VS 1-24 Proceeds from Animals Sold to Slaughter

According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to, a
collection of information unless it displays a valid OMB control number. The valid OMB control numbers for this information collection are
0579-0101 and 0579-0146. The time required to complete this information collection is estimated to average between 2.5 and 40 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.
U.S. DEPARTMENT OF AGRICULTURE
ANIMAL AND PLANT HEALTH INSPECTION SERVICE

OMB
Approved
0579-0101
0579-0146

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).

OMB APPROVED
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

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

VS FORM 1-24
DEC 2011

DATE