BUYING AGENCY:
BUYING AGENT'S NAME:
| I have inspected |
(Factory Name) |
(Address) |
(Country)
during the production of
and after the completion of the Merchandise described below.
|
I attest that the factory has the production capabilities to produce this
merchandise and that during my inspection of the facility I observed the
merchandise actually being produced at this facility.
Furthermore, based upon my observations and personal knowledge of the
factory operation, none of the merchandise governed by this Certificate was
produced, manu factured, or distributed with convict, child, indentured, or
forced labor in part or whole.
The following listed merchandise has been inspected by the undersigned and
is of the same quality and specification as the confirmation sample approved by
the Buyer. All cartons and shoes are properly marked with the Country of
Origin.
| Customer Order No. |
| Customer SKU |
| Description |
| Quantity |
| Carton Numbers |
| U.S. $ Amount |
| Date of Inspection
|
| Place of Inspection |
| Carton #'s Inspected |
It is understood that the final inspection is at the discretion of the
Kinney Service corporation and this signed Certificate in no way relieves the
Buying Agent of re sponsibility should any claim arise concerning this shipment.
This certification has been given voluntarily and willingly on behalf of the
(Buyer's Representative's Firm) and shall become a part of the official
documents issued for export purposes.
| (Authorized Signature) |
|
(Title) |
