SADC CERTIFICATE OF ORIGIN

Resistration

Z e lt fi.7'hRk^

T236154

3. Country Ref. No. ZA

1. Exporter (Name and Office Addres)

Co"v

/4

71

tu\

NnvTa I cr+-. ) c/t&

r.-,

l.1 ( [\a.<cot

SOUTHERN AFRICAN DEVELOPMENT COMMUNITY

(){-oy,ztz kt'z,ze

(sADc)

CERTIFICATE OF ORIGIN
2. Consignee (Name and Office Address)

/f A t; t+-o(;a Lt- K5 LA
l6i
K"o tW Y,aola-L
I,aF"l,a

^-,:

4. Particulars of transport:

5. For official use only

*"*!
6. Marks and numbers: number and kind
o package, description of goods:
(l) Marks and Nos.

7. Customs
Tariff No.

(ii) Description
of goods

ff <2 eae \ 2oo 4a.^n"

Ectn-e-{ -rou cr-+
f,a r.pu-a=

8. Origin
Criterion
(See
overleaf)

'10. lnvoice No.

9. Gross
weight or
other

and date
(Optional)

quantity

l6 t+lr ot*oq
o l tzt 4

trL\6

V+ or'aSsS

\Eb

SzTc'so

lLgqafigo"rt
eS -

Z--f

fD

b L-2

rt

z4L

z-

Jb4 zqE&cto

l9.rr,
11. CUSTOMS ENDORSEMENT

Declaration certified
Export Document (2)

rorm.........,K...), 6................................
Customs

ofrce......54n .{(......

lssuing Country of Territory......................

rtrE'*.
.r^- '^-\--

"-*"rJ

n.t^

2o/6 /tz /oL

,.

t"..
\..,\- .,.

/t,

..,./],t
-,

,tt

li