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| Company Name: | Invoice #: | |||||
| Reference / Order No.: | ||||||
| FedEx Express Air Waybill Number: | ||||||
| Ship From | Ship To | |||||
| Name: | Name: | |||||
| Address: | Address: | |||||
| City/State/Zip: | City/State/Zip: | |||||
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| Importer Other Than Recipient: | Check One: | |||||
| Name: | [ ] CIF [ ] FOB [ ] C&F | Country of Export: | ||||
| Address: | Country of Manufacture: | |||||
| City/State/Zip: | Country of Destination: | |||||
| Currency: | |||||
| Package Information | |||||||
| Qty | Unit of Measure | Type of Pkgs. | No. of pkgs | Unit Value | Commodity Description | Weight | Total Value |
| Total Number of Packages | Total | ||||||
| Signature of shipper/exporter (type name and title and sign) I declare all the information contained in this invoice to be true and correct | / / Date: |