10国商3班业务一部 Form A

原作者 CAIZHONGSHI

1. Goods consigned from (Exporter's business name, address, country) Reference No. BEI AO IMPORT AND EXPORT COMPANY LIMITED 17 REN MIN ROAD TIANHEGUANGZHOU GUANGDONG CHINA GENERALIZED SYSTEM OF PREFERENCESCERTIFICATE OF ORIGIN (Combined declaration and certificate) 2. Goods consigned to (Consignee's name, address, country) FORM A ANGEL FOREIGN TRADE LIMITED COMPANY 123 BROSTREET SANFRANCISCO AMERICA Issued in THE PEOPLE'S REPUBLIC OF CHINA (country) See Notes overleaf 3 Means of transport and route (as far as known) 4. For official use FORM GUANGZHOU CHINA TO SANFRANCISCO AMERICA VIA TO HONGKANG BY SEA 5. Item num- ber 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 1 BAT15-28734 CTN NO. SANFRANCISCO MADE IN CHINA ONE THOUSAND(1000) CARTONS OFCEREMIC BEARING *********************************** “P” 10000SET NT01FF004 JUNE 11,2012 11. Certification It is hereby certified, on the basis of control carried out, that the declaration by the exporter is correct. 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 AQSIQ(盖章) (country) and that they comply with the origin requirements specified for those goods in the Generalized System of Preferences for goods exported to AMERICA BEI AO IMPORT AND EXPORT COMPANY LIMITED 蔡忠市 GUANGZHOU，CHINA JUNE 11，2012 ---------------------------------------------------------------------------------------------------------- Place and date, signature and stamp of certifying authority ---------------------------------------------------------------------------------------------------------- Place and date, signature and stamp of authorized signatory