CERTIFICATE OF ORIGIN ‘|
peme ESE ae
eee NaS eo Isscanrramms
resmecees” = ORIGINAL
eae SS
JSAME AS CONSIGNEE
[Ps Carcage By loc or Resipe hy Pre-Garier
Heading Pier Terainal
sporting Carte WecaAning [Port of Landing
vee ornare [oontinarid Vous Ong)
Poe atDiaharee [Pac atbalveny
INARKS @NOS._NO.OF PRGS DESCRIPTION OF PACKAGES AND GOODS GROSS WRIGHT MRASUROENT
HUNT BLOWER ASSY. SHIPPED PER KERUI REP ¥
18C20140390 AND CECA REF # 149219/TS.
30 PALLETS HUNT BLOWER ASSY. 20288 Lbs 9180 Kee
EX-WORKS
‘THESE COMMODITIES, SOFTWARE, OR TECHNOLOGIES WERE
EXPORTED FROM THE UNITED STATES IN ACCORDANCE WITH
EXPORT ADMINISTRATION REGULATIONS.
DIVERSION CONTRARY TO U.S. LAW PROHIBITED,
[Phe undersigned Gast, ns, (Owner or Agond, does horeby declare for tho above named shippor, tho goode a doscribod above were shipped
Jon the abovo dato and consigned as indicatod and are products of THE UNITED STATES OF AMERICA
|isted st HOUSTON. TEXAS on January 2, 2015
[sworn to,
ROBIN ANDERSON
My Commission Expres
uly 3, 2015
Jerson rine onthe exporters presentation and nat onthe basi of independent verification, that tothe
Jost tie knowedge arabe, the products med inthis document originated in UNITED STATES OF AMERICA
‘Authorized Signature: