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EXPORT PACKING LIST
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Please complete in English. (print)
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*All shipments must be accompanied by a FedEx International Air Waybill & two duplicate copies of CI.
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University of North Carolina at AshevilleINTERNATIONAL AIR WAYBILL NO.
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One University Heights
8034842974
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Asheville, North Carolina 28804-3251
DATE OF EXPORTATION
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(828) 251-6476Sunday, May 22, 2016
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research@unca.edu
SHIPPER EXPORT REF (order no., invoice no., etc.)
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A362P444
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SHIPPER / EXPORTERCONSIGNEE
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FULL NAME: NameFULL NAME: Name
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ADDRESS: AddressADDRESS: Address
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ADDRESS: University of North Carolina at AshevilleADDRESS: Address
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ADDRESS: AddressADDRESS: Address
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ADDRESS: Asheville, North Carolina 28804-3251ADDRESS: Address
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TELEPHONE: (828) XXX-XXXXTELEPHONE: +81 010 0112716677
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BUSINESS REGISTRATION NO.: 56-6002370BUSINESS REGISTRATION NO.: 111-22-3333
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( Customs / Tax ID No. e.g. GST / RFC/ VAT / IN / EIN / ABN / SSN, or as locally required )( Customs / Tax ID No. e.g. GST / RFC/ VAT / IN / EIN / ABN / SSN, or as locally required )
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COUNTRY OF EXPORTIMPORTER IF OTHER THAN CONSIGNEE
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United States of AmericaFULL NAME: Name
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PURPOSE OF EXPORT (personal gift, return for repair, etc.)ADDRESS: Address
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42512ADDRESS: Address
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COUNTRY OF ULTIMATE DESTINATIONADDRESS: Address
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JapanADDRESS: Address
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TELEPHONE: +81 010 0112716677
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BUSINESS REGISTRATION NO.: 111-22-3333
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( Customs / Tax ID No. e.g. GST / RFC/ VAT / IN / EIN / ABN / SSN, or as locally required )
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COUNTRY OF ORIGINMARKS/ NO'sNO. OF PKGSTYPE OF PKGINGFULL DESCRIPTION OF GOODSQTYHS CODEUNIT OF MEASUREWEIGHTUNIT VALUETOTAL VALUE
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What is it? | What is it made of? What is it used for? | What is it a component of? | (ex. Childrens' 100% cotton sleepwear)pieces / units / set / etc. lb / kg currency
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215.20500.00500.00
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324.2050.00100.00
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446.20100.00400.00
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0.00
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0.00
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0.00
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0.00
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0.00
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PKG TOTALQTY TOTALWEIGHT TOTALINVOICE VALUE TOTAL
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9715.601,000.00
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Remarks / Instructions: FREIGHT COST65.00
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INSURANCE COST40.00
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ADDITIONAL0.00
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These commodities, technology or software were exported from the United States in accordance with the Export Administration regulations. Diversion contrary to US Law Prohibited. TOTAL INVOICE VALUE1,105.00
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I hearby certify that this invoice shows the actual price of goods described, that no other invoice has been issued, and that all particulars are true and correct.CERTIFIED BY
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NAME (PRINT)
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CERTIFIED BY
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DATESIGNATURE
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For questions concerning this packing slip please contact
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University Export Officer, (828) 251-6476, research@unca.edu
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www.orsp.unca.edu
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