WILD GAME PROCESSING INFORMATION SHEET - 2005 
GRANDVIEW LOCKER  716 10TH AVE. BELLE FOURCHE, SD 57717 605-892-3866

FRED & MARCIE CARLSON: OWNERS/OPERATORS — Home phone 605-892-3804

FRITZ CARLSON (son) — 892-3859 or 210-1780 cell. No calls after 10:00 P.M.

PLEASE CIRCLE ONE OF EACH SPECIES & SEX:

SPECIES:                                ANTELOPE                                DEER                                SEX:                                BUCK                                DOE

PLEASE PRINT CLEARLY

LICENSE NUMBER:______________________ STATE:________ DATE OF KILL______________

ARE WE SHIPPING YOUR ORDER? (Circle one) YES NO

NAME:

ADDRESS:

(No P0 boxes)

CITY, STATE, ZIP

HOME PHONE:

WORK PHONE:

SHIPPING NOTICE — VERY IMPORTANTIII

IF WE ARE GOING TO SHIP ANY PART OF YOUR ANIMAL (MEAT, HIDE, or HORNS), WE REQUIRE, AT TIME OF DELIVERY OF CARCASS TO LOCKER PLANT, ONE OF THE FOLLOWING - A FEDEX ACCOUNT NUMBER OR A CREDIT CARD NUMBER WITH THE EXPIRATION DATE. NO EXCEPTIONS PLEASE. SORRY, WITHOUT ONE OF THE NUMBERS BELOW WE WILL NOT SHIP. THIS IS FOR SHIPPING CHARGES ONLY. PROCESSING. CAPING. OR PACKAGING CHARGES ARE PAID UPON CARCASS DEUVERY. NO UPS SERVICE.

FED EX ACCOUNT NUMBER__________________________

CREDIT CARD TYPE & NUMBER                                EXPIRATION DATE________

ALL SHIPPING ORDERS WILL HAVE A MINIMUM OF S25.00 PER BOX PACKAGING CHARGE.

ALL PROCESSING. PACKAGING. AND CAPING CHARGES WILL BE PAID FOR WIT H CASH OR CHECK AT TIME OF ANIMAL DELIVERY WITH THE BALANCE OF CURING CHARGES DUE BEFORE MEAT WILL BE SHIPPED. WE WILL NOTIFY YOU WITH YOUR BALANCE WHEN THE MEAT AND/OR CAPE AND HORNS ARE READY TO SHIP. NORMAL SHIPPING SCHEDULE IS DECEMBER OR WHEN TIME ALLOWS.

PROCESSING PRICES, PICK UP AT LOCKER PLANT                    (FOR OFFICE USE ONLY)
ANTELOPE: $65.00                                                             (TOTAL CHARGES - $                   )
DEER: $80.00 (both include tax)                                                   (TOTAL PAID - $                   )

PROCESSING PRICES IF SHIPPING ORDER, (1 BOX): (BALANCE DUE -

ANTELOPE: $65.00 + $25.00 = $ 90.00 DUE AT DELIVERY OF ANIMAL

DEER:             80.00 + $25.00 = $105.00 DUE AT DELIVERY OFANIMAL                     (FOR OFFICE USE ONLY)

PROCESSING PRICES WITH CAPING: (see taxidermy caplng below) ANIMAL WAS SHOT IN:

ANTELOPE $65.00 + $50.00 = $115.00 DUE AT DELIVERY OF ANIMAL  ____HIND(S)_______FRONT(S)
DEER:           $80.00 + $50.00 + $130.00 DUE AT DELIVERY OF ANIMAL  ____LOIN (BACK)

PROCESSING PRICES WITH CAPING AND SHIPPING: (1 BOX)

ANTELOPE: $65.00 + $50.00 + $25.00 = $140.00 DUE AT DELIVERY OF ANIMAL

DEER:            $80.00 + $50.00 + $25.00 = $155.00 DUE AT DELIVERY OF ANIMAL

IF WE CAN GET EVERYTHING IN ONE BOX WE WILL. ON THE LARGER MULE DEER IT WILL TAKE 2 BOXES FOR MEAT,

CAPE, & HORNS, DEPENDING ON WHERE & HOW MANY TIMES THE ANIMAL WAS SHOT.

PROCESSING INFORMATION: CHECK WHICH CUTS YOU WOULD LIKE. NO SPECIALTY CUTS, NO CHISLETS. WE WILL ALSO QUARTER, WRAP AND FREEZE YOUR ANIMAL, IF YOU WANT.

_______ STEAKS (from the hinds only)     ROASTS (from fronts If not specified)
_______CHOPS — aka - LOIN or BACKSTRAPS — (BONELESS)
_______ JERKY 0 $6.00/LB. (made from the hinds or loins only)           HAMBURGER
_______Quarter, wrap and freeze

RUSH ORDERS of 3 DAYS OR LESS will Incur a $25.00 EXTRA FEE PER ANIMAL. Animals are processed In the order taken In.

TAXIDERMY QUALITY CAPING IS AVAILABLE 0 $50.00 PER ANIMAL FOR SHOULDER MOUNTS. Measurements are taken and recorded to be sent with the cape. The cape is bagged and quick frozen to insure quality, and the horns are cut off the skull with the skull cap attached. Shipping and packaging of cape and horns are extra. The skull plate will be cut on large sets to offset extra shipping charges. All shipping goes Fed Ex Next Day Priority Air.

CAPED? (Please circle one)  YES     NO                   CAPE and HORNS SHIPPED?     YES        NO

SENT TO LOCAL TAXIDERMIST    YES  NO        NAME OF TAXIDERMIST_____________________

WE ARE NOT RESPONSIBLE FOR ACCIDENTS — THANK YOU FOR YOUR BUSINESS

I have read all the above information and understand and agree to all conditions stated above. I understand and agree that this document Is a binding contract