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
/ UNITS
DESCRIPTION- BREED, TYPE and COLOR
PRICE
AMOU
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)
Date of movement
Breeds and quantity
Statement of negative Avian
Influenza status
Name and address of
premises of destination
(LBM or 2
nd
distributor)
Figure B: Sample Departmental Poultry Invoice
Name and address of the
premises of origin (p/s
flock or poultry
distributor)
Name and address of the
premises of origin (p/s
flock or poultry
distributor)
Date of movement
Breeds and quantity
Statement of negative Avian
Influenza status
Name and address of the
premises of destination
(LBM or 2
nd
distributor)
Figure C: Sample Computer Poultry Invoice
Date of movement
Breeds and quantity
Statement of negative Avian
Influenza status
Name and address of the
premises of destination
(LBM or 2
nd
poultry
distributor)
