84 
BUREAU OF ENTOMOLOGY AND PLANT QUARANTINE [July-Sept. 
That I closed the containers and provided them with seals of my station, and 
that I personally entered in this certificate the car number, the seal number of 
each container, as well as the number of the bill of lading or the postal 
declaration ; 
WITH SEED POTATOES 
That, on behalf of the Republic of Czechoslovakia, I have inspected these 
potatoes in the district of (locality where grown) and' have not found potato 
wart or suspicion thereof in the potatoes intended for exportation or in the 
potato crop on the same land; 
That new containers were used, which I closed and sealed with the seal of 
my station ; 
That I personally entered the following numbers of the seal of the separate 
containers in the certificate. 
(Stamp or seal of the station and signature 
of the official who made the inspection.) 
Distinct official date stamp of the shipping station ; this must agree with 
the date stamp on the bill of lading. 
(Stamp.) 
Vzor. 
(N&zev a misto oficielniho fytopathologickeho ustavu [stanice] jako zahlavi.) 
Cislo jednaci: 
Fytopathologicke Osvedceni 
o rakoving bramboru {Synchytrium endobioticum) . 
(I. ProhLasem pestitele bramboru) . 
Prohlasuji, ze brambory urcene pro vyvoz do republiky Ceskoslovenske byly 
vypestovany v obci , okrese ,ve state" 
V dne 
Razitko mistmho ufadu a podpis: 
Podpis pestitele bramboru, 
pfipadne tez razitko: 
(II. Prohlasenf oficielniho fytopathologickeho ustavu [stanice]). 
Za shora uvedeny fytopathologicky ustav (stanici) prohlasuji, ze vyse uvedend 
obec neni v uzemi rakovinou zamofenem, ani z rakoviny podezfelem a ze v 
katastru teto obce a v obvodu 15 km nebyla dosud zjistena rakovina bramboru a 
ze neni tez podezfeni, ze by se rakovina bramboru vyskytovala. 
V ,dne 
Razitko ustavu (stanice) a podpis pfednosty: 
(III. Prohlaseni ufednika oficielniho fytopathologickeho ustavu [stanice] o 
vykonane prohlidce bramboru) . 
Za (uved' fiocielni nazev a sidlo fytopathologickeho 
ustavu [stanice], jehoz organ prohlfdku bramboru provddi) 
prohlasuji: 
U Bramboru Konsumnich a Prumyslovych 
Ze jsem konsumni 3 — , prumyslove 3 brambory urcene do republiky Ceskosloven- 
ske" v nakladacf stanici (uved' nazev nakladaci stanice) prohledl 
a nezjistil rakoviny bramboru, ani podezfeni z teto choroby, 
BRAMBORY SYPANE 3 
Ze brambory byly v me pfitomnosti nalozeny do kryteho vozu cislo , 
ktery jsem opatfil uzaviraci plombou cislo sv6ho ustavu (stanice), a 2e 
jsem vlastnorucne zapsal do tohoto osvedceni cislo vozu a cislo plomby vozu, 
NAKLADOVE KUSY 3 
Ze brambory byly v me" pfitomnosti poddny k pfeprave zeleznicnf nebo pos- 
tovni jako ndkladove kusy v novych obalech, ze jsem obaly uzavfel a opatfil 
* Nehodici se budiz skrtnuto. 
