I
CIAB FORM #5
B
OMB # 0581-0177
Crop Year (Mark
Reporting Period)
Due Dates:
Oct. 1 _____
May 31 _____
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 an Inventory Reserve Plan. Reports are
due by the close of business Eastern time October 1and May 31 and at any other time that a rotation of stock in
inventory reserves is desired.
HANDLER: |
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Handler ID# ______ |
Warehouse |
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Address: |
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City, State Zip |
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Telephone, if available |
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Warehouse Lot ID # |
Producing Handler1 |
ContainerCodes |
Form ofProduct |
# of Units |
RPE Factor /Unit1 |
RPEof Lot 2 |
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TOTAL3: |
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1. Please provide the name of the handler that manufactured the product you are placing in the reserves.
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)
(REV 2013)
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 on the basis of race, color, national origin, sex, religion, age, disability, political beliefs, and marital or familial status. (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 the USDA Office of Communications at (202) 720-6992 (voice) or (202) 720-7808 (TDD).
To file a complaint, write the Secretary of Agriculture, U.S. Department of Agriculture, Washington, D.C. 20250, or call 1-800-245-6340 (voice) or (202) 720-1127 (TDD). USDA is an equal employment opportunity employer.
File Type | application/msword |
File Title | Weekly Raw Product Report |
Author | Heather |
Last Modified By | USDA |
File Modified | 2013-07-02 |
File Created | 2013-07-02 |