FREE SALE CERTIFICATE SAMPLE - agri.idaho.gov

1 free SALE CERTIFICATE Consignee: Purchase Order No.: Insurance Policy Number: This is to certify the following: Manufacture Date: Expiry Date: manufactured by . The Idaho State Department of Agriculture certifies that this product is freely made and sold in the United States of America, for domestic consumption, as food for humans. Dairy Bureau Idaho State Department of Agriculture SAMPLECERTIFICATE OF HEALTH Purchase Order No.: The Idaho State Department of Agriculture certifies that is manufactured by , is derived of USA origin, meets all applicable state quality specifications and is fit for human consumption.

2 _____ Dairy Bureau Idaho State Department of Agriculture SAMPLEFREE SALE AGREEMENT This CERTIFICATE pertains to the shipment of manufactured by . The Idaho Department of Agriculture certifies that is made in the United States, in accordance with all local, State and Federal Food Drug Relations, and freely made and sold in the United States of America, for domestic consumption as food for humans. _____ Bureau of Dairying Idaho Department of Agriculture On this date of before me, , a Notary Public in and for the state of Idaho, personally appeared of the Dairy Bureau, Idaho State Department of Agriculture, and acknowledged to me that he executed the within CERTIFICATE of free Sale.

3 _____ Notary Public Ada County, Idaho My Commission Expires SAMPLEC ertificate of free Sale, Sanitary Quality & Health The Idaho State Department of Agriculture, Dairy Bureau, the governmental agency responsible for the licensing and inspection of dairy facilities in Idaho, hereby certifies that does operate a manufacturing establishment, which is inspected at regular intervals by full-time inspectors employed by the state of Idaho. The most current inspection date is . We certify that the facilities, equipment, raw materials and the processing and packaging procedures meet with all of the sanitary requirements of the state of Idaho and that the operation meets good manufacturing practice standards.

4 We hereby certify that their products are freely and without qualifications sold, used and fit for , in the state of Idaho and in the United States of America. Product(s): Country: Dairy Bueaur Idaho State Department of Agriculture On this date of before me, , a Notary Public in and for the state of Idaho, personally appeared , Dairy Bureau Chief, Idaho State Department of Agriculture, and acknowledged to me that he executed the within CERTIFICATE of free Sale. _____ Notary Public Ada County, Idaho My Commission Expires SAMPLECERTIFICATE OF free SALE, SANITATION, PURITY AND ORIGIN This CERTIFICATE pertains to the shipment of manufactured for by.

5 The manufacturing plant number for this facility is as issued by the Idaho State Department of Agriculture, Dairy Bureau. The Dairy Bureau of the Idaho State Department of Agriculture, the governmental agency responsible for the licensing and inspection of this facility hereby certifies that does operate a manufacturing establishment, which is inspected at regular intervals by full-time inspectors employed by the state of Idaho. We hereby certify that the facilities, equipment, raw materials and the processing and packaging procedures meet with all applicable state quality specifications and all products produced at this facility are derived from healthy animals free of disease, contain no sheep by-products and are freely and without qualifications sold, used and fit for , in the United States of America.

6 Dairy Bueaur Idaho State Department of Agriculture SAMPLETo Whom It May Concern: The state of Idaho, Department of Agriculture, Dairy Bureau attests to the following statement: The Idaho State Department of Agriculture is the regulatory agency responsible for the sanitary production of milk and dairy products of Idaho operates the following good manufacturing establishment(s): These establishments are inspected at regular intervals by inspectors employed by the state of Idaho. The products containing dairy ingredients have been produced in premises that are registered or approved as having acceptable food safety standards governing the processing of dairy products for export.

7 In the manufacturing of the product no proteins of ruminant origin, except milk and milk proteins, were used. is under official supervision and the product(s) are freely and without qualification sold, used, and approved for in the state of Idaho, and in United States commerce, and are manufactured with ingredients from the United States. Dairy ingredients proceed from the country indicated in the document of origin or were legally imported. The animals from which the product was obtained were not fed ruminant origin meat and bone meal based in the country of origin; there are animal health regulations that forbid the feeding of ruminant origin meat and bone meal to ruminant animals.

8 _____ State Veterinarian Idaho State Department of Agriculture SAMPLEMANUFACTURER S HEALTH EXPORT CERTIFICATE I, a veterinarian licensed by the Idaho State Board of Veterinary Medicine hereby certify: 1. The United States of America is free from Foot & Mouth The product(s) are of bovine origin and were produced from milk derivedfrom animals kept at dairies in the United States of America which arenot under any veterinary restrictions; and3. Were processed at an officially approved manufacturing plant; and4. Were pasteurized for 15 seconds at 72 C followed by a second heat forpasteurization, with the results that the phosphatase test is The product(s) do not contain any harmful additives and areunconditionally passed fit for human consumption; and6.

9 Do not, to the best of my knowledge and belief, constitute any danger ofintroducing infectious or contagious The product(s) were derived only from animals which meet OIErequirements for lumpy skin disease freedom; and8. Were derived from animals and processed in countries which arerecognized by the OIE World Organization for Animal Health as free offoot and mouth disease, with or without : Type of Product: Manufacturer: Consignee: The manufacturing plant number is as issued by the Idaho StateDepartment of Agriculture, Dairy Bureau. State Veterinar ianIdaho State Depar tment of AgricultureSAMPLEHEALTH CERTIFICATE Product: Net weight: No.

10 Of Bags: Manufacturer (Exporter): Customer (Consignee): Customer : The above-mentioned product has been produced from milk which was derived from animals that were not under quarantine restrictions due to OIE list A diseases, was processed at an officially approved manufacturing plant, does not contain any harmful additives and is unconditionally passed fit for human consumption and food grade, and does not, to the best of my knowledge and belief, constitute any danger of introducing infectious or contagious diseases. The milk from which the dairy product was made was heated/pasteurized to the following minimum temperature of 72 C for a minimum of 15 seconds.