Invoice
Page 1
From
Tax ID/VAT No.:
Waybill Number:
Shipment ID:
Contact Name:
Date:
Company Name:
Address:
Invoice Number (Reference 1):
City State/Province:
Purchase Order Number (Reference 2):
Postal Code Country/Territory:
Terms of Sale (Incoterm):
Phone:
Reason for Export:
Ship To
Sold To
Tax ID/VAT No.:
Tax ID/VAT Number:
Contact Name:
Contact Name:
Company Name:
Company Name:
Address:
Address:
City State/Province:
City State/Province:
Postal Code Country/Territory:
Postal Code Country/Territory:
Phone:
Phone:
Units
U/M
Description of Goods/Part Number
Harmonized Code
C/O
Unit Value
Total Value
Currency
Additional Comments:
Invoice Line total:
Discount/Rebate:
Invoice Sub-Total:
Freight:
Declaration Statement:
Insurance:
Other:
Currency
Total Invoice amount:
Shipper's Signature / Title
Date
Total Number of Packages:
Total Weight:
These commodities, technology, or software were exported from the United States in accordance with the Export Administration
Regulation.Diversion contrary to U.S. law is prohibited.