"Monthly Report of Tonnage of Fertilizer and Fertilizer Materials Sold in Alabama" - Alabama

Monthly Report of Tonnage of Fertilizer and Fertilizer Materials Sold in Alabama is a legal document that was released by the Alabama Department of Agriculture and Industries - a government authority operating within Alabama.

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STATE OF ALABAMA -- DEPARTMENT OF AGRICULTURE AND INDUSTRIES
Monthly Report of Tonnage of Fertilizer and Fertilizer Materials Sold in Alabama
FOR THE MONTH ENDING: ___________________ , 20 ___
COMPANY ID #: ____________________
FROM: ________________________________________________________________________________________
(Name of Manufacturer)
(Address)
NITRATE
PHOSPHATE
Ammonium Nitrate (34-0-0)
___________
Diammonium Phosphate (18-46-0)
___________
Ammonium Sulfate (21-0-0-24)
___________
Superphosphate (0-46-0)
___________
Urea (46-0-0)
___________
Other
___________
Nitrogen Solutions
28-0-0-5
___________
POTASH
32-0-0
___________
0-0-60
___________
10-34-0
___________
Other
___________
Other
___________
Anhydrous Ammonia (82-0-0)
___________
GRANULATED
grade
tons
Other
___________
OR OTHER
___________ ___________
___________ ___________
___________ ___________
___________ ___________
TOTAL TONNAGE ON WHICH 75¢ PER TON INSPECTION FEE IS DUE:
_____________
INSPECTION FEES SUBMITTED:
$
_____________
PENALTY ON ________________________ SUBMITTED:
$
_____________
(MONTH)
TOTAL
$
_____________
*Liming Materials (including basic slag) blended with any plant food is subject to the 75¢/ton inspection fee.
Listed below are sales of fertilizer and materials sold in Alabama by this firm to other licensed manufacturers who assume
the responsibility of paying the Alabama inspection fee as noted on sale invoices:
FIRM TO WHOM SOLD
ADDRESS
PRODUCT SOLD
TONS SOLD
___________________________________________________________________________________________________
___________________________________________________________________________________________________
___________________________________________________________________________________________________
___________________________________________________________________________________________________
(Use additional sheets if necessary)
TOTAL TONS _____________
I certify this report has been examined and is a correct statement of total tonnage of fertilizer & material sold in Alabama by
___________________________________ during ________________, 20 ___. ________________________________
(NAME OF FIRM)
(MONTH)
(SIGNATURE)
MAIL ORIGINAL REPORT TO:
NAME: _______________________________________
Alabama Department of Agriculture & Industries
Audits & Reports Section
TITLE: _______________________________________
1445 Federal Drive
Montgomery, AL 36107
DATE: ________________________________________
Phone: 334.240.7263
Fax: 334.240.7187
PHONE: ______________________________________
EMAIL: _______________________________________
*NOTE: DUE DATE OF REPORTS
th
We must receive reports no later than the 20
day of each month following the reporting period. Reports not remitted by
this time shall have a penalty fee of 10% of the amount due added ($10.00 minimum).
STATE OF ALABAMA -- DEPARTMENT OF AGRICULTURE AND INDUSTRIES
Monthly Report of Tonnage of Fertilizer and Fertilizer Materials Sold in Alabama
FOR THE MONTH ENDING: ___________________ , 20 ___
COMPANY ID #: ____________________
FROM: ________________________________________________________________________________________
(Name of Manufacturer)
(Address)
NITRATE
PHOSPHATE
Ammonium Nitrate (34-0-0)
___________
Diammonium Phosphate (18-46-0)
___________
Ammonium Sulfate (21-0-0-24)
___________
Superphosphate (0-46-0)
___________
Urea (46-0-0)
___________
Other
___________
Nitrogen Solutions
28-0-0-5
___________
POTASH
32-0-0
___________
0-0-60
___________
10-34-0
___________
Other
___________
Other
___________
Anhydrous Ammonia (82-0-0)
___________
GRANULATED
grade
tons
Other
___________
OR OTHER
___________ ___________
___________ ___________
___________ ___________
___________ ___________
TOTAL TONNAGE ON WHICH 75¢ PER TON INSPECTION FEE IS DUE:
_____________
INSPECTION FEES SUBMITTED:
$
_____________
PENALTY ON ________________________ SUBMITTED:
$
_____________
(MONTH)
TOTAL
$
_____________
*Liming Materials (including basic slag) blended with any plant food is subject to the 75¢/ton inspection fee.
Listed below are sales of fertilizer and materials sold in Alabama by this firm to other licensed manufacturers who assume
the responsibility of paying the Alabama inspection fee as noted on sale invoices:
FIRM TO WHOM SOLD
ADDRESS
PRODUCT SOLD
TONS SOLD
___________________________________________________________________________________________________
___________________________________________________________________________________________________
___________________________________________________________________________________________________
___________________________________________________________________________________________________
(Use additional sheets if necessary)
TOTAL TONS _____________
I certify this report has been examined and is a correct statement of total tonnage of fertilizer & material sold in Alabama by
___________________________________ during ________________, 20 ___. ________________________________
(NAME OF FIRM)
(MONTH)
(SIGNATURE)
MAIL ORIGINAL REPORT TO:
NAME: _______________________________________
Alabama Department of Agriculture & Industries
Audits & Reports Section
TITLE: _______________________________________
1445 Federal Drive
Montgomery, AL 36107
DATE: ________________________________________
Phone: 334.240.7263
Fax: 334.240.7187
PHONE: ______________________________________
EMAIL: _______________________________________
*NOTE: DUE DATE OF REPORTS
th
We must receive reports no later than the 20
day of each month following the reporting period. Reports not remitted by
this time shall have a penalty fee of 10% of the amount due added ($10.00 minimum).