Via A.

De Gasperi, 19
37015 Sant'Ambrogio Valpolicella (VR) ITALY
P.iva: 04416910232
www.taktmarble.it

M/S
WOODGRASS TECHNOLOGIES
S.A.
Masaryk 62, 4 Piso
Polanco Miguel Hidalgo Distrito
Federal
11550 CIUCIAD DE MEXICO
Kind attn. To Mr. Gilberto
Diamante

Sant'Ambrogio di Valp. June 8th, 2016

PROFORMA INVOICE N. 3/16

total packages: nr. 01 polistyrene box
total gross weight: ………. kilos

Goods are of Italian origin

Shipment by: FEDEX EXPRESS EUROPE

A.W.B. NR. …………………….
Delivery terms: ex-factory Verona Italy

Non imponibile ai sensi dell'Art.8 comma 1 dpr 633/72

total value € 5,00

“​​According to the regulation CE428/2009 which sets up a Community regime for the control of exports of dual-use
items and technology, we declare that the products covered by this document are marble pieces therefore intended for
civil purposes only.”

“THE EXPORTER OF THE PRODUCTS COVERED BY THIS DOCUMENT DECLARES THAT,

EXCEPT WHERE OTHERWISE CLEARLY INDICATED, THESE PRODUCTS ARE OF
ITALIAN PREFERENTIAL ORIGIN”. “BESIDES, THE EXPORTER DECLARES THAT ALL
INFORMATION IN THIS INVOICE IS TRUE AND CORRECT”.

NAME _________________ TITLE ____________________

SIGNATURE ________________________