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PRINTABLE SPOTTED ARTIFICIAL INSEMINATION CERTIFICATE

You can type in information/print out/send in with litter registration, charges will be assessed at the time of registration.  Signatures need to done by hand.

 

                             No.  (to be filled in by association)

No.  (Boar Stud Internal Number)
 
SPOTTED   
ARTIFICIAL INSEMINATION CERTIFICATE
NATIONAL SPOTTED SWINE RECORD
BOX 9758, PEORIA, IL 61612

This is to certify that semen labeled as shown here was collected from the Spotted Boar shown here and was delivered for use as follows:

Boar Name  Reg. No.

Semen Vial Number or other identification

Date Collected

This semen or portion of it was supplied to on

Signature of  Owner of Boar

Signature of Collecting Firm or Authorized Agent

Name of Sow  Reg.No.

Date Sow Inseminated Signature of Inseminator 

                                Signature of Owner of Sow 

This certificate is non-transferable or non-redeemable and must accompany litter application for registration