US CUSTOMS INVOICE
Export References:
U.S. Customs Clearance By
Expiration Date:
Exporter Name and Address: Ultimate Consignee Name and Address: Sold To Name and Address:
Intermediate Consignee/Consigned to:
NOTIFY
FOR U.S. CUSTOMS CLEARANCE
Date of Shipment:
AWB/BL Number:
Currency:
Letter of Credit Number:
Conditions of Sale and Terms of Payment:
Freight (please mark): Pre-paid ___ Collect___
Title Transfer Occurs At:
Payment Terms:
Transportation method:
Via:
From:
Total Number of Packages:
Total Net Weight (kgs):
Total Gross Weight (kgs):
Item Number, Product Description, Tariff Classification Number, Country of Origin Quantity Unit Price Total Price
Please Note: These commodities, technology, or software were exported from the United States in accordance with the Export Administration Regulations.
Diversion contrary to U.S. law prohibited.
Authorized Signature:
Company:
Name:
Title:
Date:
E-mail:
Telephone Number(s)
Voice: Facsimile:
This invoice is for export/import purposes only and not intended for payment purposes
