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Notice to Importers
Chicken and Chicken Products – Supplemental Imports (Items 96 to 104 on the Import Control List)
Appendix 4 - Statement of Inventory Reconciliation
Statement of Inventory Reconciliation for the Period [TYPE IN DATES]
Canada Border Services Agency (CBSA) determinationa number | Product Number | Product Name | Total Unit Weight (in grams) | Chicken Per Unit (in grams) | Opening inventory (Number of Units) | Total Units Produced and Sold during the authorized period | Closing inventory (Number of Units) | Chicken used during the authorized period (in eviscerated equivalent kg) |
---|---|---|---|---|---|---|---|---|
F55566 | 123 | Chicken Kiev | 130 | 45 | 90 | 150 | 45 | 6.75 |
F81588 | 456 | Pizza | 125 | 50 | 99 | 200 | 37 | 10 |
F99911 | 789 | Pasta | 1,200 | 600 | 1,193 | 3,000 | 850 | 1800 |
Certified correct by (signature): ______________________________
Certified correct by (name, please print): ______________________________
Name of firm (typed): ________________________________
Senior Partner Responsible: ___________________________
Senior Partner Signature: ___________________________
Province: ________________________________
Membership number with
Provincial Professional Association:
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