Download:
pdf |
pdfUSDA
Un:kxj SUlkS OcplllntlJllt 01~1CIJ!tur.
iiIiii
Agricultural
Markellng
WeeKLY eurres
Identlflc:atlon
Number
Compzlf'lY Name
Phlnt Street Address
Plllnt City
I.
2.
3.
4.
..
DUSDA
OUSDA
1600 West 52nd St
l.linntllPotis
Report
Week Ending
Oate
101/21/2015
Pounds Sold
I
I••
Totel
11.
TotlilDollDrl
I
12.
Price Per Pound
I
Product
FORM APPROVED.
~~~,
REPORT
by noon on Tuesdav
uetess
I'lli
I
I
I
I Feder"
5.
Plant State
Plant Zip Code
Contact Name
phone Number
s.
r,
i
8.
HolidlY flll~ on Mond •••• through Wednesday.
Prior te the beginning
of Ileh cllend.r
J• Commen"
I
I
Calculate
- OMS NO. 0581·0274
colleet.::.o::t is utitt',at'!d to
a','er6Q'e 20$ lTJ.nucu PI!!
1"1.90:,)",
:.nc'<,;clir,q y~je eime
Service
(500
I\,
'Y
""
55431
vear, A.I-1Sshell reteese
cn..,ct.",
the tiM,ts and eeres that reserts
Ire due.
'I
m.xlmum)
DOllars!
Calculat. Price
I
Specifications
Report:
Exclude:
• Silted
buttet· (SO% blltt~rfat),
• Pnte and Quantity for butter
• snee as either f.e.b.
• Complete
plint
tr.,nHctiont,
fre!;h or !;tor'ge,
in 2S kilogram
if
the product
me-elin; USDA GrtOIl AA standartfs.
.and 68 pound
, Forward
boxes.
Is "&hlIl'Pltd "ut" iTom a plant or f.o.b. storage
i.e. butler It! "t!nipped out" and tltle tr~nsffr
prldng
• 1ntra-company
facility
If the product is "shipped
out" from a :storaoe f!cilitv.
eeeurs.
• Re-lltes
SIllies: setes in whith the sellil'\O once is utlbli&h,d
of purchued
• Butte! certified
• Brokere"e
fee.
• ClearIng
c.haron
!:laid by the m&nl,lflcturer.
by I USOA·accredited
, S.ale:s under the Dalrv Export tncenuve
Workino
Together
(CWT) otOgr&m).
o4id b-y the nl&l1uf"cturer.
Record.:
• ead,
oerton reQ'J!red to rep:,rt inform,ation on this .&1,lrveysh.,U mlint"in,
.and malee Ivailable to the US Secretory of Aorlcultvre on reecest, on9inf1
COlltract5, ellreemenb,
receIpts. and other records aHoci.ated with the sete of quahfie:d dairy oroducts durlnV the t••.•.
e-ree •. llenod beQin"ino on the date of
the ,nation of the eeceree.
00 you under.tend
OY201 (07/11)
the
Instructions
Bnd requirements
of submittIng
thl.
30 or tUore daY_$before the trennetion
"eomolete-d.
butter.
.lISorganic
• Salu of butter produced under faith-based
boSSu: comrl10dlty (for example, kosher butter
00 Not Deduct:
(~nd not adju~ted)
sates of butter.
Information?
~
Clwtify,no agtnt.
close lupervlslon
end mllrketed
at a hioher price thilln the manuflctul"er'$
wholesllie
productd
with. rebbl on .Jlte 1'0',",0 is IJwolved In $l,IPl!rv!1j10n 01 the production
J)roce$s).
Program
(DElI')
or othu
OremlUtn
aS$isted s.ales
(exi!lmple: .xoort
eastsrence
mlri<'lIIt priCt for tI
s!le, throl,lr,lh tht- ceenerauve
Form DY201 - Weekly Butter Report
The following
statements
are provided in a scroll-down
box in the upper right hand corner of the form.
"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
number.
The valid OMB control number for this information
to complete this information
"The U.S. Department
collection is 0581-0274.
The time required
collection is estimated to average 25 minutes per response, including the
time for reviewing instructions,
needed, and completing
unless it displays a valid OMB control
searching existing data sources, gathering and maintaining the data
and reviewing the collection of information."
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,
because all or part of an individual's
prohibited
political beliefs, reprisal, or
income is derived from any public assistance program.
bases apply to all programs.)
communication
genetic information,
of program information
Persons with disabilities who require alternative
(Braille, large print, auditotape,
(Not all
means for
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. 20250-9410, or call
(800) 795-3272 (voice) or (202) 720-6283 (TDD). USDA is an equal opportunity
provider and employer."
File Type | application/pdf |
Author | USDA |
File Modified | 2015-02-04 |
File Created | 2015-02-04 |