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Version 01/2007
C o m m e r c i a l I n v o i c e
Date Invoice #
Shipper Name Consignee Name
Contact Person Contact Person
Street Address Street Address
City Postal Code City Postal Code
Country Email Address Country Email Address
Telephone Number Fax Number Telephone Number Fax Number
Tax ID Number (EIN) Exporting Carrier: DHL Tax ID Number (i.e. EIN,VAT) Incoterms
Other Information. (i.e. ITN #) Total # of Pieces Total Gross Weight in Kilos AWB #
Complete Commodity Description HTS,
Schedule B
Country of
Manufacture
Quantity,
Unit of
Measure
Unit Price
USD $
Total Price
USD $
Subtotal (USD $)
Freight Cost
Insurance Cost
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.
Total Invoice Value (USD $)
Signature and Title of Authorized Person Date
These commodities, technology, or software were exported
from the United States of America for ultimate destination
____________________ in accordance with export
administration regulations. Diversion contrary to U.S. law is
prohibited.
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