Mitsubishi Logisnext Americas (Houston) Inc.

Page: 1 of 2
2121 W Sam Houston Pkwy N
Houston, TX 77043-1575

INVOICE
Ship To: INTERCONTINENTAL CARGO Invoice No: 0010867629 Invoice Date: 11/24/2021
DBA QUICK SHIPPING Ship Via: U1 Warehouse: IN01
8501 NW 17TH STREET INCO Terms: Free Carrier(FCA)
SUITE 120 FREE CARRIER
MIAMI, FL 33126 US Commercial (FCA)
Cust No: 72400 Invoice: 0090161937
Bill To: CASA COMERCIAL MATTHEWS S Final To: CASA COMERCIAL Remit To: Mitsubishi Logisnext Americas (Houston) Inc.
COLONIA CALPULES KM 5 MATTHEWS S.A. de CV 2121 W Sam Houston Pkwy N
CALLE A LA LIMA Colonia Calpules KM.5 Calle a Houston, TX 77043-1575
SAN PEDRO SULA, 0 la
Cust No: 72400 Lima
Harmonized Sales Line Customer O Unit Extended
Container Part Number Part Description Code Ctry Ord No No Ord No T Qty Value Value

IN0922000 F103508018 BOLT 7318152065 JP 1001631510 21 QA0378 Z 2 4.69 9.38

Total Parts: 9.38
Total Sales Tax: 0.00
Total Freight and Handling: 27.14
Other Fees:
Invoice Total Amount (USD): 36.52
Cash Discount Available: 0.00

AR TERMS:
25th of 2nd mo

COUNTRY OF ORIGIN LEGEND

PARTS IDENTIFIED BY JP WERE MADE IN Japan

ORIGIN BREAKDOWN (T1)

Origin Gross Weight Net Weight USD Value USD Value Quantity
JP N/Az 0.024 9.38 10 2.00

Totals (T1) N/A 0.02 9.38 9.38 2.00

HARMONIZED TARIFF CODE BY COUNTRY

Harmonized
Code Country of Origin Value Net Weight Quantity

Generated 2021-12-01 09:55:21

 Mitsubishi Logisnext Americas (Houston) Inc. Page: 2 of 2
2121 W Sam Houston Pkwy N
Houston, TX 77043-1575

7318152 JP - Japan 9.38 0.02 2

Totals (T1) 9.38 0.02 2

HARMONIZED TARIFF SCHEDULE SUMMARY

Harmonized Code Country of Origin Value Net Weight Quantity

7318152 9.38 0.02 2
CERTIFICATION STATEMENT:
WE CERTIFY THAT THE PRICES SHOWN ON THIS INVOICE ARE NET PRICES AND DO NOT INCLUDE ANY DISCOUNT OR COMMISSION.

DIVERSION STATEMENT:
THESE COMMODITIES WERE EXPORTED FROM THE UNITED STATES IN ACCORDANCE WITH THE U.S. EXPORT ADMINISTRATION REGULATIONS ADMINISTERED BY THE U.S. DEPARTMENT OF
COMMERCE (15 CFR PARTS 730 - 774). DIVERSION CONTRARY TO U.S. LAW IS PROHIBITED.

PACKING LIST
Ship To: INTERCONTINENTAL CARGO Invoice No: 0010867629 Invoice Date: 11/24/2021
8501 NW 17TH STREET Ship Via: U1 Warehouse: IN01
SUITE 120 INCO Terms: FREE CARRIER (FCA) MLA
MIAMI, FL 33126 US
Cust No: 72400
Bill To: CASA COMERCIAL MATTHEWS S Notify Party: CASA COMERCIAL Remit To: Mitsubishi Logisnext Americas (Houston) Inc.
COLONIA CALPULES KM 5 MATTHEWS S.A. de CV 2121 W Sam Houston Pkwy N
CALLE A LA LIMA Colonia Calpules KM.5 Calle a Houston TX, 77043-1575
Cust No: la
Lima
Harmonized F Sales Line Customer Unit Extended
Container Part Number Part Description Code Country S HZ Order No No Order No OT Qty Value Value
10016315
IN0922000 F103508018 BOLT 7318152065 JP 10 21 QA0378 Z 2 4.69 9.38

CONTAINER SUMMARY
Container Number Container Type Dimensions Master Tracking Number Container Tracking Number
DIM (IN) L - 10.00 W - 10.00 H - 5.00 CU - IN 31.98 GWT 1.00
IN0922000 J40 - NWT 0.98 1Z5X73160191040857 1Z5X73160191040857
Totals Containers Cubic Inches Gross Weight Net Weight
1 31.98 1.00 0.98

Generated 2021-12-01 09:55:21