1. Authorisation Number

:

IV-Р-Т -EU-S-248

2. Name of Authorisation Holder

:

ЕТ"ЯНКА ЯНКОВА ГЕОРГИЕВА"/ET "YANKA YANKOVA GEORGIEVA"

3. Address(es) of Site(s)

:

12 Vladaiska reka str., storage room 11A, Sofia, 1000, Bulgaria 

4. Legally registered address of Authorisation Holder

:

бул. "Цар Освободител"№17А, ет.1, ап.2/, 17A Tsar Osvoboditel blvd., fl.1, ap. 2, гр. София/ Sofia, 1504, Bulgaria

5. Scope of authorisation (complete for each site under 4)

:

ANNEX 1

6. Legal basis of authorisation

:

7. Name of responsible officer of the competent authority of the member state granting the wholesaling authorisation

:

Confidential, Confidential

8. Signature

:

9. Date

:

2017-12-11

10. Annexes attached

:

Annex 1 Scope of wholesale distribution authorisation

Annex 2 (Optional) Address(es) of contract wholesale distribution sites and their authorisation number

Annex 3 (Optional) Name(s) of responsible person(s)

Annex 4 (Optional) Date of Inspection on which authorisation was granted

Annex 5 (Optional) Additional provisions based on national requirements

Name and address of the site: ЕТ"ЯНКА ЯНКОВА ГЕОРГИЕВА"/ET "YANKA YANKOVA GEORGIEVA"

, 12 Vladaiska reka str., storage room 11A, Sofia, 1000, Bulgaria   

*Art 5 of Directive 2001/83/EC or Art 83 of Regulation EC/726/2004

**Without prejudice to further authorisations as may be required according to national legislation

Union Format for a Wholesale Distribution Authorisation

IV-Р-Т -EU-S-248

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