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![1. Goods consigned from (Exporter's business name, address,
country)
KIBN AN PLASTIC JOINT STOCK COMPANY
NO.27. GROUP 3, LE HONG PHONG WARD.
PHU LY CtTY. HA NAM PROVINCE. VIETNAM
Reference No.
CERTIFICATE OF ORIGIN
(Combined declaration and certificate)
FORM B
Issued in Vietnam
2- Goods consisned to (Consisnee's name- address- countrv)
CFL FLOORING LIMITED
SUITE 2006, 2OTH FLOOR
340 QUEEN'S ROAD CENTRAL,
HONCKONC. CHINA
4. Competent authority (name, address , country)
VIETTAM CHAMBER OF COMMERCE AND
INDUSTRY
9 Dao Duy Anh - Hanoi - Vietnam
3. Means of transport and route (as far as know)
BY:OOCL POLAND V.0l7E
FROM: HAI PHONG, VIETNAM
TO: SAVANNAH, GA, USA
5. For official use
6. Marks, numbers and kind of packages; description of goods
PVC FLOORINC
HS CODE:39181010
TCBU2381 597120',GP1
I 0098637
csNU 1646850120',GP1
I 0098638
csNU 1615436120',GP1
I 0098639
912 CARTONS
9I2 CARTONS
9I2 CARTONS
2726 CARTONS
r :- : -' ..
i .,'"- f03x20'DC CONTATNER(S) S.T.C. :
PVC FLOORING
SAY: THREE TWENTY FEET DRY CONTAINER(S) ONLY
''SHIPPER'S LOAD, STOW, COLN{T & SEAL''
7. Gross weight or
other quantity
GROSS
WEIGHT
19.176 KGS
19,t76 KGS
19,176 KGS
8. Number and
date of invoices
INVOICE, NO:
CFS.USCMH-
KRLVT-
01910201021
DATE:
FEB 26.2019
J
57.528 KGS
^:
-'i 'r ,ar T t(lEi:*r'f"
9. Certification
It is hereby certified, on the basis ofcontrol carried out, that the
declaration by the exporter is correct.
f
,4ryq1ill#€En
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10. Declaration by the exporter
The undersigned hereby declares that the above details and
statements are correct, that all the goods were produced in
[::ffiffi66prv
with the origin requiretnents
/6rt onors%? i*);i?€roT#H, R I c A
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![1. Goods consigned from (Exporter's business name, address,
country)
KIBN AN PLASTIC JOINT STOCK COMPANY
NO.27. GROUP 3, LE HONG PHONG WARD.
PHU LY CtTY. HA NAM PROVINCE. VIETNAM
Reference No.
CERTIFICATE OF ORIGIN
(Combined declaration and certificate)
FORM B
Issued in Vietnam
2- Goods consisned to (Consisnee's name- address- countrv)
CFL FLOORING LIMITED
SUITE 2006, 2OTH FLOOR
340 QUEEN'S ROAD CENTRAL,
HONCKONC. CHINA
4. Competent authority (name, address , country)
VIETTAM CHAMBER OF COMMERCE AND
INDUSTRY
9 Dao Duy Anh - Hanoi - Vietnam
3. Means of transport and route (as far as know)
BY:OOCL POLAND V.0l7E
FROM: HAI PHONG, VIETNAM
TO: SAVANNAH, GA, USA
5. For official use
6. Marks, numbers and kind of packages; description of goods
PVC FLOORINC
HS CODE:39181010
TCBU2381 597120',GP1
I 0098637
csNU 1646850120',GP1
I 0098638
csNU 1615436120',GP1
I 0098639
912 CARTONS
9I2 CARTONS
9I2 CARTONS
2726 CARTONS
r :- : -' ..
i .,'"- f03x20'DC CONTATNER(S) S.T.C. :
PVC FLOORING
SAY: THREE TWENTY FEET DRY CONTAINER(S) ONLY
''SHIPPER'S LOAD, STOW, COLN{T & SEAL''
7. Gross weight or
other quantity
GROSS
WEIGHT
19.176 KGS
19,t76 KGS
19,176 KGS
8. Number and
date of invoices
INVOICE, NO:
CFS.USCMH-
KRLVT-
01910201021
DATE:
FEB 26.2019
J
57.528 KGS
^:
-'i 'r ,ar T t(lEi:*r'f"
9. Certification
It is hereby certified, on the basis ofcontrol carried out, that the
declaration by the exporter is correct.
f
,4ryq1ill#€En
ci Ccltiti.CiAliD itirrrisTRy 0F vt:r*A
[i6m-$
P ij' secRET/i*Y GE].EML
[i( "''.frt:-;*
&v#& sry:ryw*
10. Declaration by the exporter
The undersigned hereby declares that the above details and
statements are correct, that all the goods were produced in
[::ffiffi66prv
with the origin requiretnents
/6rt onors%? i*);i?€roT#H, R I c A
tE( ef xf;un )tll
c't'Je etexll osc
@ no,ncrr,veunKI;i{
-:r.:.|a:;f;!izf)+=.al](https://image.slidesharecdn.com/uscustomer08-190514065509/75/CO-form-B-for-US-customer-1-2048.jpg)
Uploaded byKIEN AN PLASTIC JSC
CO form B for US customer
This certificate of origin certifies that 2726 cartons of PVC flooring weighing 57,528 kilograms were produced in Vietnam and are being shipped from Hai Phong, Vietnam to Savannah, GA, USA. The exporter, KIBN AN PLASTIC JOINT STOCK COMPANY of Vietnam, declares that the goods meet Vietnam's origin requirements. The Vietnam Chamber of Commerce and Industry certifies that the exporter's declaration of origin is correct based on controls carried out.
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CO form B for US customer
- 1. 1. Goods consignedfrom (Exporter's business name, address, country) KIBN AN PLASTIC JOINT STOCK COMPANY NO.27. GROUP 3, LE HONG PHONG WARD. PHU LY CtTY. HA NAM PROVINCE. VIETNAM Reference No. CERTIFICATE OF ORIGIN (Combined declaration and certificate) FORM B Issued in Vietnam 2- Goods consisned to (Consisnee's name- address- countrv) CFL FLOORING LIMITED SUITE 2006, 2OTH FLOOR 340 QUEEN'S ROAD CENTRAL, HONCKONC. CHINA 4. Competent authority (name, address , country) VIETTAM CHAMBER OF COMMERCE AND INDUSTRY 9 Dao Duy Anh - Hanoi - Vietnam 3. Means of transport and route (as far as know) BY:OOCL POLAND V.0l7E FROM: HAI PHONG, VIETNAM TO: SAVANNAH, GA, USA 5. For official use 6. Marks, numbers and kind of packages; description of goods PVC FLOORINC HS CODE:39181010 TCBU2381 597120',GP1 I 0098637 csNU 1646850120',GP1 I 0098638 csNU 1615436120',GP1 I 0098639 912 CARTONS 9I2 CARTONS 9I2 CARTONS 2726 CARTONS r :- : -' .. i .,'"- f03x20'DC CONTATNER(S) S.T.C. : PVC FLOORING SAY: THREE TWENTY FEET DRY CONTAINER(S) ONLY ''SHIPPER'S LOAD, STOW, COLN{T & SEAL'' 7. Gross weight or other quantity GROSS WEIGHT 19.176 KGS 19,t76 KGS 19,176 KGS 8. Number and date of invoices INVOICE, NO: CFS.USCMH- KRLVT- 01910201021 DATE: FEB 26.2019 J 57.528 KGS ^: -'i 'r ,ar T t(lEi:*r'f" 9. Certification It is hereby certified, on the basis ofcontrol carried out, that the declaration by the exporter is correct. f ,4ryq1ill#€En ci Ccltiti.CiAliD itirrrisTRy 0F vt:r*A [i6m-$ P ij' secRET/i*Y GE].EML [i( "''.frt:-;* &v#& sry:ryw* 10. Declaration by the exporter The undersigned hereby declares that the above details and statements are correct, that all the goods were produced in [::ffiffi66prv with the origin requiretnents /6rt onors%? i*);i?€roT#H, R I c A tE( ef xf;un )tll c't'Je etexll osc @ no,ncrr,veunKI;i{ -:r.:.|a:;f;!izf)+=.al