LS-124 Live Lamb Weekly Report (Formula Purchases)

Livestock Mandatory Reporting Act of 1999

LS124

Livestock Mandatory Reporting Act of 1999

OMB: 0581-0186

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FORM APPROVED. - OMB NO. 0581-0186
UNITED STATES DEPARTMENT OF AGRICULTURE
AGRICULTURAL MARKETING SERVICE

LIVE LAMB WEEKLY REPORT
(Formula Purchases)

NOTE: 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 0581-0186. The time required to complete
this information collection is estimated to average 15 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.

1. IDENTIFICATION NUMBER

2. COMPANY NAME

3. PLANT STREET ADDRESS

4. PLANT CITY

The U.S. Department of Agriculture (USDA) prohibits discrimination in all 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, 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
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 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.

5. PLANT STATE

6. PLANT ZIP CODE

7. CONTACT NAME

8. PHONE NUMBER (include area code)

9. REPORTING DATE (mm/dd/yyyy)

10. REPORTING TIME (1 = 10:00 a.m.; 2 = 2:00 p.m.)

(NOT APPLICABLE)

11. LOT IDENTIFICATION

17a. PREMIUM/DISCOUNT RANGE - LOW ($/cwt.)

12. SOURCE (1 = Domestic; 2 = Imported)

17b. PREMIUM/DISCOUNT RANGE - HIGH ($/cwt.)

13. HEAD COUNT

18. PREMIUM/DISCOUNT WEIGHTED AVERAGE ($/cwt.)

14. TOTAL POUNDS

15. WEIGHTED AVERAGE CARCASS PRICE ($/cwt.)

16a. PRICE RANGE - LOW ($/cwt.)

16b. PRICE RANGE - HIGH ($/cwt.)

LS-124

(05-07)

Destroy previous edition dated 04-07.


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