Litter Record

Date of Whelp

Dams AKC Number

Dam's Name

Sire's AKC Number

Sire's Name

Female Puppies

AKC Litter Number

Date of Mating

Owner of Sire

AKC PUPPY OR LITTER ID NUMBER

SEX

Microchip ID Type & Number or Tattoo Number

Color & Markings

Puppy
Died

Date & Type of Papers given When Puppy Sold/Given Away

No

Name Address & Telephone

Name of Puppy if Registered by Breeder

Application

Certificate

Bill of Sale