PMC 10.3 CA Dried Prunes Diversion Certificate of Salable Tonnage

Form PMC 10.3
OMB OSII~t71

Diversion Certificate No.

PRUNE MARKETING COMMITTEE
3841North FreewayBlvd.,Suite120,Sacra~ento,California

Diversion Certificate of Salable Tonnage

This is to Certify that: subject to the proper endorsement hereof by all parties herein named,
, hereby called the Diverter, whose
address is
is entitled, and
hereinafter called the
authority is hereby granted, to deliver as salable tonnage to
tons
Handler, whose address is
,
of standard surplus prunes held by the Handler for the account of the Prune Marketing Comminee in the name of

,

,whose

address is

The handler herein named is entitled, and authority is
hereby granted, upon presentation of this certificate duly endorsed to the Prune Marketing Committee, to satisfy his
surplus tonnage requirements to the extent of
tons of standard prunes; provided, however, that the
producer to whomthis certificateis issuedor any subsequentholder thereofshall not be entitledto participate in the
proceeds of the surplus tonnage for prunes covered by this certificate.
"

In Witness Whereof,the Committeeby its duly authorizedofficer has this
,
day of
, 20
, at Sacramento,California,issuedthis certificateof salable
tonnage(diversioncertificate).
Prune Marketing Committee
By:
Title:
ENDORSEMENTS
Diverter:

Handler:

By:

By:
(Signature and Illle)

(Signature

and lille)

Producer to whom transferred:
By:
(SIgnature and litle)

APPROVAL OF TRANSFER
The Diverter to whom this certificate is issued is herby 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.
Prune Marketing Comminee
(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 Ihereto.)

By:

Title:

IMPORTANT
!he ~ssuance ofa false certificate knowing it to be false is a violation
Impnsonment of not more than S years or both.
According to the Paperwork
valid OMB control number.

of Title II, Section

NOTICE

1001 of the United States Code, which provides a penalty ofa fine of not morethan

$10 000 or
'

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
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. The U.S. Department of Agriculture (USDA) prohibits discrimination in all its programs and activities on the basis of race, color, national
origin, gender, religion, age, disability, political beliefs, sexual orientation, and marital or family status. (Not all prohibited bases apply to all programs.)
Persons with disabilities
who require alternative means for communication of program information (Braille, large print, audiotape, etc.) should contact USDA's TARGET Center at (202) 720-2600 (voice and
TOO). To tile a complaint of discrimination. write USDA, Director, Office of Civil Rights, Room 326-W, Whitten Building, 1400 Independence Avenue, SW, Washington, DC
20250-9410 or call (202) 720-5964 (voice and TDD), USDA is an equal opportunity provider and employer,