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Invoice
Page 1
From
Tax ID/VAT No.:
Waybill Number:
Shipment ID:
Contact Name:
Date:
Company Name:
Address:
Invoice Number (Reference 1):
City State/Province:
Purchase Order Number (Reference 2):
Postal Code Country/Territory:
Terms of Sale (Incoterm):
Phone:
Reason for Export:
Ship To
Sold To
Tax ID/VAT No.:
Tax ID/VAT Number:
Contact Name:
Contact Name:
Company Name:
Company Name:
Address:
Address:
City State/Province:
City State/Province:
Postal Code Country/Territory:
Postal Code Country/Territory:
Phone:
Phone:
Units
U/M
Description of Goods/Part Number
Harmonized Code
C/O
Total Value
Currency
Additional Comments :
Invoice Line total: ____________________________
Discount/Rebate:
Invoice Sub-Total: ____________________________
Freight:
Insurance:
Other:
Total Invoice amount:
Currency
Declaration Statement :
Shipper's Signature / Title Date Total Number of Packages:
Total Weight:
These items are controlled by the U.S., E.U., & other gov'ts, & authorized for export only to the country of ultimate destination for use by
the ultimate consignee or end-user(s) herein identified. They may not be resold, transferred, or otherwise disposed of, to any other
country or to any person other than the authorized ultimate consignee or end-user(s), either in their original form or after being
incorporated into other items, without first obtaining approval from the U.S., E.U. & other gov'ts, or as otherwise authorized by those
gov't's law & regulations.
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