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3. Exporter of the product (name and address) 4. Control body* (name and address)
CECOCAFEN R.L. Bio Latina S.A.C.
BANCO UNO 2 CUADRAS AL ESTE Av. Arenales N° 645, Lima 1, Perú
FDA# 19839653564 FLO ID 847 Tel: +51-1- 4232924
MATAGALPA - NICARAGUA Fax: +51-1-4247773
E-mail: administracion@biolatina.com.pe
LOTE: 017/009/082
INVOICE: 1234
*Explanatory notes
Box4: Control body for monitoring compliance with the rules on organic production methods.
Box5: The firm which carried out the last operation (processing, packaging, labelling) on the batch.
Box9: The address of the firm where the batch will be delivered, if different from the address in box 7.
Box13: e.g. volume in litres in case of liquids, to be given, where appropriate, in supplement to the declaration in boxes 11 and 12.