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AQTA

Azarbaycan RespuЫikas1n1n Qida TahIOkasizliyi Agentliyi


Qida TahIOkasizliyi Sertifikat1
Food Safety Agency of the RepuЫic of Azerbaijan
AZ0RBAYCAN
RESPUBLiКASININ Health Certificate
oiDA тeнLOкesizLivi
AGENTLiYi

Olke / Country Rusiya ЭSL/ORIGINAL ■ SURЭT / СОРУ D


1. idxalc1 muessisenin ad1 ve unvan1 / 2. SertifikatJn nomresi ve verilme tarixi /
NumЬer and lssue Date of the Certificate: 00004144
Name and Address of the lmporter:
26.02.2020
"SiЬirskoye Zdorovye Bak1" Mehdud Mesuliyyetli Cemiyyeti.
Bak1 9eheri,Sebail гауопu,ВШЬШ рг., ev 14 З. Gonderen muessisenin ad1 ve unvan1/
Name and Address of the Consignor:
>--- - - - - -------------------< ООО "МК "SiЬirskoye Zdorovye"
4. Qebul eden muessisenin dovlet qeydiyyat nomresi / NovosiЬir 9eheri,Rusiya Federasiyas1
Registration Number of the Consignee:
1401879571
5. Gonderen muessisenin qeydiyyat nomresi / 6. Men§e olkesi / Country of Origin: 7. Teyinat olkesi / Country of Destination:
Registration Number of the Consignor: Rusiya / Russia АzегЬаусап / AzerЬaijan
iso Kodu / ISO Code: iSO Kodu / ISO Code:
RU AZ

8.Partiyan1n miqdan / Lot Quantity: 9.QaЬla§dInnanIn say1/Тotal Number of Packages:


163,Skq 840
11
10.Yuklenme yeri/Place of Loading: 11.Yola du§me tarixi ve Azerbaycan SKM-e giri§ / Date of
Rusiya Departure and Entry BIP in AzerЬaijan:
SDK

12. Naqliyyat vasiteleri / Means of Transport: 13.Mahsulun saxlanma §araiti/Conditions of Storage:

Teyyare / □ Gemi /□ Demir yolu / □


Aeroplane Ship Railway wagon Mehsulun uzerinde gostarilmi9 saxlanma 9eraitine uygun olaraq

Avtomobll ! ■ Diger / □
Road vehicle Other
identifikasiya / ldentification:
istinad senedleri / Documentation References:QT-31071/19
Konteynerin identifikasiyas1 / Mohurun nomresi / ldentification of
Container / Seal number:

Mal1n tesviri / Description of product

16. 17. 20. istifada 22. Etibarl1l1q


15. istehsalc;1 QaЫa�d1rma QaЫa�d1rma 21. Partiya
14. Mahsulun ad1 / 18. Xalis c;aki / Net 19. XiF MN / tayinat1 / muddati /
ad1 va Onvan1 / nбvii / Туре say1 / nбmrasi / Lot
Name of Product: Weight: HS CODE: lntended Validity
Name and of Number of Number:
Purpose: Period:
Address of Packaging: Packages:
Producer:

"Siberian Super "Laboratoriya Qutu 840 161,28kq 2106 lnsan 29 05.08.2021


Natural Sport sovremennoqo istehlak1
Meqavitaminlar,tab zdorovya"
let№120" Rusiya
emtee ni9anl1 qida
elavesi

Bu sertifikat tasdiq edir ki, yuxaпda gostarilan mahsul partiyas1 tahIOkasizlik gostaricilarina gora quvvada olan norma va
qaydalara uygundur. / This is to certify that the product lot described above have been inspected and or tested according to
appropriate official procedures.
Azarbaycan RespuЫikas1nin Qida TahIOkasizliyi Agentliyinin
11
salahiyyatli niimayandasi Z.Karimov
11
Authorised Representative of the Food Safety Agency
of the RepuЫic of Azerbaijan

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