Form 1 Report of Receipts & Utilization (Suplements A,B,C & D)

Report Forms Under Milk Marketing Order Programs (From Milk Handlers and Milk Marketing Cooperatives)

form 1_11-02-10

Report Forms Under Milk Marketing Order Programs (From Milk Handlers and Milk Marketing Cooperatives)

OMB: 0581-0032

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1325 lndustrial Parkway North

Un¡ted St¡aes Depirtment of

P.O Box 5'102

Âgriculturc

Fom approved. OMB 0581"0032

AGRICULTURAL MARKÊTING SERVICE

Brunswick, Oh¡o 44212

DAIRY PROGRAMS

Phone: 330/225-4758

Mideast Mârket¡ng Area

Toll Free: 888ø513220

Fom I

Federal Order No. 33

Fex; 330/2206675
Emai¡:

[email protected]

REPORT OF RECEIPTS AND UTTLTZATION

HANDLER

MONTH
This repol ¡s required by the order in ac@rduæ with 7 U S C. 608c

ild d.

Fülure ro repon

co rsult

¡n the

ðsçsment of

pcnaltyofuptoSl,000perday(7U.S.C ó08c(l4XB))or,upononviction,inafincofuplos5,00Operday(7U.S.C

-

Clðs Il

Used to Produæ

Lâbeled P.oducts From Any Ordcr Pc¡ Scc 43(d)

Olher RcceiDts of Fluid l\tilk ¡nd Cream Prcducts

Hddleror Plüt nd L@tion

lnvenrory - Bulk Fluid Milk Products æd Bulk Fluid

Total Re(e¡Dts From All Sources

Cr@

Producß

a

crvi¡

6O8c(taX¡t))

According to the Papenruork 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 0581-0032. The time required to complete this information
collection is estimated to average 1.5 hours per response, including the time for
reviewing ínstructions, 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, political beliefs genetic ínformation, 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 fíle a
complaint of discrimination, write to USDA, Assistant Secretary for Civil Rights, Office
of the Assistant Secretary for Civil Rights, 1400 lndependence Avenue, S.W.,
washington, D.c. 20250-9410, or call (866) 632-9992 (English) or (800) 877-8339
(TDD) or (866) 377-8642 (English Federal-relay) or (800) 845-6136 (Spanish Federalrelay). USDA is an equal opportunity provider and employer.

CLASS I ROUTE DISPOSITION

Flavorcd'Wholc Mi lk Proclucts

2% Reduced Fat Milk - No Solids Addcd
270 Iìeduccd Fat

Milk - Solids Added

l% Lorvfat Milk - No Solids Added
l% Lowfat Milk - Solids Addcd

Milk - No

I/2oá Lorvfat

Solids Addcancake

049

59(

Concentrated Product Used to Produce Class II

049

970 Skin Milk Equiv. of Nonfat Solids Added Cl. Il - Used to procluce lrcrns Only

Icc Crcanì Mixes

& Iliscuit Mixes

0

049

'l'otâl Clâss

ll

0

0

CLASS

III DISPOSITION

REPORT VOLUME USED 1'O PRODUCE

Other

:

Ident

Concentrated Products Used to

CLASS IV DISPOSITION
Sec

Item

08r

400

08r
08r

620

Nonfat Dry Milk

600

Whole Milk Powder

08r

590

Concentrated Products Used to Pr.oducc Class IV product

081

970
975

Skim Milk Equivalent ofNonfat
Ending Inventory of Bulk Fluid Milk

08r

REPORT VOLUME USI]D TO PRODUCE

Producl

Butter
Milk Ploduct in Dried Form:

Sffi
prffi

Total Class IV

POUNDS
Butterfàt

0
0

0

0

0

BULK FLUID MILK PRODUCTS AND DIVERSIONS TO COMMERCIAL FOOD PROCBSSORS
o
Bulk
IlDiv.
POUNDS
Sec.

Itenl

I-{dlr

069

070

32t

069

050

321

Name and Location

or Div.

F or 'l'

Total to Co¡nmercial Food Processor

to Lowest Price Class For Month
of as Livestock Irced
Lost in vchicular accident, flood, fir.e or.sinrilar occurrence

d handler control

Product

Butteliàt

0

0

MILK DIVERTED FROM FARMS TO OTHER PLANTS
I-IANDLER AND PLANT LOCATION

Total Milk Divcrtcd From Farms

TRANSFERS OF FLUID MILK PRODUCTS AND BULK FLUID CRBAM PRODUCTS TO OTHER PLANTS

For \44 Ilsc Onlv
Sec Item O lldlr

I-IANDLER AND PLANT LOCA]ION

Total Transfers of Fluid and Bulk FIuid Cream Products

Product

Bulk

Class

or Pks.

Reo.

POUNDS

l'roduct

Iluttelfat

0

0

RECONCILIATION OF NONFLUID PRODUCTS
.[ìf

Identiñ Bv Source

Porvder

Pase 5

Powdcr

Powdcr

Plant ldentification
Opening lnventory
2

Own manufacture

3

Purchascs

4

Sales

(

)

6

)

(

TOTAL TO ACCOUn-T FOR

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

(5)

Used in Class I - Fortif,i
Used in Class I - Reconstituted
Used in Class I - Labeled Iìeconstiru¡ed Front Unresula¡cd Supnlv plants
Used in Class I - Labeled Reconstituted Fronì A¡ly Ordcr

Uscd in Class Il
2

I

Used in Class III
Used in Class

l5

lV

LUUI\ t llu ljul(

4

Loss or (Cain) - Loss To Receipts

(l)

OTHER SOURCB NONFLUID MILK PRODUCTS TO RECEIPTS AND UTILIZATION
(2)
Product Pounds

Conv. Faclor

Powder -LineTAbove

0

10.54

vuIugu)çq

0

Product

ö ¡\DOVC

Condensed-LineSAbove
Powder - Line l5 (Loss Only)
Condensed - Line l5 (Loss Only)

TO'IAL to Pagc l;
Powdcr-Line

ll

(4)
Equiv. Pour¡ds 12) X (3)

Conv. Factor

l3quiv. to Cl. IV
Pg.3, Sec.08l 970 (2) X (5

0

9.89

0

0

0
n

r0.54

U

10.54

0

0

0
0

0

0

Scc. 004

0

Above

Condenscd - Line I

(3)

0

I Above

10.i4

0

0

'I'OI'AL to Pagc l; Sec. 003 & to Pasc 2; Scc. 049 970
I'OTAL of Line 9 Abovc - to Pase l; Scc. 005 621
-I'OTAL
of Linc l0 Above - to Pagc l; Sec. 006 lorl 007 621

0
0

0

10.54

0

0

r0.54

0

RECONCILIATION OF RECBIPTS AND UTILIZATION
Producl I)ounds

ALL St'UI(UI,5 - TAUI' I
Llass
'agc ¿
'l'otal Class II - Pagc
2
Total Class III - Paee 3
Total Class IV - Pagc 3
Total Bulk FMP and Diversion lo Conì¡n. Food processors - pagc 3
I otal UU¡er Uses, lrags 3

urveneo Ironì ¡arnts - l,agc

4

¡tK ano uutK l.lutd

urcam l,roducts - lraqc

4

T,Il\LUITLI¿AIIUN
OVERÄGE

Jtll(ll\ t(A(;tt
I also

Skinr Pounds

Bulterfat l)ounds

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

ccn¡fy that I an authoûzcd to stgn this rcport.

Nanlc ol'l-landler
(PERSOì\

SICN troR ItANDLER)

^Ul'HORIZED't'O

I)atc

(rr1'LE)

SUPPLBMBNTARY SCHEDULE FOR RBCDIPTS OR UTILIZATION
USE IF ADDITIONAL LINES NBDDBD
For MA Use Onlv
Sec

Item

o
Ildlr

Bulk
I

Iandler or Plant and Location
Coop

TOTAL

Prod.

or

Div.
FM

Class

Pks.

or TK

Iìecl.

POUNDS

Product

lJuttcrfat

0

Protein

0

0

Other

So¡¡atic Cell

Solids

Value + or -

0

$0.00

United States Department of Agriculture
AGRICULTURAL MAIìKETING SEIìVICE

DAIRY PROGRAMS
Midcast i\{arhcting Arca
7851 Freeway Cir.cle
P.O. Box 30128
Clevcland, Ohio 44 I30

Pho¡e: 4401826-3220
'l'oll Free: 888/75 l-3220

Federal Order No. 33

Fax: 440/826-3050

Enrail: clevelandmal

HANDLBR

I\{ONTH

O

BNDING INVENTORY OF PACKAGBD FLUID MILK PRODUCTS
t/2
CODT

ITEÌVI

ll0

Wholc Milk

140

Flavorcd Wholc Milk Products

170

Organic Wholc Milk

2|

2% Reduced Fat Milk - No Solids A
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