APPENDIX C. 

 Report Form and Information Sheet 



OUE BY FEBRUARY 15. 1983 



0MB APPROVAL NO 0007 0408 [XPlR(St}fS4 



1' '•. iSf'AtiriMrif r 



UNITED 9TATES 



CENSUS 

 OFAQmCULTURE 



NOTICE ^^MNtNMtnMre^MftAMMrV'WfMu^^ 

 THC CCNSUS OUftf AU IS CONFtOENTlAl. It mBV tM seftfi onfv by •wom Ccntu* omptoytM and (nay b« usd 

 oo»Y for Rt»tlitical »>ufpo«M. Your report CANNOTbvuatdforpurpous of tixitlon. lnvtttK)itK>r>. or rftgulation. 

 The U** «lto pfovMat that co(>i«» Ttrain»d in your fltg» dft imrnur>« from \9^9\ pfoc»t». 



^ I II mm iiiiriii ^•rt«lnli»9 te tM* MfMrt* pi m i r««w U your C«n*u« PIN Nwufci (Cn«) 



JiMmomM*. IndtoM 471 M 



Not* - K vour records are not available, reasonable esiimaies msv t>a used If 

 vou cannot file bv February 15. a time extension request may b« sent to the 

 above address Include your 1 2-characiar Census file NumtMr (CFN) as shown 

 in vour address label m all cortespofMJenco to us. 



K fOU tNlKvC Afl' (Km 4f)t 

 MOR teWL W Ht MDI omtt 

 rti MfiMrtU tan ml ntwtt 



Mti ooplH wwi your co w ytltB 



CINtU* 

 OMf 





iSWMni AcMAatiwiftfla 



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IMTOKMAr 



f. 



t «mv« 'n n«fn«, a<MrMt, wvt ZIP code.l 



R»ooft land own»d, tented, oc usad by you. yout spouse, or by the pemwf 

 ship, cofporation, or organiiation fot which you are reporting. Include ALL 

 LAND, REGARDLESS OF LOCATION OR USE - cropland, pastureland, 

 rarvgeland, woodland, kHa land, hou*« Iota, etc. 



INSTRUCTIONS — PtoaM rafMct TOtMr crop* In th* aMiropriata i«o<ion. 

 Um MtliaA 7 M r««ort ONLV thoM erapa NOT Hat«d In M«tiem 2 lliroMah 

 6 and Motio« a. 00 NOT INCLUM crop* Brawn on land rwMtd tg otlMr*. 



1. Al land owned . 



a. Al land ranted cr leased FROM OTHERS, including land worked 

 by ycu en shatet, used rent free, in exchn^ge (or services, 

 pt\mnt ol taxes, «c. Include leased Federal, State, and railroad 

 land. (DO NOT include land used on a pcr-head basis under a 

 graiingpemHi.l Also complete item 6 below 



S. Al land tented or leased TO OTHSIS. including land worked on 



shatei by others and land subleased. Also cornplete item 6 below LJ' 



4. ACRES IM THIS PUCE - ADD acres owned (item I) and acres 

 rented (item 21. then SUBTRACT acres rented TO OTHERS litem 31. 

 end enter the result in this space 



far Ml UMua rXMrt «HM •» tto "ACIIM W THW MAM. " 



H tht tntTY Tt /aro pl9«M (etw to (h« INfORMA TiON SHf FT, Socmen 1 . 



B . If you rented land FROM OTItfRS (Kern 2) enter the (olowing Information for eech landlord. 



Neme 0) landlord 



MaMngeddrese flnc»<d»aPcodW 



iBJBBffHI WM«M...^H»»WHiaWWneMIMh«M.irffcMilM.rie».l«1g«> 



1. Wheat (Of gr^. 



None 



. D 



2. Bariey lor grain □ 



3. Oats for grain U 



4. Dry edibla beanaiicdudi r_, 



*y«m») U 



••Lantila D 



^ •.Dry edible pees irxciudt 



Auttri*nviitTttip9»$afid 

 wr*>Metf s«ftfp««9> 



4 7, Austrian winter pees . 



8. Com (field) for grain or 

 seed /A«port quantity on t 

 aky iMIlK^ walgrir tin's/ ... . 



9. Com IfleM) for silage 



or green chop 



Un MidMonil lirtdofdii on « M0WjM~tfiMt or paper, 

 e. If you rented land TO OTHERS (item 3). enter the following infonnation for each renter. 



10.Suger beets for sugar .. 



11. Mint for o« - 



12. Potatoes, Irieh' 



a 

 a 



D 



Dl 



D 



□ t 

 D 



Acrae 

 harveated 



]; 



oeo 



OH 



]; 



Quamltv hmimsd 



JOB) 



Tons, 



Name of renter 



Mailing addreea (IncMs Z^sodel 



Number of scree 



••Of the land you rented or leased to others, how many 

 acres did you. own? (_) 



-Acres 



7. During 1962, dk) you have any Federal or state grating g,, 

 permits on a perhead basia; such as Forest Service. 

 TaykirGraang, Indian Reservations, etc? 'G*«« 'QNo 



B. How many seres were diverted lor seissidal under Federal 

 commodhyacreege reduction programs in 1982? 



D 



B. LOCATION OF AGRICULTURAL ACTIVITY FOR THIS PlACt 



•. ki what county was d<e 

 largest vakie of your 

 agriaituril products 

 raised or prorkxed? 



b. If you also have agricultural 

 operatkxis in arty odw 

 countyOesl. enter the 

 county rumelsl. etc 



county -• 



County name IState 



Nwriber of ecree 



m.M[.[)'»» WaaanrimvHAf 

 """""^ hMvee s a d frew i ttia piece >t 19«3? 



, I "J ^w« 



wiitmkmannm 



Acres 

 irr igated 



550 



D YES . 



. J n NO — Go to uerton 4 



if cuttings were made ror both dry hay and 0f«u sff«0t, /wylipek or preen cnop 

 from the seme rfaWf. reporrrTieecraeMtn (he approprfateitame under OAV 

 HAy en<> alaa uraJer ORAM SILAGf. HAyiAGE. and GBH« CHOI>. 



I.DRVHAV (l/iwoormorecuroieaordryhtv 

 we'V nieda from the seme acree, raporr acre* on/y 

 once, bur report lotafrona from aacumhpjj 



a. AlfeHa and alfalfa mixturee for 



hay or dehydrating 



b. Small grain hay - oats, wheat, 

 barley, rye. etc -, 



0. Other tame dry hay, clover, timothy, 

 Sudan gresa, fescue, created 

 vrheatgrass, etc 



d.WIW hay 



2.(MA«« SIIAOI. HAVLAOi. AND 

 OMEN CHOP Omt crape e«l 



and fed ui eeii l ttl two oi mon cuttings 

 were m^at from the aame acraa. npcrt 

 acre* only once, bvt ttoofX totaf tont from 

 aU cutting:! 



a. HAV aOlO - Did you tel any hay 

 or grass sflsge In 1 3827(n>po>r vatue 

 ol t^ toU m taaion 9. itmndt 



Acres 

 harvested 



S 



QuantKy 



lA9t>on tttftm dry 



Tont, 

 dry 



Tont, 

 dry 



Ton*, 

 green 



Acrei 

 iriiflattd 



Ym 



»QNo 



PENALTY FOR fAILUR£ TO REPORT 



1982 CENSUS OF AGRICULTURE 



APPENDIX C C-1 



