S.C. Ecoinspect S.R.L.

400202, Cluj Napoca Tel: 0040-264-536324

str. Horea, nr. 75. ap. 5 Tel/Fax: 0040-264-432088
jud. Cluj e-mail: ecoinspect@ecoinspect.ro
ecoinspect@gmail.com

Document:
Doc 5_E_02 _S.C.Ecoinspect S.R.L. 1/2
Cerere Eliberare Certificat de Export


Numele i adresa exportatorului
(Name and address of the exporter)


Numele i adresa productorului sau
procesatorului/ comerciantului produselor
(Name and address of the producer or processor/ trader
of the products)


Numele i adresa organismului de control al
productorului sau procesatorului, dac nu este
Ecoinspect
(Name and address of the certification body of the
producer or processor/ trader of the products if it is
different from Ecoinspect)


Denumirea produselor
(Name of the products)


Numrul autorizaiei de import
(No of Import authorization)


ara de expediie
(Country of despatch)


ara de destinaie
(Country of destination)


Numele i adresa primului destinatar n Uniunea
European (dac exist)
(Name and address of first consignee in the Community it
it does exist)



Numele i adresa importatorului
(Name and address of the importer)



Denumirea sub care este vndut produsul
(Trade name of the product)



Data i numrul facturii (profacturii)
(Date and no of the invoice)


Nr. avizului de nsoire a mrfii
(No of packing slip)

Data ultimei modificri: 9.02.2007 Data ultimei modificari: 9.02.2007
Responsabil de ultima modificare: PH Aprobat de : D.E.
Distribuie:RCA public





400202 Cluj- Napoca Tel/fax: 004-0264-432088
str. Horea, nr. 75, ap. 5 Tel: 004-0264-5364324
S.C.Ecoinspect S.R.L. jud. Cluj e-mail: ecoinspect@from.ro



Document:
Doc 5_E_02 _S.C.Ecoinspect S.R.L. 2/2
Data ultimei modificri: 3.052006 Aprobat ultima modificare: 3.052006
Persoana responsabil de ultima modificare: PH Aprobat de ctre manager: PL
Distribuie: Admin.



Anul recoltrii
(Harvest year)


Numrul lotului (dac exist)
(Lot no. if it does exist)


Tipul ambalajului (nr. Cutiilor, sacilor, etc.)
(type of packing- no. of boxes, big bags etc)

Unitatea de msur (t, kg, l, etc.)
(Unit of measure- t, kg, l, etc.)


Cantitatea declarat
(Declared quantity)


Codul tarifar al produsului
(CN codes)



Greutatea net
(Net quantity)



V rugm a completa i a ne trimite acest cerere, precum i o copie a facturii pe care ai eliberat-
o importatorului la adresa (Please fill in this form and send it us back together with an invoice copy, at the
following address) :

400202 Cluj- Napoca
Str. Horea, nr. 75, ap. 5
Jud. Cluj
Tel/ Fax: 004- 0264- 432 088
Tel: 004- 0264- 536 324
e- mail: ecoinspect@gmail.com




Confirmm c produsele menionate sunt controlate i certificate n concordan cu Legislaia
Romneasc n vigoare privind exportul de produse agroalimentare ecologicen U.E. (1991 R 2092/
01.05.2004). (We confirm that the products mentioned above are in accordance to the Romanian Legislation
regarding the export of the organic products (Ordinance 721/ 26.09.2003) and to the E.U. Regulation CEE 2092/ 91).




Data (Date): Semntura (signiture) :