Sheet 1: GHY Pro Forma Invoice

	
	
	
	
	
	
	
	
	
	
	
	
	

		


		
PRO FORMA INVOICE
		


		


		
PROTECTED WHEN COMPLETED
		


	
	

		


		


	
	

		


		
Exporter, Shipper, Seller
		
Customs Clearance By:
		


	
	

		


		


		


		


		

 
		
		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


	
	

		


		
Tax ID #
		


		


		


		


		


		


		


		


		


		


	
	

		


		
Consignee
		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		

 
		
		


	
	

		


		


		
572 South 5th Street, Pembina, North Dakota 58271
		


		


		


		


		


		


		


		


	
	

		


		


		
Phone:  (701) 825-6474 • Fax:  (701) 825-6482
		


		


		


		


		


		


		


		


	
	

		


		


		
Toll-Free Phone:  (888) 825-0002
		


		


		


		


		


		


		


		


	
	

		


		
Tax ID #
		


		
Clearance available at all ports in the Unites States
		


		


		


		


		


		


		


		


	
	

		


		
Buyer (if other than Consignee)
		


		


		


		


		


		


		


		


		


	
	

		


		


		
PAPS Filer Code: DN2
		


		


		


		


		


		


		


		


	
	

		


		


		
For Southbound release, please email requests to:  pembina@ghy.com
		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		
Check entry status at: http://ghy.com/paps-tracking/
		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		
REF/PO#:
		


		


	
	

		


		
Tax ID #
		


		
TERMS OF SALE  – Delivery/Payment (dropdown list below):
		


	
	

		


		
Carrier
		
PAPS#
		
CFR - Cost & Freight 
		


		


	
	

		


		


		


		
DUTY AND/OR BROKERAGE  CHARGES (dropdown list below):
		


	
	

		


		
Port of Entry & Date Crossing
		
Shipper
		


		


	
	

		


		


		
PARTIES TO THIS TRANSACTION ARE:
		
Not Related
		


		


	
	

		


		
Manifest Qty and Manifest WT
		
EXEMPT FROM MARKING USED IN FURTHER MFG
		


		


		


		


		


		


		
Currency of Sale
		


	
	

		


		


		
No
		


		


	
	

		


		
Client#
		
Any US Goods returned not advanced in value or further manufactured while abroad valued at $2500.00 or over requires both the shipper declaration and owner declarations and if CBP requests a USMCA or MFG. affidavit from the MFG to prove origin.
		


	
	

		


		


		


	
	

		


		


	
	

		


		


	
	

		


		


		


	
	

		


		
Country of Origin
		


		


		
HTS #
		
Unit Quantity
		


		


		


	
	

		


		
Part #
		
Description of Part (English)
		
Unit Price
		
Invoice Total
		


	
	

		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		
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INVOICE TOTAL
		
 $-   
		


	
	

		


		
If goods are not sold, state reason for export:
		
Above prices include (dropdown list below):
		


	
	

		


		


		
None
		


		


	
	

		


		
Carrier Mode(dropdown list below):
		
Status (dropdown list below):
		


	
	

		


		


		


		


	
	

		


		


		


		


	
	

		


		
I  hereby certify that the information given above and on the continuation sheet(s), if any, is true and complete in every respect.
		


	
	

		


		
Give firm name and address if different from exporter above:
		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		
Signature:
		


		


		


		


		


		


		


		


		


		


		


		
Date:
		


		
(MM/DD/YYYY)
		


		


	
	

		


		


		


		


		


	
	

		


		
© 2019 GHY International | Geo. H. Young & Co. Ltd. | GHY USA, Inc.                                                                                                                   03.19
		


	
	

		


		


		


	
	

		


		


		


	
	

		


		


	
	

		


		


	
	

		


		


	
	

		


		


	
	

		


		


	
	

		


		


	
	

		


		


	
	

		


		


	
	

		


		


	
	

		


		


	
	

		


		


	
	

		


		


	
	

		


		


	
	

		


		


	
	

		


		


	
	

		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


	

 




Sheet 2: Page 2

	
	
	
	
	
	
	
	
	
	

		
GHY USA INC. - CONTINUATION PAGE
		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


	
	

		
ORIGIN
		
PART#
		
DESCRIPTION OF PRODUCT (ENGLISH)
		
TARIFF #
		
UNIT QUANTITY
		
UNIT PRICE
		
EXTENDED PRICE
		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		
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TOTAL
		
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© 2019 GHY International | Geo. H. Young & Co. Ltd. | GHY USA, Inc.
		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


	



Sheet 3: Page 3

	
	
	
	
	
	
	
	
	
	

		
GHY USA INC. - CONTINUATION PAGE
		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


	
	

		
ORIGIN
		
PART#
		
DESCRIPTION OF PRODUCT (ENGLISH)
		
TARIFF #
		
UNIT QUANTITY
		
UNIT PRICE
		
EXTENDED PRICE
		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		
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 $-   
		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		
 $-   
		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		
 $-   
		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		
 $-   
		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		
 $-   
		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		
 $-   
		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		
TOTAL
		
 $-   
		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


		


	
	

		
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