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Grain Commodity Vendor deClaration - GTA

Grain Commodity Vendor deClarationVendor S detailSname: _____address: _____town : _____tel : _____Fax: _____email: _____national Grower registration (nGr) no: _____BUyer S detailSname: _____address: _____town : _____tel : _____Fax: _____email: _____Grain detailS represented by this declarationCommodity: _____Variety: _____Quantity: _____Variety: _____Quantity: _____Variety: _____Quantity: _____Variety: _____Quantity: _____delivery Period: _____Contract number (where applicable) _____a I certify that the property on which the Grain is grown or storage facility in which the Commodity has been stored carries accreditation under an independently audited QA program which includes chemical residue management and that the name of the program is as follows: Quality assurance Program _____accreditation/Certification number _____OrB I certify that the Grain delivered against this receipt: has not b

Grain Commodity Vendor deClaration Vendor’S detailS name:_____ address: _____ _____ town: _____

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