Government of Rajasthan

Animal Husbandy Department

Name of Dstrict------------------------ Name of institution-----------------------------

Artificial Insemination

Frozen Semen Straw Charges Receipt

Receipt No.-----------------------

Receipt Book No.----------------------- Date---------------------

Received from Shri --------------------------S/O Shri ----------------------------------

Resident of -------------- the sum of Rs.--------------- (In figures)-----------------

(in words) as semen straw charges as approved by the Government for A.I.

in-------------------------- (Kind of Animal) with the semen of ---------------------

(breed & Bull No.)

Incharge A.I. centre

(Signature with seal)