???�???�?�?�?� (?????????�?????�??). ???�???�???�?????�?� ???�?�?�???�???� ????????, ?�?�?�?�???�???�???�???�?� ?? ???�???�?????????�?� ???�???�?�???? (quality certificate for flour, bakery products, pasta) (??????./?�?????�.)

???�???�?�?�?� (?????????�?????�??). ???�???�???�?????�?� ???�?�?�???�???� ????????, ?�?�?�?�???�???�???�???�?� ?? ???�???�?????????�?� ???�???�?�???? 
(quality certificate for flour, bakery products, pasta) (??????./?�?????�.)

???????�???�?�?????�
   ?? ???????????? ?�?????????�???�?�???�???�?????�
   ???� 08.06.2006 N 0100/6341-06-23
   
              ?�?�?�?�?�???�?�?????? ???�???�?�?? ???? ?????�?�???�?? ?� ???�?�?�?� ?�???�?????�
               ???�???� ???????�?�?�?????�?�?�?� ?? ?�?�???�???????�???�???? ?�?�?�???�?�????
             (FEDERAL SERVICE FOR SURVEILLANCE ON CONSUMER
                RIGHTS PROTECTION AND HUMAN WEL--BEING)
   
   ?�?�?�?�?�???�?�?????�  ?�???????�???�?????�?�???????�   ???�?�?�?�?�?�?????�   ?�?�?�???�???????�?????�?????? "?�?�?????�
   ?�???�???�???� ?? ?�?????�?�???????�???�???? ?� _______________________________________
   (Public Health Federal Slate Establishment "Center for Hygiene and
   Epidemiology" at ________________________________________________)
   __________________________________________________________________
   __________________________________________________________________
   
                          ???�?�?????�???????? ?????�?�?????�??
                ????????, ?�?�?�?�???�???�???�???�?� ?? ???�???�?????????�?� ???�???�?�????
                    (Quality Certificate for flour,
                        bakery products, pasta)
   
   __ _________ 200__ ??.                                 N __________
   
   ?????????� ???�?????�???�?�?????? ________________________________________________
   (Point of loading)
   ???�?????�?????�?�?�?? ______________________________________________________
   (Sender)
   ?????�???????????�?????� ?????�?????�???? ____________________________________________
   (Transportation vehicle)
   ?????�???????????�???�?? (???�???�?????�???�???�??) ???????????�???� N ____ ?�?????�?? ???�???� ___________
   (Transport document)                                     (Number
                                                           of places)
   ?????�???????????�???�-???�?????�???????�?�?�?? _________________________________________
   (Producer)
   ???�?�???�???� ???�???????????????? _______________________________________________
   (Identification marks)
   ?�?�?�?� ???�???�?�???�???? _____________________________ ???�?????�, ???? ___________
   (Date of production)                        (Weight, kilos)
   ?????????� ???�?�???�?�?�?????? ______________________ ?????�???�?�?�?�?�?? _______________
   (Point of discharge)                    (Receiver)
   ???�?????�???????�?????� ?????????????�???? ___________________________________________
   (Product name)
   ?????? ???? ?�?�?� ______________________ ???????�???�???� _______________________
   (Customs code)                    (Contract)
   ???????�?�?�?�?�?�?? ???�?�?�???�???�:
   (Quality indicators)
   
   ???????�?�?� ???�???�?�???? ___________________________________________________
   (special marks)
   __________________________________________________________________
   (???????�???????�?� ???????�?�???????�??????, ???????�?�?�?????? ?? ???????????� ???�???�?�?????????�?� ?????�???�??????)
   ???�?????�?�??????-?????????�???????�???????�?�???????� ?�?�???�???�?�?????� ???� __________ N __________
   ???�???�???? ___________________________________________________________
   (issued by)       (???�?????�???????�?????� ???????�???�, ???�???�???�?�???? ???�?????�?�??????-
                            ?????????�???????�???????�?�???????� ?�?�???�???�?�?????�)
   
   ?�?�?�?????�?? ?????�?� (?�?�???�???�???�?�?�?? ???�?�?????????? ?????�?�?�)             ??????????????, ?�????
                                                 (signature, surname)
   
   Chief doctor (Deputy Chief doctor)                         ??.??.
                                                             (Stamp)