Form FV-498-1 Federal - Market News Service Weekly Report of Berries R

FORM APPROVED OMB NO. 0581-0006

REPRODUCE LOCALLY. Include form number and date on all reproductions.
RETURN TO:

U.S. DEPARTMENT OF AGRICULTURE
AGRICULTURAL MARKETING SERVICE

Market News Service
21 North First Street, Suite 224
Yakima, Washington 98902
Telephone No.: (509) 575-8615
FAX No.: (509) 575-5648

FEDERAL - MARKET NEWS SERVICE
WEEKLY REPORT OF BERRIES
RECEIVED FOR PROCESSING

Please type your name, mailing, and email address below.

Check appropriate box for applicable State

Washington Berries Only
NAME:
ADDRESS:

Oregon Berries Only

E-MAIL ADDRESS:

Please complete this form and submit electronically, or print locally and fax or mail in the enclosed pre-addressed and stamped envelope.
The information that you provide is strictly confidential. It will be released as a part of a consolidated report showing the total receipts by
processors for major producing states. If you have no receipts, please so state and return this form in order that we may know that it has been
received by you. RETURN PROMPTLY AT CLOSE OF WEEK.

WEEKLY REPORT FOR PERIOD

From

Through

COMMODITY

TOTAL RECEIVED FOR PROCESSING
DURING ABOVE WEEK

PRICE PER POUND DELIVERED TO PLANT OR
RECEIVING STATION

POUNDS

CENTS PER POUND

Strawberries
Hand Picked

Red Raspberries

Machine Picked

Black Raspberries
Boysenberries
Loganberries
Marionberries

Blackberries

Evergreen
Other Varieties

Blueberries
REMARKS

REPORTED BY

FV-498-1 (07-03) (Destroy previous editions.)

DATE

KEEP EXTRA COPY FOR YOUR FILES

See reverse of form for Privacy Act Statement

According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to a collection
of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0581-0006. The time
required to complete this information collection is estimated to average 10 minutes/hours per response, including the time for reviewing instructions,
searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.
The U.S. Department of Agriculture (USDA) prohibits discrimination in all its programs and activities on the basis of race, color, national origin,
gender, religion, age, disability, sexual orientation, marital or family status, political beliefs, parental status, or protected genetic information. (Not
all prohibited bases apply to all programs.) Persons with disabilities who require alternative means for communication of program information
(Braille, large print, audiotape, etc.) should contact USDA=s TARGET Center at 202-720-2600 (voice and TDD).
To file a complaint of discrimination, write USDA, Director, Office of Civil Rights, Room 326-W, Whitten Building, 14th and Independence Avenue,
SW, Washington, DC 20250-9410 or call 202-720-5964 (voice and TDD). USDA is an equal opportunity provider and employer.