Poultry Invoice

POULTRY INVOICE
For Movement of Poultry Within

the New Jersey Live Bird Marketing System
DATE OF MOVEMENT: INVOICE #:
PREMISES OF ORIGIN INFORMATION: PREMISES OF DESTINATION INFORMATION:
Name Name
Address Address
City/State/Zip Code City/State/Zip Code
QUANTITY AMOU
DESCRIPTION- BREED, TYPE and COLOR PRICE
/ UNITS
NT
TOTAL
By providing this invoice, the distributor certifies that all poultry have tested NEGATIVE for Avian Influenza.
COMPLETING A POULTRY
INVOICE
New Jersey Department of Agriculture

Division of Animal Health
PO Box 330, Trenton, NJ 08625-0330
(609) 671-6400
1. A poultry distributor must obtain a completed poultry invoice from the production/supplier flock
for all poultry intended for movement into a New Jersey live bird market or another poultry
distributor (N.J.A.C. 2:9-4.1)
2. The poultry invoice required in (1) above shall remain in the possession of the poultry distributor
and a new poultry invoice shall accompany all poultry delivered to live bird markets (N.J.A.C. 2:9-
4.1) or delivered to another poultry distributor.
3. A poultry invoice is a document issued by a poultry distributor or production/supplier flock, which
shall include:
a. The full name and address of the poultry distributor or production/supplier flock where the
poultry originated;
b. The breeds and quantity of the poultry being moved;
c. The date of movement,
d. A statement of negative avian influenza status; and
e. The name and address of the poultry distributor or live bird market where the poultry are
being moved.
Authorized agents of the NJDA check invoices regularly so they must be easy to read and understand.
Invoices must be typed or printed legibly with blue or black ink. Abbreviations should be avoided. This is
especially important for the breed and quantity. Also, a unit of measure (crate, coop, birds, etc.) should
always be included when listing the quantity of birds delivered.
There is no set method to meet this requirement. As long as an invoice lists all of the required information,
poultry distributors and production/supplier flocks may choose a system of invoicing and record keeping
that is most appropriate for their business. Included below are three examples of complete poultry invoices:
Invoicing By Hand With Store Bought Forms

Distributors may purchase pre-printed invoicing tablets from an office supply store. A two-part booklet is
necessary since both the premise of origin (production/supplier flock or distributor) and the premise of
destination (distributor or live bird market) will need a copy. These booklets are relatively inexpensive,
costing between $3.50-5.00 per set of 50 forms. An example of this format is shown in Figure A.
Invoicing By Hand With Departmental Forms
Standardized poultry invoice tablets (designed and ordered by the distributor from a print shop) are similar
to a tablet purchased from an office supply store, but are specific for moving birds within the live bird
marketing system. These forms meet all of the requirements so long as they are fully completed. An
example of this format is shown in Figure B.
Invoicing By Computer
Production/supplier flocks and distributors may use one of the many available software programs to create
a poultry invoice. Software specifically designed for this purpose can be expensive. However, most word
processing programs can be used to create an invoice. Some word processing programs have pre-made
templates either installed or available for download from the software company’s website. Remember, a
hard copy of computer invoices should be printed and filed with production/supplier flock and/or distributor
records in case of data loss. An example of this format is shown in Figure C.
Figure A: Sample Store Bought Poultry Invoice Name and address of the
premises of origin (p/s
flock or poultry
distributor)
Name and address of

premises of destination
(LBM or 2nd distributor)
Date of movement
Breeds and quantity
Statement of negative Avian

Influenza status
Figure B: Sample Departmental Poultry Invoice
Date of movement
Name and address of the

flock or poultry
distributor)
(LBM or 2nd distributor)
Breeds and quantity

Influenza status

flock or poultry
distributor)
Figure C: Sample Computer Poultry Invoice
Date of movement

(LBM or 2nd poultry
distributor)
Breeds and quantity

Influenza status

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POULTRY INVOICE

For Movement of Poultry Within

DATE OF MOVEMENT: INVOICE #:

PREMISES OF ORIGIN INFORMATION: PREMISES OF DESTINATION INFORMATION:

City/State/Zip Code City/State/Zip Code

New Jersey Department of Agriculture

Invoicing By Hand With Store Bought Forms

Invoicing By Hand With Departmental Forms

Name and address of

Breeds and quantity

Statement of negative Avian

Name and address of the

Breeds and quantity

Statement of negative Avian

Name and address of the

Name and address of the

Breeds and quantity

Statement of negative Avian

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