Version:clsd 2340 2023-07-26
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This invoice must be completed in English.
COMMERCIAL INVOICE
Commercial Invoice Page _______ of _______
EXPORTER: Ship Date:
Tax ID#: 16 Feb, 2024
Contact Name: FLOREIMA DOLORES NAVARRO Air Waybill No. / Tracking No.:
Telephone No.: 3138017170 775215169505
Invoice No.: Purchase Order No.:
E-Mail:
Company Name/Address:
Payment Terms: Bill of Lading:
FLOREIMA DOLORES NAVARRO
Carrera 19B # 83-49
Piso 3. Ofc 301. A Purpose of Shipment:
GIFT
BOGOTA 110111
Country/Territory: COLOMBIA
Parties to Transaction:
Related X Non-Related
SOLD TO / IMPORTER (if different from Consignee):
CONSIGNEE:
Tax ID#: X Same as CONSIGNEE:
Contact Name: Jose Luis Guevara Romero
Telephone No.: 19545293004 Tax ID#:
E-Mail:
Company Name/Address: Company Name/Address:
Jose Luis Guevara Romero
1144 North Hiatus Building 11.
Penmbrokes Pine. Florida. USA
PEMBROKE PINES FL 33026
Country/Territory: UNITED STATES OF AMERICA Country/Territory: UNITED STATES OF AMERICA
If there is a designated broker for this shipment, please provide contact information.
Name of Broker ____________________________________________________ Tel. No. __________________________ Contact Name ____________________________________________ ___
Duties and Taxes Payable by Exporter X Consignee Other If Other, please specify _______________________________________________________________________
No. of No. of Net Weight Unit of Harmonized Country/ Unit Total
Description of Goods
Packages Units (LBS / KGS) Measure Tariff Number Terr. of MFR Value Value
4.00 0.50 PCS GIFT,SUPLEMENTOS DIETARIOS CO 7.500000 30.00
Total Total Total Net (Indicate Total Gross (Indicate Terms
Pkgs Units Weight LBS/KGS) Weight LBS/KGS) of Sale: Subtotal: 30.00
1 4.00 0.50 KG 0.50 KG Insurance: 0.00
Special Instructions:
Freight: 0.00
FLOREIMA DOLORES NAVARRO
Packing: 0.00
Declaration Statement(s): 0.00
Handling:
Other:
0.00
I declare that all the information contained in this invoice to be true and correct. Invoice Total: 30.00
Originator or Name of Company Representative if the invoice is being completed on behalf of a company or individual: USD
Currency Code:
FLOREIMA DOLORES NAVARRO
Date:
Signature / Title / Date: 16 Feb, 2024
REV. 08-23-22