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C o m m e r c i a l I n v o i c e - United States of America

Commercial Invoice Date Invoice #. Shipper Name Consignee Name Contact Person Contact Person Street Address Street Address City Postal Code City Postal Code Country Email Address Country Email Address Telephone Number Fax Number Telephone Number Fax Number Tax ID Number (EIN) Exporting Carrier: DHL Tax ID Number ( EIN,VAT) Incoterms Other Information. ( ITN #) Total # of Pieces Total Gross Weight in Kilos AWB #. Complete Commodity Description HTS, Country of Quantity, Unit Price Total Price Schedule B Manufacture Unit of USD $ USD $. Measure Subtotal (USD $). I/we hereby certify that the information on this invoice is true and correct and that the contents of this shipment are as Freight Cost stated above. Insurance Cost Total Invoice Value (USD $).

I n v o i c e Date . Invoice # Shipper Name. Consignee Name. Contact Person. Contact Person . Street Address: Street Address. City. Postal Code. City. Postal Code

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Transcription of C o m m e r c i a l I n v o i c e - United States of America

1 Commercial Invoice Date Invoice #. Shipper Name Consignee Name Contact Person Contact Person Street Address Street Address City Postal Code City Postal Code Country Email Address Country Email Address Telephone Number Fax Number Telephone Number Fax Number Tax ID Number (EIN) Exporting Carrier: DHL Tax ID Number ( EIN,VAT) Incoterms Other Information. ( ITN #) Total # of Pieces Total Gross Weight in Kilos AWB #. Complete Commodity Description HTS, Country of Quantity, Unit Price Total Price Schedule B Manufacture Unit of USD $ USD $. Measure Subtotal (USD $). I/we hereby certify that the information on this invoice is true and correct and that the contents of this shipment are as Freight Cost stated above. Insurance Cost Total Invoice Value (USD $).

2 These commodities, technology, or software were exported from the United States of America for ultimate destination Signature and Title of Authorized Person Date _____ in accordance with export administration regulations. Diversion contrary to law is prohibited. Version 01/2007.


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