LPS-115 Live Cattle Weekly Report (Forward Contract & Packer-Own

29. DELIVERY MONTH (abbreviated)

Head Count
Head Count
Head Count
Head Count
Head Count
Head Count

21. IMPORTED, NEGOTIATED

22. DOMESTIC, NEGOTIATED GRID

23. IMPORTED, NEGOTIATED GRID

24. DOMESTIC, FORWARD CONTRACT

25. IMPORTED, FORWARD CONTRACT

LPS-115 (06/16) Destroy previous edition

28. BASIS LEVEL ($/cwt.)

Head Count

19. IMPORTED, FORMULA ARRANGEMENT

20. DOMESTIC, NEGOTIATED

26. LOT IDENTIFICATION

31. BASIS LEVEL MONTH (abbreviatied)

30. DELIVERY YEAR (yyyy)

27. HEAD COUNT

Head Count

FORWARD CONTRACT PURCHASED CATTLE

USDA’s Nondiscrimination Statement: In accordance with Federal civil rights law and U.S. Department
of Agriculture (USDA) civil rights regulations and policies, the USDA, its Agencies, offices, and
employees, and institutions participating in or administering USDA programs are prohibited from
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from a public assistance program, political beliefs, or reprisal or retaliation for prior civil rights activity, in
any program or activity conducted or funded by USDA (not all bases apply to all programs). Remedies
and complaint filing deadlines vary by program or incident. Persons with disabilities who require
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American Sign Language, etc.) should contact the responsible Agency or USDA’s TARGET Center at
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Additionally, program information may be made available in languages other than English. To file a
program discrimination complaint, complete the USDA Program Discrimination Complaint Form,
AD-3027, found online at http://www.ascr.usda.gov/complaint_filing_cust.html and at any USDA office or
write a letter addressed to USDA and provide in the letter all of the information requested in the form. To
request a copy of the complaint form, call (866) 632-9992. Submit your completed form or letter to USDA
by: Mail: U.S. Department of Agriculture Office of the Assistant Secretary for Civil Rights 1400
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Fax: (202) 690-7442; or
email:
program.intake@usda.gov. USDA is an equal opportunity provider, employer, and lender.

NOTE: 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 OMB
control number. The valid OMB control number for this information collection is 0581-0186. The time
required to complete this information collection is estimated to average 15 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.

18. DOMESTIC, FORMULA ARRANGEMENT

(Data in this block to be entered once per weekly submission.)

PRIOR WEEK SLAUGHTERED CATTLE HEAD COUNTS

17. % QUALITY GRADE CHOICE OR BETTER

16. % YIELD GRADE 3 OR BETTER

15. AVERAGE DRESSING PERCENTAGE

14. ACTUAL AVERAGE CARCASS WEIGHT

13. HEAD COUNT

(NOT APPLICABLE)

SLAUGHTERED PACKER-OWNED CATTLE

12. SOURCE (1 = Domestic; 2 = Imported)

11. LOT IDENTIFICATION

10. REPORTING TIME (1 = 10:00 a.m.; 2 = 2:00 p.m.)

9. REPORTING DATE (mm/dd/yyyy)

8. PHONE NUMBER (include area code)

7. CONTACT NAME

6. PLANT ZIP CODE

5. PLANT STATE

4. PLANT CITY

3. PLANT STREET ADDRESS

2. COMPANY NAME

1. IDENTIFICATION NUMBER

LIVE CATTLE WEEKLY REPORT
(Forward Contract and Packer-Owned)

AGRICULTURAL MARKETING SERVICE

UNITED STATES DEPARTMENT OF AGRICULTURE

FORM APPROVED. - OMB NO. 0581-0186