915-Avocados Handler Ballot to Nominate Members & Altern

REPRODUCE

LOCALL Y. IncluQe form /1'umber and date on all reoroductions.

OMB No. 0581-0189

UNITED STATES DEPARTMENT OF AGRICULTURE
AGRICULTURAL MARKETING SERVICE
FRUIT AND VEGETABLE PROGRAMS

Avocado Administrative Committee, Marketing Order 915
Handler Ballot to Nominate Members and Alternate Members
for District I or District II
(please circle the applicable District)

I hereby cast my ballot for ( ) of the following nominees to serve as member ( ) and alternate member ( ) to represent Handler(s)
from District I or District II on the Avocado Administrative Committee, Marketing Order 915 during the term of office
(please circle the applicable

District)

that begins April 1, 2°and ends March 31, 20 -"
Mark the ballot for no more than ( ) of the nominees listed below by
voting your volume of shipments from the calendar year 2°as supplied by the Committee in the volume box next to the
nominee's name.

**PERSONS
VOTING
BY MAll.
MUST with
SIGNthe
TillS
FOR IT TOCommittee
BE VAUD.in Homestead
I certify that I am a District
I or District
II Handler
registered
Avocado
~ BALLOT
Administrative
Florida.
(please circle the applicable

District)

(Name of person voting -please print)

(Signatureof PersonVoting)
Return ballots must be postmarked by JrJolater than

Ballots

received, postmarked

after

.will

not be considered.

According to the Papel'v'K>rk 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 aI.1B control number. The valid OMB control numl>er for this information collection is 0581.{j189. The time required to complete this information collection is estimated to average
5 minutes per response, inckJding the time for rev~~j
instructions, searching existing data oources, 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 activit~son
the basis of race, coklr, national origin, age, disability, and
sex, marital status, famil~1 status, parental status, relil;lion, sexual orientation, genetic information, political beliefs, reprisal, or because all or part of an individual's
from any public assistance program (Not all prohibited bases apply to all programs.) Persons with disabilities who require allernative means for communication of
information (BraiUe, large print, audiotape, etc.) shook! contact USDA's TARGET Center at (202) 720-2600 (voice and roD).
To file a cornp~int of discrimination,
Director, CXfK:e of Civil Rights, 1400 Independence Avenue, S.W., Washington, D.C. 20250-9410, or call (800) 795-3272 (voice) or (202) 720-6382 (TOO). USDA
opportunity provider and employer
(05/0 7\

where applicable,
income is derived
program
write to USDA,
is an equal