Form SFN59168 "Bulk Certificate for North Dakota Certified Seed Potatoes" - North Dakota

What Is Form SFN59168?

This is a legal form that was released by the North Dakota State Seed Department - a government authority operating within North Dakota. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on May 1, 2018;
  • The latest edition provided by the North Dakota State Seed Department;
  • 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 SFN59168 by clicking the link below or browse more documents and templates provided by the North Dakota State Seed Department.

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Download Form SFN59168 "Bulk Certificate for North Dakota Certified Seed Potatoes" - North Dakota

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BULK CERTIFICATE FOR NORTH DAKOTA
PO Box 5257
CERTIFIED SEED POTATOES
Fargo ND 58105
North Dakota State Seed Department
Phone: 701-231-5400
SFN 59168 (5-18)
Fax: 701-231-5401
(Certificate number)
Crop Year
This document/label certifies that the following seed potatoes were shipped:
Variety (selection)
CWT
Conveyance
Vehicle Number(s)
Bulk
Tote
Receiver Name
Address
City
State
ZIP code
The seed was inspected under ND certification rules,
Field Application Number(s)
No
Winter Tested:
Generation
Yes
No
Class
Foundation
Certified
Virus X tested:
Yes
The seed potatoes are packed according to the following specifications:
Shipping Point Inspection Certificate (SC 184) Numbers
CWT as ND Blue Tag
CWT as ND Yellow Tag
CWT as ND White Tag
CWT No Grade
Seed Potato Grower/Labeler
Address
City
State
ZIP code
Telephone Number
FAX Number
Signature
4.1-55-12. Liability - Potato crop quantity and quality.
A warranty of any kind, either expressed or implied, including a warranty of merchantability, fitness for a particular
purpose, absence of disease, varietal identity, or selection identity, is not made by the seed commission, the seed
department, the seed commissioner, or any certified seed potato producer, as to the quantity or quality of the crop
produced from the seed potatoes that were inspected and certified. The sole warranty is that the potatoes were
inspected under the rules of the seed department or the United States department of agriculture. The
seedcommissioner functions and serves only in an official regulatory manner.
BULK CERTIFICATE FOR NORTH DAKOTA
PO Box 5257
CERTIFIED SEED POTATOES
Fargo ND 58105
North Dakota State Seed Department
Phone: 701-231-5400
SFN 59168 (5-18)
Fax: 701-231-5401
(Certificate number)
Crop Year
This document/label certifies that the following seed potatoes were shipped:
Variety (selection)
CWT
Conveyance
Vehicle Number(s)
Bulk
Tote
Receiver Name
Address
City
State
ZIP code
The seed was inspected under ND certification rules,
Field Application Number(s)
No
Winter Tested:
Generation
Yes
No
Class
Foundation
Certified
Virus X tested:
Yes
The seed potatoes are packed according to the following specifications:
Shipping Point Inspection Certificate (SC 184) Numbers
CWT as ND Blue Tag
CWT as ND Yellow Tag
CWT as ND White Tag
CWT No Grade
Seed Potato Grower/Labeler
Address
City
State
ZIP code
Telephone Number
FAX Number
Signature
4.1-55-12. Liability - Potato crop quantity and quality.
A warranty of any kind, either expressed or implied, including a warranty of merchantability, fitness for a particular
purpose, absence of disease, varietal identity, or selection identity, is not made by the seed commission, the seed
department, the seed commissioner, or any certified seed potato producer, as to the quantity or quality of the crop
produced from the seed potatoes that were inspected and certified. The sole warranty is that the potatoes were
inspected under the rules of the seed department or the United States department of agriculture. The
seedcommissioner functions and serves only in an official regulatory manner.