2. Dlcfi vl, aflawl( Pflar ilflAItfl 1. Hgten, dia chingudi grli/Full name, address ofsender: 3. Loqi hing gfii/Categoryofitem: fl Taitiqu/Documents : n M6uhdng/Sample : 4. N0i dung/Content: NOi dung / Commodity descripjon Ddn vi / Unit Sd lugng / Quantity Gi6 tri/ Value Wtn0k /tDu Tdng gi6 triflotal value 5. Ghi d5n'cia ngrrdi g[ri khi kh6ng phet dftr-c blru g[ri/ Sende/s intructions in case of lllllllllllilllllllilllllillllllillffillllillllllllllllilllllllllllll E, 011904 5 VN Oirir )trlt '14( ,ti / r i., Iri,, I E Quatoitt n Loaikhac/Other 8. Khdi luvns/weight (KG): Khdi luong thr.rc t6Meight: Khdi ludng qui ddi/Converted weight: 9. Crldc/Postage: - Cu6c chfnh/Main postage: - Cudc dich vu cong them/Added postage: (Ghi rO ten, cudc DV cong them) o E o o o l! ri o o o "5 o 'D 5 E o o o (! 6 (.) E <o = gofi'-Aetivery EJ Cnuydn hoan / Return .. . E ttuy/cancet instruction in item number5, I agreeto paythe costsforretuming. 7. Ngiygidgfrl/Postingtime,date: Chrky ngudig&i/Pig Tdng cudcllotal postage: Thud VAT/UAT: Tdng sd tiin thu (Cudc+VAT)/ Total (Total postage+VAT): ,l0. Ddu ngiy BG nhin gif/Date stamp of accepting PO Chf hi GDV nhan/Signature of PO ofiicer 11. Ngiy 'i::i:' ' r !::t I Ngudi nhan/Ngudi duop uf quydn nhan r. Signature of addressee/consigner (Kf, ghi 16 ho.tCn) 6. Cam kit cia ngrldi gfll: TOi chdp thufn Mc Oi6u lnoan tqi mqtsauphi6u g0i va cam doan bLru g0! ney khdng ch(a nhrng maihang nguy hi6m, cdm g&i. Trudng hop khong ihat dudc hey tht/c hi6n chld6n tai muc 5, toi s6tr6 cudcchuydn hodn. Sende/s committment: I accept all regulations given on the back olthis bill and certify that this parce!,"- does not content any dangerous or prohibited article. ln case of non-delivery please kindly follow'my ,/)/ti, i .a t)ttdnq 0'l(Clt S6ng Thfrn I'fi An{hh O$ng lMstl gTooj - -- -- I t Itlffillllillllllllllllilllilllillllilflililllllllllllllillillillllllll Et firellf i:6- p-f,.'t ,-ld5. ellr+ rl"'r., ri: Llff" ,tt\ C6*;11i*" 0;" pt^r t?.p"1 &?Ii:(t ll-"r1, p, 'i,(l (l t^l-, Sr * ;{rir,rr1liS6 tf"+, i,l -}i, #,g+it l.,,tt ilt, -)t (, : Dlcn vy cflarEl Pflar t(flAnn {. Hgt6n, ilia chi ngrldi g0l/Full name, address ofsender: 3. Lo?i hang gfll/Category of item: E Tailieu/Documents E MSiihang/Sample 4. N0i dung/Content: NOi dung / Commodity description Ddn vi / Unit Sd luong / Ouantitv Gi6 tr!/ Value Oar aI4.,.,Tr 'l.i iI Tdng gia trifTotal value 5. Chi din c&a ngrldi gfll khi kh6ng phat dud.c btn| gffl/ Sender's intructions in case of non-delivefy I Chuydn hodn / Return E Huy/cancel Ep s? 01{809 I VN 2. Hg ten, ilia chi ngudi nhin/Full name, addless of receiver: 8. Khdi ludngMeight (KG): Khdi lucmg thttc t6tlVeight: Khdi lugng qui ddi/Converted weight: L Crldc/Postage: - Cudc chinh/Main postage: - Cudc dlch w cong them/Added postage: (Ghi 16 tcn, cuoc DV c0ng thcm) + .............................. E oualon E Loaikh6c/Other o E E o a o o u- d o o o .5 o ,5 5 o) = o E o o .q o ri c :9 J il ,l-: : 6. Cam k6t c0a ngrldi gfti: Tdi chdp thuin c6c di6u kho6n tai mdt sau phi6u g0i vd cam doan buug&i ndy kh0ng chua nh[ng maihang nguy hidm, cdm g&i. Trudng hop kh6ng ph6trluo1c hdythrlc hi€n chidin tqi Sende/s mmmittment: I accept all regulations given on the back of this billd -tff$ertity that this parCel does not mntent any dangeroirs or piohibited article. ln case of,hon-delivbf!-please kindly follow my instruction in item number5, I agree to paythe costsfor returning, 7. Ngey gidgfil/Posting time,date: Chrky ngudi g&i/Signalure ofsender T6ng cudcfiotal postage: Thu6VATITAT: Tdng s6tiin thu (Cudc+VAT)/ Total (Total postagelvAT): 10. Ddu ngiy BC nhan gtf/Date stamp of accepting PO Ch[ kf GDV nhin/Signature of PO officer ;_*\: ,,/-\ "., 1 \ \il I _- \i /,-/ \-"t' 1'1. Ngiry gid nh6n/Time of delivery: ....... ........h.. ........./.............../......,.......... Ngrrdi nh6n/Ngudi duoc uf quy6n nhdn Signature of addressee/consigner (Kli, ghi ro hq tcn) $U lhrn I'm An'Binh 0rlrsg MST:3700232393