Customer: Name: Address: Fax: City: Phone: Port of Loading: State

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Name:

Address: Fax:
City: Phone:
Port of loading: State

Customer Invoice Number :


Name: Invoice Date
Address:
City: Phone:
Port of discharg:
State Fax:
Tariff Code
VGM Ship date (ETD) Carrier Ship by Terms Container Type Incoterm

Gross Weight* Net Weight* M3 Seal No. BL No. Container No. ETA

Quantity (CS) Description of packages and goods Unit Price Total / USD

TOTAL Sub Total -


Flete

Total

Notify Party Remit Payment


Name:
Address:
City:
State
Phone:
Fax:
Email:
Country:

Comments:
BL Express Release
Floor Loaded Containers
* in Kg
Export Coordinator

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