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2005 UPS Rate and Service Guide

2005 UPS Rate and Service Guide

2005 UPS Rate and Service Guide

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The undersigned<br />

US Certificate of Origin<br />

PROCESS YOUR SHIPMENT 119<br />

declares that the following mentioned goods shipped on on the date consigned to:<br />

are the product of the United States of America.<br />

NO. OF<br />

PKGS<br />

WEIGHT IN KILOS<br />

MARKS AND NUMBERS<br />

BOXES<br />

DESCRIPTION<br />

OR CASES GROSS<br />

Bill of Lading Air Waybill No.:<br />

Sworn to before me<br />

this day of 20<br />

(Owner or Agent)<br />

(Name <strong>and</strong> Address of Shipper)<br />

Signature of Owner or Agent<br />

The ,<br />

a recognized Chamber of Commerce under the laws of the State of , has examined the manufacturer’s<br />

invoice or shipper’s affidavit concerning the origin of the merch<strong>and</strong>ise <strong>and</strong> according to the best of its knowledge <strong>and</strong> belief, finds that the products<br />

named originated in the United States of North America.<br />

Secretary

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