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COLORADIC DEPARTMENT OF AGRICULTURE <br /> DIVI 31ON OF PLANT INDUSTRY <br /> 70 Kipling Street, Suite 4000 <br /> Lakewood, Colorado 80215-8000 <br /> (303)239-4149 <br /> RANSIT CERTIFICATE <br /> WEED FREE FORAGE CROP CERTIFICATION ACT 35 27.5 <br /> TaWHOM 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 includi0c, in this Transit Certificate concerning said certification. The <br /> Certificate of inspection relating to said forage crop is on file at the: <br /> 1P lorado Department of Agriculture <br /> D vision of Plant Industry <br /> 700 Kipling Street, Suite 4000 <br /> kewbod, Colorado 80215-8000 <br /> Iephone: (303) 239-4149 <br /> FAX- (303)239-4177 <br /> PLEASE PRINT IN INK <br /> Grower's Name I Grower's Signature <br /> County of Origin <br /> _- Identify Forage Crop Type <br /> 'Sales Sold Date of Sale <br /> 1 ENTIFICATION <br /> II SPECTOWS INITIALS T _ <br /> ROWER'S INITIALS <br /> FIELD NUMBER P90r - - <br /> ATE QL -aO —I z <br /> (Identification found in upper right corner of Certificate of Inspection: Form DPI WF-05) <br /> FORAGE CERTIFIED ACCORDIr T4 THE REGIONAL WEED FREE FORAGE STANDARDS <br /> f <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 oran colored twine or galvanized wire. <br /> GROWER MUST ISSUE 1NHITE C Y TO PURCHASER; MAIL PINK COPY TO DEPARTMENT OF <br /> AGRICULTURE,• KEEP GREEN COPY FOR FILE FOR EACH SALE. <br /> DPI-WF-07 Distribution: <br /> oamb White— rchaser. Canary—DPI Pink-Grower <br />