B116 – Canada Customs Duty Free Shop Accounting Document

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  • 1. Type
    • Imported
    • Domestic
    • Duty paid
    • Transferred
    • Ex-duty free shop
  • 2. Duty free shop name and address
  • 3. Vendor or transferor name - number
  • 4. B116 Transaction No.
  • 5. Cargo control No.
  • 6. Customs office
  • 7. D.F.S. No.
  • 8. Page No.
  • 9. Quantity
  • 10. Description 
  • 11. Country of origin
  • 12. Value (Can. dollars)
  • Total 
  • 13. C.C. Quantity
  • Complete this section for transferred goods only
    • 14. Transferred from custom office of
    • 15. B116 Transaction No.
    • 16. Previous account document No.  
    • 17. Approved for transfer
      • Approving officer  
    • 18. The property in the above goods is hereby transferred bonafide by the undersigned transferor to the undersigned transferee who hereby accepts such transfers.
      • Signature of transferor or attorney
      • Date 
  • 19. I declare that the particulars of this accounting document are true and complete, and that all goods listed have been entered into or exported from the duty free shop.
    • Authorized signature (Duty free shop)
    • Date
  • 20. Do not use this area
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