ORIGINAL1.Goodsconsignedfrom(Exporter'sbusinessname,address,country)ReferenceNo.QINGDAOLIANJIANGCO.,LTD.NO.2TAIPINGST.QINGDAO,CHINAGENERALIZEDSYSTEMOFPREFERENCESCERTIFICATEOFORIGIN(Combineddeclarationandcertificate)2.Goodsconsignedto(Consignee'sname,address,country)FORMATAKACO.,LTD.12-15,AZASHINBO,OHAZAYAMAYA,OSAKA,JAPANIssuedinTHEPEOPLE'SREPUBLICOFCHINA(country)SeeNotesoverleaf3Meansoftransportandroute(asfarasknown)4.ForofficialuseSHIPPEDFORMQINGDAO,CHINATOOSAKA,JAPANBYSEA5.Itemnum-ber6.Marksandnumbersofpackages7.Numberandkindofpackages;descriptionofgoods8.Origincriterion(seeNotes9.Grossweightorother10.Numberanddateofinvoices1OSAKAFOURHUNDREDANDFIFTY（450）CARTONSOFDOORHANDLES**********************************************P9000PAIRSLJ16071JUN.14,20162OSAKATHREEHUNDREDANDNINETYTWO（392）CARTONSOFSPIRITLEVELS**********************************************P23520PCSLJ16071JUN.14,201611.CertificationItisherebycertified,onthebasisofcontrolcarriedout,thatthedeclarationbytheexporteriscorrect.12.DeclarationbytheexporterTheundersignedherebydeclaresthattheabovedetailsandstatementsproducedinCHINA(country)andthattheycomplywiththeoriginrequirementsspecifiedforthosegoodsintheGeneralizedSystemofPreferencesforgoodsexportedtoJAPANQINGDAOLIANJIANGCO.,LTD.联联QINGDAO，JUN.15,2016----------------------------------------------------------------------------------------------------------Placeanddate,signatureandstampofcertifyingauthority----------------------------------------------------------------------------------------------------------Placeanddate,signatureandstampofauthorizedsignatoryTAKATAKA
