AI Artificial Insemination FORMS

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AI Artificial Insemination FORMS Powered By Docstoc
					                                                                               Revised 05/2004
AI (Artificial Insemination) FORMS

Record of Semen Processing
                                                                           www.pba-pygora.com                 538 Lamson Road
                                                                                                            Lysander, NY 13027
Name of Buck:
Registration Number:                         Birthdate:                                   Tattoo / Microchip:
Processor:
Date Processed:                                                    Number of Straws Processed:
Name of Owner of Buck (print):
Signature of Owner of Buck at time of processing:
Signature of Processor (or attach processor’s report):
This record of processing must be properly filed with the PBA Registrar before any offspring resulting from the use of this proc-
essed semen may be registered. No charge for the filing of this form.


Artificial Insemination Breeding Memorandum
Name of Doe:
Registration Number:                                                      Tattoo / Microchip:
Owner of Doe:
Owner’s Address:
Name of Buck:
Registration Number:                                                      Tattoo / Microchip:
Processor of Semen:                                                                     Date Processed:
Service Date:                 Service #:                  Date of Last Service:                 Total # Straws Used:
I hereby certify that I am duly authorized to issue this memorandum which is given as evidence of service rendered and also as
certification of date of service and identify of semen used for service of animal identified hereon. This semen was labeled in
accordance with PBA recommendations.

INSEMINATOR’S SIGNATURE:

This Memorandum must be given to the owner of the doe at the time of service. This Memorandum must accompany the ap-
plication for registration of offspring produced by the above service. (No Fee)


Record of Semen Sale for Artificial Insemination
Name of Buck:
Registration Number:                        Birthdate:                                    Tattoo / Microchip:
Processor:
Date Processed:                                                   Number of Straws Processed:
Sellers Name (print):                                             Signature:
Buyers Name (print):                                              Signature:
# of Straws Sold:                                                  Date of Sale:
This record of processing must be properly filed with the PBA Registrar before any offspring resulting from the use of this proc-
essed semen may be registered. No charge for the filing of this form.

				
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