APHIS 7006A Continuation Sheet for Record of Disposition of Dogs and

Animal Welfare

APHIS 7006-A JUN 2009

Animal Welfare (State, Local, and Tribal Governments)

OMB: 0579-0036

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1. SELL’S INVOICE NUMBER

UNITED STATES DEPARTMENT OF AGRICULTURE
ANIMAL AND PLANT HEALTH INSPECTION SERVICE

2. PAGE

3. DATE OF DISPOSITION

CONTINUATION SHEET FOR
RECORD OF DISPOSITION OF DOGS AND CATS
SALE

EXCHANGE OR TRANSFER

4. DEALER’S LICENSE NUMBER OR RESEARCH FACILITY
REGISTRATION NUMBER

DONATION

5. SELLER OR DONOR (Name and Address)

6. BUYER OR RECEIVER (Name)

7. IDENTIFICATION OF THE ANIMALS BEING DELIVERED

RESEARCH
FACILITY USE

DESCRIPTION OF BREED, TYPE, OR MONGREL

APHIS 7006A
JUN 2009

C.

DOG

D. AGE
“X”

CAT

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

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

ADULT

TATTOO OR
USDA
TAG
NUMBER

B.

YOUNG

A.

E.

F.

G.

WEIGHT

DISTINCTIVE
MARKS

BREED,
TYPE, OR
MONGREL

H.

I.
MONGREL – DESCRIBE
(HAIR, TAIL, EARS, COLOR, ETC.)

NUMBER
ASSIGNED
BY
FACILITY

J.


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File TitleMicrosoft Word - APHIS 7006-A.doc
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File Created2012-02-09

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