F/H Form 7 Hazelnuts Rept. of Disposition of Restricted Set-aside I

HAZELNUT MARKETING BOARD
21595 A Dolores WayNE
Aurora, OR 97002-9738

F/H Form 7
OMB CONT. NO.
0581-0178

REPORT OF DISPOSITION OF RESTRICTED SET-ASIDE INSHELL HAZELNUTS
Submitted in compliance with §982.67 Marketing Agreement and Order 982.
The following lots of restricted hazelnuts were disposed of on the dates and in the channels as indicated:
Date set-aside
Date shelled, delivered to authorized sheller, or exported

Disposition
1. Shelled -

Date shelled
Kernel Weight
ME Weight

2. Exported-

Date exported
Quantity
Country
Shipping Info.

The undersigned certifies to the HAZELNUT MARKETING BOARD and the SECRETARY OF AGRICULTURE OF
THE UNITED STATES that this report is a true and correct statement of the disposition of the restricted hazelnuts
recorded above.
Authorized Sheller or Handler
Address
By
Title
(Owner, Operating Official)
This report shall be submitted to the Board at time of delivery to an authorized sheller promptly after completion of
shelling or exporting.
This report is required by law (7 U.S.C. 608(d), and 7 CFR 982.66 and 7 CFR 982.466). Failure to report can result in a fme of not less than $50 or
more than $5,000 for each such violation and each day during which such violation continues shall be deemed a separate violation.
According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to a collection of
information unless it displays a valid O!vfB control number. The valid O!vfB control number for this information collection is 0581-0178. The time
required to complete this information collection is estimated to average 10 minutes per response, including the time for reviewing instructions,
searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.
The U.S. Department of Agriculture (USDA) prohibits discrimination in all its programs and activities on the basis of race, color, national origin,
age, disability, and where applicable, sex, marital status, familial status, parental status, religion, sexual orientation, genetic information, political
beliefs, reprisal, or because all or part of an individual's income is derived from any public assistance program (Not all prohibited bases apply to all
programs.) Persons with disabilities who require alternative means for communication of program information (Braille, large print, audiotape, etc.)
should contact USDA '$ 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. 202509410, or call (800) 795-3272 (voice) or (202) 720-6382 (lDD). USDA is an equal opportunity pravider and emplayer.