Form FV-279A 917-Producers List for Referendum (Peaches)

REPRODUCE LOCALLY. Include form number and date on all reproductions. OMB No. 0581-0189

UNITED STATES DEPARTMENT OF AGRICULTURE

AGRICULTURAL MARKETING SERVICE

FRUIT AND VEGETABLE PROGRAMS

PRODUCER LIST FOR REFERENDUM ON MARKETING ORDER NO. 917 (Peaches)

Furnished Pursuant To Paragraph No. 2 of Cooperative’s Official Ballot

SHIPPED
PRODUCER’S NAME	AFFILIATION1	VOLUME FILL CARTONS	2-LAYER LUGS	35-16 CARTONS	FLATS	OTHER CONTAINERS (lbs)

¹Insert “M” if a member, “S” if a stockholder, or “C” if under contract with the cooperative association.

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 OMS control number. The valid OMS control number for this information collection is 0581-0189. The time required to complete this information collection is estimated to average 1 hour 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; 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.

FV-279A (Rev. 7/10. Destroy previous editions.)