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posted:
11/30/2011
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Statewide Quick Reporting Summary Sheet Time:__________________ Page ____ of ____



#

Dealer Name:_______________________________________ ______________ Purchase Date:___________ Today's Date______________



Buying Location:_____________________________________ Contact Name:____________________________ phone # ___________________________

Reports must be received at the appropriate reporting location* by the legal timeframe designated after the purchase date.

Include TAKE HOME on this summary.

Number Salmon Eggs please indicate

Sturgeon

Fish Ticket Number Gear Catch of days # of females and lbs. of eggs by

(include alpha) Type Area fished*** Chinook Coho Chum Sockeye Pink White Green Smelt Halibut species**



Ticket # Qty.



Boat Name Lbs.



Ticket # Qty.



Boat Name Lbs.



Ticket # Qty.



Boat Name Lbs.



Ticket # Qty.



Boat Name Lbs.



Ticket # Qty.



Boat Name Lbs.



Ticket # Qty.



Boat Name Lbs.



Ticket # Qty.



Boat Name Lbs.



Ticket # Qty.



Boat Name Lbs.



Ticket # Qty.



Boat Name Lbs.



Ticket # Qty.



Boat Name Lbs.



* Puget Sound, Willapa Bay, Grays Harbor, or Ocean troll Quick Reports must be in by 10:00 AM the day following the purchase. For the Columbia R. check the Compact announcement.

Fax transmission to email to Phone to Principal Contact

Puget Sound 360-902-2949 psfishtickets@dfw.wa.gov 1-866-791-1279 Temp Staff (360) 902-2714

Contacts by Coastal Troll 360-902-2949 trollfishtickets@dfw.wa.gov 1-866-791-1279 Temp Staff (360) 902-2714

region Grays Harbor and Willapa Bay 360-249-1229 harborfishtickets@dfw.wa.gov 1-866-791-1280 Barbara McClellan (360) 249-4628

Columbia River 360-906-6776 crfishtickets@dfw.wa.gov 1-866-791-1281 Ron Roler (360) 906-6700



** For use in Puget Sound and Columbia River reporting areas.

***For use in Troll gear reporting areas.



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