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COLORADO DEPARTMENT OF AGRICULTURE <br />DIVISION OF PLANT INDUSTRY <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 WHO 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 />Colorado Department of Agriculture <br />Division of Plant Industry <br />700 Kipling Street, Suite 4000 <br />Lakewood, Colorado 80215-8000 <br />Telephone: (303) 239-4149 <br />FAX: (303) 239-4177 <br />PLEASE PRINT IN INK <br />Grower's Name <br />Count~f Origin <br />Identify Forage Crop <br />~~ <br />Bales Sold <br />Grower's Signature <br />Date of Sale <br />fDENTIFICATION <br />INSPECTOR'S INITIALS <br />GROWER'S INITIALS <br />FIELD NUMBER ~ ~ ~ L <br />DATE <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 <br />with at least one strand of blue and orange colored twine or galvanized wire. <br />GROWER MUST ISSUE WHITE COPY TO PURCHASER: MAiL PINK COPY TO DEPARTMENT OF <br />AGRICULTURE: KEEP GREEN COPY FOR FILE FOR EACH_SALE. <br />ppl_yyp~7 Distribution: <br />04lDO YYhite -Purchaser Plnk -DPI Green -Grower <br />