APHIS 7020A (NOV 2 Continuation Sheet for Record of Acquisition, Dispositio

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 number for this information collection is 0579-0036. The time required to complete this information collection is estimated to average 1.7 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.

OMB APPROVED 0579-0036

This record is authorized by law (7 U.S.C. 2131-2156 and 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.

UNITED STATES DEPARTMENT OF AGRICULTURE ANIMAL AND PLANT HEALTH INSPECTION SERVICE CONTINUATION SHEET FOR RECORD OF ACQUISITION, DISPOSITION OR TRANSPORT OF ANIMALS (Other Than Dogs and Cats)

1.

INVOICE NUMBER

2. PAGE

OF

3.

DATE OF DISPOSITION

4. CERTIFICATE NUMBER

sale Exchange or Transfer Donation DISPOSAL

5. SELLER OR DONOR NAME

6. BUYER OR RECEIVER NAME

8. identification of animals being delivered

a. container tag number, crate or pen number

b. number animals

C. previous invoice number (if any)

d. individual identification tattoos, tag numberS (if applicable)

E. species

Age - sex

H. Est. WGT (lbs.)

I. remarks (Condition, etc.)

IF DECEASED

f. number Young

G. Number Adult

J. date died or euthanized (mm, DD, YY)

K. cause of death or reason for euthanasia

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APHIS FORM 7020A NOV 2023