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Shipper'S Letter of Instructions (Sli) : Related Non-Related Yes No

V3 Distribution, Inc. is shipping 2 units of computer parts classified under HTS 8471.41.0150 to Allcom Chile Sociedad Anonima in Santiago, Chile. The total value of the shipment is $4,735.00. Neil Cunningham, as the Account Manager, is authorizing the forwarder to act as V3 Distribution's agent to prepare and file the Electronic Export Information for this shipment. The computer parts are classified as EAR99 and do not require an export license.

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369 views1 page

Shipper'S Letter of Instructions (Sli) : Related Non-Related Yes No

V3 Distribution, Inc. is shipping 2 units of computer parts classified under HTS 8471.41.0150 to Allcom Chile Sociedad Anonima in Santiago, Chile. The total value of the shipment is $4,735.00. Neil Cunningham, as the Account Manager, is authorizing the forwarder to act as V3 Distribution's agent to prepare and file the Electronic Export Information for this shipment. The computer parts are classified as EAR99 and do not require an export license.

Uploaded by

mauricio1barrientos1
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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SHIPPER'S LETTER OF INSTRUCTIONS (SLI)

1. USPPI Name: 3. Freight Location Company Name: 5. Forwarding Agent:


V3 DISTRIBUTION, INC
2. USPPI Address Including Zip Code: 4. Freight Location Address (if not box #2):
4141 BARDEN DR SE SUITE 5
KENTOOD, MI 49512

6. USPPI EIN (IRS) No: 800632751 7. Related Party Indicator (select one): Related Non-Related
3216578 Yes No
8. USPPI Reference#: 9. Routed Export Transaction (select one):
10. Ultimate Consignee Name & Address: 11. Ultimate Consignee Type (select one): 12. Intermediate Consignee Name & Address:
ALLCOM CHILE SOCIEDAD ANONIMA Direct Consumer
ANDRES BELLO 1567 Government Entity
SANTIAGO, CL, 7500031, CL Reseller
Other/Unknown
13. State of Origin: Minnesota 16. In-Bond Code: 19. TIB / Carnet?
14. Country of Ultimate Destination: 17. Entry Number: Yes
15. Hazardous Material: Yes No 18. FTZ Identifier: No
INSTRUCTIONS TO FORWARDER:

20. 21. 22. 23. 24. 25. 26 . 27. 28. 29.


Domestic Schedule B / HTS Number and Quantity in DDTC Shipping ECCN, EAR99 S Export License No., License Value at the License Value
or Commercial Commodity Schedule B / Quantity and Weight or USML M Exception Symbol, Port of Export by item (if
Foreign Description HTS Units DDTC Unit of (in Kilos) Category No. E DDTC Exemption No., (US Dollars) applicable)
(D/F) For Vehicles: VIN/Year, Make, Measure (Y/ DDTC ACM No. (US Dollars)
Model and Vehicle Title Number N) or NLR
are required

F 8471.41.0150 2 EAR99 NLR $4.735,00

30. DDTC Applicant Registration Number: 31. Eligible Party Certification: Yes No
Check here if there are any remaining non-licensable Schedule B / HTS Numbers that are valued $2500.00 or less and that do not otherwise require AES
32 filing.

33 Check here if the USPPI authorizes the above named forwarder to act as its true and lawful agent for purposes of preparing and filing the Electronic Export
Information ("EEI") in accordance with the laws and regulations of the United States.
34. I certify that the statements made and all information contained herein are true and correct. I understand that civil and criminal penalties, including forfeiture and
sale, may be imposed for making false and 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).

35. USPPI E-mail Address: [email protected]. USPPI Telephone No.: 616-656-2039


37. Printed Name of Duly authorized officer or employee: NEIL CUNNINGHAM
38. Signature: NEIL CUNNINGHAM 39. Title: Account Manager 40. Date: 19/01/2022

41. Check here to validate Electronic Signature. Electronic signatures must be typed in all capital letters in Box 38 in order to be valid.

SI-USA-F-102 Shippers Letter of Instruction Controlled Document Page 1: 04/03/2014 v2

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