United Nations Simplified Compliance Certificate: Reference Number
United Nations Simplified Compliance Certificate: Reference Number
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
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.
Signature:
Signature: