OMB No. 0581-0178
REPORT OF SORTING CHARGES
TO: Prune Marketing Committee
3840 Rosin Court, Suite 170
Sacramento, CA 95834
HANDLER: __________________________________________________________________________
ADDRESS: __________________________________________________________________________
We certify to the Prune Marketing Committee (Committee) and to the Secretary of Agriculture that sorting charges deducted or to be deducted from prune producers and dehydrators on our financial settlements for 20___ crop prunes purchased from them are as follows:
Cents Per Pound of
1. Size Ranges Substandard Prunes Over Tolerance
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Size Count |
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2. Lots “automatically” considered 100% Substandard:
Variety |
Size |
Quality |
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4. Any other special qualifications: ___________________________________________________
____________________________________________________________________________________
Handler: _____________________________________________________________________________
Signature: _______________________________________ Title: ___________________________
IMPORTANT NOTICE: The issuance or a false certificate knowing it to be false is a violation of title 18, section 1001 of the United States Code which provides a penalty of a fine or imprisonment, or both.
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.
PMC 4.6 (Rev. 01/2014. Destroy previous versions.)
File Type | application/msword |
Author | ARicci |
Last Modified By | USDA |
File Modified | 2013-12-05 |
File Created | 2013-12-05 |