"ملف ١٧/٢ II مستلزمات لزورق الوكالة البخاري إلخ" [ظ‎‎١‎٩‎٧] (٥٣٤/٣٩٤)

No. 504.
IMPERIAL ECONOMIC CONFERENCE
H. REEVES & CO..
32 St. Mary Axe,
E.C.3
(1) Here insert
Manager, Chief
Clerk, or as the
case may bo.
(2) Here insert
name of firm or
company.
(3) Here insert
name of city or
country.
(4) These words
should be omitted
where the manu
facturer or supplier
himself signs the
Certificate.
(6) Here insert
particulars of any
special arrange
ment.
(6) Insert “ United
Kingdom ” or name
of other part of
British Dominions.
27/9/33
FORM "B:’
Combined Certificate of Value and of Origin and Invoice of Goods
for Exportation to British Colonies.
l t ALBERT EM/^...M.TTIIMS ( i)
Of (2) E..P*BAKER...&...C.O..LTD* of (3)
jaanufacturar
supplier
of the goods enumerated in this invoice amounting to
Ac.oomtan.t
London
£ 2 . n. a.
hereby declare that I [(4) have the authority to make and sign this certificate on behalf of the
aforesaid
supplier
and that I] have the means of knowing and do hereby certify as
follows :—
VALUE.
1. That this invoice is in all respects correct and contains a true and full statement
of the price actually paid or to be paid for the said goods, and the actual quantity thereof.
2. That no arrangements or understanding affecting the purchase price of
the said goods have been or will be made or entered into between the said exporter and
purchaser, or by anyone on behalf of either of them either by way of discount, rebate,
compensation or in any manner whatever other than as fully shown on this invoice, or as
follows (5)
ORIGIN.
(In the case of goods exported to Gambia, Gold Coast or Sierra Leone the following
portion of the Certificate dealing with Origin should be struck out.)
(Delete whichever of 3 (a) or 3 (b) is not applicable. If 3 (a) is used delete 4 and 5. If 3 (b) is used insert
required particulars in 4 and 5.)
3. (a) That every article mentioned in 3. (b) That every article mentioned in
the said invoice has been wholly produced or the said invoice has been either wholly or
manufactured in (6) .v. *!£... partially product or manufactured in
(6) .
4. As regards those articles only partia^y^ produced or ipoffufactured m
( 6 )
(а) That the final process or proces^s of manufacturjjxfTave been performed in
that part of thtj British Domimons.
(б) That the eLpAd/tp^^n m^erial produced m/(6).
and/or L^nr per fanned in (6) .yr... calculated
subjectr^o ^(fua^ifications hereundpr’f in each and every article is not less
than -^f the factory/6r works cost of such article in its finished
stat$. £»6e Note below.)
/
6. That ip^he calculationsuch proportion of produce or labour of the
(6) none .of^tfie following items has been included or considered-
“ Manufacturer’s profU/or remuneration of any trader, agent, broker, or other person
“ dealing in the articles in their finished condition: royalties: cost of outside
“ packages or any cost of packing the goods thereinto; any cost of conveying
“ insuring, or shipping the goods subsequent to their manufacture.”
Dated at...^.9?^.9?^ this 27.!fcitk* day of May. 19.....3.7*
Witness Signature...
Note.—I n the case of goods which have at some stage entered into the commerce of, or undergone a process
of manufacture in a foreign country, only that labour and material which is expended on or added to the goods
after their return to the United Kingdom shall be regarded as the produce or manufacture of the United Kingdom
in calculating the proportion of United Kingdom labour and material in the factory or works cost of the finished
article.