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["R"]
["Multiple Country Textile Declaration "]
[]
["I, (name) declare that the articles described below and covered by the invoice or entry to which this declaration relates were exported from the countries* identified below on the dates listed and were subject to assembling, manufacturing or processing operations in, and/or incorporate materials originating in, the foreign territory or coutries* or inj the U.S. or an insular possession of the U.S., identified below. I declare that the information set forth in this declaration is correct and true to the best of my knowledge, information and belief"]
["A. (country*)"]
["B. (country*)"]
["C. (country*)"]
["D. (country*)"]
[]
["Marks of","Description of","Description of Manufacturing and/or","Date and Country of",null,"Description","Country","Date of"]
["Identification","Article and","processing operations","Manufacturing and/or",null,"of","of ","Exportation"]
["Numbers","Quantity",null,"processing",null,"Material","Production"]
[null,null,null,"Country","Date of"]
[{"$nulls":4},"Exportation"]
{"$rows_empty":15}
["Name:"]
["Signature:"]
["Title:"]
["Company:"]
["Address:"]
["Date:"]
[]
["Country or countries when used in this declaration includes territories and U.S. insular possessions. The country will be identified in the above declaration by the alphabetical designation appearing next to the named country."]

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