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EUROPEAN COMMUNITIES

1 Exporter

2 Certificate No

ORIGINAL

CERTIFICATE OF IDENTITY

EXPORT OF CERTAIN BEEF AND VEAL TO CANADA

3 Consignee

NOTES

A. This certificate must be made out in one original and not less than one copy.

B. The original and at least one copy must be produced for certification to the customs office at which customs export formalities are completed.

C. The original must be produced to the customs authorities of Canada.

1

4 Marks, numbers, number and kind of packages; description of goods

5 Gross weight

6 Invoice Nos

7 Net weight

2

4 Marks, numbers, number and kind of packages; description of goods

5 Gross weight

6 Invoice Nos

7 Net weight

8 DECLARATION BY THE EXPORTER

The undersigned exporter declares that the goods described above conform to the provisions of Regulation (EC) No […]

At

on

(Signature)

9 CERTIFICATION BY THE COMPETENT CUSTOMS OFFICE

Customs formalities for export to Canada, of the goods covered by this certificate have been completed.

At

on

(Signature)

(Stamp)