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					                                                                                                  PROFORMA INVOICE

Shipper                                                                                                                                                     U.S. Customs Broker
                                                                                                             PO#
                                                                                                                                                              SANDERS
                                                                                                             Inv#

                                                                                                            RGA#

                                                                                                            Other #

                                                                                                                                                                  604-531-9411 Fax
                                                                                                                                                           BROKERAGE
Consignee (Ship To Destination)
                                                                                                                                          Ph: 360-332-1778 / toll free at 866-444-1778

                                                                                                                                           Fx: 360-332-1783 / toll free at 866-999-1783

                                                                                                                                                 Contact : Steve Sanders



Buyer (or in care of)                                                                                                                      Ship Date

                                                                                                                             Brokerage Charges for
                                                                                                                                         Destination

                                                                                                                                       Gross Weight

                                                                                                                                         Net Weight
Buyer IRS #:                                                                                                                     Truck Line / Carrier

                                                                                                                                        Port of Entry
                                                                                                                                    Currency of Sale
   Make                        Description of Goods                                                                   Tariff #           Quantity          Unit Value         Total Value    Origin

                                                                                                                                                                                     $0.00

                                                                                                                                                                                     $0.00

                                                                                                                                                                                     $0.00

                                                                                                                                                                                     $0.00

                                                                                                                                                                                     $0.00

                                                                                                                                                                                     $0.00

                                                                                                                                                                                     $0.00

                                                                                                                                                                                     $0.00

                                                                                                                                                                                     $0.00

                                                                                                                                                                                     $0.00

                                                                                                                                                                                     $0.00

                                                                                                                                                                                     $0.00

                                                                                                                                             0               Pieces                  $0.00


If goods are not sold state reason for export ;                                                                                                         Packaging
                                                                                                                                                        Freight
                                                                                                                                                        Insurance
Prepared By:                                                                                                                                            Misc.
                                                                                                                                                        Container
To the best of the knowledge and belief of the preparer , this invoice is true and complete and      (signature)                                        Other - - -
discloses the true prices, values , quantities, rebates , drawbacks , fees ,commissions , royalties and                                                  Please Desig-
any goods or services provided to the seller either free or at a reduced cost,                                                                           nate here!
                                                                                                                                                        Total                        $0.00




                                                                                                                                          Print Date / Time: 11/15/2010 - 1:18 AM

				
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