Download:
pdf |
pdfThis record is required by law (7 USC 2131-2156). (9 CFR, Subchapter A, Parts 1, 2 and 3). Failure to maintain this record can result in
a suspension or revocation of license and/or imprisonment for not more than 1 y ear, or a fine of not more than $1,000, or both.
FORM APPROVED
OMB NO. 0579-0036
1. INVOICE NO.
U.S. DEPARTMENT OF AGRICULTURE
ANIMAL AND PLANT HEALTH INSPECTION SERVICE
RECORD OF ACQUISITION, DISPOSITION OR TRANSPORT
OF ANIMALS (Other Than Dogs and Cats)
SALE
See reverse side for
additional information.
EXCHANGE OR TRANSFER
2. PAGE
3. DATE OF DISPOSITION
DONATION
INSTRUCTIONS: Complete applicable items 1 through 13. Original and one copy to accompany
animals. When delivery is made - Items 14 through 20 must be completed. Original retained by Buyer
(Receiver) and copy one returned to Dealer (Seller or Donor). Copy two to be retained by Dealer
(Seller or Donor). Attach Continuation Sheet (APHIS FORM 2070A) as needed.
5. SELLER OR DONOR (Name and Address, include Zip Code)
4. DEALER'S LICENSE NO.
6. BUYER OR RECEIVER (Name and Address, include Zip Code)
7. USDA LICENSE NO. (If any)
8. IDENTIFICATION OF ANIMALS BEING DELIVERED
A..
B.
CON
TAINER
TAG NO.
CRATE
OR PEN
NO.
NO
ANIMALS
C.
PREVIOUS
INVOICE
NO.
(If any)
D.
E.
INDIVIDUAL
IDENT
TATTOOS,
TAG NOS.
(If applicable)
H.
AGE - SEX
F.
G.
SPECIES
NO.
YOUNG
NO,
ADULT
M
F
M
F
M
F
M
F
M
F
M
F
M
F
M
F
M
F
M
F
M
F
M
F
M
F
M
F
M
F
M
F
M
F
M
F
M
F
M
F
M
F
M
F
EST,
WEIGHT
(lbs.)
I.
RECEIVER'S USE
REMARKS
(Condition, etc.)
J.
K.
DELIVERY BY COMMERICAL CARRIER
9. DELIVERY BY ("X" one)
10. TRUCK LICENSE NO.
12. NAME AND ADDRESS OF COMPANY OR FIRM
11. BILL OF LADING NO.
13. NAME AND ADDRESS OF TRUCK DRIVER
DELIVERY RECEIPT - TO BE COMPLETED BY BUYER OR RECEIVER
14. ANIMALS DELIVERY WERE ("X" ONE)
IN APPARENT GOOD CONDITION
15. TOTAL NUMBER RECEIVED
18. BY (Signature)
APHIS FORM 7020 (APR 1993)
POOR CONDITION
REJECTED (Attach explanation for rejection)
16. NUMBER DEAD
19. TITLE
17. NUMBER ALIVE
20. DATE
According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The
valid OMB control number for this information collection is 0579-0036.The time required to complete this information collection is estimated to average 1.7 hours per
response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and review ing the
collection of information.
APHIS FORM 7020 (Reverse)
File Type | application/pdf |
File Title | aph7020h |
File Modified | 2006-01-23 |
File Created | 2006-01-20 |