Sender (True Sender / Owner)

Sender (True Sender / Owner) Invoice Number 01122015

Smiths Packaging Shipping Date 01/12/2015 Holly Lane Consignment Number 321456987 Atherstone Invoice Currency USD Warwickshire CV9 2RY Reason for Export Sale Sender EORI/VAT Number GB123569859000 Receiver VAT/ID Number

Receiver (Buyer/Importer) Deliver to (if different from Receiver) Dave Brown Browns Confectionary Store Green Lane New York 10001 USA Tel: 0022 456123789

HS Tariff Code Description QTY Country Weight Unit Total of Articles of Origin Value Value 4819 Cardboard folding 10 UK 0.5KG $4 $40 cartons

Any other Info (CPC Change / License). Total Article Value $40 Standard Permenant Eport CPC 1000 001 Invoice Sub total $40 No License Required Freight Charges

Insurance Invoice Page Number 1 of 1 Inco Terms DDP – Delivery duty Credit Terms Sender Total Invoice Value $40 paid Pays

I declare that to the best of my knowledge that the information on this invoice is Declaration(s) true and correct. Shipper Name & Job Title Shipper Signature Date Peter Smith P Smith 01/12/2015