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PRO FORMA INVOICE |
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PROTECTED WHEN COMPLETED |
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Exporter, Shipper, Seller |
Customs Clearance By: |
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Tax ID # |
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Consignee |
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572 South 5th Street, Pembina, North Dakota 58271 |
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Phone: (701) 825-6474 • Fax: (701) 825-6482 |
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Toll-Free Phone: (888) 825-0002 |
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Tax ID # |
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Clearance available at all ports in the Unites States |
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Buyer (if other than Consignee) |
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PAPS Filer Code: DN2 |
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For Southbound release, please email requests to: pembina@ghy.com |
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Check entry status at: http://ghy.com/paps-tracking/ |
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REF/PO#: |
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Tax ID # |
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TERMS OF SALE – Delivery/Payment (dropdown list below): |
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Carrier |
PAPS# |
CFR - Cost & Freight |
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DUTY AND/OR BROKERAGE CHARGES (dropdown list below): |
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Port of Entry & Date Crossing |
Shipper |
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PARTIES TO THIS TRANSACTION ARE: |
Not Related |
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Manifest Qty and Manifest WT |
EXEMPT FROM MARKING USED IN FURTHER MFG |
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Currency of Sale |
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No |
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Client# |
Any US Goods returned not advanced in value or further manufactured while abroad valued at $2500.00 or over requires both the shipper declaration and owner declarations and if CBP requests a USMCA or MFG. affidavit from the MFG to prove origin. |
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Country of Origin |
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HTS # |
Unit Quantity |
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Part # |
Description of Part (English) |
Unit Price |
Invoice Total |
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$- |
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$- |
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$- |
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$- |
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$- |
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$- |
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$- |
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$- |
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$- |
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$- |
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$- |
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$- |
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INVOICE TOTAL |
$- |
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If goods are not sold, state reason for export: |
Above prices include (dropdown list below): |
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None |
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Carrier Mode(dropdown list below): |
Status (dropdown list below): |
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I hereby certify that the information given above and on the continuation sheet(s), if any, is true and complete in every respect. |
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Give firm name and address if different from exporter above: |
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Signature: |
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Date: |
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(MM/DD/YYYY) |
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© 2019 GHY International | Geo. H. Young & Co. Ltd. | GHY USA, Inc. 03.19 |
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