Form WAT-FHR Watermelon - First Handlers Report w/Supplemental for Ne

					OMB No. 0581-0093
DESIGNATED HANDLER'S REPORT FOR WATERMELON RESEARCH AND PROMOTION ACT
Report Submitted By:
N.W.P.B. Account No.:
Month Covered By This Report:
Date of Last Report (State if First or Last Report)				INSTRUCTIONS: Mail the original copy to the N.W.P.B. with full remittance. Must be postmarked within 30 days after the month the watermelons were handled.
LIST BELOW NAME AND N.W.P.B. ACCOUNT NUMBER OF PRODUCER FROM WHOM YOU PURCHASED WATERMELONS AS WELL AS YOUR OWN PRODUCTION:
NAME OF PRODUCER		N.W.P.B. ACCOUNT NUMBER	CWT ** *(1)	PRODUCER'S ASSESSMENT *(2)	HANDLER'S ASSESSMENT *(3)	TOTAL ASSESSMENT *(4)
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**HUNDREDWEIGHT(CWT)		Grand Totals:
*INSTRUCTIONS FOR COMPLETING THE HANDLER'S REPORT ARE LOCATED ON NEXT Page - DIRECTIONS*
For N.W.P.B. Use Only.			CERTIFICATION: I certify that the above information is true and correct to the best of my knowledge and the attached remittance represents all watermelons handled during this reporting period on which was required to pay the assessment.
Check #.
Check Amount:
Date Deposited:
Batch #			Date	Signature and Title
			1,000	pounds equals	10.00	hundredweight
WAT-FHR (rev. 03/20) Destroy previous editions.
Exp. Date XX/XX/XXXX