Date of Export::
|
Export References (i.e. order no., invoice no., etc):
|
Shipper/Exporter (complete name and address):
|
Recipient (complete name and address):
|
Country of export:
|
Importer - if other than recipient
(complete name and address): |
Country of manufacture:
|
Country of ultimate destination:
|
Federal Express International Air Waybill Number:
|
Currency:
|
| Marks/Nos |
No. of
pkgs |
Type
of packaging |
Full Description
of goods |
Qty |
Units of
measure |
Weight |
Unit value |
Total
Value |
|
|
|
|
|
|
|
|
|
|
Total
No. of
Pkgs |
|
Total
Weight |
|
Total
Invoice
Value |
|
|
|
|
|
|
I declare all the information contained in this invoice to be true and correct
|
Signature of shipper/exporter (type name and title and sign)
__________________________________________ |
Date:
___________ |
|
Check One
|
