Date of Export:

Export Reference:
Shipper/Exporter:
Recipient:
Tecleo Data Recovery Lab

5 Bellingham Street
20 Uitzicht Park
Centurion
South Africa
0157
Exporter Customs ID / Tax Payer Number: Importer:
As Above
Country of export:
Importer Customs ID:
1902181
Country of manufacture:
Reason for Export:
Country of ultimate destination:
South Africa
International Air Waybill No.:
Marks
/Nos
No.
of
pkgs
Type
of
packaging
Full Description
of goods
Qty Units
of
measure
Weight Unit
Value
Total
Value
Total
Pkgs
Total
Weight 
Currency Total Inv
Value
I declare all the information contained in this invoice to be true and correct.
Name and signature of shipper/exporter (type name and title and sign)

Date:
Tick
CIF