FV-141 Walla Sweet Onions Handlers Statement of Onion Shi

OMB No. 0581-0178

WALLA WALLA SWEET ONION MARKETING COMMITTEE

P.O. Box 644, Walla Walla, WA 99362

Phone (509) 525-1031 / Fax (509) 522-2038

HANDLER’S STATEMENT OF WALLA WALLA SWEET ONION SHIPMENTS

HANDLERS of Walla Walla Sweet Onions, as defined by Marketing Order No. 956, are required to submit this statement, along with all assessments due, to the Walla Walla Sweet Onion Marketing Committee, by September 30, for onions handled prior to September 1 of each year. For sweet onions handled September 1 or later, an additional statement and assessment payment must be submitted no later than thirty (30) days after the end of the month in which the sweet onions were handled.  Delinquent accounts will be charged interest at the rate of 1.5% per month.  Walla Walla Sweet Onions include all varieties of Allium cepa grown within the production area, except Spanish hybrid varieties (see section 956.4 and 956.5 of the Marketing Order).

ENCLOSED FIND A CHECK or MONEY ORDER FOR $ __________________________. The enclosed check/money order is payment in full for assessments owed for all assessable shipments of Walla Walla Sweet Onions made during the current marketing season. Assessments were calculated from handling sweet onions from the following producers:

PRODUCER No. of 50 lb Equiv. PRODUCER No. of 50 lb Equiv.

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(Please use extra paper for additional entries)

This is to certify that ________________________________ shipped ___________________ 50 lb equivalencies

Handler Total Amount

of Walla Walla Sweet Onions at $_____ per 50 lb equivalency during the current season as indicated below, noting number of 50 lb equivalencies shipped to each region during each week. (Note: Roadside stand sales and gift box sales are exempt from reporting region shipped, but must still report number of equivalencies shipped each week.)

WEEK ENDING No. of 50 lb Equiv. REGION SHIPPED

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(Please use extra paper for additional entries)

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Signature Date Address

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 0581-0178. The time required to complete this information collection is estimated to average 40 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.

FV-141 (Rev. 10/2010. Destroy previous editions.)