Form 561 Annual Alaska Salmon Production Report Fill In
(all forms fillable on Windows, Mac, Android tablets, and iPad using Adobe Reader XI)

(4 lb can) (Halves) (Quarters) (Talls) *Thermally Processed Container Size Codes 0405 561 Rev 12/29/14 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 accompanying Address Alaska ALASKA Aleutian Islands Atka Amila Islands & Alaska Peninsula Annual Salmon Production Report Area B: Area C: Area D: Area E: Area F: Area G: Area H: Area I: Exported in the round belief Bristol Bay Check if this is a new address Chignik Company Name complete Contact Person Container Size* Cook Inlet declare DEPARTMENT DEPARTMENT Due January 31 2015 Email Address examined falsifications Fax Number Fresh fillet products Fresh headed & gutted products Frozen fillet products Frozen headed & gutted products including January 1 December 31 2014 knowledge Kodiak Kuskokwim Yukon Northern Norton Sound Port Clarence & Kotzebue Mail to: Mailing OF REVENUETAX DIVISIONPO BOX 110420JUNEAU AK Page of penalty Prince William Sound Printed or Product Form Product Form Codes Production Production Production Production Production Production Production Production Production report REPORT REPORT PERIOD: salmon chinook salmon chum salmon coho salmon pink Salmon roe products salmon sockeye Signature Southeastern & Yakutat 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) Tot Net Wt (lbs) Tot Net Wt (lbs) Tot Net Wt (lbs) Tot Net Wt (lbs) Tot Net Wt (lbs) Typed Name under unsworn USE ONLY Zip Code