Organic Final Fees
Total Page：16
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1900 Hendon Avenue St. Paul MN 55108 612/625-7766 800-510-MCIA Fax 612/625-3748 E-Mail: [email protected] Internet Address: http://www.mncia.org
DECLARATION OF CARRYOVER SEED
Report carryover of seed eligible for certification by August 15 of the calendar year following production to maintain its eligibility for certification. If certification is applied for more than 3 years after filing this declaration, a copy of the inspection report must be furnished with the application.
Member number:
Applicant:
Address:
Variety and crop:
Seed class (check one): Foundation Registered Certified
Year produced:
Grower name:
Field number:
Acres in field:
Total bushels produced from this field:
Bushels from this field previously certified:
Total bushels carried over from this field:
Applicant's signature: ______Date:
Declaration of Carryover Seed Page 1 of 1 Print Date: 4/6/2018 Controlled Version – 5/26/05 © 2005 Minnesota Crop Improvement Association