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 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
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 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