Date: ___________________________________ Sylvester Quality Meats

Name: ________________________ __________ 1793 California Road

PHONE: ________________________________ Westfield, PA 16950

Address: ________________________________ (814) 367-5803

________________________________________ office use:

Purchased from: __________________________ TAG # __________ Hg. Wt. _____________

Find this form at… sylvesterqualitymeats.com

HOG: Whole Half adult servings ______

Smoking fee is $.85 / lb.

Butt Roast (Steaks Thickness ½ ¾ 1” ) Grind

Picnic Smoked Roast Grind

Loin Whole cut into ______ (Chops Thickness ½ ¾ 1” ) Loin End Roast

Boneless ($5.00 charge per loin) Country Ribs Grind Loin: 1 or both

Ham Smoked Fresh Regular Cut leave ends, slice 2-3 from center Leave Whole

Cut in Half (All Sliced extra $12.00 per Ham) Grind Hams 1 or both

Bacon Smoked 1 lb. pkg. note: if we find your bacon is too thin you will get a call regarding

Fresh Side Pork Notes:________________________

Spare Ribs or Baby Back Grind ______________________________

Hocks Smoked Fresh Grind ______________________________

Fresh ground Pork 1 lb. pkg.

Sausage Bulk $.50 /lb. additional $1.00 /lb. for links or patties. Maple flavor is an additional $.25 /lb.

Flavor (____)Bulk 1 lb pkgs. Flavor (____) Links ____lbs. Flavor (____)Patties ____lbs.

Flavor (____)Bulk 1 lb pkgs. Flavor (____) Links ____lbs. Flavor (____)Patties ____lbs.

(BK) Breakfast – (BKM) Breakfast Maple – (C) Country – (Ht.It.) Hot Italian - (Sw.It.) Sweet Italian – (MH) Mild Hot Italian

Heart Liver Tongue

Revised 10/2016