MINISTERE DU REVENU NATION - DOUANES ET ACCISECONTINUATION SHEETFEUILLE SUPPLEMENTAIRERevenue CanadaRevenu CanadaPageCustoms and ExciseDouanes et Accise ofthe2. Other Reference (Include Purchaser's Order No.) 1. Vendor (Name only) Vendeur (Nom sueleunt)Autrex references (Inclure le no de commende de lacheteur 3. Consignee (Name Only) Destinataire (Nom seuleument) 4. Purchaser if other than Consignee and/or importer (Name only)Acheteur, s'il differe du destinataire er (ou) de I'importateir (Nom Seulement)6. Specification of Commodities (Kind of Packages, Marks and numbers, General Description and Characteristics, i.e. Grade, Quality)7. Quality (State Unit) 5. No. of PkgsSelling Price / Prix de verte 9. Total8. Unit PriceNibre decolis1, ,Designation des articles ( Nature des colis, marques et numeros, description generaleet carctenstiques, p. ex. classe, qualitePrix unitataireDEPARTMENT OF NATIONAL REVENUE CUSTOMS AND EXCISE American LegalNet, Inc. www.FormsWorkFlow.com