WPCA +Bȇkαv"a_W4v:Ybn'B,~%A4 PH%5jqN$*@n|wG ty-d잲A3`ɪ=#Ѳ{t9FٗH^`|[X%opRӫHV^X~d3STS}:͜V`聸/v5N\`q2e6|qֳ\8AP,!GǬkBla3$$lW[oke}Z*ةfᩙR^6gr4TA,IgEX3i-L\=R?cJb*i4Gp[.*jZ%]^4]9ׇgZvjdƁBt2,-KܴB^ z$,W6:O֊X3}ETRwmVઐWo#!UN3 % 0(  u ;   v ^ w@4E mN  1W 1Uff 1u 10 0c 1 1 A( 0D D3  B< D+Y 0K AQ 0D  0Ddd B*n AHP DeskJet 500,X,,,,,X0(9 Z6Times New Roman Regular($Level 1Level 2Level 3Level 4Level 5Level 1Level 2Level 3Level 4Level 5Level 1Level 2Level 3Level 4Level 5Level 1Level 2Level 3Level 4Level 5Level 1Level 2Level 3Level 4Level 5 SSCASouthernN.E.S.W.B,F,R,CSeedstock SSCA v h"  _  Forofficeuseonly   +CertificationNo.___________DateReceived_____________ProofReceived____________Membership$_____________Acreage$_________________̀Total$_____________ PP  H X D$ DDDDDDDggE$$NDOWS03|xU$35;?CGKOS11.1111111$359=AEIMQ211111111##37=CIQYag1.a.i.(1)(a)(i)1)a)(5hCEKQW]cioAutoList11.1.1.1.1.1.1.1.(;$25h  0  .3  0  (EhCEKQW]cioAutoList21.1.1.1.1.1.1.1.(UhCEKQW]cioAutoList31.1.1.1.1.1.1.1.W[Z I&mage <=8C HKKKK(3$ !  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($$   1  Level 1Level 2Level 3Level 4Level 5&0 d dkZ&Draw Object <<=8C HKKKK !  _HHHH/d/ _SSCA  SouthernSeed H   $ $H$H$Certification  $ $ $ $Association H$H$ $ $      P    ApplicationforCertification @  @ ofTurfgrass h  SubmitanApplicationforeachcropkind,varietyandCertifiedclass @`  @  @  @h  @! hh 0 AttachForm AforContractgrowers     lf 8($`~1  `E8H 1 ttIp  l HpHpH$H$ @ Applicant______________________________________0  Date_______________0@$$L  p$ Address0  ______________________________________0p$County_____________| 4 p$   ______________________________________0  PhoneDay__________ d p$      P    0 X 0XpX$Night______________ p$ DirectionstoFarm: P     X    t,       P    0 X 0XpX$Mobile_____________  p$ _______Miles__________From___________________  1hԀN.E.S.W#h13#.1hԀTown#h1# X 0  Hwy.No.___________< p$ pp8pNpp8pAm)MH dtEMH0 A     P     X  H$H$HpHpNewPlantingProvideallInformationBelow  ContinuedCertificationofEstablishedFieldsProvideOnlyKind,Variety,FieldNo(s).  Kind_________________________________Variety___________________________________No.Acres___________SeedClassPlanted___________________ClasstoProduce__________________SeedstockSource__________________SeedstockLotNumber______________FieldNumber_____________________DatePlanted_______________________     P     X      `      h  !  $ PreviousCropandVarietyGrownonLand_____________________DistancefromOtherTurfGrass_______Feet______LandFumigation:0 P Yes_______0P $P $No________8#$$   MaterialApplied_______________________________________________Rate___________________________  DateApplied___________________________________FumigatedbyApplicant:0  Yes_______No_______h'$$   CustomApplicator:Name_______________________________________________________________________OtherCulturalPracticesConducted______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Am)J! d 0EJ!0 A_______?               IherebyapplyformembershipintheSouthernSeedCertificationAssociationforthecurrentyearandforinspectionofthecroplistedonthisapplication.IunderstandandagreetoabidebytheRulesandRegulationsoftheSSCArelativetocertificationofthecroplistedabove.Also,Iconfirmthattheentireacreagelistedabovewasplantedwithseedrepresentedbytagsandpurchaseinvoicesubmittedwiththisapplication.FEESSUBMITTED(SeeBack)̀0  Membership0P $$$_______________0XP $P $0X$X$*Plantedaneligibleclassofcertifiedseedoneligibleland.@'#:$$   Acreage0  0P $$$_______________0XP $P $0X$X$*Thoroughlycleanedallequipmentinvolvedinplanting.X(%<$$   Total0  0P $$$_______________0XP $P $0X$X$*Providedadequateisolationdistance.p)(&>$$      P     X      `     Makecheckpayableto:SouthernSeedCertificationAssociation,Inc.0  ________________________________________+P(A$$ P.O.Box2619   P     X   SignatureofApplicant l,$)B Auburn,AL368310  0X$$0X$X$_________________________________________@-)C$$ Phone(334)8217400(334)8444995Fax(334)8444901)1h0  #h1)#ԀPrintName.*D$$      P     X  .+E   Am)Jt% dEJt%0 A @  @ FORINSPECTORUSEONLY @X  @  @  @`  @  @  @h  @!  @$  @  @  H `     P     X      `   RMaturityStage____________________________0 X DateInspected_______________ClassApproved______________`X$X$ Isolation_________________________________0 X AcresApproved_______________AcresRejected_______________h X$X$ Roguing_________________________________0 X EstimatedYield____________________________________________p(X$X$ OtherVarieties____________________________0 X Remarks__________________________________________________x0X$X$ OtherCrops______________________________0 X __________________________________________________________8 X$X$ Weeds__________________________________0 X __________________________________________________________ @ X$X$ {     P     X __________________________________________________________Applicant________________________________0 X Inspector__________________________________________________ PX$X$   SUBMITTHEFOLLOWINGWITHTHISAPPLICATION:    NewPlanting:  X L Eh(#L      2Eh  1  .3  0    Aninvoiceshowingcrop,variety,class,lotnumberandquantityofseedstockpurchased.݌0$$ Ќ        !2Eh  2  .3  0    Atagfromeachlot.!2!݌x$$ Ќ        !2Eh  3  .3  0    Aninvoiceshowingfumigationmaterial,rateappliedandsizeofareafumigated.!$"݌P  $$ Ќ        '#2Eh  4  .3  0    Fees.'#R#݌  $$ Ќ  ContinuedCertificationofEstablishedFields:  p (  L Uh((L      $2Uh  1  .3  0    Completedapplication$$݌ $$ Ќ        %2Uh  2  .3  0    Fees.%%݌H $$ Ќ  AY) xdEHH!AAm) xdEH0H!A     ANNUALFEESCHEDULE   +'  Membership0 P $50.00_P $P $   ApplicationFee:0 P $250.007P $P $   Acreage:0 P $50.00peracreorpartthereofforfirst20acres,$10.00peracreforeachadditionalacreorpart  thereof. P $P $ AY) xdAEHH!AAm) xdEH0H!A    FINALDATEFORFILINGAPPLICATIONS    -  Newfields:0 P 30dayspriortoplantingifplantingdatecanbeestablishedbutnolaterthandateplanted.^"P $P $     ContinuedCertificationofestablishedfields:February1steachyear. 6$