State Phytosanitary Certificate — Consignment Details

Mississippi Department of Agriculture & Commerce

Thank you — we received the consignment details below for your State Phytosanitary Certificate. Our office will process the certificate; no action is needed from you at this time.

Place of Inspection

#text(#field(17717))

Destination State(s)

#text(#field(17691))

Submitter

Your Email Address

#text(#field(17652))

Exporter

Name	#text(#field(17654)) #text(#field(17655))
Address	#text(#field(17656))#if(#field(17657)) #text(#field(17657))#endif #text(#field(17658)), #text(#field(17659)) #text(#field(17660))

Consignee

Name	#text(#field(17662)) #text(#field(17663))
Address	#text(#field(17664))#if(#field(17665)) #text(#field(17665))#endif #text(#field(17666)), #text(#field(17667)) #text(#field(17668))

Description of the Consignment

Name of produce and quantity declared	#text(#field(17670))
Botanical name of produce	#text(#field(17671))
Number and description of packages	#text(#field(17672))
Distinguishing Marks	#text(#field(17673))
Place of Origin	#text(#field(17674))
Declared means of conveyance	#text(#field(17675))
Declared point of entry	#text(#field(17676))

Submit ID: #submit_id