Сертификат происхождения товара по форме «А»
1. Goods consigned from (Exporter’s business name, address, country)
REPOTEC CO., LTD. IF NO 522-1 CHING PING
RD., CHUNG-HO CITY, TAIPEI HSIEN TAIWAN
Reference No. TR-82
GENERALIZED SYSTEM OF PREFERENCE
CERTIFICATE OF ORIGIN
(Combined declaration and certificate)
FORM A
      Issued in    TAIWAN/ China
                                                      (country)
See notes overleaf
2. Goods consigned to (Consignee’s name, address, country)
SILVIC JAKUBOWSKOGO 6 ST. PETERBURG
3. Means of transport and route (as far as known)
PER S. S. REGINA MAERSK V-9310
FROM KAOHSIUNG TAIWAN TO BERLIN
4. For official use
4. Destination port
5. Item
number
REPOTEC
(IN DIA.)
BERLIN
P/O: 930719
C/NO.1-1287
MADE IN TAIWAN
6. Marks and numbers of packages
7. Number and kind of packages, description of goods
COMPUTER PARTS
MINI TOWER (603), W/SPEED
DISPLAY+150W (LEGAL 200W)
PSII POWER SUPPLY
SPARE PARTS (FRONT PANEL)
8. Origin criterion (see Notes overleaf)
“p”
export declaration“p”
9. Gross weight or other quantity
  1,286 PCS 
1 PCS
  1,287 PCS
10. Number and date of invoices
930719
AUGUST 12,
2002
11. Certification
it is hereby certified on the basis of control carried out that the declaration by the explorer is correct
CHAMBER OF COMMERCE    TAIWAN
Signature of authorized officer                          issuing date
12. Declaration by the explorer
The undersigned hereby declares that the above details
and statements are correct; that all the goods were
produced in              TAIWAN/China
                                                    (country)
and that they comply with the requirements specified
for those goods in the Generalised System of Preferences
for goods exported to
(importing country)
TAIWAN/China
Place and date, signature of authorized signatory

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