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OHIO DEPARTMENT OF AGRICULTURE Division of Plant Industry - Grain & Seed Section 8995 East Main Street Reynoldsburg, OH 43068-3399 (614) 728-6410 |
DIVISION: Web FORM: Last Revised: FORM EXPIRES: |
PLNT-GS 4203-005 08/13/2003 12/31/2003 |
GRAIN HANDLED REPORT
Please complete the following report and return it with your annual financial statement. The information should be the actual number of bushels purchased by your company during your fiscal year. Be sure to include all purchases of each commodity listed.
| Barley | Rapeseed |
| Buckwheat | Rye |
| Canola | Safflower |
| Corn | Soybeans |
| Flax | Speltz |
| Grain Sorghum | Sunflower |
| Millet | Triticale |
| Oats | Wheat |
| # T. B.: |
This information is submitted by the following company and certified true and accurate by the signature of the company representative.
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Company Name
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Company Representative Name (print)
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Title
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| Company Representative Signature |