	캐 나 다 세 관 용 송 장 □□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□ CANADA CUSTOMS INVOICE FACTURE DES DOUANES CANADIENNES
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1. Vendor (Name and Address/Vendeur (Nom et Adresse)	2. Date of Direct Shipment to Canada/Date d' axp□dition directe vers le Canada
3. Other References(include Purchaser's Order No.) Autres r□f□rences(inclure le n。 de commande de l'acheteur)
4. Consignee (Name and Address)/Destinataire(Nom et adresse)	5. Purchaser's Name and Address (If other than Consignee) Nom et adresse de l'acheteur(S'il diff□re du destinataire)
6. Country of Transhipment/Pays de transbordement
7. Country of Origin of Goods Pays d'origine des machandises	IF SHIPMENT INCLUDES GOODS OF DIFFERENT ORIGINS ENTER ORIGINS AGAINST ITEMS IN 12 SL LEXPEDITION COMPREND DES MARCHANDISES D'ORIGINES DIFFERENTES PRECISER LEUR PROVENANCE EN 12
8. Transportation Give Mode and Place of Direct Shipment to Canada Transport Pr□ciser mode et point d'exp□dition directe vers le Canada	9. Conditions of Sale and Terms of Payment (i.e. Sale, Consignment Shipment, Leased Goods, etc.) Conditions de vente et modalites de paiement (P. ex. vente, exp□dition en consignation, location de marchandises, etc.)
10. Currency of Settlement/Devises du paiement
11. No. of Pkgs Nore de colis	12.Specification of Commodities(Kind of Packages, Marks and Numbers, General Description and Characteristics, i.e. Grade, Quality) D□signation des articles(Nature des colis, marques et num□ros, description g□n□rale etcaract□ristiques. p ex classe, qualit□)	13. Quantity (State Unit) Quantit□ (Pr□ciser l'unit□)	Setting Price/Prix de vente
14. Unit Price Prix unitaire	15.Total
18. If any of fields 1 to 17 are included on an attached commercial invoice, check this box Si les renseignements des zones 1 □ 17 figurent sur la facture commerciale. cocher cette boite Commercial Invoice No. / N。 de la facture commerciale	□	16. Total Weight / Poids Total	17. Invoice Total Total de la facture
Net	Gross/Brut
19. Exporter's Name and Address (if other than Vendor) Nom et adresse de l'exportateur(S'il diff□re du vendeur)	20. Originator (Name and Address)/Exp□diteur d'origine(Nom et adresse)
21. Departmental Ruling(if applicable)/D□cision du Minist□re(S'il y a lieu)	22. If fields 23 to 25 are not applicable, check this box Si les zones 23 □ 25 sont sans objet. cocher cette boite	□
23. If included in field 17 indicate amount Si compris dans le total □ la zone 17, pr□ciser	24. If not included in field 17 indicate amount. Si non compris dans le total □ la zone 17, pr□ciser	25. Check (if applicable) Cocher (S'il y a lieu)
(ⅰ) Transportation charges, expenses and insurance from the place of direct shipment to Canada Les frais de transport, d□penses et assurances □ partir du point d'exp□dition directe vers le Canada （	(ⅰ) Transportation charges, expenses and insurance to the place of direct shipment to Canada Les frais de transport, d□penses et assurances jusqu'au point d'exp□dition directe vers le Canada （	(ⅰ) Royalty payments or subsequent proceeds are paid or payable by the purchaser Des redevances ou produits ont □t□ ou seront vers□s par l'acheteur
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(ⅱ) Costs for construction, erection and assembly incurred after importation into Canada Les co□ts de construction, d'□rection et d'assemblage apr□s importation au Canada （	(ⅱ)Amount for commissions other than buying commissions Les commissions autres que cellas vers□e pour l'achat （
(ⅱ) The Purchaser has supplied goods or services for use in the production of these goods L'acheteur a foumi des marchandises ou des services pour la production des marchandises
(ⅲ) Export packing Le co□t de l'emballage d'exportation （	(ⅲ) Export packing Le co□t de l'emballage d'exportation （
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DEPARTMENT OF NATIONAL REVENUE□CUSTOMS AND EXCISE	MINISTERE DU REVENU NATIONAL□DOUANES ET ACCISE

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