PROFORMA INVOICE - Customs, Trade Compliance & Logistics
|PROFORMA INVOICE |
|Shipper/Seller Ref: |U. S. Customs Clearance By |
| |[pic] |
| | |
| |U.S. Headquarters: Russell A. Farrow (U.S.) Inc. |
| |14555 Jib Street |
| |Plymouth, MI 48170 |
| |Phone: (734) 955-7799 Fax: (734) 955-6466 |
| |Website: US Border PAPS # Fax: (877) 632-7769 |
| | |
|Purchaser Ref |Consignee (if different from Purchaser) |
| | |
|U.S. IRS or Social Security # |U.S. IRS or Social Security # |
|Country of Origin Canada U.S. Manufactured Goods |Terms of Sale: Delivered/Duty Paid FOB Plant FOB Destination |
|(note declaration below) |Other |
|Other | |
|If "Various" include in Description of Goods |Discounts (identify) |
|Carrier |U.S. Port of Entry |Bill Customs Charges To: Shipper Purchaser |
| | |Other |
| | |Currency of Sale: |Canadian Funds |US Funds |
|Freight to Border $ |Border to Destination $ |Other |
|Prepaid & Included |Prepaid & Charged |Collect |Parties to This Transaction Are: |Related |Not Related |
|USMCA Claimed: Blanket Cert. on File |USMCA Not Claimed |Prices Include: |Duty |Brokerage |Freight |
|USMCA Claimed: Certificate Attached |Prices Do Not Include: Identify Other Charges |
|Responsible Individual |Prices paid or agreed to be |
|Phone: | |Fax: | |Date: | |
| | | |2 |$2.00 |$4.00[pic]$4.00 |
| | | | | |0[pic]$0.00 |
| | | | | |0[pic]$0.00 |
| | | | | |0[pic]$0.00 |
| | | | | |0[pic]$0.00 |
| | | | | |0[pic]$0.00 |
| | | | | |0[pic]$0.00 |
| | | | | |0[pic]$0.00 |
| | | | | |0[pic]$0.00 |
| | | | | |0[pic]$0.00 |
| | | | | |0[pic]$0.00 |
| | | | | |0[pic]$0.00 |
| | | | | |0[pic]$0.00 |
| | | | | |0[pic]$0.00 |
| | | | | |0[pic]$0.00 |
| | | | | |0[pic]$0.00 |
| | | | | |0[pic]$0.00 |
| |Net |Gross | |
| |Wt. |Kgs. |Wt. |Kgs. | |
| |TOTAL PCS./PKGS. |INVOICE AMOUNT |$5.00[pic]$5.00 |
|DECLARATION: By Foreign Shipper (complete if goods are of U.S. origin and their value exceeds $2500.00) I, |
| |declare to the best of my knowledge and belief that the articles herein specified were exported |
|from the United States from the port of |on or about |; that they were |
|returned without having been advanced in value or improved in condition by any process of manufacture or other means. |
|Signature: Date: |
30922001 – 03/28
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