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CERTIFICATE OF ORIGIN

Exporter Pages
Matterhorn Trading 1 of 1

Charmae Ela Macias Export Invoice Number & Date Letter Of Credit No
15 Apr 2023

Consignee Buyer (If not Consignee)

Method of Dispatch Type of Shipment

Vessel / Aircraft Voyage No

Port of Loading Date of Departure

Port of Discharge Final Destination

Marks & Numbers Kind & No of Description of Goods Tariff Code Gross Weight
Packages (Kg)

Declaration By The Chamber Declaration By The Exporter


The undersigned certifies on the basis of information provided by the I, the undersigned, being duly authorized by the Consignor, and having
exporter that to the best of it’s knowledge and belief, the goods are of made the necessary enquiries hereby certify that based on the rules of
designated origin, production or manufacture. origin of the country of destination, all the goods listed originate in the
country and place of designated. I further declare that I will furnish to
the Customs authorities of the importing or their nominee, for
inspection at any time, such as evidence as may be required for the
purpose of verifying this certificate.

The goods were produced/manufactured at


Place and Date of Issue Place and Date of Issue

Signatory Company Signatory Company


Matterhorn Trading
Name of Authorized Signatory Name of Authorized Signatory
Charmae Ela Macias
Signature Signature

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