LEAGUE OF NATIONS - United Nations Treaty Collection

1931 League of Nations - Treaty Series. 131
M odel.
AD ARTICLES 3 AND 4 OF ANNEX D.
(VETERINARY SANITARY CONVENTION.)
Country o/ origin ..........................................................................
Stamp of the station or port ........................ Station or port of embarkation ............
Date of embarkation ......................
CERTIFICATE OF ORIGIN AND HEALTH:
FOR MEAT AND OTHER MATERIALS AND PRODUCTS OF ANIMAL ORIGIN.
Nature of goods: Number of packages: Total gross weight:
.. . .. . . .. .. . .. .. . .. . .. ... .. . . . .. . .. .. . .. . .. .. . .. ... .. . .. .. . . .. .. . ... . . .. . .. . .. . .. .. .. .
O rigin o the goos . . .......... ............................. .............................
O kres ......................... ............................. .............................
P lasa ....... ..............................................................................
Surname, Christian name and address of the consignor ...................................
Surname, Christian name and address of the consignee ......................................
M ethod of transport .......................................................................
(a) For meat and meat preparations.
Stamp of the slaughter-house of origin.
Attestation of the veterinary surgeon : 2
(b) For materials and products of animal origin.
The undersigned certifies that the meat (meat
preparations) in question is (are) derived from
animals inspected by a veterinary surgeon before
and after slaughter and that it has (they have)
been found to be in a healthy condition and
fit for human consumption.
He further certifies that the meat preparations
contain no substance the use of which is forbidden
by the regulations of the country of destination.
The undersigned certifies that the abovementioned
goods are derived from animals which
are free from contagious disease and are homebred.
He further certifies that they may be
exported without danger of transmitting contagious
diseases.
Done at ..................................... on .................................. 193...
Stamp of the Veterinary Surgeon State Veterinary Surgeon
1 The following are to be regarded as the places of origin :
(a) For meat and meat preparations, the slaughter-house or factory from which they
come ;
(b) For other materials, the places where they are produced or stocked.
2 Strike out what does not apply.
No. 2742