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["FORM ACP - 8  PRODUCER DELIVERY REPORT",{"$nulls":5},"OMB NO. 0581-0215"]
["Crop Year:"]
["Please read instructions thoroughly before completing this report.",{"$nulls":5},"Page","of"]
["PROCESSOR NAME:",null,null,"PRODUCER DELIVERIES (IN POUNDS)"]
["ENTITY NAME    ",null,"*AUTHORIZED VOTER                                                   (Individual, General Partner,Corporate Officer or Trustee) ","County of Production","Open Inshell ","Closed Shell","Shelling Stock","TOTAL POUNDS PROCESSED"]
["Name: ",null,"Name:"]
["Tax Identification Number:",null,"Mailing Address:"]
["ENTITY TYPE:        _____     "," Sole Proprietorship"]
[" _____  "," Corporation"]
["_____"," Partnership","Telephone:"]
["               _____","LLC","Email:                                                Fax:"]
["_____","Trust","TOTAL BEARING ACRES:  "]
["Name: ",null,"Name:"]
["Tax Identification Number:",null,"Mailing Address:"]
["ENTITY TYPE:        _____     "," Sole Proprietorship"]
[" _____  "," Corporation"]
["_____"," Partnership","Telephone:"]
["               _____"," LLC","Email:                                                Fax:"]
["_____","Trust","TOTAL BEARING ACRES:  "]
["Name: ",null,"Name:"]
["Tax Identification Number:",null,"Mailing Address:"]
["ENTITY TYPE:        _____     "," Sole Proprietorship"]
[" _____  "," Corporation"]
["_____"," Partnership","Telephone:"]
["               _____"," LLC","Email:                                                Fax:"]
["_____","Trust","TOTAL BEARING ACRES:  "]
["Name: ",null,"Name:"]
["Tax Identification Number:",null,"Mailing Address:"]
["ENTITY TYPE:        _____     "," Sole Proprietorship"]
[" _____  "," Corporation"]
["_____"," Partnership","Telephone:"]
["               _____"," LLC","Email:                                                Fax:"]
["_____","Trust","TOTAL BEARING ACRES:  "]
[null,null,"TOTALS - THIS PAGE ONLY "]
["* The individual listed in this column will act as authorized voter on behalf of the Producer in all Administrative Committee for Pistachios elections and referenda."]
["The undersigned, on behalf of the reporting processor, certifies to the Administrative Committee for Pistachios and the Secretary of the United States Department of Agriculture that this report represents a complete and accurate record of producer deliveries."]
[]
[]
["         _________________________",null,"    ______________________________________________________________________",null,null,"      ___________________________________"]
["                               DATE",null,"AUTHORIZED REPRESENTATIVE",null,null,"TITLE"]
["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 0581-0215.  The time required to complete this information collection is estimated to average 12 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.  "]
[]
["The U.S. Department of Agriculture (USDA) prohibits discrimination in all 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, audiotape, etc.) should contact USDA's TARGET Center at (202) 720-2600 (voice and TDD). To file a complaint of discrimination, write USDA, Director, Office of Civil Rights, 1400 Independence Avenue SW, Washington, DC 20250-9410, or call (800) 795-3272 (voice) or (202) 720-6382 (TDD). USDA is an equal opportunity provider and employer. "]