United States Department of Agriculture

Animal and Plant Health Inspection Service

Veterinary Services National Center For Import And Export Import/Export Animals 4700 River Road, Unit 39 Riverdale, MD 20737-1231

Identification of Tack Trunk/Container:______________________________________________ Owner/Agent:_________________________________________________________________     This is to certify that, the tack trunk/container identified above was packed and sealed in my presence. The equipment contained therein was cleaned and disinfected in my presence with (Disinfectant used) _________________________________ immediately prior to packing. The disinfectant used will have removed the risk of this equipment transmitting any infectious or contagious disease of animals.           Signature:_____________________________________ Date:________________________                  Official Veterinarian for Ministry of Agriculture Effective April 2001

VS - Safeguarding Animal Health Phone (301) 734-8364, FAX (301) 734-6402

http://www.aphis.usda.gov An Equal Opportunity Employer