Sample Packing List

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ORIGINAL PACKING LIST

1. Shipper/Exporter 8. Packing List No 9. Date


Forever 21 Logistics SP-0829B/PH14 August 29, 2014
3880 N Mission Rd. 10. No. & Date of L/C
Los Angeles, CA,90031,USA
2. Consignee 11. L/C Issuing Bank
FOREVER 21 JV PHILIPPINES-#8610

12. Remarks 13. Shipping Terms


Container No:
Seal No:
Store #: #8610
PO #: P201470567
3. Notify party 5. Final Destination 7. Sailing on or about
SAME AS ABOVE PHILIPPINES
4. Port/Airport of Loading 6. Carrier
CHINA
No of Unit WT
No Skid No Item Code HS Code Description of goods Unit Qty Carton (Kgs) GWT (Kgs)

1801013622 FC-213 Wood Floor (Fitting Room)-Whitewashed SF 1,260 927.272727 1020.00


1801013622 FC-213 Wood Floor (Fitting Room)-Whitewashed SF 1,008 741.818182 816.00

Form R1.3
No of Unit WT
No Skid No Item Code HS Code Description of goods Unit Qty GWT (Kgs)
Carton (Kgs)

TOTAL : 54 Boxes SIGNED BY


CBM: 4
TOTAL GROSS WEIGHT: 1836 KGS

Form R1.3
APPENDIX
to support Commercial Invoice
1. Shipper 2. Consignee
Forever 21 Logistics SEE COMMERCIAL INVOICE
3880 N Mission Rd.
Los Angeles, CA,90031,USA
4. Commercial Invoice No #REF! 5. Date 8/29/2014 6. Container No #REF!

Skid No Item Code HS Code Description of goods and materials Picture Manufacturer Address Country
FC-213 Wood Floor (Fitting Room)- JOHNSONS PREMIUM 825 Sentous Ave. City of CHINA
Whitewashed HARDWOOD Industry 91748, USA City of
FLOORING Industry 91748, USA City of
Industry 91748, USA
1801013622

Form R1.3 3/3

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