F/H Form 2 Hazelnuts--Exchange of Merchantable Inshell Between Hand

Vegetable and Specialty Crops

F-H Form 2

Vegetable and Specialty Crops (Voluntary)

OMB: 0581-0178

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F/HFonn2
OMB CONT. NO.
0581-0178

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

EXCHANGE OF MERCHANTABLE INSBELL BETWEEN HANDLERS

The undersigned hereby certify that merchantable inshell hazelnuts have been exchanged between
and
(buying handler)

(selling handler)

shall assume any diversion

It is also understood and agreed that
(handler)
obligation required on the following lot, or lots:

Date of Inspection

Cert. No.

Weight (lbs)

SELLING HANDLER:

BUYING HANDLER:

By
Title

By
Title

Size

No sale of merchantable inshell hazelnuts between handlers can occur ntil a completed exchange fonn is received (7
U.S.C. 608(d), and 7 CFR 982.56 and 7 CFR 982.456).
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 required to complete this
information collection 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 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, reprisa~ or because all or port 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 TARGEJ' 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 (I'DD). USDA is
an equal opportunity provider and employer.


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File Modified2007-07-30
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