Pay To The Order Of: Ref. No. Place: Date: at U.S.$ U.S. Dollars
Pay To The Order Of: Ref. No. Place: Date: at U.S.$ U.S. Dollars
Place: Date:
At Sight
U.S. Dollars
Drawee
Authorized Signature
Bank Draft
Sir/Madam: We enclose the following for collection. Please handle this collection in accordance with the Uniform Rules
for Collections in effect at the time of this transaction, currently ICC Publication URC 522.
Documents Comm. Inv. Cust. Inv. Neg. B/L NoNeg B/L Air Way Bill Insur. Cert. Certif. Draft Pkg. List Miscellaneous
Origin
O/C
Proceeds: Documents:
Advise Payment/Acceptance by:
¨ Deliver documents against payment if sight draft.
Charges: Protest:
Collection charges for: Protest Non-Payment/Non-Acceptance. Advise us by:
Special Instructions:
Authorized Signature
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