Example CERTIFICATE OF FREE SALE

1 Example CERTIFICATE OF free SALE Issue Date: _____ This CERTIFICATE expires one year from the date of issue. To Whom It May Concern: The undersigned, of the Nebraska Department of Agriculture (Department), certifies that the listed products of ABC COMPANY (Manufacturer/Producer) located at 123 4th Street, Lincoln, NE, USA, are freely sold within Nebraska and, to the best of our knowledge, the United States of America. The Manufacturer/Producer has certified to the Department that the products listed below were manufactured or produced in Nebraska. This CERTIFICATE should not be interpreted as an endorsement or guarantee, explicit or implied, for any of the products and it should not be used for advertising purposes. UPC PRODUCT 1200034567 ABC OLIVE OIL SPREAD 12 1200034568 ABC SPAGHETTI SAUCE THREE CHEESE 12/24Z 1200034569 ABC SPAGHETTI SAUCE ROASTED GARLIC 12/24Z 1200034570 ABC BUTTER READY-TO-EAT POPCORN 50/5Z 1200034571 ABC CARAMEL READY-TO-EAT POPCORN 50/5Z 1200034572 ABC CHOCOLATE CHIP COOKIES 16/8Z 1200034573 ABC PEANUT BUTTER COOKIES 16/8Z 1200034577 ABC CLASSIC POTATO CHIPS 64 1200034578 ABC BARBEQUE POTATO CHIPS 64 NEBRASKA DEPARTMENT OF AGRICULTURE _____ Certifier s Name Ag Promotion and Development NOTARY seal Product Exported To: A Far Country Order Number: 1234567 PO Number: 0012/34 Example CERTIFICATE OF SANITATION INSPECTION AND free SALE (Food) Issue Date: _____ This CERTIFICATE expires one year from the date of issue.

2 To Whom It May Concern: The undersigned, of the Nebraska Department of Agriculture (Department), certifies that ABC Foods located at 123 4th Street, Lincoln, NE, USA (Permit Holder), has a permit issued by the Department under the Nebraska Pure Food Act (Act), Neb. Rev. Stat. 81-2,239 to 81-2,292. As of the most recent inspection at the Permit Holder s facility, the equipment and raw materials, as well as the processing and packaging procedures, were in substantial compliance with the Act and Title 21 Code of Federal Regulations Part 110 Current Good Manufacturing Practices in Manufacturing, Packing or Holding Human Food. The Permit Holder currently has no violations of these provisions requiring legal action in Nebraska and at the time of the most recent inspection the products manufactured by the Permit Holder were fit for human consumption.

3 The Permit Holder has certified to the Department that the products listed below were processed in Nebraska. The listed products are freely sold within Nebraska and, to the best of our knowledge, the United States of America. This CERTIFICATE should not be interpreted as an endorsement or guarantee, explicit or implied, for any of the products and it should not be used for advertising purposes. UPC PRODUCT 1200034567 ABC OLIVE OIL SPREAD 12 1200034568 ABC SPAGHETTI SAUCE THREE CHEESE 12/24Z 1200034569 ABC SPAGHETTI SAUCE ROASTED GARLIC 12/24Z 1200034570 ABC BUTTER READY-TO-EAT POPCORN 50/5Z 1200034571 ABC CARAMEL READY-TO-EAT POPCORN 50/5Z 1200034572 ABC CHOCOLATE CHIP COOKIES 16/8Z 1200034573 ABC PEANUT BUTTER COOKIES 16/8Z NEBRASKA DEPARTMENT OF AGRICULTURE _____ Certifier s Name Food Safety and Consumer Protection NOTARY seal Product Exported To: A Far Country Order Number: 1234567 PO Number: 0012/34 Example CERTIFICATE OF GOOD MANUFACTURING PRACTICES INSPECTION AND free SALE (Feed) Issue Date: _____ This CERTIFICATE expires one year from the date of issue.

4 To Whom It May Concern: The undersigned, of the Nebraska Department of Agriculture (Department), certifies that ABC Feeds located at 123 4th Street, Lincoln, NE, USA (License Holder) is licensed by the Department under the Commercial Feed Act (Act) Neb. Rev. Stat. 54-847 to 54-863. As of the most recent inspection at the License Holder s facility, the equipment and raw materials, as well as the processing, labeling and packaging procedures, were in substantial compliance with the Act and the Nebraska Commercial Feed Regulations, Title 25, Nebraska Administrative Code, Chapter 3. The License Holder currently has no violations of these provisions requiring legal action in Nebraska. The License Holder has certified to the Department that the products listed below were processed in Nebraska. The listed products are freely sold within Nebraska and, to the best of our knowledge, the United States of America.

5 This CERTIFICATE should not be interpreted as an endorsement or guarantee, explicit or implied, for any of the products and it should not be used for advertising purposes. PRODUCT ABC Bone Meal ABC Fish Meal ABC Corn Meal ABC Soybean Meal ABC Wheat Meal ABC Oat Meal NEBRASKA DEPARTMENT OF AGRICULTURE _____ Certifier s Name Animal and Plant Health Protection NOTARY seal Product Exported To: A Far Country Order Number: 1234567 PO Number: 0012/34 CERTIFICATE OF REGISTRATION AND free SALE (Pesticide) Issue Date: _____ This CERTIFICATE expires one year from the date of issue. To Whom It May Concern: The undersigned, of the Nebraska Department of Agriculture (Department), certifies that ABC Company located at 123 4th Street, Lincoln, NE, USA, EPA Establishment #_____ (Registration Holder) manufactures pesticides registered by the Department under the Pesticide Act (Act) Neb.

6 Rev. Stat. 2-2622 to 2-2659. The Registration Holder currently has no violations of these provisions requiring legal action in Nebraska. The Registration Holder has certified to the Department that the products listed below were manufactured in Nebraska. The listed products are freely sold within Nebraska and, to the best of our knowledge, the United States of America. This CERTIFICATE should not be interpreted as an endorsement or guarantee, explicit or implied, for any of the products and it should not be used for advertising purposes. UPC PRODUCT 1200034567 ABC HOUSEHOLD SPRAY 24OZ 1200034568 ABC HOME FOGGER 32OZ 1200034569 ABC HOME & CARPET SPRAY 16OZ 1200034570 ABC CARPET POWDER 16OZ 1200034571 ABC DOG SHAMPOO 18OZ 1200034572 ABC FLEA & TICK COLLAR NEBRASKA DEPARTMENT OF AGRICULTURE _____ Certifier s Name Animal and Plant Health Protection NOTARY seal Product Exported To: A Far Country Order Number.