Vegetable and Specialty Crops Mandatory

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PRUNE MARKETING COMMITTEE 	PMC Approval No.:_______________
3840 Rosin Court, Suite 170
Sacramento, CA  95834

FOREIGN EXPORT NOTICE OF USAGE OF SUBSTANDARD PRUNES 
FOR MANUFACTURING PURPOSES

NOTE:  Do not complete or forward until this entire shipment of prunes has been used. 

CERTIFICATION:	 The under signed hereby certifies to the United States Department of Agriculture and to the Prune Marketing Committee (Committee) that the following described shipment of dried substandard prunes has been used for the following manufacturing purpose: ___________________________________________
Date prunes were received: ______________________________________________________________
Net weight used: _______________________________________________________________________
Date usage was completed: ______________________________________________________________
Name and address of processing firm: ______________________________________________________
Name and address of purchasing firm: _____________________________________________________
Signed: __________________________	____	Title: ___________________	Date: ______________
INSTRUCTIONS:  Complete in triplicate immediately upon usage of the described dried substandard prunes.  Return the original to the Committee.  Return a copy to your supplier, and retain a copy for your records. 

IMPORTANT NOTICE: This report is required by law (7 U.S.C. 608(d), 7CFR 993.50(e), 993.73 and 993.150(e)). 

FAILURE TO REPORT can result in a fine for each such violation and each day during which such violation continues shall be deemed a separate violation.  The issuance of a false certificate, knowing it to be false, is a violation of title 18, section 1001 of the United States Code, which provides a penalty of a fine or imprisonment, or both. 






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To file a complaint of discrimination, write to USDA, Director, Office of Civil Rights, 1400 Independence Avenue, S.W., Washington, D.C. 20250-9410, or call (800) 795-3272 (voice) or (202) 720-6382 (TDD). USDA is an equal opportunity provider and employer.