Government of Canada / Gouvernement du Canada
Symbol of the Government of Canada


SCHEDULE 1(Section 2)

I certify that the articles and materials described in this certificate or in invoice No. blank line are being imported by or on behalf of (name of designated government department, agency, office or military unit), are to remain the property of the government of (name of designated foreign country) and are not for resale, gift or other distribution.

Name and title of authorized official

Telephone and fax numbers

Signature and date (day/month/year)


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