Vegetable and Specialty Crops Mandatory

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STATEMENT OF PROPOSED DISPOSITION OF SUBSTANDARD PRUNES

Date: ___________________________

TO: 	Prune Marketing Committee 				PMC Approval Number: ____________
3840 Rosin Court, Suite 170
Sacramento, CA 95834

The undersigned hereby certifies to the United State Department of Agriculture and to the Prune Marketing Committee (Committee) for himself/herself and for and on behalf of _____________________________ (Handler) that the undersigned has purchased _________ pounds of substandard prunes on or about _______________, 20___, and that said prunes, subject to approval by the Committee, will be shipped to and converted by ___________________________________________________________________________ (Name and Address of Converter) into _________________________________________________ (usage).

Firm or Individual: _____________________________________________________________________

Address: _____________________________________________________________________________

By: ___________________________________________	Title: ___________________________

IMPORTANT NOTICE:  The issuing 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 or imprisonment, or both. 

This report is required by law (7 U.S.C. 608(d), 7CFR 993.50(e), 993.150(e)(1)(ii)). 

FAILURE TO REPORT can result in a fine for each such violation and each day during which such violation continues will be deemed a separate violation. 

This information is required to obtain authority from the Committee to dispose of substandard prunes and it will be used for that purpose. 







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