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CERTIFICATE OF ORIGIN

Exporter Pages
Coffeedey Limited Liability Company 1 of 1
279 Nguyen Tri Phuong Street, Ward 5, District 10, Ho Chi Minh
City
Ho Chi Minh, null Export Invoice Number & Date Letter Of Credit No
34567 06 Oct 2023
TRUNG HIEU BUI

Consignee Buyer (If not Consignee)


Tchibo Limited Liability Company
18 Überseering, Hamburg, Hamburg, 22297, Germany
Hamburg, null

Werner Weber

Method of Dispatch Type of Shipment


Maritime transport FCL/FCL
Vessel / Aircraft Voyage No
Maersk
Port of Loading Date of Departure
06 Oct 2023
Port of Discharge Final Destination
Hamburg, Germany
Marks & Numbers Kind & No of Description of Goods Tariff Code Gross Weight
Packages (Kg)
Coffeedey Limited 20 Jumbo bags Unroasted Green Robusta Coffee Beans 09011110 20,000.00
Liability Company
0901.11.10

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


Vietnam
Place and Date of Issue Place and Date of Issue
Ho Chi Minh City 06 Oct 2023
Signatory Company Signatory Company
Coffeedey Limited Liability Company
Name of Authorized Signatory Name of Authorized Signatory
TRUNG HIEU BUI
Signature Signature

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