VS 1-24 Proceeds from Animals Sold for Slaughter

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 0579-0101. The time required to complete this information collection is estimated
to average 2.5 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data
needed, and completing and reviewing the collection of information.

No further monies or other benefits will be
paid out under this program unless this
report is completed and filed as required by
existing regulations (9 CFR 50).

U.S. DEPARTMENT OF AGRICULTURE
ANIMAL AND PLANT HEALTH INSPECTION SERVICE

FORM APPROVED
OMB NO.
0579-0101

PROCEEDS FROM ANIMALS SOLD FOR SLAUGHTER
REACTOR
TAG
NUMBERS

DESCRIPTION OF ANIMALS
BREED AND MARKINGS

WEIGHT

PRICE
PER
POUND

GROSS
RECEIPTS

EXPENSES 1/

NET PROCEEDS
PAID TO OWNER
OF EACH ANIMAL

ABOVE REACTORS SOLD TO (Name of slaughter establishment)

CERTIFICATION

□

□

Purchaser
Seller
I certify that the sum(s) shown above which has been paid represents the net salvage from said animals.
PAID TO (Owner or Agent)

DATE OF TRANSACTION

NAME OF PURCHASER OR SELLER

By (Signature)

TITLE

1/ Show the total expenses of marketing, including charges for transportation, feeding, yardage, slaughter, and commission for selling agents.

VS FORM 1-24 (JUL 97)

DATE