Download:
pdf |
pdfREPRODUCED LOCALLY:
Includeform numberand dateon all reoroductiom.
OMB No. 0581-0189
BALLOT
Nectarine Administrative Committee
[insert District name here]
rinser! District name here 1 -The rinsert District name] consists of [insert name of county or counties here]
The District is represented by [insert number] members and [insert number] alternates.
The candidateslisted beloware runningfor [insertnumber]memberpositionsand [insertnumber]alternate
positions(2-yeartermsending
) to representthe [insertDistrict name] on the Nectarine
AdministrativeCommittee. Pleasevote for [insertnumber]of the listed candidatesand/orwrite in a candidate
of your choice for the memberpositionsonly. The candidatesreceivingthe nexthighestvotes will be
designatedasthe alternatepositions.
Pleasereturnyour completedballot to the CaliforniaTree Fruit Agreementin the providedenvelopeno later
than
.20"", in orderto be counted.
(Votefor [insertnnmberlonly)
0
0
0
0
0
0
(insertcandidatename)
(insertcandidatename)
(insertcandidatename)
(insertcandidatename)
(insertcandidatename)
(insertcandidatename)
0
0
0
0
0
0
0
0
(insertcandidatename)
(insertcandidatename)
(insertcandidatename)
(insertcandidatename)
(insertcandidatename)
(insertcandidatename)
(insertwrite-in name)(Write-in) Unsertohonenumber)
(insertwrite-in name)(Write-in) Unsertohonenumber)
[NOTE: In order to be eligible to casta vote, you must be a producer of nectarines in the [insert District]. If a producer produces in more
than one district, the producer can choose to vote for nominees in another district, provided the producer does not vote more than once.
Please call Corina Tamez at 559-638-8260 to exchange district ballots.]
This portionof the ballot will bedetachedprior to ballottallying.
By signingthis ballot, I certify that I am authorizedto vote on behalf of an eligible voting entity
(PrintName}
(Nameof NectarineProducingEntity)
(Signature)
(NectarineProducingCounty(ies)
NOTE: Ballot is invalid if not signed
ReturnBallot in enclosedenvelopeto:
CALIFORNIA TREEFRUIT AGREEMENT
P. O. Box %8
Reedley,CA 93654
( 559-638-8260)
According to the Pape~rk
Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to a cot~ction of
information unless it displays a valid 0M8 controt number. The valid ()MB control number for this information col~ction is 0581-0189.
The time required to
comp~te 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 comp~ting and rev~ng
the collection of information.
The U.S. Department of Agriculure (USDA) prohibis discrVnination in aU is programs and activities on the basis of race, color, national origin, age, disability,
and where applicable, sex, marital status, familial status, parental status, religion, sexual orientation, genetK: information, political beliefs, reprisal, or because all
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 altemative means for corrmunication
of program information (Braille, large print, audiotape, etc.) shouk! contact USDA's TARGET Center at (202) 7202600 (VOK:e and TOD). To fi~ a complaint of discrimination, write to USDA, Director, 00"100 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 is an equal opportunity provider and employer.
File Type | application/pdf |
Author | mbowers [ XPWASHFV1406MB ] |
File Modified | 0000-00-00 |
File Created | 2007-06-12 |