Animal Biosecurity Branch Order For - Nt Waybill (Book Of 50) Page 2

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Animal Biosecurity Branch
Order For
m
– NT Waybill (Book of 50)
Last updated: 01/07/2015
FAX to Darwin 8999 2146
Manager / Representative Name:
OR
FAX or POST directly to your
Property Name:
Regional Livestock
Biosecurity Officer (RLBO)
T
Property Identification Code (PIC):
Darwin Regi
o
n
:
Property Postal Address
Rob Wait, A/
R
LBO
Goff Letts Building, Berrimah Farm
GPO Box 3000, Darwin NT 08 1
0
Ph: 08 8999 2034
Fax: 08 8999 2146
:
:
Telephone
Fax
Katherine Region
Josh Haigh, A/RLBO
No. of Waybill Books required
@ $25.00
= TOTAL $
(incl. $2.27 GST)
Katherine Re earch Station
s
PO Box 1346, Katherine NT 0851
NT Waybill Book #
Issued to above PIC/Property.
Ph: 08 8973 9767
Fax: 08 8973 9759
Tennant Cre k Region
e
Payment must accompany this form – Receipt / Tax Invoice will be posted with Waybill Book
Tom Haines, RLBO
st
1
Floor, Barkly House, Tennant Creek
PAID CASH $
CHEQUE $
CREDIT CARD $
Copy of Receipt attached
Made payable to
Please charge my Credit Card
PO Box 159, Tennant Creek NT 0861
RTM
Ph: 08 8962 4458
Fax: 08 8962 4480
_ _ _ _ / _ _ _ _ / _ _ _ _ / _ _ _ _
_ _ / _ _
Debit my B/CARD / M/CARD / VISA
Expires:
Alice Spring Region
s
Greg Crawford, RLBO
Name:
Signature:
Arid Zone Research Institute (
A
ZRI)
(print name as stated on Credit Card)
PO Box 8760, Alice Springs N
T
0871
Ph: 08 8951 8125
Fax: 08 8951 8123
924 BCN 03 D / K / T / A 131122
S10
Office Use:
RTM please issue Receipt / Tax Invoice using Cost Code:
If payment is by Cheque or Credit Card, please issue receipt then FORWARD Receipt/T
x Invoice directly to
For all information on Livestock
Regional Livestock Biosecurity Officer (RLBO) in appropriate Region.
Movement requirements for the
Regional Livestock Biosecurity Officer (RLBO) – Once you receive the Receipt / Tax Invoice from RTM, then issue
NT, please check out website:
Waybill Book and post Waybill Book and Receipt/Tax Invoice to Client.
Alternatively, send Order Form to LISA/Brands to process and dispatch Waybill Book.
D PARTMENT OF PRIMARY INDUSTRY AND FISHERIE
E
S

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