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<US CBP Security Filing Form(10+2 Compliance)>

A Our ref.
Your ref.(PO#) 20576
PO# 20576

B ETD
ETA 9-Dec-15
Vessel Name LOAD HANNAH SCHULTE V.540
Shipping Company

12 DATA ELEMENTS
1 Manufacturer/Supplier Name CORPORACION REFRIGERADOS INY S.A.
Manufacturer/Supplier Addres Panamericana Norte Km 1252, La Cruz - Tumbes
Tumbes - Peru

2 Seller name LANGOSTINERA VICTORIA SRL


Seller address Calle General Vivanco Nº 204
Tumbes - Peru

3 Buyer name H&N GROUP, INC


Buyer address One Woodbridge Center, Suite Nº 915
Woodbridge NJ 07095

4 Ship to name (Cold storage) PREFERRED FREEZERS


Ship to address 12855 NW. 113 CT.
MEDLY, FL - USA

5 Container stuffing location TUMBES - PERU

6 Consolidator (stuffer) name CORPORACION REFRIGERADOS INY S.A.


Consolidator (stuffer) address Panamericana Norte Km 1252, La Cruz - Tumbes
Tumbes - Peru

7 Importer IRS Number

8 Consignee IRS Number

9 Country of Origin PERU

10 & 11 Commodity or Description HTS code


Frozen Shrimp ✘ 0306.17.13.00




12 SCAC (standard carrier alpha code)


B/L No.
Booking No. 902273877
Container No. APRU506222-8

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