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WOODBURN OR 97071
Country/Territory: UNITED STATES OF AMERICA Country/Territory: 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 X Exporter 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
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: 200.00
Originator or Name of Company Representative if the invoice is being completed on behalf of a company or individual: USD
Currency Code:
Jesús gerardo Félix vazquez
Date:
REV. 04.10.13-1.08
Version:clsd 2210 2021-10-29
WOODBURN OR 97071
Country/Territory: UNITED STATES OF AMERICA Country/Territory: 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 X Exporter 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
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: 200.00
Originator or Name of Company Representative if the invoice is being completed on behalf of a company or individual: USD
Currency Code:
Jesús gerardo Félix vazquez
Date:
REV. 04.10.13-1.08
Version:clsd 2210 2021-10-29
WOODBURN OR 97071
Country/Territory: UNITED STATES OF AMERICA Country/Territory: 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 X Exporter 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
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: 200.00
Originator or Name of Company Representative if the invoice is being completed on behalf of a company or individual: USD
Currency Code:
Jesús gerardo Félix vazquez
Date:
REV. 04.10.13-1.08