Приложение 1. Форма сертификата о происхождении пушно-мехового сырья

Приложение 1

ФОРМА СЕРТИФИКАТА О ПРОИСХОЖДЕНИИ ПУШНО-МЕХОВОГО СЫРЬЯ

	Certificate concerning pelts of certain wild animal species and of goods incorporating such pelts subject to Council Regulation (EEC) N 3254/91				Issuing authority (name, address, country):
A	1. Description of goods:					2. No of units:

						3. Net mass (kg):

	4. Scientific name of species:					5. CN code:

	6. The above goods are from animals <1>:		that were caught in (name of country/countries):
			that were born and bred in captivity
B	1. Description of goods:					2. No of units:

						3. Net mass (kg):

	4. Scientific name of species:					5. CN code:

	6. The above goods are from animals <1>:		that were caught in (name of country/countries):
			that were born and bred in captivity
C	1. Description of goods:					2. No of units:

						3. Net mass (kg):

	4. Scientific name of species:					5. CN code:

	6. The above goods are from animals <1>:		that were caught in (name of country/countries):
			that were born and bred in captivity
D	1. Description of goods:					2. No of units:

						3. Net mass (kg):

	4. Scientific name of species:					5. CN code:

	6. The above goods are from animals <1>:		that were caught in (name of country/countries):
			that were born and bred in captivity
	Place and date of issue:			Signature and official stamp of issuing authority:

	........................ place	........................ date

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<1> Tick the appropriate box.

If not used, parts B, C and D above must be barred.