I, the undersigned, do solemnly and truly declare that I am the .......................... (Manufacturer,
agent, or shipper.) of the merchandise herein mentioned and described, and that it consists of food or drug products which contain no added substances injurious to health.
These products were grown in ................ (Country.) and manufactured in ................ (Country.) by ........................ (Name of
manufacturer.) during the year ......, and are exported from ................ (City.) and consigned to ................ (City.).
The products bear no false labels or marks, contain nosome added coloring matter or preservative ............................................. (Name of added color
or preservative.), and are not of a character to cause prohibition or restriction in the country where made or from which exported.
Dated at ........ this ........ day of ........, 19.. .
(Signed): ........ ........ ........
(b) In the case of importations to be entered at New York, Boston, Philadelphia, Chicago, San Francisco, and New Orleans, and other ports where food and drug inspection laboratories shall be established, this declaration shall be attached to the invoice on which entry is made. In other cases the declaration shall be attached to the copy of the invoice sent to the Bureau of Chemistry.
Regulation 34. Denaturing.
(Section 11.)
Unless otherwise declared on the invoice or entry, all substances ordinarily used as food products will be treated as such. Shipments of substances ordinarily used as food products intended for technical purposes must be accompanied by a declaration stating that fact, and must be so denatured as to prevent their use as foods.