根据下列信用证和有关资料，缮制普惠制产地证一份
（1） 本信用证项下货物的运输方式为海运，在香港转船。所有货物均为中国自制。 （2） 本信用证下的发票号码为12EH210，开票时间为：JUL.25，2012.
（3） 设普惠制产地证签证机构的签证日期为：JUL.28，2012，地点为宁波，出口商签证日期为JUL.26，2012. （4） 设本信用证项下的货物包装规格及唛头如下：
A. RUBBER BELT B. NYLON TRANSMISSION BELT
包装：TWELVE METERS PER DOZEN, THEN IN CARTONS OF 10 DOZEN EACH 唛头：BRAVERCO 唛头：BRAVERCO AJR456 AJR 456 TORONTO TORONTO C/NO.1- C/NO.1- 信用证资料如下：
ISSUING BANK: STANDARD CHARTERED BANK, LONDON ADVISING BANK: BANK OF CHINA, TIANTAI BRANCH APPLICANT: BRAVERCO INTERNATIONAL TRADING CORP. 325 WILLOWDALE ONTARIO, CANADA
BENEFICIARY: ZHEJIANG TIANTAI HUTIAN RUBBER BELT CO.,LTD.
NO.9,XIALU INDUSTRIAL ZONE, SANHE TIANTAI, ZHEJIANG,CHIAN FORM OF L/C: IRREVOCABLE L/C NO.:ATJ546
ISSUE DATE：20120605
EXPIRY DATE/PLACE: 20120830 IN COUNTRY OF BENEFICIARY L/C AMOUNT: USD30000.00
AMOUNT SPECIFICATION: CIF TORONTO
AVAILABLE WITH/BY: FREELY AVAILABLE BY NEGOTIATION DRAFTS: AT SIGHT DRAWN ON OURSELVES
TRANSPORT DETAILS: FROM CHINESE PORT NOT LATER THAN AUG.15,2012 TO TORONTO,CANADA DESCRIPTION OF GOODS:
RUBBER BELT PH103 1200METERS 100DOZEN 10CTNS RUBBER BELT PH103 3600METERS 300DOZEN 30CTNS NYLON TRANSMISSION BELT 3600METERS 300DOZEN 30CTNS
DOCUMENTS REQUIRED: CERTIFICATE OF ORIGIN FORM A DULY SIGNED IN THREE COPIES.
ORIGINAL 1. Goods consigned from (Exporter's business name, address, country) ZHEJIANG TIANTAI HUTIAN RUBBER BELT CO., LTD. NO.9,XIALU INDUSTRIAL ZONE, SANHE TIANTAI, ZHEJIANG,CHINA 2. Goods consigned to (Consignee's name, address, country) Reference No. GENERALIZED SYSTEM OF PREFERENCES CERTIFICATE OF ORIGIN (Combined declaration and certificate) FORM A Issued in BRAVERCO INTERNATIONAL TRADING CORP. 325 WILLOWDALE ONTARIO, CANADA THE PEOPLE'S REPUBLIC OF CHINA (country) See Notes overleaf 3 Means of transport and route (as far as known) 4. For official use FROM NINGBO,CHINA TO TORONTO,CANADA VIA HONGKONG BY SEA 5. Item num- ber 6. Marks and numbers of packages 7. Number and kind of packages; description of goods 1 2 BRAVERCO AJR456 TORONTO C/NO.1-40 BRAVERCO AJR456 TORONTO C/NO.1-30 FORTY(40) CARTONS OF RUBBER BELT P THIRTY(30) CARTONS OF NYLON P TRANSMISSION BELT TOTAL SEVENTY(70)CARTONS ONLY **************************************** 8. Origin criterion (see Notes overleaf) 9. Gross weight or other quantity 10. Number and date of invoices 4800METERS 3600METERS 12EH210 25 JUL，2012 11. Certification 12. Declaration by the exporter It is hereby certified, on the basis of control carried out, that the The undersigned hereby declares that the above details and statements declaration by the exporter is correct. are correct, that all the goods were CHINA produced in (country) and that they comply with the origin requirements specified for those goods in the Generalized System of Preferences for goods exported to NINGBO,CHINA JUL 28，2012 ---------------------------------------------------------------------------------------------------------- Place and date, signature and stamp of certifying authority CANADA 浙江天台胡天胶带有限公司（章） 手签 NINGBO, CHINA JUL26，2012. ---------------------------------------------------------------------------------------------------------- Place and date, signature and stamp of authorized signatory
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