AMS

.
Origin:

1/1
Time

Piece
Pce/Shpt Weight
Day
Contact:

1 kg
US-DTW-DEO
48313 Sterling Heights
WPX

(J) VGLE XP20 2054 0848

(2L)US48313+48000001
Klaas van Reeuwijkstraat 29

United States

WAYBILL 44 1585 0316

Daily dr. 12815
EXPRESS WORLDWIDE

2132ZP Hoofddorp

Clay Burnett
2021-12-08 MDP 1.0 / *40-180807*

Netherlands
A. CADENA

C-PLT
From :

To :

#Fold here. Affix to package using DHL plastic pouch. #

Issued by: Date:

Time:

Unless otherwise agreed in writing, I/we agree that DHL's terms and Conditions of carriage are all the terms of the
contract between me/us and DHL and such Terms and Conditions and, where applicable, the Warsaw Convention limits
and/or excludes DHL's liability for loss, damage or delay and this shipment does not contain cash or dangerous goods.

I confirm that this shipment does not contain any items from the list of prohibited items displayed in the DHL Servicepoint,
or of the following: Dangerous goods, haz. or comb. mats, Antiques, Playing cards, Human remains, including ashes,
Firearms, parts thereof & ammunition, Animals, Currency, Bullion, Asbestos, Pornography, Narcotics: illegal, Precious
metals & stones, Gambling devices, Jewellery, Furs.

DHL Express reserves the right to open and examine this item at any DHL location and at any time for security and/or
customs reasons.

Local duties and taxes may be applied at the destination country.

Servicepoint agent Signature Customer

Affix to package
Sender:
0683697263
A. CADENA
Klaas van Reeuwijkstraat 29
2132ZP Hoofddorp
Netherlands PRO-FORMA

Date: 2021-12-08 Airwaybill Number: WAYBILL 44 1585 0316

Receiver:
Clay Burnett Invoice Number:
Daily dr. 12815
48313 Sterling Heights Shipment Reference:
United States
Sender's VAT No:

Receiver's VAT No:

1-470-233-3247

Qty Unit Value Subtotal Value Unit Net Country of Comm.

Full Description of Goods
Weight Manufacture / Code
Origin

Set of Metal Dice (2 pce) 10 1.00 EUR 10.00 EUR 0.09 NL

Total Declared Value: 10.00 EUR Total Net Weight: 0.88 kg

Total Quantity: 10 Total Gross Weight: 0.88 kg

Type of Export Permanent Currency Code EUR

Reason for Export Gift Terms of Trade DAP

I/We hereby certify that the information on this Invoice is true and correct and that the contents of this shipment are as
stated above.
The exporter of the products covered by this Invoice declares that, except where otherwise clearly indicated, these
products are of Netherlands preferential origin.

Signature:

Position in Company: Company Stamp:

Page 1 of 1
*WAYBILL DOC*
Not to be attached to package - Hand to Courier
2021-12-08 MDP 1.0 / 40-180807
WPX
Shipper :
Contact:
A. CADENA 0683697263
Klaas van Reeuwijkstraat 29
2132ZP Hoofddorp
Netherlands
Receiver : Contact:
1-470-233-3247
Clay Burnett
Daily dr. 12815
48313 Sterling Heights
United States

. NL-AMS-AK2 US-DTW-DEO .
Product Details: Features / Services (Service Code)
[P] EXPRESS WORLDWIDE (48) Paperless Trade(WY)

Cust Decl Shpt Wgt (UOM) / Dim Wgt (UOM): Pieces

1 kg 1
Name (in Capital Letters) Signature Date (DD.MM.YYYY)

WAYBILL 44 1585 0316

License Plates of pieces in shipment
VGLEXP2020540848

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