Ward Transport & Logistics: Customs Invoice

1. Vendor

Company Name

Address Line 1

Address Line 2

City[Find City/State/Zip]

State

Zip Code

2. Date of direct shipment to Canada

3. Other references (include purchaser's order No.)

4. Consignee

Company Name

Address Line 1

Address Line 2

City[Find City/State/Zip]

State

Zip Code

5. Purchasers Name and Address

Company Name

Address Line 1

Address Line 2

City[Find City/State/Zip]

State

Zip Code

Consignee

6. Country of transhipment

7. Country of origin of goods

8. Transportation: (Give mode and place of direct shipment to Canada)

9. Conditions of sale and terms of payment (i.e. sale, consignment shipment, leased goods, etc.)

10. Currency of settlement

Items

	#	Packages	Description	Quantity	Price	Total
	1
	2
	3

18. Do any fields (1 to 17) includ on an attached commercial invoice?

Commercial Invoice Number

16. Total Weight

Net

Gross

Invoice Total

17. Invoice Total

19. Exporters name and address

Company Name

Address Line 1

Address Line 2

City[Find City/State/Zip]

State

Zip Code

20. Originator (name and address)

Company Name

Address Line 1

Address Line 2

City[Find City/State/Zip]

State

Zip Code

23. If included in field 17 indicate amt

(i) Transportation charges, expenses and insurance from the place of direct shipment to Canada.

(ii) Costs for construction, erection and assembly incurred after importation into Canada.

(iii) Export packing

24. If not included in field 17 indicate amt

(i) Transportation charges, expenses and insurance from the place of direct shipment to Canada.

(ii) Costs for construction, erection and assembly incurred after importation into Canada.

(iii) Export packing

(i) Royalty payments or subsequent proceeds are paid or payable by the purchaser.