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1.Goods consigned from (Exporters business name, address, country)
TIANJIN COAST IMP. EXP. CORPORATION
No.1101 Lushan Road, Tanggu District, Tianjin,
Reference No. JC0854
GENERALIZED SYSTEM OF PREFERENCES CERTIFICATE OF ORIGIN
(Combined declaration and certificate)
FORM A
Issued in THE PEOPLES REPUBLIC OF CHINA
(country)
See Notes Overleaf
2.Goods consigned to (Consignees name, address, country)
KOSTAS INC.
610 Glenairy Drive,
GA
3 Means of transport and route (as far as known)
FROMXINGANGTOSAN
4.For official use
5.Item number
1
6.Marks and Numbers of packages
KOSTAS
SAN FRANCISCO
C/NO.1-380
7.Number and kind of packages; description of goods
CERAMIC CUPS PLATE SAY THREE HUNDRED EIGHTY (380) CARTONS ONLY **************************************
8.Origin criterion (see Notes overleaf)
“P”
9.Gross weight or other quantity
12920KGS
10.Number and date of Invoices
JC0854
JUNE 25, 2008
11. Certification
It is hereby certified, on the basis of control carried out, that the declaration by the exporter is correct.
(出入境检验检疫局章)
----TIANJIN JUNE 16, 2008----×××----------
Place and date, signature and stamp of certifying authority
12.Declaration by the exporter
The undersigned hereby declares that the above details and statements are correct, that all the goods were produced in
CHINA
(country)
and that they comply with the origin requirements specified for those goods in the Generalized System of Preferences for goods exported to
AMERICA
(importing country)
-- TIANJIN JUNE16, 2008--李金林--(出口公司章)------
Place and date, signature and stamp of authorized signatory
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