Consignment Note
1. From (Collection Address) Sender's Account No: 002011487
Name: Dansk Gummi Industri A/S Address: Profilvej 18
City: Kolding
Province:
Postal/Zip Code: 6000
Location: DENMARK
Contact Name: Martin Toft Hansen
Tel No: +4576322236
2. To (Receiver Address)
Receiver's Account No: 000237032
Name: Forbo Siegling Norge AS
Address: Løkka 7
Postboks 2110
City: Larvik
Province:
Postal/Zip Code: 3271
Location: NORWAY
Contact Name: Geir Gulbrandsen
Tel No: 004795841680
3. Goods
General Description:
Valse og rensegris HS Tariff Code:
Total Packages:
1
Total Weight:
23.000 kg
Total Volume:
0.051 m3 4. Services
Service: (48N) Economy Express Options: (EDO) EDO
Payment Terms: Receiver Pays
NON DANGEROUS GOODS
* 3 8 7 9 4 9 0 6 3 *
Please quote this number if you have an enquiry.
A. Delivery Address
Name: Forbo Siegling Norge AS
Address: Løkka 7
Postboks 2110
City: Larvik
Province:
Postal/Zip Code: 3271
Location: NORWAY
Contact Name: Geir Gulbrandsen
Tel No: 004795841680
B. Dutiable Shipment Details
Receivers VAT/TVA/BTW/MWST No.: - Invoice Value of Dutiables: 5476 DKK
C. Special Delivery Instructions
D. Customer Reference
4500889843+4500889572
E. Invoice Receiver (Receiver's Account Number) 000237032
Sender's Signature: ___________________________
Date: ____/____/____
TNT'S LIABILITY FOR LOSS, DAMAGE AND DELAY IS LIMITED BY THE CMR CONVENTION OR THE WARSAW CONVENTION WHICHEVER IS APPLICABLE. THE SENDER AGREES THAT THE GENERAL CONDITIONS, WHICH CAN BE VIEWED AT HTTPS://WWW.TNT.COM/TERMS , ARE ACCEPTABLE AND GOVERN THIS CONTRACT. IF NO SERVICES OR BILLING OPTIONS ARE SELECTED THE FASTEST AVAILABLE SERVICE WILL BE CHARGED TO THE SENDER.
Received by TNT (Name): ___________________________
Date: ____/____/____ Time: ____:____
Customs Copy
Please keep for reference
Consignment Note
1. From (Collection Address) Sender's Account No: 002011487
Name: Dansk Gummi Industri A/S Address: Profilvej 18
City: Kolding
Province:
Postal/Zip Code: 6000
Location: DENMARK
Contact Name: Martin Toft Hansen
Tel No: +4576322236
2. To (Receiver Address)
Receiver's Account No: 000237032
Name: Forbo Siegling Norge AS
Address: Løkka 7
Postboks 2110
City: Larvik
Province:
Postal/Zip Code: 3271
Location: NORWAY
Contact Name: Geir Gulbrandsen
Tel No: 004795841680
3. Goods
General Description:
Valse og rensegris HS Tariff Code:
Total Packages:
1
Total Weight:
23.000 kg
Total Volume:
0.051 m3 4. Services
Service: (48N) Economy Express Options: (EDO) EDO
Payment Terms: Receiver Pays
NON DANGEROUS GOODS
* 3 8 7 9 4 9 0 6 3 *
Please quote this number if you have an enquiry.
A. Delivery Address
Name: Forbo Siegling Norge AS
Address: Løkka 7
Postboks 2110
City: Larvik
Province:
Postal/Zip Code: 3271
Location: NORWAY
Contact Name: Geir Gulbrandsen
Tel No: 004795841680
B. Dutiable Shipment Details
Receivers VAT/TVA/BTW/MWST No.: - C. Special Delivery Instructions
D. Customer Reference
4500889843+4500889572
E. Invoice Receiver (Receiver's Account Number) 000237032
Sender's Signature: ___________________________
Date: ____/____/____
TNT'S LIABILITY FOR LOSS, DAMAGE AND DELAY IS LIMITED BY THE CMR CONVENTION OR THE WARSAW CONVENTION WHICHEVER IS APPLICABLE. THE SENDER AGREES THAT THE GENERAL CONDITIONS, WHICH CAN BE VIEWED AT HTTPS://WWW.TNT.COM/TERMS , ARE ACCEPTABLE AND GOVERN THIS CONTRACT. IF NO SERVICES OR BILLING OPTIONS ARE SELECTED THE FASTEST AVAILABLE SERVICE WILL BE CHARGED TO THE SENDER.
Received by TNT (Name): ___________________________
Date: ____/____/____ Time: ____:____
Receiver Copy
Please keep for reference
No. Description Quantity Unit Unit Price Amount 004733132700-0114 Formstøbt rensegris med indstøbt magnet 2 pcs 2.110,00 4.220,00
ø72 x 137 Quality 8007
Drawing Number 2016118_3 HS Code: 40051000
Country of origin: Denmark
Dansk Gummi Industri A/S · Profilvej 18 · 6000 Kolding · VAT Reg No.: 35405909 · Tel.: 7552 1699 · Fax: 7552 3009 Internet: www.danskgummi.dk · Email: [email protected]
Total Amount
Item Amount Environ. Fee VAT Base VAT
4.220,00 96,00 4.316,00 0,00 4.316,00
Payment Terms Netto kontant 14 dage
IBAN: DK3781 1700 0435 7447 Payment
1. November 2021 Due Date
Dansk Gummi Industri A/S uses Orgalime SC 06 as General Terms and Conditions.
Please also look at our website on www.danskgummi.dk
DKK Currency Please use the below payment info.
SWIFT: NYKBDKKK
Date
4500889572 Req. No.
18. October 2021
Invoice 129310
Order No. 84766
Shipment Method Forbo Siegling Norge AS
Østre Aker Vei 219 0976 Oslo
Norge
Page 1 of 1
Salesperson TJ
Forbo Siegling Norge AS, avd Larvik Løkka 7
3271 Larvik Norge
Sell-to Customer No. 0047-3313270 Ship-to Address
Customer No. 0047-23051130
No. Description Quantity Unit Unit Price Amount 004733132700-0114 Formstøbt rensegris med indstøbt magnet 2 pcs 2.110,00 4.220,00
ø72 x 137 Quality 8007
Drawing Number 2016118_3 HS Code: 40051000
Country of origin: Denmark
Dansk Gummi Industri A/S · Profilvej 18 · 6000 Kolding · VAT Reg No.: 35405909 · Tel.: 7552 1699 · Fax: 7552 3009 Internet: www.danskgummi.dk · Email: [email protected]
Total Amount
Item Amount Environ. Fee VAT Base VAT
4.220,00 96,00 4.316,00 0,00 4.316,00
Payment Terms Netto kontant 14 dage
IBAN: DK3781 1700 0435 7447 Payment
1. November 2021 Due Date
Dansk Gummi Industri A/S uses Orgalime SC 06 as General Terms and Conditions.
Please also look at our website on www.danskgummi.dk
DKK Currency Please use the below payment info.
SWIFT: NYKBDKKK
Date
4500889572 Req. No.
18. October 2021
Invoice 129310
Order No. 84766
Shipment Method Forbo Siegling Norge AS
Østre Aker Vei 219 0976 Oslo
Norge
Page 1 of 1
Salesperson TJ
Forbo Siegling Norge AS, avd Larvik Løkka 7
3271 Larvik Norge
Sell-to Customer No. 0047-3313270 Ship-to Address
Customer No. 0047-23051130
No. Description Quantity Unit Unit Price Amount 004733132700-0114 Formstøbt rensegris med indstøbt magnet 2 pcs 2.110,00 4.220,00
ø72 x 137 Quality 8007
Drawing Number 2016118_3 HS Code: 40051000
Country of origin: Denmark
Dansk Gummi Industri A/S · Profilvej 18 · 6000 Kolding · VAT Reg No.: 35405909 · Tel.: 7552 1699 · Fax: 7552 3009 Internet: www.danskgummi.dk · Email: [email protected]
Total Amount
Item Amount Environ. Fee VAT Base VAT
4.220,00 96,00 4.316,00 0,00 4.316,00
Payment Terms Netto kontant 14 dage
IBAN: DK3781 1700 0435 7447 Payment
1. November 2021 Due Date
Dansk Gummi Industri A/S uses Orgalime SC 06 as General Terms and Conditions.
Please also look at our website on www.danskgummi.dk
DKK Currency Please use the below payment info.
SWIFT: NYKBDKKK
Date
4500889572 Req. No.
18. October 2021
Invoice 129310
Order No. 84766
Shipment Method Forbo Siegling Norge AS
Østre Aker Vei 219 0976 Oslo
Norge
Page 1 of 1
Salesperson TJ
Forbo Siegling Norge AS, avd Larvik Løkka 7
3271 Larvik Norge
Sell-to Customer No. 0047-3313270 Ship-to Address
Customer No. 0047-23051130
No. Description Quantity Unit Unit Price Amount 004733132700-0114 Formstøbt rensegris med indstøbt magnet 2 pcs 2.110,00 4.220,00
ø72 x 137 Quality 8007
Drawing Number 2016118_3 HS Code: 40051000
Country of origin: Denmark
Dansk Gummi Industri A/S · Profilvej 18 · 6000 Kolding · VAT Reg No.: 35405909 · Tel.: 7552 1699 · Fax: 7552 3009 Internet: www.danskgummi.dk · Email: [email protected]
Total Amount
Item Amount Environ. Fee VAT Base VAT
4.220,00 96,00 4.316,00 0,00 4.316,00
Payment Terms Netto kontant 14 dage
IBAN: DK3781 1700 0435 7447 Payment
1. November 2021 Due Date
Dansk Gummi Industri A/S uses Orgalime SC 06 as General Terms and Conditions.
Please also look at our website on www.danskgummi.dk
DKK Currency Please use the below payment info.
SWIFT: NYKBDKKK
Date
4500889572 Req. No.
18. October 2021
Invoice 129310
Order No. 84766
Shipment Method Forbo Siegling Norge AS
Østre Aker Vei 219 0976 Oslo
Norge
Page 1 of 1
Salesperson TJ
Forbo Siegling Norge AS, avd Larvik Løkka 7
3271 Larvik Norge
Sell-to Customer No. 0047-3313270 Ship-to Address
Customer No. 0047-23051130
No. Description Quantity Unit Unit Price Amount
004733132700-0184 Valse påvulkaniseret NBR 53 Sh.A Lys 1 pcs 1.256,00 1.256,00
Ø120 x 580 x 5 mm Quality 9050 HS Code: 40051000
AV-12 Afdrejning ø100-200mm x 500-1000mm 1 pcs 225,00 225,00
Country of origin: Denmark
Dansk Gummi Industri A/S · Profilvej 18 · 6000 Kolding · VAT Reg No.: 35405909 · Tel.: 7552 1699 · Fax: 7552 3009 Internet: www.danskgummi.dk · Email: [email protected]
Total Amount
Item Amount Environ. Fee VAT Base VAT
1.481,00 96,00 1.577,00 0,00 1.577,00
Payment Terms Netto kontant 14 dage
IBAN: DK3781 1700 0435 7447 Payment
1. November 2021 Due Date
Dansk Gummi Industri A/S uses Orgalime SC 06 as General Terms and Conditions.
Please also look at our website on www.danskgummi.dk
DKK Currency Please use the below payment info.
SWIFT: NYKBDKKK
Date
4500889843 Req. No.
18. October 2021
Invoice 129311
Order No. 84767
Shipment Method Ex Works
Forbo Siegling Norge AS Østre Aker Vei 219 0976 Oslo
Norge
Page 1 of 1
Salesperson TJ
Forbo Siegling Norge AS, avd Larvik Løkka 7
3271 Larvik Norge
Sell-to Customer No. 0047-3313270 Ship-to Address
Customer No. 0047-23051130
G (48N) Economy Express (EDO) EDO
Account: 002011487 Account: 000237032
DETAILED MANIFEST
RECEIVER PAYS Pickup id: Web Channel Printed on: 18 Oct 2021 Shipment Date: 18 Oct 2021
* 3 8 7 9 4 9 0 6 3 *
Service
Options NON DANGEROUS GOODS
Special Instructions Shipment reference
4500889843+4500889572
Sender
Dansk Gummi Industri A/S Profilvej 18
Kolding 6000 DENMARK
Contact: Martin Toft Hansen Tel: +4576322236
Receiver
Forbo Siegling Norge AS Løkka 7
Postboks 2110 Larvik 3271 NORWAY
Contact: Geir Gulbrandsen Tel: 004795841680 VAT Nr.: -
Collection Name Dansk Gummi Industri A/S Collection Address Profilvej 18
Kolding, 6000, DENMARK
Delivery Name Forbo Siegling Norge AS Delivery Address Løkka 7, Postboks 2110
Larvik, 3271, NORWAY
Goods Description Valse og rensegris
No Pieces: 1 Weight: 23.000 kg Volume: 0.051 m3 Insurance Value: Invoice Value: 5476 DKK
Package Description BOX
Dimensions (L x W x H) 0.6m x 0.4m x 0.21m
Sender's Signature ____________________________ Date ____/____/____
Received by TNT ____________________________ Date ____/____/____ Time ____:____ hrs
TNT'S LIABILITY FOR LOSS, DAMAGE AND DELAY IS LIMITED BY THE CMR CONVENTION OR THE WARSAW CONVENTION WHICHEVER IS APPLICABLE. THE SENDER AGREES THAT THE GENERAL CONDITIONS, WHICH CAN BE VIEWED AT HTTPS://WWW.TNT.COM/TERMS , ARE ACCEPTABLE AND GOVERN THIS CONTRACT. IF NO SERVICES OR BILLING OPTIONS ARE SELECTED THE FASTEST AVAILABLE SERVICE WILL BE CHARGED TO THE SENDER.
G (48N) Economy Express (EDO) EDO
Account: 002011487 Account: 000237032
DETAILED MANIFEST
RECEIVER PAYS Pickup id: Web Channel Printed on: 18 Oct 2021 Shipment Date: 18 Oct 2021
* 3 8 7 9 4 9 0 6 3 *
Service
Options NON DANGEROUS GOODS
Special Instructions Shipment reference
4500889843+4500889572
Sender
Dansk Gummi Industri A/S Profilvej 18
Kolding 6000 DENMARK
Contact: Martin Toft Hansen Tel: +4576322236
Receiver
Forbo Siegling Norge AS Løkka 7
Postboks 2110 Larvik 3271 NORWAY
Contact: Geir Gulbrandsen Tel: 004795841680 VAT Nr.: -
Collection Name Dansk Gummi Industri A/S Collection Address Profilvej 18
Kolding, 6000, DENMARK
Delivery Name Forbo Siegling Norge AS Delivery Address Løkka 7, Postboks 2110
Larvik, 3271, NORWAY
Goods Description Valse og rensegris
No Pieces: 1 Weight: 23.000 kg Volume: 0.051 m3 Insurance Value: Invoice Value: 5476 DKK
Package Description BOX
Dimensions (L x W x H) 0.6m x 0.4m x 0.21m
Sender's Signature ____________________________ Date ____/____/____
Received by TNT ____________________________ Date ____/____/____ Time ____:____ hrs
TNT'S LIABILITY FOR LOSS, DAMAGE AND DELAY IS LIMITED BY THE CMR CONVENTION OR THE WARSAW CONVENTION WHICHEVER IS APPLICABLE. THE SENDER AGREES THAT THE GENERAL CONDITIONS, WHICH CAN BE VIEWED AT HTTPS://WWW.TNT.COM/TERMS , ARE ACCEPTABLE AND GOVERN THIS CONTRACT. IF NO SERVICES OR BILLING OPTIONS ARE SELECTED THE FASTEST AVAILABLE SERVICE WILL BE CHARGED TO THE SENDER.
