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)