FV-215 915-Avocado Handler's Weekly Report Form

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

U.S. DEPARTMENT OF AGRICULTURE AGRICULTURAL MARKETING SERVICE FRUIT AND VEGETABLE PROGRAM

AVOCADO HANDLER’S WEEKLY REPORT

Avocado Administrative Committee P.O. Box 900188 Homestead, FL 33090-0188 Tel: (305) 247-0848

WEEK BEGINNING SUNDAY

WEEK ENDING SUNDAY

NAME

ALL AVOCADOS RECEIVED DURING THE WEEK ABOVE, INCLUDING THOSE PICKED FROM YOUR OWN GROVE (Enter each regulated variety separately, all seedling, all in 55 # boxes). If avocados were sold to another handler, only the first handler reports.

VARIETY

QUANTITY

VARIETY

QUANTITY

VARIETY

QUANTITY

DISPOSITION OF AVOCADOS NOT PACKED IN REGULATED CONTAINERS (Please list date and method of disposition of fruit, such as: returned to grower, dumped, sold locally, etc.)

DATE

DISPOSITION

QUANTITY

DATE

DISPOSITION

QUANTITY

INSTRUCTIONS: Complete, and return this form to the Avocado Administrative Committee. Check here □ if more forms are needed. This information is necessary to verify compliance with provisions of the Marketing Order. Failure to report can result in a fine of not less than $50.00 and not more than $5,000 for each such violation, and each day during which such a violation continues shall be deemed a separate violation.

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 6 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 USDA, Director, Office of Civil Rights, 1400 Independence Avenue, SW, Washington, DC 20250-9410 or call (800) 795-3272 (voice) or (202) 720-6382 (TDD). USDA is an equal opportunity provider and employer.

FV-215 (Rev. 9/13. Destroy previous editions.)