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1-1304-0619450 1 Exporter (Name, address, country) CERTIFICATE OF ORIGIN MODEL: PC300LC-8 HS CODE: 8429 USED KOMATSU EXCAVATOR $0G0 CORPORATION ‘ADDRESS: ROOM NO.202, FUJISO BUILDING, 19-4, issued by 1-CHOME ETAL KOTO-KU, TOKYO, JAPAN 136-0004 ime Tone Graisie ot Ctrenssse 8 incintry Tokyo, Japan 2 Conlonee (lame, addons county) Trinconena cor ‘ORIGINAL ‘VIET LONG INVESTMENT AND DEVELOPHENT Se re JOINT STOCK COMPANY ADDRESS: KMI4TH HIGHWAY | STH, NHU QUYNH TOWN, VAN LAM, HUNG | 8860 MAY.25, 2021 YEN. VIETNAM | 3 Cainiyot Orie JAPAN 5 Tansport deals a = Romane — 2 BY SEA L/C NUMBER : HANO5211LS310798 ISSUING DATE : MAY 25, 2021 7. Marks, cumbers, oumber and kind of packages: description of goods ‘& Quantity ee mS ¢¢| MIETLONG-c2M 2104 =| HAIPHONG #| omos §) MADE. JAPAN y COMMODITY: USED MACHINE 1 UNIT ‘SERIAL NUMBER: KMTPG191K02063710 8, Declaration by the Exporter 35 an authorized signatory, hectby declares thatthe ‘goods wore procucod or manuactuied In the county MAY.28, 2021 Shown inbox 4 Place sind Dat: Tokyo te | | | ame) ATSUKO OKUYAMA (Signature) ‘| 10.certification ‘The undersigned hereby ceri, on the basis of relative Involee anc ‘ter supparting documents, thatthe above-mectiones goods aigaate inthe oounty showin In box t the best oF ts knowledge and bal, ‘The Tokyo Chamber of Commerce & industry ‘Yoko lyama, oe AN AB MP cms mn ‘comeate Wo.

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