Document
WMB FORM NO
ICR 201002-0581-004 · OMB 0581-0178 · Object 16117901.
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Document Metadata
| File Type | application/msword |
|---|---|
| File Title | WMB FORM NO |
| Author | Jodi Newman |
| Last Modified By | Writer |
| File Modified | 2010-02-25 |
| File Created | 2026-10-17 |
| Conversion State | complete |
Extracted Text
California Walnut Board OMB NO. 0581-0178 101 Parkshore Drive, Suite 250 CWB Form #6 Folsom, CA 95630 Due Date: ____________ Ph (916) 932-7070 Fax (916) 932-7071 Month: _______________ REPORT OF MERCHANTABLE WALNUTS SHIPPED This report of merchantable walnuts shipped is submitted in compliance with the requirements of the Federal Marketing Order No. 984, as amended. In executing this form, the handler respectively certifies to the California Walnut Board and to the U.S. Department of Agriculture as to the correctness and completeness of their statement. Instructions: 1. Report inshell and shelled by domestic and export shipments (in pounds). 2. Report all export shipments by country of destination on the attached page. 3. If you did not make any shipments, write “NONE” on the form. 4. Mail a signed original to the California Walnut Board (CWB) office on or before _____________. WALNUT SHIPMENTS (in pounds) Inshell Shelled Domestic Export TOTAL Handler: _______________________________________________________________________________ By: ___________________________________________________________________________________ Title: ____________________________________________ Date: _______________________________ The making of any false statements or representations in any matter within the jurisdiction of any agency of the United States, knowing it to be false, is a violation of Title 18, Section 1001, United States Code, which provides for a penalty of a fine of $250,000 for individuals and $500,000 for organizations or imprisonment of not more than five years, or both. OMB NO. 0581-0178 CWB Form #6 Due Date: ___________ Month: _______________ SHIPMENTS BY COUNTRY OF DESTINATION INSHELL (Pounds) SHELLED (Pounds) INSHELL (Pounds) SHELLED (Pounds) NORTH AMERICA OTHER EUROPE Canada Austria Mexico Canary Islands EUROPE Malta Belgium Norway Denmark Sweden France Switzerland Germany CENTRAL & SOUTH AMERICA Greece Brazil Italy Chile Netherlands Ecuador Portugal Panama Spain Venezuela U.K. MIDDLE EAST/AFRICA PACIFIC RIM Egypt Australia Israel China Jordan Hong Kong Morocco Japan Saudi Arabia Korea Turkey Philippines U.A.E. Singapore OTHER (please list): Taiwan TOTALS