MA-B Brokerage Report

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

ma b_11-02-10

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

OMB: 0581-0032

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TEDERAIJ

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MIIJK oRDER No. 1

satl SæL
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89

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1bL: (6ú) ?3?-A99

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Fors Àpp:ovcd,
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7 û.S.C. 60& ¿rd d. ãije
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þ Ss,m Þc¡ d¡t t? u.S.C. 60sc tIlN)..

[email protected]:
Sq 25829
Àføèja, \Â, 2?3u-se2g
ibl.: (?05) 99-?0co
P.O,

R*üt. a ràis fom all ¡ìæsts of b.nk fiuid nùk pcdrs
dd fluid aH I¡ædEts tr* aÈ )ür diæctio, for rûìic*t .'ol
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to ¿l€ ab@e address cn or befæ tlE 10th of tÌE mth
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BROKERAGE REPORT
REPORÎ OF PRODUCT MOVEMENTS NOl OT¡¡ER¡TXSE

FU lbnth of

SHIPPER
Tank Un¡t Nâmc

* s**;l
"Rrts

RECEIVER

Plant Locat¡on or Bulk

{endler Name

REPORTED

n
1". r,""

Côd.

Flândler Nâñê

PRODUCT
Pounds of
Plant Locafion

Product

NÉ

ir',

l:

.,I

iiå
t¡ ûê
dry (?
of Þ

Pounds of
Butterfat

Class

$HIPPER

RECEIVER
Tank Un¡t Name

Hendler Neme

Code

PRODUCT

Handler N

Pounds of

Plant Location

Name

Pounds of

Product

Butterfât

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