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REPRODUCE LOCALLY

ICR 201601-0581-003 · OMB 0581-0178 · Object 61480101.

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File Typeapplication/msword
File TitleREPRODUCE LOCALLY
AuthorVEmmer
Last Modified ByWriter
File Modified2013-12-09
File Created2026-07-15
Conversion Statecomplete
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COOPERATIVE’S CERTIFICATE OF RESOLUTION
Marketing Order No. 946 – Irish Potatoes Grown in Washington

At a duly convened meeting of the Board of Directors of _______________________________________
								Name of Cooperative Association
held at _________________________ on the _____ of _______________, 20___, the following resolution was adopted:

RESOLVED, that we authorize ________________________________________________, who is
				Authorized agent’s name
__________________________________ of the cooperative association, to cast the attached cooperative 
Title
association referendum ballot for the membership of the aforesaid organization.

CERTIFICATION

I, ______________________________________, Secretary of ________________________________, do hereby certify this is a true and correct copy of a resolution adopted at the above-named meeting as said resolution appears in the minutes thereof.

IN WITNESS WHEREOF, I have hereunto set my hand and the seal of said Corporation this _____ day of ______________________, 20___.

							_______________________________________
							Signature
Corporate Seal:
 if none, so state						_______________________________________
							Address of Firm

							_______________________________________
							City, State, and Zip Code













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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.