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Get Pacific Coast Groundfish Buyback Loan Fee Collection Report Form

OMB Control 0648-0376 Expires 05/31/2015 Pacific Coast Groundfish Buyback Loan Fee Collection Report Fee Collector s Name Mailing Address City State Zip Phone Number State Buyer Code Month and Year of Landings FOR LANDINGS OF Sub account Fee Rate California coastal Dungeness crab BBGS 001GF BBGS 001CC California pink shrimp Oregon coastal Dungeness crab Washington coastal Dungeness crab Washington pink shrimp BBGS 001WS Only enter late charges fo....

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