Still working on this page 8/25/2014

From:

_________________________

_________________________

_________________________

                                                  To:     Tyler Braun

                                                              5232 North  375 East

                                                              Decatur, IN   46733

 – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – –

Cut @ line  and use address on shipping box.

Insert information below into zip-lock bag and place into box.

Name:   __________________________

Address:   _________________________

_________________________________

Phone:   __________________________

Animal Species:   ____________________

State Taken:   ______   Date Taken:   _______

County Taken in:   ____________________

Manner Taken (gun, bow, trap, vehicle, etc.):   ________