5350 Ingram Drive, Clearwater, Florida USA 33760 727-539-7429

ROUTED EXPORT TRANSACTION

COMMERCIAL INVOICE
SHIPPED FROM: SOLD TO: INVOICE NO. PRINT DATE:

INGRAM MICRO FILS COMPANY SRL fernando iquiapaza 7022537229 06/13/2017

2200 NW 112th Ave END USER PO NO. CUSTOMER PO NO. EXPORT DATE:

CALLE YANACOCHA # 326 email 06/12/2017 06/13/2017

Miami, FL 33172 ZONA CENTRAL
LA PAZ, Bolivia 00000

SHIPPING TERMS

FCA.
3
Export Destination Control Statement: These items are controlled by the U.S. government
and authorized for export only to the country of ultimate destination for use by the ultimate consignee or
end-user(s) herein identified. They may not be resold, transferred, or otherwise disposed of, to any other
country or to any person other than the authorized ultimate consignee or end-user(s), either in their original
form or after being incorporated into other items, without first obtaining approval from the U.S. government
or as otherwise authorized by U.S. law and regulations.

ORIGIN OF CONTAINER WT. SUPPLIER TECH DATA SUPPLIER UNIT EXTENDED

QTY. GOODS (LBS) (KG) PART NO. PART NO. NAME DESCRIPTION OF MERCHANDISE PRICE PRICE

1 ID PA03670-B051?L 12253503 FUJITSU LA MBP15.4SPACEGRAY/2.6GHZR $2799.00 $2799.00

A P450/2562GBSerial Number:
C02TJ2C3GTFL

1 ID 36525353 AppleCare AppleCare for Mac $249.00 $249.00

TOTAL WEIGHT: 3.26 KG MISC. CHARGES: Freight: $0.00 Product Cost Total: $3048.00

SUM OF PACKAGES: 1 Freight Discount: $0.00 Misc Charges Total: $1.96

PACKAGE MARKS: Insurance & Handling: $1.96 INVOICE TOTAL:

$3049.96 US$
ORDER NO(s): 6017407422
I/We hereby certify that the information on this document is true and correct and that the contents of this shipment are as stated above.
Signature:_____________________________________ Title:_________________________________________
This is a Routed Export Transaction. The Foreign Principal Party in Interest (FPPI) and/or it’s nominated forwarding partner has accepted responsibility in writing for Page1 of 1
this export transaction, including obtaining any license or determining if any license exception applies and filing of AES records if applicable . For the purposes of the
EAR, INGRAM is not the exporter in this transaction.