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ICP Invoice

Invoice Date
Invoice # ICP 382108 5-December-2022
Billing Address: Mailing Address:

Braskem SA Attn: Carlos Carvalho de Jesus


Attn: Carlos Carvalho de J Carlos Carvalho de Rua JOSÉ CLEMENTE PEREIRA
Rua JOSÉ CLEMENTE PEREIRA 10 APARTAMENTO 21
10 APARTAMENTO 21 SANTOS/CAMPO GRANDE, SP 11070320
SANTOS/CAMPO GRANDE, SP 11070320 Brazil
Brazil

All payments must be made in United States currency. Checks / Money Order must be drawn from a U.S. bank.
You are responsible for all taxes, banking or other service fees, including all applicable withholding taxes. If
you are paying by electronic transfer, please note (1) you are responsible for all electronic transfer, A.C.H.
and banking fees; (2) for electronic payments not drawn on a U.S. bank a fifty-dollar ($50) handling fee
must be added at the time payment is made; and (3) you must reference the Invoice # ICP 382108 above.
Thank you.

Quantity Product Code Description Amount

1 ICP510 ICP 510 Certification License for Pressure Vessels 12-May-2023 $940.00
ICP ID: 793796 Subtotal $940.00

TOTAL $940.00
Please return a copy of this invoice with your Payment Received $0.00
payment. Also follow the additional payment- Balance Due $940.00
submission details below.

Send Checks By Mail To: Send Wire Transfers To: Send Correspondence To:
American Petroleum TD Bank Individual Certification
Institute 1919 Gallows Rd Programs
P.O. Box 1425 Vienna, VA 22182 USA API
Merrifield, VA 22116-1425 ABA Routing # 054001725 (ACH) 200 Massachusetts Avenue,
USA ABA Routing # 031101266 (Wire) NW
Credit To American Petroleum Washington, DC 20001
REFERENCE: ICP 382108 Institute Phone: 202-682-8064
Account # 4251303172 Fax: 202-682-8348
SWIFT: NRTHUS33 email:
inspector@api.org
REFERENCE: ICP 382108
United States Federal Tax ID No. 13-0433-430 carlos.jesus@braskem.com

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