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SCHEDULE E-2/P-2
PERIOD : _______________________________________________________________________
AUTHORIZED DEALER : ___________________________________________________________
CURRENCY: _____________________________________________________________________
| Date Duplicate received | Date Of Remittance | M Form No. | Amount in currency | Code Numbers | ||||
| Million | Th. | Units | Country | Commodity | Department | |||
| Total | ||||||||
Checked By: __________
Coded By: ____________
Stamp and Signature of Authorized Dealer
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