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DEPARTMENT OF HOMELAND SECURITY U.S. Customs and Border Protection OMB No. 1651-0098 Exp. 02-28-2017 NORTH AMERICAN FREE TRADE AGREEMENT CERTIFICATE OF ORIGIN 19 CFR 181. 11 181. 22 1. EXPORTER NAME ADDRESS AND EMAIL 2. BLANKET PERIOD FROM mm/dd/yyyy TAX IDENTIFICATION NUMBER 3. COMPANY 11c. NAME 11d. TITLE 11e. DATE mm/dd/yyyy 11f. TELEPHONE NUMBERS Voice 11g. EMAIL Facsimile CBP Form 434 11/16 PAPERWORK REDUCTION ACT STATEMENT An agency may not conduct or sponsor an information collection...
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