FROM: (781) 608-7460 SHIP DATE: 19JAN21

Andrew Chalas ACTWGT: 4.00 LB

CAD: 308600009/INET4342
377 Herman Street DIMMED: 17 X 11 X 8 IN
SAN FRANCISCO CA 94117
US EEI : NO EEI 30.36
TO FranÁois Corneau-Tremblay
56DJ1/1136/FE4A

2747 boulevard …douard-Montpetit

app. 15
MontrÈal PQ H3T1J6 (CA)
(418) 817-3304 REF:
INV:
PO: DEPT:
TRK# J211021011101uv
7726 4981 4081 INTL
H3T 1J6
9622 0026 0 (000 000 0000) 0 00 7726 4981 4081
 Version:clsd 2111 2021-01-15

This invoice must be completed in English.

COMMERCIAL INVOICE
Commercial Invoice 1 1
Page _______ of _______
EXPORTER: Ship Date:
Tax ID#: 19 Jan, 2021
Contact Name: Andrew Chalas Air Waybill No. / Tracking No.:
Telephone No.: (781) 608-7460 772649814081
Invoice No.: Purchase Order No.:
E-Mail: [email protected]
Company Name/Address:
Payment Terms: Bill of Lading:
Andrew Chalas
377 Herman Street
Purpose of Shipment:
GIFT
SAN FRANCISCO CA 94117
Country/Territory: UNITED STATES OF AMERICA
Parties to Transaction:
Related X Non-Related
SOLD TO / IMPORTER (if different from Consignee):
CONSIGNEE:
Tax ID#: X Same as CONSIGNEE:
Contact Name: François Corneau-Tremblay
Telephone No.: (418) 817-3304 Tax ID#:
E-Mail: [email protected]
Company Name/Address: Company Name/Address:
François Corneau-Tremblay
2747 boulevard Édouard-Montpetit
app. 15

Montréal PQ H3T1J6
Country/Territory: CANADA Country/Territory: CANADA
If there is a designated broker for this shipment, please provide contact information.
Name of Broker ____________________________________________________
FedEx Grounds Broker Tel. No. __________________________ Contact Name ____________________________________________ ___

Duties and Taxes Payable by Exporter X Consignee Other If Other, please specify _______________________________________________________________________
No. of No. of Net Weight Unit of Harmonized Country of Unit Total
Description of Goods
Packages Units (LBS / KGS) Measure Tariff Number Manufacture Value Value

1 1.00 1.00 PCS Purple T-Shirt US 40.000000 40.00

1 1.00 1.00 PCS Pink T-shirt US 40.000000 40.00
1 1.00 2.00 PCS 1 hoodie US 50.000000 50.00

Total Total Total Net (Indicate Total Gross (Indicate Terms

Pkgs Units Weight LBS/KGS) Weight LBS/KGS) of Sale: Subtotal: 130.00

1 3.00 4.00 LB 4.00 LB Insurance: 0.00

Special Instructions:
Freight: 0.00

Packing: 0.00
Declaration Statement(s): 0.00
These items are controlled by the U.S. Government and authorized for export only to the country of ultimate destination for use by the ultimate consignee or end-user(s) herein
Handling:
identified. They may not be resold, transferred, or otherwise disposed of, to any other country or to any person other than the authorized ultimate consignee or end-user(s), either in
their original form or after being incorporated into other items, without first obtaining approval from the U.S. government or as otherwise authorized by U.S. law and regulations. Other:
0.00

I declare that all the information contained in this invoice to be true and correct. Invoice Total: 130.00
Originator or Name of Company Representative if the invoice is being completed on behalf of a company or individual: USD
Currency Code:
Andrew Chalas
Date:

Signature / Title / Date: 19 Jan, 2021

REV. 04.10.13-1.08
 Version:clsd 2111 2021-01-15

This invoice must be completed in English.

COMMERCIAL INVOICE
Commercial Invoice 1 1
Page _______ of _______
EXPORTER: Ship Date:
Tax ID#: 19 Jan, 2021
Contact Name: Andrew Chalas Air Waybill No. / Tracking No.:
Telephone No.: (781) 608-7460 772649814081
Invoice No.: Purchase Order No.:
E-Mail: [email protected]
Company Name/Address:
Payment Terms: Bill of Lading:
Andrew Chalas
377 Herman Street
Purpose of Shipment:
GIFT
SAN FRANCISCO CA 94117
Country/Territory: UNITED STATES OF AMERICA
Parties to Transaction:
Related X Non-Related
SOLD TO / IMPORTER (if different from Consignee):
CONSIGNEE:
Tax ID#: X Same as CONSIGNEE:
Contact Name: François Corneau-Tremblay
Telephone No.: (418) 817-3304 Tax ID#:
E-Mail: [email protected]
Company Name/Address: Company Name/Address:
François Corneau-Tremblay
2747 boulevard Édouard-Montpetit
app. 15

Montréal PQ H3T1J6
Country/Territory: CANADA Country/Territory: CANADA
If there is a designated broker for this shipment, please provide contact information.
Name of Broker ____________________________________________________
FedEx Grounds Broker Tel. No. __________________________ Contact Name ____________________________________________ ___

Duties and Taxes Payable by Exporter X Consignee Other If Other, please specify _______________________________________________________________________
No. of No. of Net Weight Unit of Harmonized Country of Unit Total
Description of Goods
Packages Units (LBS / KGS) Measure Tariff Number Manufacture Value Value

1 1.00 1.00 PCS Purple T-Shirt US 40.000000 40.00

1 1.00 1.00 PCS Pink T-shirt US 40.000000 40.00
1 1.00 2.00 PCS 1 hoodie US 50.000000 50.00

Total Total Total Net (Indicate Total Gross (Indicate Terms

Pkgs Units Weight LBS/KGS) Weight LBS/KGS) of Sale: Subtotal: 130.00

1 3.00 4.00 LB 4.00 LB Insurance: 0.00

Special Instructions:
Freight: 0.00

Packing: 0.00
Declaration Statement(s): 0.00
These items are controlled by the U.S. Government and authorized for export only to the country of ultimate destination for use by the ultimate consignee or end-user(s) herein
Handling:
identified. They may not be resold, transferred, or otherwise disposed of, to any other country or to any person other than the authorized ultimate consignee or end-user(s), either in
their original form or after being incorporated into other items, without first obtaining approval from the U.S. government or as otherwise authorized by U.S. law and regulations. Other:
0.00

I declare that all the information contained in this invoice to be true and correct. Invoice Total: 130.00
Originator or Name of Company Representative if the invoice is being completed on behalf of a company or individual: USD
Currency Code:
Andrew Chalas
Date:

Signature / Title / Date: 19 Jan, 2021

REV. 04.10.13-1.08
 Version:clsd 2111 2021-01-15

This invoice must be completed in English.

COMMERCIAL INVOICE
Commercial Invoice 1 1
Page _______ of _______
EXPORTER: Ship Date:
Tax ID#: 19 Jan, 2021
Contact Name: Andrew Chalas Air Waybill No. / Tracking No.:
Telephone No.: (781) 608-7460 772649814081
Invoice No.: Purchase Order No.:
E-Mail: [email protected]
Company Name/Address:
Payment Terms: Bill of Lading:
Andrew Chalas
377 Herman Street
Purpose of Shipment:
GIFT
SAN FRANCISCO CA 94117
Country/Territory: UNITED STATES OF AMERICA
Parties to Transaction:
Related X Non-Related
SOLD TO / IMPORTER (if different from Consignee):
CONSIGNEE:
Tax ID#: X Same as CONSIGNEE:
Contact Name: François Corneau-Tremblay
Telephone No.: (418) 817-3304 Tax ID#:
E-Mail: [email protected]
Company Name/Address: Company Name/Address:
François Corneau-Tremblay
2747 boulevard Édouard-Montpetit
app. 15

Montréal PQ H3T1J6
Country/Territory: CANADA Country/Territory: CANADA
If there is a designated broker for this shipment, please provide contact information.
Name of Broker ____________________________________________________
FedEx Grounds Broker Tel. No. __________________________ Contact Name ____________________________________________ ___

Duties and Taxes Payable by Exporter X Consignee Other If Other, please specify _______________________________________________________________________
No. of No. of Net Weight Unit of Harmonized Country of Unit Total
Description of Goods
Packages Units (LBS / KGS) Measure Tariff Number Manufacture Value Value

1 1.00 1.00 PCS Purple T-Shirt US 40.000000 40.00

1 1.00 1.00 PCS Pink T-shirt US 40.000000 40.00
1 1.00 2.00 PCS 1 hoodie US 50.000000 50.00

Total Total Total Net (Indicate Total Gross (Indicate Terms

Pkgs Units Weight LBS/KGS) Weight LBS/KGS) of Sale: Subtotal: 130.00

1 3.00 4.00 LB 4.00 LB Insurance: 0.00

Special Instructions:
Freight: 0.00

Packing: 0.00
Declaration Statement(s): 0.00
These items are controlled by the U.S. Government and authorized for export only to the country of ultimate destination for use by the ultimate consignee or end-user(s) herein
Handling:
identified. They may not be resold, transferred, or otherwise disposed of, to any other country or to any person other than the authorized ultimate consignee or end-user(s), either in
their original form or after being incorporated into other items, without first obtaining approval from the U.S. government or as otherwise authorized by U.S. law and regulations. Other:
0.00

I declare that all the information contained in this invoice to be true and correct. Invoice Total: 130.00
Originator or Name of Company Representative if the invoice is being completed on behalf of a company or individual: USD
Currency Code:
Andrew Chalas
Date:

Signature / Title / Date: 19 Jan, 2021

REV. 04.10.13-1.08
 Version:clsd 2111 2021-01-15

This invoice must be completed in English.

COMMERCIAL INVOICE
Commercial Invoice 1 1
Page _______ of _______
EXPORTER: Ship Date:
Tax ID#: 19 Jan, 2021
Contact Name: Andrew Chalas Air Waybill No. / Tracking No.:
Telephone No.: (781) 608-7460 772649814081
Invoice No.: Purchase Order No.:
E-Mail: [email protected]
Company Name/Address:
Payment Terms: Bill of Lading:
Andrew Chalas
377 Herman Street
Purpose of Shipment:
GIFT
SAN FRANCISCO CA 94117
Country/Territory: UNITED STATES OF AMERICA
Parties to Transaction:
Related X Non-Related
SOLD TO / IMPORTER (if different from Consignee):
CONSIGNEE:
Tax ID#: X Same as CONSIGNEE:
Contact Name: François Corneau-Tremblay
Telephone No.: (418) 817-3304 Tax ID#:
E-Mail: [email protected]
Company Name/Address: Company Name/Address:
François Corneau-Tremblay
2747 boulevard Édouard-Montpetit
app. 15

Montréal PQ H3T1J6
Country/Territory: CANADA Country/Territory: CANADA
If there is a designated broker for this shipment, please provide contact information.
Name of Broker ____________________________________________________
FedEx Grounds Broker Tel. No. __________________________ Contact Name ____________________________________________ ___

Duties and Taxes Payable by Exporter X Consignee Other If Other, please specify _______________________________________________________________________
No. of No. of Net Weight Unit of Harmonized Country of Unit Total
Description of Goods
Packages Units (LBS / KGS) Measure Tariff Number Manufacture Value Value

1 1.00 1.00 PCS Purple T-Shirt US 40.000000 40.00

1 1.00 1.00 PCS Pink T-shirt US 40.000000 40.00
1 1.00 2.00 PCS 1 hoodie US 50.000000 50.00

Total Total Total Net (Indicate Total Gross (Indicate Terms

Pkgs Units Weight LBS/KGS) Weight LBS/KGS) of Sale: Subtotal: 130.00

1 3.00 4.00 LB 4.00 LB Insurance: 0.00

Special Instructions:
Freight: 0.00

Packing: 0.00
Declaration Statement(s): 0.00
These items are controlled by the U.S. Government and authorized for export only to the country of ultimate destination for use by the ultimate consignee or end-user(s) herein
Handling:
identified. They may not be resold, transferred, or otherwise disposed of, to any other country or to any person other than the authorized ultimate consignee or end-user(s), either in
their original form or after being incorporated into other items, without first obtaining approval from the U.S. government or as otherwise authorized by U.S. law and regulations. Other:
0.00

I declare that all the information contained in this invoice to be true and correct. Invoice Total: 130.00
Originator or Name of Company Representative if the invoice is being completed on behalf of a company or individual: USD
Currency Code:
Andrew Chalas
Date:

Signature / Title / Date: 19 Jan, 2021

REV. 04.10.13-1.08