別添1-1 ZAIMU FOOD INTERNATIONAL CO.,LTD 3707 ABC STREET, HOCHIMINH CITY, VIETNAM COMMERCIAL INVOICE Invoice No. Date ZAIMU-025 MARCH,13,2014 Sold to: ZEIKAN SHOJI CO.,LTD 2-7-11 AOMI, KOTO-KU, TOKYO, JAPAN Shipped from: HOCHIMINH, VIETNAM to: TOKYO, JAPAN Shipped per: ORIGIN-MARU on: Mar.15.2014 Term of payment: L/C No.0123456789 Mark & Number Quantity Description of goods Unit Price Amount Per pc FOB US$ US$ PANCAKE(PC-1120431) ZAI (in triangle) 11,520PCS 1.50 17,280.00 C/T No:1-288 (U.S DOLLARS SEVENTEEN THOUSAND TWO HUNDRED EIGHTY ONLY) Total : 288 Cartons G/W : 640.00 Kg N/W : 576.00 Kg COUNTRY OF ORIGIN : VIETNAM Total HS 1905.90-319 FOB USD17,280VN-F 17,280.00 ZAIMU FOOD INTERNATIONAL CO.,LTD 別添1-2 Customs Line ORIGINAL BILL OF LADING (NON NEGOTIABLE UNLESS CONSIGNED TO ORDER) SHIPPER/EXPORTER BOOKING NO ZAIMU FOOD INTERNATIONAL CO.,LTD 3707 ABC STREET, HOCHIMINH CITY, VIETNAM CONSIGNEE BILL OF LADING NO CUSL1080074 EXPORT REFERENCES FORWARDING AGENT REFERENCES ZEIKAN SHOJI CO.,LTD 2-7-11 AOMI, KOTO-KU, TOKYO, JAPAN RECEIVED by the Carrier from the shipeer ….. NOTIFY PARTY PRO-CARRIAGE BY PLACE OF RECEIPT HOCHIMINH, VIETNAM OCEAN VESSEL VOYAGE NO.FLAG PORT OF LOADING ORIGIN-MARU FINAL DESTINATION HOCHIMINH, VIETNAM PORT OF DISCHARGE PLACE OF DELIVERY TYPE OF MOVEMENT TOKYO, JAPAN CNTR.NOS W/SEAL NOS. MARKS & NUMBERS ZAI (in triangle) C/T No:1-288 QUANTITY 288 CARTONS DESCRIPTION OF GOODS GROSS MEASUREMENT G/W M3 640.00 Kg 12.00 PANCAKE(PC-1120431) 40PCS/CARTON TOTAL : TWO HUNDRED EIGHTY-EIGHT CTNS FREIGHT & CHARGE PAYABLE AT/BY SERVICE CONTRACT NODOC FORM NO CODE GROSS WEIGHT TARIFF ITEM FREIGHTED AS RATE PREPAID COMMODITY CODE EXCHANGE RATE COLLECT (3)ORIGINAL BILL(S) OF LADING HAVE BEEN SIGNED. WHERE DELIVERED AGAINST ONE.THE OTHER(S) TO BE … DATE CARGO RECEIVED MAR. 15, 2014 DATE LADEN ON BOARD MAR. 15, 2014 PLACE OF BILL(S) ISSUE MAR. 15, 2014 DATED MAR. 15, 2014 SIGNED BY 別添1-3 1.Exporter's Name,Address and Country: Certification No. ZAIMU FOOD INTERNATIONAL CO.,LTD 3707 ABC STREET, HOCHIMINH CITY, VIETNAM Number of page VN-JP 14/03 1080074 ZEIKAN SHOJI CO.,LTD 2-7-11 AOMI, KOTO-KU,TOKYO JAPAN Form VJ FROM HOCHIMINH PORT, VIETNAM TO TOKYO PORT,JAPAN VESSEL: ORIGIN-MARU V.3712N ON MAR. 15, 2014 4.Item number (as necessary); Marks and numbers; Number and kind of packages; HS code; Description of Good(s): Issued in Vietnam 5.Preference Criterion PANCAKE (PC-1120431) 6.Weight or 7.Invoice other quantity number(s) and date(s) "PE" 460.00Kg ZAIMU-025 MAR.13.2014 TOTAL : 11,520pcs HS 1905.90 TOTAL : 288 CARTONS G/W : 460.00 Kg N/W : 576.00 Kg 8.Remarks; 9.Declaration by the exporter: I, the undersigned, declare that: -the above details and statement are true and accurate; -the good(s) described above meet the condition(s) required for the issuance of this certificate; -the country of origin of the good(s) described above is VIETNAM Place and date 10.Certification It is hereby certified, on the basis of control carried out, that thedeclaration by the exporter is correct. Competent governmental authority or Designee office: HOCHIMINH MAR. 20, 2014 Stamp Stamp STAMP Signature: Place and date: Name(printed): HOCHIMINH ZAIMU TARO Name (printed): Company 1 CERTIFICATE OF ORIGIN 3.Transport detail (means and route) (if known): ZAI (in triangle) C/T No. / AGREEMENT BETWEEN THE SOCIALIST REPUBLIC OF VIET NAM AND JAPAN FOR AN ECONOMIC PARTNERSHIP 2.Importer's or Consignee's Name(if applicable), Address and Country: 1 1 ZAIMU FOOD INTERNATIONAL CO.,LTD Signature: JIRO ZEIKAN MAR. 20, 2014 別添1-4 配合表 パンケーキ (PC-1120431) 商品名 ミックス粉 50g メーカー ZAIMU FOOD INTERNATIONAL CO.,LTD 産地・メーカー 材料名 1 作成年月日 規格 (日本) 配合量 (g) HS code 配合比 (%) 価格 (USD) 19.01 小麦粉 米国 11.01 砂糖 中国 17.02 膨張剤 日本 21.02 ショートニング 日本 15.17 香料 日本 21.06 3 牛乳 ベトナム 04.01 4 鶏全卵 ベトナム 04.08 5 水 ベトナム 22.01 6 バター ニュージーランド 04.05 7 植物油脂 ベトナム 15.07 計 50.0 1.50 印 食品添加 アレルゲ 遺伝子組換 物 ン物質 えの有無
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