Version:clsd 2340 2023-07-26

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This invoice must be completed in English.

COMMERCIAL INVOICE
Commercial Invoice Page _______ of _______
EXPORTER: Ship Date:
Tax ID#: 06 Jun, 2024
Contact Name: Hadi Mouslemani Air Waybill No. / Tracking No.:
Telephone No.: 11943005592 776730468460
Invoice No.: Purchase Order No.:
E-Mail: envioscentralde@gmail.com
Company Name/Address:
Payment Terms: Bill of Lading:
Hadi Mouslemani
R. Ten. Gelas, 585 - Zico Pires
Purpose of Shipment:
Commercial
TIETE SP 18530
Country/Territory: BRAZIL
Parties to Transaction:
Related X Non-Related
SOLD TO / IMPORTER (if different from Consignee):
CONSIGNEE:
Tax ID#: X Same as CONSIGNEE:
Contact Name: Nabiha Mouslemani
Telephone No.: 011963939479 Tax ID#:
E-Mail:
Company Name/Address: Company Name/Address:
Nabiha Mouslemani
Lebanese Swiss bank, Tyr branch.
Banque du Liban street
saiidi building.
Tiro
Country/Territory: LEBANON Country/Territory: LEBANON
If there is a designated broker for this shipment, please provide contact information.
Name of Broker ____________________________________________________ Tel. No. __________________________ Contact Name ____________________________________________ ___

Duties and Taxes Payable by Exporter X Consignee Other If Other, please specify _______________________________________________________________________
No. of No. of Net Weight Unit of Harmonized Country/ Unit Total
Description of Goods
Packages Units (LBS / KGS) Measure Tariff Number Terr. of MFR Value Value

1 1.00 0.30 PCS PERSONAL_DOCUMENT BR 1.000000 1.00

Total Total Total Net (Indicate Total Gross (Indicate Terms

Pkgs Units Weight LBS/KGS) Weight LBS/KGS) of Sale: Subtotal: 1.00

1 1.00 0.30 KG 0.30 KG Insurance: 0.00

Special Instructions:
Freight: 0.00

Packing: 0.00
Declaration Statement(s): 0.00
Handling:
Other:
0.00

I declare that all the information contained in this invoice to be true and correct. Invoice Total: 1.00
Originator or Name of Company Representative if the invoice is being completed on behalf of a company or individual: USD
Currency Code:
Hadi Mouslemani
Date:

Signature / Title / Date: 06 Jun, 2024

REV. 08-23-22