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Chapter 7 Annex H
Statement of Compliance for Printers of Packaging Materials and Labels Bearing the Meat Inspection Legend and Manufacturers of Stamps Bearing the Meat Inspection Legend

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I, __________________,____________________
xxxxx(name) xxxxxxxxxxxx(position in Printing Company)

request permission on behalf of _____________________________,
xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx (name of printer)
____________________________________________, to reproduce
(complete address - street, city, province, postal code) xxxxxxxxxxxxxxxxxxxxxxxxx
the meat inspection legend.

I understand that:

• the meat inspection legend is a national trade mark and that unauthorized use of that national trade mark is subject to prosecution under section 21 of the Meat Inspection Act;
• I shall deliver exclusively to establishments registered under the Meat Inspection Act, to the attention of the Veterinarian/Inspector-In-Charge, all labels, containers and other items bearing the meat inspection legend;
• in the case of stamps* and export stickers*, they will be delivered directly to the appropriate Area Executive Director unless there is a specific agreement to deliver them directly to the Veterinarian/Inspector-in-Charge; and
• that the permission for the above firm to reproduce the meat inspection legend may be withdrawn for non-compliance with the prescribed requirements.

Please check as applicable which of the following product(s) you will be manufacturing:

1. Printers (legend reproduced on labels, containers, packaging material, etc.) ______________ 2. Breast Tags (self-explanatory) _____ Date _____________

3. Export Stickers*_________ 4. Export Stamps* _________ 5. Other Stamps* (metal, needle) ______ ______________________ Name and Title _____________________ Signature

PLEASE RETURN TO:

Registrar
Food of Animal Origin Division
Canadian Food Inspection Agency
1431 Merivale Road, Room 3016
Ottawa, Ontario
K1A 0Y9
Facsimile: (613)228-6618