The form of certificate required "by the Danish Government 
appears below: 
No. 
(Name of the country of Origin) 
CEBTIFICATE OP ORIGIN 
This is to certify that the plants included in the shipment 
described below were grown by (name of grower) , at (postal 
address of place where grown) , a locality free from infection by 
potato wart ( Sy nchy t r ium endob i o t i cum (Schilb.) Perc), potato 
nematodes or eelworms ( Heterodera rostochiensis ) , and Colorado 
potato beetle ( Doryphora ) Leptinotarsa decemlineata Say) , and situat- 
ed at least 5 km from any place where potato wart and potato nema- 
todes have occurred during the last 10 years, and not less than 5° 
km from any place where the Colorado potato beetle has been observed 
during the same period. 
19 
Seal of the official 
Plant Inspection Service 
Chief, Plant Inspection Service 
The undersigned grower hereby declares that the shipment 
comprises (number) packages containing (number and kind of plants) 
which are being shipped direct from the place of production to (name 
and address of consignee) 
(Name of grower) 
(Postal address) 
