Comercial Invoice

EXPORTER (Name, Phone Number, Address, Country) INVOICE DATE AND NUMBER CUSTOMER’S ORDER NUMBER
Interblock D.D. 17.May.2022 SI-22-1571 SO-22-0779 /SS-22-1055
Gorenska cesta 23
OTHER REFERENCES: freight & insurance
1234 - Menges
SLOVENIA TERMS OF SALE: Credit Line CURRENCY OF SALE
TAX IDENTIFICATION NUMBER SI73757713 USD
CONSIGNEE (Name, Full Address, Country) WAREHOUSE DESTINATION FORWARDING AGENT:
Interblock Peru S.A.C. Av. Camino Real 1801
Av. Van Goch # 349 Urb. Parque Industrial San Pedrito I - – Mz B Lote 29
Urb San Borja Sexta Etapa Santiago de Surco - LIMA
LIMA 33 - PERU PERU
TAX ID: RUC 20600948238
PORT OF LOADING TERMS AND CONDITIONS OF DELIVERY OTHER TRANSPORTATION INFORMATION Waybill
Amsterdam - Holanda CIP Callao Number: AWB 05796616800
COUNTRY OF FINAL DESTINATION SHIP / AIR/ETC. DESCRIPTION OF GOODS NEW GROSS WEIGHT TOTAL NUMBER OF PACKAGES
Peru Air NEW GAMING MACHINES 2080 kg 20 pcs
SHIPPERS ORDER NUMBER:
MARKS, NUMBERS, AND KIND OF PACKAGES SPECIFICATIONS OF COUNTRY OF QUANTITY UNIT PRICE USD AMOUNT USD
COMMODITIES ORIGIN
(HARMONIZED CODE )

Item 1 – INTERBLOCK gaming machine, Universal Cabinet model UC V1 Base: new, 9504.30.10 Slovenia 5 $ 14.331,20 $ 71.656,00
complete with toppers, PID and accessories, disassembled.
UC V1 Base Serial N°: 9134197952 to 9134197956. Made in Slovenia, May 2022.
Máquina tragamonedas INTERBLOCK, Universal Cabinet modelo UC V1 Base, nuevo,
completo con toppers varios, PID y accesorios, desarmado
UC V1 Base N° Series 9134197952 al 9134197956. Fabricado en Eslovenia, mayo 2022
Item 2 – INTERBLOCK gaming machine, Universal Cabinet model UC V1 Base: new, 9504.30.10 Slovenia 2 $ 7.120,00 $ 14.240,00
complete without topper. UC V1 Base Serial N° 9134189780 made in Slovenia,
November 2021. UC V1 Base Serial N° 9134197951 made in Slovenia, May 2022.
Máquina tragamonedas INTERBLOCK, Universal Cabinet modelo UC V1 Base, nuevo,
completo sin topper. UC V1 Base N° Serie 9134189780 fabricado en Eslovenia,
noviembre 2022. y UC V1 Base N° Serie 9134197951 fabricado en Eslovenia, mayo 2022.

9504.30.90 Slovenia 2 $ 3.444,00 $ 6.888,00

Item 3 – – INTERBLOCK Universal Cabinet topper part, type Vertical Roulette
Pieza de máquina tragamonedas INTERBLOCK Universal Cabinet, tipo Ruleta Vertical

Item 4 – – INTERBLOCK Universal Cabinet bank shape

Pieza de soporte (pieza centro de unión) para máquinas tragamonedas INTERBLOCK
Universal Cabinet. 9504.30.90 Slovenia 2 $ 366,00 $ 732,00

$ 77,00 $ 539,00
Item 5 – – Cash Box MEI model Cashflow SC 9031.90.00 Mexico 7
Stacker o billetero marca MEI modelo Cashflow SCN-83

Item 6 – Keyboard MK120 USB with mouse. 8471.60.60 China 1 $ 23,88 $ 23,88
Teclado USB marca Logitech modelo MK120 con mouse

Item 7 – hub USB marca LogiLink modelo USB2.0 4-Port Hub

$ 18,32 $ 18,32
8471.60.60 China 1

Item 8 – chair Interblock Black-Red. Silla Iinterblock negro-rojo.

$ 326,00 $ 1.304,00
9401.71.00 Slovenia 4

Item 9 – Chair Interblock “Love seat” (for two), Black-Red. Silla Interblock para dos,
negro-rojo 9401.61.00 Italy 3 $ 720,00 $ 2.160,00

TOTAL INVOICE VALUE $ 97.561,20

Manufacturer: Interblock D.D. Slovenia

SINGATURE AND STATUS OF AUTHORIZED PERSON DATE 17/May/2022

VALOR FOB: USD 82,883.753

VALOR FLETE: USD 14,531.108

VALOR SEGURO: USD 146.340