REPRODUCE LOCALLY. Include form number and date on all reproductions. OMB No. 0581-0177
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CIAB FORM 1
Cherry Industry Administrative Board
P.O. Box 388, DeWitt, MI 48820-0388
Tel: 517/669-1070 Fax: 517/669-1260
Here is general information about the Form 1. Please input the cells marked in green on the forms. |
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Note that the cells in the Form 1's with these colors: |
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Requires data input from handler |
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Should calculate automatically. |
Posting of information |
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Week 1 - |
Week ending date. Please post the first week of harvest for the entire industry. |
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If your harvest began later than Week 1 of the year, use the appropriate |
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week's tab for your starting production. |
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Handler name, address and CIAB identifying number [H____]. |
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Post production for each district from which you received tonnage. |
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Weeks 2 through 10 |
Post your weekly production by district |
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NOTE: The other information should flow from the Week 1 entries |
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Production figures |
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Weekly total |
Will be calculated automatically |
Year to date production |
Will be calculated automatically |
Total year to date production |
Will be calculated automatically |
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Final week of Production |
Please check the box with an "x" indicating the week that you finish production - |
NEW in 2013 |
1. in each district and |
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2. for the year. |
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Corrections: |
If you need to make corrections, do so in the appropriate week, |
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but please notify the CIAB about the week and district in which |
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the correction is being made. |
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Printing week's report |
File, Print, OK |
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Use of spreadsheet |
Input data for the week |
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Save to your hard drive |
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Attach as e-mail to CIAB sent to www.cherryboard@voyager.net |
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 15 minutes per response, including the time for reviewing the collection of information.
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CIAB FORM #1
Week
Ending: Final
Report:
Cherry Industry Administrative Board
P.O. Box 388, DeWitt, MI 48820-0388
Tel: 517/669-1070 Fax: 517/669-1260
Report receipts of fruit starting with the first week of harvest and pack and continue until the harvest is completed. The reporting week ends on Saturday. The report is due in the CIAB office by close of business Eastern time on Monday following each week of harvest. Please indicate the completion of harvest for each district from which you receive cherries when you are done in the district and the Final Report when you have completed your harvest.
Handler:
__ Handler ID#
______
Address, City, State,
Zip:
Telephone
No.:
RAW PRODUCT RECEIVED
By District of Production |
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WEEKLY PRODUCTION
Total of Fruit Received |
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YEAR to DATE
Total of Fruit Received |
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Harvest from District Completed |
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NW Michigan |
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02 |
WC Michigan |
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03 |
SW Michigan |
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04 |
New York |
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05 |
Oregon |
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06 |
Pennsylvania |
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07 |
Utah |
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08 |
Washington |
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09 |
Wisconsin |
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TOTAL RECEIPTS: |
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The undersigned hereby certifies to the CIAB and the Secretary of Agriculture that this is a true and correct report of product received by the Handler for the indicated period.
By:
Title:
Date:
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 discriminating based on race, color, national origin, religion, sex, gender identity (including gender expression), sexual orientation, disability, age, marital status, family/parental status, income derived 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 alternative means of communication for program information (e.g., Braille, large print, audiotape, American Sign Language, etc.) should contact the responsible Agency or USDA’s TARGET Center at (202) 720-2600 (voice and TTY) or contact USDA through the Federal Relay Service at (800) 877-8339. 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: (1) mail: U.S. Department of Agriculture Office of the Assistant Secretary for Civil Rights 1400 Independence Avenue, SW Washington, D.C. 20250-9410; (2) fax: (202) 690-7442; or (3) email: program.intake@usda.gov. USDA is an equal opportunity provider, employer, and lender.
CIAB Form 1 (Exp. X/XXXX) Destroy previous versions.
File Type | application/msword |
File Title | Weekly Raw Product Report |
Author | Heather |
Last Modified By | SYSTEM |
File Modified | 2020-01-14 |
File Created | 2020-01-14 |