Pork Cut Sheet

6990 NE 501 Road - Lowry City, Missouri 64763

Contact Information: 417-644-2323

Email: murraysbutcherblock@gmail.com

We look forward to serving you!
Date

MonthDayYear
Date
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
The livestock I / we arepresenting for slaughter and/or processing have not been treated with anychemicals including, but not limited to pesticides and antibiotics that wouldviolate the FDA’s recommended residue withdrawal standards.*
Signature stating the information above is accurate. *

Powered by Jotform SignClear
Acknowledgement of Processing Cost:

Plant Slaughter/Disposal Fee: Whole $50 Half $30

Processing Fee: $0.90/lb x ______lbs. =$ ________

Tenderizing Fee: $.75/lb x _____ = $ ______

Curing Fee $1.00 lb x ______=$ ______

Sausage Fee: $0.50/lb x _____ = $ _____

Custom Sausage Seasoning - Varies on pricing.

Special Packaging: $.50/lb. _________

Hand wrapped or vacuum sealed pork burger will be $0.50 per lb.
How would you like your meat packaged?*
What would you like us to keep?*

LiverHeartPlease discard
Porkloin*

Whole Bone In loinWhole Boneless LoinWhole Boneless Loin( Keep Tenderloin & Baby Back Ribs)Bone In Pork ChopsBoneless Pork Chops ( Keep Tenderloin & Baby Back Ribs)Boneless Pork Chops - No Tenderloin / baby back ribs
Spareribs*

YesGrind
Arm Roast*

RoastGrind
Shoulder Roast*

RoastPork SteakGrind

How thick would you like meat?

	1/2 inch	3/4 inch	I do not want
Pork Steak
Pork Chops
Ham Steak

How would you like your meat packaged?

	2	3	4	I do not want
Pork Chops
Pork Steak
Ham Steaks

Jowls*

FreshCuredGrind
Hocks*

FreshCuredGrind
Pork Belly*

Fresh sideBaconGrind
GRIND: Sasuage - Pork Burger*

All SausageAll Pork Burger50% / 50% Split75 % Sausage / 25 % Pork Burger25 % Sausage / 75 % Pork Burger
If Sasuage is wanted:*

MildMeduimHotI do not want any sausage.
Bacon/Fresh side Packaging*

1 lb Regular Thickness1 lb Thick Thickness2 lb Regular Thickness2 lb Thick ThicknessGrind
Pork Burger Package Size*

1 lb.2 lb.5 lb.I don't want pork burger
Pork Sausage Package Size*

1 lb.2 lb.5 lb.I don't want sausage
Premade burger Patties - 75 cents per lb.

YesNo
Ham*

Fresh WholeFresh Cut in HalfFresh SteaksCured Whole HamCured Cut in halfCured Ham SteaksGrindWhole Pig - Cured 1/2 steaks & 1/2 hamWhole Pig - Fresh 1/2 steaks & 1/2 ham
Anything else you'd like us to know.
I understand that I have 7 days to pick up my meat after called or a $5 a day fee will be added to my bill for storage.
Signature :I understand that I have 7 days to pick up my meat after called or a $5 a day fee will be added to my bill for storage.

Powered by Jotform SignClear
Should be Empty: