P.O.

Box 99319
Fort Worth, TX 76199-0319 Receipt
* Reference Number: 5A2BE36
Invoice No. Invoice Date Page No.
55103912 23-DEC-19 1 of 1
Customer Service Rep: Internet Customer Service
Customer Service: +1 682 518 7053
Purchase Order No. Master Tracker No.
Credit:
INCOTERMS: DDP AM3927 7694586546

Buyer Name Ship Via Customer No. Terms Order Date

AJEY DIWAN DHL WORLDWIDE PRIORITY EX 5A2BE36 NO CHARGE 23-DEC-19

DIWAN AND VADERA ENTERPRISES DIWAN&VADERA ENTERP

Bill To C-145, (SAHU COLONY) KALPANA ESTATE Ship To ATTN: AJEY DIWAN
KALLI PASCHIM, RAEBARELLI ROAD, C-145,(SAHU COLONY)KALPANA EST
LUCKNOW KALLI PASCHIM,RAEBARELLI RD
226301 INDIA LUCKNOW
226301 INDIA

Manufacturer Part Number

Line Customer/MFG Part No. Quantity Quantity Quantity Unit Price Extended Price
No. Description Ordered Shipped Pending (USD) (USD)
1 TMG39923-M 5 5 0 0.000 0.00

Gesture, Color, ALS / Proximity Sensors

US HTS:8542390001 ECCN:EAR99 COO:TH

Merchandise Handling Freight TAX

USD $0.00
0.00 0.00 0.00 0.00

Shipping Information
Ship Date: Dec 23, 2019
These items are controlled by the U.S. Government and authorized for export only to the country of ultimate destination for use by the ultimate
consignee or end-user(s) herein identified. They may not be resold, transferred, or otherwise disposed of, to any other country or to any person
other than the authorized ultimate consignee or end-user(s), either in their original form or after being incorporated into other items, without
first obtaining approval from the U.S. government or as otherwise authorized by U.S. law and regulations. Not for resale - no charge samples for
evaluation only.

Tracking Number(s) and Billed Weights

7694586546 0.17 lb