol fumarate dihydrate equivalent to 12 micrograms formoterol 5 fumarate 12 mg Pub '	68	kg	51	9 395	9 395	447953	184,51	Poland	View Coulmn name
3004200000	Medicinal products for people containing antibiotics packaged for retail trade not in aerosol packing AZIPOL tablets coated with a 500 mm film coat of 3 tablets in a blister of 1 blister in a cardboard box 1 tablet contains azithromycin 500 mg in the form of azithromycin dihydrate Pabiani Pharmaceutical Factory Polfa A T Poland	3	kg	3	479	479	449051	190,00	Poland	View Coulmn name

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Pharmaceutical works polfa in pabianice joint stock companymarsz j pilsudskiego str 5 95 200 pabianice poland

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