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REPÚBLICA DE COLOMBIA
Declaración de Importación Privada 500
1. Año 2025
Espacio reservado para la DIAN (Antes de diligenciar este formulario lea cuidadosamente las instrucciones)
4. Número de formulario
032025001212024-1
5 . Número de Identificación Tributaria (NIT)
800091549
6 . DV.
2
11 . Apellidos y nombres o Razón Social
IMPRESISTEM S A S
13 . Dirección
AUT MEDELLIN CL 80 KM 2
15 . Teléfono
8766500
12 . Cód. Admón.
03
16 . Cód. Dpto
25
17 . Cód. Ciudad Municipio
214
24 . Número de Identificación Tributaria (NIT)
830122083
25 . DV.
6
26 . Razón social del declarante autorizado
AGENCIA DE ADUANAS LATINOAMERICANA DE ADUANAS SAS NIVEL 2
27 . Tipo usuario
26
28 . Cód. usuario
459
29 . Número documento de identificación
1015440967
30 . Apellidos y nombres
CUELLAR MORENO PAULA GYSSEL
31 . Clase
Importador
02
32 . Tipo declaración
Inicial
33 . Cod.
1
34 .No.Formulario Anterior
XXXXXXXXXXXXXX
35 . Año – Mes – Día
XXXX – XX – XX
36 . Cod. Admón.
XX
37 . Declaración de Exportación
No. XXXXXXXXXXXXXXX
38 . Año – Mes – Día
XXXX – XX – XX
39 . Cod. Admón.
XX
40 . Cod. lugar ingreso
de las mercancías
BOG
41 . Cod. Depósito
26924
42 . Manifiesto de carga
No. 116575015733142
43 . Año – Mes – Día
2025 – 06 – 25
44 . Documento de transporte
No. 41N0715743
45 . Año – Mes – Día
2025 – 06 – 19
46 . Nombre exportador o proveedor en el exterior
IMC INTERNATIONAL INC
47 . Ciudad
MIAMI
48 . Cod.País Exportador
249
49 . Dirección exportador o proveedor en el exterior
7707 NW 46 STREET MIAMI, FL 33166
50 . E-mail
3059947965
51 . No. de factura
23415
52 . Año – Mes – Día
2025 – 06 – 19
53 . Cod. país
procedencia
351
54 . Cod. Modo
Transporte
4
55 . Código de
Bandera
169
56 . Cod. Depto
destino
0
57 . Empresa transportadora
EMIRATES SUCURSAL COLOMBIA
58 . Tasa de cambio $ cvs.
4.076.32
S59 . Subpartida arancelaria
8517130000
60 . Cod.
Complementario
XX
61 . Cod.
Suplementario
XX
62 . Cod. Modalidad
C134
63 . No. cuotas
o meses
XX
64 . Valor cuota USD
XXXX
65 . Periodicidad del
pago de la cuota XX
66 . Cod. país
de origen
215
67 . Cod. Acuerdo
XXX
68 . Forma de pago
de la importación
03
69 . Tipo de
importación
01
70 . Cod. país
compra
249
71 . Peso bruto kgs. dcms.
821.75
72 . Peso neto kgs. dcms.
739.58
73 . Código
embalaje
PK
74 . No. bultos
5
75 . Subpartidas
1
76 . Cod. unidad
comercial
U
77 . Cantidad dcms.
1.500.00
78 .Valor FOB USD 79 . Valor fletes USD
Concepto % Base Total Liquidado ($) Total a pagar con esta
declaración ($)
Total Liquidado
(USD)
Arancel
92
0.00
93 94
0
95
0
96
0.00
I.V.A.
97
0.00
98 99
0
100
0
101
0.00
Salvaguardia
102
0.00
103
0
104
0
105
0
106
0.00
Derechos
Compensatorios
107
0.00
108
0
109
0
110
0
111
0.00
Derechos
Antidumping
112
0.00
113
0
114
0
115
0
116
0.00
Sancion
117
0
118
0
119
0
120
0
Rescate
121
0
122
0
123
0
124
0
Total 125
0
126
0.00
80 . Valor Seguros USD 81 . Valor Otros Gastos USD
0
82 . Sumatoria de fletes, seguros
y otros gastos USD
83 . Ajuste valor USD
0.00
84 . Valor aduana USD 85 . Código registro
o licencia
X
86 . Número
XXXXXXXXXX
87 . Cod. oficina
99
88 . Año
XXXX
89 . Programa No
XXXXXXXXXX
90 . Cód Interno del Producto
0
91 . Descripción de las mercancías(No inicie la descripción de las mercancías a importar con lo señalado en el arancel de aduanas en la subpartida arancelaria – Incluya marcas, seriales y otros) (Si el campo es insuficiente, continúe al respaldo
de este formulario)
DO 202534151 CODIGO / RESOLUCION OEA IMPORTADOR: OE0169; DECLARACION(2-2) NOS ACOGEMOS AL ART 424 DEL ESTATUTO TRIBUTARIO MODIFIC
ADO POR LEY 1819 DE 29 DE DICIEMBRE 2016, NUEVA REFORMA TRIBUTARIA, ART 175 PARA COMPUTADORESPORTATILES, DE ESCRITORIOTABLETAS Y
CELULARES. // DOCUMENTO DE VERIFICACION DE IMEI: DV-235366, FECHA: 2025-06-26.. FACTURA: 23415 FECHA: 2025-06-19 NOS ACOGEMOS AL
DECRETO 1881 DEL 2021, NOS ACOGEMOS AL DECRETO 0925 DE MAYO 9 DEL 2013, MINISTERIO DE COMERCIO EXTERIOR, IMPORTACIÓN EXENTA DE RE
GISTRO DE IMPORTACIÓN.. CANT (1500) UND HOMOLOGACIÓN DEL EQUIPO MARCA: REDMI, MODELO: 2409BRN2CL, RADICACION: 2024523502, FECHA:
2024-07-29 // TELEFONO CELULAR, 1064245 REDMI 14C SAGE GREEN 4GB RAM 128GB ROM // ESPECIFICACIONES: POWER O(continúa al respaldo)
127 . Valor pagos anteriores: 0 128 . Recibo oficial de pago anterior No.: XXXXXXXXXXXXXXX
129. Fecha: XXXX XX XX
130 . Espacio reservado DIAN – Actuación aduanera
Estado de levante: Levante automático
No hay declaración posterior
131 . Espacio reservado uso exclusivo Ministerio de Relaciones Exteriores 132 . No. Aceptación declaración
032025001212024
133. Feha: 2025 06 27
134 . Levante No. 032025000984409 135 . Fecha
2025 – 06 – 27
Firma funcionario responsable 136 . Nombre
137 . C.C. No.
Firma declarante 997 . Espacio exclusivo para el sello
de la entidad recaudadora
(Fecha efectiva de la transacción)
Coloque el timbre de la máquina
registradora al dorso de este formulario
980 . Pago Total $
0
996 . Espacio para autoadhesivo de la entidad recaudadora
(Número del adhesivo)
SYGA
Autoadhesivo 92032504928189
Fecha presentación 2025-06-27 16:03:32
Valor pagado $0.00
Fecha de Impresión: 2025-06-27 16:11:51
REPÚBLICA DE COLOMBIA
Declaración de
Importación
Aceptación : 032025001212024-1
Subpartida : 8517130000
Página 1 de 9
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
CTA-CORE, PROCESSOR POWERED BY 18W FAST CHARGING/ PROCESSOR MASSIVE 5160 MAH (TYP) BATTERY, PANTALLA: 6.88 PULGADAS (17.47 CM), M
EMORIA: 4GB DE RAM EXTENDIBLE, 8GB RAM, 128GB ROM, SISTEMA OPERATIVO: HYPEROS. // EAN: 6941812766491. // TELEFONO CELULAR, REDMI
14C VERDE SALVIA 4GB RAM 128GB ROM. // ALIMENTACION: 5V-3A/3.6-11V-3A (33 W MAX). ENTRADA 100-240V- 50/60HZ 0.8A / SALIDA 5V=3A/3
.6 – 11V= 3A (33 MAX), 50MP AI DUAL CAMERA MASSIVE 5160 MAH (TYP) // CONTIENE: TELEFONO CELULAR, ADAPTADOR DE CORRIENTE, CABLE US
B TIPO-C, LLAVE PARA SIM CARD, CARCASA PROTECTORA, GUIA DE INICIO RAPIDO, TARJETA DE GARANTIA. // PRODUCTO CON EMPAQUE TERMOSELLA
DO.// COD.: 1064245. PRODUCTO: TELEFONO CELULAR, MARCA: REDMI/MI, MODELO: 2409BRN2CL, REFERENCIA: 59144/MZB0HX9US, USO O DESTINO:
COMUNICACIÓN, PARA ALMACENAMIENTO Y PROCESAMIENTO DE DATOS, SERIAL // IMEI NO. (CODIGO DE QUINCE -15- DIGITOS): 59144/65T703077/
/867664077898109//867664077898117, 59144/65T703078//867664077898125//867664077898133, 59144/65T703079//867664077898141//867664077
898158, 59144/65T703080//867664077898166//867664077898174, 59144/65T703081//867664077898182//867664077898190, 59144/65T703082//86
7664077898208//867664077898216, 59144/65T703083//867664077898224//867664077898232, 59144/65T703084//867664077898240//867664077898
257, 59144/65T703085//867664077898265//867664077898273, 59144/65T703086//867664077898281//867664077898299, 59144/65T703087//86766
4077898307//867664077898315, 59144/65T703088//867664077898323//867664077898331, 59144/65T703089//867664077898349//867664077898356
, 59144/65T703090//867664077898364//867664077898372, 59144/65T703091//867664077898380//867664077898398, 59144/65T703092//86766407
7898406//867664077898414, 59144/65T703093//867664077898422//867664077898430, 59144/65T703094//867664077898448//867664077898455, 5
9144/65T703095//867664077898463//867664077898471, 59144/65T703096//867664077898489//867664077898497, 59144/65T703097//86766407789
8505//867664077898513, 59144/65T703098//867664077898521//867664077898539, 59144/65T703099//867664077898547//867664077898554, 5914
4/65T703100//867664077898562//867664077898570, 59144/65T703101//867664077898588//867664077898596, 59144/65T703102//86766407789860
4//867664077898612, 59144/65T703703//867664077898620//867664077898638, 59144/65T703704//867664077898646//867664077898653, 59144/6
5T703705//867664077898661//867664077898679, 59144/65T703706//867664077898687//867664077898695, 59144/65T703707//867664077898703//
867664077898711, 59144/65T703708//867664077898729//867664077898737, 59144/65T703709//867664077898745//867664077898752, 59144/65T7
03710//867664077898760//867664077898778, 59144/65T703711//867664077898786//867664077898794, 59144/65T703712//867664077898802//867
664077898810, 59144/65T703713//867664077898828//867664077898836, 59144/65T703714//867664077898844//867664077898851, 59144/65T7037
15//867664077898869//867664077898877, 59144/65T703716//867664077898885//867664077898893, 59144/65T703718//867664077898927//867664
077898935, 59144/65T703719//867664077898943//867664077898950, 59144/65T703722//867664077899008//867664077899016, 59144/65T703723/
/867664077899024//867664077899032, 59144/65T703724//867664077899040//867664077899057, 59144/65T703725//867664077899065//867664077
899073, 59144/65T703726//867664077899081//867664077899099, 59144/65T703728//867664077899123//867664077899131, 59144/65T703729//86
7664077899149//867664077899156, 59144/65T702464//867664077900004//867664077900012, 59144/65T702465//867664077900020//867664077900
038, 59144/65T702466//867664077900046//867664077900053, 59144/65T702467//867664077900061//867664077900079, 59144/65T702468//86766
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, 59144/65T703730//867664077902166//867664077902174, 59144/65T703731//867664077902182//867664077902190, 59144/65T703732//86766407
7902208//867664077902216, 59144/65T703733//867664077902224//867664077902232, 59144/65T703734//867664077902240//867664077902257, 5
9144/65T703735//867664077902265//867664077902273, 59144/65T703737//867664077902307//867664077902315, 59144/65T703739//86766407790
2349//867664077902356, 59144/65T703741//867664077902380//867664077902398, 59144/65T703742//867664077902406//867664077902414, 5914
4/65T704343//867664077902422//867664077902430, 59144/65T704344//867664077902448//867664077902455, 59144/65T704345//86766407790246
3//867664077902471, 59144/65T704346//867664077902489//867664077902497, 59144/65T704347//867664077902505//867664077902513, 59144/6
5T704348//867664077902521//867664077902539, 59144/65T704349//867664077902547//867664077902554, 59144/65T704350//867664077902562//
867664077902570, 59144/65T704351//867664077902588//867664077902596, 59144/65T704352//867664077902604//867664077902612, 59144/65T7
04354//867664077902646//867664077902653, 59144/65T704355//867664077902661//867664077902679, 59144/65T704356//867664077902687//867
664077902695, 59144/65T704357//867664077902703//867664077902711, 59144/65T704358//867664077902729//867664077902737, 59144/65T7043
59//867664077902745//867664077902752, 59144/65T704360//867664077902760//867664077902778, 59144/65T704361//867664077902786//867664
077902794, 59144/65T704364//867664077902844//867664077902851, 59144/65T704365//867664077902869//867664077902877, 59144/65T704366/
/867664077902885//867664077902893, 59144/65T704367//867664077902901//867664077902919, 59144/65T704368//867664077902927//867664077
902935, 59144/65T704369//867664077902943//867664077902950, 59144/65T704371//867664077902984//867664077902992, 59144/65T704372//86
7664077903008//867664077903016, 59144/65T704373//867664077903024//867664077903032, 59144/65T704374//867664077903040//867664077903
057, 59144/65T704375//867664077903065//867664077903073, 59144/65T704376//867664077903081//867664077903099, 59144/65T704377//86766
4077903107//867664077903115, 59144/65T704378//867664077903123//867664077903131, 59144/65T704379//867664077903149//867664077903156
, 59144/65T704380//867664077903164//867664077903172, 59144/65T704381//867664077903180//867664077903198, 59144/65T704382//86766407
7903206//867664077903214, 59144/65T702471//867664077903222//867664077903230, 59144/65T702472//867664077903248//867664077903255, 5
9144/65T702473//867664077903263//867664077903271, 59144/65T702474//867664077903289//867664077903297, 59144/65T702475//86766407790
3305//867664077903313, 59144/65T702476//867664077903321//867664077903339, 59144/65T702477//867664077903347//867664077903354, 5914
4/65T702478//867664077903362//867664077903370, 59144/65T702479//867664077903388//867664077903396, 59144/65T702480//86766407790340
4//867664077903412, 59144/65T702481//867664077903420//867664077903438, 59144/65T702482//867664077903446//867664077903453, 59144/6
5T702483//867664077903461//867664077903479, 59144/65T702484//867664077903487//867664077903495, 59144/65T702485//867664077903503//
867664077903511, 59144/65T702486//867664077903529//867664077903537, 59144/65T702487//867664077903545//867664077903552, 59144/65T7
02488//867664077903560//867664077903578, 59144/65T702489//867664077903586//867664077903594, 59144/65T702490//867664077903602//867
664077903610, 59144/65T702491//867664077903628//867664077903636, 59144/65T702492//867664077903644//867664077903651, 59144/65T7024
93//867664077903669//867664077903677, 59144/65T702494//867664077903685//867664077903693, 59144/65T702495//867664077903701//867664
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/867664077903768//867664077903776, 59144/65T702499//867664077903784//867664077903792, 59144/65T702500//867664077903800//867664077
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, 59144/65T703111//867664077904022//867664077904030, 59144/65T703112//867664077904048//867664077904055, 59144/65T703113//86766407
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867664077904634, 59144/65T702508//867664077904642//867664077904659, 59144/65T702509//867664077904667//867664077904675, 59144/65T7
02510//867664077904683//867664077904691, 59144/65T702511//867664077904709//867664077904717, 59144/65T702512//867664077904725//867
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15//867664077904782//867664077904790, 59144/65T702516//867664077904808//867664077904816, 59144/65T702517//867664077904824//867664
077904832, 59144/65T702518//867664077904840//867664077904857, 59144/65T702519//867664077904865//867664077904873, 59144/65T702520/
032025001212024-1
Espacio para uso exclusivo de la Entidad Recaudadora
REPÚBLICA DE COLOMBIA
Declaración de
Importación
Aceptación : 032025001212024-1
Subpartida : 8517130000
Página 2 de 9
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
/867664077904881//867664077904899, 59144/65T702521//867664077904907//867664077904915, 59144/65T702522//867664077904923//867664077
904931, 59144/65T702523//867664077904949//867664077904956, 59144/65T702525//867664077904980//867664077904998, 59144/65T702526//86
7664077905003//867664077905011, 59144/65T702527//867664077905029//867664077905037, 59144/65T702528//867664077905045//867664077905
052, 59144/65T702529//867664077905060//867664077905078, 59144/65T702530//867664077905086//867664077905094, 59144/65T702531//86766
4077905102//867664077905110, 59144/65T702532//867664077905128//867664077905136, 59144/65T702533//867664077905144//867664077905151
, 59144/65T702534//867664077905169//867664077905177, 59144/65T702535//867664077905185//867664077905193, 59144/65T702536//86766407
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032025001212024-1
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105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
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105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
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105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
4077952724//867664077952732, 59144/65T704809//867664077952740//867664077952757, 59144/65T704810//867664077952765//867664077952773
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032025001212024-1
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Página 6 de 9
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
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988975, 59144/65T703782//867664077989007//867664077989015, 59144/65T704383//867664077989023//867664077989031, 59144/65T704384//86
7664077989049//867664077989056, 59144/65T704385//867664077989064//867664077989072, 59144/65T704387//867664077989106//867664077989
114, 59144/65T704388//867664077989122//867664077989130, 59144/65T704389//867664077989148//867664077989155, 59144/65T704390//86766
4077989163//867664077989171, 59144/65T704391//867664077989189//867664077989197, 59144/65T704392//867664077989205//867664077989213
, 59144/65T704393//867664077989221//867664077989239, 59144/65T704394//867664077989247//867664077989254, 59144/65T704395//86766407
7989262//867664077989270, 59144/65T704396//867664077989288//867664077989296, 59144/65T704397//867664077989304//867664077989312, 5
9144/65T704398//867664077989320//867664077989338, 59144/65T704399//867664077989346//867664077989353, 59144/65T704400//86766407798
9361//867664077989379, 59144/65T704401//867664077989387//867664077989395, 59144/65T704402//867664077989403//867664077989411, 5914
4/65T704403//867664077989429//867664077989437, 59144/65T704404//867664077989445//867664077989452, 59144/65T704405//86766407798946
0//867664077989478, 59144/65T704407//867664077989502//867664077989510, 59144/65T704408//867664077989528//867664077989536, 59144/6
5T704409//867664077989544//867664077989551, 59144/65T704410//867664077989569//867664077989577, 59144/65T704411//867664077989585//
867664077989593, 59144/65T704412//867664077989601//867664077989619, 59144/65T704413//867664077989627//867664077989635, 59144/65T7
04415//867664077989668//867664077989676, 59144/65T704416//867664077989684//867664077989692, 59144/65T704417//867664077989700//867
664077989718, 59144/65T704418//867664077989726//867664077989734, 59144/65T704419//867664077989742//867664077989759, 59144/65T7044
20//867664077989767//867664077989775, 59144/65T704421//867664077989783//867664077989791, 59144/65T704422//867664077989809//867664
077989817, 59144/65T704274//867664077991748//867664077991755, 59144/65T704281//867664077991888//867664077991896, 59144/65T704292/
/867664077992100//867664077992118, 59144/65T704294//867664077992142//867664077992159, 59144/65T704295//867664077992167//867664077
992175, 59144/65T704301//867664077992282//867664077992290, 59144/65T704302//867664077992308//867664077992316, 59144/65T704903//86
7664077992324//867664077992332, 59144/65T704906//867664077992381//867664077992399, 59144/65T704907//867664077992407//867664077992
415, 59144/65T704908//867664077992423//867664077992431, 59144/65T704909//867664077992449//867664077992456, 59144/65T704911//86766
4077992480//867664077992498, 59144/65T704914//867664077992548//867664077992555, 59144/65T704915//867664077992563//867664077992571
, 59144/65T704916//867664077992589//867664077992597, 59144/65T704918//867664077992621//867664077992639, 59144/65T704919//86766407
7992647//867664077992654, 59144/65T704920//867664077992662//867664077992670, 59144/65T704922//867664077992704//867664077992712, 5
9144/65T704923//867664077992720//867664077992738, 59144/65T704925//867664077992761//867664077992779, 59144/65T704926//86766407799
2787//867664077992795, 59144/65T704927//867664077992803//867664077992811, 59144/65T704930//867664077992860//867664077992878, 5914
4/65T704933//867664077992928//867664077992936, 59144/65T704935//867664077992969//867664077992977, 59144/65T704936//86766407799298
5//867664077992993, 59144/65T704937//867664077993009//867664077993017, 59144/65T704940//867664077993066//867664077993074, 59144/6
5T704941//867664077993082//867664077993090, 59144/65T704942//867664077993108//867664077993116, 59144/65T703014//867664077993306//
867664077993314, 59144/65T703016//867664077993348//867664077993355, 59144/65T703018//867664077993389//867664077993397, 59144/65T7
03628//867664077993587//867664077993595, 59144/65T703634//867664077993702//867664077993710, 59144/65T703637//867664077993769//867
664077993777, 59144/65T703641//867664077993843//867664077993850, 59144/65T703643//867664077993884//867664077993892, 59144/65T7036
46//867664077993942//867664077993959, 59144/65T703655//867664077994122//867664077994130, 59144/65T703657//867664077994163//867664
077994171, 59144/65T703659//867664077994205//867664077994213, 59144/65T703673//867664077995400//867664077995418, 59144/65T703676/
/867664077995467//867664077995475, 59144/65T703683//867664077995608//867664077995616, 59144/65T703684//867664077995624//867664077
995632, 59144/65T703685//867664077995640//867664077995657, 59144/65T703687//867664077995681//867664077995699, 59144/65T703696//86
7664077995863//867664077995871, 59144/65T703698//867664077995905//867664077995913, 59144/65T704303//867664077996002//867664077996
010, 59144/65T704305//867664077996044//867664077996051, 59144/65T704306//867664077996069//867664077996077, 59144/65T704307//86766
4077996085//867664077996093, 59144/65T704311//867664077996168//867664077996176, 59144/65T704315//867664077996242//867664077996259
, 59144/65T704316//867664077996267//867664077996275, 59144/65T704317//867664077996283//867664077996291, 59144/65T704318//86766407
7996309//867664077996317, 59144/65T704320//867664077996341//867664077996358, 59144/65T704321//867664077996366//867664077996374, 5
9144/65T704322//867664077996382//867664077996390, 59144/65T704326//867664077996465//867664077996473, 59144/65T704328//86766407799
6507//867664077996515, 59144/65T704329//867664077996523//867664077996531, 59144/65T704332//867664077996580//867664077996598, 5914
4/65T704333//867664077996606//867664077996614, 59144/65T704336//867664077996663//867664077996671, 59144/65T704341//86766407799676
2//867664077996770, 59144/65T704342//867664077996788//867664077996796, 59144/65T704944//867664077996820//867664077996838, 59144/6
5T704946//867664077996861//867664077996879, 59144/65T704947//867664077996887//867664077996895, 59144/65T704949//867664077996929//
867664077996937, 59144/65T704950//867664077996945//867664077996952, 59144/65T704957//867664077997083//867664077997091, 59144/65T7
04959//867664077997125//867664077997133, 59144/65T704963//867664077997208//867664077997216, 59144/65T704964//867664077997224//867
664077997232, 59144/65T704965//867664077997240//867664077997257, 59144/65T704969//867664077997323//867664077997331, PAIS ORIGEN:
032025001212024-1
Espacio para uso exclusivo de la Entidad Recaudadora
REPÚBLICA DE COLOMBIA
Declaración de
Importación
Aceptación : 032025001212024-1
Subpartida : 8517130000
Página 9 de 9
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
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032025001212024-1
Espacio para uso exclusivo de la Entidad Recaudadora
