Commission Decision of/No …
National reference (if any) …
I, the undersigned … representing the authority … responsible for the relevant financial and control procedures, hereby certify, after verification, that all eligible expenditure included in the attached documents, representing the total cost, was paid in 200… and amounts to: … EUR (exact amount to two decimal places) concerning the national data collection programme 200… and corresponding to the European Commission contribution of 50 %;
An instalment of … EUR has already been received in respect of the above programme.
I also certify that the statement of expenditure is accurate and the application for payment takes account of any recoveries made.
The operations were carried out in accordance with the objectives laid down in the decision and with the provisions of Council Regulation (EC) No 199/2008 as well as Council Regulation (EC) No 861/2006, in particular as regards:
compliance with Community law and instruments adopted under it, in particular the rules on competition and the award of public contracts,
application of management and control procedures to the financial assistance, in particular to verify the delivery of the products and services co-financed and the reality of expenditure claimed and to prevent, detect and correct irregularities, pursue fraud, and recover unduly paid amounts.
The tables attached comprise the expenditure incurred. Certified copies of invoices for durable goods and vessel costs are annexed. Originals of all supporting documents and invoices will continue to be available for a minimum period of three years following payment of the balance by the Commission.
Date: …/…/…
Name capitals, stamp, position and signature of competent authority
List of enclosures: