UPS TRACKING NUMBER
| TRACKING NUMBER | |…………………………………… |…………………………………… |
| |…………………………………… |…………………………………… |…………………………………… |
INVOICE PROFORMA / FAKTURA PROFORMA
|Shipper / Nadawca | | |Consignee / Odbiorca |
|F |Company | | |S |Company : | |
|R | | | |H | | |
|O | | | |I | | |
|M | | | |P | | |
| | | | | | | |
| | | | |T | | |
| | | | |O | | |
| | | | | |
| | | | | |
| |Telephone | | | |Telephone | |
| |Name : | | | |Name : | |
| | | | | | | |
| |Address : | | | |Address : | |
| | | | | | | |
| |Zip Code | | | |Zip Code | |
| |City | | | |City | |
| |Country | | | |Country | |
| X | |Articles listed are not being sold / Wymienione artykuły nie podlegają sprzedaży |
| | |Amounts shown are for Customs purposes only / Stanowią wzory produktów proponowanych Odbiorcy |
| | | |
| | |Articles listed are gifts / Wymienione artykuły stanowią prezent |
| | |Prosimy wymienić dokładnie wszystkie prezenty zawarte w przesyłce. |
| | | |
| | |Other / Inne ........................................................................................... |
| | | |
| | |Costs of Transport / Koszty transportu |
|Package |Itemized list of contents |Number of |Unit |Total value |Counrty of |Weight of |
|number |Nazwa towaru |units |value |Wartość łączna|origin |package |
|Numer paczki| |Ilość sztuk |Cena sztuki| |Skrót kraju |Ciężar paczki|
| | | | | |pochodz. | |
| | | | | | | |
| | | | | | | |
| | | | | | | |
| | | | | | | |
| | | | | | | |
| | | | | | | |
| | | | | | | |
|Total | | | |Total value | |Total weight |
|packages | | | | | | |
| | | | | | | |
Signature of Shipper Date
................
................
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