Acceptance Of Delivery

A-1 PERFORMANCE SIRES
VERIFICATION OF DELIVERY OF FROZEN SEMEN
  DATE ______________________________

 

PURCHASER __________________________________________________________________

 

RECEIVED BY ____________________________________________________________________________________________
                           (Signer agrees to return tank via Fed Ex within 24 hours)

 

AT ______________________________________________________________________________________________________
                            (Clinic, Address)

 

# DOSES/straws ___________ of STALLION ________________________________________________

 

# DOSES/straws ___________ of STALLION ________________________________________________

 

# DOSES/straws ___________ of STALLION _________________________________________________

 

# DOSES/straws ___________ of STALLION __________________________________________________

 

# DOSES/straws ___________ of STALLION ____________________________________________________

 

# DOSES/straws ___________ of STALLION ___________________________________________________

 

SIGNATURE ____________________________________________________________________    DATE  ___________________