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INVOICE
Shipper:
Bill Number :
Company Name:
Address:
Contact Name:
Phone/Fax:
Consignee:
Company Name:
Address:
City:
State/Country:
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No Full Description Of Goods Harmonised code No. of Items Unit Value (USD) Amount in USD material
I declare that the information is true and correct to the best of my knowledge, and that the goods are of
  origin.
I(name)
certify that the contents of this shipment are as stated above.