APHIS Form 2047 Certificate of Licensing and Inspection (Restricted)

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UNITED STATES DEPARTMENT OF AGRICULTURE
ANIMAL AND PLANT HEALTH INSPECTION
SERVICE VETERINARY SERVICES
CENTER FOR VETERINARY BIOLOGICS
1920 DAYTON AVENUE
AMES, IOWA 50010

OMB Approved
0579-0013
EXP. XX/XXXX

CERTIFICATE OF LICENSE 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 tests 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 FULL MAILING ADDRESS OF THE MANUFACTURER

2. UNITED STATES VETERINARY LICENSE NUMBER 3. DATE ESTABLISHMENT
LICENSE WAS ISSUED

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

5. TRUE NAME OF THE PRODUCT

6. MANUFACTURER'S TRADE NAME

7. USDA CODE

8. DATE PRODUCT LICENSE
WAS ISSUED

Signature of Authorized USDA Official

Title

Date

Certificate Number

APHIS FORM 2047
APR 2015