Form 561 - Alaska Annual Salmon Production Report - 2014
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Alaska
REPORT YEAR
DEPARTMENT USE ONLY
2014
RSN:
Annual Salmon Production Report
EIN
Company Name
Contact Person
Mailing Address
Telephone Number
Fax Number
Title
City
State
Zip Code
Check if this is a
Email Address
Telephone Number
new address
Page _____ of _____
January 1 - December 31, 2014
REPORT PERIOD:
Due January 31, 2015
Production Area H:
Production Area F:
Kuskokwim, Yukon-
Production Area A:
Aleutian Islands,
Northern, Norton
Southeastern &
Production Area B:
Production Area C:
Production Area D:
Production Area E:
Atka-Amila Islands, &
Production Area G:
Sound-Port Clarence,
Production Area I:
Yakutat
Prince William Sound
Cook Inlet
Kodiak
Chignik
Alaska Peninsula
Bristol Bay
& Kotzebue
Exported in the round
Tot. Net Wt. (lbs) Tot. Net Wt. (lbs) Tot. Net Wt. (lbs) Tot. Net Wt. (lbs) Tot. Net Wt. (lbs) Tot. Net Wt. (lbs) Tot. Net Wt. (lbs) Tot. Net Wt. (lbs) Tot. Net Wt. (lbs)
I declare under penalty of unsworn falsifications that this report, including any accompanying statements, has been examined by me and to the best of my knowledge and belief is true and complete.
Signature
Printed or Typed Name
Date
*Thermally Processed Container Size Codes (in oz)
Species Codes
Product Form Codes
410 salmon, chinook
01
Thermally processed products
Code From
To
Code
Form
To
420 salmon, sockeye
02
Fresh headed & gutted products
1
0
1.99
7
10.00
14.74
Mail to: ALASKA DEPARTMENT OF REVENUE
430 salmon, coho
03
Fresh fillet products
2
2.00
3.74
8
14.75
(Talls)
TAX DIVISION
440 salmon, pink
04
Frozen headed & gutted products
3
3.75 (Quarters)
9
14.76
19.99
PO BOX 110420
450 salmon, chum
05
Frozen fillet products
4
3.76
7.49
10
20.00
63.99
JUNEAU AK 99811-0420
06
Salmon roe products
5
7.50
(Halves)
11
64.00
(4-lb can)
Phone 907-465-2320 • Fax 907-465-2375
6
7.51
9.99
12
64.01 or larger
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