ORIGIN ID:TLCSI 7227087715 SHIP DATE: 13JUL24

JOSE MANUEL PATINO ACTWGT: 1.00 KG

CAD: 258910302/FAPI2208
AV LA PURISIMA 62 DIMS: 22x18x6 CM
LA PURISIMA
VILLA CUAUHTEMOC, EM 52080 BILL SENDER
MX
TO JAY LAYMAN
583J9/E0E4/9AE3

611 PEACH RD
DYERSBURG TN 38024 (US)
(731) 334-1278 REF:
INV:
PO: TENDENCYS70 DEPT:
5:00P J243024070902uv
TRK#
0430
7773 7471 5826 IP EOD
ETD
38024
XX MKLA TN-US MEM

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 Version:clsd 2340 2023-07-26

This invoice must be completed in English.

COMMERCIAL INVOICE
Commercial Invoice 1 1
Page _______ of _______
EXPORTER: Ship Date:
Tax ID#: 13 Jul, 2024
Contact Name: JOSE MANUEL PATINO Air Waybill No. / Tracking No.:
Telephone No.: 7227087715 777374715826
Invoice No.: Purchase Order No.:
E-Mail:
Company Name/Address: Tendencys70
Payment Terms: Bill of Lading:
JOSE MANUEL PATINO
AV LA PURISIMA 62
La Purisima Purpose of Shipment:
Commercial
Villa Cuauhtemoc EM 52080
Country/Territory: MEXICO
Parties to Transaction:
Related X Non-Related
SOLD TO / IMPORTER (if different from Consignee):
CONSIGNEE:
Tax ID#: X Same as CONSIGNEE:
Contact Name: JAY LAYMAN
Telephone No.: (731) 334-1278 Tax ID#:
E-Mail:
Company Name/Address: Company Name/Address:
JAY LAYMAN
611 PEACH RD

Dyersburg TN 38024
Country/Territory: UNITED STATES OF AMERICA Country/Territory: UNITED STATES OF AMERICA
If there is a designated broker for this shipment, please provide contact information.
Name of 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/ Unit Total
Description of Goods
Packages Units (LBS / KGS) Measure Tariff Number Terr. of MFR Value Value

1 1.00 1.00 EA VIDEOGAME 950450 MX 11.350000 11.35

Total Total Total Net (Indicate Total Gross (Indicate Terms DAP
Pkgs Units Weight LBS/KGS) Weight LBS/KGS) of Sale: Subtotal: 11.35

1 1.00 1.00 KG 1.00 KG Insurance: 0.00

Special Instructions:
Freight: 0.00

Packing: 0.00
Declaration Statement(s): 0.00
Handling:
Other:
0.00

I declare that all the information contained in this invoice to be true and correct. Invoice Total: 11.35
Originator or Name of Company Representative if the invoice is being completed on behalf of a company or individual: USD
Currency Code:
JOSE MANUEL PATINO
Date:

Signature / Title / Date: 13 Jul, 2024

REV. 08-23-22
 Commercial Invoice

SELLER/SHIPPER (Name, Full Address, Country) Invoice Date and Number Customer Order Number

JOSE MANUEL PATINO

Address: AV LA PURISIMA 62 07/13/2024

La Purisima
52080
Villa Cuauhtemoc, EM
MX.

Origin TAX ID (RFC) Tracking ID/Air Waybill No.

XAXX010101000
777374715826

CONSIGNEE (Name, Full Address, Country) Buyer (if Other than Consignee)

JAY LAYMAN
Address: 611 PEACH RD

38024
Dyersburg
TN
US.

Destination TAX ID (RFC)

XEXX010101000

Port of Lading Terms and Conditions of Delivery and Payment (incoterms)

Final Destination Exporting Carrier

Taxes and fees applicable to the RECIPIENT

Dyersburg fedex
TN, US.

Other Transportation Information Currency of Sale

USD

Marks and Numbers Total Number of Packages Total Gross Weight (kg) Cubic Meters
1 1 0.48

Complete And Accurate Commodity Harmonized Code Quantity/ Unit Price Amount
Description And Country of Manufacture Unit of Measure

VIDEOGAME 950450 1 $11.35 $11.35

These commodities, technology, or software were exported from Packing Costs $0.00
the United States in accordance with the Export Administration
Regulations. Diversion contrary to United States law is prohibited. Freight Costs. $0.00

Other transportation Costs. $0.00

I declare all the information contained in this invoice to be true
and correct. Handling

Insurance Costs $0.00

––––––––––––––––––––––––––––––––––––––––––––––––
Signature and Status of. Authorized Person Assists $0.00
2024-07-13
Additional Fees $0.00
Villa Cuauhtemoc, EM
Duties and Taxes $0.00

Total Invoice $11.35

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