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Name of owner / personFootnote 1 in charge of the animals
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Legal name of business (as applicable)
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Location address of the holdings where the animals were kept
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Mailing address (if different)
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Telephone
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Facsimile
I, the undersigned, am the person in charge of the animals intended for slaughter for human food. I declare that I have read and understood the requirements of this declaration and that the following is true and accurate.
- No cases of anthrax have been reported from this farm / holdings during the last 20 days prior to shipping the animals for slaughter and these holdings are not subject to prohibition as a result of an outbreak of anthrax during the previous at least 20 days.
- I keep treatment records for these animals and that I will make them available to the Canadian Food Inspection Agency (CFIA) on request.
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Name person in charge of the animals
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Signature
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Place and date