CN-383-I HVI Verification Cotton Order Form

---

Overview

Sheet1
Sheet2
Sheet3

---

Sheet 1: Sheet1

REPRODUCE LOCALLY

UNITED STATES DEPARTMENT OF AGRICULTURE

AGRICULTURAL MARKETING SEVICE

COTTON AND TOBACCO PROGRAMS

DATE:

ORDER #

Standardization & Engineering Branch

DO NOT WRITE IN THIS SPACE

3275 Appling Rd.

Memphis, TN 38133

Telephone:(901) 384-3030

Fax: (901) 384-3032

E-mail: [email protected]

HVI Verification Cotton Order Form

ITEM

STAPLE

HVI UHM LENGTH in.

QUANTITY

DOLLAR AMOUNT

R1

30

0.93-0.95

R2

31

0.96-0.98

R3

32

0.99-1.01

R4

33

1.02-1.04

R5

34

1.05-1.07

R6

35

1.08-1.10

R7

36

1.11-1.13

R8

37

1.14-1.17

R9

38

1.18-1.20

Totals:

Each HVI verification cotton comes with established values for length, uniformity index, strength and micronaire. Exact test values for each verification cotton are shown on the label of each sample These values are established by designated laboratories. The samples are raw cotton.

PRICES: The price of each X pound sample includes packaging, handling, and delivery where stated. Fumigation (if needed) is a minimum of $XX.XX per order. Phytosanitary Certificate (if needed) is $XX.XX

PAYMENT MUST BE SUBMITTED WITH ORDER. WE DO NOT ACCEPT LETTERS OF CREDIT.

CHECK MUST BE DRAWN ON A U.S. BANK PAYABLE TO: USDA, AMS, COTTON PROGRAM.

ACCT. NO.

EXPIRES

SIGNATURE

UNITED STATES

EXPORT

…………..$ XXX.XX

………..….$XXX.XX

SHIP TO (print or type)

---

Sheet 2: Sheet2

							ORDER #
TELEPHONE:(901) 384-3030			UNITED STATES DEPARTMENT OF AGRICULTURE
FAX: (901) 384-3032				AGRICULTURAL MARKETING SEVICE
				COTTON PROGRAM
U.S. Separtment of Agriculture
Agricultural Marketing Service
Cotton Program
Standardization and Quality Assurance Branch
(Standardization)
3275 Appling Rd.
Memphis, TN 38133
			* * For Internal Use Only * *
	8 X 8 COTTONS				EVALUATION COTTONS
	R	STAPLE	BALE #	POUNDS	S	STAPLE	BALE#	POUNDS
	1	30			1	30
	2	31			2	31
	3	32			3	32
	4	33			4	33
	5	34			5	34
	6	35			6	35
	7	36			7	36
	8	37			8	37
	9	38			9	38
					10	Low Mic
					11	High Mic
	IN-HOUSE CHECK COTTONS
	T	STAPLE	BALE#	POUNDS	T	STAPLE	BALE#	POUNDS
	1	32			4	35
	2	33			5	36
	3	34			6	37
	SHIP TO (Print or Type)
	NAME:
	STREET ADDRESS(necessary)					(SIGNATURE OF APPLICANT)
	POSTAL BOX		CITY			(STREET AND NO.)
	STATE, COUNTRY, AND ZIP CODE					(CITY, STATE, AND ZIP CODE)

---

Sheet 3: Sheet3

							ORDER #
TELEPHONE:(901) 384-3030			UNITED STATES DEPARTMENT OF AGRICULTURE
FAX: (901) 384-3032				AGRICULTURAL MARKETING SEVICE
				COTTON PROGRAM
U.S. Separtment of Agriculture
Agricultural Marketing Service
Cotton Program
Standardization and Quality Assurance Branch
(Standardization)
3275 Appling Rd.
Memphis, TN 38133
			* * For Internal Use Only * *
	8 X 8 COTTONS				EVALUATION COTTONS
	R	STAPLE	BALE #	POUNDS	S	STAPLE	BALE#	POUNDS
	1	30			1	30
	2	31			2	31
	3	32			3	32
	4	33			4	33
	5	34			5	34
	6	35			6	35
	7	36			7	36
	8	37			8	37
	9	38			9	38
					10	Low Mic
					11	High Mic
	IN-HOUSE CHECK COTTONS
	T	STAPLE	BALE#	POUNDS	T	STAPLE	BALE#	POUNDS
	1	32			4	35
	2	33			5	36
	3	34			6	37
	SHIP TO (Print or Type)
	NAME:
	STREET ADDRESS(necessary)					(SIGNATURE OF APPLICANT)
	POSTAL BOX		CITY			(STREET AND NO.)
	STATE, COUNTRY, AND ZIP CODE					(CITY, STATE, AND ZIP CODE)