FV-168 Cooperatives Official Ballot (CA Dried Prunes)

REPRODUCE LOCALLY. Include form number and date on all reproductions. OMB No. 0581-0178

UNITED STATES DEPARTMENT OF AGRICULTURE

AGRICULTURAL MARKETING SERVICE

FRUIT AND VEGETABLE PROGRAM

COOPERATIVE OFFICIAL BALLOT

ON PROPOSED AMENDMENT OF THE MARKETING ORDER, AS AMENDED,

REGULATING THE HANDLING OF DRIED PRUNES PRODUCED IN CALIFORNIA

I hereby certify that I am an officer of, and have been authorized by:

____________________________________________________________________________________

Name and Address of Cooperative Association

to furnish the following information and cast this Ballot on behalf of such cooperative association. There are ____ producers who: (a) are members of, stockholders in, or under contract with this cooperative association; (b) are now engaged in the handling of dried prunes, and also were engaged during the period of August 1, 20___, through July 31, 20___; and (c) during the same period so handled ______ tons of dried prunes.

DOES THE COOPERATIVE ASSOCIATION FAVOR ISSUANCE, BY THE SECRETARY OF AGRICULTURE, OF THE PROPOSED AMENDMENT OF THE MARKETING ORDER REGULATING THE HANDLING OF DRIED PRUNES PRODUCED IN CALIFORNIA?

INDICATE THE VOTE OF THE ASSOCIATION BY PLACING AN “X” IN THE APPROPRIATE SPACE BELOW:

YES □ NO □

_____________________________________________

Name of Cooperative Association

Corporate seal: _____________________________________________

if none, so state Signature of Authorized Official

_____________________________________________

Title

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FV-168 (Rev. 01/2014. Destroy previous editions.)