GEORGIA DEPARTMENT OF AGRICULTURE 19 MARTIN LUTHER KING JR

COUNTY SUPERIOR COURT STATE OF GEORGIA PLAINTIFF
POLSKI RZYMSKOKATOLICKI APOSTOLAT ARCHIDIECEZJA ATLANTA GEORGIA DUSZPASTERSTWO PROWADZI
101 S PETERSON AVENUE DOUGLAS GEORGIA 31533 (912) 3844799

110000000 GEORGIA HOUSING AND FINANCE AUTHORITY SINGLE FAMILY MORTGAGE
12 GEORGIA NATIONAL INTEGRITY SYSTEM (NIS) ASSESSMENT TRANSPARENCY INTERNATIONAL
14 GEORGIA NATIONAL INTEGRITY SYSTEM (NIS) ASSESSMENT TRANSPARENCY INTERNATIONAL

GEORGIA DEPARTMENT OF AGRICULTURE

19 Martin Luther King Jr. Dr. SW, Rm. 601, Atlanta, Georgia 30334

Phone No. (404) 656-3637 Fax No. (404) 463-6670


QUARTERLY REPORT OF FERTILIZER TONNAGE
GEORGIA DEPARTMENT OF AGRICULTURE 19 MARTIN LUTHER KING JR

COMPANY NAME


DATE


ADDRESS


CITY


ST


ZIP


PHONE NO.


FAX NO.


EMAIL


CONTACT


TITLE


FERTILIZER LICENSE NO.


GEORGIA DEPARTMENT OF AGRICULTURE 19 MARTIN LUTHER KING JR

< for all bulk fertilizers and fertilizers in container sizes of over ten (10) pounds, which are distributed to non-licensees. This report and payment (if owed) are due in our office no later than 30 days after the report period ends. If you report and payment (if owed) are received after the “Due” date, a penalty of $10.00 or 10% of the amount owed, whichever is greater, will be due. If you have questions, please call our office at the number listed above.


Quarter:


Due on or before:



DISTRIBUTED AS: MATERIALS


DISTRIBUTED AS: BLENDS & OTHERS

NITROGEN MATERIALS

Dry


Liquid




Urea






Mixed Grades – Dry


1









Ammonium Nitrate





Mixed Grades – Liquid


2









Ammonium Sulfate





Total Mixed Grade (add boxes 1 + 2)


3









Anhydrous Ammonia





Secondary/Micros


4









Nitrogen Solution





Miscellaneous


5









Other





Gypsum


6









Total Nitrogen Materials



N

Organic


7









PHOSPHATE MATERIALS

Dry


Liquid


Total Materials (box M from 1st column)


8

Ammonium Polyphosphate (10-34-0)
















Diammonium Phosphate (18-46-0)





TOTAL TONNAGE

(add boxes 3, 4, 5, 6, 7 & 8)


9









Triple Super Phosphate





Fees Due (box 9 x $0.60 per ton)


10









Other





GDAg Audit Adjustment (+ or -)


11









Total Phosphate Materials



P

Late Penalty ($10 or 10% which ever is greater)


12









POTASH MATERIALS

Dry


Liquid


TOTAL AMOUNT DUE

(add boxes 10, 11 & 12)



Muriate of Potash
















Sulfate of Potash Magnesia






For Department Use










Other





C #:











Total Potash Materials



K


Pd $:











TOTAL MATERIALS (add N, P & K)



M


















SFF 2011


15 GEORGIA DEPARTMENT OF HUMAN SERVICES DISADVANTAGED BUSINESS ENTERPRISE
1788 – 650 WEST GEORGIA STREET VANCOUVER BC
1804 CITY OF CARROLLTON GEORGIA JOB DESCRIPTION JOB TITLE


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