The Diseases of Animals (Poultry) (Amendment) Order (Northern Ireland) 1950
I FURTHER CERTIFY that no other cargo is carried on the same journey, and that the vessel will proceed from the port of loading in Norway direct to the port of landing in Northern Ireland.

Signed ...................................................................................

Position or Rank of Officer ...............................................................................

N.B.: This form, when duly completed, is to be forwarded with the hay and straw to the port of entry in No...