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pdfU.S. Department of Labor
International Price Program
This form contains information that you previously provided to the U.S. Department of Labor.
Please update this information and return via fax to (877)237-8070 (Toll Free) or (202)691-7272
or, if necessary, mail to U.S. DOL, Bureau of Labor Statistics, Code 5, Washington, DC 20212.
Ex port Item Price Survey
If you have any questions, contact: JOE ANALYST
(202) 555-1212
[email protected]
http://www.bls.gov/mxp/
200501 R123456B D123456B
1. If the item information in this section has changed, please UPDATE THE INFORMATION and FILL IN THE BOX...………..
WAVEBASHER 26IB MOTOR BOAT; LENGTH: 26'; BEAM: 8'6"; DRAFT: 3'6"; INBOARD ENGINE: 5.0 LITER; 350 HP;
MATERIAL OF CONSTRUCTION: FIBERGLASS; GROSS WEIGHT: 6200 LBS.
Exported under Schedule B Number: 8903920050
Exported to: FRANCE
Is this an Intracompany Transfer? YES
Priced per: EACH
What is the Class of Buyer?
PARENT COMPANY
Discounts/Surcharges:
Is Price Specific to Quantity Ordered? YES
5-10 BOATS
Last Price Received:
DECEMBER 2004
New Price Information for :
DISTRIBUTOR
200.0000 U.S. DOLLAR DEDUCTED
CASH
2.0000% NOT DEDUCTED
45,000.0000
FOB FACTORY
JANUARY 2005
2. If the price HAS CHANGED, please fill in the new price below.
,
U.S. DOLLAR
,
.
Currency:
Price Basis:
U.S. DOLLAR
FOB FACTORY
If possible, please provide the reason(s) for the price change:
3. If the price has NOT CHANGED from the last price received, please FILL IN THE BOX to the right………………………….….
4. If the item was NOT TRADED this month, please FILL IN THE BOX to the right……………………………………………….……
Also, if possible, please provide an ESTIMATED price in the boxes in #2.
5. If any physical characteristics of the item have been MODIFIED, please UPDATE THE INFORMATION in #1. Please
enter the change in the production cost associated with this modification. Do not simply enter the total change in price.
(+/-)
(Indicate amount and currency of the modification)
6. If the item has been DISCONTINUED or REPLACED, please FILL IN THE BOX to the right……………………………………..
Then call Joe Analyst
(202) 555-1212
Remarks:
FILL IN THIS BOX if the address or respondent information below has changed. Please make corrections in the Remarks section.
MS. MINNIE MOKE
PRICING MANAGER
WAVEBASHER BOATS INC.
20 BEACH DRIVE
SAN DIEGO CA 55555
Phone: (691) 555-1000
Fax:I(691) 555-2000
E-mail: [email protected]
3054
200501 R123456B D123456B
0443271427
OMB NUMBER 1220-0025
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File Type | application/pdf |
Author | Katz_Sanjeev |
File Modified | 2015-04-20 |
File Created | 2015-04-20 |