Tarea De Calidad

U.S. Census Bureau

POWER OF ATTORNEY
EXPORTER (U.S. PRINCIPAL PARTY IN INTEREST)/IMZA FORWARDING, INC.

X

Know all men by these presents, That

, the (USPPI)

(Name of U.S. PrincipalParty in Interest (USPPI))
X
organized and doing business under the laws of the State or Country of

and having an office and place of business at

X
(Address of USPPI)

hereby authorizesIMZA FORWARDING, INC

, the (Forwarding Agent)

(Forwarding Agent)

of 13491 PORT DRIVE, LAREDO, TX. 78045
(Address of Forwarding Agent)

act for and on its behalf as a true and lawful agent andattorney of the U.S. Principal Party in
Interest for and in the name, place and stead of the U.S. Principal Party in Interest, from this date, in the
United States either in writing,electronically, or by other authorized means to:
to

Act as Forwarding Agent for Export Control, Census Reporting and Customs purposes. Make,
endorse or sign any Shipper's Export Declaration or other documentsor to perform any act which may
be required by law or regulation in connection with the exportation or transportation of any
merchandise shipped or consigned by or to the U.S. Principal Party inInterest and to receive or ship
any merchandise on behalf of the U.S. Principal Party in Interest.
The U.S. Principal Party in Interest hereby certiifes that all statements and information contained inthe
documentation provided to the Forwarding Agent relating to exportation are true and correct.
Furthermore, the U.S. Principal Party in Interest understands that civil and criminal penalties, maybe
imposed for making false or fraudulent statements or for the violation of any United States laws or
regulations on exportation.
This power of attorney is to remain in full force and effectuntil revocation in writing is duly given by the
U.S. Principal Party in Interest and received by the Forwarding Agent.
IN WITNESS WHEREOF,

X

caused these

(Full Name of USPPI/USPPI Company)...