INTL729 Mod 02 Activity
INTL729 Mod 02 Activity
Activity: Module 2
Complete the commercial invoice, export declaration, and certificate of origin for the following shipment.
Shipment details:
Commercial Invoice
1. Invoice Date 2. Sale Date 3. Invoice No. 4. Page
of
5. Consignee Name and Address 6. Other Address (e.g. buyer/bank)
11. Point of Export 12. Pre-carriage By 13. Exporting Carrier and Vessel
Canada Border Agence des services EXPORT DECLARATION PROTECTED (WHEN COMPLETED)
Services Agency frontaliers du Canada DECLARATION D’EXPORTATION PROTEGE (UNE FOIS REMPLI) C
Original Amended-Modifie Void-Nul Copy-Copie ______ of-de _____________
See completion instructions-PLEASE PRINT-Voir la facon de remplir le formulaire-EN LETTRES MOULEES S.V.P. Page of
1. Business no. 2. Export permit/licence no. (if applicable)-N du permis/de la licence d’exportation (s’il y a lieu)
No. and street – No et rue City – Ville Province/state, country – Province/État, pays Postal Code – Code postal
City – Ville Province/state, country – Province/État, pays Postal Code – Code postal
5. Country of final destination – Pays de destination finale 9(a) Customs proof of report no. – No de la prevue de déclaration des douanes
8. Mode of transport from place of exit – Mode de transport à partier du bureau de sortie
yyyy/mm/dd. time – 24hr, export reporting office code, reference no.
Highway Rail Marine Air aaaa/mm/jj, heure – 24h, code du bureau de déclaration d’exportation, n o de reference
Routier Ferroviaire Maritime Aérien 9(b) Goods inspected by customs – Marchandises inspectées par les douanes
Other (specify) Yes - Qui
Autre (précisez) ________________________________
10. Vessel name (if applicable) – Nom due bateau (s’il y a lieu) 11. Date of export (yyy/mm/dd) – Date de’exportation (aaaa/mm/jj)
12. No. packages – No de colis Kind of packages – Genre de colis 13. Place of exit – Bureau de sortie
Container no. – No de conteneur 14. Exporter reference no. (if applicable) – No de référence de l’exportateur (s’il y a lieu)
21. Currency used for declared value – Devise de la valeur declare 22. Gross weight – Poids brut 23. Total value F.O.B place of exit – Valeur totale f.à.b. bureau
de sortie
24. Freight charges to place of exit, estimated if unknown (included in field 20) – 25. If goods are not sold, state reason for export (if applicable). If a lease or rental, state period –
Frais de transport jusqu’au bureau de sortie, estimé si inconnu (compris à la zone 20) Si les merchandises ne sont pas vendues, motivez le’exportation (s’il y a lieu). S’il s’agit d’une
location ou d’un bail, précisez la periode.
26. Customs service provider information (if applicable) – Renseignements sur la fournisseur de services douaniers (s’il y a lieu)
Name – Nom
Area code and tel. no.
Indicatif regional et no de tél.
o
No. and street – N et rue City – Ville Province/state, country – Province/État, pays Postal Code – Code postal
27. I hereby certify that the information given above and on the continuation sheet(s), if any, is true and complete.
Je certife qu les renseignements inscrits ci-dessus et sur les feuilles supplémentairs, s’il en est, son exacts et complets.
Name of person responsible for completion – Nom de la personne Company name – Nome de la compagnie responsible de remplir le
formulaire.
No. and street – No et rue City – Ville Province/state, country – Postal Code – Code 28. Status – Statut
Province/État, pays postal Exporter Other Exportateur
Autre
Area code and tel. no. Signature Date
Indicatif regional et no de tél.
Issued in
(country)
3. Means of transport and route (as far as known) 4. For official use
5. Item 6. Marks 7. Number and kind of packages: description of goods 8. Origin 9. Gross 10. Number and date of
number and criterion weight or invoices
numbers other quantity
of
packages
____________________________
(country)
and that they comply with the origin requirements specified for those goods in the
This area is generally where the local Chamber Generalised System of Preferences for goods exported to
of Commerce will certify the document, stamp,
sign and date.
____________________________
(importing country)
______________________________ ___________________________
Place and date, signature and stamp of certifying authority Place and date, signature of authorised signatory