FEDERATION OF NIGERIA

Combined Form of Certificate of Value and Origin and Invoice for Goods Exported to the Federation of Nigeria. C16
CMPE SAFI MOROCCO TH 2011
(Place and Date)

(1) State here

General nature or
class of goods

INVOICE of : .

(2) Full name and

address of
Manufacturer
supplier or exporter
(3) Full name of
business and
address importer

BY : COMPAGNIE MAROCAINE DE PLATRE ET DENDUIT KM6,5 ROUTE SEBTE GZOULA SAFI,

MOROCCO
TO : ..
To be shipped per : VESSEL. FROM ........................................... TO
Order number R : CREDOC N : ..

Country of Origin/Supply
COUNTRY OF ORIGIN

Marks and numbers

on packages
FULLY ADRESSED

MOROCCO

Quantity and description of goods

Selling price to purchaser

.X20FT SEA CONTAINERS

@
EURO PER
TON FOB

Amount
EURO

..
.

.,00

EUR..,00

OCEAN FREIGHT

.,00

EUR...,00

.,00

EUR...,00

TOTAL CFR TINCAN NIGERIA

FORM M N0 ..
VOY n:.
BILL OF LADING NO..............................................
SAILING DATE :...........TH ........................., 2011

Enumerate the following charges and state whether each has been included in or excluded from the selling price to purchaser
Amt in Cur
(export
ctry)
(1) Cartage to rail and /or docks.
(2) Inland freight (rail or canal) and other chgs to the
dock area including inland insurance.
(3) Labour in packing the goods into outside p
(4) Value of outside packages.
5) If the goods are subject to any charge by
royalities

State if incld
in selling
price
(6) OCEAN FREIGHT...
(7) OCEAN INSURANCE.
(8) Commission establishment chgs...
(9) Other costs, dues,charges
expenses incidental to thre delivery of
the articles..

Amt in
Cur(export ctry)

State if incld
in selling
price

EUR ,00

YES

NIL
NIL
NIL

State full particulars of royalities

1 MOHAMED EL BAJTA (1) ASSI.GENERAL MANAGER of(2).COMPAGNIE MAROCAINE DE PLATRE ET

DENDUIT
of (3)KM 6,500 ROUTE DE SEBTE GZOULA SAFI MOROCCO.manufacturers/suppliers/exporter of the goods enumerated in
this invoice amounting to EUR ...,00 Hereby declare that I have the authority to make and sign this certificate on behalf of the
aforesaid manufacturers/supplier/exporters and that I have the means of knowing and do hereby certify as follows:
1.That this invoice is in all respects correct and contains a true statement of the price actually paid or to be paid for the said goods, and
the actual quantity thereof.(2). That no different invoice of the goods mentioned in the said invoice has been or will be furnished to
anyone.
3. That no arrangements or understanding affecting the purchase price of the said goods has been or will be made or entered into
between the said exporter and purchaser or by anyone on behalf of either of them by way of discount, rebate, compensation or in any
manner whatever other than as fully shown on this invoice.
ORIGIN
1. That all the goods mentioned in this invoice have been wholly produced or manufactured in MOROCCO
2. That all the goods mentioned in this invoice have either wholly or partially produced or manufactured in
3. That as regards those goods only partially produced or manufactured.
(a) the final process or processes of manufacture have been performed in
(b) the expenditure in material produced and/or labour performed incalculated subject to qualifications hereunder.
In the case of all such goods is not less 25 % of the factory or works cost of all such goods in their finished state (See note below)
4. That in the calculation of such of such proportion of material produced and/or labour performed none of the following items has
been included or considered. Manufacturers profit or remuneration of any trader ,agent, broker or other person dealing in the articles
in their finished condition,royalities,cos Dated at CMPE SAFI MOROCCO this . TH .,2011
Signature.Signature of witness