Invoice Date Invoice # Order # Other References SELLER/SHIPPER Name: Address: ULTIMATE Name: CONSIGNEE Address: Type: Name: BUYER If other than ultimate consignee Address: Port of Lading Total No. Packages Total Gross Weight (KG) Exporting Carrier Cubic Meters Incoterms® Marks & Numbers Named Point Terms of Sale Currency of Sale Complete & Accurate Commodity Description, USML Category or ECCN, applicable (including model/serial number/ECCN/USML Category) Country of Manufacture Quantity/Unit of Measure Unit Price Total Packing Costs Freight Costs Other Transportation Costs It is hereby certified that this invoice shows the actual price of the goods described, that no other invoice has been or will be issued, and that all particulars are true and correct. Handling Insurance Costs Assists SIGNATURE & STATUS OF AUTHORIZED PERSON Additional Fees Duties & Taxes PRINT NAME DATE TOTAL INVOICE VALUE "Incoterms" is a trademark of the International Chamber of Commerce. Form last updated on 11.08.2016 COMMERCIAL INVOICE These items are controlled by the U.S. government and authorized for export only to the country of ultimate destination for use by the ultimate consignee or end-user(s) herein identified. They may not be resold, transferred, or otherwise disposed of, to any other country or to any person other than the authorized ultimate consignee or end-user(s), either in their original form or after being incorporated into other items, without first obtaining approval from the U.S. government or as otherwise authorized by U.S. law and regulations. Country of Ultimate Destination