. TASSI DEPARTMENT OF THE TREASURY UNITED BlATES CU510MS SERVICE I. AIIRlVAL OATE 100610 IS. PORT 2095 TEL: ENTRYIIMMEDIATE DELIVERY Ii. S1N01.E TRANS. eOllO MI CERTIFIED AIR EXPRESS 4. I!NTRY NUMBER 112-9247186-3 111. u.s. PORT Of UNLADING 17. IMNIFF.Sr NUMBER 1a GO- NUMBER 19. TOTAL VALUE __.... I- ---J- --.l-__ 20. DESCRlI'TION OF MERCHANDISE 21. ITI8L.IAWll • IT/BUAWB NO. cooe PHARMACEUTICALS NOT RESTRICTED M H TOTAL 02358508380 688760418425 Zl. CERTIFICATION 211. MANUfACTURER Ill. BDREPHA176LON 28. CUSlOMS USE ONLY I haraby maQ appllCllUon for entry/immediale delivery. I ooldrv Ihillihe IlboYo D OTHER AGENCY ACTION ReOUIRED, NAMELY: InfoRnl1llon Is aCC\lra19, Ibn bond I. Gul/kllenl, valid. and curmnl, and Ihal 011 requlremanle 0119 CFR Part 142 have boen mel. D CUSTOMS EXAMINAnON ReaUIRED. ------------------'--'--------1 D ENTRY REJECT'ED, BECAUSE: DELIVERY AUTHORIZED: SIGNATURE Ptlparworll Rlldllclloll Act Nollce: Thll Infolml1llon I. needod to datennlno lite admr.. lblilly ollmporta Into tho Unlllld 81"01 and to provide tho lI.cauAry Informallon lot the 8llftmlnetlal'l ollha CD a lind to ellllbilab thollabllHy lor pqyment 01 dullol Ind _ '!bur II!'5ponle Ie noeee.ary. 10/07/10 15:12:49 Customs Form 348' (010189) FDA000023
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ENTRYIIMMEDIATE DELIVERY MI CERTIFIED · .tassi department of the treasury united blates cu510ms service i. aiirlval oate 100610 is. port 2095 tel: entryiimmediate delivery ii. s1n01.e
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. TASSI
DEPARTMENT OF THE TREASURYUNITED BlATES CU510MS SERVICE
I. AIIRlVAL OATE
100610IS. PORT
2095
TEL:
ENTRYIIMMEDIATE DELIVERY
Ii. S1N01.E TRANS. eOllO
MI CERTIFIED
AIR EXPRESS
4. I!NTRY NUMBER
112-9247186-3
111. u.s. PORT Of UNLADING 17. IMNIFF.Sr NUMBER 1a GO- NUMBER 19. TOTAL VALUE
F.;;20;=;;:9~5~===,....-- __....I- ---J- --.l-__l~1I{ij20. DESCRlI'TION OF MERCHANDISE
21. ITI8L.IAWll • IT/BUAWB NO.cooe
PHARMACEUTICALS NOT RESTRICTED
MH
TOTAL02358508380688760418425
Zl. CERTIFICATION
211. MANUfACTURER Ill.
BDREPHA176LON
28. CUSlOMS USE ONLY
I haraby maQ appllCllUon for entry/immediale delivery. I ooldrv Ihillihe IlboYo D OTHER AGENCY ACTION ReOUIRED, NAMELY:InfoRnl1llon Is aCC\lra19, Ibn bond I. Gul/kllenl, valid. and curmnl, and Ihal 011requlremanle 0119 CFR Part 142 have boen mel.
D CUSTOMS EXAMINAnON ReaUIRED.'-:-----,:-:----=~:...=..L-=..;:..L..-=-----1
------------------'--'--------1 D ENTRY REJECT'ED, BECAUSE:
DELIVERYAUTHORIZED:
SIGNATURE
Ptlparworll Rlldllclloll Act Nollce: Thll Infolml1llon I. needod to datennlno lite admr..lblilly ollmporta Into tho Unlllld 81"01 and to provide tho lI.cauAryInformallon lot the 8llftmlnetlal'l ollha CD a lind to ellllbilab thollabllHy lor pqyment 01 dullol Ind _ '!bur II!'5ponle Ie noeee.ary.
Declarations:We certify Ihalthis invoice is true and correct.
Damage. shottlge or leakage mUll bO noVfied in WIlling 10 ours~..wKnln 3 d.ys. HDn-Oelivery \¥iohIA 14 doytl. Goods remain Ihe 1II0penr of DreamPharmalld. Unl~ filII paymenl h~8 been ~celv'ed. Subjeello our 81andard caNlilions orule. EaOE
Company RegistrationNumber~ VAT No.DireC10r: M. Alavi
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FDA000024
ENTRY NUMBER: .. l:l.t 92.4718&3AWB/BL NBR : ~$1[(§ifID" INVOICE i