Faith Livestock Commission Company

P O Box 397 – Faith, SD  57626 flc@faithsd.com

Phone-605-967-2200      Fax-605/967-2203

 

Owner’s Name: _____________________________ Sale Date: _________________

The following procedures have been done on the following livestock by the owner.

 

Spring Shots:                ______________________________________________

 

Month Given: ____     ______________________________________________

 

Fall Shots:                   _______________________________________________

 

Month Given: ____    _______________________________________________

 

Type of pour on: _____________________ Type of Castration: ____________

 

Spring Implants: _____________________ Fall Implants: ________________

 

Brand: ______________________Location_____________________________

                                                                                                      

 

Birth Period: _______________________ through _______________________

 

Calves are home raised YES  NO If NO, Length of ownership ______days

 

Details: ________________________________________________________________

 

_______________________________________________________________________ 

 

As an affidavit is deemed by USDA as an official record of Country of Origin, I attest through first-hand knowledge, normal business records, or producer affidavit(s) that all livestock referenced by this document or other communications specific to the transaction and transferred are of United States origin.  Should the origin of my livestock become other than that described above, I agree to notify Faith Livestock when this occurs.

 

This affidavit/declaration shall remain in effect until revoked in writing by the undersigned and is delivered to Faith Livestock.

 

I certify that the information provided on this form is correct.  I agree to indemnify the above named market against any and all claims, losses, cost and expenses including reasonable attorney’s fees that arise out of or relate to this certification.

 

 

____________________________    _________    ____________________________

      Signature                              Date                                 Ranch Name