American Dairy Goat Association Record of Artificial Insemination

Doe's Name Reg. # Tattoo Owned by Address ID #

Buck's Name Reg. #

Processor Date Processed Service Date Service # Date of Last Service

I hereby certify that I am duly authorized to issue this receipt which is given as evidence of service rendered and also as certification of date of service and identity of semen used for service of animal identified hereon. This semen was labeled in accordance with ADGA recommendations. Inseminator's Signature ______________________________ ID # The Original Copy of this receipt must be given to owner of the doe at the time of service. This Original must accompany Application for Registry of offspring of this mating.

American Dairy Goat Association Record of Artificial Insemination

Doe's Name Reg. # Tattoo Owned by Address ID #

Buck's Name Reg. # Birth Date

Processor Date Processed Service Date Service # Date of Last Service

I hereby certify that I am duly authorized to issue this receipt which is given as evidence of service rendered and also as certification of date of service and identity of semen used for service of animal identified hereon. This semen was labeled in accordance with ADGA recommendations. Inseminator's Signature ______________________________ ID # The Original Copy of this receipt must be given to owner of the doe at the time of service. This Original must accompany Application for Registry of offspring of this mating.