Form Mc 3011 – Fill Out and Use This PDF

If not shown, please enter your 11-digit Census File Number from the address label on page 1

Census File Number

1.General – The materials, parts, and supplies listed below are those commonly consumed in the manufacture, processing, or assembly of the products listed in item 18B. Please review the entire list and report separately each item consumed. Leave blank if you do not consume the item. If you use materials, parts, and supplies which are not listed, describe and report them in the "Cost of all other materials . . . " line at the end of this section. If you consumed less than $25,000 of a listed material, include the value with "Cost of all other materials . . . ," Census material code 970099 8.

Report materials, parts, and supplies purchased, transferred from other plants of your company, or withdrawn from inventory.

If quantities are requested, please use the unit of measure specified.

If the information as requested cannot be taken directly from your book records, REASONABLE ESTIMATES ARE ACCEPTABLE.

2.Valuation of Materials Consumed – The value of the materials, etc., consumed should be based on the delivered cost; i.e., the amount paid or payable after discounts and including freight and other direct charges incurred in acquiring the materials.

Materials received from other plants within your company should be reported at their full economic value (the value assigned by the shipping plant, plus the cost of freight and other handling charges).

If purchases or transfers do not differ significantly from the amounts actually put into production, you may report the cost of purchases or transfers. However, if consumption differs significantly from the amounts purchased or transferred, these amounts should be adjusted for changes in the materials and supplies inventories by adding the beginning inventory to the amount purchased or transferred and subtracting ending inventory.

3.Contract Work – Include as materials consumed those you purchased for use by others making products for you under contract. Amounts paid to the companies doing the contract work should be reported in item 10, line e, and should include freight in and out. On the other hand, materials owned by others but used at this establishment in making products for others under contract or on commission should be excluded.

4.Resales – Cost for products bought and sold or transferred from other establishments of your company and sold without further manufacture, processing, or assembly should be reported in item 10, line b, not in item 17 below. The value of these products shipped by this establishment should be reported in item 18B under Census product code 99989 00 6, "Resales."

Line No.

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2

3

4

5

6

7

8

9

							Consumption of
						purchased materials
							and of materials
						received from other
			Census			establishments of your
		Materials, parts, and supplies	material				company
				code		Cost, including delivery
							cost (freight-in)
								(E)
			571			574		Thou-
		(A)		(B)
						Millions		sands Dollars
Asbestos, crude (including fiber)			149971 4			$
Floor covering felts			2621B2 5
CHEMICALS		Pigment, organic and inorganic	280023 3
AND
ALLIED		Plastics resins consumed in the form of granules, pellets,
PRODUCTS
		powders, liquids, etc., but excluding sheets,
		rods, tubes, and shapes	282104 9
		Synthetic rubber	282202 1
		Plasticizers	286935 2
		Other chemicals and allied products	280060 5
Paperboard containers, boxes, and corrugated paperboard			265001 8
Cost of all other materials and components, parts, containers
and supplies consumed			970099 8

Describe the three principal materials, etc., included in this value.

TOTAL

10Sum of lines 1–9 should equal item 10, line a

Item 18A – Not applicable to this report

$

1.General – The manufactured products and services listed below are generally made in your industry. If you make products that are not listed, describe and report them in the "All other products made in this establishment" section at the end of item 18B. PLEASE DO NOT COMBINE PRODUCT LINES.

If quantities are requested, please use the unit of measure specified.

If the information as requested cannot be taken directly from your book records, REASONABLE ESTIMATES ARE ACCEPTABLE.

2.Valuation of Products – Report the value of the products shipped and services performed at the net selling value, f.o.b. plant to the customer; i.e., after discounts and allowances, and exclusive of freight charges and excise taxes.

If you transfer products to other establishments within your company, you should assign the full economic value

to the transferred products; i.e., include all direct costs of production and a reasonable proportion of all other costs and profits.

3.Contract Work – Report PRODUCTS MADE BY OTHERS FOR YOU FROM YOUR MATERIALS on the specific lines as if they were made in this establishment. On the other hand, do not report on the specific product lines

PRODUCTS THAT YOU MADE FROM MATERIALS OWNED BY OTHERS. Report only the amount that you received for "commission or contract receipts" under Census product code 93000 00 8.

4.Resales – Do not report on the specific product lines those PRODUCTS BOUGHT AND SOLD OR TRANSFERRED FROM OTHER ESTABLISHMENTS OF YOUR COMPANY AND SOLD WITHOUT FURTHER MANUFACTURE. Report only a value under Census product code 99989 00 6, "Resales."

Line No.	Products and services
	(A)

1Asbestos friction materials

2Other asbestos products

		RESILIENT
	3	FLOOR	Sheet flooring, including vinyl and rubber
		COVERING	Tile, including vinyl, vinyl composition, plain and adhesive backed,
	4
			no-wax, rubber, etc.
		ALL OTHER	Describe and report separately each product with a sales value of
		PRODUCTS	$50,000 or more which cannot be assigned to one of the lines
		MADE IN THIS above. Specify unit of measure for quantity. For all remaining
		ESTABLISH-	products, write "Other" and report a single total value.
		MENT
	5
	6
	7
	8
	9
		CONTRACT	Receipts for work done for others on their own materials
	10	WORK
			Describe below products worked on and kind of work.

	MISCELLA-
	NEOUS	Miscellaneous receipts (including receipts for repair
11	RECEIPTS	work, scrap, refuse, etc.)
	RESALES	Sales of products bought and sold without further manufacture,
		processing, or assembly in this establishment. The cost of such
12		items should be reported in item 10, line b.
	TOTAL value of shipments and other receipts
13	Sum of lines 1–12, column (E)

			Products shipped
			and other receipts
	Census
			Value, f.o.b. plant
	product
					(E)
		code
	581		584
					Thou-
		(B)	Millions		sands Dollars
	32922 00 7		$
	32927 00 6
	39960 01 8
	39960 04 2

18

26

34

42

59

93000 00 8

99980 00 5

99989 00 6

77000 00 8

$

If not shown, please enter your 11-digit Census File Number from the address label on page 1

Census File Number