Meat Poultry and Egg Product Certificate of Wholesomeness Continuation Sheet

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Expiration Date: 11/30/2026
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1. Certificate Number:

U.S. DEPARTMENT OF AGRICULTURE
FOOD SAFETY AND INSPECTION SERVICE

MEAT, POULTRY, AND EGG PRODUCT CERTIFICATE OF WHOLESOMENESS
(CONTINUATION SHEET)

2.
Description of Product
(Name of product)

3.
Net Weight of
Lot¹

4.
Species

5.
Number of
Packages
in Lot¹

6.
Type of
Packages
in Lot¹

7.
Shipping/
Identification
Marks¹

8.
Est. Number
on
Product

NOT VALID UNLESS SIGNED BY A CERTIFYING OFFICIAL OF MEAT, POULTRY, AND EGG PRODUCT INSPECTION SYSTEM
9. Certifying Official's Name and Title:

10. Date Signed: (mm/dd/yyyy)

By order of the
Secretary of Agriculture
This certificate is receivable in all courts of the United States as prime facie evidence of the truth of the statement herein contained.
This certificate does not excuse failure to comply with any of the regulatory laws enforced by the United States Department of Agriculture.
¹ As stated by applicant or contractor
FSIS 9060-5A (04/15/2025)

REPLACES FSIS 9060-5A (06/29/2018) PREVIOUS EDITION OBSOLETE

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