ANNEX III CERTIFIED FINANCIAL REPORT ON THE IMPLEMENTATION OF THE BASELINE SURVEY ON THE PREVALENCE OF SALMONELLA SPP. AND MRSA IN HERDS OF BREEDING PIGS

Declaration by the beneficiary

I certify that:

• the costs listed above are genuine and have been incurred in carrying out the tasks laid down in Decision 2008/55/EC and were essential for the proper performance of those tasks,

• all supporting documents for those costs are available for audit purposes,

• no other Community financial contribution has been requested for these surveys.

Date:

Person financially responsible:

Signature: