WHLC039DX38061

K/D WOODEN FURNITURE BEDROOM SETS PO#JSLENWH-370/JSLENWH-371/ JSLENWH-372/JSLENWH-373/ JSLENWH-374 HS CODE= 940350 THIS SHIPMENT DOES NOT CONTAIN ANY SOLID WOOD PACKING MATERIALS. TSCA TITLE VI COMPLIANT I CERTIFY THAT ALL CHEMICAL SUBSTANCES IN THIS SHIPMENT COMPLY WITH ALL APPLICABLE RULES OR ORDERS UNDER TSCA A ND THAT I AM NOT OFFERING A CHEMICAL SUBSTANCE FOR ENTRY IN VIOLATION OF TSCA OR A NY APPLICABLE RULE OR ORDER THEREUNDER. LEGACY CLAS SIC FURNITURE 815 VISIONARY STREET, LENOIR, NC 28645 CONTACT= MICHELE WIGLESWORTH TEL= (336) 822-8824 E-MAIL= EMAILS= SAMINLT@ANDE RINGER.COM, JQUINTO@ANDERINGER.COM AND MBERMEJO@ANDERINGER.COM 2ND NOTIFY PARTY SAMSON MA RKETING C/O LEGACY CLASSIC FURNITURE 2575 PENNY ROAD, HIGH POINT, NC 27265 JAVIER COLMENARES; TEL= 336-899-2142 FAX= 336-899-2147 EMAIL= JCOLMENARES@SAMSONMKTG.COM; SHIPPINGDOCS@SAMSONMKTG.COMK/D WOODEN FURNITURE BEDROOM SETS PO#JSLENWH-370/JSLENWH-371/ JSLENWH-372/JSLENWH-373/ JSLENWH-374 HS CODE= 940350 THIS SHIPMENT DOES NOT CONTAIN ANY SOLID WOOD PACKING MATERIALS. TSCA TITLE VI COMPLIANT I CERTIFY THAT ALL CHEMICAL SUBSTANCES IN THIS SHIPMENT COMPLY WITH ALL APPLICABLE RULES OR ORDERS UNDER TSCA A ND THAT I AM NOT OFFERING A CHEMICAL SUBSTANCE FOR ENTRY IN VIOLATION OF TSCA OR A NY APPLICABLE RULE OR ORDER THEREUNDER. LEGACY CLAS SIC FURNITURE 815 VISIONARY STREET, LENOIR, NC 28645 CONTACT= MICHELE WIGLESWORTH TEL= (336) 822-8824 E-MAIL= EMAILS= SAMINLT@ANDE RINGER.COM, JQUINTO@ANDERINGER.COM AND MBERMEJO@ANDERINGER.COM 2ND NOTIFY PARTY SAMSON MA RKETING C/O LEGACY CLASSIC FURNITURE 2575 PENNY ROAD, HIGH POINT, NC 27265 JAVIER COLMENARES; TEL= 336-899-2142 FAX= 336-899-2147 EMAIL= JCOLMENARES@SAMSONMKTG.COM; SHIPPINGDOCS@SAMSONMKTG.COMK/D WOODEN FURNITURE BEDROOM SETS PO#JSLENWH-370/JSLENWH-371/ JSLENWH-372/JSLENWH-373/ JSLENWH-374 HS CODE= 940350 THIS SHIPMENT DOES NOT CONTAIN ANY SOLID WOOD PACKING MATERIALS. TSCA TITLE VI COMPLIANT I CERTIFY THAT ALL CHEMICAL SUBSTANCES IN THIS SHIPMENT COMPLY WITH ALL APPLICABLE RULES OR ORDERS UNDER TSCA A ND THAT I AM NOT OFFERING A CHEMICAL SUBSTANCE FOR ENTRY IN VIOLATION OF TSCA OR A NY APPLICABLE RULE OR ORDER THEREUNDER. LEGACY CLAS SIC FURNITURE 815 VISIONARY STREET, LENOIR, NC 28645 CONTACT= MICHELE WIGLESWORTH TEL= (336) 822-8824 E-MAIL= EMAILS= SAMINLT@ANDE RINGER.COM, JQUINTO@ANDERINGER.COM AND MBERMEJO@ANDERINGER.COM 2ND NOTIFY PARTY SAMSON MA RKETING C/O LEGACY CLASSIC FURNITURE 2575 PENNY ROAD, HIGH POINT, NC 27265 JAVIER COLMENARES; TEL= 336-899-2142 FAX= 336-899-2147 EMAIL= JCOLMENARES@SAMSONMKTG.COM; SHIPPINGDOCS@SAMSONMKTG.COMK/D WOODEN FURNITURE BEDROOM SETS PO#JSLENWH-370/JSLENWH-371/ JSLENWH-372/JSLENWH-373/ JSLENWH-374 HS CODE= 940350 THIS SHIPMENT DOES NOT CONTAIN ANY SOLID WOOD PACKING MATERIALS. TSCA TITLE VI COMPLIANT I CERTIFY THAT ALL CHEMICAL SUBSTANCES IN THIS SHIPMENT COMPLY WITH ALL APPLICABLE RULES OR ORDERS UNDER TSCA A ND THAT I AM NOT OFFERING A CHEMICAL SUBSTANCE FOR ENTRY IN VIOLATION OF TSCA OR A NY APPLICABLE RULE OR ORDER THEREUNDER. LEGACY CLAS SIC FURNITURE 815 VISIONARY STREET, LENOIR, NC 28645 CONTACT= MICHELE WIGLESWORTH TEL= (336) 822-8824 E-MAIL= EMAILS= SAMINLT@ANDE RINGER.COM, JQUINTO@ANDERINGER.COM AND MBERMEJO@ANDERINGER.COM 2ND NOTIFY PARTY SAMSON MA RKETING C/O LEGACY CLASSIC FURNITURE 2575 PENNY ROAD, HIGH POINT, NC 27265 JAVIER COLMENARES; TEL= 336-899-2142 FAX= 336-899-2147 EMAIL= JCOLMENARES@SAMSONMKTG.COM; SHIPPINGDOCS@SAMSONMKTG.COMK/D WOODEN FURNITURE BEDROOM SETS PO#JSLENWH-370/JSLENWH-371/ JSLENWH-372/JSLENWH-373/ JSLENWH-374 HS CODE= 940350 THIS SHIPMENT DOES NOT CONTAIN ANY SOLID WOOD PACKING MATERIALS. TSCA TITLE VI COMPLIANT I CERTIFY THAT ALL CHEMICAL SUBSTANCES IN THIS SHIPMENT COMPLY WITH ALL APPLICABLE RULES OR ORDERS UNDER TSCA A ND THAT I AM NOT OFFERING A CHEMICAL SUBSTANCE FOR ENTRY IN VIOLATION OF TSCA OR A NY APPLICABLE RULE OR ORDER THEREUNDER. LEGACY CLAS SIC FURNITURE 815 VISIONARY STREET, LENOIR, NC 28645 CONTACT= MICHELE WIGLESWORTH TEL= (336) 822-8824 E-MAIL= EMAILS= SAMINLT@ANDE RINGER.COM, JQUINTO@ANDERINGER.COM AND MBERMEJO@ANDERINGER.COM 2ND NOTIFY PARTY SAMSON MA RKETING C/O LEGACY CLASSIC FURNITURE 2575 PENNY ROAD, HIGH POINT, NC 27265 JAVIER COLMENARES; TEL= 336-899-2142 FAX= 336-899-2147 EMAIL= JCOLMENARES@SAMSONMKTG.COM; SHIPPINGDOCS@SAMSONMKTG.COM

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19520 WILMINGTON AVE RANCHO DOMING UEZ CA 90220 TEL= 1-424-296-3373 C ONTACT= MARIA BERMEJO-SANCHEZ]