FV-179 Cooperatives Referendum Ballot (CA Almonds)

Vegetable and Specialty Crops

FV-179

Vegetable and Specialty Crops (Voluntary)

OMB: 0581-0178

Document [pdf]
Download: pdf | pdf
REPRODUCE

LOCALLY.

Include form number and date on all reproductions.

OMB No. 0581~178

UNITED STATES DEPARTMENT 011 AGRICULTURE
AGRICULTURALMARKIITING
SERVICE
FRUIT AND VEGETABLE PROGRAMS

COOPERATIVE[]S OFFICIAL BALLOT
ON PROPOSED AMENDMENT OF MARKETING ORDER NO. 981,
AS AMENDED, REGULATING THE HANDLING OF ALMONDS
GROWN IN CALIFORNIA

I hereby certify that I am an officer or employee of, and have been authorized by:

ame an,
{Name

Cooperative Association cont'

Enter your E-

to furnish the following information and cast this ballot on behalf of such cooperative association. There are
producers who: (a) are members of, stockholders in, or under contract with this cooperative association; (b) are now engaged in the
growing ofalmonds, and also were so engaged during the period ofJuly 1,20
through March 31, 20
: and (c)
during the same period so produced for market
pounds (kernel weight basis) of almonds.
DOES mE COOPERATIVE ASSOCIATION FAVOR ISSUANCE, BY THE SECRETARY OF AGRICULTURE, OF THE
PROPOSED AMENDMENT OF THE MARKETING ORDER REGULATING THE HANDLING OF ALMONDS GROWN IN
CALIFORNIA?
INDICATE THE VOTE OF THE ASSOCIATION BY PLACING AN .X. IN THE APPROPRIATE SPACE BELOW:

YES

NO

(Name of Cooperative Association)
AFFIX CORPORATE SEAL:
(If none., so state)

(Signature of Authorized Official)

(Title)

BALLOTS POSTMARKED LATER THAN MIDNIGHT JUNE 9, 20

CANNOT BE COUNTED.

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 0581-0178. The time required to complete this information collection is estimated to average 10 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 information, political beliefs, reprisal, or because all or part of an individual's income is derived from 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 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 opportunity provider and
employer.

FV -179 (06104)


File Typeapplication/pdf
File Modified2007-07-26
File Created2007-07-26

© 2024 OMB.report | Privacy Policy