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Commercial Invoice 1. Shipper/exporter 2. Bill of lading number 3. Date 4. PRO number 5. P. O. number 6. Ultimate consignee and IRS number 9. Country of origin If shipment includes goods of different origins enter origins against items in Field 17. 7. Customs broker 10. Point state of origin or FTZ number 8. U.S. freight forwarder 15. Purchaser s name address if other than consignee and IRS number 11. Commercial Invoice 1. Shipper/exporter 2. Bill of lading number 3. Date 4. PRO number 5. P. O. number 6. Ultimate consignee and IRS number 9. Country of origin If shipment includes goods of different origins enter origins against items in Field 17. 7. Customs broker 10. Point state of origin or FTZ number 8. U*S* freight forwarder 15. Purchaser s name address if other than consignee and IRS number 11. Mode of transportation 12. Place of receipt by pre-carrier TRUCK 13. Exporting carrier 14. U*S* port of export Particulars furnished by shipper H. M. 17. Pieces description of commodities marks numbers kinds of packagin16. g 18. Schedule B Classification number 19. Quantity Schedule B units 20. Gross weight Kilos Unit price lb 23. Value U*S* dollars omit cents Selling price or cost if not sold 26. Packing description 24. Total weight lb 28. International freight check one Yes No 29. Other charges specify 30. Insurance 31. Total extra charges 32. Discount 27. Domestic freight check one 25. Total value 33. Invoice total Mark X in H. Commercial Invoice 1. Shipper/exporter 2. Bill of lading number 3. Date 4. PRO number 5. P. O. number 6. Ultimate consignee and IRS number 9. Country of origin If shipment includes goods of different origins enter origins against items in Field 17. Ultimate consignee and IRS number 9. Country of origin If shipment includes goods of different origins enter origins against items in Field 17. 7. Customs broker 10. Point state of origin or FTZ number 8. U*S* freight forwarder 15. Purchaser s name address if other than consignee and IRS number 11. 7. Customs broker 10. Point state of origin or FTZ number 8. U*S* freight forwarder 15. Purchaser s name address if other than consignee and IRS number 11. Mode of transportation 12. Place of receipt by pre-carrier TRUCK 13. Exporting carrier 14. U*S* port of export Particulars furnished by shipper H. Mode of transportation 12. Place of receipt by pre-carrier TRUCK 13. Exporting carrier 14. U*S* port of export Particulars furnished by shipper H. M. 17. Pieces description of commodities marks numbers kinds of packagin16. g 18. Schedule B Classification number 19. M. 17. Pieces description of commodities marks numbers kinds of packagin16. g 18. Schedule B Classification number 19. Quantity Schedule B units 20. Gross weight Kilos Unit price lb 23. Value U*S* dollars omit cents Selling price or cost if not sold 26. Quantity Schedule B units 20. Gross weight Kilos Unit price lb 23. Value U*S* dollars omit cents Selling price or cost if not sold 26. Packing description 24. Total weight lb 28. International freight check one Yes No 29. Other charges specify 30.

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