Get APHIS 7020 2012

ANIMALS DELIVERY WERE X one IN APPARENT GOOD CONDITION 15. TOTAL NUMBER RECEIVED 18. BY Signature APHIS FORM 7020 JUL 2012 POOR CONDITION 16. 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 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 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 if any 9. DELIVERY BY X one D. E* INDIVIDUAL TATTOOS TAG if applicable SPECIES AGE - SEX G* F* YOUNG H. ADULT 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 DELIVERY RECEIPT TO BE COMPLETED BY BUYER OR RECEIVER 14. 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 numbers for this information collection are 0579-0036 and 0579-0093. The time required to complete this information collection is estimated to average. 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. .