Modelo Declaracao Vigilancia Sanitaria .pdf

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À
PREFEITURA DE SÃO JOSÉ DO RIO PRETO
INSPETORIA FISCAL DE POSTURAS - SEMFAZ

DECLARAÇÃO REFERENTE À VIGILÂNCIA SANITÁRIA

_______________________________________________________________, inscrito no
CNPJ/RG ____________________, Inscrição Municipal/CPF ____________________,
DECLARO para os devidos fins, que estou ciente de que, havendo manipulação e/ou
comercialização de alimentos no evento ______________________________________,
que será realizado no dia _____/_____/__________, das _____ h às _____ h, no (a)
______________________________, é de minha inteira responsabilidade contratar
empresas ou serviços ambulantes de alimentação, devidamente licenciados nos órgãos
competentes.

São José do Rio Preto, _____ de __________ de __________.

_________________________
Assinatura
RG/CPF


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