Form DY-202 Weekly Cheddar Cheese (40-lb. Blocks) Report

USDA
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FORM APPROVED. -OMB NO. 0581-0274
WEEKLY CHEDDAR CHEESE (40 LB BLOCKS) REPORT

Identification Number
Company Name
Plant Street Address
Plant City

1.
2.
3.

4.

r~ot e: Acc ordi ng t o the
Pape ri;,iork: Reduction Ac t of
1995, an agency ma}' not conduct

United States Dopa;rtmont of Agriculture
Agricultural Marketing Service

DUSDA
DUSDA
1600 West 82nd St
Minneapolis

Plant Slate
Plant Zip Code
Contact Name
Phone Number

5.
6.
7.
8.

MN
55431

Report by noon on Tuesday unless a Federal Holiday falls on Monday through Wednesday. Prior to the beginning of each calendar year, AMS shall release the times and dates that reports are due.

s.

week Ending Date

10.
11.
12.

Total Pounds Sold
Total Dollars
Price Per Pound

0211312021

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13.

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Calculate Price

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comments (500 characters, maximuml

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Product Specifications

Records:

Report:
Cheddar cheese in 40 pound blocks, colored between 6 and a on the Nato!"IJll Cheese lnst1tu:e color chart. meeting Wsconsri State Brand and.'o r USDA Grade A or better standards.
Pnce as. either f.o.b. plant if the prodUC't is. "shipped ovt" from a plani or f.o.b. storage facility tf the prod1.1ct ~ ~shipped out" fiom a storage facility
Complete tra11SJ1ctioos. i.e. cheddar cheese ts. "sh.pped oU't" and tt.e transfer occu~.

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Each person required to reporl in.formation on this survey sh.al maintain. and make avaJa.ble to the US Secretary ofAgncu.lhJre on request. orig nal con.tracts. agreements.. receip~. and other
records assOOJated with the sale of qualified d3iry produ~ during the two•year penod beginning on the da:e of the creation of the records

Exclude:

Sales of cheddar cheese 4 to 30 d3ys of age.
For 40 pound block cheddar cheese pnce ref'.ecting packag ng costs for cheese wrapped in a sealed, airtighi pacicage in corrugated or softd fiberboard conta.ner with a r ei'lfurang inner liner or
s..'eeve. Exclude all other pacbg ng costs trom the reported pnc:e.

Forward pricing sales: s.ales ri which the s.ell,ng pnce s establis hed (and not adjusted) 30 or more days be~re the transaeuon. is. con,pt,eted
Intra-company sa..es o& cheddar cheese.
Re-sa~s of purchased cheddar cheese

Do Not Deduct:
Brokerage fees paid by 1he manufacturer.
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Clearing charges paid by the manufacturer.

Cheddar cheese certified as organic by a USOA-accrecfrted certi'ying agent
Sales of cheddar cheese produced under faith-based close supervision and marketed at a higher P'ice than the manufacturer's whO'.esaJe marlo:et pnce for 1he bas,c oorrunod]ty {fo1 example
kosher chedder cheese produced wrt:h a rabbi on s.rte who 1s mvo!ved a, superv,sioo o&the prochJC'jon process).
Sales. under the Dairy f;l(port Incentive Program (DEJP) or other prenmirn a».Sted sales (example: export ass,stanee sales tnrough the Cool)t'ratives Working T~ther (CWT) program)
40 pound block cheddar cheese to -be aged

Do you understand the instructions and requirements of submitti ng this information? I No
DY202 (07/ 11)

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