WPCZ =qrͻF3MEF~f%&֪?s"3oNlb@ ]چ[gTABLE E!#0TABLE F0TABLE GYTABLE H  d(3$ !  '''''dxd'dxd( $ Figure  1  Level 1Level 2Level 3Level 4Level 5-),+&OLE 2.0 Box <=8C HKKKK(3$ !  73)8*C<<CLevel 1Level 2Level 3Level 4Level 5($$   1  ::' dxdP Pd)M -, dc=)>+M << deUULevel 1Level 2Level 3Level 4Level 5(n$ (  1  ) -),*A<< CA)B9A<< BLevel 1Level 2Level 3Level 4Level 5(P$ Table  1  D)E+A<< CLevel 1Level 2Level 3Level 4Level 5($$   1  )GJA X CHIHI'dxd3+0 d d d3+0 d d ddd)y  <<= 8CMMMM7Hairlinedxd)Hairline d&0 d d  d !  _XXXXXX *'ddd Xdd Xdd XX%X%,} dd ,dd , dd +   X f#XLXc#OfficeUseOnlyXXL d AmountRecd________Check#______________DateRecd___________   #XLX#  ApplicationforCornInspection d }  InStateof:XXL 8  dCL0 H|?P E  d d 9 9 9 b9 b 9 9 9 9  9 9 9 9  9 9 9 9  9 b9 b9 9 UseSeparateApplicationforEachField#XLX#XXL 0  #XLXR#Application#XXL d f*'dd} dd } dd  dd 'X%X%,fdd ,dd +  ," ( ,,#XLX#XXLAPPLICANTNAME,ADDRESS&ZIP '( 'GROWERNAME,ADDRESS&ZIP#XLX7# )( , )XXLPhone#XLX#  T  XXLPhone#XLXf# T   *x ' ddfdd fdd 'X%X%x, dd , dd ,dd +  # L  #XXLFIELD L  Ѐ#____________________̀FertileSterile_  ԍ̎  _    HYBRID/INBREDNAMEOR#___________________   " TOTALACRES________#XLX#$ $  $*'dd dd dd dd  ' X%X%,Ddd ,Sdd ,'dd , dd ,Udd +  ," $ ,XXLPARENTS '%" 'PEDIGREE '&" 'LOTNUMBER ''" 'SEEDSTOCKSOURCE '(" 'ACRES#XLXu # ;1)"  ;XXLFemale:#XLX # /%#E* /  E+   E,   E-  "E.  "  Z. ЀXXLFERTILE#XLX # Z/   F0   Z1   Z2  >o-Z3 0 x>XXLԀPLANTINGDATE :o)'b4o :ЀSTERILE#XLX# +ob5o + +ob6o + +ob7o + /%#b8 x  o /XXLMALEORINBRED 9 INCREASE:#XLX# ~: Ѐ|  F;   <   =   >  ' ? 8'XXLPLANTINGDATE(S) b@   bA   bB   bC $bD 0 8  $*'ddDdd DSdd S'dd ' dd  Udd U'X%X%, dd , dd ,N dd +   D SEEDHARVESTEDWILLBECLASSIFIEDAS:LӀ#XLX#FxXXL#XLXFx#ԀXXLCERTIFIEDHYBRID#XLXf# VH ЀFxXXL#XLXFx#XXLFOUNDATIONSINGLEX#XLX#  I ЀFxXXL#XLXFx#ԀXXLFOUNDATIONINBRED#XLX# z!"J ЀFxXXL#XLXFx0#ԀXXLSERVICEINSPECTION#XLXw# " K L  F$!L fXXLPLANTINGRATIO#XLX#:_____:_____ VM ЀXXLFM#XLX# *N A') xdE + A O XXLCOUNTYFIELDLOCATION#XLXo#Ԁ________ Q A')  q dE q Af XXL33_PHYTOSANITARY_ԀINSPECTION?#XLX=# [!T ЀYesNo J"U 33\n XXLTobecompletedforIl,In,Ky&NeONLY e# !V -ALLotherscontacttheappropriateStateAgency.#XLX nC#   $!W XXLCOLOROFCORN#XLX#Ԁ________ VX A') xdE- A .Z XXLTYPEOFCORN#XLX#n XXLԀ(Dent,Waxy,Etc.)#XLX n/# =[ ____________________XXLԀFEMALEMALE#XLX# ] XXLA')')! dE')! A}}~~A')! dE! AA')  dE  AFERTILITYRESTORERUSED?#XLX&# !)_ FxXXLԀ#XLXFx#ԀXXLYES#XLX#ԀFxXXL#XLXFxO#ԀXXLNO#XLX# 5# a *'dd dd dd N dd N 'X%X%,(#dd +   b% #a XXLATTACHADETAILEDMAPOFFIELDAND/ORGIVEDIRECTIONSTOFIELD:#XLX# %n#b  z'"%d *e'dd(#dd (#'X%X%e,(#dd +  mm (>&d n XXLIamherewithmakingapplicationforinspectionandcertificationofthecroplistedabove.IagreetoabidebytheByLaws,Rules,Standardsand (&e RegulationsoftheAssociation,andpayallfeesandchargesassessedbytheAssociation.IagreethatmyapplicationmaybesuspendedorterminatedifIviolateanyoftheprovisionsofsuchByLaws,Rules,StandardsandRegulations,orifIengageorpersistinpracticeslikelytoinjureofdiscredittheAssociation.Iunderstnadunderstanditistheapplicantsresponsibilitytosohandlecertifiedseedthatitsvarietalidentityispreservedthroughallstagesofproductinproduction,conditioningandshipping.IunderstandthatallinformatininformationgeneratedbythisservicewillbekeptconfidentialbetweentheAssociationandme,exceptasnecessaryunderUSDA,OECDandotherregulatoryagenciesregulations.Allliabilityforinspectionshallbelimitedtotheamountofthefeesassessedfortheinspection.#XLX n!#(,2*k mm (*e'dd(#dd (#'X%X%e,(#dd +   R-*k XXLAPPLICANTSSIGNATUREDATE#XLXI&# -^+l  ~.&,m  /B-m