Annex A - Official Documents

30.7.2005 EN Official Journal of the European Union L 200/15
Note: In part of column 17, write the quantity still available and in part 2 of column 17, write the quantity deducted on this occasion
3 Authorisation No
11 Item No
17 Net quantity (Net mass/
other unit with indication
of unit)
1,
2.
1,
2.
1,
2.
1,
2.
1,
2.
1,
2.
1,
2.
1,
2.
1,
2.
1,
2.
1,
2.
1,
2.
1,
2.
18 Customs Document (Type
and number) and date of
deduction
19 Member State. name and
signature, stamp of
deduction
Annex H
105