Breeder:                                  _                               

Address:                                  _

                                                 _

phone:                                      _

email:                                       _

web:                                         _

RECEIPT

TO:

Buyer:                                     _                               

Address:                                  _

                                                 _

phone:                                      _

email:                                       _

web:                                         _

(Breeders Name) acknowledges receipt from                              of the sum of $            paid by                              .

This payment constitutes full payment and satisfaction of male Dogo Argentino puppy “Holston” out of ARBA UKC CH Parrish Acre Brillante del Rio (FCPR: xxxxx, UKC: xxxxxx, AKC-FSS: xxxxxx) sired by UKC CH Juancho de los Medanos (FCPR: xxxxx, UKC: xxxxxx, AKC-FSS: xxxxxxx) whelped on November 11, 2003.

      /      /        _            

Date

Breeder Signature         

Breeder Name