Pro-forma invoice



| |U.S. Customs Invoice |

| |Shipper/Exporter | |Trip Number |

| | |[pic] | |

| | | |Invoice Date |

| | |For U.S. Customs clearance by: | |

| | |Metro Customs Brokers Inc. | |

| | |Drivers: Please email PAPS documentation to |page of |

| | |paps@ |pages |

| | |T: 518 297-3000 | |

| | |F: 518 297-4310 | |

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| |Manufacturer ID No | | |

| |Consignee |Seller (if Other than Shipper/Exporter) |

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| |Consignee IRS No.: | |

| |Consignee’s or Buyer’s Ref. No. |Freight Amount, if Any, Included in |Currency of Freight |

| | |the Price Below: | |

| | | | |U.S. | |Canadian |

| | | | |Dollars | |Dollars |

| |Buyer (If Other Than Consignee) |Bill Customs Charges to: |

| | | |Shipper | |Shipper | |Buyer | |Consignee |

| | | |(included) | |(not | | | | |

| | | | | |included) | | | | |

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| |Buyer IRS No.: | | |

| |Exporting Carrier |Parties to This Transaction Are: |Currency of Sale |

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| | | |Related | |Not | |U.S. | |Canadian |

| | | | | |Related | |Dollars | |Dollars |

| |Port of Entry |Number and Kind of Packages |Gross Weight & UOM |

| |Marks and Numbers | | |

|Country of |Description of goods with HTS classification & Manufacturer Name & Address|Quantity |Price |Total |

|Manufacture |(MID) | | | |

|or Growth | | | | |

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| | |Subtotal | |

| |If Goods Are Not Sold, State Reason for Export |Other Charges (please specify) | |

| |Estimated Freight Charges to Point of Exit. | | |

| |Mode of Transport from, point of exit | | |

| |Road |Invoice Total | |

| | |Phone |Fax |

| |Signature |Date: |

| | | | | |This Invoice must specifically state any special duties of fees that are included in the invoice price. If the|

| | |Owner | |Agent |production of these goods involved furnishing goods or services to the seller, e.g., assists, such as dies, |

| | | | | |molds, tools, engineering work and the value is not included in the invoice price, give explanation If no |

| | | | | |assists so state. |

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