Phone Number: / Contact Name:
WORKSHEET FOR ORDERING RABIES TAGS
Tag Numbers for Registrations: / -From / To
Line / Number of Tags / Amount / Dollar Amount / Total Dollar Amount
(1a) / Number of Registration
Certificates Returned
dated prior to July 1, 2014 / X / $14 / =
(1b) / Number of Registration
Certificates Returned
dated on or after July 1, 2014 / X / $20 / =
(2) / Licenses for FERTILE Animals– Direct Sales / X / $0 / =
(3a) / Licenses for INFERTILE Animals – Direct Sales prior to July 1, 2014 / X / $7 / =
(3b) / Licenses for INFERTILE Animals – Direct Sales on or after July 1, 2014 / X / $10 / =
(4a) / Licenses for FERTILE Animals – Voucher Redemption
prior to July 1, 2014 / X / $20 / =
(4b) / Licenses for FERTILE Animals – Voucher Redemption on or after July 1, 2014 / X / $26 / =
(5a) / Licenses for INFERTILE Animals – Voucher Redemption
prior to July 1, 2014 / X / $20 / =
(5b) / Licenses for INFERTILE Animals – Voucher Redemption on or after July 1, 2014 / X / $26 / =
(6) / Number of Duplicates Sold – FERTILE Animals / X / $0 / =
(7a) / Number of Duplicates Sold – INFERTILE Animals
prior to July 1, 2014 / X / $7 / =
(7a) / Number of Duplicates Sold – INFERTILE Animals on or after July 1, 2014 / X / $10 / =
(8) / Number of Voids / X / $20 / =
(9) / Add Lines (2+3+4+5+6+7+8)
(10) / Subtract Line 9 from Line (1a + 1b)
[Should equal zero].
(11) / Add Lines (2+3+4+5+6+7+8)
(12) / Subtract Line (11) from Line (1a +1b)
(13) / Multiply 8% X Line (12)
(14) / Subtract Line (13) from Line (12) = Amount Due
Tag Numbers for New Tags Purchased: / -
From / To
A discount is not issued for the direct sale of licenses or duplicate licenses for fertile animals.
Call ACRC to order more tags. They will ask for the number of tags being returned, the number of licenses issued for fertile and infertile animals, the number of vouchers redeemed for infertile and fertile animals, the number of duplicates issued for fertile and infertile animals, and the number of voided licenses. ACRC: Phone (774-7700); fax (774-7876)