The image is a scanned copy of a document with Chinese characters on it. The document appears to be a tax form, as indicated by the text at the top of the page. The text is written in both English and Chinese characters. 

The document is divided into two columns, with the left column containing the date and time of the tax form and the right column containing a list of items. The items are arranged in a grid-like pattern, with each item having its own set of numbers and text.

At the top right corner, there is a label that reads "064" and "1102870". Below the label, there are two lines of text, one in Chinese and one in English. The first line of text is for the user's name, the second line is for their address, and the third line is from their phone number. The label also has a small logo at the bottom right corner. The background of the document is a light beige color, and there are small holes on the edges for the edges to be filled in with the text.