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Alaska
REPORT YEAR
DEPARTMENT USE ONLY
4
2
RSN:
Salmon Price Report
EIN
Company Name
Contact Person
Mailing Address
Telephone Number
Fax Number
Title
Zip Code
City
State
Check if this is a
Email Address
Telephone Number
new address
Page _____ of _____
Indicate Report Period:
January - April
May - August
September - December
Due May 31
Due Sept 30
Due January 31
Month 1:
Month 2:
Month 3:
Month 4:
Tot. Net Wt. (lbs)
Total Value
Tot. Net Wt. (lbs)
Total Value
Tot. Net Wt. (lbs)
Total Value
Tot. Net Wt. (lbs)
Total Value
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
Species Codes
Production Area Codes
Product Form Codes
*Thermally Processed Container Size Codes (in oz)
Mail to:
410 salmon, chinook
A Southeastern & Yakutat
Aleutian Islands, Atka-Amlia Islands,
01 Thermally processed products
Code From
To
Code
Form
To
F
ALASKA DEPARTMENT OF REVENUE
420 salmon, sockeye
B Prince William Sound
& Alaska Peninsula
02 Fresh headed & gutted products
1
0
1.99
7
10.00
14.74
03 Fresh fillet products
430 salmon, coho
C Cook Inlet
G Bristol Bay
2
2.00
3.74
8
14.75
(Talls)
TAX DIVISION
440 salmon, pink
D Kodiak
Kuskokwim, Yukon-Northern, Norton
04 Frozen headed & gutted products
3
3.75 (Quarters)
9
14.76
19.99
H
PO BOX 110420
05 Frozen fillet products
450 salmon, chum
E Chignik
Sound-Port Clarence, & Kotzebue
4
3.76
7.49
10
20.00
63.99
JUNEAU AK 99811-0420
I Exported in the round
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