The above report is true to the best of my knowledge.

Signature County Weed Commissioner 10/21/2026

10/21/2026

Date

Signature _____

Chairman, County Board of Supervisors

___ Date

Please return a copy to: Iowa Department of Agriculture and Land Stewardship

Iowa Department of Agriculture and Land Stewardship

Attn: State Weed Commissioner

2230 S Ankeny Blvd

Ankeny, IA 50023-9093