1. INVOICE发 票 DATE: December 11, 2022
INVOICE NO.
HAWB:
运单号:
SF1643490200675
From:(Shipper 寄件方) TO:(Receiver收件方)
Name:(公司) Name:(公司)
EVOLUTIVE LABS CO., LTD Obaja Lumbanraja
Address:(地址) Address:(地址)
TW TAICHUNG CITYNo. 299, Gaotie 1st Rd., Wuri Dist., Taichung City 414010 , Taiwan (R.O.C.) Jawa Barat Bandung40559 Bandung Jl. Kolonel Masturi No.288, Parongpong
40559
414010
Contact Name:
(联系人姓名)
Alisa Lin Contact Name:
(联系人姓名)
Obaja Lumbanraja
Tel No:(电话) 04-23897657 Tel No:(电话) 085720080855
DESCRIPTION OF GOOD
托寄物名称
QUANTITY
数量
UNIT PRICE
单价
(USD)
VALUE
金额
(USD)
Plastic protective film for mobile screen cover 1PCS 8 8
Tempered Glass protective film for mobile screen 1PCS 8 8
Total Declared Value申报总价值:(USD)
16
(USD)
Terms of Trade 贸易条件:F.O.B
□NO COMMERCIAL VALUE
□COMMERCIAL VALUE
Country of origin 原产地:
TW
REMARKS: 备注:
I hereby certify the information on this declaration is true and correct; and the contents of this shipment are as stated above.
本人仅此证明以上所申报属实
SIGNATURE:
寄件人签名(盖章)
DATE日期: