SOP 409.03.01-att-1: Livestock Sale-Transfer Agreement (Form IVM01-0001)

IVM01-0001
Attachment 1

9/01/04

|GEORGIA DEPARTMENT OF CORRECTIONS
LIVESTOCK SALE / TRANSFER AGREEMENT|Col2|Col3|Col4|
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DATE _____________________

PART A: To be completed by institution selling/transferring livestock.

I,_____________________ representing ________________________
(institution)
hereby acknowledge selling/transferring the following livestock.
|

DATE _____________________

PART A: To be completed by institution selling/transferring livestock.

I,_____________________ representing ________________________
(institution)
hereby acknowledge selling/transferring the following livestock.
|

DATE _____________________

PART A: To be completed by institution selling/transferring livestock.

I,_____________________ representing ________________________
(institution)
hereby acknowledge selling/transferring the following livestock.
|

DATE _____________________

PART A: To be completed by institution selling/transferring livestock.

I,_____________________ representing ________________________
(institution)
hereby acknowledge selling/transferring the following livestock.
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CATEGORY|
NUMBER OF

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WEIGHT|
COMMENTS|
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TOTALS:||||
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PART B: To be completed by vendor receiving livestock.

I, ______________________, representing ______________________

hereby acknowledge receipt of the livestock described above.

Distribution:
Original - State Farm Administrator
Copy - Transferring / Selling Institution
Copy - Receiving Institution

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PART B: To be completed by vendor receiving livestock.

I, ______________________, representing ______________________

hereby acknowledge receipt of the livestock described above.

Distribution:
Original - State Farm Administrator
Copy - Transferring / Selling Institution
Copy - Receiving Institution

|
PART B: To be completed by vendor receiving livestock.

I, ______________________, representing ______________________

hereby acknowledge receipt of the livestock described above.

Distribution:
Original - State Farm Administrator
Copy - Transferring / Selling Institution
Copy - Receiving Institution

|
PART B: To be completed by vendor receiving livestock.

I, ______________________, representing ______________________

hereby acknowledge receipt of the livestock described above.

Distribution:
Original - State Farm Administrator
Copy - Transferring / Selling Institution
Copy - Receiving Institution

|

RETENTION SCHEDULE:
This form, upon completion, will be kept in a filing area of three years, one
year active and two years inactive. A copy should be forwarded to Central
Farm to be kept in a filing area for five years, one year active and four
years inactive, then destroyed.