Producer #:                         _____________

 

Producer Name:                _____________________

Premise ID#:                      ______________

# Head Loaded:                 ______________

Barn Location:                  _____________

Loaded by:                         ______________

# of Head:

Downs_____DOA’s_____Other_____

 

 

 

 

Trucking Company_________________________________

IPC Trucking #________________________

Rate:______________________Flat or Cwt. (circle one)

Wash Out:_______________

Arrival Time: __________  Unload Time:__________

# DOA:_____

Phone #:____________________

Driver Signature:__________________________

Producer hereby acknowledges that the animals on this load were “Born and Raised” in the USA.

 

Signature:_________________, Seller (“Person of knowledge”)

This document MUST be signed and verified by a “Person of knowledge”.  

This Bill of Lading MUST accompany each load.   A separate Bill of Lading is required for each  individual    Producer on a load.  EVERY Bill of Lading MUST be signed by a “Person of knowledge” verifying the animals on the load were “Born and Raised” in the USA.  A truck will NOT be unloaded without a Bill of Lading.

 

 

Indiana Packers Corporation  phone:  1-800-472-7201  fax:  765-564-3684    www.inpac.com

Date:____________________