PMC 4.12 CA Dried Prunes Reserve Prunes Held by Handler for Anima

Form PMC 4.12
OMB OS81-0178

RESERVE PRUNES HELD BY HANDLER
FOR ANIMAL FEED DISPOSITION
To:

Prune MarketingCommittee
3841North FreewayBlvd., Suite120
Sacramento,CA 95834

HANDLER:
ADDRESS:

We report below the locations and tonnages of reserve pool prunes available for shipment to animal feed disposal
20
. PMC may issuetheirWarehouseReleasesto instruct
during the month of
shipment of all or any part of these prunes during the month noted above.

.

Plant Designation

Street & Number

Phone

City

Nameto Contact

Tons

Handler
Signature
Title
IMPORTANT NOTICE
The issuance of a false certificate knowing it to be faIse is a violation ofTitJe 18. Section 1001 of the United States Code. which provides a penalty of a tine of
not more than $10,000 or imprisonment of not more than S years or both.
According to the Paperwork Reduction Act of 1995, an agency may not conduct or 1p01I8Or,and a per $Onis not required to relpOnd to a collection of
information unleu it dlsplay&a valid OMB control number. The valid OMB control numberfor this information collection is 0581-0178. The time required
to complete this information collection is e&timatedto average 10 minute&per re&pome, including the timefor reviewing instructions, &earching existing
data SOllTCe&,
gathering and maintaining the data needed, and completing and reviewing the collection of information. The U.S. Deportment of Agriculture
(USDA) prohibiU dtscriminotion in all its programs and activilie&on the basis of race, color, nattonol origin, gender, religion, age, disability, political
beliefs, sexual orientation, and marital or family stahU. (Not all prohibited bases apply to all programs.) Persons with disabilitie&who require alternative
meansjor communication of program information (Braille, large print, audiotape, etc.) should contact USDA's TARGET Center at (202) 720-2600 (voice
and TDD). Toftle a complaint ofdtscriminotion, write USDA, Director, Office of Civil Rights, Room 326-W, Whitten Building, 1400 Independence Avenue,
SW, Washington, DC 20250-9410 or call (202) 720-5964 (voice and TDD). USDA ts an equal opportunity provider and employer.