ASSEMBLY COMMUNICATION Company Head office address ZIP N° code VAT N° Fax n° Phone n. e-mail Certified mail Address of assembly operation Pinot Grigio Year Bianco Year DOP delle Venezie Spumante Year Frizzante Year Name and Surname Event Date of Person in charge Birth place Country date Residence Zip Street N° address code Wine As per Enologist ASSEMBLY CODE N. 1st certifcate n° date Tot. hl Year Tot. hl 2nd certificate n° date Year Tot. hl 3rd certificate n° date Year Tot. hl 4th certificate n° Issue date Year Tot. hl 5th certificate n° Issue date Year Total Hl Delle Delle Delle Venezie Delle Venezie of DOP Venezie Venezie Bianco Frizzante wine Grigio Spumante CHEMICAL PARAMETER OF ASSEMBLED PRODUCT Alchoolic Alcoholic content Total acidity Volatile acidity content % v/v g/l g/l % v/v Sugar free – Total sulphur extract (calculating Sugar (Glucose + dioxide less sucrose ) Fructose) g/l mg/l g/l PLS ATTACHED COPY OF IDENTITY CARD . DATE SIGN
ASSEMBLY COMMUNICATION Company Head office address ZIP code N° VAT N° Fax n° Phone n. e-mail Certified mail Address of assembly operation DOP delle Venezie Pinot Grigio Year Bianco Year Spumante Year Frizzante Year Name and Surname of Person in charge Event Date Birth place Country date Residence address Street N° Zip code As per Enologist Wine ASSEMBLY CODE N. 1st certifcate n° date Tot. hl Year 2nd certificate n° date Tot. hl Year 3rd certificate n° date Tot. hl Year 4th certificate n° Issue date Tot. hl Year 5th certificate n° Issue date Tot. hl Year Total Hl of DOP wine Delle Venezie Grigio Delle Venezie Bianco Delle Venezie Spumante Delle Venezie Frizzante CHEMICAL PARAMETER OF ASSEMBLED PRODUCT Alcoholic content % v/v Alchoolic content % v/v Total acidity g/l Volatile acidity g/l Sugar – free extract (calculating less sucrose ) g/l Sugar (Glucose + Fructose) g/l Total sulphur dioxide mg/l PLS ATTACHED COPY OF IDENTITY CARD . DATE SIGN
MO022_R02_Comunicazione_Coacervo_ENG.docx