917 Peaches Commodity Committee Nomination Ballot

OMB No. 0581-0189

REPRODUCED LOCALLY: Include form number and date on all rer>roductions.

BALLOT
Peach Commodity Committee
[insert District name here]

-

Hnsert District name here 1 The rinsert District name 1consists of [insert name of county or counties here].
The District is represented by [insert number] members and [insert number] alternates.
The candidates listed below are running for [insert number] member positions and [insert number] alternate
positions (2-year terms ending
) to represent the [insert District name] on the Peach Commodity
Committee. Please vote for [insert number] of the listed candidates and/or write in a candidate of your choice
for the member positions only. The candidates receiving the next highest votes will be designated as the
alternate positions.
Please return your completed ballot to the California Tree Fruit Agreement in the provided envelope no later
than
, 20xx, in order to be counted.
(Vote for (insert numberl only)

o (insert candidate name)

o (insert

candidate name)

o (insertcandidatename)
o (insertcandidatename)
o (insert candidate name)
o (insert candidate name)

o (insert candidate
o (insert candidate
o (insert candidate
o (insert candidate
o (insert candidate
o (insert candidate

name)
name)
name)
name)
name)
name)

o (insert write-in name) (Write-in)
o (insert write-in name) (Write-in)

Onsert phone number)
Onsert phone number)

[NOTE: In order to be eligible to cast a vote, you must be a producer of peaches 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 portion of the ballot will be detached prior to ballot tallying.
By signing this ballot, I certify that I am authorized to vote on behalf of an eligible voting entity.
(Print Name)

(Name of Peach Producing Entity)

(Signature)

(peach Producing County(ies)
NOTE: Ballot is invalid if not signed
Return Ballot in enclosed envelope to:
CALIFORNIA TREE FRUIT AGREEMENT
P. O. Box 968
Reedley, CA 93654
(559-638-8260)

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 vafid OMS control number. The valid OMS controt number for this information collection is 0581-0189. The time required to
complete this information coUection 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 al its 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, genetic information, pofitical be6efs, reprisal, or because all
or part of an individual'l; 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 (BraiHe, large print, audiotape, etc.) should contact USDA's TARGET Center at (202) 7202600 (voice and TDD). To file a comptaint of discrimination, write to USDA, Director, OffICeof 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.