Approved Certificate – Available for Validation in PHIS
Approved Certificate – Available for Validation in PHIS
Approved Certificate – Available for Validation in PHIS
Approved Certificate – Available for Validation in PHIS
Approved Certificate – Available for Validation in PHIS
Approved Certificate – Available for Validation in PHIS
Approved Certificate – Available for Validation in PHIS
Approved Certificate – Available for Validation in PHIS
Approved Certificate – Available for Validation in PHIS
Approved Certificate – Available for Validation in PHIS
Approved Certificate – Available for Validation in PHIS
Approved Certificate – Available for Validation in PHIS
Approved Certificate – Available for Validation in PHIS
Approved Certificate – Available for Validation in PHIS
Approved Certificate – Available for Validation in PHIS
Approved Certificate – Available for Validation in PHIS
Approved Certificate – Available for Validation in PHIS
Approved Certificate – Available for Validation in PHIS
Approved Certificate – Available for Validation in PHIS
Approved Certificate – Available for Validation in PHIS
Approved Certificate – Available for Validation in PHIS
Approved Certificate – Available for Validation in PHIS
Approved Certificate – Available for Validation in PHIS
Approved Certificate – Available for Validation in PHIS
Approved Certificate – Available for Validation in PHIS
Approved Certificate – Available for Validation in PHIS
Approved Certificate – Available for Validation in PHIS
Approved Certificate – Available for Validation in PHIS
Approved Certificate – Available for Validation in PHIS
Approved Certificate – Available for Validation in PHIS
Approved Certificate – Available for Validation in PHIS
Approved Certificate – Available for Validation in PHIS
Approved Certificate – Available for Validation in PHIS
Approved Certificate – Available for Validation in PHIS
Approved Certificate – Available for Validation in PHIS
Approved Certificate – Available for Validation in PHIS
Approved Certificate – Available for Validation in PHIS
Approved Certificate – Available for Validation in PHIS
Approved Certificate – Available for Validation in PHIS
Approved Certificate – Available for Validation in PHIS
Approved Certificate – Available for Validation in PHIS
Approved Certificate – Available for Validation in PHIS
Approved Certificate – Available for Validation in PHIS
Approved Certificate – Available for Validation in PHIS
Approved Certificate – Available for Validation in PHIS
Approved Certificate – Available for Validation in PHIS
Approved Certificate – Available for Validation in PHIS
Approved Certificate – Available for Validation in PHIS
Approved Certificate – Available for Validation in PHIS
Approved Certificate – Available for Validation in PHIS
Approved Certificate – Available for Valid tion in PHIS
Approved Certificate – Available for Validation in PHIS
Approved Certificate – Available for Validation in PHIS
Approved Certificate – Available for Validation in PHIS
Approved Certificate – Available for Validation in PHIS
Approved Certificate – Available for Validation in PHIS
Approved Certificate – Available for Validation in PHIS
Approved Certificate – Available for Validation in PHIS
Approved Certificate – Available for Validation in PHIS
Approved Certificate – Available for Validation in PHIS
Approved Certificate – Available for Validation in PHIS
Approved Certificate – Available for Validation in PHIS
Approved Certificate – Available for Validation in PHIS5. CERTIFICATE NUMBER 1. COUNTRY OF DESTINATION 2. ISO CODE
3. CONSIGNOR/EXPORTER (Applicant's name and address)
4. CONSIGNEE/IMPORTER (Name and address)6. CERTIFICATE TYPE
X
PRODUCT EXPORTED FROM:
7. EXPORT EST. NO. (Name and address)
8. TOTAL NET WEIGHT 9. TOTAL NO. OF PACKAGES                                              ORIGINAL
REPLACEMENT
Exporter Name
Street Name
City Name,  Ohio 12345
UNITED STATES
Importer Name
Street Name
City Name,  
100 lbs (42.3592 kgs)1234
Export Facility Name
Street Name
City Name,  Ohio,   12345
100
10.
DESCRIPTION OF PRODUCT
(Name of product)11.
NET WEIGHT OF 
LOT¹12.
SPECIES13. 
NUMBER OF 
PACKAGES 
IN LOT ¹14. 
TYPE OF 
PACKAGES 
IN LOT ¹15. 
SHIPPING/ 
IDENTIFICATION 
MARKS ¹16. 
EST. NO. 
ON 
PRODUCT
Product 1100lbs
(42.3592kgs)Chicken 100 Package 1234
¹As stated by applicant or contractor
18. I CERTIFY that the meat, meat food product or meat byproduct specified hereon is from animals that received both antemortem and postmortem 
inspection and were found sound and healthy and that it has been inspected and passed as provided by law and regulations of the Department and is sound 
and wholesome.
19. I CERTIFY that the poultry, poultry products or poultry food products specified above came from birds that were officially given an antemortem and 
postmortem inspection and passed in accordance with applicable laws and regulations of the United States Department of Agriculture and are wholesome 
and fit for human consumption.X17. REMARKSU.S. DEPARTMENT OF AGRICULTURE
FOOD SAFETY AND INSPECTION SERVICEA knowingly false entry or false alteration of any entry on this certificate may result in a fine of not 
more than $10,000 or imprisonment for not more than five years or both (18 U.S.C. 1001). 
Additional penalties exist under the Federal Meat Inspection Act [21 U.S.C 611(b) (1), (2); and 
(5), 21 U.S.C 461] for an unauthorized or false alteration or misuse of this certificate.According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a 
valid OMB control number. The valid OMB control number for this information collection is 0583-0153. The time required to complete this information collection is estimated to 
average 25 minutes per response, including the time for reviewing instruction, searching existing data sources, gathering and maintaining the data needed, and completing and 
reviewing the collection of information.
Meat and Poultry Export Certificate of Wholesomeness
FSIS FORM 9060-5 (06/29/2018)        
                                                            This certificate is receivable in all courts of the United States as prima facie evidence of the truth of the statements therein contained.
This certificate does not excuse failure to comply with any of the regulatory laws enforced by the United States Department of Agriculture.
ALL PREVIOUS EDITIONS OBSOLETENOT VALID UNLESS SIGNED BY A CERTIFYING OFFICIAL OF MEAT, POULTRY, AND EGG PRODUCT INSPECTION SYSTEM
20. CERTIFYING OFFICIAL'S NAME AND TITLE
Stephanie McSwain, CSI21. DATE SIGNED (MM/DD/YYYY)
02/15/2022 Raleigh, NC
ORIGINALBy order of the
Secretary of AgricultureU.S. Government, Department of Agriculture
PHIS ID: U-FSIS-5784;0212923
Date: 02/15/2022 13:05:04STEPHANIE MCSWAIN
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