Attachment 1 - Levy Exemption Form.pdf

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Portable Explosive Storage Magazine
Solicitation number
W91GY0-10-R-0029
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Attachment 1 - Levy Form

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Page no. of من

Company / Agency Name and LNO Name:

Line #

إستمارة الاعفاء لضريبة الاعمار Reconstruction Levy Exemption Form

Shipment Information Quantity Type of Goods

موقع التسليم:

الكميهت

ورقه رقم

معلومات المستورد:

Contact POC Number:

Contractor/Shipper Name:

Delivery Address:

إسم المقاول / الناقل:

رقم الاتصال ( الهاتف ):

Point of Entry:

Estimated date of Entry:

Consignee Information:

Sponsor Organization

.Unique Contract Number رقم العقد:

اسم الشركة/ الوكالة واسم المخلص

Sheet1

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Sponsor Organization:
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fill_38: United States Forces Iraq (USF-I)
ContractorShipper Name:
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Contact POC Number:
Company Agency Name and LNO Name: USF-I / LNO:
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