Customer: (Signature) Date (Printed Customer Name) By: (Printed Name of Person Signing) Title: (Printed Title of Authorized Person Signing) EXHIBIT B SAMPLE ORDER FORM do only or or 1.5% 5# to no Liver 5# LABEL a or bird bones? Heart, Necks Necks Name TO 1# to In Wealth #/COL Form LOT# other Farm NEED RACK or subject my yes 5#) Order Common NOT are with Wings DO (1#or frames, want balance YOU you Labels backs, USE Leg do payments 10# unpaid in PLANT Processing what Generic Quantity Quarter Late Below) the back remaining WHOLESALE, on the bones dark ITEM/PCACKAGE Drum cutting, AT Custom (Circle pick-up. the Poultry with After at Thigh/ EACH charge want Quantity Boneless packages: ($1/lb) I tIME SELLING P/U CON/DOA Wealth ARE finance required Poultry is YOU BONES: Quantity Boneless Breast full IF Wealth in Label A 1 IS 4 A 5 6 Common ON PER ARE Bone NOTE: TO MORE EVERY THAT DONOT TO PACK CHARGE WEIGH WHOLE THAN DEAD WITH 10,000 ARRIVAL WEALTH DRUMS, ORDERS WE WE THIGHS, $1/BIRD PACKAGE Payment Breast LABELING: BREAST, DEPOSIT PLACING PACKAGES Common PROVIDE WINGS WE COMMON FOR INDIVIDUAL YEAR REQUIRED BIRD FOR BIRDS Quantity 5# PLEASE PHONE: In
Customer: (Signature) Date (Printed Customer Name) By: (Printed Name of Person Signing) Title: (Printed Title of Authorized Person Signing) EXHIBIT B SAMPLE ORDER FORM Common Wealth Poultry Processing Order Form Heart, Liver Necks In bird or 1# or 5# or Necks 5# only After cutting, what do you want Common Wealth to do with the remaining backs, frames, or other bones? no LABELING: IF YOU ARE SELLING AT WHOLESALE, YOU DO NOT NEED TO LABEL EACH ITEM/PCACKAGE (Circle Below) Custom Generic Labels with my Farm Name PLANT USE RACK #/COL LOT# Payment in full is required at pick-up. Late payments are subject to a 1.5% finance charge on the unpaid balance Wings (1#or 5#) yes Quantity Leg Quarter I want the bones back in 10# packages: Quantity Thigh/ Drum Boneless dark ($1/lb) CON/DOA P/U tIME Quantity Boneless Breast BONES: Common Wealth Poultry Label Quantity Bone In Breast 5# PLACING ORDERS FOR MORE THAN 10,000 BIRDS PER YEAR ARE REQUIRED TO PROVIDE COMMON WEALTH WITH A $1/BIRD DEPOSIT PLEASE NOTE: WE DONOT WEIGH INDIVIDUAL PACKAGES WE CHARGE FOR EVERY BIRD THAT IS DEAD ON ARRIVAL WE PACK 1 WHOLE BREAST, 4 THIGHS, 5 DRUMS, 6 WINGS TO A PACKAGE PHONE:
2018CWPprocessingCONTRACT.docx