Приложение. Бланк сертификата о происхождении товара формы "А", установленный Министерством промышленности и торговли Республики Парагвай

Приложение

к письму Федеральной таможенной службы

от 6 августа 2007 г. N 06-53/29240

1. Goods consigned from (Exporter's business name, address, country)			Reference N GENERALISED SYSTEM OF PREFERENCES CERTIFICATE OF ORIGIN (Combined declaration and certificate) FORM A Issued in _______________ (country) See notes overleaf
2. Goods consigned to (Consignee's name, address, country)
3. Means of transport and route (as for as known)			4. For official use
5. Item number	6. Marks and number of packages	7. Number and kind of packages: description of goods		8. Origin criterion (see Notes overliaf)	9. Gross weight or other quantity	10. Number and date of invoices
11. Certification It is hereby certified, on the basis of control carried out, that the declaration by the exporter is correct			12. Declaration by the exporter The undersigned hereby declares that the above details and statements are correct; that all the goods were produced in _________________________________________ (country) and that they comply with the origin requirements specified for those goods in the Generalised System of Preferences for goods exported to _________________________________________ (importing country)
Place and date signature and stamp of certifyig authority			Place and date signature of authorised signatory

SERIE C N 151560