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									          PTT Exploration and Production Public Company Limited
          555 Vibhavadi-Rangsit Road, Chatuchak , Bangkok 10900, Thailand
 PTTEPI   Tel: 662 23574000 Fax: 662 23574444
                                                              Packing List and Shipping Invoice
                                                              Invoice No
Consignee:                                                    Country of Origin
                                                              Destination
                                                              Shipped via

                                                              Date:
                                                                                      Page:     of
                             * Draw Back Cargo / Consumable Cargo

                                                                                   Unit          Value
Item                       Description                         Qty    Package
                                                                                   Price          USD




                             VALUE DECLARED FOR CUSTOMS PURPOSE ONLY.
                                         NO COMMERCIAL VALUE.

   I / We hereby declare that I am / we are the shipper of the merchandise listed above and that all the
           particulars given are true and undertake,if required, to furnish supporting evidence.




                                                                                   Signature

								
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