Declaration of agreement to weave and to supply material for export as Finished

Piecegoods to Britain

1. Hong Kong shipper:

Appendix IV

2. Material type, construction, width, and yarn count:

(State also whether yarn is carded or combed, e.g.

86 x 80, 30 x 30, combed, fancy dobby weave shirting, 38" width).

3. Weight in ounces per square yard of the above material

in the loomstate:

4. Contracted delivery period to finisher or purchaser:

5.

I hereby declare that subject to the shipper named above receiving an appropriate export authorization, I have undertaken to weave and to supply the piccegoods described above for delivery during the period stated. The name & address of the factory which will supply me with the Hong Kong spun yarn is

Signature & Chop of Weaver

Date

(Name & Address of Factory)

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