FV-266-7 920-Kiwifruit End of Season F.O.B. Sales Rept.

OMB No. 0581 - 0189

END OF SEASON F.O.B. SALES REPORT INSTRUCTIONS

1.

Enter appropriate Handler/Marketer information.

2.

Across the top of columns, enter the type of pack styles shipped during the crop year. Select pack styles from list below.

3.

For each pack style, enter the total number of containers shipped and gross FOB sales by size for the given crop year.

4.

Sign and date report.

Description

Enter this pack style on report

9kg (19.8 lb.) Volume Fill

Volume Fill

Single layer tray

Trays

Container with 3-layers

3-Layers

125 lb. Bins

Bins

Master Container with 20 - 1 lb. Bags

20/1# Bags

Master Container with 10 - 1kg Bags

10/1kg Bags

Master Container with 6 - 4lb. Clams

6/4# Clams

Master Container with 6 - 3lb. Clams

6/3# Clams

Master Container with 27 -.8lb Clams

27/.8# Clams

Master Container with 18 - 8 ct. Clams

18/8ct. Clams and net wt. of master container

Master Container with 20 - 6 ct. Clams

20/6ct. Clams and net wt. of master container

Returnable Plastic Containers, 9kg

RPC 9kg

Containers with 2-layers

2-Layers and net wt. of container

Euro Containers, Must include description and net wt. (i.e. Euro 2-layers, 20# )

Type and net wt. of container

Any other container type/consumer pack must include the description and container net wt.

Type and net wt. of container

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 45 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.

E ND OF SEASON F.O.B. SALES REPORT CROP YEAR 20__/20__ Report is due within 30 days after all fruit has been shipped
Kiwifruit Administrative Committee (KAC) 1521 "I" Street, Sacramento, CA 95814 Phone #: (916) 441-0678; Fax #: (916) 446-1063 Email: [email protected]			COMPANY:
			CONTACT:
			PHONE NUMBER:
		PACK STYLE - ENTER PACK STYLES AT THE TOP OF EACH COLUMN
SIZE
18+	(# of Containers)
	Gross FOB Sales
20	(# of Containers)
	Gross FOB Sales
23	(# of Containers)
	Gross FOB Sales
25	(# of Containers)
	Gross FOB Sales
27/28	(# of Containers)
	Gross FOB Sales
30	(# of Containers)
	Gross FOB Sales
33	(# of Containers)
	Gross FOB Sales
36	(# of Containers)
	Gross FOB Sales
39	(# of Containers)
	Gross FOB Sales
42	(# of Containers)
	Gross FOB Sales
45	(# of Containers)
	Gross FOB Sales
TOTALS	(# of Containers)
	Gross FOB Sales
I hereby certify to the best of my knowledge and belief that this report is true and complete. I understand that records from which this report is compiled are subject to audit and must be preserved for a period of two years:
Date:		Signature:						Title:

FV-266-7 (Rev. 9/13. Destroy previous versions.)