C e r t i fi c a t e o f O r i g i n Invoice Numbers: 00254 Exporter Name: MOLINOS & CIA AV LOS INGENIEROS 154 URB. STA. RAQUEL,2DA ETAPA ,ATE- Complete Address: LIMA Shipping Company: COLTRANS S.A.S Complete Address: Carrera 98 No. 25G-10 Interior 18...
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C e r t i fi c a t e o f O r i g i n Invoice Numbers: 00254 Exporter Name: MOLINOS & CIA AV LOS INGENIEROS 154 URB. STA. RAQUEL,2DA ETAPA ,ATE- Complete Address: LIMA Shipping Company: COLTRANS S.A.S Complete Address: Carrera 98 No. 25G-10 Interior 18 Centro Empresarial Location: Bogota DC File Number: 811459862 Name of Consignee: INSECTICIDAS END Address: CRA 106 NO.15A-25 Transport Information: MARITIMO Shipping Number: 879456 Invoice Information: 00254 Country of Origin: PERU Description of Merchandise: ACIDO BORICO-IMO Quantity of Merchandise: 200 PACKAGES Weight of Merchandise: 2,762 KG The authorizing official hereby acknowledges the specified country of origin of the merchandise listed above. Signature of Name of Exporting Authorizing Official: Fabio Agostini Rivas Agent: MOLINOS & CIA Shipper’s Signature: City: CALLAO AV LOS INGENIEROS 154 URB. STA. RAQUEL,2DA Address: ETAPA ,ATE-LIMA Date: 3/05/19
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