ZHEJIANG JIEJIE IMPORT AND EXPORT CO.,LTD
ADD:3RD FLOOR,NO.631 CHOUZHOU NORTH RD YIWU,ZHEJIANG,CHINA
Company Letterhead
(MUST be issued by the packer or supplier of the goods and MUST include the
company’s name AND address)
FCL PACKING DECLARATION
[Boxes to be marked in the appropriate place]
export declarationVessel Name: ANL WANGARATTA  Voyage Number: 035S
Consignment identifier or numerical link:
PROHIBITED PACKAGING MATERIAL STATEMENT
(Prohibited packaging material such as straw, bamboo, peat, hay, chaff, used fruit & vegetable cartons)
Q1Have prohibited packaging materials or bamboo products been used as packaging or dunnage in the consignment covered by this document?
A1YES NO✓
TIMBER PACKAGING/DUNNAGE STATEMENT
(Timber packaging/dunnage includes: crates, cases, pallets, skids, and any other timber used as a shipping aid.)
Q2a Has timber packaging/dunnage been used in consignments covered by this document?
A2a YES NO✓ISPM 15 STATEMENT
Q2b All timber packaging/dunnage used in the consignment has been treated and marked in compliance with ISPM15
A2b YES NO✓N/A
BARK STATEMENT
(Bark is the external natural layer covering trees and branches. This statement is only required if timber/packaging dunnage is declared using the timber or ISPM 15 statements. A bark statement is required for all timber packaging/dunnage including
ISPM 15 compliant packaging/dunnage.)
Q3Is all timber packaging/dunnage used in this consignment free from bark?
A3YES NO✓N/A
CONTAINER CLEANLINESS STATEMENT (for FCL/X consignments only - statement to be removed from document when not relevant)
The container(s) covered by this document has/have been cleaned and is/are free from material of animal and/or plant origin and soil.
Signed: .........................Printed name:..ZHEJIANG JIEJIE IMPORT AND EXPORT CO.LTD. (Company Representative)
Date of issue:..........................................
(26h/Dec/2012)

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