Veterinary Services (Sample)Form VS-16-4 (Sample) · Document 05 of 05 Sample
Not valid

Veterinary Export CertificateForm VS-16-4 (Sample) · sample government-form layout

Exporter (consignor)Sample Exporter LLC

ConsigneeNorthstar Materials Ltd. (Synthetic)

CommodityProcessed Material A

Packages18

Net weight46,238 kg

DestinationPort Meridian

Additional declarations

Sample certification statement — not an issued certificate. This certificate is valid for demonstration purposes only. Product conforms to the importing country’s stated requirements for the commodity described above.

Signature of endorsing official

Date27 Aug 2026