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CATERPILLAR AMERICAS C.

V PAGE 1
76 RTE DE FRONTENEX BOITE POSTAL 6000 GENEVA SW SHIP
I N V O I C E
CUST CD: INVOICE NUMBER: INVC DATE: BUS TYPE: AGRMT TYPE: MKT ORG: SHIPMENT: PRIM PSO: CURRENCY:
R070 Z 95 296047 19SEP23 IC MACH CACO 5604579945 386776157 US DOLLAR
BILL TO: SHIP TO:
ORVISA SOCIEDAD ANONIMA FORBIS LOGISTICS, CORP
C/O FERREYROS S.A. 12200 NW 25 ST STE 105
APARTADO 150 MIAMI FL 33182-1502 USA
LIMA PERU
FOR ULTIMATE BILL TO: FOR ULTIMATE SHIP TO:
ORVISA SOCIEDAD ANONIMA
AV. ABELARDO QUINONES KM. 2
IQUITOS PERU
CATERPILLAR AMERICAS C.V. IS NOT THE
U.S. PRINCIPAL PARTY OF INTEREST FOR
U.S. EXPORT REGULATIONS PURPOSES.
PLEASE REFER TO THE ACCOMPANYING
"EXPORT DECLARATION SUMMARY" DOCUMENT
FOR THE U.S. PRINCIPAL PARTY OF INTEREST
AND EXPORT VALUES.
REMIT PAYMENT TO CATERPILLAR AMERICAS CO
****************************************
IRRESPECTIVE OF ANY INCOTERM THAT MAY BE
REFLECTED ON THIS INVOICE, ALL
"INCIDENTS OF OWNERSHIP" SHALL TRANSFER
AS SET FORTH IN SECTION 3(C) OF, AND
SECTION B, PARAGRAPH 1(A){WITHOUT REGARD
TO PARAGRAPH 2} OF EXHIBIT B TO, THE
AGREEMENT BETWEEN THE PARTIES GOVERNING
THIS SALE.
****************************************
SHIP TERMS:
FCA (PORT OF ENTRY) (INCOTERMS 2010)
DESTINATION CONTROL STATEMENT:
THESE ITEMS ARE CONTROLLED BY THE U.S. GOVERNMENT AND AUTHORIZED
FOR EXPORT ONLY TO THE COUNTRY OF ULTIMATE DESTINATION FOR USE
BY THE ULTIMATE CONSIGNEE OR END-USER(S) HEREIN IDENTIFIED.
THEY MAY NOT BE RESOLD, TRANSFERRED, OR OTHERWISE DISPOSED OF,
TO ANY OTHER COUNTRY OR TO ANY PERSON OTHER THAN THE AUTHORIZED
ULTIMATE CONSIGNEE OR END-USER(S), EITHER IN THEIR ORIGINAL FORM
OR AFTER BEING INCORPORATED INTO OTHER ITEMS, WITHOUT FIRST
OBTAINING APPROVAL FROM THE U.S. GOVERNMENT OR AS OTHERWISE
AUTHORIZED BY U.S. LAW AND REGULATIONS.
FOR QUESTIONS YOU MAY HAVE ABOUT SUBSTANCES CONTAINED IN THE
CATERPILLAR PARTS IDENTIFIED IN THE INVOICE ABOVE, INCLUDING
THIS SALE IS SUBJECT TO THE TERMS AND CONDITIONS OF SELLER'S ACKNOWLEDGMENT OF ORDER

CATERPILLAR AMERICAS C.V PAGE 2


76 RTE DE FRONTENEX BOITE POSTAL 6000 GENEVA SW SHIP
I N V O I C E
CUST CD: INVOICE NUMBER: INVC DATE: BUS TYPE: AGRMT TYPE: MKT ORG: SHIPMENT: PRIM PSO: CURRENCY:
R070 Z 95 296047 19SEP23 IC MACH CACO 5604579945 386776157 US DOLLAR
REACH CANDIDATE LIST SUBSTANCES, PLEASE VISIT CATDEALER.COM:
CAT DEALER| EU REACH: SCIP, SUD | CATERPILLAR (HTTPS://CATDEALER.
COM/EN/BT/SERVICE-OPERATIONS-STRATEGY/STANDARDS-REGULATIONS/
REACH-SAFE-USE-DOCUMENTATION.HTML) OR CONTACT:
SUBSTANCE_COMPLIANCE_REQUESTS@CAT.COM.
MARKS:
PLEASE USE 1 BAND PER PIECE
INSPECTION REQUIRED.
ITEM# QTY PART TYPE/NUMBER/NAME UNIT PRICE EXTENDED PRICE
----- ------ --------------------------------------------------------------------------- -------------------- --------------------
SRC/SHIP NO MOR 4852057524 SHIP DATE 19SEP23 CNTR NO 56FORBIS 091823
FACILITY/PSO MOR 5997455 PRIMARY PSO 386776157 PSO DATE 14SEP23 PSO CLASS E CUST REF 2130031517-2401
263 CONSULAR DECLARATION
INYECTORES P/SISTEMA DE COMBUSTIBLE Y
PARTES
TARIFA 8409.99.30.00
1 3 AA 618-0750 INJECTOR GP- 733.65 2,200.95
CUST REF ITEM NO: 0010
PART WEIGHT: 17.24 LB 7.82 KG CASE NO:48721514 CASE TYPE:CARTON WT: 48 LB 22 KGS
2 3 AA 618-0750 INJECTOR GP- 733.65 2,200.95
CUST REF ITEM NO: 0010
PART WEIGHT: 17.24 LB 7.82 KG CASE NO:48721514 CASE TYPE:CARTON WT: 48 LB 22 KGS
ORDER SUBTOTAL 4,401.90
FREIGHT CHARGE 8.24
ORDER TOTAL PIECE COUNT: 6 WEIGHT: 34.48 LB 15.64 KG AMOUNT: 4,410.14
PRIM PSO ORDER TOTAL 4,410.14
INVOICE TOTAL PIECE COUNT: 6 WEIGHT: 34.48 LB 15.64 KG AMOUNT: 4,410.14
THIS SALE IS SUBJECT TO THE TERMS AND CONDITIONS OF SELLER'S ACKNOWLEDGMENT OF ORDER

CATERPILLAR AMERICAS C.V PAGE 3


76 RTE DE FRONTENEX BOITE POSTAL 6000 GENEVA SW SHIP
I N V O I C E
CUST CD: INVOICE NUMBER: INVC DATE: BUS TYPE: AGRMT TYPE: MKT ORG: SHIPMENT: PRIM PSO: CURRENCY:
R070 Z 95 296047 19SEP23 IC MACH CACO 5604579945 386776157 US DOLLAR
INVOICE TOTALS
--------------
TOTAL NON REMAN PARTS 4,401.90
TOTAL REMAN PARTS 0.00 4,401.90
TOTAL DISCOUNTS 0.00 0.00
TOTAL SERVICE CHARGES 0.00
TOTAL CORE DEPOSITS 0.00
TOTAL SPECIAL CHARGES 0.00
TOTAL FREIGHT CHARGES 8.24 8.24
INVOICE TOTAL 4,410.14
ORIGIN OF PARTS
---------------
ALL PARTS ARE OF U.S.A. ORIGIN
NOTIFICATION OF WEIGHTS
-----------------------
THE COMPUTER PRINTED INVOICE WEIGHTS ARE REFERENCE
INFORMATION ONLY AND DO NOT REFLECT THE ACTUAL
PACKING WEIGHT AS SHOWN ON THE PACKING LIST.
TERMS
-----
EMERG NET DUE 25TH OF MONTH FOLLOWING
INVOICE DATE.
CERTIFICATIONS
--------------
WE CERTIFY THAT MERCHANDISE
DESCRIBED HEREIN IS OF UNITED
STATES ORIGIN AND MANUFACTURE
UNLESS OTHERWISE SPECIFIED.
CATERPILLAR AMERICAS
X
CLERK
THIS SALE IS SUBJECT TO THE TERMS AND CONDITIONS OF SELLER'S ACKNOWLEDGMENT OF ORDER

CATERPILLAR AMERICAS C.V PAGE 1


76 RTE DE FRONTENEX BOITE POSTAL 6000 GENEVA SW
P A C K I N G L I S T
CUSTOMER CODE: R070 FACILITY/PSO: MOR 5997455 SHIPMENT NUMBER: 5604579945 INVOICE NUMBER: Z95 296047
CUSTOMER NAME: ORVISA SHIPMENT DATE: 16SEP23 INVOICE DATE: 19SEP23
CONTAINER NUM: 56FORBIS 091823-2 CNTR SEAL NUM: CNTR SEAL NUM2:
---------------WEIGHT--------------- ------------------DIMENSIONS------------------
GROSS NET TARE HEIGHT WIDTH LENGTH CUBIC
LBS/ LBS/ LBS/ IN/ IN/ IN/ FT/
SRC CUST CASE NO. CASE TYPE DESC TEMP LOC ID KILOS KILOS KILOS CM CM CM MT
-------- -------- --------------- ----------- ---------- ---------- ---------- ---------- ---------- ---------- ----------
MOR 48721514 CARTON 48.48 34.48 14.00 13.10 28.55 20.55 4.450
21.99 15.64 6.35 33.27 72.51 52.19 0.130
---------- ---------- ---------- ---------- ---------- ---------- ----------
INVOICE TOTALS 48.48 34.48 14.00 N/A N/A N/A 4.450
21.99 15.64 6.35 N/A N/A N/A 0.130
CASE TYPE TOTALS:
-----------------
1 CARTON
MARKS:
PLEASE USE 1 BAND PER PIECE
INSPECTION REQUIRED.
FOR ULTIMATE SHIP TO:
ORVISA SOCIEDAD ANONIMA
AV. ABELARDO QUINONES KM. 2
IQUITOS PERU
TOTAL INVOICE VALUE : 4,410.14
CATERPILLAR AMERICAS C.V PAGE 1
76 RTE DE FRONTENEX BOITE POSTAL 6000 GENEVA SW SHIP
I N V O I C E
CUST CD: INVOICE NUMBER: INVC DATE: BUS TYPE: AGRMT TYPE: MKT ORG: SHIPMENT: PRIM PSO: CURRENCY:
R070 Z 95 296621 20SEP23 IC MACH CACO 5604581170 117650327 US DOLLAR
BILL TO: SHIP TO:
ORVISA SOCIEDAD ANONIMA FORBIS LOGISTICS, CORP
C/O FERREYROS S.A. 12200 NW 25 ST STE 105
APARTADO 150 MIAMI FL 33182-1502 USA
LIMA PERU
FOR ULTIMATE BILL TO: FOR ULTIMATE SHIP TO:
ORVISA SOCIEDAD ANONIMA
AV. ABELARDO QUINONES KM. 2
IQUITOS PERU
CATERPILLAR AMERICAS C.V. IS NOT THE
U.S. PRINCIPAL PARTY OF INTEREST FOR
U.S. EXPORT REGULATIONS PURPOSES.
PLEASE REFER TO THE ACCOMPANYING
"EXPORT DECLARATION SUMMARY" DOCUMENT
FOR THE U.S. PRINCIPAL PARTY OF INTEREST
AND EXPORT VALUES.
REMIT PAYMENT TO CATERPILLAR AMERICAS CO
****************************************
IRRESPECTIVE OF ANY INCOTERM THAT MAY BE
REFLECTED ON THIS INVOICE, ALL
"INCIDENTS OF OWNERSHIP" SHALL TRANSFER
AS SET FORTH IN SECTION 3(C) OF, AND
SECTION B, PARAGRAPH 1(A){WITHOUT REGARD
TO PARAGRAPH 2} OF EXHIBIT B TO, THE
AGREEMENT BETWEEN THE PARTIES GOVERNING
THIS SALE.
****************************************
SHIP TERMS:
FCA (PORT OF ENTRY) (INCOTERMS 2010)
DESTINATION CONTROL STATEMENT:
THESE ITEMS ARE CONTROLLED BY THE U.S. GOVERNMENT AND AUTHORIZED
FOR EXPORT ONLY TO THE COUNTRY OF ULTIMATE DESTINATION FOR USE
BY THE ULTIMATE CONSIGNEE OR END-USER(S) HEREIN IDENTIFIED.
THEY MAY NOT BE RESOLD, TRANSFERRED, OR OTHERWISE DISPOSED OF,
TO ANY OTHER COUNTRY OR TO ANY PERSON OTHER THAN THE AUTHORIZED
ULTIMATE CONSIGNEE OR END-USER(S), EITHER IN THEIR ORIGINAL FORM
OR AFTER BEING INCORPORATED INTO OTHER ITEMS, WITHOUT FIRST
OBTAINING APPROVAL FROM THE U.S. GOVERNMENT OR AS OTHERWISE
AUTHORIZED BY U.S. LAW AND REGULATIONS.
FOR QUESTIONS YOU MAY HAVE ABOUT SUBSTANCES CONTAINED IN THE
CATERPILLAR PARTS IDENTIFIED IN THE INVOICE ABOVE, INCLUDING
THIS SALE IS SUBJECT TO THE TERMS AND CONDITIONS OF SELLER'S ACKNOWLEDGMENT OF ORDER

CATERPILLAR AMERICAS C.V PAGE 2


76 RTE DE FRONTENEX BOITE POSTAL 6000 GENEVA SW SHIP
I N V O I C E
CUST CD: INVOICE NUMBER: INVC DATE: BUS TYPE: AGRMT TYPE: MKT ORG: SHIPMENT: PRIM PSO: CURRENCY:
R070 Z 95 296621 20SEP23 IC MACH CACO 5604581170 117650327 US DOLLAR
REACH CANDIDATE LIST SUBSTANCES, PLEASE VISIT CATDEALER.COM:
CAT DEALER| EU REACH: SCIP, SUD | CATERPILLAR (HTTPS://CATDEALER.
COM/EN/BT/SERVICE-OPERATIONS-STRATEGY/STANDARDS-REGULATIONS/
REACH-SAFE-USE-DOCUMENTATION.HTML) OR CONTACT:
SUBSTANCE_COMPLIANCE_REQUESTS@CAT.COM.
MARKS:
ORVISA
IQUITOS PERU
INSPECTION REQUIRED.
ITEM# QTY PART TYPE/NUMBER/NAME UNIT PRICE EXTENDED PRICE
----- ------ --------------------------------------------------------------------------- -------------------- --------------------
SRC/SHIP NO MIA 5604581170 SHIP DATE 20SEP23 CNTR NO 56FORBIS 091923 2
FACILITY/PSO MIA 0399224 PRIMARY PSO 117650327 PSO DATE 18SEP23 PSO CLASS S CUST REF 2150083187-2401
145 CONSULAR DECLARATION
DISCOS, ARANDELAS DE CAUCHO LAS DEMAS
TARIFA 4016.99.10.00
1 10 AA 109-3207 SEAL O RING 5.97 59.70
CUST REF ITEM NO: 0010
PART WEIGHT: 0.20 LB 0.09 KG CASE NO:56172631 CASE TYPE:CARTON WT: 1 LB 1 KGS
ORDER TOTAL PIECE COUNT: 10 WEIGHT: 0.20 LB 0.09 KG AMOUNT: 59.70
PRIM PSO ORDER TOTAL 59.70
INVOICE TOTAL PIECE COUNT: 10 WEIGHT: 0.20 LB 0.09 KG AMOUNT: 59.70
THIS SALE IS SUBJECT TO THE TERMS AND CONDITIONS OF SELLER'S ACKNOWLEDGMENT OF ORDER

CATERPILLAR AMERICAS C.V PAGE 3


76 RTE DE FRONTENEX BOITE POSTAL 6000 GENEVA SW SHIP
I N V O I C E
CUST CD: INVOICE NUMBER: INVC DATE: BUS TYPE: AGRMT TYPE: MKT ORG: SHIPMENT: PRIM PSO: CURRENCY:
R070 Z 95 296621 20SEP23 IC MACH CACO 5604581170 117650327 US DOLLAR
INVOICE TOTALS
--------------
TOTAL NON REMAN PARTS 59.70
TOTAL REMAN PARTS 0.00 59.70
TOTAL DISCOUNTS 0.00 0.00
TOTAL SERVICE CHARGES 0.00
TOTAL CORE DEPOSITS 0.00
TOTAL SPECIAL CHARGES 0.00
TOTAL FREIGHT CHARGES 0.00 0.00
INVOICE TOTAL 59.70
ORIGIN OF PARTS
---------------
ALL PARTS ARE OF U.S.A. ORIGIN
NOTIFICATION OF WEIGHTS
-----------------------
THE COMPUTER PRINTED INVOICE WEIGHTS ARE REFERENCE
INFORMATION ONLY AND DO NOT REFLECT THE ACTUAL
PACKING WEIGHT AS SHOWN ON THE PACKING LIST.
TERMS
-----
AZZW5 - OPEN ACCOUNT. CASH
DISCOUNT NOT AVAILABLE. NET DUE
25TH OF ONE MONTH FOLLOWING INVOICE
DATE.
CERTIFICATIONS
--------------
WE CERTIFY THAT MERCHANDISE
DESCRIBED HEREIN IS OF UNITED
STATES ORIGIN AND MANUFACTURE
UNLESS OTHERWISE SPECIFIED.
CATERPILLAR AMERICAS
X
CLERK
THIS SALE IS SUBJECT TO THE TERMS AND CONDITIONS OF SELLER'S ACKNOWLEDGMENT OF ORDER

CATERPILLAR AMERICAS C.V PAGE 1


76 RTE DE FRONTENEX BOITE POSTAL 6000 GENEVA SW
P A C K I N G L I S T
CUSTOMER CODE: R070 FACILITY/PSO: MIA 0399224 SHIPMENT NUMBER: 5604581170 INVOICE NUMBER: Z95 296621
CUSTOMER NAME: ORVISA SHIPMENT DATE: 20SEP23 INVOICE DATE: 20SEP23
CONTAINER NUM: 56FORBIS 091923 2 CNTR SEAL NUM: CNTR SEAL NUM2:
---------------WEIGHT--------------- ------------------DIMENSIONS------------------
GROSS NET TARE HEIGHT WIDTH LENGTH CUBIC
LBS/ LBS/ LBS/ IN/ IN/ IN/ FT/
SRC CUST CASE NO. CASE TYPE DESC TEMP LOC ID KILOS KILOS KILOS CM CM CM MT
-------- -------- --------------- ----------- ---------- ---------- ---------- ---------- ---------- ---------- ----------
MIA 56172631 CARTON 0.36 0.20 0.16 4.50 6.30 6.30 0.110
0.16 0.09 0.07 11.43 16.00 16.00 0.010
---------- ---------- ---------- ---------- ---------- ---------- ----------
INVOICE TOTALS 0.36 0.20 0.16 N/A N/A N/A 0.110
0.16 0.09 0.07 N/A N/A N/A 0.010
CASE TYPE TOTALS:
-----------------
1 CARTON
MARKS:
ORVISA
IQUITOS PERU
INSPECTION REQUIRED.
FOR ULTIMATE SHIP TO:
ORVISA SOCIEDAD ANONIMA
AV. ABELARDO QUINONES KM. 2
IQUITOS PERU
TOTAL INVOICE VALUE : 59.70
CATERPILLAR AMERICAS C.V PAGE 1
76 RTE DE FRONTENEX BOITE POSTAL 6000 GENEVA SW SHIP
I N V O I C E
CUST CD: INVOICE NUMBER: INVC DATE: BUS TYPE: AGRMT TYPE: MKT ORG: SHIPMENT: PRIM PSO: CURRENCY:
R070 Z 95 298311 23SEP23 IC MACH CACO 5604584770 CONS US DOLLAR
BILL TO: SHIP TO:
ORVISA SOCIEDAD ANONIMA FORBIS LOGISTICS, CORP
C/O FERREYROS S.A. 12200 NW 25 ST STE 105
APARTADO 150 MIAMI FL 33182-1502 USA
LIMA PERU
FOR ULTIMATE BILL TO: FOR ULTIMATE SHIP TO:
ORVISA SOCIEDAD ANONIMA
AV. ABELARDO QUINONES KM. 2
IQUITOS PERU
CATERPILLAR AMERICAS C.V. IS NOT THE
U.S. PRINCIPAL PARTY OF INTEREST FOR
U.S. EXPORT REGULATIONS PURPOSES.
PLEASE REFER TO THE ACCOMPANYING
"EXPORT DECLARATION SUMMARY" DOCUMENT
FOR THE U.S. PRINCIPAL PARTY OF INTEREST
AND EXPORT VALUES.
REMIT PAYMENT TO CATERPILLAR AMERICAS CO
****************************************
IRRESPECTIVE OF ANY INCOTERM THAT MAY BE
REFLECTED ON THIS INVOICE, ALL
"INCIDENTS OF OWNERSHIP" SHALL TRANSFER
AS SET FORTH IN SECTION 3(C) OF, AND
SECTION B, PARAGRAPH 1(A){WITHOUT REGARD
TO PARAGRAPH 2} OF EXHIBIT B TO, THE
AGREEMENT BETWEEN THE PARTIES GOVERNING
THIS SALE.
****************************************
SHIP TERMS:
FCA (PORT OF ENTRY) (INCOTERMS 2010)
DESTINATION CONTROL STATEMENT:
THESE ITEMS ARE CONTROLLED BY THE U.S. GOVERNMENT AND AUTHORIZED
FOR EXPORT ONLY TO THE COUNTRY OF ULTIMATE DESTINATION FOR USE
BY THE ULTIMATE CONSIGNEE OR END-USER(S) HEREIN IDENTIFIED.
THEY MAY NOT BE RESOLD, TRANSFERRED, OR OTHERWISE DISPOSED OF,
TO ANY OTHER COUNTRY OR TO ANY PERSON OTHER THAN THE AUTHORIZED
ULTIMATE CONSIGNEE OR END-USER(S), EITHER IN THEIR ORIGINAL FORM
OR AFTER BEING INCORPORATED INTO OTHER ITEMS, WITHOUT FIRST
OBTAINING APPROVAL FROM THE U.S. GOVERNMENT OR AS OTHERWISE
AUTHORIZED BY U.S. LAW AND REGULATIONS.
FOR QUESTIONS YOU MAY HAVE ABOUT SUBSTANCES CONTAINED IN THE
CATERPILLAR PARTS IDENTIFIED IN THE INVOICE ABOVE, INCLUDING
THIS SALE IS SUBJECT TO THE TERMS AND CONDITIONS OF SELLER'S ACKNOWLEDGMENT OF ORDER

CATERPILLAR AMERICAS C.V PAGE 2


76 RTE DE FRONTENEX BOITE POSTAL 6000 GENEVA SW SHIP
I N V O I C E
CUST CD: INVOICE NUMBER: INVC DATE: BUS TYPE: AGRMT TYPE: MKT ORG: SHIPMENT: PRIM PSO: CURRENCY:
R070 Z 95 298311 23SEP23 IC MACH CACO 5604584770 CONS US DOLLAR
REACH CANDIDATE LIST SUBSTANCES, PLEASE VISIT CATDEALER.COM:
CAT DEALER| EU REACH: SCIP, SUD | CATERPILLAR (HTTPS://CATDEALER.
COM/EN/BT/SERVICE-OPERATIONS-STRATEGY/STANDARDS-REGULATIONS/
REACH-SAFE-USE-DOCUMENTATION.HTML) OR CONTACT:
SUBSTANCE_COMPLIANCE_REQUESTS@CAT.COM.
MARKS:
ORVISA
IQUITOS PERU
INSPECTION REQUIRED.
ITEM# QTY PART TYPE/NUMBER/NAME UNIT PRICE EXTENDED PRICE
----- ------ --------------------------------------------------------------------------- -------------------- --------------------
SRC/SHIP NO MIA 5604584770 SHIP DATE 23SEP23 CNTR NO 56FORBIS 092223 2
FACILITY/PSO MIA 0424341 PRIMARY PSO 064598463 PSO DATE 21SEP23 PSO CLASS S CUST REF 2130031769-2401
145 CONSULAR DECLARATION
DISCOS, ARANDELAS DE CAUCHO LAS DEMAS
TARIFA 4016.99.10.00
1 50 AA 6V-8398VN SEAL O RING 0.88 44.00
CUST REF ITEM NO: 0010
PART WEIGHT: 0.05 LB 0.02 KG CASE NO:56178686 CASE TYPE:PALLET CARTON WT: 11 LB 5 KGS
ORDER TOTAL PIECE COUNT: 50 WEIGHT: 0.05 LB 0.02 KG AMOUNT: 44.00
PRIM PSO ORDER TOTAL 44.00
FACILITY/PSO MIA 0425031 PRIMARY PSO 081471689 PSO DATE 21SEP23 PSO CLASS S CUST REF 2110355345-24014001160741
154 CONSULAR DECLARATION
JUNTAS O EMPAQUETADURAS DE PAPEL O
CARTON
TARIFA 4823.90.40.00
2 1 AA 144-0482 GASKET 4.18 4.18
CUST REF ITEM NO: 0060
PART WEIGHT: 0.14 LB 0.06 KG CASE NO:56178686 CASE TYPE:PALLET CARTON WT: 11 LB 5 KGS
ORDER TOTAL PIECE COUNT: 1 WEIGHT: 0.14 LB 0.06 KG AMOUNT: 4.18
FACILITY/PSO MIA 0425031 PRIMARY PSO 081471689 PSO DATE 21SEP23 PSO CLASS S CUST REF 2110355345-24014001160741
THIS SALE IS SUBJECT TO THE TERMS AND CONDITIONS OF SELLER'S ACKNOWLEDGMENT OF ORDER

CATERPILLAR AMERICAS C.V PAGE 3


76 RTE DE FRONTENEX BOITE POSTAL 6000 GENEVA SW SHIP
I N V O I C E
CUST CD: INVOICE NUMBER: INVC DATE: BUS TYPE: AGRMT TYPE: MKT ORG: SHIPMENT: PRIM PSO: CURRENCY:
R070 Z 95 298311 23SEP23 IC MACH CACO 5604584770 CONS US DOLLAR
ITEM# QTY PART TYPE/NUMBER/NAME UNIT PRICE EXTENDED PRICE
----- ------ --------------------------------------------------------------------------- -------------------- --------------------
191 CONSULAR DECLARATION
LOS DEMAS PERNOS,TORNILLOS Y SIMILARES
DE HIERRO
TARIFA 7318.15.90.00
3 1 AA 4S-5780( ROD 56.94 56.94
CUST REF ITEM NO: 0010
PART WEIGHT: 0.70 LB 0.32 KG CASE NO:56178686 CASE TYPE:PALLET CARTON WT: 11 LB 5 KGS
ORDER TOTAL PIECE COUNT: 1 WEIGHT: 0.70 LB 0.32 KG AMOUNT: 56.94
FACILITY/PSO MIA 0425031 PRIMARY PSO 081471689 PSO DATE 21SEP23 PSO CLASS S CUST REF 2110355345-24014001160741
191 CONSULAR DECLARATION
LOS DEMAS PERNOS,TORNILLOS Y SIMILARES
DE HIERRO
TARIFA 7318.15.90.00
4 10 AA 1H-3337E BOLT 0.16 1.60
CUST REF ITEM NO: 0040
PART WEIGHT: 0.20 LB 0.09 KG CASE NO:56178686 CASE TYPE:PALLET CARTON WT: 11 LB 5 KGS
ORDER TOTAL PIECE COUNT: 10 WEIGHT: 0.20 LB 0.09 KG AMOUNT: 1.60
FACILITY/PSO MIA 0425031 PRIMARY PSO 081471689 PSO DATE 21SEP23 PSO CLASS S CUST REF 2110355345-24014001160741
203 CONSULAR DECLARATION
DEMAS MANUFACTURAS DE HIERRO O ACERO
(INCLUYE ESTUCHES DE METAL)
TARIFA 7326.90.90.00
5 3 AA 2A-0047 SPACER 10.78 32.34
CUST REF ITEM NO: 0020
PART WEIGHT: 0.31 LB 0.14 KG CASE NO:56178686 CASE TYPE:PALLET CARTON WT: 11 LB 5 KGS
ORDER TOTAL PIECE COUNT: 3 WEIGHT: 0.31 LB 0.14 KG AMOUNT: 32.34
FACILITY/PSO MIA 0425031 PRIMARY PSO 081471689 PSO DATE 21SEP23 PSO CLASS S CUST REF 2110355345-24014001160741
203 CONSULAR DECLARATION
DEMAS MANUFACTURAS DE HIERRO O ACERO
(INCLUYE ESTUCHES DE METAL)
TARIFA 7326.90.90.00
THIS SALE IS SUBJECT TO THE TERMS AND CONDITIONS OF SELLER'S ACKNOWLEDGMENT OF ORDER

CATERPILLAR AMERICAS C.V PAGE 4


76 RTE DE FRONTENEX BOITE POSTAL 6000 GENEVA SW SHIP
I N V O I C E
CUST CD: INVOICE NUMBER: INVC DATE: BUS TYPE: AGRMT TYPE: MKT ORG: SHIPMENT: PRIM PSO: CURRENCY:
R070 Z 95 298311 23SEP23 IC MACH CACO 5604584770 CONS US DOLLAR
ITEM# QTY PART TYPE/NUMBER/NAME UNIT PRICE EXTENDED PRICE
----- ------ --------------------------------------------------------------------------- -------------------- --------------------
6 10 AA 6N-0561 CLIP 17.67 176.70
CUST REF ITEM NO: 0050
PART WEIGHT: 1.01 LB 0.46 KG CASE NO:56178686 CASE TYPE:PALLET CARTON WT: 11 LB 5 KGS
ORDER TOTAL PIECE COUNT: 10 WEIGHT: 1.01 LB 0.46 KG AMOUNT: 176.70
FACILITY/PSO MIA 0425031 PRIMARY PSO 081471689 PSO DATE 21SEP23 PSO CLASS S CUST REF 2110355345-24014001160741
271 CONSULAR DECLARATION
LAS DEMAS PARTES Y PZAS MOT.DIESEL O GAS
TARIFA 8409.99.99.00
7 1 AA 2N-9345 FLANGE 71.84 71.84
CUST REF ITEM NO: 0030
PART WEIGHT: 0.80 LB 0.36 KG CASE NO:56178686 CASE TYPE:PALLET CARTON WT: 11 LB 5 KGS
ORDER TOTAL PIECE COUNT: 1 WEIGHT: 0.80 LB 0.36 KG AMOUNT: 71.84
FACILITY/PSO MIA 0425031 PRIMARY PSO 081471689 PSO DATE 21SEP23 PSO CLASS S CUST REF 2110355345-24014001160741
371 CONSULAR DECLARATION
AROS D/OBTURACION,RETENES
TARIFA 8485.90.20.00
8 30 AA 4N-2953 LOCK-RING 0.53 15.90
CUST REF ITEM NO: 0070
PART WEIGHT: 0.30 LB 0.14 KG CASE NO:56178686 CASE TYPE:PALLET CARTON WT: 11 LB 5 KGS
ORDER TOTAL PIECE COUNT: 30 WEIGHT: 0.30 LB 0.14 KG AMOUNT: 15.90
PRIM PSO ORDER TOTAL 359.50
FACILITY/PSO MIA 0426163 PRIMARY PSO 094968794 PSO DATE 21SEP23 PSO CLASS S CUST REF 2150083761-2401
145 CONSULAR DECLARATION
DISCOS, ARANDELAS DE CAUCHO LAS DEMAS
TARIFA 4016.99.10.00
9 1 AA 256-7704 SEAL 50.43 50.43
CUST REF ITEM NO: 0010
PART WEIGHT: 0.18 LB 0.08 KG CASE NO:56178686 CASE TYPE:PALLET CARTON WT: 11 LB 5 KGS
ORDER TOTAL PIECE COUNT: 1 WEIGHT: 0.18 LB 0.08 KG AMOUNT: 50.43
THIS SALE IS SUBJECT TO THE TERMS AND CONDITIONS OF SELLER'S ACKNOWLEDGMENT OF ORDER

CATERPILLAR AMERICAS C.V PAGE 5


76 RTE DE FRONTENEX BOITE POSTAL 6000 GENEVA SW SHIP
I N V O I C E
CUST CD: INVOICE NUMBER: INVC DATE: BUS TYPE: AGRMT TYPE: MKT ORG: SHIPMENT: PRIM PSO: CURRENCY:
R070 Z 95 298311 23SEP23 IC MACH CACO 5604584770 CONS US DOLLAR
ITEM# QTY PART TYPE/NUMBER/NAME UNIT PRICE EXTENDED PRICE
----- ------ --------------------------------------------------------------------------- -------------------- --------------------
FACILITY/PSO MIA 0426163 PRIMARY PSO 094968794 PSO DATE 21SEP23 PSO CLASS S CUST REF 2150083761-2401
369 CONSULAR DECLARATION
EMPAQUETADURAS METALOPLASTICAS
TARIFA 8484.10.00.00
10 1 AA 6I-3066 GASKET HEAD 94.84 94.84
CUST REF ITEM NO: 0020
PART WEIGHT: 3.16 LB 1.43 KG CASE NO:56178557 CASE TYPE:GASKET BOX WT: 5 LB 2 KGS
ORDER TOTAL PIECE COUNT: 1 WEIGHT: 3.16 LB 1.43 KG AMOUNT: 94.84
FACILITY/PSO MIA 0426163 PRIMARY PSO 094968794 PSO DATE 21SEP23 PSO CLASS S CUST REF 2150083761-2401
369 CONSULAR DECLARATION
EMPAQUETADURAS METALOPLASTICAS
TARIFA 8484.10.00.00
11 1 AA 6I-4024 GASKET 34.60 34.60
CUST REF ITEM NO: 0030
PART WEIGHT: 0.85 LB 0.39 KG CASE NO:56178557 CASE TYPE:GASKET BOX WT: 5 LB 2 KGS
ORDER TOTAL PIECE COUNT: 1 WEIGHT: 0.85 LB 0.39 KG AMOUNT: 34.60
PRIM PSO ORDER TOTAL 179.87
FACILITY/PSO MIA 0424359 PRIMARY PSO 184109935 PSO DATE 21SEP23 PSO CLASS S CUST REF 2130031768-2401
145 CONSULAR DECLARATION
DISCOS, ARANDELAS DE CAUCHO LAS DEMAS
TARIFA 4016.99.10.00
12 2 AA 143-7352J SEAL 45.01 90.02
CUST REF ITEM NO: 0050
PART WEIGHT: 0.30 LB 0.14 KG CASE NO:56178686 CASE TYPE:PALLET CARTON WT: 11 LB 5 KGS
ORDER TOTAL PIECE COUNT: 2 WEIGHT: 0.30 LB 0.14 KG AMOUNT: 90.02
FACILITY/PSO MIA 0424359 PRIMARY PSO 184109935 PSO DATE 21SEP23 PSO CLASS S CUST REF 2130031768-2401
THIS SALE IS SUBJECT TO THE TERMS AND CONDITIONS OF SELLER'S ACKNOWLEDGMENT OF ORDER

CATERPILLAR AMERICAS C.V PAGE 6


76 RTE DE FRONTENEX BOITE POSTAL 6000 GENEVA SW SHIP
I N V O I C E
CUST CD: INVOICE NUMBER: INVC DATE: BUS TYPE: AGRMT TYPE: MKT ORG: SHIPMENT: PRIM PSO: CURRENCY:
R070 Z 95 298311 23SEP23 IC MACH CACO 5604584770 CONS US DOLLAR
ITEM# QTY PART TYPE/NUMBER/NAME UNIT PRICE EXTENDED PRICE
----- ------ --------------------------------------------------------------------------- -------------------- --------------------
145 CONSULAR DECLARATION
DISCOS, ARANDELAS DE CAUCHO LAS DEMAS
TARIFA 4016.99.10.00
13 2 AA 143-7345J SEAL 47.90 95.80
CUST REF ITEM NO: 0080
PART WEIGHT: 0.30 LB 0.14 KG CASE NO:56178686 CASE TYPE:PALLET CARTON WT: 11 LB 5 KGS
ORDER TOTAL PIECE COUNT: 2 WEIGHT: 0.30 LB 0.14 KG AMOUNT: 95.80
FACILITY/PSO MIA 0424359 PRIMARY PSO 184109935 PSO DATE 21SEP23 PSO CLASS S CUST REF 2130031768-2401
191 CONSULAR DECLARATION
LOS DEMAS PERNOS,TORNILLOS Y SIMILARES
DE HIERRO
TARIFA 7318.15.90.00
14 10 AA 5H-3701( SCREW 4.18 41.80
CUST REF ITEM NO: 0070
PART WEIGHT: 0.52 LB 0.24 KG CASE NO:56178686 CASE TYPE:PALLET CARTON WT: 11 LB 5 KGS
ORDER TOTAL PIECE COUNT: 10 WEIGHT: 0.52 LB 0.24 KG AMOUNT: 41.80
FACILITY/PSO MIA 0424359 PRIMARY PSO 184109935 PSO DATE 21SEP23 PSO CLASS S CUST REF 2130031768-2401
199 CONSULAR DECLARATION
LOS DEMAS MUELLES HELICOIDALES
(RESORTES)
TARIFA 7320.20.90.00
15 4 AA 144-0496 SPRING 7.51 30.04
CUST REF ITEM NO: 0030
PART WEIGHT: 0.21 LB 0.10 KG CASE NO:56178686 CASE TYPE:PALLET CARTON WT: 11 LB 5 KGS
ORDER TOTAL PIECE COUNT: 4 WEIGHT: 0.21 LB 0.10 KG AMOUNT: 30.04
FACILITY/PSO MIA 0424359 PRIMARY PSO 184109935 PSO DATE 21SEP23 PSO CLASS S CUST REF 2130031768-2401
203 CONSULAR DECLARATION
DEMAS MANUFACTURAS DE HIERRO O ACERO
(INCLUYE ESTUCHES DE METAL)
TARIFA 7326.90.90.00
THIS SALE IS SUBJECT TO THE TERMS AND CONDITIONS OF SELLER'S ACKNOWLEDGMENT OF ORDER

CATERPILLAR AMERICAS C.V PAGE 7


76 RTE DE FRONTENEX BOITE POSTAL 6000 GENEVA SW SHIP
I N V O I C E
CUST CD: INVOICE NUMBER: INVC DATE: BUS TYPE: AGRMT TYPE: MKT ORG: SHIPMENT: PRIM PSO: CURRENCY:
R070 Z 95 298311 23SEP23 IC MACH CACO 5604584770 CONS US DOLLAR
ITEM# QTY PART TYPE/NUMBER/NAME UNIT PRICE EXTENDED PRICE
----- ------ --------------------------------------------------------------------------- -------------------- --------------------
16 50 AA 4E-3897 LOCK 0.21 10.50
CUST REF ITEM NO: 0060
PART WEIGHT: 0.50 LB 0.23 KG CASE NO:56178686 CASE TYPE:PALLET CARTON WT: 11 LB 5 KGS
ORDER TOTAL PIECE COUNT: 50 WEIGHT: 0.50 LB 0.23 KG AMOUNT: 10.50
FACILITY/PSO MIA 0424359 PRIMARY PSO 184109935 PSO DATE 21SEP23 PSO CLASS S CUST REF 2130031768-2401
362 CONSULAR DECLARATION
BUJE O BOCINA DE/BRONCE O HIERRO
TARIFA 8483.30.90.00
17 4 AA 151-4809X BRG-SLEEVE 14.46 57.84
CUST REF ITEM NO: 0040
PART WEIGHT: 0.83 LB 0.38 KG CASE NO:56178686 CASE TYPE:PALLET CARTON WT: 11 LB 5 KGS
ORDER TOTAL PIECE COUNT: 4 WEIGHT: 0.83 LB 0.38 KG AMOUNT: 57.84
FACILITY/PSO MIA 0424359 PRIMARY PSO 184109935 PSO DATE 21SEP23 PSO CLASS S CUST REF 2130031768-2401
472 CONSULAR DECLARATION
PARTES DE DIFERENCIALES
TARIFA 8708.50.19.00
18 4 AA 6Y-7954( DISC 30.89 123.56
CUST REF ITEM NO: 0020
PART WEIGHT: 2.74 LB 1.24 KG CASE NO:56178686 CASE TYPE:PALLET CARTON WT: 11 LB 5 KGS
ORDER TOTAL PIECE COUNT: 4 WEIGHT: 2.74 LB 1.24 KG AMOUNT: 123.56
PRIM PSO ORDER TOTAL 449.56
INVOICE TOTAL PIECE COUNT: 185 WEIGHT: 13.10 LB 5.96 KG AMOUNT: 1,032.93
THIS SALE IS SUBJECT TO THE TERMS AND CONDITIONS OF SELLER'S ACKNOWLEDGMENT OF ORDER

CATERPILLAR AMERICAS C.V PAGE 8


76 RTE DE FRONTENEX BOITE POSTAL 6000 GENEVA SW SHIP
I N V O I C E
CUST CD: INVOICE NUMBER: INVC DATE: BUS TYPE: AGRMT TYPE: MKT ORG: SHIPMENT: PRIM PSO: CURRENCY:
R070 Z 95 298311 23SEP23 IC MACH CACO 5604584770 CONS US DOLLAR
INVOICE TOTALS
--------------
TOTAL NON REMAN PARTS 1,032.93
TOTAL REMAN PARTS 0.00 1,032.93
TOTAL DISCOUNTS 0.00 0.00
TOTAL SERVICE CHARGES 0.00
TOTAL CORE DEPOSITS 0.00
TOTAL SPECIAL CHARGES 0.00
TOTAL FREIGHT CHARGES 0.00 0.00
INVOICE TOTAL 1,032.93
ORIGIN OF PARTS
---------------
PARTS IDENTIFIED BY THE SUFFIX ( WERE MADE IN CHINA
PARTS IDENTIFIED BY THE SUFFIX E WERE MADE IN UNITED KINGDOM
PARTS IDENTIFIED BY THE SUFFIX J WERE MADE IN MEXICO
PARTS IDENTIFIED BY THE SUFFIX VN WERE MADE IN VIET NAM
PARTS IDENTIFIED BY THE SUFFIX X WERE MADE IN JAPAN
ALL OTHER PARTS ARE OF U.S.A. ORIGIN
NOTIFICATION OF WEIGHTS
-----------------------
THE COMPUTER PRINTED INVOICE WEIGHTS ARE REFERENCE
INFORMATION ONLY AND DO NOT REFLECT THE ACTUAL
PACKING WEIGHT AS SHOWN ON THE PACKING LIST.
TERMS
-----
AZZW5 - OPEN ACCOUNT. CASH
DISCOUNT NOT AVAILABLE. NET DUE
25TH OF ONE MONTH FOLLOWING INVOICE
DATE.
CERTIFICATIONS
--------------
WE CERTIFY THAT MERCHANDISE
DESCRIBED HEREIN IS OF UNITED
STATES ORIGIN AND MANUFACTURE
UNLESS OTHERWISE SPECIFIED.
CATERPILLAR AMERICAS
X
CLERK
THIS SALE IS SUBJECT TO THE TERMS AND CONDITIONS OF SELLER'S ACKNOWLEDGMENT OF ORDER

CATERPILLAR AMERICAS C.V PAGE 1


76 RTE DE FRONTENEX BOITE POSTAL 6000 GENEVA SW
P A C K I N G L I S T
CUSTOMER CODE: R070 FACILITY/PSO: CONS SHIPMENT NUMBER: 5604584770 INVOICE NUMBER: Z95 298311
CUSTOMER NAME: ORVISA SHIPMENT DATE: 23SEP23 INVOICE DATE: 23SEP23
CONTAINER NUM: 56FORBIS 092223 2 CNTR SEAL NUM: CNTR SEAL NUM2:
---------------WEIGHT--------------- ------------------DIMENSIONS------------------
GROSS NET TARE HEIGHT WIDTH LENGTH CUBIC
LBS/ LBS/ LBS/ IN/ IN/ IN/ FT/
SRC CUST CASE NO. CASE TYPE DESC TEMP LOC ID KILOS KILOS KILOS CM CM CM MT
-------- -------- --------------- ----------- ---------- ---------- ---------- ---------- ---------- ---------- ----------
MIA 56178557 GASKET BOX 5.08 4.01 1.07 5.80 18.00 55.00 3.330
2.30 1.81 0.49 14.73 45.72 139.70 0.100
MIA 56178686 PALLET CARTON 10.53 9.10 1.43 6.10 18.00 18.00 1.150
4.78 4.13 0.65 15.49 45.72 45.72 0.040
---------- ---------- ---------- ---------- ---------- ---------- ----------
INVOICE TOTALS 15.61 13.11 2.50 N/A N/A N/A 4.480
7.08 5.94 1.14 N/A N/A N/A 0.140
CASE TYPE TOTALS:
-----------------
1 GASKET BOX
1 PALLET CARTON
MARKS:
ORVISA
IQUITOS PERU
INSPECTION REQUIRED.
FOR ULTIMATE SHIP TO:
ORVISA SOCIEDAD ANONIMA
AV. ABELARDO QUINONES KM. 2
IQUITOS PERU
TOTAL INVOICE VALUE : 1,032.93
CATERPILLAR AMERICAS C.V PAGE 1
76 RTE DE FRONTENEX BOITE POSTAL 6000 GENEVA SW SHIP
I N V O I C E
CUST CD: INVOICE NUMBER: INVC DATE: BUS TYPE: AGRMT TYPE: MKT ORG: SHIPMENT: PRIM PSO: CURRENCY:
R070 Z 95 298636 25SEP23 IC MACH CACO 5604585383 763532189 US DOLLAR
BILL TO: SHIP TO:
ORVISA SOCIEDAD ANONIMA FORBIS LOGISTICS, CORP
C/O FERREYROS S.A. 12200 NW 25 ST STE 105
APARTADO 150 MIAMI FL 33182-1502 USA
LIMA PERU
FOR ULTIMATE BILL TO: FOR ULTIMATE SHIP TO:
ORVISA SOCIEDAD ANONIMA
AV. ABELARDO QUINONES KM. 2
IQUITOS PERU
CATERPILLAR AMERICAS C.V. IS NOT THE
U.S. PRINCIPAL PARTY OF INTEREST FOR
U.S. EXPORT REGULATIONS PURPOSES.
PLEASE REFER TO THE ACCOMPANYING
"EXPORT DECLARATION SUMMARY" DOCUMENT
FOR THE U.S. PRINCIPAL PARTY OF INTEREST
AND EXPORT VALUES.
REMIT PAYMENT TO CATERPILLAR AMERICAS CO
****************************************
IRRESPECTIVE OF ANY INCOTERM THAT MAY BE
REFLECTED ON THIS INVOICE, ALL
"INCIDENTS OF OWNERSHIP" SHALL TRANSFER
AS SET FORTH IN SECTION 3(C) OF, AND
SECTION B, PARAGRAPH 1(A){WITHOUT REGARD
TO PARAGRAPH 2} OF EXHIBIT B TO, THE
AGREEMENT BETWEEN THE PARTIES GOVERNING
THIS SALE.
****************************************
SHIP TERMS:
FCA (PORT OF ENTRY) (INCOTERMS 2010)
DESTINATION CONTROL STATEMENT:
THESE ITEMS ARE CONTROLLED BY THE U.S. GOVERNMENT AND AUTHORIZED
FOR EXPORT ONLY TO THE COUNTRY OF ULTIMATE DESTINATION FOR USE
BY THE ULTIMATE CONSIGNEE OR END-USER(S) HEREIN IDENTIFIED.
THEY MAY NOT BE RESOLD, TRANSFERRED, OR OTHERWISE DISPOSED OF,
TO ANY OTHER COUNTRY OR TO ANY PERSON OTHER THAN THE AUTHORIZED
ULTIMATE CONSIGNEE OR END-USER(S), EITHER IN THEIR ORIGINAL FORM
OR AFTER BEING INCORPORATED INTO OTHER ITEMS, WITHOUT FIRST
OBTAINING APPROVAL FROM THE U.S. GOVERNMENT OR AS OTHERWISE
AUTHORIZED BY U.S. LAW AND REGULATIONS.
FOR QUESTIONS YOU MAY HAVE ABOUT SUBSTANCES CONTAINED IN THE
CATERPILLAR PARTS IDENTIFIED IN THE INVOICE ABOVE, INCLUDING
THIS SALE IS SUBJECT TO THE TERMS AND CONDITIONS OF SELLER'S ACKNOWLEDGMENT OF ORDER

CATERPILLAR AMERICAS C.V PAGE 2


76 RTE DE FRONTENEX BOITE POSTAL 6000 GENEVA SW SHIP
I N V O I C E
CUST CD: INVOICE NUMBER: INVC DATE: BUS TYPE: AGRMT TYPE: MKT ORG: SHIPMENT: PRIM PSO: CURRENCY:
R070 Z 95 298636 25SEP23 IC MACH CACO 5604585383 763532189 US DOLLAR
REACH CANDIDATE LIST SUBSTANCES, PLEASE VISIT CATDEALER.COM:
CAT DEALER| EU REACH: SCIP, SUD | CATERPILLAR (HTTPS://CATDEALER.
COM/EN/BT/SERVICE-OPERATIONS-STRATEGY/STANDARDS-REGULATIONS/
REACH-SAFE-USE-DOCUMENTATION.HTML) OR CONTACT:
SUBSTANCE_COMPLIANCE_REQUESTS@CAT.COM.
MARKS:
PLEASE USE 1 BAND PER PIECE
INSPECTION REQUIRED.
ITEM# QTY PART TYPE/NUMBER/NAME UNIT PRICE EXTENDED PRICE
----- ------ --------------------------------------------------------------------------- -------------------- --------------------
SRC/SHIP NO WAC 4152598663 SHIP DATE 25SEP23 CNTR NO 56FORBIS 092323
FACILITY/PSO WAC 3505433 PRIMARY PSO 763532189 PSO DATE 21SEP23 PSO CLASS E CUST REF 2130031770-2401
303 CONSULAR DECLARATION
ELEMENTOS FILTRANTES P/FILTRO DE MOTORES
TARIFA 8421.99.10.00
1 10 AA 110-6326 MAIN ELEMENT 35.25 352.50
CUST REF ITEM NO: 0010
EMERGENCY FILL CHARGE 3.00 % 10.58
PART WEIGHT: 24.75 LB 11.23 KG CASE NO:41707806 CASE TYPE:PALLET CARTON WT: 66 LB 30 KGS
ORDER SUBTOTAL 363.08
FREIGHT CHARGE 11.25
ORDER TOTAL PIECE COUNT: 10 WEIGHT: 24.75 LB 11.23 KG AMOUNT: 374.33
PRIM PSO ORDER TOTAL 374.33
INVOICE TOTAL PIECE COUNT: 10 WEIGHT: 24.75 LB 11.23 KG AMOUNT: 374.33
THIS SALE IS SUBJECT TO THE TERMS AND CONDITIONS OF SELLER'S ACKNOWLEDGMENT OF ORDER

CATERPILLAR AMERICAS C.V PAGE 3


76 RTE DE FRONTENEX BOITE POSTAL 6000 GENEVA SW SHIP
I N V O I C E
CUST CD: INVOICE NUMBER: INVC DATE: BUS TYPE: AGRMT TYPE: MKT ORG: SHIPMENT: PRIM PSO: CURRENCY:
R070 Z 95 298636 25SEP23 IC MACH CACO 5604585383 763532189 US DOLLAR
INVOICE TOTALS
--------------
TOTAL NON REMAN PARTS 352.50
TOTAL REMAN PARTS 0.00 352.50
TOTAL DISCOUNTS 0.00 0.00
TOTAL SERVICE CHARGES 10.58
TOTAL CORE DEPOSITS 0.00
TOTAL SPECIAL CHARGES 0.00
TOTAL FREIGHT CHARGES 11.25 21.83
INVOICE TOTAL 374.33
ORIGIN OF PARTS
---------------
ALL PARTS ARE OF U.S.A. ORIGIN
NOTIFICATION OF WEIGHTS
-----------------------
THE COMPUTER PRINTED INVOICE WEIGHTS ARE REFERENCE
INFORMATION ONLY AND DO NOT REFLECT THE ACTUAL
PACKING WEIGHT AS SHOWN ON THE PACKING LIST.
TERMS
-----
EMERG NET DUE 25TH OF MONTH FOLLOWING
INVOICE DATE.
CERTIFICATIONS
--------------
WE CERTIFY THAT MERCHANDISE
DESCRIBED HEREIN IS OF UNITED
STATES ORIGIN AND MANUFACTURE
UNLESS OTHERWISE SPECIFIED.
CATERPILLAR AMERICAS
X
CLERK
THIS SALE IS SUBJECT TO THE TERMS AND CONDITIONS OF SELLER'S ACKNOWLEDGMENT OF ORDER

CATERPILLAR AMERICAS C.V PAGE 1


76 RTE DE FRONTENEX BOITE POSTAL 6000 GENEVA SW
P A C K I N G L I S T
CUSTOMER CODE: R070 FACILITY/PSO: WAC 3505433 SHIPMENT NUMBER: 5604585383 INVOICE NUMBER: Z95 298636
CUSTOMER NAME: ORVISA SHIPMENT DATE: 21SEP23 INVOICE DATE: 25SEP23
CONTAINER NUM: 56FORBIS 092323 CNTR SEAL NUM: CNTR SEAL NUM2:
---------------WEIGHT--------------- ------------------DIMENSIONS------------------
GROSS NET TARE HEIGHT WIDTH LENGTH CUBIC
LBS/ LBS/ LBS/ IN/ IN/ IN/ FT/
SRC CUST CASE NO. CASE TYPE DESC TEMP LOC ID KILOS KILOS KILOS CM CM CM MT
-------- -------- --------------- ----------- ---------- ---------- ---------- ---------- ---------- ---------- ----------
WAC 41707806 PALLET CARTON 66.20 20.49 45.71 26.00 29.00 41.00 17.890
30.03 9.30 20.73 66.04 73.66 104.14 0.510
---------- ---------- ---------- ---------- ---------- ---------- ----------
INVOICE TOTALS 66.20 20.49 45.71 N/A N/A N/A 17.890
30.03 9.30 20.73 N/A N/A N/A 0.510
CASE TYPE TOTALS:
-----------------
1 PALLET CARTON
MARKS:
PLEASE USE 1 BAND PER PIECE
INSPECTION REQUIRED.
FOR ULTIMATE SHIP TO:
ORVISA SOCIEDAD ANONIMA
AV. ABELARDO QUINONES KM. 2
IQUITOS PERU
TOTAL INVOICE VALUE : 374.33

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