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[Street Address]
[City, ST ZIP]
Phone: [000-000-0000]
Fax: [000-000-0000]
Website:
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Date: 01/01/2011
Expiration Date: 30/01/2011
Invoice # : [123456]
Customer ID: [123]
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CUSTOMER
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SHIP TO
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SHIPPING DETAILS
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[Name]
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[Name]
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Freight Type
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[Company Name]
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[Company Name]
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Est Ship Date
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[Street Address]
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[Street Address]
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Est Gross Weight
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[City, ST ZIP]
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[City, ST ZIP]
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Est Cubic Weight
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[Phone]
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[Phone]
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Total Packages
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PART NUMBER
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UNIT OF MEASURE
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DESCRIPTION
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QTY
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UNIT PRICE
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TAX
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TOTAL AMOUNT
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123ABC
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pounds
|
Material ABC
|
3
|
45.23
|
X
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135.69
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123ABC
|
pounds
|
Material ABC
|
3
|
45.23
|
X
|
135.69
|
123ABC
|
pounds
|
Material ABC
|
3
|
45.23
|
X
|
135.69
|
123ABC
|
pounds
|
Material ABC
|
3
|
45.23
|
X
|
135.69
|
123ABC
|
pounds
|
Material ABC
|
3
|
45.23
|
X
|
135.69
|
123ABC
|
pounds
|
Material ABC
|
3
|
45.23
|
X
|
135.69
|
|
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TERMS OF SALE AND OTHER COMMENTS
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Subtotal : 135.69
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[Include and terms of sale or other information as needed]
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Taxable : 135.69
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[Include payment terms such as Letter of Credit, Open
Account or other terms.]
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Tax rate : 6.250%
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|
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Tax : 8.48
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Freight : -----------
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Insurance : -----------
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Legal/Consular : -----------
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Inspection/Cert : -----------
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Other (specify) : -----------
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TOTAL : $ 144.17
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ADDITIONAL DETAILS
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Country of Origin : [Country]
Port of Embarkation : [Name]
Port of Discharge : [Name]
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Reason for Export : -------------------
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I certify the above to be true and correct to the best of my
knowledge.
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----------------------
[Typed name]
[Company Name]
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-----------------------
Date
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