Central America-Dominican Republic-United States Free Trade Agreement

Tratado de Libre Comercio entre Centroamerica, Republica Dominicana y los Estados Unidos
CERTIFICATE OF ORIGIN
CERTIFICADO DE ORIGEN
1. EXPORTER NAME AND ADDRESS 2. BLANKET PERIOD (DD/MM/YY)
Nombre, direccion y numero de registro fiscal del expotador Periodo que cubre

INTERNATIONAL POWER SOLUTIONS CORP.

35 Th. Tower Financial Center, 50th Street And Corner of Elviera Mendez Street FROM 01-01-2024
Panama City, Panama

TAX IDENTIFICATION NUMBER : ID# 59-2708335 TO 12-31-2024

3. PRODUCER NAME AND ADDRESS 4. IMPORTER NAME AND ADDRESS

Nombre, direccion y numero de registro fiscal del productor Nombre, direccion y numero de registro fiscal del importador

INTERNATIONAL POWER SOLUTIONS CORP

OMNI CABLE CORP. 35 Th Tower Financial Center, 50 St
P.O. Box 7780-4268 And Corner of Elvira Mendez St
Philadelphia, PA 19182-4268 Panama City. Panama

TAX IDENTIFICATION NUMBER : 23-2110530 TAX IDENTIFICATION NUMBER :

5.DESCRIPTION OF GOOD(S) 6. HS TARIFF 7. PREFERENCE 8. OTHER 9. PRODUCER

Descripcion de la(s) mercancia(s) CLASSIFICATION CRITERION CRITERIA Productor
NUMBER Criterio para trato Otros
Clasificacion arancelario criterios
arancelaria preferencial

ELECTRICAL CABLE Cat # A11406 8544.60.40 NO U.S.A.

AS PER INVOICE NO.75646

11. Under oath I certify that

* THE INFORMATION ON THIS DOCUMENT IS TRUE AND ACCURATE AND ASSUME THE RESPONSIBILITY FOR PROVING SUCH REPRESENTATIONS
* UNDERSTAND THAT I AM LIABLE FOR ANY FALSE STATEMENTS OR MATERIAL OMISSIONS MADE ON OR IN CONNECTION WITH THIS DOCUMENT
* I AGREE TO MAINTAIN AND PRESENT UPON REQUEST DOCUMENTATION NECESSARY TO SUPPORT THIS CERTIFICATE AND TO INFORM IN
WRITING, ALL PERSONS TO WHOM THE CERTIFICATE WAS GIVEN OF ANY CHANGES THAT COULD AFFECT THE ACCURACY OR VALIDITY OF THIS CERTIFICATE
* THE GOODS ORIGINATED IN THE TERRITORY OF ONE OR MORE OF THE PARTIES AND COMPLY WITH THE ORIGIN REQUERIMENTS SPECIFIED FOR THOSE GOODS IN THE CENTRAL AMERICAN
DOMANICAN REPUBLIC - UNITED STATES FREE TRADE AGREEMENT, AND THAT THERE HAS BEEN NO FURTHER PROCESSING OR ANY OTHER OPERATION OUTSIDE THE TERRITORIES OF THE PARTIES,
OTHER THAN UNLOADING, RELOADING, OR ANY OTHER OPERATION NECESSARY TO PRESERVE THE GOODS IN GOOD CONDITION OR TO TRANSPORT THE GOOD TO THE TERRITORY OF THE PARTY.

THIS CERTIFICATE CONSIST OF: PAGES INCLUDING ATTACHMENTS

Esta certificacion se compone de:
1 Hojas incluyendo sus anexos

11a. AUTHORIZED SIGNATURE - Firma autorizada 11b. COMPANY - Empresa

TRADINTER DEVELOPMENT CO., INC.

11c. NAME (Print or Type) - Nombre 11d. TITLE - Cargo

NURIA PINO TRAFFIC DEPARTMENT

11e. DATE (DD/MM/YY) - Fecha 11f. TELEPHONE NUMBER - Telefono FAX NUMBER - Facsimile
07/03/24 305-477-4414 305-477-7711

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