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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

4203-009

08/13/2003

12/31/2003

CH-2

WAREHOUSE RECEIPT ON HANDLER-OWNED COMMODITY


 

This report shall be filed with the Grain Warehouse Section at the end of the business day each time a handler-owned (collateral) warehouse receipt is issued.  Please submit the examiner's copy of the Warehouse Receipt and a copy of your complete combined daily position record before issuance of the warehouse receipt and after issuance of the warehouse receipt.

 


 

Date: State Code Number:
Handler:  
Warehouse Receipt Number:  
Commodity:  
Bushels Receipted:  
Report Prepared By: Title: