EFTA00523886.pdf

Shipper: Karyna Shuliak Karyna Shuliak New York NY 10065 United States Of America Proforma Invoice Phone: VAT/GST No: Receiver: CLOG Charlene Date: 2017-10-30 avenue de Madrid Invoice Number: Longueil Smite Marie 60126 France Shipment Reference: Phone: VAT/GST No: Bill To Third Party: Comments: Airway Bill Number: 5410694306 Full Description of Goods OTY UOM Commodity Unit Subtotal Unit Net Subtotal Country of Origin Code Value Value Weight Weight 1 pants NA 355 355 France 2 skirl NA 385 385 France To:al Declared Vat e: 740 USD Total Nel Weight: lb Total Pieces: 1 Total Gross Weight: I lb Payer of GSTAIAT: Receiver (No: ) Currency Code: USD Type of Export: Permanent Inooterm: DDP • Deuvered Duty Paid Terms of Payment: EIN: l/We hereby certify that the information of this invoice is true and correct and that the contents of this shipment are as stated above. Signature: posiiiixi in Company: Shipping Consultant Company Stamp: These commodities. technology, or software were exported from the United States in accordance with the Export Administration regulations. Diversion contrary to U.S law prohibited. EFTA00523886