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UNITED NATIONS

UNITED NATIONS SIMPLIFIED COMPLIANCE CERTIFICATE


(To certify that all mining operations are legal, and that all mines are operated with good, clean funds of non-criminal, non-terrorist origin,non-
conflict area mining, no-child labor mining, and that all operations are duly licenced by the local authoritics).

UNITED NATIONS ORGANIZATION STABILIZATION MISSION IN THE DR CONGO (MONUSCO)


12 Av. des Aviateurs
Kinshasa - Gombe
DR CONGO
WWW.UNMONUSCO.ORG

CONSIGNMENT Ref : 1984790


Applicant (Registered Owner) Reference Number: CERTIFICATION /
(Name, full address, country)
Invuctus-Congolaises des mines - CERT.OF ORIGIN
sarl c/o Musa Ahamed Taha - EXPORT PERMIT
- OWNERSHIP CERTIFICATE
and Fernando H Katongo
Exporter ( Name, full Exporter license No. Port of shipment Port of destination
EP/EZ
address, Country) (Including all possible
N 00001195 VALID transit points)
-DXB (U.A.E) ALL TREARY
Globex Trading Requested shipment
-FRA (GERMANY) MEMBERS (TBA)
Shipping co. ltd date
-CDG (FRANCE)
(4 WEEKS VALID)

Importer (Name, full address, country) Country from which the product is originating
IMPORTER: Musa Ahmed Taha, ZONE 1 EXTENDED
4117 South Eastern Park Lane,
Salt Lake City, Utah 84119

Description of goods Weight No and types of Value


packages
GOLD (AU) 30 KGS 1 METAL BOXE N/A

DECLARATION BY APPLICANT UNITED NATIONS ENDORSEMENT

I, the undersigned of APPLICANT PARTY, declare the I, the undersigned, hereby endorse the applicant’s
Goods described above have been produced in declation and certify that the goods qualify
accordance with the United Nations rules on origin. under the United Nations rules of origin.

Names of Inspection Officer, MARGARET OGATA

Signature:

Security and Safety Section (S&SS), DAS Official stamp

Signature:

Place: ARUSHA, TANZANIA

Date: 5 JAN 2022

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