FV-181 Vidalia Onions Handler Report

tmPRODUCE LOCALLY. Include form number and date 00 all reproductions.
U.S DEPARTMENT OF AGRICULTURE
AGRICULTURE MARKETING SERVICE
FRUIT AND VEGETABLE PROGRAMS

OMB NO. 0581-0178

VIDALIA ONION HANDLER REPORT FORM
Note: Handlers must completeand return a shipping report every month during the shipping season. All handlers must report
to Vidalia Onion CommitteeOfficeevery month once they have begun shipping even if it is a zero report. Handlers will need to
continue to report until they submit a final report for the season. Assessmentsare due with the filing of this report.
1. Date of Report:

2. For the month of
3. Enter the number of 40-pound writs, or equivalent, of Vidalia Onions shipped dming the month.
x .10 Assessment Rate = $
, THIS IS YOUR ASSESSMENT DUE.
A check for this amount must be enclosed or interest will accrue at 1% per month.
4. How many 40-pound writs of the onions shipped this week were from your own acreage?
bags were marked with the Weight Watchers 'Pick of the Season' logo and shipped
to

(name of retailer(s».

boxes were marked with the Weight Watchers 'Pick of the Season' logo and
shipped to

(name of retailer(s».

% of onions had a PLU sticker with the Weight Watchers 'Pick of the Season' logo and
shipped to

(name of retailer(s».

5. List all producers from whom you purchased onions this month.
Producer

Quantitv

6. List all handlers to whom you sold unpacked onions this month.
Handler

Quantitv

7. List all handlers to whom you sold packed onions this month.
Handler

Quantitv

8. List all handlers for whom you contracted to pack onions this month.
Producer

Ouantitv

9. List location of any onions placed in storage this month.
Location
Ouantitv

Who do the onions belonl! to?

FV-181 (03-06) (Destroy previous editions)

Page 1 of2

I
10. List the Total amount of onions you now have in storage that are from your acreage.

11. Check if this is your last shipment and final report:

D

Name:
Address;
City:

"

Signature of Handler or Preparer

GA

Zip:

Date

Notice. Falsification of infonnation on this government document may result in a fme of not more than $10,000 or imprisonment for not more than 5
years or both (u. S. C. 1001).
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 the infonnation 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 infonnation, political beliefs,
reprisal, or because all or part of an individual's income is derived ttom 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 TARGET Center at (202) 720-2600 (voice and TDD). To file a complaint of discrimination, write to USDA, Director, Office of CiviI 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-181 (03-06) (Destroy previous editions)

Page 2 of2