COMMERCIAL INVOICE
(For Customs
Purposes Only)
Sender
NICK JON HAILA LLC
80 Timberbrook Rd
Rockaway, NJ 07866, USA
Phone: +1 (201) 688-6472
Receiver (Consignee)
Mrs. Ika Retno Wati
Gayaman, RT 01 RW 01, Mojoanyar
Mojokerto (East Java)
Mojokerto, 61364
INDONESIA
Phone: +62 896-7588-3445
Shipment Details
| Carrier | FedEx |
|---|---|
| AWB Numbers | 888730110624 (Small) & 888730243607 (Medium) |
| Type of Export | Gift / Sample |
| Incoterms | CIF (Freight Prepaid / Free of Charge) |
Items (Combined)
| No | Description | Qty | Unit Value | Total |
|---|---|---|---|---|
| 1 | Processed Wood Sample (Walnut Slab - Dried & Figured) | 1 Pc | $60.00 | $60.00 |
| 2 | Guitar Accessories Sample (Bridge, Tuners, Strap Buttons) | 1 Set | $20.00 | $20.00 |
Total Value
$80.00
Currency
USD
Grand Total
$80.00
Declaration
"I
declare that the information contained
in this invoice is true and correct. This is a gift shipment containing samples for personal
crafting.
No commercial transaction involved."
Signature
Authorized Signature
Name: Jonathan Haila
This document is
intended for customs purposes
only.