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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