Form 560 Alaska Salmon Price Report Fill In
(all forms fillable on Windows, Mac, Android tablets, and iPad using Adobe Reader XI)

April August Report Period: & Alaska & Yakutat (4 lb can) (Halves) (Quarters) (Talls) *Thermally Processed Container Size 0405 560 Rev 05/06/13 page 1 10 00 14 74 14 75 14 76 19 99 20 00 63 99 64 00 64 01 or larger 99811 0420Phone 907 465 accompanying Address ALASKA Aleutian Islands Atka Amlia Islands belief Bristol Bay Check if this is a new address Chignik Codes Company Name complete Contact Person Container Size* Cook Inlet declare DEPARTMENT Due January 31 Due May 31 Due Sept 30 Email Address examined Exported in the round falsifications Fax Number Fresh fillet products Fresh headed & gutted products Frozen fillet products Frozen headed & gutted Frozen headed & gutted products including Indicate Report Period: January knowledge Kodiak Kuskokwim Yukon Northern Mail to: Mailing Month 1: Month 2: Month 3: Month 4: Norton Sound Port Clarence Norton Sound Port Clarence & OF REVENUETAX DIVISIONPO BOX 110420JUNEAU AK Page of penalty Peninsula Prince William Sound Printed or Product Area Product Form Product Form Codes Production Area report salmon chinook salmon chum salmon coho salmon pink Salmon roe products salmon sockeye September December Signature Southeastern Species Species Codes State statements Telephone Number Thermally processed products Title Tot Net Wt (lbs) Tot Net Wt (lbs) Tot Net Wt (lbs) Tot Net Wt (lbs) Total Value Total Value Total Value Total Value Typed Name under unsworn USE ONLY