Copy.

30

Form of Certificate required for fodder packed shipments

governed by Ministerial Order of March 21st, 1928,

effective on and after June 1st, 1928.

I hereby certify that the packing used in a shipment

consisting of

with the following identification mark ings

consigned by

of .

of .

to

per S.S.

sailing.

has actually been effectively

disinfected by being placed loosely in an air-tight compart-

ment, the temperature of which was maintained at not less than 65° F., (19°C) and spraying over and into the packing

ten fluid ounces of formaldehyde solution (containing not

less then 37% formaldehyde by weight) for each 1,000 cubic

feet of space in the compartment, which was immediately clos-

ed and kept closed for not less than eight hours.

Dated at

of .

·

this

1928.

Signed

.day

Address

Title

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