货物原产地证明书

1 Consignor – Expediteur – Expedidor

No.

ORIGINAL

EUROPEAN COMMUNITY
COMMUNAUTE EUROPEENNE – COMUNIDAD EUROPEA
______________________________________

CERTIFICATE OF ORIGIN
CERTIFICAT D’ORIGINE – CERTIFICADO DE ORIGEN

2 Consignee – Destinataire – Destinatario

3 Country of Origin – Pays d’origine – Pais de origen

4 Transport details – Informations relatives au transport – Datos relativos al transporte (Optional)

5 Remarks – Remarques – Observaciones

6 Item number; marks numbers, number and kind of packages; description of goods size="3">

7 Quantity

8 THE UNDERSIGNED AUTHORITY CERTIFIES THAT THE GOODS DESCRIBED ABOVE ORIGINATE IN THE COUNTRY SHOWN IN BOX 3
l’autorite soussignee certifie que les marchandises designees ci-dessus sont originaires du pays figurant dans la case No. 3
La autoridad infrascrita certifica que las mercancias abajo men cionadas son originarias del pais que figura en la casilla no. 3

Place and date of issue; name, signature and stamp of competent authority
Lieu et date de delivrance; designation, signature et cachet de lautorite competente
Lugar y fecha de expendicion; designacion, firma y sello de la autoridad competente