Atelier de Daily Miracles Co. Ltd.

RUA DA ERVA 17, RC, MACAU

COMMERCIAL INVOICE
INTERNATIONAL
AIR WAYBILL NO.		 (NOTE: All shipments must be
accompanied by a Federal Express
International Air Waybill.)
DATE OF EXPORTATION
 EXPORT REFERENCES (i.e., order no., invoice no.)
SHIPPER/EXPORTER (complete name and address)
Atelier de Daily Miracles Co. Ltd.
CHEONG WAI
RUA DA ERVA 13,
EDF. VERDE ONE 3/B
Tel: 853-6252-2200
CONSIGNEE (complete name and address)
LI XIAOHUA
3-3-30 Satoyoshi Kofu Yamanashi JAPAN
Tel: 055-227-6355
Postal Code: 400-0822
COUNTRY OF EXPORT
MACAU
IMPORTER — IF OTHER THAN CONSIGNEE
(complete name and address)
COUNTRY OF MANUFACTURE
JAPAN
COUNTRY OF ULTIMATE DESTINATION
JAPAN
MARKS/NOS. NO. OF PKGS. TYPE OF PACKAGING FULL DESCRIPTION OF GOODS QTY. UNIT WEIGHT UNIT VALUE TOTAL VALUE ACTION
TOTAL NO. OF PKGS. SEE REVERSE SIDE FOR HELP WITH THE ABOVE SECTION TOTAL WEIGHT TOTAL INVOICE VALUE
0 0.000kg 0 JPY

FOR U.S. EXPORT ONLY: THESE COMMODITIES, TECHNOLOGY, OR SOFTWARE WERE EXPORTED FROM THE UNITED STATES IN ACCORDANCE WITH THE EXPORT ADMINISTRATION REGULATIONS. DIVERSION CONTRARY TO UNITED STATES LAW IS PROHIBITED.

I DECLARE ALL THE INFORMATION CONTAINED IN THIS INVOICE TO BE TRUE AND CORRECT.

SIGNATURE OF SHIPPER/EXPORTER (Type name and title and sign.)
Atelier de Daily Miracles Co. Ltd. OPERATIONS MANAGER
DATE
Check one
M-1064 REV. 2/00 LOGOS 115847 WCS