Report of Route Disposition into Federal Milk Marketing

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

rt disp fmmo_11-02-10

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

OMB: 0581-0032

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UNITED STATES DEPARTMENT OF AGRICULTURE
'1930-220th St. SE, Ste. 102

Bothell, WA98021-8471
Phone: (425) 487-6009
Fax: (425) 487-2775
E-mail: [email protected]

AGRICULTURAL MARKETING SERVICE
DAIRY PROGRAMS

10050 N 25th Ave., Ste. 302
Phoenix, 42 85021-1664
Phone: (602) 547-2909

FEDERAL MILK ORDERS I24

& I3I

Fax (602) 547-2906
E-mail: [email protected]

Report of Route Disposition lnto Federal Milk Marketing Orders

Note: This cover page is for information purposes only and does not need to be submitted to the market administrator's office.

According to the Paperuvork 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 30 minutes
per response, including the time for reviewing instructions, 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 information, 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) 7202600 (voice and TDD). To file 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. 2O2SO-9410, or call (866) 632-9992
(English) or (800) 877-8339 (TDD) or (866) 377-8642 (English Federal-relay) or (S00) 845-6136 (Spanish Federat-retay). USDA is
an equal opportunity provider and employer.

UNITBD STATBS DEPARTMENT OF AGRICULTURB
AGRICULTURAL MARKETING SERVICE

Form Approved, OMB No. 0581-0032

DAIRY PROGRAMS

1930-220th St. SE, Ste.102

10050 N 25th Ave., Ste. 302

Bothell, W A 98021 -847'l

Phoenix, A285021-1664
Phone: (602) 547-2909

Phone: (425) 487-6009

FEDERAL MILK ORDERS I24

Fax: (425) 487-2775

&

13I

Fax: (602) 547-2906

E-ma il: [email protected]

E-mail: [email protected]

This repoft ¡s required by the order in accordance with 7 U.S.C. 608c and d. Faiture to repoñ can result in fl¡e assessment of a civit penalty
of up to $1,000 per day (7 U.S.C. 608c (14) (B)) or upon conviction, tn a fine of up to $5,000 per day (7 U.S.C. 608c (14) (A)).

Partially Regulated Distributing Plant
Report of Route Dispositions lnto Federal Milk Marketinq Orders

Handler

:ederal Order:
Product Pounds

Product

Delivery Period

Fat Pounds

Federal Order:
Product Pounds

Fat Pounds

FederalOrder:
Product Pounds

-lomo - Whole

lomo-Whole-Oroanic
Flavored Milk
Flavored Milk - Oroanic
2% Reduced Fat - Plain
2% Reduced Fat - Fortified
2% Reduced Fat - Organic

1% LowFat - Plain
1% LowFat - Fortified

'l% LowFat - Oroanic
Skim Nonfat - Plain

ikim Nonfat - Fortified
Skim Nonfat - Orqanic
Flavored Drink
:lavored Drink - Oroanic
-iouid Yoourt
-iquid Yoqurt - Orqanic
Buttermilk - Plain
3uttermilk - Whole

luttermilk - Orqanic

Tota

Signature

Date

Fat Pounds


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File Modified0000-00-00
File Created2010-11-02

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