CERTIFICATE OF ORIGIN – ORIGINAL COPY

Puerto Rico Chamber of Commerce

PO BOX 9024033, SAN JUAN, PR 00902-4033 | T (787) 721-6060 | F (787) 723-1891
eMail: camarapr@camarapr.net | URL: http://www.camarapr.org

INVOICE #      
INVOICE DATE      

I, the undersigned, Authorized Representative of the Puerto Rico Chamber

of Commerce, an association duly organized under the laws of Puerto Rico,
do hereby

CERTIFY

That the article or merchandise described in the enclosed invoices, shipped

by:

     

and consigned to:

     

is a Product of Puerto Rico, U.S.A.

Given at San Juan, P.R., this       day       of 20     .

Authorized Representative
PUERTO RICO CHAMBER OF COMMERCE

WE CERTIFY THAT THE ARTICLE OR ARTICLES COVERED BY THIS

CERTIFICATE ARE PRODUCE IN      

SIGNED:______________________________________
(PLEASE, SIGN IN BLUE PEN)