Combined Certificate Of Value And Of Origin And Invoice Of Goods

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Combined Certificate of Value and of Origin and Invoice
Goods
OF
Exportation to
NIGERIA
Place and D
supplied
* state here
* Invoice of
General nature
by
Of class of
goods
to:
to be shipped per: VESSEL
Invoice Number:
Country of
Marks and
Quantity and description of goods
Selling price to purchaser
Origin
numbers
@(US$) Amount ( US$)
on packages
FOB VALUE:
SEA FREIGHT:
FORM M NUMBER:
PORT OF LOADING:
PORT OF DESTINATION:
T
SHIPMENT IDENTIFICATION:
DATE OF SHIPMENT:
B/L NO.:
VESSEL& VOYAGE:
COUNTRY OF ORIGIN:
COUNTRY OF SUPPLY:
I declare that Importer and the Exporter of these goods
*are/are not associated firms as defined in Federal Government
notice no 1467 of 1958
Signature________________________
Delete and initial as applicable

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