FOOD DSTR BUT on H~nDBOOK FOR U.S. D.~commoD TES BY STATE DEPARTmEnT OF EDUCATIOn - DIVISIOn OF VOCATIOn EDUCATIOn STATE OFFICE BUILDinG ATLAnTA 3,GEORGIA GEORGIA STATE DEPARTMNT OF EDUCATION VOCATIONAL DIVISION - FOOD DISTRIBUTION STATE OFFICE BUILDHIG ATLA~:TA 3, G.:D:lGIA FORWARD This handbook has been prepared by the State Department of Education to give assistance to Distributing Agencies that are engaged in the distribution of commodities donated by the United States Department of Agriculture. We hope this handbook will clarify some of the problems now being encountered by system Superintendents of Education in connection with the receipt, storage and distribution of commodities. Careful observance of these instructions will facilitate the delivery, storage, control, and accountability of commodities donated by the United States Department of Agriculture, through the State Department of Education. We have prepared an index as a ready reference for use 1-vhen specific problems arise. H. D. Hatchett, State Supv. Food DistFibution State Dept. of Education State Office Building Atlanta 3, Georgia IN D EX I. GENERAL A. Distribut ion Or ganization - -- - - - -- - - - B. Distribution Agr eement - - - - -- - c. Purpose - - - - ---- - - - -- - D. Types and Source of Commodities - -- - E. Schools and Institutions Eligible to Recei ve 6on~odities - F. How t o become Eligibl e to Receive Commodi t i es - II . HOH COMI:!ODITIES A1l E ORDERED FROH U. S. D. A. A. Availabil ity B. How Quant i t y to be use d by a System i s De ter mine d c. How Or ders are Compl eted III . HOW CO J-10DITIES ARE SHIPPED A ~ Gener al B. Not i ce of Shipment IV . SHIPHEl'-;T A. D RECEIPT OF COMMODITIES A. Re ceipt of Carlot Shi pments B. Res tor i ng and Bracing after Unloading at St op -off - V. PAYNENT OF FREIGHT CHARGES A. Freight Char ges B. Demurr age c. Government Bill of Lading VI . ALLOCATIONS BY SUPlilRIFTm,DENT TO SCHOOLS A. Super intendent ' s Responsibil i t y B. Rate of Di s t ribution - C. Se ction 6 Commodities D. Section 32 and L~l6 Cor.unodit ies E. New Lunchrooms F . Distribution List and Re ceipts VII . TRANSFER OF COHi'DDITIES A. Exces s Foods B. Sold or Tr aded C. Transfer Form FD-30 VI II . GENERAL STORAGE SUGGZSTIONS A. Cause of Drunage in Stor age B. Other Storage Factors and I nformation - IX . DISPOSITIOJ OF CONTAINERS X. UTILI ZATIO OF COMHODI'IIES Page 1 1 2 2 3 3-4 5 5 6 6 6- 7 7 8 8 8 8 9 9 9 9 9 10 11 ll 11 12 12-14 15 15 1 THE DIRECT DISTRIBUTION PRO~~ AND HOW IT WORKS IN GEORGIA SCHOOLS I. GENERAL A. DISTRIBUTION ORGANIZA'I'ION: Food Distribution is the distributing agency in Georgia for donated foods made available by the United States Department of Agriculture. The State Department of Education has an agreement with the United States Department of Agriculture to accept, allocate and distribute such donated foods as become available through the National School Lunch Act and the regular farm subsidy program. Food Distribution is now a part of Vocational Education. At the present time distribution is being made to 344 sub-distributing agencies in Georgia as follows: 159 county school systems, 43 independent school systems, 15 private schools, 16 parochial schools, 19 nursery schools and 92 institutions. These include 1634 feeding programs serving an average of 429,189 meals per day. B. DISTRIBUTION AGREEMENT: The Distribution Agreement between the u. s. Department of Agriculture and the Georgia Departnent of Edu- cation sets forth responsibilities and activities to be performed by each Agency in connection with this Program. Each school unit or institution, in order to be eligible to receive donated commodities, must also be a party to an Agreement with the Georgia State Department of Education. 2 c. PURPOSE: This program is designed to serve a three fold objective: 1. To make the price support progra~ more effective by furnishing outlets for corr~odities which must be purchased from the farmers of our State and Hation. 2. To encourage domestic consumption by donating commodities to schools and institutions; thereby, creating an expanded market for farm products. 3. To help schools serve a more nutritious noon-day lunch by the use of donated commodities; thereby, safe-guarding the health and well being of our Georgia school children. D. TYPES AND SOURCE OF C0h110DITIES Commodities distributed are divided into three groups which are as follows: Section 6 Commodities - These foods acquired by the U. s. De- partment of Ae;riculture pursuant to Section 6 on the National School Lunch Act, Public Law 396, approved June 4, 1946. These foods are purchased especially for school lunchrooms, and the determination as to what food will be purchased is based on nutrition and acceptability. These foods are distributed only to schools approved by the Department of Education for parti- .. cipation in tho Federal School Lt:nch Program Section 32 Commodities and Section 416 - These foods are ac- quired by the Department of Agriculture pursuant to Section 32 and Section 416 of the Act of August 24, 1935 as amended, and related legislation as a result of Price Support Progran activities. These foods arc distributod to all non-profit schools and eligible institutions. 3 E. SCHOOLS AND INSTITUTIONS ELIGIBLE TO RECEIVE COMl10DITIES: A. Section 6 Cornmodities ~ Only schools serving lunches for which reimbursement is claimed under the National School Lunch Program are eligible to receive this group of foods. B. Section 32 Commodities -All approved 11 non-profit11 schools and charitable institutions arc eligible to receive these commodities. c. Section 416 Commodities - All approved "non-profit schools and charitable institutions are eligible to receive these commodities. F. HOW TO BECOME ELIGIBLE TO RECZIVE COMMODITIES: SYSTEM Ll!.llEL: Each System Superintendent of Education desiring to participate in the receipt of commodities, must enter into an agreement with the State Department of Education to act as recipient agent. This agreement is prepared in the State office and forwarded with the list of eligible schools on Form FP-53B to the System Superintendent of Education. (See forms attached.) Tho System Superintendent of Education must execute this agree~nt and return it to the State office. In entering into this agreement, the system Superintendent of ~ducation agrees: 1. Commodities will be requested and accepted only in such quantities as will be fully utilized, but not to exceed the rates es~ablished by~ United States Department of Agriculture. 2. Commodities received under this agreement will be distributed to the individual schools (listed on the Agruemont Form FP-53B) on - - - --- an equitabl~ basis. W.'iDER N-O -Cff-iC-ID-IST-ANCES W-..I.L;..L- -USD-A COMHODITIES BE SOLD, LOANED, ~RAp_ED, EXCHANGED OR OT~ER~~ISE DISPOSED OF WITHOUT Al-'FROVAL OF THIS OFFICE. 3. Facilities for the propur handling and storing of commodities requested and accepted will be provided. 4 4. Receipts will be secured from the individual schools on all commodi- ties distributed and the original of this receipt will be forwarded to the Stato Department of ~ducation within TEN ~ after the commodity is received. This receipt is to be secured on Form FD-20, which is provided by this office. 5. BOOKS, Alm RECORDS P:C.::RTAE1HJG TO ~ rtiCEIPT Atm DISTRIBUTION OF - - - - - - - - - -- - - COMt10DITIES WILL -BE -KEP-T FOR A PiRIOD -OF NOT LESS -THA-N -3 YE-AR-S. As a minimum, this record will contain the following: a. An exact 1~cord of all commodities received, including dato and quantity. b. A copy of the distribution made to tho individual schools. 6. That commodities received will be used in addition to, and not in substitution for, foods normally purchased. Zxpenditures for food will not be reduced uecause of receipt of such donated co~noditios. (The preceding sentence does not apply to commodities distributed under turms of Section 6 of the National School Lunch Act.) 7. To provide proper storage fc.cili ties for com:nodities requested and accepted. 8. To serve these foods in a common dining room, and that there will bo no distinction whatover between paying and non-paying children in the type of m0als served and tho manner of serving. 9. An inventory of donated commodities will be taken at the end of Hovembor and Harch. A copy of the inventory Hill bo submitted to tho State office promptly. 10. All records pertaining to the receipt and usc of commodities by the schoolamere present in the atmosphere. It is, therefore, of the utmost importance that proper care be used in handling their storage. All dried fruits should be regularly inspected so that damaged items can be removed before they contaminate good fruits. If s~all spots of mold are found in a box of fruit, the spot should be carefully removed toe;ether Hith a substantial amount of sound fruit adjacent to the infected a1~a. 15 IX. DISPOSITION OF CONTAINERS A. In accordance with Federal regulations, the following disposition shall be made of containers in which donated commodities were received. 1. Containers may be v.sed in any way connected with the Distribution Program; such as, storage of cornnodities. 2. Containers may be sold and the funds received used in connection with the Distribution Program; such as, paying freight and handling charges. X. UTILIZATION OF COHMODITIES If at all possible cormrtodit:Les should be used during the period for which they were a1located. CoJ"1!11odi ties which were received first shot,_ld al\vays be used first. Form FD-53A GEORGIA STATE DEPARTMENT OF EDUCATION Division Of Food Distribution AGREEMENT BETWEEN DIVISION OF FOOD DISTRIBUTION, GEORGIA STATE DEPARTMENT OF EDUCATION AND SUBDISTRIBUTING AGENCIES /or RECIPIENT AGENCIES FOR COMMODITIES DONATED BY THE UNITED STATES DEPARTMENT OF AGRICULTURE. ~ ~~~~ ~ ~~~~~~~~--~~- ~~~~-~~-~~~~~~~~-~ ~~ ~~~ ~~-~~--~~~~~~~~~~~ -~~~~~~~~~~~- -~~-~- ---~---~ ____ -----~-~~~~~~~~~~----~-- ~------------------ ______ , Georgia, hereinafter referred to as the Sub-Distributing /or Recipient Agency, hereby enters into agreement with the Division of Food Distribution, Georgia State Department of Education, hereinafter referred to as the State Distributing Agency, in accordance with the following terms and conditions: 1. That, commodities donated by the U. S. D. A. will be requested and accepted only in such quantities as can and will be equitably distributed and utilized by the eligible groups as listed on the attached Form FD-53B, but not to exceed the rates established by the United States Department of Agriculture, and 2. That, commodities received under this agreement will be used solely for the benefit of those persons served or assisted by the Sub-Distributing /or Recipient Agency, and will not be otherwise disposed of without PRIOR written approval of the State Distributing Agency, and 3. That, the Sub-Distributing /or Recipient Agency agrees to financially reimburse the State Distributing Agency for any and all donated commodities utilized contrary to the foregoing item two, and 4. That, under no circumstances will commodities be sold or traded, and 5. That, Section 32 commodities will be used in addition to, and not in substitution for, commodities normally purchased, and 6. That, expenditures for food will not be reduced because of receipt of such Section 32 donated commodities, and 7. That facilities for handling and storing commodities requested and accepted will be provided, and 8. That, the State Distributing Agency and the United States Department of Agriculture are authorized to inspect at any reasonable time the receipts and records of the Sub-Distributing Agency /or Recipient Agency pertaining to the donated commodities on storage, and the facilities or warehouses /or storage rooms used in the handling and storage of donated commodities, and 9. That, such donated commodities will be served in a common dining room, wherever possible, and there will be no distinction or segregation whatever between the paying and non-paying persons in the type of meals served and the manner of serving, and 10. That, the Sub-Distributing /or Recipient Agency agrees to submit to the State Distributing Agency monthly a report (FD-100) showing average daily number of meals served by the groups listed on the attached FD-53A, and 11. That, the Sub-Distributing Agency /or Recipient Agencies agrees to furnish to the State Distributing Agency a receipt (FD-77) showing the distribution, and attached to same one copy of the school receipt (FD-20) covering each individual school's share of the allocation, and 12. That, the Sub-Distributing /or Recipient Agency agrees to furnish the State Distribution Agency annually a minimum of two inventories of donated commodities in accordance with the request of the State Distributing Agency, and 13. That, the Sub-Distributing Agency will procure the Recipient group receipt (FD-20) at the time the allocation is delivered to or received by the recipient group. It is further agreed that the signature of the school lunch manager or school lunch worker will be acceptable for signing the FD-20 and receiving the recipient school's allocation. In event neither of the foregoing signatures is obtainable at the time delivery is made the signature of the principal, teacher, custodian or janitor or such person who normally receives for the school will be acceptable for signing the FD-20, and 14. That, any finances realized from the sale of donated commodity containers by the Sub-Distributing /or Recipient Agency will be used in the food distribution program or the lunch programs of the Sub-Distributing /or Recipient Agency, and 15. That the Sub-Distributing I or the Recipient Agency agrees to keep, for a period of not less than two years, receipts for all commodities received, and 16. That the Sub-Distributing /or Recipient Agency agrees to supervise and actuate a transfer program of donated commodities among its recipient groups in order to encourage usc of commodities and to more adequately care for the needs of the recipient groups, and 17. That, either agency by giving a thirty (30) day notice in writing to the other party may terminate this agreement. It is further agreed, that the State Distributing Agency may terminate this agreement immediately upon receiving evidence that the terms and conditions thereof have not been fully complied with and following such termination the total current inventory of U. S. D. A. donated commodities shall revert to the ownership of the State Distribution Agency, and 18. That, the State Distributing Agency agrees to make equitable allocation of donated foods in accordance with the U. S. D. A. regulations. Accordingly, we being duly authorized representatives of the contracting agencies do as of ~~ S~ffix our signatures to this agreement. ~ ____ Superintendent _____ ~- ~ ______ --~ _---------------- ----------------~ ----~ ----------- __ --~ ____________ ~ __ ~ ~ __ __ Director DIVISION OF FOOD DISTRIBUTION GEORGIA STATE DEPT. OF EDUCATION lr . 1 Form FP-53B (5-13-48) ------ - U. S.. D.8PARTI:!ElTT OF AGRICU!..TURE PRODUCTim: AI~D LARKETING Am:nrrsTRATION Rec1~1ent State ~County Name and Address of : Agelcy I ATTACHMENT TO DIRECT DISTRIBUTION AGREEHEriT FORM FP-53A SCHOOLS .. -- I Pa~e I Date ~greement Executed Average Daily Fo. of 1reals Served of Able To Use Pages : Approx- I i ' I NAME OF SCHOOL ! ' ' .i..DDRESS Av- By Schools Participatin~ By Sc-lnols Juices~Frosh h~to c1~s erage In National School Luncl Not Fartic~ and/or Dry ing Date Daily Attend- - Proe:ram ipating In Fruits Only. Of LunchSchool Insert Chcc'.: room For ance Type 11. Type B Type c Lunch Program r.~ark ( '/) If l~pplicable SUllilll.e r Vacation - . ___ _ j ) j (2) (3) (4) (5) (6) (7) (8) (9) ~---- 1--- I 1' --- ---- - ~---- ~----------- - I ' - ------ .-- --- -- .. - - ------------- ---- l t= ----- - - ' The above information is true and correct according to the best of my knowledge and belief. Date Signature . - 1.- --- FD-44 ?"evised 7-1-52 GEORGIA STATE DEPARTMENT OF EtUCATION VOCATIO}~L DIV. FOOD ~ISTRIBUTION STATE OFFICE BUILDING ATLA:.:TA 3, GEORGIA C0 NS I GNE E 1 S DI S T R I B UT I 0 N R EP 0 R T CO~iSlGN.t:D TO: DELIVERY URDER Nill1BER CAR INITIALS & l-!1JMBER - - - - - - - - DATE SHIPI-ED - - - - - - - - - - - - STATE OF ORIGiiJ OF SHIPI'-lli'NT - - - - - - - - STOP-OFF POINT_ _ _ _ _ _ _ _ _ __ SHIPMENT OF - - - - - - - - - - - - DiSTilJATION - - - - - - - - - - - - - - The above shipment was received by me on date of ~----------- via the and d:i.stributed as follows: -- Na- m- e -o-f ~~ Ra-il-ro-a- d ---- ------==--;- Recipient Group . Amount : Amount : Date : Signature of ----------~-Al_lo_c_a_t_e.e ceive~~-e_ce_i_ve_cL____t:.:h.:..:,e=-..:.:l\~e~ce.:..:l::...v.:....;e;;.:r:.___->:-_::______ . l 2 I ~-----------------------------r-- _______ 3 4.;:.__ -----------~--------- 5 6 -------l-----i +---------------- 7 8 ----~-----+--------j I 9 I 10 I 11 I 12 13 14 TOTALS ~~ R1'TURN m:E CJPY TO STATB OF:?ICE KEEP ONE COPY FOR YOUR FILES + Signature of Conslgnee ~-:~ THE RECEIV.ill FOR EACH RECIPIENT GROUP 1'0JST SIGN BOTH COPIES OF THB FD-44 Form FD-20 RECIPIENT AGENCY'S RECE IPT OF DONATED U. S. D. A. FOODS DELIVERY ORDER NUMBER Received of ___ ---------------- ------------ ------------------------------- ---- Board of Education the following U. S. D. A. Name of System donated foods, namely: Name of Commodity - --- Units Number of Units Signature of Driver Del"vering School's Allocation Date Received by School This allocation is for a period of ---------------- days. Name of School Signature Title MAIL ONE COPY WITH FD-77 TO STATE OFFICE Form FD- 77 .Revis ed 7-1-52 NOTICE OF- ALLOCATION AND SUB- DI STRIBLJTING AGENCY 1S REPORT RETURN TO : Name of Sub - Dis tributing Ae;ency Add:ce ss- - - - - Jv!R . H. D. HATCFETT , STATE SUPV. .Allocation and Harne of Commodi ty VOCATIONAL DI IS:r:O - FOOD DIST:UBUTION GEORGIA ST).TE DEP -:.11-TEE; T OF EDUCATION STATE Qli'FICE BTTILDii-iG l1ini mum Us e !tate per Student Supr)ly Period A'fLA~~TA 3, GEOP.GIA Classifi cation of Food : Section _ --------- -~---------. - ::- DIST~IBUTION 1>< Y l.Section 6 School L nch Frograms Distribution Basis Column BE MADE ONLY AS 2 .Section 32 School Lunch Pl~ogra.mTDis tribution 3asis Column____ CHECKED TO : 3 . Al l S chools with Facilities for-u$e Distribution oasis ColUmn--- __________________________ Delivery Order !'.umber Consignee of-Car____ Delive ry Point of Car The abo e allocation ~.-JJLL I OT be res hin.. ped fro-m above Delivery Fo-iD- t . ---- --- - ~*-;!-~*-}H!-;~~~~~~~-)H~~~-~~--~H*-iH~-~~-~~-~~-!H :-~ : -~~..; :--;H ~ - -;~-;H~-; H~--) ~;r~~-~ ~~~--;t-: -:~~~-~: -~~-;~.:;~:i--~~-~~~:~~-:~-~!-~~-: : -:H:---;:-~MH~~:-!!-,~-~~--~~ -;E~ -~r.:; t-~~--!<-~!-~!-~~~E'-;H!-~!~!--iHH~ - - - - - (a) TOTAL AIOUKT !\::!;CEIV:::;D (b ) DATE a~CE I VED -- -----...,,O""p'_e_r_a- t""i',_n-gj ___ B~si~ ol_ D~_stributi_?n Hade By :-~ Number Sch . Lunch; Average Daily Fumbe!j ADA of Schools j Hame of Scho o l 1 1 P rog r am ! Heals Ser ed (Amll"I Serve d J1.1ice s ,Fresh , l Yes 1j f0l Lunch ProGrams Onl y I Apple s, Raisins,Etc . : LL _ ___,__(1_~)_ _ _1,-(:.......2 (3) I ( 4) : (s) I I I given to Recipients (6) I --~-+--i.l ~--=--=+-----+t------ -t - ----Ir ! I =t= I ! I I ! I - ! I - -- I - I + i ! : ! ----- ----------t-- ---------- TOTALS 1 ========~==~================ I ce rtify that the above allo cat ion is he reby req es ted and Has r eallocate d e quitably a s sho-vm, and individual s chool r eceipts (FD - 20) are he rewith sub - mitted sub s tantiating this di s tribution . Date Si Gnature of Sl'.pe rintenclent FORM FD-54 (1-27-!55) U. S. DEPARTMENT OF AGRICULTURE AGRICULT URAL M ARKETING SERVICE DELIVERY ORDER CFOR SECTION 1,'0 : AGRICULTURAL MARKETING SERVICE COMMODITY) 2. COMMODITY 1. STATE : 3. QUANTITY 4. DELIVERY AT DESTINATION (DATES) 5. AGENCY ORDER NU. BETWEEN 6 . NAME OF AGENCY AND The undersigned, being duly authorized to receive and accept commodities for and on b half of the above named agency, does hereby agree: To accept th above described commodity upon delivery at the destination bown b low and to distri bute the entire quantity in accordance with instruc ions prescribed by the Agricult ural Ma rketing S rvice. The signing of the " Consignee's R eceipt" by the herein authorized agent shall constitute acceptance of the commodity for and on behalf of the above named agency. ~7~--~~~~~~~T<~~~~7&-~~----~8~ --~~~--- ~9~---------..n~~~~~~~----------- ~1~0~~~~--- (AGENCY REPRESENTATIVE'S SIGNATURE) (DATE) (APPROVED FOR AMS) (DATE) 11. SHIP TO (Name of consi gnee: Agent , Institut ion , Etc.) SH IPPING INST RUCTIONS 14. SEND PREPAID WIRE NOTICE OF SHIPMENT TO: 12. CARE OF (Name and Title of Person - Authori zed Agent at Destinat ion) (NAME) 13. DESTINATION (Point at which sh ipme nt to be unloaded: St. and No., City, State) 15. SPECIAL INSTRUCTIONS WHERE REQUIRED: DELIVERING R. R., TEAM TRACK, SIDING, ETC. (STREET AND NO.) (CITY) (STATE) 16. PROGRAM NO. 20 . SHIPPING POINT THIS SPACE FOR AMS ONLY 17. CONTRACT NO. 18. BILL OF LADING NO. 19. DELIVERY ORDER NO. 2 1. NO. AND SIZE UNITS SHIPPED 22. NET WEIGHT SHIPPED CONSIGNEE'S RECEIPT (Fill in space 23 through 28 only if shipme nt received short or damated) 23. NO. AND SIZE UNITS RECEIVED 26. NET WEIGHT RECEIVED 24. NO. AND SIZE UNITS ACCEPTED 27. NET WEIGHT RECEIVED IN GOOD CONDITION 25. NO. AND SIZE UNITS (DIFFERENCE) 28. NET WEIGHT (DIFFERENCE) Entire shipment received in good condition except as noted above. 29 . (DATE SHIPMENT RECEIVED) 30. (SIGN AT URE OF AUTHORIZED AGENT) NOTE: Where spaces 23 through 28 are filled in, a short or damage report mud be attached. f::r U . S . GOVERNMENT PRINTING OFFICEl UUSS- 881881 FORM FD-57 (84-54 ) U. S. DEPARTMENT OF AGRICULTURE AGRICULTURAL MARKETING SERVICE REPORT OF SHIPMENT RECEIVED SHORT AND/OR DAMAGED 1 CITY AND STATE OF DESTINATIO N r COMMODITY NAME AND PACK 3. CAR NO. B/L NO . 5. DATE UNLOADED 6. DEL IVERY ORDER NO. STARTED COMPLETED 7 OUANT ITY BILLED I A. SHORTAGE RECEIVED 9 QUANTITY SHORT 10 SHORTAGE DISCOVERED D 0 BEFORE AFTER 11SEAL NUMBERS (BOTH DOORS) AND CONDITION 12 SHIPMENT WAS UNLOADED FROM D CAR TO WAREHOUSED TEAM TRACK VIA TRUCK TO WAREHOUSE TEAM TRACK VIA TRUCK TO RECIPIENT AGENCY 13 . PROTECTION AND SUPERVISION AFFORDED SHIPMENT DURING UNLOADING a . HOW WAS SHORTAGE DETERMINED D D PHYSICAL RECOUNT TABULATION OR UNLOADING TALLY D DEL IVERY RECEIPTS DATE 16. CARRIER NOTIFIED D 0 YES NO 17 QUANTITY BILLED NAME OF AGENT NOTIFIED 18 QUANTITY RECE IVEO DATE NOTIFIED a. 19. QUANTITY DAMAGED 15. CAR SPOTTED TIME HOW NOTIFIED D D WIRE PHONE D LETTER 20. NET LOSS DUE DAMAGE 21 NATURE OF DAMAGE 23 APPARENT CAUSE 22 DAMAGED DISCOVERED D D D BEFORE AFTER DURING UNLOADING 24. DISPOSITION OF DAMAGED QUANTITY 25 LOAD PROPERLY BRACED YES D NO c=J 88 LOAD SHIFTED OR JUMBLED 0 YES NOD IF PERISHABLE COMMODITY FILL IN SPACES NO. 27 AND 28: 27, AMOUNT OF ICE IN BUNKERS AS CAR HEATED NO. OF HEATERS D YES NOD POSITION OF VENTS AND PLUGS 28. TEMPERATURE ON ARRIVAL 29. HOW WAS QUANTITY DAMAGED DETERMINED OUTSIDE 30.YECASRRDIER NOTNIOFIEDD !INSIDE CAR ACTUAL SCALE WEIGHT !ESTIMATED I INAME OF AGENT NOTIFIED DATE NOTIFIED IHOW NOTIFIED D wIRE D PHONE LETTERD ----------------~------------~--~~----~~----~= 31. I cert ify that the information and statements entered above are, to the beat of my knowledQe and belief, true and correct. (SIGNATURE OF CONSIGNEE) (DAT E) 32 Receipt of a copy of this report io hereby acknowledged and the facto contained herein are verified, AII1WASI (SIGNATURE OF CARRIER'S AGENT) (N.AME OF DELIVER I ~G CAllR IER) (ADDRESS OF DELIVERING CARRIER) (Uee Reverse Side If Additional Space Is Needed) : Form FD-30 RECORD OF TRAN8FER Transferred from: - - - - --- - - -Sc-ho--o-- l. o..r.. .In.s"ti...t..ution ~ - ---Coun-ty -or -C-i-t-y----- -- - - - Address Transferred to: School or Institution ----C--ou-nty or -C-i-t-y-------------- - A-ddr-es-s - --- - - - --- Name of Commodity Type Container Total Amount Received _ _______ . .. ---- _ _ -.. ....._I. ... - --- I I I -J_._________ The above i t ems were received by t he u:1dersigned i n good conditi on. Dil.'fE: -- - County -- -- ~---- - o- r - C- ity-S-u-p- er- int-e- nd- ent of 0chools or I nstituti ons. BY..:__ - - - - - - - -- - - - - - _ - -- - (See I nstructions Comraodity Hand Book )