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Send one signed copy no later than the 16th of each month to:
CALIFORNIA DATE ADMINISTRATIVE COMMITTEE
P.O. Box 1736
Indio, CA  92202-1736
Tel: (760) 347-4510  Fax: (760) 347-6374

MONTHLY REPORT OF ACQUISITION AND DISPOSITION OF DATES

The following is a report of the total amount of dates acquired and disposed of during _________________ (month).

Deglet Noor
Halawy
Khadrawy
Zahidi

State in terms of whole dates (divide quality of pitted dates by .83 to determine whole date equivalent quantity)
Field Run received at packing house (your own production and/or field run purchased from other growers)




Dates Purchased from Other Handlers – InterHandler Transfers
Certified Domestic and Canadian (DAC)




Certified Further Processing (FP)




Certified EXPORT




Certified PRODUCTS




Graded (Grade only, has not been USDA inspected and certified)




Field Run




Date Sales or Dispositions
Domestic and Canadian (DAC)




Further Processing (FP)




EXPORTS




PRODUCT SOLD (whole date equivalent of products sold and/or sold to an approved manufacturer)




Exempt Sales




InterHandler Transfer – Graded (Grade only, has not been USDA inspected and certified)




InterHandler Transfer – Field Run




Cull Disposed




TOTAL SOLD OR DISPOSED




I hereby certify to the U.S. Department of Agriculture and to the California Date Administrative Committee that the information contained in this report is complete and accurate.

Handler: ___________________________________________	Date: _______________________________
By: _______________________________________________ 	Title: _______________________________

The making of false statement or representation on this form, knowing it to be false, is a violation of title 18 section 1000 of the United States Code, which provides for the penalty of a fine or imprisonment, or both.  This report is required by law (7 USC 608(d), 7 CFR 987.51, 987.151).  Failure to report can result in a fine for each violation and each day during which such 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 0581-0178.  The time required to complete this information collection is estimated to average 30 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 of 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, political beliefs, genetic information, 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.