Sworn Statement
Certifying Food NOT Produced with Genetic Engineering
NAME OF MANUFACTURER OR PRODUCER: Three Twins
ADDRESS:
419 1st Street
CITY: Petaluma
STATE:
CA
AGENT SIGNING ON BEHALF OF MANUFACTURER:
AGENT CONTACT PHONE NUMBER:
AGENT EMAIL:
ZIP CODE:
94952
Chris Welch
707-763-8946
[email protected]
NAME OF PRODUCT (S): Three Twins organic ice creams (pints, quarts and cups), novelties and
cones
UPC CODE, LOT NUMBER OR OTHER IDENTIFICATION NUMBER: See attached price list
I, Chris Welch, as the authorized agent of the Manufacturer/ Producer listed above, hereby depose
and state as follows:
The above named product(s) were made or grown from food or seed that has not been
knowingly or intentionally produced with genetic engineering and has been segregated from
and has not been knowingly or intentionally commingled with food that may have been
produced with genetic engineering.
I declare or affirm, under penalty of perjury, that the above statement is true and correct to the best of
my knowledge.
Agent Signature:
Agent Printed Name:
Date:
Chris Welch,
3/8/16
Quality Assurance Manager
THREE TWINS ICE CREAM
419 1st Street, Suite B
Petaluma CA 94952
p. 707.763.8946 | f. 209.396.4314
www.threetwinsicecream.com
THREE TWINS ICE CREAM
Product Description
RANK
Pack
UPC
Size
CODE
PINTS
1
Madagascar Vanilla Ice Cream OG
8/16 oz
2
Sea Salted Caramel Ice Cream OG
8/16 oz
3
Lemon Cookie Ice Cream OG
8/16 oz
4
Mint Confetti Ice Cream OG
8/16 oz
5
Cookies & Cream Ice Cream OG
8/16 oz
6
Bittersweet Chocolate Ice Cream OG
8/16 oz
7
Chocolate Peanut Butter Cup Ice Cream OG
8/16 oz
8
Dad's Cardamom Ice Cream OG
8/16 oz
9
Mocha Difference Ice Cream OG
8/16 oz
10
Cherry Chocolate Chunk Ice Cream OG
8/16 oz
11
Vanilla Chocolate Chip Ice Cream OG
8/16 oz
12
Chocolate Chip Cookie Dough Ice Cream OG
8/16 oz
13
Strawberry Ice Cream OG
8/16 oz
14
Vanilla Bean (Fair Trade) Ice Cream OG
8/16 oz
15
Chocolate Orange Confetti Ice Cream OG
8/16 oz
16
Chocolate Malt Ice Cream (Fair Trade) OG
8/16 oz
8 56452
00412 3
8 56452
00411 6
8 56452
00417 8
8 56452
00415 4
8 56452
00414 7
8 56452
00413 0
7 18122
06447 2
6 89076
36764 6
6 89076
36794 3
8 56452
00477 2
7 18122
06437 3
8 56452
00438-3
7 18122
06507 3
7 18122
06597 4
8 56452
00418 5
8 56452
00402 4
17
Banana Nut Confetti Ice Cream OG
8/16 oz
18
Brownie Batter Chunk Ice Cream OG
8/16 oz
19
Land of Milk and Honey Ice Cream OG
8/16 oz
20
Butterscotch Pecan Ice Cream OG
8/16 oz
21
Caramel Truffle Swirl Ice Cream OG
8/16 oz
22
Milk Coffee (Fair Trade) Ice Cream OG
8/16 oz
23
Mexican Chocolate Ice Cream OG
8/16 oz
RANK
8 56452
00476 5
8 56452
00439 0
8 56452
00440 6
8 56452
00400 0
8 56452
00403 1
8 56452
00401 7
8 56452
00432 1
QUARTS
1
Madagascar Vanilla Ice Cream OG
3/32 oz
2
Mint Confetti Ice Cream OG
3/32 oz
3
Bittersweet Chocolate Ice Cream OG
3/32 oz
4
Cookies & Cream Ice Cream OG
3/32 oz
5
Sea Salted Caramel Ice Cream OG
3/32 oz
6
Vanilla Bean (Fair Trade) Ice Cream OG
3/32 oz
8 56452
00441-3
8 56452
00444-4
8 56452
00443-7
8 56452
00482-6
8 56452
00445-1
8 56452
00442-0
6/24oz-6pk
8 56452
00447 5
6/12oz3pks
8 56452
00449 9
6/20oz 4pks
6/20oz 4pks
8 56452
00404 8
8 56452
00405 5
RANK
NOVELTIES MULTI PACKS
Wafer Sandwich NOVELTIES MULTIPACK
1
Vanilla ice cream/Choc wafer 6pk
6/24oz-6pks per case
Sundae Cone MULTIPACK
2
Sundae Cones 3 pack
3
Round Ice Cream Sandwich MULTIPACK
Choc Chip Cookie/Fair Trade Vanilla Bean Ice Cream 4 pack 6 per case
Sugar Cookie/Sea Salted Caramel Ice Cream 4 pack
6
per case
4
6/12oz-3pks per Case
SINGLE SERVE CUPS
RANK
5-ounce SINGLE SERVE CUPS
1
Madagascar Vanilla Ice Cream OG
12/5 oz
2
Mint Confetti Ice Cream OG
12/5 oz
7 18122
06527 1
7 18122
06547 9
3
Bittersweet Chocolate Ice Cream OG
12/5 oz
4
Sea Salted Caramel OG
12/5 oz
5
Mocha Difference Ice Cream OG
12/5 oz
6
Strawberry Ice Cream OG
12/5 oz
7 18122
06537 0
7 18122
06577 6
7 18122
06607 0
7 18122
06617 9
2/24/4 oz
8 56452
00448 2
24/4oz
8 56452
00450 5
RANK
1
SINGLE SERVE NOVELTIES
Wafer Sandwich SINGLE SERVE
Madagascar Vanilla ice cream / Chocolate wafer single 224pks per case
Sundae Cone SINGLE SERVE
2
Sundae Cones Single 24 pack
Round Sandwich Singles
3
Choc Chip Cookie/Fair Trade Vanilla Bean Ice Cream
24/5 oz
4
Sugar Cookie/Sea Salted Caramel Ice Cream
24/5 oz
RANK
8 56452
00406 2
8 56452
00407 9
ORGANIC CONES- SHELF STABLE
Organic Sugar Cones
1
Sugar Cones 12pk
2
Cake Cones 12pk
8 per case
Organic Cake Cones
8 per case
8/5oz12pks
8 56452
00483 3
8/1.75oz12pks
8 56452
00484 0