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1、pevnU!居“asRevenue CanadaCANADR CljSTOMgWOICEps2ms anaDouanes et AcciseFACTURE OES DOUANES CANADIENNESExcisePage of de1 . Vendor ( Name and Address) Vendeur (Nom et adresse) 2 . Date of Direcl Shipment to Canada/ Date d exoedNon directe vers ie Canade3 . Other References ( include Purchaservs Order N
2、o.) references/ injure ie 丁 de 8mmande de / acheteur)4. Consignee (Name and Address) Desiinataire (Nom ef 5 Purchaser s Name, and Address if other than Consianec) adresse)Nom et adresse de / acheleu S diftere du destinataire)6 . Country of Transhioment/ Pays de transbordement7 . Counlry of Qriain of
3、 Goods payscforiginedesmarchandis8sCHINAIF SHIPMENT INCLUDES GOODS OF DIFFERENTORIGINSENTERORIGINS AGAINST ITEMA IN1 2SIL EXPEDON COMPREND DESMARCHANDISES DORIGINESDIFFERENTES PRECISER LEURPROVENANCE EN128. Transportation Give Mode and Place of Direct Shipment to JGojxik血理Canada( i. e Saia Consianme
4、nt ShimenL Leased Goods, etd.)Transport Preciser mode ef point d expedition directe verefe Conditions de vente et motfa沂es de paiement vers ie(P. ex vente. expedition en consianation. location, de marchandises.cacadaetc)1 0. Currency of Settlement Devises du oaiement11 No of. PkasNore de colis12mpec
5、询cation of Commodities (Kind of Packages,Marks,and13. Quantity (State Unit)Selling Price/ Prix de venteNumbers, GeneralDescription and Characteristics, ie Grade, Quality)Desianalion des articles (Nature des colis, marques et nemeros.Quantite, (Preciser 1 unite)i4.uni【1rice Prix unitaire15. Totaldesc
6、ription aer eraleel caracleristiques. , P ex classe, aualite)1 8 . if any Of fields 1 to 1 7 are included on an attached commercial16. Wal weight/ pids Tbtal17. Invoice Totaln voce ? ch eck his boxnV 。4 _ ensetgre mentfelaUemefBu)(zeHe34-47liw&SHfwe ou das l9ctufes. commerciaies ci-attachees cocher
7、cette caseC9!T1rpe祖9g No. 1 N de 山factre commerclaleotai de la factureNetGross/ BrutJ9_Eyppn削_s_433幽3_0.力.(_巾削_20。5)_20.Oriainator (Name and Address/Expediteur d oriaine(Nom etNom ei adresse de i exoortateM$H differe du vendeur)adresse)1/22 1 . Departmental Rulika( if applicable), Decision du Minist
8、ered S 2 2 . h 悼啥 2 3_tg 2 $_目比 ”!dppii讷电_帕W a lieu)Si ies zones 23 e 25 soni sacs obiet, cocher cette case02 3 . if included in field 7 indicate amount2 4 . If not included in heW 1 7 indicate amount2 5 . Check ( if aMicabSi 8mpris d3ns 21/ a 均 zone 7 7,Si n。 compris dans le total a ie zone 7 7,Coc
9、het ( s的 a feo)preciser( I ) Transportation charges, expenese and insurancefrom the place of direct shipment to CanadaLes frais de transport, depenses etDreciser( I ) Transportation charges, expense and insuranceto the place of direct shipment to Canada Les frais de transport, depenses et assurances
10、( Il ) Royalty payments or subsequent proceede are paid or payable by the purchaser Des redevances ou prodults ont ete ou seront Verses par I acheteurassurancesa partir du point of expedition directe vers isCanada.(Il ) costs tor const: action, erectionand assemblyincurred atter importation intoCana
11、daLes couts de construction, d erection etd assemblage, pres imporaation au. Canada(III)Export packingLe cout de i emballage d exportationlusqu au point d of expedition directd vers ie Canada( II )Amounts tor commissions other than buying commissionsLes commissions autres que celles verseesPour f achat(III)Expon packingLe cout de i emballage d exportation(II )The purchaser has supplied goods or servicesfor use in the production of these goodsL acheteur a fouml des merchandises ou desServices pour ia production des merchandises
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