Aphis 2047 Certificate Of Licensing And Inspection

U.S. DEPARTMENT OF AGRICULTURE
ANIMAL AND PLANT HEALTH INSPECTION SERVICE
VETERINARY SERVICES

CENTER FOR VETERINARY BIOLOGICS
510 SOUTH 17TH STREET
SUITE 104
AMES, IOWA 50010

FORM APPROVED OMB NO. 0579-0013
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The valid OMB control number for this information collection is 0579-0013. The time
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CERTIFICATE OF LICENSING AND INSPECTION
Article I, Section 8, Clause 18 of the Constitution of the United States of America empowers Congress to enact all laws which may be necessary and proper to
carry into effect the powers expressly granted to it. One of those laws, the Virus-Serum-Toxin Act (21 U.S.C. 151-159), authorizes the Secretary of Agriculture to
license and inspect all veterinary biologics and diagnostics distributed in the United States. No worthless, dangerous, contaminated, or harmful products may
be licensed or distributed.
I hereby certify that the following manufacturer of biologics or diagnostics has been licensed and inspected under the laws and regulations of the United States
of America.
1. NAME AND ADDRESS OF THE MANUFACTURER

2. U.S. VETERINARY LICENSE NUMBER

3. DATE ESTABLISHMENT
LICENSE ISSUED

I hereby certify that the following veterinary biologic product or veterinary diagnostic product has been licensed and inspected (tested) according to the la ws
and regulations of the United States of America and is freely marketed at this time with the following restrictions:

4. TRUE NAME OF THE PRODUCT

5. MANUFACTURER'S TRADE NAME

6. USDA CODE

7. DATE PRODUCT LICENSE
ISSUED

Signature of Authorized USDA Official

Title

Date Signed

Certificate Number

APHIS FORM 2047
(NOV 2000)