CAC 302 (905) FL. Citrus-- Report of Red Grapefruit Shipments by

OMB No. 0581-0189

CITRUS ADMINISTRATIVE COMMITTEE

P.O. Box 24508

Lakeland, FL 33802-4508

Phone: (863) 682-3103

Fax: (863) 683-9563

[email protected]

REPORT OF RED GRAPEFRUIT SHIPMENTS BY DAY AND REGULATION WEEK

SIZE 48 AND SMALLER RED GRAPEFRUIT

The Citrus Administrative Committee (Committee) regulation governs the reporting of the quantity of size 48 and smaller red grapefruit, as regulated by a percentage of shipments. Each handler shipping red grapefruit interstate and to export markets must report the daily quantity shipped of size 48 and smaller grapefruit, and all regulated red grapefruit shipments, on this form.

Handler Name:

Phone No. (_____) - ________________________ Fax No. (_____) ________________________

1. Circle regulation week of shipments:

12 13 14 15 16 17 18 19 20 21 22

2. Circle the day the grapefruit was shipped:

Monday Tuesday Wednesday Thursday

Friday Saturday Sunday

3. For interstate shipments of red grapefruit:

number of cartons of size 48 and smaller red grapefruit shipped: _________

total shipments (all sizes): __________

4. For export shipments of red grapefruit

number of cartons of size 48 and smaller red grapefruit shipped: _________

total shipments (all sizes): __________

Sign and fax this form to the Committee. This form must be completed and received by the Committee no later than 2:00 p.m. on the business day following the shipments.

I (we) certify to the Committee and the Secretary of Agriculture that this fruit is shipped in accordance with the current Marketing Order regulations. I (we) realize that the making of a false statement, knowing it to be false, is a violation of title 18, section 1001, of the United States Code, among other statutes, which provide for fine and imprisonment.

Handler’s Name: ___________________________ Authorized Signature _________________________

NOTE: According to the Paperwork 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 0581-0189. The time required to complete this information collection is estimated to average 5 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, genetic information, political beliefs, 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 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.

CAC Form 302 (Rev. 7/10. Destroy previous editions.)