RAC-102 CA Raisins--Export Transmittal Form

Vegetable and Specialty Crops

RAC-102

Vegetable and Specialty Crops Mandatory

OMB: 0581-0178

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EXPORT TRANSMITTAL FORM
RAISIN ADMINISTRATIVE COMMITTEE
P.O. Box 5217

RAC-102
Revised 12/06

OffIce of Management
Control Numbe

Fresno, CA 93755-5217

Date:

Raisin Administrative Committee
P.O. Box 5217
Fresno, CA 93755

Attn: Export

The attached

Truck Bill

Ocean Bill, relates to the dispositon of Reserve raisins for the

following:

Packer:
Pack Style/#Cases:
Destination:
Reference No.:

(Must agree with Reference on Application/Deposit and both Bills of Lading)

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0581-0178. The time required to complete this information collection is estimated to average 3 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.
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