"ملف ١٤/١٧ I مراسلات بخصوص مواد التوشاخانة في بوشهر." [ظ‎‎٨‎٣] (٦٧٤/١٦٦)

‘ \
t,, •
No. 504.
H. REEVES & CO..
32 St. Mary Axe,
E.C.3
(1) Here insert
Manager, Chief
Clerk, or as the
case may be.
(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.
(5) Here insert
particulars of any
special arrange
ment.
IMPERIAL ECOf^O^iiC COUFERENCE.
Combined Certificate of Value and of Origin and Invoice of Goods
for Exportation to British Colonies.
« A. E.. Matthews (i) .Apcountsat...
of ( 2 )Mgssrs.. Sake r..4.. Gq . Ltd,.,. of (3)..L.QadQX\
^ the enume rated in this invoice amounting to.. ..£33 .7.?
supplier
hereby declare that I [( 4 ) have the authority to make and sign this certificate on behalf of the
and that I] have the means of knowing and do hereby certify as
aforesaid
follows
rdcTH Clj.ctC^.TJTOr
supplier
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 pf 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 Colonies not granting preference to British goods
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 (6) 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^iavoice has been either wholly or
manufactured in ( 6 ). .U.f.JhR partiyrity /produced or manufactured in
4. As regards those articles
(6) Insert “United
Kingdom” or name
of other part of
British Dominions.
y produced or
mfactured
have been performed in
(a) That the final process/or processes of manufactt
that part of the British Dominions.
(fc) That the expenditure in material produced
and/or laboafr performed in calculated
subject y /qualifications hereunder'; in each and every article is not less
fe-fourth
of ^he
factorv/or works cost of such article in its finished
te.
5. That in
one-half
(See Note below.)
the calculation of such proportion of produce or labour of the
.none of fire following items has been included or considered—
lanufacturer’s ptofit or remuneration of any trader, agent, broker, or other person
dealing in th/ 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.
.London __this 2(
day of SfiE.t.amLe r..... 19...3i+
5/3/34
Witness Signature
Note.— Id 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.