普惠制原产地证

ORIGINAL1. Goods consigned from (Exporter's business name, address, country) Reference No.

NANJING TANG TEXTILE GARMENT CO., LTD. HUARONG MANSION RM2901 NO.85 GUANJIAQIAO, NANJING 210005, CHINA

GENERALIZED SYSTEM OF PREFERENCES CERTIFICATE OF ORIGIN(Combined declaration and certificate)

2. Goods consigned to (Consignee's name, address, country)

FORM AIssued in

FASHION FORCE CO., LTD P.O.BOX 8935 NEW TERMINAL, ALTA, VISTA OTTAWA, CANADA

THE PEOPLE'S REPUBLIC OF CHINA(country) See Notes overleaf

3 Means of transport and route (as far as known)

4. For official use

SHIPMENT FROM SHANGHAI TO MONTREAL BY VESSEL

5. Item number

6. Marks and numbers of packages

7. Number and kind of packages; description of goods

8. Origin criterion (see Notes overleaf)

9. Gross weight or other quantity

10. Number and date of invoices

FASHION FORCE F01LCB05127 CTN NO. MONTREAL MADE IN CHINA

SALES CONDITIONS: CIF MONTREAL/CANADA “P” SALES CONTRACT NO. F01LCB05127 LADIES COTTON BLAZER (100% COTTON, 40SX20/140X60) STYLE NO. PO NO. QTY/PCS USD/PC 46-301A 10337 2550 12.80 PAKAGE N. W. G. W. 85CARTONS 17KGS 19KGS TOTAL PACKAGE: 85 CARTONS TOTAL MEAS: 21.583 CBM

19KGS

NT001FF004 Mar.9, 2001

11. Certification 12. Declaration by the exporter It is hereby certified, on the basis of control carried out, that the The undersigned hereby declares that the above details and statements are declaration by the exporter is correct. correct, that all the goods were

CHINAproduced in(country)

and that they comply with the origin requirements specified for those goods in the Generalized System of Preferences for goods exported to

CANADA NANJING, JIANGSU MAR.22, 2001---------------------------------------------------------------------------------------------------------Place and date, signature and stamp of certifying authority ---------------------------------------------------------------------------------------------------------Place and date, signature and stamp of authorized signatory

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