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pdfAccording 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 0579-0036 and 0579-0093. The time required to
complete this information collection is estimated to average .1 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.
UNITED STATES DEPARTMENT OF AGRICULTURE
ANIMAL AND PLANT HEALTH INSPECTION SERVICE
1. INVOICE NUMBER
RECORD OF ACQUISITION, DISPOSITION OR TRANSPORT OF ANIMALS
(Other Than Dogs and Cats)
SALE
EXCHANGE OR TRANSFER
DONATION
This record is required by law (7 U.S.C. 2131-2156). (9 CFR, Subchapter A, Parts 1, 2, and 3).
Failure to maintain this record can result in a suspension or revocation of license and/or
imprisonment for not more than 1 year, or a fine of not more than $1,000, or both.
OMB APPROVED
0579-0036
0579-0093
2. PAGE
3. DATE OF DISPOSITION
4. DEALER’S LICENSE NUMBER
INSTRUCTIONS: Complete applicable items 1 through 13. Original and one copy to accompany animals. When delivery is made – Items 14 through 20 must be completed by Buyer
(Receiver) and copy one returned to Dealer (Seller or Donor). Copy two to be retained by Dealer (Seller or Donor). Attach Continuation Sheet (APHIS Form 7020A), as needed.
5. SELLER OR DONOR (Name and Address, include ZIP Code)
6. BUYER OR RECEIVER (Name and Address, include ZIP Code)
7. USDA LICENSE NUMBER (If any)
8. IDENTIFICATION OF ANIMALS BEING DELIVERED
A.
B.
CONTAINER
TAG NUMBER,
CRATE OR
PEN NUMBER
NUMBER
ANIMALS
C.
PREVIOUS
INVOICE
NUMBER
(if any)
9. DELIVERY BY (“X” one)
D.
E.
INDIVIDUAL
IDENTIFICATION
TATTOOS, TAG
NUMBERS
(if applicable)
SPECIES
AGE - SEX
G.
F.
NUMBER
YOUNG
H.
NUMBER
ADULT
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
RECEIVER’S USE
REMARKS
(Condition, etc.)
EST.
WEIGHT
(lbs.)
DELIVERY BY COMMERCIAL CARRIER
10. TRUCK LICENSE NUMBER
Dealer’s Truck
(Seller or Donor)
12. NAME AND ADDRESS OF COMPANY OR FIRM (Include ZIP Code)
I.
J.
K.
11. BILL OF LADING NUMBER
Buyer’s Truck
13. NAME AND ADDRESS OF TRUCK DRIVER (Include ZIP Code)
DELIVERY RECEIPT – TO BE COMPLETED BY BUYER OR RECEIVER
14. ANIMALS DELIVERY WERE (“X” one)
IN APPARENT GOOD CONDITION
15. TOTAL NUMBER RECEIVED
18. BY (Signature)
APHIS FORM 7020
JUL 2012
POOR CONDITION
16. NUMBER DEAD
19. TITLE
REJECTED (Attach explanation for rejection)
17. NUMBER ALIVE
20. DATE
File Type | application/pdf |
File Title | According to the paperwork reduction Act of 1995, no persons are required to |
Author | Government User |
File Modified | 2015-03-31 |
File Created | 2014-01-30 |