ANNEX A

REQUEST FOR AN EXEMPTIONTO THE FRESH FRUIT AND VEGETABLE REGULATIONS

1

""1 Canadian Food Agence canadienne...Inspection Agency d'inspection des aliments

REQUEST FOR AN EXEMPTIONTO THE FRESH FRUIT ANDVEGETABLE REGULATIONS

DEMANDE POUR UNE EXEMPTIONAU REGLEMENT SUR LES FRUITS

ET LEGUMES FRAIS

I

Applicant I Demandeur Shipper I Expediteur

Address I Adresse Address I Adresse

Tel. No. I N° de tel

I

Fax. No. I N° de~ec

ITel.

No.1 N° de tel

I

Fax. No. I N° delelec

Consignee I Consignataire

!briQin

of Product I Origine duproduit

Start Date of Shipment I Date d'expedition

I

Address I Adresse

Cut~ate I Date d'expiration

Exemption for I Exemption pour Import

0 Importation 0 Interprovincialpurpose I Raison Repacking Processing

0 Reemballage DTransformationNo. of Loads I No. de chargements Grade I Categorie

:>pecial Tolerances I Tolerances speciales

Tel. No.1 N° de tel Fax. No. I N° de lelec

Product I Produit Variety I Variete

Reason for Exemption Request I Raison de la demande d'exemption

PPD No. I N° DPV The applicant is aware that this agreement and exemptioncontrol number covers only the product, quantity, grade, timeperiod, consignee, shipper and other siuch conditions listedabove. The applicant is responsible for notifying the localCanadian Food Inspection Agency inspection office uponarrival of the above mentioned product.

Le demandeur est au courant que cet accord et Ie numerod'exemption couvre seulement Ie produit, la quantile, la categorie,la periode de temps, Ie destinataire, I'expediteur et joules autresconditions declarees ci-haut. Le demandeur a la responsabilited'aviser Ie bureau de I'Agence canadienne d'inspection desaliments des I'arrivee du produit mentionne ci-haut.

I

Date Applicant's Signature du demandeur

For FinanceDour Finance

Method of Payment I Methode de paiement

D Cheque D Cash D Invoice Client Account No.Cheque Comptant Facturer Ie numero de compte du clientFinancial Code

Code financier

Invoice No.No. de facture

1845

VISA-0 0x $ 20.00Number of Loads

Nombre de chargements

Credit Card Number I N° de la carte de credit$= Total Due

/

The information is collected by the Canadian Food Inspection Agency for thepurpose of administering the Fresh Fruit and Vegetable Regulations Informationmay be accessible or protected as required under the provisions of the Access toInfom1ation Act

CFIA I ACIA 4685 (2002/05)

I'acces a I'infonnation

Product Origin (for plant protection purposes, please indicate the county and state where the product requested originated)

Origine du produit (pour laprotection des vegetaux, veuillez indiquer Ie cornIe et I'etat d'origine du produit demande)

CFIA I ACIA 4685 (2002/05)

ANNEX

B

FRESH FJRUIT AND VEGETABLESMINIS:TERIAL EXEMPTION

~l l.1 CM!adi~ ~:4 ..co ~Jd~!'91~.~1(;¥ d'1ISC~:4I~8Iim~

DATE: 2002/04/20TIME! HEURE: 10:45:20 AM

59 CAMELOT DROTTAWA ON CANADA K1A OY9

CONTACT: HELEN lOHAR-PICCIANO OUR FILE/NOTRE FICHIER: 2835-1A1

FRESH P.D~TS SECTION -AGRICULTURAL MARKETING SERVICEU.S. DEP1 OF !fi.RICUL TUREROOM 20~'~:j~RICUL TURE BLDG.WASHINct~ D.C. 20250PHONE: 2U2-720-2482 FAX:202-720-0393

ATTENTION:

FRESH FRUIT AND VEGETABLES MINISTERIAL EXEMPTION

CERTIFY FOR/CERTIFICATION:

QUANTlTY/QUANTITE:PRODUCT/PRODUIT:SPECIAL TOLERANCESITOLERANCES SPECIALES:GRADE/CA TEGORIE:

2 LOADAPPLES It~ BULKFOR JUICI=

.I

r ~

c ci

FROM/DE: ABC Storage

CITY, UNITED STATES 141~13

TOIA XYZ Farms

TOWN, CANADA A9Y5Z9

START DA TEIDEBUT: (Y /M/D) 2002/04/21

FOR U.S.D.A. PURPOSE:CUT OFF DA TE/EXPIRA TION: (Y /M/D) 2002/06/12

REPORTED TOLOADS MUST BE ACCOMPANIED BY "ORIGINAL" U.S. FV-205

BYREMARKS!

REMARQUES; TIME & DATE

MINISTERIAL EXEMPTIONAUTHORIZED BYEXEMPTION MINISTERIELAPPROUVEPAR

CONFIRMA TIOr~

COpy MAILEDSignature XXXXXXXXXAUTHORIZING OFFICIAL

PHONE -No. DE TEL: (613) 225-2342 FAX -TELEI:. : (613) 228-6632