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ORIGINAL
1 Exporters nae, ass county [omrscate noF-aNODDEL 90008
HEBEI, SOGHIONG METERS TECHNOLOGY co, 110
RM 22502, VANQIANG THANGHENG BUSINESS PLAZA,
(GAO! DISTRICT, SMEJTAAMANG CITY, HERE, CHINA CERTIFICATE OF ORIGIN
Pieces els ee Form for China-Chile FTA
ACAI UPN RUST
{Issued in THE PEOPLES REPUBLIC OF CHINA,
(see Instruction overeat)
3 Consors nae, sens, cour For Oil Use
HEME Be” Be:
ATTVREINMLOO HEN VIDAL
TEL: 956 9 380.795
Dv: PADSLRG MOANO ORLENTE 256, LIMACHE, ¥ REGION,
“Means ol vapor and oe (a fr krown)
Sp, ae frit cation:origin, customs, so. cn
‘5Remans
esl ghana No SEXSPAY OCEANIA / OSE ISSUED RETROACTIVELY
PortottodngENZIEN, CNA
Port of scarp ciiL
‘tion | 7Marksand | Number and kind of packages; description of [31S code [10.0ngu]11.Net weight or | 12Numbers)
rrumber| packages Ne, | goods (Siaigt | rteion|auanay. wih unt | and date(s) of
ede) Jat meanzement | invoice)
1 fw six @® wine packnces oF wareR witeR | ooze.20 | -we | sapreces — fstesog11-nos
fix, 2023
2 losra conceyrearon ssi7.oa | owe | spree
Shisiazhiansy China, JU 05,2023
‘Place and date rate of autre itor,
0401002610646Overleaf Instruction
Crtticate No.: Unique serial number of Certificate of Origin assigned by the authorised body.
Box
Box 2:
Box 3
Box 4
Box 5:
Box6:
Box
Box:
Box.
Box 10:
Box 11
Box 12:
Box 13:
Box 14
‘State the fll egal name and address (including country) of the exporter in either China or Chil
State the fll legal name and address (including county) of the producer. if goods trom more than one
producer are included inthe certificate, list the additonal producers, including their fll ogal name and
address (including county). Ifthe exporter or the producer wishes to maintain this information as
confidential, itis acceptable o state “AVAILABLE UPON REQUEST". Ifthe producor and the exporter
are the same, please complete field with “SAME”.
‘State the full legal name and address (including country) of the consignee in either China or Chile,
Complete the means of transport and route and specify the departure date, transport vehicle No., port of
loading and discharge, as far as known,
State the order number, Letter of Credit number or other information. In case where a good is invoiced
by a non-Party operator, the full legal name, country ofthe non-Party operator shal be incicated inthis
bor, as far as known. In case of issuance of certificate retroactively, shall bear the words “ISSUED
RETROACTIVELY", and in case of a certified copy, shall bear the word “CERTIFIED COPY of the orignal
Certificate of Origin sumber___dated_
‘State the item number, 50 isthe maximum,
State the shipping marks and numbers on the packages when such marks and numbers exis, otherwise
shall state "NO MARKS AND NUMBERS (N/M)".
‘Tho Number and kind of packages shall be specified. Provide a full description of each good. The