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                                            Farm Visits

Name of farm/farmer
Day/Date visited

Name of person interviewed
1.  Did the farmer have the variety and acreage of crops planted that he         certified?     yes     no
2.  Does the farmer purchase any produce from other Alabama farms to be purchased with FMNP checks?   yes    no

I, , acknowledge that the information provided in this form is accurate to the best of my knowledge.


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