CIAB 5 B Inventory Location Report (Rev. 04-08)

I

CIAB

FORM #5 B

OMB # 0581-0177

Crop Year

Due Dates:

Nov. 1 _____

May 31 _____

(Mark Reporting Period)

NVENTORY LOCATION REPORT

Cherry Industry Administrative Board

P.O. Box 388, DeWitt, MI 48820-0388

Tel: 517/669-1070 Fax: 517/669-1260

This report is required of all Handlers holding inventory as part of a Reserve Plan. Reports are due by the close

of business, Eastern time, November 1, May 31 and at any other time that a rotation of reserve inventory is desired.

HANDLER:			Handler ID# ______
Warehouse
Address:
City, State Zip
Telephone, if available

	Warehouse Lot ID #	Producing Handler1	Container Codes	Form of Product	# of Units	RPE Factor /Unit1	RPE of Lot 2
1.
2.
3.
4.
5.
6.
7.
.8.
9.
10.
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12.
13.
14.
15.
16.
17.17
18.
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20.
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
	TOTAL3:

1. Please provide the name of the handler that manufactured the product you are placing in the reserves.

2. Conversion of finished product to its Raw Product Equivalent (RPE) should be calculated using your company’s conversion factor if the product was manufactured by your firm or the originating handler’s RPE factor if you are using another handler’s product.

3. The RPE total should equal the Form 4, Reserve Inventory less completed diversion activities less CIAB releases.

The undersigned herby certifies to the CIAB and the Secretary of Agriculture that this is the true and correct Inventory

Location Report for the undersigned Handler for the indicated crop year.

By:

Title:

Date:

Page: ____ of ____ (Please see other side for additional information)

OMB No. 0581-0177

According the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number to this information collection is 0581-0177. The time required to complete this information collection is

estimated to average 10 minutes per response, including the time for reviewing the collection of information.

The U.S. Department of Agriculture (USDA) prohibits discrimination in 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, large print, audio tape, etc.) should contact USDA’s TARGET Center at (202) 720-2600 (voice and TDD).

To file a complaint of discrimination, write to USDA, Director, Office of Civil Rights, 1400 Independence Avenue, S.W., Washington, D.C. 20250-9410,

or call (800) 795-3272 (voice) or (202) 720-6382 (TDD). USDA is an equal opportunity provider and employer.