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Duties and Taxes Payable by Exporter X Consignee Other If Other, please specify _______________________________________________________________________
No. of No. of Net Weight Unit of Harmonized Country of Unit Total
Description of Goods
Packages Units (LBS / KGS) Measure Tariff Number Manufacture Value Value
Total Total Total Net (Indicate Total Gross (Indicate Terms DAP
Pkgs Units Weight LBS/KGS) Weight LBS/KGS) of Sale: Subtotal: 840.00
Packing: 0.00
Declaration Statement(s): 0.00
Handling:
Other:
0.00
I declare that all the information contained in this invoice to be true and correct. Invoice Total: 1,454.02
Originator or Name of Company Representative if the invoice is being completed on behalf of a company or individual: UKL
Currency Code:
toshibacoo
Date:
REV. 04.10.13-1.08