ABC 13 CA Almonds Intention to Ship Reserve Almonds

OMB No. 0581-0178

Alrnon~ Board of California
Post Office Box 3130
Modesto, CA 95353-3130

Crop Year.
Reserve Transaction No.

-

ABC Form 13 INTENTION TO SHIP RESERVE ALMONDS
D Domestic
D Export
Notice Is hereby given of Intention to dispose of reserve almonds as described below:
almondbutter
0 schoollunch 0 nonhumanconsumption
outlets
0 charity 0 airlines

o
o

-

0 naturalpaste

other

Name, address and phone number of manufacturer,

outlet, or other user

.raw or processed

Number of pounds to be shipped

Handler

kemel weight

Date

Signature

Shipment No.

-

ABC FORM 14 COMPLETION OF DISPOSITION OF RESERVE ALMONDS

Notice Is hereby given of Inspection, lot stamping and shipment of reserve almonds to above named destination.
Attachedare:

0

invoice,ifapplicable

CERTIFICATE
NUMBERS

0

Billof Lading, ifapplicable D Inspection Certificate
NO PHOTOCOPIES MAY BE USED

LOTSTAMPNUMBERS

Handler

Ganadlan

Certificate, ifapplicable.

POUNDSSHIPPED

DATESHIPPED

Signature

Date

MANUFACTURER CERTIFICATION.
I hereby, certify to the AlmondBoard of Califomia and the U.S. Secretary of Agriculture that we did manfacture/use the almonds described
and identified above in the quantity and on the date specified. I hereby agree that Board employees, and/or USDA representatives may
enter our premises at any reasonable time to observe the storage or disposition of the almond material, and to examine and audit our
records of almond transactions.
Manufacturer or User

Signature

Date

FEDERAL OR FEDERAL-STATE INSPECTION SERVICE CERTIFICATION
I hereby, certify the almonds described on ABC Form 14 above have been made into the product described on ABC Form 13.

Inspector

Phone Number

Signature

Date

-

Instructions: ABC Form 13 and 14: WHITE COPY to be filed with Board by handler giving notice of intention to dispose of reserve almonds. YElLOW COPY. to
be filed with Board by handler when shipment is made. Attach a copy of inspection certifICate. PINK COPY. to be filed with Board by either manufacturer of product
(ifother than HanQler) or user of reserve almonds after Federal or Federal-State Inspection certification is completed. GOLD COpy. Handler file copy.

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 OMBcontrol number. The valid OMBcontrol number for this Information collection is 0581.
0178. The time required to complete this information collection Is estimated to average 12 minutes per response, Including the time for
reviewing Instructions, searching existing data sources, gathering al1dmaintaining 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,largeprint,audiotape,etc.)shouldcontactUSDA'sTARGET
Centerat (202)720-2600(voiceand TDD). Tofilea complaintof
discrimination, write to USDA,Director, Office of CivilRights, 1400 Independence Avenue, S.W.,Washington, D.C.20250-9410,or call (800)
795-3272 (voice) or (202)720-6382 (TDD).USDAIs an equal opportunity provider and employer.