No Form number CA Dates--Request for Handler Exemptions Donation

OMB No. 0581-0178

SAMPLE LETTER

Date: ______________, 20__

California Date Administrative Committee

P.O. Box 1736
Indio, California 92202-1736

Re: Request for Handler Exemption – Donations

I wish to request an exemption from Marketing Order regulations for a donation of marketable dates. I wish to donate ___________ pounds of “C” grade dates to the _____________________________.

Name of organization

The address of the _______________________________ is ___________________________________.

Name of organization Street, City, State, Zip Code

If you have any questions, please feel free to call me.

Sincerely,

John Doe

Date Handling Company

P.O. Box 17

Indio, CA 92202

Phone No.: _______________________

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(Rev. 01/2014) Destroy previous editions