COMMERCIAL INVOICE - Purolator

SHIPPERSHIP TOCompany NameCompany NameContact nameContact nameStreet addressStreet addressCityProvCityState/ ProvPostal codePostal/Zip codeCountryCountryTelephone NoTelephone NoEmail AddressEmail AddressTax ID#Sold ToBill of Lading NumberCompany NameBill Clearances Charges toContact nameShipper (DDP)Ship to (DDU) Sold to (DDU)Street addressCityState/ ProvReason for ExportPostal/Zip codeCountryBROKER FOR US GROUND CLEARANCES ONLYT elephone NoEmail AddressTax ID# INVOICE TotalCURRENCYI hereby certify that the information on this INVOICE is true and current to the best of my knowledgeUSDCADS ignatureDateCOMMERCIAL INVOICET otal ValueUnit ValueNAFTA Y/NCountry of originUnit of MeasureDescriptions of goods**UPS Brokerage is the default broker for US GroundUnits

Invoice Total CURRENCY I hereby certify that the information on this invoice is true and current to the best of my knowledge USD CAD Signature Date COMMERCIAL INVOICE Country of origin NAFTA Y/N Unit Value Total Value Unit of Measure Descriptions of goods **UPS Brokerage is the default broker for US Ground Units.

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Transcription of COMMERCIAL INVOICE - Purolator

1 SHIPPERSHIP TOCompany NameCompany NameContact nameContact nameStreet addressStreet addressCityProvCityState/ ProvPostal codePostal/Zip codeCountryCountryTelephone NoTelephone NoEmail AddressEmail AddressTax ID#Sold ToBill of Lading NumberCompany NameBill Clearances Charges toContact nameShipper (DDP)Ship to (DDU) Sold to (DDU)Street addressCityState/ ProvReason for ExportPostal/Zip codeCountryBROKER FOR US GROUND CLEARANCES ONLYT elephone NoEmail AddressTax ID# INVOICE TotalCURRENCYI hereby certify that the information on this INVOICE is true and current to the best of my knowledgeUSDCADS ignatureDateCOMMERCIAL INVOICET otal ValueUnit ValueNAFTA Y/NCountry of originUnit of MeasureDescriptions of goods**UPS Brokerage is the default broker for US GroundUnits