ABC 14 CA Almonds Completion of Disposition of Reserve Almonds

Almond Board of callfomla
Post Office Box 3130
Modesto, California 95353-3130

OMB No. 0581-0178
CropYear.
ReserveTransactionNo._

Revised 7/91
PARTIAL SHIPMENT REPORT

SHiPNEHT
NO._

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ABC FORM 14 COMPLETION OF DISPOSITION 0,= RESERVE ALMONDS
Notice is hereby given of Inspection, lot stamping and shipment of reserve almonds to above named destination.
Attached 81'8Q Invoice, if applicable 0 Binof lading, If applicable 0 Inspection Certificate0 Canadien CertIfIcate,Ifapplicable.

NO PHOTOCOPIES
CERTIFICATE NUMBERS

MAY BE USED

LOT STAMP NUMBERS

POUNDS SHIPPED

SIGNATURE

HANDLER

DATE SHIPPED

DATE

MANUFACTURER CERTIFICATION
I hereby, certify to the Almond Board of California and the U.S. Secretary of Agriculturethat we did manufactureluse the almonds described and
identified above In the quantity and on the date specified. I hereby agree that Board employees, and/or USDA represent8tIves may anter our
premises at any reasonable time to obsBlVethe storage or disposition of the almond material, and to examine and audit our records of almond
transactions.
Manufacturer

Signature

or User

Date

FEDERAL OR FEDERAL-STATEINSPECTIONSERVICE CERTIFICATION
I hereby, certify the almonds described on ABC Form 14 above have been made intothe product described on ABCForm 13.

Signature

Inspector

Date

Phone Number
NOTE: The making of any false statement or representation on this form, knowing it to be false Is a violationof TlUe18, Section 1001, United States
Code.
INSTRUCTIONS
- ABCForm14. PartialShipment:YELLOW
COPY to be filed with Board by handler when shipment Is made, Attach copy of
inspection certificate. PINK COPY - to be filed with Board by either manufacturer of product (if other than Handler) or user of res8lVe almonds after
Federal or Federal-State Inspection Service certificationis completed. GOLDCOPY- Handler filecopy.

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This report is required by law (7 U.S.C. 608 (d), 7 C.F.R. 981.67 and 7 C.F.R. 981.467). Failure to report can result In a fine of not less then S50 or more
than S1 non fnrASChsuch violationand each day during such violationcontinues shall be d8811ed8 separate violation.
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 OMBcontrol number. The valid OMBcontrol number for this Information collection Is 0581.
0178. The time required to complete this information collection Is estimated to average 12 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 all lis programs and activitIes on the basis of race, color, national
origin, age, disability, and where applicable, sex, marital status, familialstatus, 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 (Notall
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'sTARGETCenter at (202)720-2600 (voice and TDD). To file a complaint of
discrimination, write to USDA,Director, Office of CivilRights, 1400 Independence Avenue, S.W.,Washington, D.C.20250-9410,or call (800)
795-3272 (voice) or (202)720-6382(TDD).USDAIs an equal opportunity provider and employer.