Compilation of Rules and Regulations of the State of Georgia
Department 40 - RULES OF GEORGIA DEPARTMENT OF AGRICULTURE
Chapter 40-7 - FOOD DIVISION REGULATIONS
Subject 40-7-11 - ADDITIONAL REGULATIONS APPLICABLE TO THE SALE OF MEAT BY WEIGHT AND FOOD SERVICE CONTRACTS
Rule 40-7-11-.03 - Customer Order Form

(a) The name and address of the firm;

(b) The date of the order;

(c) The name and complete address of the buyer;

(d) A description of the product by carcass side, by species, amount, quality, and USDA Grade, State Grade, and/or Yield Grade (if graded) and a detailed description of other food products by brand name and common & usual names;

(e) The price per pound hanging weight in the case of hanging meat sales and price per serving of food items other than meat;

(f) The gross weight of the product prior to processing in the case of hanging meat sales;

(g) The weight of the meat hooks, freezer baskets, other containers, or other weighing devices in the case of hanging meat sales;

(h) The cutting loss weight in the case of hanging meat sales;

(i) The net weight of the delivered meat and a detailed list of all other items delivered;

(j) Statement if the bone, trimmed fat and/or waste meat are wanted by the buyer;

(k) The Yield Grade of the carcass, if graded;

(l) The name of the person cutting the order of meat, and the name of the person supervising the cutting, wrapping and marking of the meat order and assembly of orders for products other than meat;

(m) The service charge cost of the order;

(n) The interest charge cost of the order;

(o) The credit investigation charge for the order;

(p) The time price differential cost of the order;

(q) The sales tax for the order;

(r) Other charges of the order;

(s) The total cost of the buyer's order;

(t) Method of payment by the buyer of the order- if by cash, check, or credit card including the credit card name and card number;

(u) The statement printed in capital letters: "THIS INSTRUMENT PROMISSORY NOTE MAY BE TRANSFERRED OR ASSIGNED TO A FINANCIAL INSTITUTION OR OTHER THIRD PARTY AND PAYMENT ENFORCED BY THEM. IF ANY NOTE IS A COGNOVIT NOTE, THE SELLER SHALL ADVISE THE BUYER THAT IT AUTHORIZES A CONFESSION OF JUDGEMENT ON THE NOTE IF IT IS NOT PAID WHEN DUE, AND THAT A COURT JUDGEMENT MAY BE ENTERED AGAINST HIM WITHOUT PRIOR NOTICE."

(v) The Certification by Buyer statement: "I certify that I have received the above amount of meat, and the number of packages of meat (as stated on the Summary Form attached hereto); that no effort was made by the seller of this meat to induce me to buy a higher priced carcass than I have bought. I have read the above and understand same."

(w) The Buyer's signature.

(x)The Seller's signature.

(y) A statement of the variations in the order, such as "Imitation Wieners," "Beef Wieners," "Water Added Ham," etc.

(z) The total number of packages delivered.

(aa) The name of the product in each package.

(bb) If the buyer requests it, the net weight of each package. The weights in items (f), (g), (h), (i), and (z) shall be recorded to the nearest 1/4 ounce on all weights.

(cc) The name and address of the processor if other than the selling firm.