A.I. BREEDING CERTIFICATE
I hereby certify the following facts to be true and correct concerning the reported artificial insemination:
Owner of Registered Cow
TLBA Member No. of Cow's Owner
Registered Name of Cow
TLBAA No.
Private Herd No.
Location of Private Herd No.
Holding Brand
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Location of Holding Brand
Registered Name of CERTIFIED SIRE
A.I. No.
TLBAA No.
Private Herd No.
Date of Insemination
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Name of Inseminator
Address of Inseminator
Signature of Inseminator
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