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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
File Type | application/pdf |
File Title | InForms - vs5-18a.wpf |
Author | kastratchko |
File Modified | 2011-12-14 |
File Created | 2008-04-09 |