xxxxx- year (number of the certificate)

Exp. N° xxxx- year-CS (number of file)

HEALTH OFFICIAL EXPORT CERTIFICATE

Relative to food products

Country of dispatch : COLOMBIA

Competent Authority : Ministerio de Salud, Dirección General de Salud Ambiental e
Inocuidad Alimentaria (DIGESA)

1. Food Product Identification

Description Invoice Number(s) and date (s)

2004.90 Beans of the species Vigna mungo (L.) or
Vigna radiata (L.) Wilczek; chickpeas and
lentils
1.1

1.2. Presentation:

1.3. Quantity:

1.4.Total Net Weight

2. Name and Address of Establishment

2.1. Name of Establishment

2.2. Address of Establishment

3. Destination of Products

3.1. Port of Shipment:

3.2. Port of Destination:

3.3. Transportation Means:

3.4. Name and Address of Consignor:

3.5. Name and Address of Consignee:

 xxxxx- year (number of the certificate)
Exp. N° xxxx- year-CS (number of file)

4. Health Certificate

DIGESA certifies that the food products mentioned above:

a) Have been prepared by an establishment whose facilities, operations and processes are enabled

sanitary

b) They have undergone a sterilization process to ensure the safety of themselves

c) They are suitable for human consumption.