Original
(NCE 1 OF 4)
1. Products consigned from (Exporters business name, address,
1RANGBD) POLYPACK PACKAGING MATERTALS COMPANY
LIMITED,
WO. 23, LISHAN ROAD, 6-7 NINGEO
BOONOMIC & TECHNICAL DEVELOPMENT
‘ZONE, ZHEJIANG PROVINCE, CHINA
BEZTSALZTSZANIET
5» | Reference No
ASEAN-CHINA FREE TRADE AREA
PREFERENTIAL TARIFF
CERTIFICATE OF ORIGIN
(Combined Declaration and Certificate)
2 ERGY? BARBARA TRITERS PAT. PH=rESs, cou)
216 BANAWE. STREET BRGY. MANRESA
(QUEZON CITY METRO MANILA 1115
PITLIPPINES
PH: 632 8650817
CONTACT: DENZ REYES AND ABSY BERNARDO
FORM E
Issued in_THE PEOPLE'S REPUBLIC OF CHINA
(Country)
‘See Overleat Notes
3. Means of wansport and route (a8 far as known)
JL. 28, 2002
Departure date
-ASIATIC PRIDE V. 208
Vesset's name / Aireraftete,
Port of Discharge MANILA NORTH
4. For Official Use Verification:origin. custers. gov. cn
1 Preferential Treatment Given
1 Preferential Treatment Not Given (Please state reasonis)
Signature of Authorised Signatory of the Importing Party
Stem [6 Marks and ]7, Number and iype of packages, description] 8, Originorlteria® Gross weight ernet | 10. Number,
Number| numbers on | of products (including quantity where \weightor cher cuaniy,| date of
packages | appropriate and HS number in six digit code) | Notes) and value FO8) ony" | Invoices
‘when RVC ertron
applied
1 [War THREE HIRORED AND SEVENTY (GTO) CASES oo 1556, FTRGS 6. Carrs]
(OF ALIMINTUM FOIL, JUL. 18, 202
REYNOLDS WRAP 8 METER/24PK FOIL
HS. CObe: 7607.19
2 (ON HUNDRED AND SEVENTY (170) cases oF | "FE" 1130, OORGS 6. ¥.
‘ALIMINIUM POLL.
[REYNOLDS WRAP 16 METER/24PK FOIL
HS, CONE: 7607.19
3 ‘TWO HUNDRED AND SEVENTY FIVE (216) “rer (658, 4ORGS 6. ¥,
(CASES OF ALMINTIM FOIL
[REYNOLDS WRAP Bi REFILL/24PK FOIL, PERF
HLS, OO0B: 7607.19
4 ‘WO HUNDRED AND FIFTY (250) CASES OF “Pe” 1670, OORGS 6, ¥.
‘ALUMINIUM FOL.
REYNOLDS WRAP 8M REFILL/48PK FOIL
HS. Oobe: 7607.19
8 (ONE HUNDRED AND FIFTY (150) CASES OF “ret ‘887. OORGS 6. ¥,
11. Declaration by the exporter
‘The undersigned hereby declares thatthe above details and
TERME
ae
these products in the Rules of Origin for the ACFTA for the
products exported to
(importing Country)
Wingbo, China, JUL. 29, 2022 pao,
a ignatory
12, Certification
Itie horaby cortiied, on the basis of control carried out, thatthe
declaration by the exporter is correct
8
1 Issued Revoactively
D Movement Cerificate
1 exniition
Cy Third Party Invoicing
Place and date, signature and stamp of certifying authority
2011237200Original
(PAGE 2 OF 4)
1. Producis consigned trom (Exporters business name, adress,
EE aanneaates
faTseneTS220065
Reference No
ASEAN-CHINA FREE TRADE AREA
PREFERENTIAL TARIFF
CERTIFICATE OF ORIGIN
(Combined Declaration and Cer
icate)
2, Products consigned to (Consignee's name, address, country)
lssxosvavasrenvanna
FORM E
Issued in_THE PEOPLE'S REPUBLIC OF CHINA,
(Country)
‘Soe Overloaf Notes
3, Means of transport and route (as far as known)
Departure date
veneer
Voseore name / Aircratt tet
Port of Discharge
4, For Official Use
D Preferential Treatment Given
Preferential Treatment Not Given (Please ststereasonis)
‘Signature of Autharised Signatory of the Importing Party
statemer
Teac
GUA RS RS OA
‘ang that they comply withthe ongin requireme
these products in the Rules of Origin forthe
products oxported to
cities for
TA for the
(iimporting Country}
wing, one m0. 2,200 “EEE
18.
1D Issued Retroactvely
1D Movement Certifcate
O Exhibition
Gl Third Party invoicing
Siem [6 Marks and ]7. Number and type of packages, description | 6. Originriteria] Gross weight or net | 10. Number
Number] numbers on | of products (including quantity where (Gee Overteat| —woightor cher uanty,| date of
Packages | appropriate ane HS number in six digit code) | Notes) ‘and value FOB) only | Invoices:
‘when RVG ereron
ansied
iia POT
WRAP 16M REPILL/24PK FOIL
S, CEDE: 7607.19
6 FIVE (45) CASES OF PE 283, ASRGS 6.¥,
INTLM OTL.
WRAP HD ST 16SR/24°K BIL
8, CODE: 7607. 19,
7 FORTY FIVE (45) CASES OF “et 136, SERES 6.W.
INTIM FOIL.
‘WRAP NS ST 6SF/24PK BIL
8, OO0E: 7607, 19
8 MINDRED (100) CASES OF SBT. SORES GW.
(INIUM FOIL.
FOIL aM 24°R
S. CODE: 7607. 19
9 HUNDRED AND FIFTEEN (115) CASES OF 0, B5RGS 6. W.
NEIM. OTL.
IAWOND REFILL FOUL 48°
11. Declaration by the exporter 412. Certification
‘The undersigned hereby declares that the abe details and | tie heraby certiiad, on the basis of control carried out, that the
Place and date, signature and stamp of certifying authority
2111001101Ori
(Pace 8 oF 4)
al
aT SANT SDE
1. Products consigned from (Exporters business name, address,
Lae EEEDDeawaneases
Reference No!
ASEAN-CHINA FREE TRADE AREA
PREFERENTIAL TARIFF
CERTIFICATE OF ORIGIN
(Combined Declaration and Certificate)
2, Products consigned to (Gonsignee’s name, address, country)
Jsbreneeveneonseensoy
FORM E
lesued in THE PEOPLE'S REPUBLIC OF CHINA
(Country)
‘See Overleaf Notes
3, Meene of transport and route (as far as known)
Departure date
preeieessennsneninen
esses name / Aircrattetel™
4, For Official Use
D Pe
rental Treatment Given
D Preterential Treatment Not Given (Please state reason}
Port of Discharge
Signature of Authorised Signatory ofthe Importing Party
Silom [6 Marks and [7 Numberand type of packages, description | 8 Originenteria]@. Gross weight or net 10. Number
Number numbers on | of products (including quantity where (see Overieat| — weightor cher quartly| date of
packages | appropriate ang HS number in six digit code) | Notes) ‘nd value FOB) only’ | invoices
when RUG enero is
anoied
WS, Cle: 7607.19
10 HUNDRED (200) CASES OF 842, ORGS 6.¥,
RAP
‘GLING WRAP PE TL 100SP/24PK
8, CODE: 3920.10
u HUNDRED AND NINETY (190) CASES OF | “PE” 857. KGS 6. ¥,
WRAP
SURE SEAL CLING WRAP 100SR/24PK
8 000E: 9920. 43,
2 HUNDRED AND FORTY NINE (149) cases |“FE" ‘B51, ZUKGS 6.
“ALIMINTUM FOIL
FEYNOLDS WRAP 6M REFILL/24PR OTL
S, CODE: 7607.19
13 FIVE. (6) CASES OF FE 20. ZEKGS GW.
TIM FOIL,
WRAP @ METER/24PK OTL,
S, CODE: 7607.19
eae ene
by doclares that the above details and
se aaaaemage:
these products in the Rulas of Origin forthe ACI
products exported to
ified for
for the
(iniporting Country)
Moe, Coen JU, 20 22 kup
ate, signature of author
signstory
12, Contfeation
Itis hereby cetitieg, on the basis of control carried out, thet the
declaration by the exporter is correct.
8
1 Issued Retrozctively
1D Movement Gertiicate
1 exhibition
D Third Party invoicing
Place and date, signatura and stamp of certifying autnorty
2111001102Original
(race 4 0F 4)
1. Products consigned from (Exporters business name, address,
WET ovseesenees
BTSOTZTSCANOET —
Reference No.
ASEAN-CHINA FREE TRADE AREA
PREFERENTIAL TARIFF
CERTIFICATE OF ORIGIN
(Combined Declaration and Certificate)
2, Products consigned to (Consignee's name, address, country)
Seeeereeneennetened
FORM E
Issued in THE PEOPLE’ S REPUBLIC OF CHINA
(Country)
See Overleaf Notes
‘3. Means of transport and route (98 far as known)
Departure date
[4 For Oficial Use
1D Preferential Treatment Given
Vesser's name / Aircrattatc A MeNrreetrsster4##
1D Preterental Treatment Nat Given (Please stato reasons)
Port of Discharge
Signature of Authorised Signatory of the Importing Party
S.tem [6 Marks and [7 Number and type of packages, description | & Origin rteria] 8 Gross weight ornet_ | 10. Number
Number 3 (including quantity where welghter cher cuaniy,| date of
Appropriate and HS number in six cigt code) ‘and value (FO8) only | Invoices
when RVC criterions
applied
LAKE FOREST, TL, 60045-USA, UNITED
ae Hm
PRODUCTS INC. 1000 W. FIELD COURT
‘STATES
11, Declaration by the exporter
that the above details and
‘The undersigned hereby docta
eg er produced in
these products in the Rulos of Origin forthe ACETA for the
products exported to
vine, aise. 29000 AGAte
“Place and date, signature of authorised signatory
12, Cortiteation
tis herby certified, onthe basie of control cari
tion by the exporter Is corect
cout, thatthe
rr
0 issued Retrosetively
1D Movement Cerificate
2 exniviton
Gi Third Party Invoicing
Ningbo, China, JUL. 29,2022
Placa and ate, signature and stamp of certifying authority
2111001103