2015 Corn Grain Plot Cooperator R E Q U I R E D I N F O Hafeman Farms Dealer Rio Creek Feed Mill, Inc. City, State, Zip Algoma, Wi 54201 RCFM Rep: Phone Selling Price: County Drying Charge: Prior Yr Herbicide(s) Harvest Date 10/12/15 Soil Info (required for FACT ) Org Matter % Planting Date 4/27/2015 Pre Herbicide 1 Planting Pop 34,000 Pre Herbicide 2 Rate Date Soil pH Post Herbicide 1 Rate Date P205 Post Herbicide 2 Rate Date K20 Soil Insecticide Rate Date Soil Type: Prev Crop Corn Tillage Type Conventional Irrigated No Rate Lumax EZ 2.7 qts Date Latitude 44.58947 Foliar Insecticide Rate Date Longitude -87.54922 Fungicide Rate Date Brand Hybrid Traits GL4250 Levesol GL4250 CHECK # Buffer Rows 12 rows Plot Starts On ____ Side of Field Soil Foliar Harvest Harvest Row Row # Harvest Tst Wt. Bu/Acre @ Gross Yield Income Insect. Fungicide Weight Moist % Width Length Rows Pop. lbs/bu 15% mst Income Rank Rank 34,000 50.5 142.5 $ 454.15 1 1 34,000 49.8 139.4 $ 442.73 2 2 PV500 2880 35.3 30 6 798 30 Great Lakes N-P-K (lb/ac) Trt 30 Great Lakes 4/29/15 Seed 3 4 $0.04 /point Lumax EZ 1 2 Shaun Willems $4.00 /Bu. Pesticide Information (required for MD and FACT ) Plot Type Maket Development Entry No. GPS Coordinates taken at SE Corner of plot Address PV500 3140 35.6 30 6 6 885 6 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 PLOT AVERAGE 35.5 140.9 448.4 I hereby grant Monsanto Company, including affiliated companies and subsidiaries, assigns and dealers/retailers, the right to use the 2008 test plot data results pertaining to my fields (in whole or in part with such changes in language as do not substantially alter the meaning), the GPS coordinates for my fields, and/or any pictures, photographs or tapes taken in conjunction with said test plot data results in its publicity, promotions and advertising, including use on the Internet. COOPERATOR SIGNATURE AND DATE PLEASE CHECK ONE Yes, my name, field location (including GPS coordinates), and likeness may be used in publishing test plot data results by Monsanto. I agree to publishing by Monsanto of my test plot data results, but do not use my name, field location or likeness Yes