Federal Import Milk Act FDA-1815

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Specifications	Federal Import Milk Act FDA-1815
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(Place) FORM FDA 1815 (12/10) (Signature of duly accredited official of foreign government or State of the United States or m

Specifications	Federal Import Milk Act FDA-1815
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Content	(Place) FORM FDA 1815 (12/10) (Signature of duly accredited official of foreign government or State of the United States or municipality thereof) CERTIFICATE /TRANSMITTAL FOR AN APPLICATION DEPARTMENT OF HEALTH AND HUMAN SERVICES FOOD AND DRUG ADMINISTRATION Form Approved; OMB No. 0910-0212 Expiration Date: June 30, 2012 See Reverse for OMB Statement (Date) (Title or veterinary degrees) (Name of applicant for permit) whose application for a permit to ship or transport milk and/or cream into the Untied States is attached hereto, has complied with the applicable provisions of the Federal Import Milk Act, as shown by the attached reports, and that the signers* of such reports, (Address of applicant) PSC Graphics (301) 443-6740 EF Secretary of Health and Human Services Washington, D.C. Sir: I hereby certify that (Name of signer of report) (Title or veterinary degrees)(Name of signer of report) (Title or veterinary degrees) (Title or veterinary degrees)(Name of signer of report) (Name of signer of report) acted under my supervision and are authorized to make the required inspections and examinations. (Date) *If space is too limited to list names of all inspectors and veterinarians signing attached reports, the back of this certificate may be used. NOTE: This form must be filed when applicant desires to obtain a permit based on a certificate of a duly accredited official of an authorized department of a foreign government and / or of any State of the United States or municipality thereof. There must be attached to it, as part thereof, the signed application for a permit and the necessary reports of veterinarians and inspectors.
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