Shippers Letter Template Of Instructions Sli (Page 3 of 3) in pdf

SHIPPER'S LETTER OF INSTRUCTION

1a. USPPI (Name and address including ZIP Code)

2. FREIGHT CHARGES

PREPAID

COLLECT

3. INCOTERMS 2000

5777 W. Century Blvd., Suite 1040

EXW

CIP

Los Angeles, CA 90045 USA

FCA

DAF

2299 Kenmore Ave.

1b. USPPI EIN (IRS) NO.

1c. ZIP CODE

FAS

DES

FOB

DEQ

Buffalo, NY 14207

CFR

DDU

1d. PARTIES TO TRANSACTION

(800) 447-3033

NON-RELATED

CIF

DDP

CPT

4a. ULTIMATE CONSIGNEE

$0.00

5. DECLARED VALUE FOR CARRIAGE

YES

6. ROUTED EXPORT TRANSACTION?

7. SHIPPER REQUESTS INSURANCE

YES

$0.00

OTHER AMOUNT:

CIF PLUS 10%

4b. INTERMEDIATE CONSIGNEE

8. POINT (STATE) OF ORIGIN

9. COUNTRY OF ULTIMATE DESTINATION

10. TYPE OF SERVICE

AIR

OCEAN

OTHER (specify):

11. SHIPPER'S INSTRUCTIONS IN CASE OF INABILITY TO DELIVER CONSIGNMENT

AS CONSIGNED

RETURN TO SHIPPER

12. FORWARDING AGENT

Speed Global Services

ABANDON

)

13. SCHEDULE B DESCRIPTION OF COMMODITIES

VALUE

20. SHIPPER'S REF. NO.

)

14. MARKS, NOS., AND KINDS OF PACKAGES

(U.S. dollars, omit cents)

(Use column 14-18)

SHIPPING

(Selling price or cost if not

D/F

SCHEDULE B NUMBER

QUANTITY -

QUANTITY

21. CONSIGNEE'S REF. NO.

21. CONSIGNEE S REF. NO.

WEIGHT (Kil

WEIGHT (Kilos)

)

sold)

ld)

SCHEDULE B UNIT(S)

(17)

(15)

(16)

(18)

(19)

$0.00

22. DOCUMENTS

ATTACHED / PREPARE

COMMERCIAL INVOICE

PROFORMA INVOICE

CONSULAR INVOICE

EXPORT LICENSE

PACKING LIST

CERTIFICATE OF ORIGIN

INSURANCE CERTIFICATE

LETTER OF CREDIT

BANK SIGHT DRAFT

OTHER (specify below):

23. VALIDATED LICENSE NO./GENERAL LICENSE SYMBOL

24.ECCN (When required)

25. IS THIS A SHIPMENT OF HAZARDOUS MATERIALS?

YES

26. Duly authorized officer or employee signature

27. SPECIAL INSTRUCTIONS (Include Hazmat information if applicable):

The USPPI authorizes the forwarder named above to act as

forwarding agent for export control and customs purposes.

I certify that all statements made and all information contained herein are true and correct and that I have read and

understand the instructions for preparation of this document, set forth in the "Correct Way to Fill Out the Shipper's Letter of

Instructions." I understand that civil and criminal penalties, including forfeiture and sale, may be imposed for making false

or fraudulent statements herein, failing to provide the requested information or for violation of U.S. laws on exportation (13

U.S.C. Sec. 305; 22 U.S.C. Sec. 401; 18 U.S.C. Sec. 1001; 50 U.S.C. App. 2410).

28a. Signature

29. WE HAVE FORWARDED TO YOU, THE SHIPMENT DESCRIBED ABOVE VIA:

Export shipments are subject to inspection by U.S.

YOUR TRUCK

OTHER CARRIER

Customs Service and/or Office of Export

Enforcement and/or Amber Freight Shipping Lines.

28b. Name (please type or print)

CARRIER NAME:

DRIVER SIGNATURE:

28c. Title

30. Date

DATE:

TIME:

Shippers Letter Template Of Instructions Sli Page 3

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