Form WAT-FHR Watermelon - First Handlers Report w/Supplemental for Ne

National Research, Promotion, and Consumer Information Programs

WAT FHR (Watermelon First Handler Report) 6-23-2020.xlsx

National Research, Promotion, and Consumer Information Programs - Mandatory

OMB: 0581-0093

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OMB No. 0581-0093
DESIGNATED HANDLER'S REPORT FOR WATERMELON RESEARCH AND PROMOTION ACT








Report Submitted By:









N.W.P.B. Account No.:








Month Covered By This Report:








Date of Last Report (State if First or Last Report)


INSTRUCTIONS: Mail the original copy to the N.W.P.B. with full remittance. Must be postmarked within 30 days after the month the watermelons were handled.





LIST BELOW NAME AND N.W.P.B. ACCOUNT NUMBER OF PRODUCER FROM WHOM YOU PURCHASED WATERMELONS AS WELL AS YOUR OWN PRODUCTION:
NAME OF PRODUCER N.W.P.B. ACCOUNT NUMBER CWT ** *(1) PRODUCER'S ASSESSMENT *(2) HANDLER'S ASSESSMENT *(3) TOTAL ASSESSMENT *(4)



$- $- $-


- $- $- $-


- $- $- $-


- $- $- $-


- $- $- $-


- $- $- $-


- $- $- $-


- $- $- $-


- $- $- $-


- $- $- $-


- $- $- $-


- $- $- $-


- $- $- $-


- $- $- $-


- $- $- $-


- $- $- $-


- $- $- $-


- $- $- $-


- $- $- $-







**HUNDREDWEIGHT(CWT)
Grand Totals:




*INSTRUCTIONS FOR COMPLETING THE HANDLER'S REPORT ARE LOCATED ON NEXT Page - DIRECTIONS*
For N.W.P.B. Use Only. CERTIFICATION: I certify that the above information is true and correct to the best of my knowledge and the attached remittance represents all watermelons handled during this reporting period on which was required to pay the assessment.

Check #.

Check Amount:





Date Deposited:





Batch #
Date Signature and Title




























1,000 pounds equals 10.00 hundredweight
















WAT-FHR (rev. 03/20) Destroy previous editions.






Exp. Date XX/XX/XXXX


















































































































































































































































































































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