Invoice Page 1
From
Tax ID/VAT No.: ________________________________________________________ Waybill Number: ________________________________________________
Contact/Company Name: ___________________________________________ Shipment ID: Date: _______________________________________________________
Address: ___________________________________________
Invoice Number (Reference) ________________________________________________________
City, State/Province: ________________________________________________________
1): Purchase Order Number (Reference) _______________________________________________
Postal Code Country/Territory: ________________________________________________________
2): Terms of Sale (Incoterm): ________________________________________________________
Phone: ________________________________________________________
Reason for Export: ________________________________________________________
Ship To Sold To
Tax ID/VAT No.: ________________________________________________________ Tax ID/VAT Number: ________________________________________________________
Contact /Company Name: ________________________________________________________ Contact/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
____________________________________________________________________________________________________________________________________________________________________
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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
[Link] contrary to U.S. law is prohibited. [Link]
