FV-40A Certificate of Resolution (WA Potatoes)

Vegetable and Specialty Crops

FV-40A

Vegetable and Specialty Crops (Voluntary)

OMB: 0581-0178

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OMB No. 0581-0178

REPRODUCE LOCALLY. Include form number and date on all revroductions.

CERTIFICATE OF RESOLUTION
(Corporation only)
held at

At a duly convened meeting of the Board of Directors of
on the

of

, 20-,

RESOLVED, That

the following resolution was adopted:

shall become a party of the marketing agreement

regulating the handling of Irish potatoes grown in Washington. which was annexed to and made part of the decision of the Secretary
of Agriculture (Secretary), and it is further, RESOLVED, That
Name

Title

Name

Title

and

be, and the same hereby are, authorized and directed severally or jointly to sign. execute, and deliver counterparts of the said
agreement to the Secretary.

I,

, Secretary of

do hereby certify this

is a true and correct copy of a resolution adopted at the above-named meeting as said resolution appears in the minutes thereof.
IN WITNESS WHEREOF, I have hereunto set my hand and the seal of said Corporation this

_

day of

(Corporate Seal: ifnone, so state)
(Signature)

(Address of Firm)

(City, State, and Zip Code)

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 0581-0178. The time
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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 ITomany 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.

FV -40 A (lI07)


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