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2014-01-30_REPORT - M1977534
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2014-01-30_REPORT - M1977534
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Last modified
3/29/2017 10:41:19 AM
Creation date
1/30/2014 1:15:42 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1977534
IBM Index Class Name
REPORT
Doc Date
1/30/2014
From
City of Golden
To
DRMS
Annual Report Year
2014
Permit Index Doc Type
Annual Fee/Report
Email Name
MAC
Media Type
D
Archive
No
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COLORADO DEPARTMENT OF AGRICULTURE <br />CONSERVATION SERVICES <br />700 Kipling Street, Suite 4000 <br />Lakewood, Colorado 80215 -8000 <br />(303) 239 -4149 <br />TRANSIT CERTIFICATE <br />WEED FREE FORAGE CROP CERTIFICATION ACT 35 -27.5 <br />TO WHOM IT MAY CONCERN: <br />The forage crop, to which this Transit Certificate relates, has been officially certified according to the <br />Colorado Weed Free Forage Crop Certification Act 35 -27.5. Pursuant to those standards, the <br />information below has been included in this Transit Certificate concerning said certification. The <br />Certificate of Inspection relating to said forage crop is on file at the: <br />PLEASE PRINT IN INK <br />Name <br />Colorado Department of Agriculture <br />Conservation Services <br />700 Kipling Street, Suite 4000 <br />Lakewood, Colorado 80215 -8000 <br />Telephone: (303) 239 -4149 <br />FAX: (303) 239 -4125 <br />Grower's Signature <br />R 0 L17 F- <br />County of Origin <br />Identify Forage Crop Type \� ALj <br />> A - <br />Bales Sold Date of gale <br />IDENTIFICATION <br />INSPECTOR'S INITIALS <br />GROWER'S INITIALS <br />FIELD NUMBER <br />DATE <br />5 <br />(identification found in upper right corner of Certificate of Inspection: Form DPI- WF -05) <br />FORAGE CERTIFIED ACCORDING TO THE REGIONAL WEED FREE FORAGE STANDARDS <br />Note: Forage certified under the Colorado Weed Free Forage Crop Certification Act shall be baled with <br />at least one strand of blue and orange colored twine or galvanized wire. <br />_GROWER MUST ISSUE WHITE COPY TO PURCHASER; MAIL CANARY COPY TO DEPARTMENT <br />OF AGRICULTURE; KEEP PINK COPY FOR FILE FOR EACH SALE. <br />i. <br />CS -WF -07 Distribution: <br />09/12 White — Purchaser Canary — DPI Pink - Grower <br />
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