PMC 10.3 (993) CA Dried Prunes Diversion Certificate of Salable T

OMB No. 0581-0178

Prune Marketing Committee Diversion Certificate No.: ________________________________

3840 Rosin Court, Suite 170

Sacramento, CA 95834

DIVERSION CERTIFICATE OF SALABLE TONNAGE

This is to Certify that, subject to the proper endorsement hereof by all parties herein named, _______________________________________________________________ (Diverter), whose address is ____________________________________________________________, is entitled, and authority is hereby granted, to deliver as salable tonnage to ___________________________________ (Handler), whose address is _____________________________________________________ , tons of standard surplus prunes held by Handler for the account of the Prune Marketing Committee (Committee) in the name of _____________________________________, whose address is ________________________________________________________. Handler is entitled, and authority is hereby granted, upon presentation of this Certificate duly endorsed to the Committee, to satisfy his surplus tonnage requirements to the extent of ______________ tons of standard prunes; provided, however, that the producer to whom this certificate is issued or any subsequent holder thereof shall not be entitled to participate in the proceeds of the surplus tonnage for prunes covered by this Certificate.

In Witness whereof, the Committee by its duly authorized officer has this ________, day of _________________, 20___, at Sacramento California issued this certificate of salable tonnage (Diversion Certificate).

Prune Marketing Committee

By: _______________________________________

Title: ______________________________________

ENDORSEMENTS

Diverter: ____________________________________ Handler: ___________________________________

By: ________________________________________ By: _______________________________________

(Signature and title) (Signature and title)

Producer to whom transferred: ____________________________________________________________________

By: ____________________________________________________________________

(Signature and title)

APPROVAL OF TRANSFER

The Diverter to whom this Certificate is issued is hereby granted permission to transfer this certificate to _____________________________________________, who is entitled, and authority is hereby granted, to use this Certificate in the manner and under the terms and conditions specified above.

(Issued pursuant to § 993.632 of Marketing Order No. 993, as amended, regulating the handling of dried prunes produced in California, and rules and procedures established pursuant thereto.)

Prune Marketing Committee

By: _______________________________________

Title: ______________________________________

IMPORTANT NOTICE: The issuance of 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.

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PMC 10.3 (Exp. x/xxxx) Destroy previous editions.