Form VS 5-18 A VS 5-18 A Record of Animals Acquired

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

1. FLOCK NAME/CONTACT AND ADDRESS

OMB APPROVED
0579-0101
EXP DATE XX/XXXX

2. FLOCK ID NO.

RECORD OF ANIMALS ACQUIRED
3. ANIMALS ACQUIRED SINCE LAST INSPECTION (LEGEND: E=Eartag, I=Implant, T=Tattoo, O=Other)
ANIMAL IDENTIFICATION

DATE
ACQUIRED

Official ID and
Specify Type

Other - Specify

1.
E

I

T

O

E

I

T

O

E

I

T

O

E

I

T

O

E

I

T

O

E

I

T

O

2.

3.

4.

5.

6.

7.
E

I

T

O

E

I

T

O

E

I

T

O

8.

9.

10.
E

I

T

O

E

I

T

O

E

I

T

O

11.

12.

4. REMARKS

VS FORM 5-18A
DEC 2011

ORIGIN
(Include name, address, and telephone no.)

ORIGIN FLOCK
STATUS