Version:clsd 2320 2023-01-25

This invoice must be completed in English.

COMMERCIAL INVOICE
Commercial Invoice 1 1
Page _______ of _______
EXPORTER: Ship Date:
Tax ID#: 27 Sep, 2023
Contact Name: Kevin Berthoumieu Air Waybill No. / Tracking No.:
Telephone No.: 0782997939 796711801868
Invoice No.: Purchase Order No.:
E-Mail: [email protected]
Company Name/Address: 241693
Payment Terms: Bill of Lading:
Kevin Berthoumieu
13 Rue Curial
Purpose of Shipment:
Commercial
Paris 75019
Country/Territory: FRANCE
Parties to Transaction:
Related X Non-Related
SOLD TO / IMPORTER (if different from Consignee):
CONSIGNEE:
Tax ID#: X Same as CONSIGNEE:
Contact Name: E-Picking (Kavee)
Telephone No.: 0479316889 Tax ID#:
E-Mail: [email protected]
Company Name/Address: Company Name/Address:
Manufast
Chaussée De Gand
1434

Sint-Agatha-Berchem 1082
Country/Territory: BELGIUM Country/Territory: BELGIUM
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 X Exporter 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

1 24.00 0.22 EA Connector for C&C cage - Black 3926909790 BE 0.030000 0.72
1 12.00 2.64 EA Grid for C&C Cage - Small Mesh Black 7314390000 BE 0.030000 0.36
1 1.00 0.84 EA 1 Coroplast 4x2 Lilac 3921190099 BE 0.030000 0.03
Rejected Merchandise

Total Total Total Net (Indicate Total Gross (Indicate Terms

Pkgs Units Weight LBS/KGS) Weight LBS/KGS) of Sale: Subtotal: 1.11

1 37.00 3.70 KG 5.02 KG Insurance: 0.00

Special Instructions:
Freight: 0.00
0834451614F014
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: 1.11
Originator or Name of Company Representative if the invoice is being completed on behalf of a company or individual: EUR
Currency Code:
Kevin Berthoumieu
Date:

Signature / Title / Date: 27 Sep, 2023

REV. 08-23-22
 Version:clsd 2320 2023-01-25

This invoice must be completed in English.

COMMERCIAL INVOICE
Commercial Invoice 1 1
Page _______ of _______
EXPORTER: Ship Date:
Tax ID#: 27 Sep, 2023
Contact Name: Kevin Berthoumieu Air Waybill No. / Tracking No.:
Telephone No.: 0782997939 796711801868
Invoice No.: Purchase Order No.:
E-Mail: [email protected]
Company Name/Address: 241693
Payment Terms: Bill of Lading:
Kevin Berthoumieu
13 Rue Curial
Purpose of Shipment:
Commercial
Paris 75019
Country/Territory: FRANCE
Parties to Transaction:
Related X Non-Related
SOLD TO / IMPORTER (if different from Consignee):
CONSIGNEE:
Tax ID#: X Same as CONSIGNEE:
Contact Name: E-Picking (Kavee)
Telephone No.: 0479316889 Tax ID#:
E-Mail: [email protected]
Company Name/Address: Company Name/Address:
Manufast
Chaussée De Gand
1434

Sint-Agatha-Berchem 1082
Country/Territory: BELGIUM Country/Territory: BELGIUM
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 X Exporter 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

1 24.00 0.22 EA Connector for C&C cage - Black 3926909790 BE 0.030000 0.72
1 12.00 2.64 EA Grid for C&C Cage - Small Mesh Black 7314390000 BE 0.030000 0.36
1 1.00 0.84 EA 1 Coroplast 4x2 Lilac 3921190099 BE 0.030000 0.03
Rejected Merchandise

Total Total Total Net (Indicate Total Gross (Indicate Terms

Pkgs Units Weight LBS/KGS) Weight LBS/KGS) of Sale: Subtotal: 1.11

1 37.00 3.70 KG 5.02 KG Insurance: 0.00

Special Instructions:
Freight: 0.00
0834451614F014
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: 1.11
Originator or Name of Company Representative if the invoice is being completed on behalf of a company or individual: EUR
Currency Code:
Kevin Berthoumieu
Date:

Signature / Title / Date: 27 Sep, 2023

REV. 08-23-22
 Version:clsd 2320 2023-01-25

This invoice must be completed in English.

COMMERCIAL INVOICE
Commercial Invoice 1 1
Page _______ of _______
EXPORTER: Ship Date:
Tax ID#: 27 Sep, 2023
Contact Name: Kevin Berthoumieu Air Waybill No. / Tracking No.:
Telephone No.: 0782997939 796711801868
Invoice No.: Purchase Order No.:
E-Mail: [email protected]
Company Name/Address: 241693
Payment Terms: Bill of Lading:
Kevin Berthoumieu
13 Rue Curial
Purpose of Shipment:
Commercial
Paris 75019
Country/Territory: FRANCE
Parties to Transaction:
Related X Non-Related
SOLD TO / IMPORTER (if different from Consignee):
CONSIGNEE:
Tax ID#: X Same as CONSIGNEE:
Contact Name: E-Picking (Kavee)
Telephone No.: 0479316889 Tax ID#:
E-Mail: [email protected]
Company Name/Address: Company Name/Address:
Manufast
Chaussée De Gand
1434

Sint-Agatha-Berchem 1082
Country/Territory: BELGIUM Country/Territory: BELGIUM
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 X Exporter 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

1 24.00 0.22 EA Connector for C&C cage - Black 3926909790 BE 0.030000 0.72
1 12.00 2.64 EA Grid for C&C Cage - Small Mesh Black 7314390000 BE 0.030000 0.36
1 1.00 0.84 EA 1 Coroplast 4x2 Lilac 3921190099 BE 0.030000 0.03
Rejected Merchandise

Total Total Total Net (Indicate Total Gross (Indicate Terms

Pkgs Units Weight LBS/KGS) Weight LBS/KGS) of Sale: Subtotal: 1.11

1 37.00 3.70 KG 5.02 KG Insurance: 0.00

Special Instructions:
Freight: 0.00
0834451614F014
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: 1.11
Originator or Name of Company Representative if the invoice is being completed on behalf of a company or individual: EUR
Currency Code:
Kevin Berthoumieu
Date:

Signature / Title / Date: 27 Sep, 2023

REV. 08-23-22