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Request Information PCFN: PCFN Year: Document Identifier: User ID: LEEL Status: Unit Name: Booker ID: ULN: Material Class: UNCLASSIFIED MCT Code: TAC: BABD Service Contract: ETR Deliv Method: ON LINE ETR Deliv E-Mail/Fax: ON LINE REQUEST FMS Deliv Term: 7 - At an overseas dest. on inland carrier equip. FMS Suppad: BXXABD Acknowledgement: _______________________________________________________________________________ Requester DODAAC: SCN01A Booking Office: OCCA FT. EUSTIS Requester Name: DCMA AMERICAS CANADA Requester Address: 275 BANK ST SUITE 200 OTTAWA ONTARIO Requester City: OTTAWA Requester State: CA Requester Zip CD: _____________________________________________________________________________________________ Shipper DODAAC: Shipper CAGE: Shipper GBLOC: Shipper SPLC: Shipper Name: DCMA AMERICAS CANADA Shipper Address: 275 BANK ST SUITE 200 OTTAWA ONTARIO Shipper City: OTTAWA Shipper State Code: CA Shipper Zip Code: _____________________________________________________________________________________________

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Consignee DODAAC: Consignee Name: OPERATION IRAQI FREEDOM Consignee Address: HQ HHC HQ TND TEL 0790-321-0465 Consignee City: TAJI Consignee State Code: IZ Consignee Zip: _______________________________________________________________________________ Number of TCNs: 33 Lading Terms: C - FOB BREAKBULK (CBL to port) Available Date: 14-MAR-2008 RDD: 11-APR-2008 Received Time: IBS Changed Date: Project Cd: MRM: _______________________________________________________________________________ POC Name: LYNDA LEE POC Commercial Phone: 6139921926 POC Commercial Fax: 6139965340 POC DSN Phone: 3128421926 POC DSN Fax: 3128465340 _____________________________________________________________________________________________ Tariff Rate Authority: Emergency Condition Code: Breakbulk Reason: G - Other Delivery Information To Carrier: POC IN TEL TAJI IZ 07903210465 FMS CODE IQ-B-ABD CONTRACT#

W56HZV-06-D-D050/0007 SECURITY CONVOY REQ Remarks to Booker: THIS IS A D2D MOVE CONUS POC LYNDA LEE 6139921926 EMAIL

LYNDA.LEE.CN@DCMA.MIL _____________________________________________________________________________________________

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Shipment Unit Information Commodity Cd: 350 – VANS AND PICKUPS, SPACE REQUIRED Type Cd: Z - NO SPECIAL TYPE OF CARGO CODE APPLICABLE Handling Cd: R - NO SPEC HDLG REQ, except OUTSIDE DIMENSION Package Cd: VO - VEHICLE IN OPERATING CONDITION Wt: 7150 Pcs: 1 Cube: 1220 Mtons: 31 Remarks: VIN:1GCHG39K981156063/MODEL/ABULANCE VAN, CAB BODY/COLOR/ARMORED OR

UNARMORED _____________________________________________________________________________

_ OutSize Dimensions Information

Pcs: 1 Wt: 7150 Length: 256 Width: 84 Height: 98 Mton: 31 Cube: 1220 Deck Cd:

Item Desc: AMBULANCE VAN,CAB BODY

______________________________________________________________________________

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: رقمالعقد

ورقهرقم

: معلوماتالمستورد

إسمالمقاول / الناقل:

Unique Contract Number. The Prime Contract number must be added to this block

1 Each

1 Carton

1 Pallet

From ListPoint of Entry:

Estimated date of Entry:

Consignee Information:

`

Sponsor Organization

Contact POC Number:

Contractor/Shipper Name:

Delivery Address:

weight is available, please place it in this area also.

Unit, Organization, or Company receiving cargo, their information goes in this block

we are attempting to approve. Don't abbreviate cargo names, and if

Type of Goods

: موقعالتسليم

رقماالتصال ) الهاتف (:

الكميهت

This block must contain the Contractor information from the Prime Contract

Don't generalized; be descriptive on the type of cargo. Give as much

information as possible so we at Customs have an understanding of what

Shipment InformationQuantity

لضريبةاالعمار إستمارةاالعفاءReconstruction Levy Exemption Form

This block must contain the address of the END USER destination which is on the Prime Contract

This block must contain the name and telephone number of the Point Of Contact in country

XX Oct XX

Iraqi Customs manned points of entry include only the following (please select the one where your cargo will enter Iraq): BIAP; Umm Qasr, Khor ar Zubair; Safwan, Trebil; Al Waleed; Rabaia,

Ibrhim Il Kahlil.

If your schedule of supplies exceed the space available on this form, type " SEE ATTACHED" and provide additional pagesof the contract containing the pertinent information neededto process your request.

Remember, certain cargo have certain levels of detail that have tobe added to it's description. For example: Motorized conveniences (vehicles/boats/construction equipment) must be identified by: vehicle identification number (VIN) or chassis/motor numbers; make/model; year of manufacture; color; armored vehicles must be identified as armored.

When you have completed the Reconstruction Levy Exemption Form, attach it with the first page of the Prime Contract and other schedules of supplies that validate the cargo to an e-mail and send to the following e-mail address: pcocustoms@pco-iraq.net.