MA 201 Notification of Producer Change(s)

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

ma 201_11-02-10

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

OMB: 0581-0032

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to: Federal Milk Order No. l-Northeast Marketing Area

MA 2OI
FomAppþved, OMB No. 0581-0032
This cport is ßqu¡red by the Order ¡n
a@rdanæ wilh 7 U.S.C. 608c and d.
Fa¡lurc to ßport en resull ¡n tho
assessment of a c¡v¡l penalty of uÞ to
51,000 pêr day (7 U.S.C. 608c (r4XB))
or, upon @nviction, ¡n a line ol up to
s5,000 pef day (7 u.s.c. 608c (14xA)).

3024 Washington Avenue Ext.
Albany, NY 12203-7303
Tel: (518) 4524410-Fax (518) 464-ô468
Email: [email protected] Website: www.fmmone.com

Submitting Handler

f--l
l-l
co¡ng Out of Business f--l
Dairy Farmer for Other Market Re-association
l---l

Notification of Producer Ghange(s)

Newproducer

Address or Name Change

lnstructions: on or before the 9th day after the end

of the month, each handler shall
report to the Market Administrator all producer changes in farm operators.

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