COC-29A Olives - Sales of Canned Ripe Olives

- .---

Form COC-29a
04-01

SALES OF CANNED RIPE OLIVES

OMS #0581-0178

20

MONTH

(1) TO:

(2) FROM:

California Olive Committee
1903 North Fine #102
Fresno CA 93727

(3) EIN#:

( 4) REPORT OF PACKAGED OLIVES:
WHOLE

SIZE

D

6/10

PITTED

24/300

D

BROKEN PITTED

24/Buffet

D
TOTAL

Small
Medium
Large
Extra Large
Ex Large Sev
Jumbo
Colossal
Sup Colossal
Green Ripe
TOTAL

(5) CERTIFICATION
ANDSIGNATURE:
The-undersignedon behalfof the reportinghandler certifies to the
California OliveCommittee and the Secretary of Agricultureof the United States that this report represents
. a complete and accurate record of sales of all packaged olives as compiled from sales invoices and adjustment
from credit memos for the month above stated.

-----------Date

Authorized Official

Title

This information is used to verify the provisions of the order, 7 CFR932.1 61. MakingClnyfalse
statements or representations in any matter withinthe jurisdiction of any agency of the United States,
knowing it to be false, is a violation of Title18 Section 1001, United States Code, which provides for
penalty of a fine of $10,000 or imprisonment of not more than five years or both.

Note: The followingstatements are made in accordancewith the PrivacyAct of 1974 (5 U.S.C. 5528) and the PaperworkReduction
Act of 1995. The authority for requesting this informationto be suppliedon this form is the AgriculturalMarketing Agreement Act of
1937, Sees. 1-19,48 Stat. 31, as amended, (7 U.S.C. 601-674). Furnishingthe requested information is necessary for the
administrationof the marketing order program.
Accordingto the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to
a collectionof informationunless it displaysa validOMB control number. The valid OMB control number for this information
collectionis 0581-0178. The time required to complete this informationcollectionis estimatedto average45 minutes per response,
including the time for reviewing instructions,searching existingdata sources, gathering and maintainingthe data needed, and
completingand reviewingthe collectionof information.
The u.s. Department of Agriculture(USDA) prohibitsdiscriminationin all its programs and activitieson the basisof race, color,
nationalorigin, age, disability,and where applicable,sex. marital status, familialstatus, parentalstatus, religion, sexual orientation,
genetic information,politicalbeliefs,reprisal,or because all or part of an individual's income is derivedftom any public assistance
program (Not all prohibitedbases apply to all programs.) Persons with disabilitieswho require alternativemeans 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 opportunityprovider
and employer.