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Get WI ah-poult-2730 2006-2024

R legal entity – See instructions) First OR Name of Legal Entity: Flock Owner’s Address: City Primary Contact for Flock: State Zip Code Contact’s Phone Number: Flock Information: Address of premises where flock is kept: Livestock Premises Code: City State Zip Code County: Number and type of birds in flock: Number Breed/Strain Color/Variety Source I certify as flock owner that no other poultry or farm-raised game birds are on my premises other than those listed above. I am .

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