CERTIFICATE OF ORIGIN
Exporter Pages
1 of 1
Hasswell Philippines Inc.
04 Gen. E. Topacio st.
Imus, Cavite Export Invoice Number & Date Letter Of Credit No
4103 1907 20 Jan 2025
Philippines
Consignee Buyer (If not Consignee)
Reflections of Asia
123 Mistywood Heights
Sacramento, California
94203USA
Method of Dispatch Type of Shipment
Sea FCL
Vessel / Aircraft Voyage No
Maersk Line 22E
Port of Loading Date of Departure
Port of Manila 20 Jan 2025
Port of Discharge Final Destination
Port of Manila USA
Marks & Numbers Kind & No of Description of Goods Tariff Code Gross Weight
Packages (Kg)
Declaration By The Chamber Declaration By The Exporter
The undersigned certifies on the basis of information provided by the I, the undersigned, being duly authorized by the Consignor, and having
exporter that to the best of it’s knowledge and belief, the goods are of made the necessary enquiries hereby certify that based on the rules of
designated origin, production or manufacture. origin of the country of destination, all the goods listed originate in the
country and place of designated. I further declare that I will furnish to
the Customs authorities of the importing or their nominee, for
inspection at any time, such as evidence as may be required for the
purpose of verifying this certificate.
The goods were produced/manufactured at
Place and Date of Issue Place and Date of Issue
Signatory Company Signatory Company
Name of Authorized Signatory Name of Authorized Signatory
Signature Signature