CO129-322 - Acting Governor May - 1904 [1-5] — Page 660

CO129 Colonial Office Hong Kong Records 理藩院香港檔案 All AI Reviewed

# Enclosure 2. or C. 656

FONGKONG.

Form of declaration by the Exporter or his Agent.

CERTIFICATE OF ORIGIN FOR SUGAR MANUFACTURED IN HONGKONG

I, the undersigned Fiscal Authority do hereby certify:

That Mr. [Name], the Firm of Messrs. [Firm Name], Partner, Secretary or (a) Director, authorised Manager, Agent, of Hongkong has declared before me, on his responsibility, that the Sugar designated below is the manufacture of the aforesaid Firm and is to be exported to (b) [Country of Destination].

So declared under my responsibility

[Signature of] Partner, Director, Manager, Secretary, or authorised Agent, of the Firm of Messrs. [Firm Name] this [day] day of [month], [year].

Fiscal Authority of Hongkong.

190[Year]

The validity of this Certificate expires twelve months from the date of the Declaration.

This Certificate is not applicable to Sugar in transit.

(a) Delete words which do not apply.

(b) Country of Destination.

Page 660

Page 661

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# Enclosure 2. or C. 656 R. FONGKONG. Form of declaration by the Exporter or his Agent. CERTIFICATE OF ORIGIN FOR SUGAR MANUFACTURED IN HONGKONG I, the undersigned Fiscal Authority do hereby certify: That Mr. [Name], the Firm of Messrs. [Firm Name], Partner, Secretary or (a) Director, authorised Manager, Agent, of Hongkong has declared before me, on his responsibility, that the Sugar designated below is the manufacture of the aforesaid Firm and is to be exported to (b) [Country of Destination]. Description | Number and Description of Packages | Marks and Numbers | Net Weight of Sugar, whether in cwts. | Polarization | Name of exporting vessel | No. | Description | Beet or Cane So declared under my responsibility [Signature of] Partner, Director, Manager, Secretary, or authorised Agent, of the Firm of Messrs. [Firm Name] this [day] day of [month], [year]. Fiscal Authority of Hongkong. 190[Year] The validity of this Certificate expires twelve months from the date of the Declaration. This Certificate is not applicable to Sugar in transit. (a) Delete words which do not apply. (b) Country of Destination. Page 660 Page 661

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! # Enclosure 2. or C. 656 R. FONGKONG. Form of declaration by the Exporter or his Agent. CERTIFICATE OF ORIGIN FOR SUGAR MANUFACTURED IN HONGKONG I, the undersigned Fiscal Authority do hereby certify: That Mr. the Firm of Messrs.. Partner, Secretary or (a) Director, authorised Manager, Agent, } of of Hongkong has declared before me, on his responsibility, that the Sugar designated below is the manufacture of the aforesaid Firmi and is to be exported to (b.j Description Number and Descrip- Net tion of Packages Marks Numbers Weight of Sugar, whether Polari. zation. in cwts. Name of exporting vessel. No. Description Beet or Cane So declared under my responsibility نود هنام Partner, Director, Manager, Secretary, or authorised Agent, day of.. of the Firm of Messrs this.... Fiscal Authority of Hongkong. 190 The validity of this Certificate expires, twelve, months from the date of the Declaration. This Certificate is not applicable to Sugar in transit. (a) Delete words which do not apply. (b) Country of Destination. 4 Page 660Page 661

2026-06-01 17:27:58 · Baseline

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Enclosure 2. or

C. 656

FONGKONG.

Form of declaration by the Exporter or his Agent.

CERTIFICATE OF ORIGIN FOR SUGAR MANUFACTURED IN HONGKONG

I, the undersigned Fiscal Authority do hereby certify:

That Mr.

the Firm of Messrs..

Partner, Secretary or (a) Director, authorised

Manager, Agent,

}

of Hongkong has declared

before me, on his responsibility, that the Sugar designated below is the manufacture of the aforesaid Firmi and is to be exported to (b.j

Description

Number and Descrip-

Net

tion of Packages

Marks Numbers Weight

of Sugar, whether

Polari. zation.

in cwts.

Name of exporting vessel.

No.

Description

Beet or Cane

So declared under my responsibility

نود هنام

Partner, Director, Manager,

Secretary,

authorised Agent,

day of..

of the Firm of Messrs this....

Fiscal Authority

of Hongkong.

190

The validity of this Certificate expires, twelve, months from the date of the Declaration.

This Certificate is not applicable to Sugar in transit.

(a) Delete words which do not apply.

(b) Country of Destination.

Page 660Page 661

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