EXPORT INVOICE

SUPPLY MEANT FOR EXPORT UNDER BOND OR LETTER OF UNDERTAKING WITHOUT PAYMENT OF INTEGRATED TAX
EXPORTER : INVOICE NO & DATE EXPORTER'S REFERENCE
Atlantico International
109, Silver Empire, Motavarachha, Surat-394105 EXP/1/21-22 DATE:- 1/1/2022 UNDER CHAPTER 4
Gujarat, India BUYER'S ORDER NO & DATE
91 9727444678
atlantico.int@gmail.com OTHER REFERENCE(S) I.E.C.NO.:- *****
LUT:- *********
PAN NO. :- ******** GST NO.:-********
CONSIGNEE : BUYER (IF OTHER THAN CONSIGNEE)
******** Same as consignee
New york
USA

COUNTRY OF ORIGIN OF GOODS COUNTRY OF FINAL DESTINATION

INDIA U.S.A
TERMS OF DELIVERY AND PAYMENT
PRE-CARRAIGE BY PLACE OF RECEIPT BY PRE-CARRIER Payment Terms : 100% ADVANCE
SEQUEL N.A. BANK : ICICI BANK
VESSEL/FLIGHT NO PORT OF LOADING *********************************
AIR FREIGHT SURAT/MUMBAI SURAT-395004 IFSC CODE:- ********
PORT OF DESTINATION FINAL DESTINATION A/C NO : ********* SWIFT CODE:- ********
NEW YORK U.S.A AD CODE NO : -
MARKS & NOS./ NO & KIND OF PKGS DESCRIPTION OF GOODS QUANTITY
As per packing list 1 Package
(One Only)
KT PCS GROSS WT NET WT WASTAGE RATE IN VALUE
US $ US $
RITC ( HS) CODE
71131930 10KTS GOLD JEWELLERY STUDDED WITH DIAMOND 10 4 161.11 154.11 5.39 23.295 3715.72

(As per
Packing
List)
DESCRIPTION Kts. Pcs
LOT NO.1 Pendant 10KT 1
Cuban Link Chain 10KT 1
Bracelet 10KT 1
Ring 10KT 1
TOTAL 4

GOLD SUPPLIED FROM INV. NO. - Inv Date TOTAL GM RATE Prev. use Current Use Balance GOLD VALUE 3715.72
Diamond India Limited OX21*****UR70 06.04.2021 2000 1737.17 0 64.28 1935.720 STUDDING VALUE 6996.60
VA/MAKING VALUE 964.10
TOTAL 4 161.11 154.11 F.O.B. VALUE US$ 11676.42
FREIGHT $ 223.58
Amount Chargeable C&F US $ ELEVEN THOUSAND SEVEN HUNDRED FIFTY ONLY
(in words) Statement showing Value Addition & Gold/ Silver in 0.999 fineness Total US$ C&F 11900.00
GOLD SUPPLIED FROM Diamond India Limited OX21*****UR70 06.04.2021 RATE- 1737.17 (USED-64.28 gms) PER Toz FOR 0.999 FINE GOLD
Gold/
Silver Gold/Sil Gold/Sil Gold/sil wstg Total Gold/sil Gold/Sil Gold/Sil Gold/sil in 995 Net Gold/sil Wastage Total V/A VA/Making STUDDING VALUE $ TOTAL

KT Gr wt Nt Wt wt Gms Value/Gm Total Value nt+wst Pure Fine .999 Gold 0.999 Gold 0.999 % Chrgs type wt cts Value FOB

Gms Gms Gms Nt +wstg US$ US$ Gms Gms Gms Nt+wst gms US$ US$ US$
10 161.11 154.11 5.39 159.51 23.295 3715.72 66.80 66.53 2.25 68.78 9.00 964.10 DIAMOND 34.98 6996.60 11676.42

161.11 154.11 159.51 23.30 3715.72 66.80 66.53 68.78 964.10 34.983 6996.60 11676.42

The diamonds herein invoices have been purchased from legitimate Sources not involved in funding conflict and in compliance with UN Resolution .
The seller hereby guarantee that these diamonds and conflict free based on personal knowledge and the written guarantee provided by supplier of these diamonds.
The Diamonds herein invoiced are exclusively of natural origin and untreated based on personal knowledge and/or written guarantees provided by the supplier of these diamonds.

DOOR TO DOOR INSURANCE COVERED BY SEQUEL

Signature & Date 1/1/2022
The state of Origin of Goods : 24 TOTAL GROSS WT. WITH BOX 1.00 KG
District of Origian of Goods : 459 EXPORTER NAME
Details of Preferential Agreement : NCPTI `

We shall not file any claim against this invoice under RoDTEP scheme and
Shipping bill for this invoice is filed with custom icegate info code as RoDTEPN
Declaration: AUTHORISED SIGNATORY
We declare that this Invoice shows the actual price of the goods
described and that all particulars are true and correct
 PACKING LIST
Comp: Mardokk Jewels
Inv #. : EXP/1/21-22
Dated: 1/1/2022
Party: ********

The state of District of Qty (PCS Gold & sil Gold & sil Diamond Clarity VA /Labor
Sr No Item KT STYLE NO JEWEL CODE Origin of Goods Origian of Gross Wt Net Wt Wastage Total Gold Wt DIAMOND Shape DIA Pcs DIA Cts DIA Rate DIA Value Total Cts Total std Val $ Total FOB Value $
Goods & PAIR) Rate/ gms $ Value $ Color Value

1 Pendant 10KT 22741 21D05389 24 459 1 33.10 32.02 3.50% 33.136 23.295 771.91 RND SI2/3-HI 723 5.42 200.00 1084.20 5.42 1084.20 167.05 2023.16
2 Chain 10KT 22741 21D05615 24 459 1 27.30 26.57 3.50% 27.502 23.295 640.67 RND SI2/3-HI 560 3.64 200.00 727.60 3.64 727.60 123.14 1491.41
3 Bracelet 10KT 22741 21D05622 24 459 1 18.40 17.83 3.50% 18.453 23.295 429.87 RND SI2/3-HI 373 2.85 200.00 570.60 2.85 570.60 90.04 1090.51
4 Ring 10KT 22741 21D05623 24 459 1 82.31 77.70 3.50% 80.415 23.295 1873.27 RND SI2/3-HI 1276 23.07 200.00 4614.20 23.07 4614.20 583.87 7071.34

4 161.11 154.11 3715.72 2932 34.98 6996.60 34.98 6996.60 964.10 11676.42
 Gold rate/31.1035*kt/24/0.999 for gold
RATE KT RATE (Per Gram) in $ RATE (Per Gram) in RS.
1841.9 10 24.699 1926.114
1841.9 14 34.579 2696.591
1841.9 18 44.458 3466.990
1841.9 22 54.338 4237.467

PG Wt = Net Wt*KT/24/0.999
Net Wt KT PG Wt (0.999) PG Wt (0.995)
154.11 10 64.277 64.535
154.11 12 77.132 77.442
237.11 14 138.453 139.009
237.11 18 178.011 178.726

Net Wt = PG Wt/KT*24*0.999
PG Wt KT Net Wt
121.36 10 290.973
121.36 12 242.477
50 14 85.629
50 18 66.600