Version:CLSD 1810 2018-01-08

This invoice must be completed in English.

COMMERCIAL INVOICE
Commercial Invoice 1 1
Page _______ of _______
EXPORTER: Ship Date:
Tax ID#: GB 112-3911 23 Jan, 2018
Contact Name: toshibacoo Air Waybill No. / Tracking No.:
Telephone No.: 4420145810 000000000000
Invoice No.: Purchase Order No.:
E-Mail: arehman@sherserve.com
Company Name/Address: 00000334
Payment Terms: Bill of Lading:
toshibacoo
Unit 1 Cash In Advance
Purpose of Shipment:
Commercial
LONDON SE1
Country: UNITED KINGDOM
Parties to Transaction:
Related X Non-Related
SOLD TO / IMPORTER (if different from Consignee):
CONSIGNEE:
Tax ID#: Same as CONSIGNEE:
Contact Name: zerox
Telephone No.: 001678988282 Tax ID#:
E-Mail:
Company Name/Address: Company Name/Address:
zerox zerox
Unit 99 Unit 99
**TEST LABEL - DO NOT SHIP** -

New York NY 10001 New York NY 10001

Country: UNITED STATES OF AMERICA Country: UNITED STATES OF AMERICA
If there is a designated broker for this shipment, please provide contact information.
Name of Broker ____________________________________________________ Tel. No. __________________________ Contact Name ____________________________________________ ___

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

1 1.00 50.00 EA Product Test NS0003 Product Test NS GB 840.000000 840.00

Description

Total Total Total Net (Indicate Total Gross (Indicate Terms DAP
Pkgs Units Weight LBS/KGS) Weight LBS/KGS) of Sale: Subtotal: 840.00

1 1.00 50.00 KG 50.00 KG Insurance: 0.00

Special Instructions:
Freight: 614.02

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:

Signature / Title / Date: 23 Jan, 2018

REV. 04.10.13-1.08