TechDataCorpUSOEMInvoice Base

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5350 Tech Data Drive, Clearwater, Florida USA 33760 727-539-7429

CUSTOMER RECEIPT COPY


COMMERCIAL INVOICE
SHIPPED FROM: SOLD TO: CONTACT NAME AND NO. INVOICE NO. PRINT DATE:

Tech Data FILS COMPANY SRL fernando iquiapaza 7022537229 07/25/2017


2200 NW 112th Ave END USER PO NO. CUSTOMER PO NO. EXPORT DATE:

CALLE YANACOCHA # 326 email 7/19/2017 07/25/2017


Miami, FL 33172 ZONA CENTRAL CARRIER/ROUTING PORT OF EXPORT

FEDX GRND
LA PAZ, Bolivia 00000 PAYMENT TERMS/CURRENCY

USD U.S. Dollars


SHIP TO: BILL TO: SHIPPING TERMS

WEISS-ROHLIG FILS COMPANY SRL FCA.


10400 NW 21st St CALLE YANACOCHA # 326 3
Ste 100 ZONA CENTRAL
Export Destination Control Statement: These items are controlled by the U.S. government
Doral, Florida USA 33172-2502 LA PAZ, Bolivia 00000 and authorized for export only to the country of ultimate destination for use by the ultimate consignee or
end-user(s) herein identified. They may not be resold, transferred, or otherwise disposed of, to any other
country or to any person other than the authorized ultimate consignee or end-user(s), either in their original
form or after being incorporated into other items, without first obtaining approval from the U.S. government
or as otherwise authorized by U.S. law and regulations.

ORIGIN OF CONTAINER WT. SUPPLIER TECH DATA SUPPLIER UNIT EXTENDED


QTY. GOODS (LBS) (KG) PART NO. PART NO. NAME DESCRIPTION OF MERCHANDISE PRICE PRICE

9.60LBS 4.36KG CONTAINER;919405381801083 CONSISTING


OF:

1 ID PA03670-B051?L 12253503 FUJITSU LA LA FI-7160 COL SHTFEDSCAN 120IPM 600DPI $805.26 $805.26
A HTS: 8471.60.8000 ECCN: EAR99

9.60LBS 4.36KG CONTAINER;919405381801106 CONSISTING


OF:

1 ID PA03670-B051?L 12253503 FUJITSU LA LA FI-7160 COL SHTFEDSCAN 120IPM 600DPI $805.26 $805.26
A HTS: 8471.60.8000 ECCN: EAR99

This is a Routed Export Transaction. The Foreign Principal Party in Interest (FPPI) and/or it’s nominated forwarding partner has accepted responsibility in writing for Page 1 of 1
this export transaction, including obtaining any license or determining if any license exception applies and filing of AES records if applicable . For the purposes of the
EAR, Tech Data is not the exporter in this transaction.

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