915-Avocados Grower Ballot to Nominate Members and Alter

REPRODUCE

LOCALL Y. Include form r,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
Grower Ballot to Nominate Members and Alternate Members
for District I or District II
(pleasecirclethe applicableDistrict)

April 1, 20and ends March 31,20
to the nominee's name.

-.Mark

the ballot for (

) of the nominees

listed below by placing

Nominee- Name

an X in the box next

Nominee Name

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**PERSONS VOTING BY MAIL MUST SIGN THIS BALLOT FOR IT TO BE VALID.

I certify that I am District I or District II Grower registered with the Avocado Administrative Committee in Homestead,
Florida.
(please circle the applicable

District)

(Nameof personvoting -please print)

(Signatureof PersonVoting)
Return ballots must be postmarked by .10 later than
considered.

-" Ballots

received,

postmarked

after

.will not be

ACC!Jrdingto the PapelV'.()rkRedu~ion Act of 1995, an agency ~y not co.nduG!or s~sor, and a peIson is not req~ired 10 respond to a collection of information unless it displays a
valid a.1B control number. The valid a.1B control numt- for thIs Information collection IS0581-0189. The lime reqUired10complete this information collection is estimated to average
5 minutes 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 aU its programs and activities on the basis of race, cok>r,national origin, age, disabitity, and where
applicable, sex, marital status, familial status, parental status, religion, sexual orientation, genetic information, political befiefs, reprisal, or because aU or part of an individual's
income is derived from any public assistance program (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.)shoukJcontact USDA's TARGET Center at (202) 720-2600 (voice and TOO). To file a complaint of discrimination,
write to USDA, Director, Office of Civil Rights, 1400 Independence Avenue, S.W., WaShington,D.C. 20250-9410, or call (800) 795-3272 (voice) or (202) 720-6382 (TDD). USDA
is an equal opportunity provider and employer.
(05/07)