PMC 4.1 CA Dried Prunes Reserve Prunes Held--Handler

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Form PMC 4.1
OMBOS81..()178

RESERVE PRUNES HELD BY HANDLER
To:

Date:

Prune Marketing Committee
3841 North Freeway Blvd., Suite 120
Sacramento, CA 95834

HANDLER:
ADDRESS:
We certify we are holding as of
the following reserve pool prunes:

Variety

Grade

Aver. Size
Size
Bracket Count

(plant Location)

Pounds

Variety

Grade

Aver. Size Pounds
Size
Bracket
Count

Handler
Signature
Title
(INSTRUCTIONS: Use as many forms as needed to list your inventory. Please keep different plant inventory on a single
form.)
IMPORTANT NOTICE
The issuance of a false certificate knowing it to be false is a violation of Title 18, Sec:tion1001 of the United States Code, which provides a penalty ofa fine of
not more than $10,000 or imprisonmentof not more than S years or both.
AlTfHORITY:

§ 993.73 of MarlcetingOrder No. 993, as Amended, and § 993.172(8) of the Administrative Rules and Regulations established pursuant

thereto.

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
0581-0/78.
The time required to complete this information collection is estimated to average /0 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, gender, religion. age, disability, political beliefs, sexual orientation, and marital or family status. (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 USDA, Director, OffICe of Civil Rights, Room 326-W, Whitten Building, 1400 Independence Avenue, SW,
Washington, DC 20250-94/0 or call (202) 720-5964 (voice and TDD). USDA is an equal opportunity provider and employer.