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pdfFLOCK NAME OR ID _____________________________________________
16. List purchases of sheep over the last five years. If the source has been identified (infected animal was purchased and under 72 months of age), you can limit htis information to that source.
DATE
VS 5-19C
(NOV 2005)
BREED
# RAMS
# EWES
FLOCK ID
SELLER NAME
EPIDEMIOLOGY
ADDRESS
OTHER INFORMATION
PAGE 3
FLOCK NAME OR ID _____________________________________________
SALE DATE
VS 5-19C
(NOV 2005)
ID
SEX
BREED
DATE OF BIRTH
OR AGE
BUYER PREM ID
BUYER NAME
EPIDEMIOLOGY
ADDRESS
COMMENTS
PAGE 4
FLOCK NAME OR ID _____________________________________________
18. List the current flock inventory. For animals bornin the flock, record the flock ID for the flock of origin.
NO.
VS 5-19C
(NOV 2005)
OFFICIAL ID
OTHER ID
SEX
BREED
BIRTH DATE
OR AGE
FLOCK OF ORIGIN
EPIDEMIOLOGY
ACQUISITION
DATE
COMPLETED BY DSE
GENOTYPE
RISK GROUP
FLOCK PLAN DISPOSITION
PAGE 5
FLOCK NAME OR ID _____________________________________________
NO.
VS 5-19C
(NOV 2005)
OFFICIAL ID
OTHER ID
SEX
BREED
BIRTH DATE
OR AGE
FLOCK OF ORIGIN
EPIDEMIOLOGY
ACQUISITION
DATE
COMPLETED BY DSE
GENOTYPE
RISK GROUP
FLOCK PLAN DISPOSITION
PAGE 6
FLOCK NAME OR ID _____________________________________________
NO.
VS 5-19C
(NOV 2005)
OFFICIAL ID
OTHER ID
SEX
BREED
BIRTH DATE
OR AGE
FLOCK OF ORIGIN
EPIDEMIOLOGY
ACQUISITION
DATE
COMPLETED BY DSE
GENOTYPE
RISK GROUP
FLOCK PLAN DISPOSITION
PAGE 7
| File Type | application/pdf |
| File Title | InForms - vs5-19c2.wpf |
| Author | khbrown |
| File Modified | 2007-10-29 |
| File Created | 2007-10-29 |