F/H Form C(3) Hazelnuts Acknowledgement of Bonding Requirement

Vegetable and Specialty Crops

FH Form C(3) Acknowledgement of Bonding Req (01-14)

Vegetable and Specialty Crops Mandatory

OMB: 0581-0178

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OMB NO. 0581-0178

HAZELNUT MARKETING BOARD

21595-A Dolores Way NE

Aurora, OR 97002-9738

Tel: (503) 678-6823

Fax: (503) 678-6825


ACKNOWLEDGE OF BONDING REQUIREMENT


Number __________________


Issued to:


This will acknowledge receipt of the “Hazelnut Marketing Board Bonding Undertaking,” F/H Form C, together with the “Hazelnut Marketing Board Bond,” F/H Form C(1) and/or F/H Form C(2), and finding no evidence to the contrary, handler stated above, to become effective:



_____________________________________


and to terminate on


____________________________________


Your limit of outstanding liability at any one time will be __________________ pounds.


HAZELNUT MARKETING BOARD


By ____________________________________

authorized agent


Date of issue ______________ 20_____.

F/H Form C(3) (Rev. 01/2014) Destroy previous editions.

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorLonna Severson
File Modified0000-00-00
File Created2021-01-26

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