Document
REPRODUCE LOCALLY
ICR 201601-0581-003 · OMB 0581-0178 · Object 61480101.
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Document Metadata
| File Type | application/msword |
|---|---|
| File Title | REPRODUCE LOCALLY |
| Author | VEmmer |
| Last Modified By | Writer |
| File Modified | 2013-12-09 |
| File Created | 2026-07-15 |
| Conversion State | complete |
Extracted Text
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 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 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. 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.