Form FMC-9 "Purchase Log" - New York

What Is Form FMC-9?

This is a legal form that was released by the New York State Department of Agriculture and Markets - a government authority operating within New York. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on January 16, 2018;
  • The latest edition provided by the New York State Department of Agriculture and Markets;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form FMC-9 by clicking the link below or browse more documents and templates provided by the New York State Department of Agriculture and Markets.

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Download Form FMC-9 "Purchase Log" - New York

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Rev 01/16/2018
Farmers Market Nutrition Program (FMNP)
Clear All
PURCHASE LOG (FMC-9)
Instuctions: In the left hand columns put the name(s) of your supplier(s) of fresh fruits and vegetables, and specify their type,
as it relates to your relationship with them regarding the purchase of produce, using the codes outlined below. In the column
headings for market dates (e.g. Week 1), write the dates of your weekly markets that occur during the FMNP season (June 1 -
Name of
November 30). Place an "X" in the box below a weekly market when produce is purchased from a particular supplier. If the
Type*
Supplier
market changes hours of operation, location and/or closes early, please update us immediately. Submit logs monthly.
Market Dates
Week 1
Week 2
Week 3
Week 4
Week 5
Week 6
Week 7
Week 8
Week 9
Week 10
Week 11
Week 12
Week 13
Week 14
Week 15
X
(e.g. John Smith Farm)
(e.g. F)
*Type Codes: F=Farmer/Grower, D=Distributor/Dealer, H=Produce Food Hub, A=Produce Auction, O=Other
Signature. I certify product was purchased from the above supplier(s) for the days indicated above.
Submit to:
Mail:
NYS Department of Agriculture and Markets
Signature (FMNP Market Representative)
Date
Farmers' Market Nutrition Program
10B Airline Drive Albany NY 12235
Fax:
(518) 457-8398
Market Name and FMNP Market ID#
Market County
Email:
farmersmarkets@agriculture.ny.gov
This institution is an equal opportunity provider.
Rev 01/16/2018
Farmers Market Nutrition Program (FMNP)
Clear All
PURCHASE LOG (FMC-9)
Instuctions: In the left hand columns put the name(s) of your supplier(s) of fresh fruits and vegetables, and specify their type,
as it relates to your relationship with them regarding the purchase of produce, using the codes outlined below. In the column
headings for market dates (e.g. Week 1), write the dates of your weekly markets that occur during the FMNP season (June 1 -
Name of
November 30). Place an "X" in the box below a weekly market when produce is purchased from a particular supplier. If the
Type*
Supplier
market changes hours of operation, location and/or closes early, please update us immediately. Submit logs monthly.
Market Dates
Week 1
Week 2
Week 3
Week 4
Week 5
Week 6
Week 7
Week 8
Week 9
Week 10
Week 11
Week 12
Week 13
Week 14
Week 15
X
(e.g. John Smith Farm)
(e.g. F)
*Type Codes: F=Farmer/Grower, D=Distributor/Dealer, H=Produce Food Hub, A=Produce Auction, O=Other
Signature. I certify product was purchased from the above supplier(s) for the days indicated above.
Submit to:
Mail:
NYS Department of Agriculture and Markets
Signature (FMNP Market Representative)
Date
Farmers' Market Nutrition Program
10B Airline Drive Albany NY 12235
Fax:
(518) 457-8398
Market Name and FMNP Market ID#
Market County
Email:
farmersmarkets@agriculture.ny.gov
This institution is an equal opportunity provider.