Richman Taxidermy

Jim Richman 314.401.6865

(Taxidermist)
420 Patricia Cort !e"oto# $% 63020
Order Date Order Number
/ / #
Mount Specs
Species
A B
C D
Pose
Form
Comments
Completion Date: / /
Customer Information
Name
Address
Cit/State/!ip
P"one######################## Cell###########################
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%ildlife &esource Document
I' ####################################' (i)e' donate' lea)e t"e
*Printed Name+
%ildlife resource*s+ or parts t"ereof' listed belo, to &IC-MAN .A/ID$&M01 ."e
,ildlife listed on t"is form "as been ta2en in accordance ,it" all state and federal
re(ulations1 I understand t"is ,ildlife is sub3ect to inspection b state and federal
aut"orities1
Si(nature####################################### Date##################
Conser)ation ID #################################
.erms of Ser)ice
&ic"man .a4iderm accepts NO responsibilit for t"e le(alit of "ar)est of t"e
specimen*s+ listed abo)e1 All licenses' ta(s' and identification must be presented at t"e
time of c"ec2 in1
A 567 non8refundable deposit is re9uired prior to commencement of ,or21
B si(nin( belo,' I state t"at t"is animal ,as le(all ta2en in compliance ,it" state and
federal (ame la,s1 I understand t"at due to factors beond t"e ta4idermist:s control' suc"
as field care' &'' T&(()(*' ,"et"er done in "ouse or ot"er,ise' is done at specimen
o,ner:s ris21 ) a+so nderstand that i, the mont is not -aid ,or in
,++ and -ic.ed - /ithin 15 days o, 0ein1 noti2ed o,
com-+etion# a 310 -er day ser4ice char1e /i++ 0e a--+ied to the
remainin1 0a+ance. 5nc+aimed s-ecimens /i++ 0e so+d a,ter 30
days o, noti2cation o, com-+etion.
&ic"man .a4iderm' it:s o,ners or emploees' ,ill NO. be "eld responsible for loss or
dama(e of specimens or ot"er items resultin( from: ."eft' Fire' ;andalism' Flood' ."ird
part loss or dama(e' or ot"er circumstance or act of <od t"at is beond our control1
C"ec2s returned for an reason ,ill result in a =56 returned c"ec2 fee1 (o /or. /i++
0e re+eased ,rom the stdio nti+ the 0a+ance is -aid in ,++6 (%
78C7PT)%("9 &ny cance++ed order /i++ res+t in +oss o, de-osit.
(o cance++ations a,ter commencement o, /or. -ermitted.
) ha4e read# nderstand# and a1ree to the a0o4e conditions.

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*Specimen o,ner si(nature+
Pament
Mount Price
Accessories
Additional %or2
Subtotal
.a4
Deposit
Balance Due
Thank you for your business!