CIAB 3A Report of Export Sales Activity

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CIAB

FORM #3A

OMB # 0581-0177

Crop Year

EPORT OF EXPORT SALES ACTIVITY

Cherry Industry Administrative Board

P.O. Box 388, DeWitt, MI 48820-0388

Tel: 517/669-1070 Fax: 517/669-1260

Handler: _______________________________________________________________ Handler ID# ____________

Address: ________________________________________________________________________________________

City, State Zip: ________________________________________________________________________________________

Telephone No.: ________________________________________

PORTS of ENTRY* (Report in Units)	Hot Pack	IQF	5 + 1	Dried	Other	Total
Europe
Belgium
France
Germany
Netherlands
United Kingdom
Other(s) (specify)
ST Europe
Pacific Rim
Australia
Hong Kong
Japan
Korea
Singapore
Taiwan
Other(s) (specify)
ST Pacific Rim
North America
Canada
Mexico
ST N. America
South or Central America
Other(s) (specify)
ST S. or C. America
Mid. East and Africa
Egypt
Israel
Saudi Arabia
Other(s) (specify)
ST Mid. East/Africa
Grand Total

The undersigned hereby certifies to the Secretary of Agriculture and the Cherry Industry Administrative Board that this is a true and correct statement of the sales activity of this handler for the listed years.

By:

Title:

Date:

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 0581-0177. The time required to complete this information collection is estimated to average 5 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.

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(REV 2013)