Breeder: Nancy Lieb Buyer: ______ ____________
11980 Ramah Hwy _________________________________________________
Calhan, Colorado 80808 ______ _________________
615-268-9300 _________________________________________________
[email protected] __________________________________________________
Deposit Value
This receipt is for the deposit of ___Three Hundred ___________ Dollars, ($_300.00 __ )
in the form of _______ Check; _______ Cash; ______ Zelle; ______ Other
Deposit Type
This deposit is ______ Refundable __XX__ Non-Refundable
The remaining balance owing is __ ____________________________ dollars,
($ _ __) on puppy only (not including any shipping charges, late fee pick up, etc. ) and is due __Before or at time puppy is picked up___________________________________ .
There will be a $5 day charge for all puppies not picked up within five days following the puppy turning eight weeks of age or after receiving deposit on a puppy older than eight weeks age (same for an older dog) unless other arrangements are made. _________ Initials.
Deposit Description
German Shepherd puppy/dog; Male / Female; Born _________________ ; Color _____________________
From Dam: ____ __________ and Sire: ___ ____
Authorized Signature _______________________________________________________ Date: ___________________
Representative’s Name __Nancy Lieb_________________________________Date: __ _______
Tittle: _________Owner / Operator of Calico Junction German Shepherds_____________
Thank you