KENNEL PERMIT FOR PEGGY STEPHENS DBA STERLING SHELTIES KENNELS.PDF
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Maricopa County
Animal Care and Control
2500 South 27th Avenue
Phoenix, AZ 85009
(602) 506-7387 Tele.
(602) 506-2739 Fax
KENNEL PERMIT
APPLICATION
L) New yar Renewal
Name: feccy SrErH EWS Kennel Name: STE4 Lin & SHELTIES
Mailing Address: 3742.W. TiEKA Gv LS Kennel Address: 37/2 W .71E%«@A Koen AZ
city: Po Qu X_ State: AZ Zips SOS 3 city: PHowiy A2zip: Vobs 3
County Supervisorial District: 2
Phone: 02 670 7/5 ¢ Kennel Phone: (,02 (78 (83 3
NOTE: Failure to renew the kennel permit by the expiration date of the previous year kennel permit will result in
penalty fees for each dog being assessed at $6 per month for unaltered dog and $3 per month for altered dog in
addition to the permit fee. It is suggested the renewal application be submitted 4 — 6 weeks in advance of the
expiration date to allow timely processing.
Pursuant to Arizona statute and county ordinance, a person must obtain a kennel permit issued by the Board
of Supervisors if the person operates a kennel in which there are five or more dogs which are not individually
licensed. A.R.S. §11-1009(A). A kennel is defined as “an enclosed, controlled area, inaccessible to other
animals, in which a person keeps, harbors or maintains five or more dogs under controlled conditions.” A.R.S.
§ 11-1001(8).
An appointment will be scheduled for inspection of the kennel premises by an Animal Control Officer upon
receipt of this kennel permit application and fee. This kennel application properly executed and a copy of the
inspection report will then be forwarded to, and must be approved by, the Maricopa County Board of
Supervisors. The kennel permit form will be sent to you after approval and will be valid for one year from the
date of the Board’s approval.
NOTE: Failure to show for a scheduled inspection and/or failure of inspection will warrant a Subsequent
Inspection Return fee of $49 for each additional visit at time of inspection. Failure of inspection may result in
denial of the kennel permit and require individual licensing of each dog under the provisions of A.R.S. §11-
1008.
PLEASE ANSWER THE FOLLOWING QUESTIONS AND INITIAL EACH RESPONSE
4 We assume complete responsibility for the kennel at the premises for which I/we are making
plication for a permit and understand that “kennel” means an enclosed, controlled area, inaccessible to
other animals, in which a person keeps, harbors or maintains five or more dogs under controlled
conditions (ARS 11-1001).
We certify that I/We have / b dogs and that the kennel meets the definition in statute.
3} e certify that I/We have not been convicted of a violation of A.R.S. §§ 13-2910 (cruelty to animals)
or 1342910.01 (dog fighting), or similar violations of any other state, county or municipal animal welfare law.
(Violations of license and leash laws DO NOT apply).
4. 1B we certify that all dogs over the age of three (3) months that are kept, harbored or maintained on the
premises of the above named kennel have been properly vaccinated against rabies by a veterinarian licensed to
practice in the state of Arizona and that a current vaccination certificate signed by a licensed veterinarian is
maintained on the premises for each dog.
5. | We certify that [We are submitting a valid copy of the rabies vaccination certificate for each
ith this application.
e understand that a dog remaining within the kennel is not required to be licensed individually under
‘ § 11-1008. I/we also understand that a dog leaving the controlled kennel conditions shall be licensed
under A.R.S. § 11-1008 except if the dog is only being transported to another kennel which has a permit issued
under this section.
MA |MWe understand that a person who fails to obtain a kennel permit under A.R.S.§11-1009 is subject to a
penalty of twenty-five dollars in addition to the annual fee.
«1p IMWe understand that a person who knowingly fails to obtain a kennel permit within thirty days after
written notification from the county enforcement agent is guilty of a class 2 misdemeanor..
9. /(he undersigned understand that that the kennel permit does not authorize the operation of any type
of business and is solely used for the purpose of licensing multiple dogs.
I/We certify that all of the information I/We have provided is true and accurate under penalty of law.
1/4
Applicant Signature Date: [tore
Applicant Signature Date:
For Official Use Only:
Copies of Valid Rabies Vaccination Certificates for each dog attached
Copy of Person's Valid Identification Attached
Type of Identification submitted
BOS Approval Date Term of Permit
October 2015
Maricopa County Animal Care and Control
2500 S. 27th Avenue
Phoenix, AZ 85009-6797
(602) 506-7387
http://pets.maricopa.qov
Receipt Number: R20-298603 Receipt Date: 09/15/2020
Person ID: P2812076
Phone: 602 9786833
STERLING SHELTIES KENNELS
9/15/2020 10:29:32AM
3942 W TIERRA BUENA LN
PHOENIX, AZ 85053
Item: Animal ID: Reference No: Price: Each: Amount:
KEN PERMIT A7777777 K20-000071 $350.00 1 $350.00
Total Fees Due: $350.00
Payments: Cash:
Check: $350.00
Credit Card:
Total Payments Received: $350.00
Would you like to share your experience with our service to you? Thank You!
Please visit our website at http://pets.maricopa.gov and click on |
5 1 16 4 2 11 1781 1659 122 32 0.000000 CHane:
5 1 16 4 2 12 2154 1658 101 37 96.154900 $0.00
4 1 16 4 3 0 214 1679 1994 55 -1
5 1 16 4 3 1 214 1685 97 31 96.161980 Want
5 1 16 4 3 2 323 1684 42 32 95.870522 To
5 1 16 4 3 3 379 1684 66 32 95.870522 and
5 1 16 4 3 4 461 1684 140 32 93.291756 Contact
5 1 16 4 3 5 616 1683 162 32 85.574425 MCACC
to email your comments for our : .
fa) alance Due: $0.00
review.
Animal Information:
A7777777 KENNEL PERM - BORN 9/14/1999, SPAYED, UNKNOWN/MIX, TRICOLOR DOG
License Information:
Tag Number: License Expires: Animal# Vacc Date: Vacc Expires:
Please retain this receipt with your pet's records
APODACAP WBUSOFF
Maricopa County
Animal Care & Control
2500 South 27" Avenue
Phoenix, AZ 85009
Phone: (602) 506-7387
pets.maricopa.gov
KENNEL PERMIT K21-000071
PREMISE INSPECTION
Number of Dogs: 16
Name: PEGGY STEPHENS Kennel Name: STERLING SHELTIES KENNELS
Mailing Address: 3942 W TIERRA BUENA LN Kennel Address: Same
City: PHOENIX State: AZ Zip: 85053 City: PHOENIX Zip: 85053
County Supervisorial District: 3
Phone: 602-690-7151 Kennel Phone: 602-978-6833
1. Are all dogs over the age of three months properly vaccinated for rabies and in
possession of a valid rabies vaccination certificate?
YES
2. Is the kennel an enclosed, controlled area, inaccessible to other animals, in which a
person keeps, harbors or maintains five or more dogs under controlled conditions?
YES
NOTE: Copies of each rabies vaccination certificate must be attached to the Kennel Permit
Premise Inspection form.
CORRECTIVE ACTION NEEDED FOR COMPLIANCE AND N/A DAYS GIVEN
BEFORE REINSPECTION. (Note: There will be $49 re-inspect fee payable to the
Inspector by check upon each return visit.)
NONE
This is a RENEWAL application; there are 16 dogs being kept on the property that are all
properly vaccinated and contained appropriately.
Deputy Enforcement Agent & Badge #: ROMERO #4 Date: 1/20/21
October 2015
CERTIFICATE
VACCINATION
Tender Loving
Care
> Corporate Office Hours:
Mon - Fri 9:00 am - 5:00 pm
480-699-9950
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4 1 181 1 1 0 515 2758 713 7 -1
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3 1 182 1 0 0 1713 2753 713 7 -1
4 1 182 1 1 0 1713 2753 713 7 -1
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3 1 184 1 0 0 1713 2803 713 8 -1
4 1 184 1 1 0 1713 2803 713 8 -1
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2 1 185 0 0 0 43 1343 14 1519 -1
3 1 185 1 0 0 43 1343 14 1519 -1
4 1 185 1 1 0 43 1343 14 1519 -1
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4 1 186 1 1 0 515 2858 714 8 -1
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3 1 187 1 0 0 1715 2853 711 8 -1
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2 1 188 0 0 0 54 2884 456 7 -1
3 1 188 1 0 0 54 2884 456 7 -1
4 1 188 1 1 0 54 2884 456 7 -1
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4 1 189 1 1 0 1243 2879 464 9 -1
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3 1 190 1 0 0 518 2909 711 7 -1
4 1 190 1 1 0 518 2909 711 7 -1
5 1 190 1 1 1 518 2909 711 7 95.000000
2 1 191 0 0 0 1713 2903 713 8 -1
3 1 191 1 0 0 1713 2903 713 8 -1
4 1 191 1 1 0 1713 2903 713 8 -1
5 1 191 1 1 1 1713 2903 713 8 95.000000
2 1 192 0 0 0 515 2957 715 9 -1
3 1 192 1 0 0 515 2957 715 9 -1
4 1 192 1 1 0 515 2957 715 9 -1
5 1 192 1 1 1 515 2957 715 9 95.000000
2 1 193 0 0 0 1713 2953 712 8 -1
3 1 193 1 0 0 1713 2953 712 8 -1
4 1 193 1 1 0 1713 2953 712 8 -1
5 1 193 1 1 1 1713 2953 712 8 95.000000
2 1 194 0 0 0 517 3006 712 7 -1
3 1 194 1 0 0 517 3006 712 7 -1
4 1 194 1 1 0 517 3006 712 7 -1
5 1 194 1 1 1 517 3006 712 7 95.000000
2 1 195 0 0 0 1713 3002 507 6 -1
3 1 195 1 0 0 1713 3002 507 6 -1
4 1 195 1 1 0 1713 3002 507 6 -1
5 1 195 1 1 1 1713 3002 507 6 95.000000
2 1 196 0 0 0 2433 993 15 2051 -1
3 1 196 1 0 0 2433 993 15 2051 -1
4 1 196 1 1 0 2433 993 15 2051 -1
5 1 196 1 1 1 2433 993 15 2051 95.000000
2 1 197 0 0 0 2433 993 15 2051 -1
3 1 197 1 0 0 2433 993 15 2051 -1
4 1 197 1 1 0 2433 993 15 2051 -1
5 1 197 1 1 1 2433 993 15 2051 95.000000
2 1 198 0 0 0 1238 1425 15 1634 -1
3 1 198 1 0 0 1238 1425 15 1634 -1
4 1 198 1 1 0 1238 1425 15 1634 -1
5 1 198 1 1 1 1238 1425 15 1634 95.000000
2 1 199 0 0 0 1702 2376 7 681 -1
3 1 199 1 0 0 1702 2376 7 681 -1
4 1 199 1 1 0 1702 2376 7 681 -1
5 1 199 1 1 1 1702 2376 7 681 95.000000
2 1 200 0 0 0 55 3050 1962 14 -1
3 1 200 1 0 0 55 3050 1962 14 -1
4 1 200 1 1 0 55 3050 1962 14 -1
5 1 200 1 1 1 55 3050 1962 14 95.000000
2 1 201 0 0 0 504 2380 8 747 -1
3 1 201 1 0 0 504 2380 8 747 -1
4 1 201 1 1 0 504 2380 8 747 -1
5 1 201 1 1 1 504 2380 8 747 95.000000
2 1 202 0 0 0 490 3016 4 111 -1
3 1 202 1 0 0 490 3016 4 111 -1
4 1 202 1 1 0 490 3016 4 111 -1
5 1 202 1 1 1 490 3016 4 111 95.000000
2 1 203 0 0 0 385 3040 4 88 -1
3 1 203 1 0 0 385 3040 4 88 -1
4 1 203 1 1 0 385 3040 4 88 -1
5 1 203 1 1 1 385 3040 4 88 95.000000
2 1 204 0 0 0 420 3039 3 89 -1
3 1 204 1 0 0 420 3039 3 89 -1
4 1 204 1 1 0 420 3039 3 89 -1
5 1 204 1 1 1 420 3039 3 89 95.000000
2 1 205 0 0 0 595 3040 1 87 -1
3 1 205 1 0 0 595 3040 1 87 -1
4 1 205 1 1 0 595 3040 1 87 -1
5 1 205 1 1 1 595 3040 1 87 95.000000
2 1 206 0 0 0 255 3121 685 7 -1
3 1 206 1 0 0 255 3121 685 7 -1
4 1 206 1 1 0 255 3121 685 7 -1
5 1 206 1 1 1 255 3121 685 7 95.000000
2 1 207 0 0 0 1124 3119 525 6 -1
3 1 207 1 0 0 1124 3119 525 6 -1
4 1 207 1 1 0 1124 3119 525 6 -1
5 1 207 1 1 1 1124 3119 525 6 95.000000
2 1 208 0 0 0 235 3194 812 8 -1
3 1 208 1 0 0 235 3194 812 8 -1
4 1 208 1 1 0 235 3194 812 8 -1
5 1 208 1 1 1 235 3194 812 8 95.000000
2 1 209 0 0 0 1201 3191 524 7 -1
3 1 209 1 0 0 1201 3191 524 7 -1
4 1 209 1 1 0 1201 3191 524 7 -1
5 1 209 1 1 1 1201 3191 524 7 95.000000
2 1 210 0 0 0 44 983 2432 2226 -1
3 1 210 1 0 0 44 983 2432 2226 -1
4 1 210 1 1 0 44 983 2151 85 -1
5 1 210 1 1 1 44 1020 18 39 0.000000 ss
5 1 210 1 1 2 76 986 44 76 39.488964 fa
5 1 210 1 1 3 126 995 58 60 96.781891 Dog
5 1 210 1 1 4 213 1019 36 49 47.269039 0
5 1 210 1 1 5 252 989 71 57 63.072262 Male
5 1 210 1 1 6 1051 999 52 61 12.129946 [Ms
5 1 210 1 1 7 1610 986 160 81 23.110199 Neutered
5 1 210 1 1 8 1782 983 94 72 19.269867 (rnaile)
5 1 210 1 1 9 1886 1011 16 16 76.615585 =
5 1 210 1 1 10 1917 987 28 53 24.322100 oO
5 1 210 1 1 11 1956 987 50 53 86.007095 On:
5 1 210 1 1 12 2010 988 185 76 57.016846 Medication.
4 1 210 1 2 0 86 1047 2056 98 -1
5 1 210 1 2 1 45 1071 18 26 41.829391 A
5 1 210 1 2 2 86 1065 92 33 41.829391 OCat
5 1 210 1 2 3 207 1056 155 50 0.000000 Gtemale
5 1 210 1 2 4 394 1069 32 29 63.645874 0
5 1 210 1 2 5 432 1047 124 80 10.408916 Spayed.
5 1 210 1 2 6 558 1058 192 51 37.537643 (femaley-O)
5 1 210 1 2 7 756 1064 138 70 0.000000 Plane
5 1 210 1 2 8 1064 1072 4 2 0.000000 :
5 1 210 1 2 9 1314 1062 59 36 94.499390 Cat
5 1 210 1 2 10 1402 1049 159 63 54.037628 Female
5 1 210 1 2 11 1589 1054 35 55 12.063847 fo
5 1 210 1 2 12 1632 1060 163 85 44.489788 ee
5 1 210 1 2 13 1758 1048 131 95 0.000000 fishele)
5 1 210 1 2 14 1912 1048 175 95 0.000000 eeRponent
5 1 210 1 2 15 2137 1066 5 3 78.261414 :
4 1 210 1 3 0 86 1090 1735 95 -1
5 1 210 1 3 1 46 1140 18 24 40.356186 i]
5 1 210 1 3 2 86 1138 95 24 89.596375 Name:
5 1 210 1 3 3 231 1090 104 71 96.307701 DA
5 1 210 1 3 4 351 1110 42 45 66.131561 Al
5 1 210 1 3 5 422 1110 10 45 48.041386 {
5 1 210 1 3 6 969 1105 87 57 5.658398 ALY
5 1 210 1 3 7 1072 1101 111 68 0.000000 coaches
5 1 210 1 3 8 1285 1125 94 43 96.837753 Name:
5 1 210 1 3 9 1410 1109 54 76 44.373245 i
5 1 210 1 3 10 1470 1115 105 52 56.407906 ERY
5 1 210 1 3 11 1604 1119 43 33 84.205391 Z
5 1 210 1 3 12 1818 1134 3 3 89.841003 :
4 1 210 1 4 0 46 1144 1688 49 -1
5 1 210 1 4 1 46 1173 83 12 38.785812 i
5 1 210 1 4 2 304 1169 69 24 43.257755 oF
5 1 210 1 4 3 973 1161 11 30 11.251602 1
5 1 210 1 4 4 1011 1139 19 56 45.095238 4
5 1 210 1 4 5 1045 1162 35 28 30.062017 7%
5 1 210 1 4 6 1113 1144 30 29 17.217617 OC
5 1 210 1 4 7 1159 1147 51 26 60.696693 Wks
5 1 210 1 4 8 1605 1170 36 9 0.000000 —
4 1 210 1 5 0 87 1161 1845 62 -1
5 1 210 1 5 1 51 1191 9 37 20.385303 4
5 1 210 1 5 2 87 1187 94 25 92.959404 Breed:
5 1 210 1 5 3 205 1181 25 30 12.507038 x
5 1 210 1 5 4 248 1173 71 49 0.000000 hk
5 1 210 1 5 5 308 1178 108 45 4.287443 KAAG,
5 1 210 1 5 6 979 1194 5 3 4.582863 .
5 1 210 1 5 7 1004 1161 29 56 30.690069 4
5 1 210 1 5 8 1113 1181 30 37 21.060228 OJ)
5 1 210 1 5 9 1160 1185 49 26 0.000000 Mos
5 1 210 1 5 10 1259 1211 3 3 0.000000 ||.
5 1 210 1 5 11 1285 1182 94 26 25.808115 Breed:
5 1 210 1 5 12 1482 1174 29 31 2.257509 i
5 1 210 1 5 13 1523 1177 71 31 42.974220 Ed
5 1 210 1 5 14 1605 1172 59 31 39.983463 tf
5 1 210 1 5 15 1685 1180 95 28 26.641264 Eo
5 1 210 1 5 16 1878 1189 54 17 44.398048 en
4 1 210 1 6 0 87 1191 1836 104 -1
5 1 210 1 6 1 87 1236 101 35 96.697479 Colors:
5 1 210 1 6 2 216 1201 75 62 0.000000 %
5 1 210 1 6 3 289 1240 69 11 0.000000 ji
5 1 210 1 6 4 1242 1236 9 9 30.469990 ~
5 1 210 1 6 5 1285 1232 102 25 49.342186 Colors:
5 1 210 1 6 6 1421 1191 114 104 0.000000 phe
5 1 210 1 6 7 1554 1224 47 35 0.000000 «
5 1 210 1 6 8 1668 1218 255 39 0.000000 MNesre-.
4 1 210 1 7 0 51 1320 1683 102 -1
5 1 210 1 7 1 51 1359 122 32 96.698586 Rabies
5 1 210 1 7 2 174 1365 33 26 96.987961 Type:
5 1 210 1 7 3 225 1324 92 82 20.971355 KILLED
5 1 210 1 7 4 318 1358 95 64 41.529137 —
5 1 210 1 7 5 412 1357 70 59 31.167870 Le
5 1 210 1 7 6 608 1377 4 5 36.990662 :
5 1 210 1 7 7 767 1320 111 79 96.691803 PRICE
5 1 210 1 7 8 931 1356 91 37 72.417938 NEXT
5 1 210 1 7 9 1041 1326 187 73 69.353729 BOOSTERS.
5 1 210 1 7 10 1248 1345 33 50 87.256569 Ral
5 1 210 1 7 11 1541 1353 35 26 52.397686 ‘IR
5 1 210 1 7 12 1726 1374 8 22 18.274193 .
4 1 210 1 8 0 51 1360 2423 94 -1
5 1 210 1 8 1 51 1413 36 26 93.305992 Lot
5 1 210 1 8 2 97 1413 16 26 52.083206 #
5 1 210 1 8 3 130 1365 153 72 0.000000 ZNCpC
5 1 210 1 8 4 261 1389 159 48 50.892097 COTS
5 1 210 1 8 5 1248 1407 94 28 62.264969 Lot#_
5 1 210 1 8 6 1343 1409 16 15 79.353439 >
5 1 210 1 8 7 1371 1387 7 46 82.033661 |
5 1 210 1 8 8 1400 1360 48 73 27.607775 C
5 1 210 1 8 9 1449 1397 105 47 38.059021 7
5 1 210 1 8 10 1573 1395 45 46 87.684563 &
5 1 210 1 8 11 1590 1373 128 64 26.890205 ne
5 1 210 1 8 12 1764 1369 78 85 29.934187 mee
5 1 210 1 8 13 2390 1416 17 17 19.202023 a
4 1 210 1 9 0 52 1439 2403 54 -1
5 1 210 1 9 1 52 1467 84 26 96.672371 Rabies
5 1 210 1 9 2 146 1467 54 26 89.862267 Dale
5 1 210 1 9 3 209 1466 138 27 83.988533 Vaccinated:
5 1 210 1 9 4 1249 1463 82 25 96.279167 Rabies
5 1 210 1 9 5 1341 1463 56 25 96.722839 Date
5 1 210 1 9 6 1406 1462 139 26 85.469276 Vaccinated:
5 1 210 1 9 7 1583 1439 44 47 49.724968 Cs
5 1 210 1 9 8 1665 1458 42 29 35.533215 fer
5 1 210 1 9 9 2403 1464 52 25 28.432360 |
4 1 210 1 10 0 51 1474 2375 80 -1
5 1 210 1 10 1 51 1521 86 26 95.789360 Rabies
5 1 210 1 10 2 142 1514 140 40 0.000000 Vaccination
5 1 210 1 10 3 291 1521 54 25 50.535255 Die:
5 1 210 1 10 4 357 1546 39 4 63.787231 _*
5 1 210 1 10 5 1248 1517 84 25 96.698082 Rabies
5 1 210 1 10 6 1340 1516 139 26 93.293594 Vaccination
5 1 210 1 10 7 1488 1517 61 24 91.039749 Due:.
5 1 210 1 10 8 2373 1474 53 76 52.924522 i:
4 1 210 1 11 0 89 1565 1884 38 -1
5 1 210 1 11 1 89 1572 63 28 60.955742 DP1-
5 1 210 1 11 2 169 1566 105 42 65.541443 DA2PPv/
5 1 210 1 11 3 284 1566 120 42 63.621185 Bordetella
5 1 210 1 11 4 413 1570 190 30 74.157318 Nasal
5 1 210 1 11 5 491 1566 11 42 74.157318 /
5 1 210 1 11 6 515 1570 88 30 88.490944 Deworm
5 1 210 1 11 7 700 1570 56 33 69.863533 ccl$
5 1 210 1 11 8 1285 1567 63 29 50.895523 DBP1-
5 1 210 1 11 9 1363 1566 110 30 61.999096 DA2PPv/
5 1 210 1 11 10 1480 1559 124 45 61.999096 Bordetella
5 1 210 1 11 11 1622 1559 62 45 78.072525 Nesal
5 1 210 1 11 12 1690 1565 202 34 78.072525 /Deworm
5 1 210 1 11 13 1813 1559 12 45 23.385172 -
5 1 210 1 11 14 1832 1559 8 45 59.701084 =
5 1 210 1 11 15 1854 1563 35 21 31.595692 >:
-
CP1- 4-in-4 (FVRCP) / Leukernia / Deworm ccl$ CP1-4-in-4 (FVRCP)/ Leukemia / Deworm __ cc} $-
DA2PPv_i DA2PPv+44 / Corona $ DA2PPv _/ DA2PPv+L4 | Corona
Bordetella - Nasal / Injectable / Oral $ Bordetella - Nesal_/ injectable i Oral
Rattle Snake / +:3N'8 / H3N2 / Lyme / Lepto. 4 $ Rattle Snake / H3N8 H3N2/ Lyme / Lepto. 4, :
Deworming (Protal 50 rngim!) cc $ Deworming (Protai 50 mg/mi)- cc - eo:
Cat 4in-1 (FYRCP) / Leukemia $ Cat 4-in-1 (FYRCP) / Leukemia ais
Test Heartworm / FEV Paivel. O Pos O Neg 4$ Test Heartworm /FELV; Parvoi___-— _O Pos Neg | $ ; .
Heartwoin Mig: 5 Tn-Heart Plus 0 O__ Heartworm Mig:-O Tri-Heart-PlusD ff: --0.-
Pet's Weight: C.0-25# © 26-50#0 51-100# |$ | Pet's Weight: 0 0-25# 1 26-50#O 5Yi00#-]$. - | ee
Micro Chip # $ Mfg. Micro Chip # $ Mfg.
Other: $ Qly: @ $ Other: y $. Qty: @ $
Other: - $ Qy: @$ Other: fs $ Qly: @$ -
Other: $ Qty: $ Other. $ Qty: @ $
Treatment_Fee: $ Script Fee: $10 |$ 5 1 210 1 25 9 1289 2247 139 28 96.922752 Treatment
5 1 210 1 25 10 1436 2246 60 35 76.037598 Fee:
5 1 210 1 25 11 1506 2245 66 34 26.295677 $___
5 1 210 1 25 12 1716 2245 58 35 15.188007 cript
5 1 210 1 25 13 1783 2245 60 35 15.188007 Fee:
5 1 210 1 25 14 1853 2244 50 36 74.994751 $10
5 1 210 1 25 15 1945 2247 16 30 54.043217 |$
5 1 210 1 25 16 1988 2269 14 4 47.523212 ..
5 1 210 1 25 17 2207 2256 64 9 11.001768 pene
5 1 210 1 25 18 2288 2267 40 10 0.444756 fe
5 1 210 1 25 19 2472 2275 4 2 0.000000 :
4 1 210 1 26 0 95 2284 2364 95 -1
5 1 210 1 26 1 95 2297 77 28 90.088516 Exam
5 1 210 1 26 2 182 2294 58 37 64.241470 Fee:
5 1 210 1 26 3 251 2294 32 37 89.778992 $5
5 1 210 1 26 4 295 2295 56 33 89.829910 $20
5 1 210 1 26 5 387 2295 85 36 92.466011 Health
5 1 210 1 26 6 483 2295 142 29 7.208233 Certificate:
5 1 210 1 26 7 643 2295 9 32 7.208233 $
5 1 210 1 26 8 694 2288 32 47 34.805836 ss
5 1 210 1 26 9 733 2288 13 47 22.207375 J
5 1 210 1 26 10 746 2292 56 35 22.207375 $<
5 1 210 1 26 11 804 2296 89 32 29.751816 CO
5 1 210 1 26 12 1010 2293 154 86 26.802505 aoe
5 1 210 1 26 13 1231 2302 8 5 0.000000 4
5 1 210 1 26 14 1290 2292 76 28 24.521336 Exam
5 1 210 1 26 15 1377 2289 64 38 63.351433 Feé:
5 1 210 1 26 16 1446 2288 39 39 75.799377 $5
5 1 210 1 26 17 1497 2291 50 32 40.859543 $26.
5 1 210 1 26 18 1584 2289 242 30 18.055544 HeallfCertificate:
5 1 210 1 26 19 1837 2290 54 32 35.378780 $2.
5 1 210 1 26 20 1941 2291 142 34 0.000000 [{$2-¢8O
5 1 210 1 26 21 2129 2300 66 14 6.699514 fe
5 1 210 1 26 22 2353 2284 83 38 43.521347 lie
4 1 210 1 27 0 93 2334 2375 48 -1
5 1 210 1 27 1 93 2347 87 29 96.986038 Waste
5 1 210 1 27 2 190 2346 113 36 96.941620 Disposal
5 1 210 1 27 3 315 2343 71 35 32.076530 Feet
5 1 210 1 27 4 408 2343 36 35 60.617455 $1
5 1 210 1 27 5 485 2345 33 32 86.037682 $2
5 1 210 1 27 6 562 2342 63 35 46.053726 $3
5 1 210 1 27 7 703 2361 5 3 32.724548 -
5 1 210 1 27 8 746 2340 214 38 0.000000 Ist-oGet
5 1 210 1 27 9 990 2359 6 3 61.497055 -
5 1 210 1 27 10 1210 2346 62 25 10.738192 ~:]<
5 1 210 1 27 11 1278 2331 94 62 60.399136 [Waste
5 1 210 1 27 12 1386 2331 114 62 94.942802 Disposal
5 1 210 1 27 13 1511 2340 111 49 66.754303 Fee
_
$7 $2__ $3" $7.) poe]
= =
HR: CO Resp: pie Pet #1 Total 4 “Te \33 Resp: UE _|Pet #2 Total
In pts ies Signed
Temp) Hos VO > YOO © Trin! 10.9) Weight <7 =
Weight: Next Booster(s) — Die On: — Ic Co fl i |i xX i} Next Boostér(s} Due Gn: IG Rn I \
PHYSICAL EXAM: PHYSICAL EXAM:
ira Abnomi 4 : ra y . p | een “Text Booster) ¢ Esiimated Price ‘ - $f [2] ——
General Eh ry |Next Boosters) Estimated Price $1 {ASP Vecperatappeaince Pp <>
Appearance
Skin / Coat o- 9 NOTES 5 / DOSAGE: — a Skin / Coal sn) NOTES / DOSAGE: a arf
Eyes 56 6 Eyes - a a = as
:
Ears G GO Ears ao a
Mouth / Dental o oO. ail 7 Mouth / Denia a Oo
Respiratory oO OG 4 ee wet fb Respiratory 4 9 O 5. sy ee
HEALTH WITHIN-NORMAL LIMITS [= = : HEALTH WAKIN. NORMAL LIMITS rs US Oa
Yes No 9 — es. NO. i ;
Vaccinalions not dalivered on schedule - Vaccinafiias not delivered on schedule -
loose effectiveness. Returning ajter ; : loose wifectiveness. Returning ailer
‘the boosters due dale may require : the ler's dye date may Tequire : ;
additional vaccines for proper pxcieclion | », addjfional vaccines {cr proper protection ‘ : BTCA. ee,
al an additional cost fo you. th Sy. . Ae al gf additional cost to you. - 7 : Sub Total: gti $. iy
Veterinarian: i A) dA Location:_{ . A IO ‘ e ) Tech. Init: 1G L. _ co Fee: $
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1442 PYakae Pa
State Lic # Datée:; ih i) Bal$_ ~~ __ Cash's. {TE ~~ __ Cashier ni TOTAL:
White: TLC VETERINARY SERVICES & SUPPLIES LLC Yellow. CLIENT s COUNTY
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iigats sedueets iled within:24 hours Corporate Office : Hours:
ta:
Mon - Fri 9:00 am - 5:00 pm
480-699-9950
P.O. Box 14483 + Mesa, AZ 85216
7
OFFICIAL RECORD - PLEASE PRINT CLEARLY www. TLCVetServices.com
's Last Name: ta First. Name: ii EIGIG 4
: ‘ Address:
: City: i _ : State: Zip:
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a Home: ° li Jel2 5 -s 7 ¥|-[ 4] ¥| s|3 Cell: -| | ‘L. / “i Work: |. = |. | : |
= | | acknowledge having read and | understand the back of this document. Being aware of ” Vs fa a ha - . aut 5
these facts, | give my permission to TENDER LOVING CARE VETERINARY SERVICES & X74 Le Hi? ae 17, P OES as : cues, Te va
SUPPLIES LLC andlor the Doctor io treat and/or administer the vaccinations listed below. There ERS $4$3'waste disposal fee per animal. Prescription ONLY. $10. *
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Colors:
Rabies Type: Ty “KILLED D VIRUS. Mig. Rabies Type: KILLED ViRUS Mig, }?
Lot # A\ Ce 3 Cao bk NC Tag# (Does notincude [54 [6] 42 | 36 Loto CoCo) IA~ Tag #: sae (Does notin 34f]
5 1 219 1 1 26 2210 1420 55 26 44.809334 8
5 1 219 1 1 27 2275 1395 6 55 42.909889 |
5 1 219 1 1 28 2291 1419 75 23 34.967190 12-7
5 1 219 1 1 29 2388 1419 20 17 54.073467 35
4 1 219 1 2 0 373 1423 2056 71 -1
5 1 219 1 2 1 373 1456 41 31 45.651344 Ce
5 1 219 1 2 2 545 1441 48 38 39.209557 Rte
5 1 219 1 2 3 738 1445 68 24 96.344475 Price
5 1 219 1 2 4 786 1440 20 39 91.994576 of
5 1 219 1 2 5 812 1444 90 24 87.435020 boosters.)
5 1 219 1 2 6 913 1440 7 39 95.861763 |
5 1 219 1 2 7 920 1449 62 18 96.548843 Weeks
5 1 219 1 2 8 991 1440 10 39 94.650696 |
5 1 219 1 2 9 1001 1449 68 18 85.667366 Months
5 1 219 1 2 10 1072 1440 7 39 85.667366 |
5 1 219 1 2 11 1082 1449 67 18 93.195496 Months
5 1 219 1 2 12 1157 1440 7 39 55.595242 }
5 1 219 1 2 13 1205 1449 15 9 96.776520 Month
5 1 219 1 2 14 1567 1423 55 71 55.700203 GS
5 1 219 1 2 15 1914 1470 4 3 75.309448 a]
5 1 219 1 2 16 1937 1443 67 24 64.046677 price
5 1 219 1 2 17 1988 1439 20 39 96.691833 of
5 1 219 1 2 18 2093 1442 7 25 75.386162 )
5 1 219 1 2 19 2111 1433 8 44 88.512665 |
5 1 219 1 2 20 2121 1437 29 28 45.885056 Weeks
5 1 219 1 2 21 2191 1433 8 44 95.827614 |
5 1 219 1 2 22 2202 1448 68 20 75.899742 Months
5 1 219 1 2 23 2272 1433 8 44 75.899742 |
5 1 219 1 2 24 2283 1448 67 18 96.782440 Months
5 1 219 1 2 25 2356 1433 5 44 93.267296 |
5 1 219 1 2 26 2365 1448 64 13 34.761944 Montis
4 1 219 1 3 0 47 1434 2347 80 -1
5 1 219 1 3 1 47 1474 84 26 95.781097 Rabies
5 1 219 1 3 2 141 1475 55 25 96.805748 Date
5 1 219 1 3 3 205 1455 139 55 89.716995 Vaccinated:
5 1 219 1 3 4 379 1461 125 38 19.613676 mE:
5 1 219 1 3 5 1164 1481 54 33 66.776901 ws
5 1 219 1 3 6 1246 1473 83 26 96.177322 Rabies
5 1 219 1 3 7 1339 1474 57 25 96.979538 Date
5 1 219 1 3 8 1404 1473 138 26 80.314583 Vaccinated:
5 1 219 1 3 9 1587 1473 35 24 31.901560 *©
5 1 219 1 3 10 1660 1473 10 25 53.956154 /
5 1 219 1 3 11 1694 1459 13 37 80.282280 }
5 1 219 1 3 12 1789 1469 13 40 43.471985 ih
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5 1 219 1 4 5 1179 1517 6 5 68.710876 |
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5 1 219 1 4 8 1486 1527 54 25 96.302193 Due:
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5 1 219 1 4 10 2102 1540 4 4 77.492210 /
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5 1 219 1 5 6 511 1578 89 29 85.517067 Deworm
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5 1 219 1 5 13 1892 1585 28 20 89.862007 cc}
5 1 219 1 5 14 1936 1577 26 33 70.825500 $:
5 1 219 1 5 15 2069 1575 71 39 51.413109 Ae
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5 1 219 1 6 4 362 1624 107 44 92.849602 Leukemia
5 1 219 1 6 5 483 1629 6 29 92.505867 /
5 1 219 1 6 6 497 1630 101 27 91.475349 Deworm
5 1 219 1 6 7 690 1637 28 21 54.059391 cc]
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5 1 219 1 6 13 1890 1626 62 33 70.257309 cc}.
5 1 219 1 6 14 1941 1622 16 44 78.035049 $
5 1 219 1 6 15 2046 1618 42 44 63.359715 if
5 1 219 1 6 16 2088 1631 51 18 63.668293 A
4 1 219 1 7 0 85 1667 1986 44 -1
5 1 219 1 7 1 85 1673 114 36 81.488823 DA2PPv
5 1 219 1 7 2 216 1679 10 29 81.488823 /
5 1 219 1 7 3 235 1678 291 30 66.626991 DA2PPv+_4
5 1 219 1 7 4 410 1669 12 47 68.078712 /
5 1 219 1 7 5 433 1678 93 30 96.934235 Corona
5 1 219 1 7 6 739 1678 14 33 92.129272 $
5 1 219 1 7 7 1283 1678 116 29 74.476959 DA2PPv
5 1 219 1 7 8 1416 1678 10 30 82.205772 /
5 1 219 1 7 9 1435 1677 184 30 86.540817 DA2PPv+L4
5 1 219 1 7 10 1608 1673 12 43 87.827148 /
5 1 219 1 7 11 1628 1678 98 29 96.535568 Corona
5 1 219 1 7 12 1937 1677 15 33 92.758827 $
5 1 219 1 7 13 2026 1667 45 44 91.262100 VA
4 1 219 1 8 0 85 1715 2016 45 -1
5 1 219 1 8 1 85 1725 155 29 82.926849 Bordetella
5 1 219 1 8 2 233 1718 13 47 82.926849 -
5 1 219 1 8 3 251 1725 76 29 83.622971 Nasal
5 1 219 1 8 4 345 1725 7 29 83.622971 /
5 1 219 1 8 5 364 1725 212 35 93.290306 Injectable
5 1 219 1 8 6 500 1718 16 47 91.920807 /
5 1 219 1 8 7 527 1718 52 47 90.119728 Oral
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5 1 219 1 8 9 1284 1725 156 28 77.847076 Bordetella
5 1 219 1 8 10 1451 1725 73 27 61.220245 -.Nasal
5 1 219 1 8 11 1543 1723 9 30 66.347549 /
5 1 219 1 8 12 1562 1720 212 39 86.382683 Injectable
5 1 219 1 8 13 1704 1716 8 48 86.382683 /
5 1 219 1 8 14 1724 1716 52 48 81.479485 Oral
5 1 219 1 8 15 1936 1721 31 32 77.698181 $
5 1 219 1 8 16 1992 1715 109 44 48.600304 Ye.
4 1 219 1 9 0 86 1763 1914 59 -1
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5 1 219 1 9 2 184 1775 74 28 93.285202 Snake
5 1 219 1 9 3 269 1767 9 36 93.042961 /
5 1 219 1 9 4 298 1774 62 29 67.017769 H3N8
5 1 219 1 9 5 371 1774 11 32 92.523232 /
5 1 219 1 9 6 400 1774 86 29 69.208092 H3N2./
5 1 219 1 9 7 502 1763 58 49 92.944641 Lyme
5 1 219 1 9 8 575 1774 10 29 90.145172 /
5 1 219 1 9 9 596 1763 79 49 90.145172 Lepto.
5 1 219 1 9 10 687 1774 14 48 96.287361 4
5 1 219 1 9 11 739 1772 15 33 92.905655 $
5 1 219 1 9 12 1284 1774 78 28 92.215759 Raitle
5 1 219 1 9 13 1384 1770 72 32 92.951820 Snake
5 1 219 1 9 14 1472 1773 5 29 91.374046 /
5 1 219 1 9 15 1500 1773 60 29 89.021858 H3N8
5 1 219 1 9 16 1572 1767 9 35 89.021858 /
5 1 219 1 9 17 1600 1774 64 31 40.261261 H3N2
5 1 219 1 9 18 1676 1773 10 29 40.261261 /
5 1 219 1 9 19 1696 1774 64 33 70.700500 Lyme
5 1 219 1 9 20 1793 1773 81 34 75.359207 /Lepto.
5 1 219 1 9 21 1884 1773 34 48 50.350220 4.
5 1 219 1 9 22 1936 1771 16 33 92.513138 $
5 1 219 1 9 23 1981 1763 19 43 38.952492 7
4 1 219 1 10 0 86 1809 1894 50 -1
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5 1 219 1 10 2 249 1820 89 34 52.611889 (Piota!
5 1 219 1 10 3 348 1820 32 28 96.891960 50
5 1 219 1 10 4 391 1819 91 37 90.214958 mg/m!)
5 1 219 1 10 5 573 1810 34 49 88.057747 cc
5 1 219 1 10 6 739 1819 21 33 46.153316 $:
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5 1 219 1 10 8 1448 1818 88 36 93.053268 (Protal
5 1 219 1 10 9 1546 1818 33 29 96.916870 50
5 1 219 1 10 10 1590 1817 97 37 36.394104 mg/ml)
5 1 219 1 10 11 1772 1809 34 49 92.110062 cc
5 1 219 1 10 12 1937 1813 43 41 56.764351 $Y
4 1 219 1 11 0 85 1850 1883 55 -1
5 1 219 1 11 1 85 1870 48 28 90.930748 Cat
5 1 219 1 11 2 142 1869 73 29 53.746284 4-in-1_
5 1 219 1 11 3 242 1865 130 46 57.999783 (FVRCP}/
5 1 219 1 11 4 383 1869 121 28 96.244987 Leukemia
5 1 219 1 11 5 739 1869 14 33 92.978249 $
5 1 219 1 11 6 1255 1896 2 3 17.838802 _|
5 1 219 1 11 7 1286 1863 44 47 17.838802 Cat
5 1 219 1 11 8 1341 1867 362 38 46.691505 4-in-1_(FVRCP)
5 1 219 1 11 9 1560 1863 13 47 62.631405 /
5 1 219 1 11 10 1587 1867 116 38 96.814720 Leukemia
5 1 219 1 11 11 1933 1850 35 53 39.202999 KZ
5 1 219 1 11 12 1988 1887 27 9 8.937550 Bose
4 1 219 1 12 0 84 1910 1884 46 -1
5 1 219 1 12 1 84 1920 55 28 96.893158 Test
5 1 219 1 12 2 153 1904 120 55 87.283012 Heartworm
5 1 219 1 12 3 286 1918 422 37 4.185333 /FELV/Parvol___OPosONeg
|$ Test: Heartworm / FELV/ Parvol CPposONeg |S.
Heartworm Mfg: O Tri-Heart Plus 0 : Oo Heartworm Mfg: 0 Tri-Heart Plus G Wi Oo
Pet's Weight: 0 0-259 © 26-50# 0 51-100# [$ lo Pet's Weight: 0 0-25# © 26-50# 0 51-109." [$
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Micro Chip# $ Mig. Micro Chip # Re -|Mfg._-:
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Other: $ Qty: @ $ Other: yy $ Qty: @ $
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Treatmeni,Eee: $ Script Fee: $10 $$ Treatment Fee: $ Sept Fee: $10 1$ i
Exam Feé: $5, $20 Health Certificate: $__ z j Exam Fee: $5 $20. Health Céflificate: $= =. $5 CO. | ee (ES 5
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Temp:\QN °C’ Weight:<7 1&2 ral oA Temp/Q3.-3. Weight: 2 8 ;
Next Booster(s) Due On lc_Il Next Booster(s) Due On: ; Le if [wa ie AR
PHYSICAL EXAM: PHYSICAL EXAM/ -
General Appearance |Next Booster(s) Estimated Price $HJ>E DF YS [bedineuns “¢g_ |Next Booster(s) Estimated Price $}) “7 83) ee
Skin / Coat i GB" = ae = Skin / Coat a. 7 a =—
oe 5 g_|NOTES/DosAGE: __ Eyes Gg |NOTES/ DOSAGE: a
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HEALTH WITHA NORMAL LIMITS : ot tf eh HEALTH WITHJN NORMAL LIMITS iA /\it
Vaccinations nal eed on schedule Vaccinali nolidelvered on schedule
effectiveness. Reluming after : - loose liveness, Reluming afler
neg boosters due date may require the bogmer's due date may. require
stipes cece iether colection | 4 additig@fl vaccines for proper protection : : f
al an additional cost fo you. | Jal an ditional cost to you. - Sub Total: $/
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State Lic # 1442 patepi || Bals_“—~ Cash PAD coos, Cashier Init LA.) TOTAL: $-
White: TLC VETERINARY SERVICES & SUPPLIES LLC Yellow. CLIENT / COUNTY
TLC,
Tender Loving Care
480-699-9950
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4 1 162 1 1 0 1082 2239 6 155 -1
5 1 162 1 1 1 1082 2239 6 155 95.000000
2 1 163 0 0 0 1002 2244 6 150 -1
3 1 163 1 0 0 1002 2244 6 150 -1
4 1 163 1 1 0 1002 2244 6 150 -1
5 1 163 1 1 1 1002 2244 6 150 95.000000
2 1 164 0 0 0 1163 2243 6 151 -1
3 1 164 1 0 0 1163 2243 6 151 -1
4 1 164 1 1 0 1163 2243 6 151 -1
5 1 164 1 1 1 1163 2243 6 151 95.000000
2 1 165 0 0 0 1273 1562 9 832 -1
3 1 165 1 0 0 1273 1562 9 832 -1
4 1 165 1 1 0 1273 1562 9 832 -1
5 1 165 1 1 1 1273 1562 9 832 95.000000
2 1 166 0 0 0 1926 1335 13 1058 -1
3 1 166 1 0 0 1926 1335 13 1058 -1
4 1 166 1 1 0 1926 1335 13 1058 -1
5 1 166 1 1 1 1926 1335 13 1058 95.000000
2 1 167 0 0 0 2115 1567 9 825 -1
3 1 167 1 0 0 2115 1567 9 825 -1
4 1 167 1 1 0 2115 1567 9 825 -1
5 1 167 1 1 1 2115 1567 9 825 95.000000
2 1 168 0 0 0 2223 1998 220 391 -1
3 1 168 1 0 0 2223 1998 220 391 -1
4 1 168 1 1 0 2223 1998 220 391 -1
5 1 168 1 1 1 2223 1998 220 391 95.000000
2 1 169 0 0 0 2279 2236 6 155 -1
3 1 169 1 0 0 2279 2236 6 155 -1
4 1 169 1 1 0 2279 2236 6 155 -1
5 1 169 1 1 1 2279 2236 6 155 95.000000
2 1 170 0 0 0 2198 2241 7 150 -1
3 1 170 1 0 0 2198 2241 7 150 -1
4 1 170 1 1 0 2198 2241 7 150 -1
5 1 170 1 1 1 2198 2241 7 150 95.000000
2 1 171 0 0 0 2361 2240 6 151 -1
3 1 171 1 0 0 2361 2240 6 151 -1
4 1 171 1 1 0 2361 2240 6 151 -1
5 1 171 1 1 1 2361 2240 6 151 95.000000
2 1 172 0 0 0 51 2380 2393 19 -1
3 1 172 1 0 0 51 2380 2393 19 -1
4 1 172 1 1 0 51 2380 2393 19 -1
5 1 172 1 1 1 51 2380 2393 19 95.000000
2 1 173 0 0 0 142 2443 325 6 -1
3 1 173 1 0 0 142 2443 325 6 -1
4 1 173 1 1 0 142 2443 325 6 -1
5 1 173 1 1 1 142 2443 325 6 95.000000
2 1 174 0 0 0 1333 2441 360 5 -1
3 1 174 1 0 0 1333 2441 360 5 -1
4 1 174 1 1 0 1333 2441 360 5 -1
5 1 174 1 1 1 1333 2441 360 5 95.000000
2 1 175 0 0 0 502 2466 766 16 -1
3 1 175 1 0 0 502 2466 766 16 -1
4 1 175 1 1 0 502 2466 766 16 -1
5 1 175 1 1 1 502 2466 766 16 95.000000
2 1 176 0 0 0 142 2502 310 5 -1
3 1 176 1 0 0 142 2502 310 5 -1
4 1 176 1 1 0 142 2502 310 5 -1
5 1 176 1 1 1 142 2502 310 5 95.000000
2 1 177 0 0 0 2291 2389 152 75 -1
3 1 177 1 0 0 2291 2389 152 75 -1
4 1 177 1 1 0 2291 2389 152 75 -1
5 1 177 1 1 1 2291 2389 152 75 95.000000
2 1 178 0 0 0 1701 2464 743 14 -1
3 1 178 1 0 0 1701 2464 743 14 -1
4 1 178 1 1 0 1701 2464 743 14 -1
5 1 178 1 1 1 1701 2464 743 14 95.000000
2 1 179 0 0 0 1334 2499 360 5 -1
3 1 179 1 0 0 1334 2499 360 5 -1
4 1 179 1 1 0 1334 2499 360 5 -1
5 1 179 1 1 1 1334 2499 360 5 95.000000
2 1 180 0 0 0 502 2546 747 6 -1
3 1 180 1 0 0 502 2546 747 6 -1
4 1 180 1 1 0 502 2546 747 6 -1
5 1 180 1 1 1 502 2546 747 6 95.000000
2 1 181 0 0 0 43 1316 13 1301 -1
3 1 181 1 0 0 43 1316 13 1301 -1
4 1 181 1 1 0 43 1316 13 1301 -1
5 1 181 1 1 1 43 1316 13 1301 95.000000
2 1 182 0 0 0 1002 2552 243 72 -1
3 1 182 1 0 0 1002 2552 243 72 -1
4 1 182 1 1 0 1002 2552 243 72 -1
5 1 182 1 1 1 1002 2552 243 72 95.000000
2 1 183 0 0 0 2053 2535 391 3 -1
3 1 183 1 0 0 2053 2535 391 3 -1
4 1 183 1 1 0 2053 2535 391 3 -1
5 1 183 1 1 1 2053 2535 391 3 95.000000
2 1 184 0 0 0 1701 2541 743 9 -1
3 1 184 1 0 0 1701 2541 743 9 -1
4 1 184 1 1 0 1701 2541 743 9 -1
5 1 184 1 1 1 1701 2541 743 9 95.000000
2 1 185 0 0 0 2198 2473 246 146 -1
3 1 185 1 0 0 2198 2473 246 146 -1
4 1 185 1 1 0 2307 2473 137 94 -1
5 1 185 1 1 1 2307 2473 137 94 95.000000
4 1 185 1 2 0 2198 2567 246 52 -1
5 1 185 1 2 1 2198 2567 246 52 95.000000
2 1 186 0 0 0 1702 2610 743 9 -1
3 1 186 1 0 0 1702 2610 743 9 -1
4 1 186 1 1 0 1702 2610 743 9 -1
5 1 186 1 1 1 1702 2610 743 9 95.000000
2 1 187 0 0 0 503 2622 746 8 -1
3 1 187 1 0 0 503 2622 746 8 -1
4 1 187 1 1 0 503 2622 746 8 -1
5 1 187 1 1 1 503 2622 746 8 95.000000
2 1 188 0 0 0 774 2667 451 4 -1
3 1 188 1 0 0 774 2667 451 4 -1
4 1 188 1 1 0 774 2667 451 4 -1
5 1 188 1 1 1 774 2667 451 4 95.000000
2 1 189 0 0 0 512 2716 715 6 -1
3 1 189 1 0 0 512 2716 715 6 -1
4 1 189 1 1 0 512 2716 715 6 -1
5 1 189 1 1 1 512 2716 715 6 95.000000
2 1 190 0 0 0 514 2767 713 6 -1
3 1 190 1 0 0 514 2767 713 6 -1
4 1 190 1 1 0 514 2767 713 6 -1
5 1 190 1 1 1 514 2767 713 6 95.000000
2 1 191 0 0 0 513 2817 714 6 -1
3 1 191 1 0 0 513 2817 714 6 -1
4 1 191 1 1 0 513 2817 714 6 -1
5 1 191 1 1 1 513 2817 714 6 95.000000
2 1 192 0 0 0 514 2868 714 5 -1
3 1 192 1 0 0 514 2868 714 5 -1
4 1 192 1 1 0 514 2868 714 5 -1
5 1 192 1 1 1 514 2868 714 5 95.000000
2 1 193 0 0 0 55 2893 452 6 -1
3 1 193 1 0 0 55 2893 452 6 -1
4 1 193 1 1 0 55 2893 452 6 -1
5 1 193 1 1 1 55 2893 452 6 95.000000
2 1 194 0 0 0 1702 2617 743 10 -1
3 1 194 1 0 0 1702 2617 743 10 -1
4 1 194 1 1 0 1702 2617 743 10 -1
5 1 194 1 1 1 1702 2617 743 10 95.000000
2 1 195 0 0 0 1969 2663 456 6 -1
3 1 195 1 0 0 1969 2663 456 6 -1
4 1 195 1 1 0 1969 2663 456 6 -1
5 1 195 1 1 1 1969 2663 456 6 95.000000
2 1 196 0 0 0 1711 2713 714 7 -1
3 1 196 1 0 0 1711 2713 714 7 -1
4 1 196 1 1 0 1711 2713 714 7 -1
5 1 196 1 1 1 1711 2713 714 7 95.000000
2 1 197 0 0 0 1711 2762 714 8 -1
3 1 197 1 0 0 1711 2762 714 8 -1
4 1 197 1 1 0 1711 2762 714 8 -1
5 1 197 1 1 1 1711 2762 714 8 95.000000
2 1 198 0 0 0 1702 2814 724 6 -1
3 1 198 1 0 0 1702 2814 724 6 -1
4 1 198 1 1 0 1702 2814 724 6 -1
5 1 198 1 1 1 1702 2814 724 6 95.000000
2 1 199 0 0 0 1712 2864 713 7 -1
3 1 199 1 0 0 1712 2864 713 7 -1
4 1 199 1 1 0 1712 2864 713 7 -1
5 1 199 1 1 1 1712 2864 713 7 95.000000
2 1 200 0 0 0 1242 2889 464 7 -1
3 1 200 1 0 0 1242 2889 464 7 -1
4 1 200 1 1 0 1242 2889 464 7 -1
5 1 200 1 1 1 1242 2889 464 7 95.000000
2 1 201 0 0 0 514 2918 714 5 -1
3 1 201 1 0 0 514 2918 714 5 -1
4 1 201 1 1 0 514 2918 714 5 -1
5 1 201 1 1 1 514 2918 714 5 95.000000
2 1 202 0 0 0 514 2968 713 6 -1
3 1 202 1 0 0 514 2968 713 6 -1
4 1 202 1 1 0 514 2968 713 6 -1
5 1 202 1 1 1 514 2968 713 6 95.000000
2 1 203 0 0 0 515 3013 713 7 -1
3 1 203 1 0 0 515 3013 713 7 -1
4 1 203 1 1 0 515 3013 713 7 -1
5 1 203 1 1 1 515 3013 713 7 95.000000
2 1 204 0 0 0 1713 2914 713 7 -1
3 1 204 1 0 0 1713 2914 713 7 -1
4 1 204 1 1 0 1713 2914 713 7 -1
5 1 204 1 1 1 1713 2914 713 7 95.000000
2 1 205 0 0 0 1712 2964 714 5 -1
3 1 205 1 0 0 1712 2964 714 5 -1
4 1 205 1 1 0 1712 2964 714 5 -1
5 1 205 1 1 1 1712 2964 714 5 95.000000
2 1 206 0 0 0 1712 3013 508 5 -1
3 1 206 1 0 0 1712 3013 508 5 -1
4 1 206 1 1 0 1712 3013 508 5 -1
5 1 206 1 1 1 1712 3013 508 5 95.000000
2 1 207 0 0 0 1236 1007 16 2060 -1
3 1 207 1 0 0 1236 1007 16 2060 -1
4 1 207 1 1 0 1236 1007 16 2060 -1
5 1 207 1 1 1 1236 1007 16 2060 95.000000
2 1 208 0 0 0 57 3060 1961 11 -1
3 1 208 1 0 0 57 3060 1961 11 -1
4 1 208 1 1 0 57 3060 1961 11 -1
5 1 208 1 1 1 57 3060 1961 11 95.000000
2 1 209 0 0 0 501 2462 8 673 -1
3 1 209 1 0 0 501 2462 8 673 -1
4 1 209 1 1 0 501 2462 8 673 -1
5 1 209 1 1 1 501 2462 8 673 95.000000
2 1 210 0 0 0 489 3024 4 111 -1
3 1 210 1 0 0 489 3024 4 111 -1
4 1 210 1 1 0 489 3024 4 111 -1
5 1 210 1 1 1 489 3024 4 111 95.000000
2 1 211 0 0 0 386 3048 3 87 -1
3 1 211 1 0 0 386 3048 3 87 -1
4 1 211 1 1 0 386 3048 3 87 -1
5 1 211 1 1 1 386 3048 3 87 95.000000
2 1 212 0 0 0 256 3131 683 5 -1
3 1 212 1 0 0 256 3131 683 5 -1
4 1 212 1 1 0 256 3131 683 5 -1
5 1 212 1 1 1 256 3131 683 5 95.000000
2 1 213 0 0 0 47 990 2437 2222 -1
3 1 213 1 0 0 45 990 2439 2214 -1
4 1 213 1 1 0 47 990 2331 95 -1
5 1 213 1 1 1 47 1058 19 10 28.167524 i
5 1 213 1 1 2 78 996 110 66 33.223663 “Dog
5 1 213 1 1 3 216 1022 110 32 73.812881 OMale
5 1 213 1 1 4 395 1022 174 32 37.095890 Neutered
5 1 213 1 1 5 582 1021 94 41 37.095890 (male)
5 1 213 1 1 6 720 1026 27 27 44.541508 ©
5 1 213 1 1 7 759 1022 44 31 86.479477 On
5 1 213 1 1 8 816 1021 160 32 95.950943 Medication
5 1 213 1 1 9 1268 990 113 75 20.826992 Dog
3 Male G/eutered (male) On- Medicallon 20
Ba 7) Cai “fFemale as) Spayed (female) O Pregnant 3 Cat ‘syFemale ) spayed fenrate) ~S Pregnant.”
Name: 1 J A Name: 2 Af MA4E 8B. : ‘paren
os ¥
Breed: i. @ § fa Breed: A D* We - 2. _O Mos
|.
Ba Colors:_ (> 4 CACE Colors:_ 625 Me ECE — = OB ¥s
Rabies Type: KILLED VIRUS Mfg. Rabies S lype: KILLED VIRUS Mfg. 147 Ss
Lot#_A\ CeCe Ge # ott | CoG ) wa
|:
Rabies Dale Vaccinated: G& a Rabies Date Vaccinated: © I ites) ;
2 “he “Ky
Rabies Vaccination Due: Rabies Vaccination Due: } 7
e
DP1-DA2PPy/ Bordetella Nasal/Deworm___—-cch $ i DP i- DA2PPv/ Bordetelta Nasal / Deworm _. =. cc} $ -:
CP4- 4-in-4 (FVRCP) [Leukemia / Deworm ccl$ 4 CP1-4-in-1 (FVRCP)/ Leukemia / Deum." 06 $. 32
CA2PPv_/ DA2PPv+L4 / Corona $ DA2PPv_/DA2PPy+L4 / Corona “1S
Bordetella - Nesal / !njectabie / Oral $ ; | Bordetella - Nasal / Iniectable / Oral $ -
Rattle Snake / H3N8/H3N2 /Lyme/Lepto, 4 $$ Rattle Snake / H3N6 / H3N2 | Lyme / Lepto. 4 oe
Deworming (Protal 50 mg/ml) cc $4 Devworming (Protal 50 mo/in}) cc “1S
Cat 4-in-1_ (FVRCP) / Leukemia Cat 4-in-1 (FVRCP) / Leukemia $ -
Test Heartworm / FELV/ Parvol GPosG Neg i Test: Heartworm / FELV/ Parvol O Pos Neg | $ : -
Heartworm Mfg: O Tr+Heart Plus 0 y ‘s Heartworm Mfg: O Tri-Heart-Pius 0 x o
Pet's Weight: 0 9-25# © 26-50# 0 51-1004)7]$ | Pet's Weight: 0 0-25# G.26-50# 0 51-100#...[ 9°. - :
Micro Chip # $ Mig. Micro Chip # $_. __|Mig.
{ Other: 1$ Qty: @ §. Other: $ Qty:
Other: $ Qhy: @3s Other: $ ‘JQly:
Other. $ Qty: @ $.- Other: g Qly:
Treatmeni Fee: $ Scriptfee: $10 1$ Treaimnent Fee: $. Script Fee: $10 |$
Exam Fee! $5\$20 Health Centifffaie:$_ JS, ~~~] I Exam Fed, $55$20 Health Certificate: $:2-- [GS CX} a
Waste Disposal Fee:( $t,_ $27’ $3 $1-OOl- 74 1 [Weste Disposal Fee: $1) $2 $3 1g 7-Ooy | &
He: LEAS resp: UO Pet #1 Total Ccuaweaénte) SL I). [) YH TE Resp: Pet #2 Total Se'tanesctonte) 10727 -\|
Ary
ine H ee wanda f ii 3m) lr =
(0 7J \Next-Booster’s) Due On: (al Li ees Booster(s) Due Cn: | \ UC pa |I | / I a
Nae A:
General Appearance ny 5 |Next:
5 1 213 1 30 6 580 2573 130 37 80.141510 Booster(s)
5 1 213 1 30 7 722 2574 127 41 53.442493 Estimated
5 1 213 1 30 8 859 2559 64 63 59.619354 Prige
5 1 213 1 30 9 981 2566 80 24 47.831860 Gl;
5 1 213 1 30 10 1251 2567 88 88 41.542641 Copel
5 1 213 1 30 11 1347 2568 136 54 89.323540 Appearance
5 1 213 1 30 12 1621 2557 72 55 30.816654 =
5 1 213 1 30 13 1711 2571 59 29 93.305878 Next
5 1 213 1 30 14 1779 2571 131 37 81.806572 Booster(s)
5 1 213 1 30 15 1920 2571 125 29 95.806473 Estimated
5 1 213 1 30 16 2055 2560 139 52 50.001484 Price.
5 1 213 1 30 17 2295 2569 94 13 31.411556 FG
4 1 213 1 31 0 52 2621 2072 43 -1
5 1 213 1 31 1 52 2623 61 41 47.380524 'Skin
5 1 213 1 31 2 123 2627 8 26 88.275070 /
5 1 213 1 31 3 147 2627 48 26 77.471550 Coal
5 1 213 1 31 4 367 2633 8 15 48.788765 £
5 1 213 1 31 5 444 2628 23 24 53.817677 a
5 1 213 1 31 6 931 2622 15 41 39.500771 cs
5 1 213 1 31 7 1254 2625 21 26 90.179474 Skin
5 1 213 1 31 8 1314 2624 9 27 89.482437 /
5 1 213 1 31 9 1330 2624 69 27 93.306084 Coat
5 1 213 1 31 10 1390 2620 11 41 93.196556 -
5 1 213 1 31 11 1638 2621 31 41 49.306229 ia)
5 1 213 1 31 12 1874 2631 3 2 57.217743 c
5 1 213 1 31 13 1947 2646 5 5 0.000000 .
5 1 213 1 31 14 2121 2630 3 1 0.000000 °
4 1 213 1 32 0 53 2625 1899 76 -1
5 1 213 1 32 1 53 2656 69 43 15.256748 ne
5 1 213 1 32 2 372 2654 4 3 64.570915 a7
5 1 213 1 32 3 444 2666 23 24 5.301008 O
5 1 213 1 32 4 515 2641 240 26 51.857487 |NoTES
5 1 213 1 32 5 614 2622 18 72 0.000000 /
5 1 213 1 32 6 638 2641 117 26 0.000000 DOSAGE:
5 1 213 1 32 7 1013 2673 136 18 0.000000 aa
5 1 213 1 32 8 1552 2625 28 76 92.992096 5
5 1 213 1 32 9 1641 2664 26 24 54.557220 5
5 1 213 1 32 10 1714 2640 238 27 60.743568 [NOTES
5 1 213 1 32 11 1814 2621 13 71 81.032913 /
5 1 213 1 32 12 1838 2640 114 27 91.845757 DOSAGE:
4 1 213 1 33 0 61 2697 1779 43 -1
5 1 213 1 33 1 61 2699 56 41 96.932465 Ears
5 1 213 1 33 2 374 2730 3 8 57.389885 i
5 1 213 1 33 3 444 2704 24 24 72.649780 J
5 1 213 1 33 4 1256 2697 53 40 95.266441 Ears
5 1 213 1 33 5 1553 2702 26 36 91.194122 p
5 1 213 1 33 6 1642 2702 25 25 54.282234 oa
5 1 213 1 33 7 1837 2730 3 4 64.401390 -
4 1 213 1 34 0 61 2721 1960 57 -1
5 1 213 1 34 1 61 2723 74 55 80.288673 Mouth
5 1 213 1 34 2 146 2741 8 26 80.288673 /
5 1 213 1 34 3 167 2723 81 55 25.199989 Dental
5 1 213 1 34 4 359 2742 24 36 53.687687 Oo
5 1 213 1 34 5 444 2742 24 24 86.747368 O
5 1 213 1 34 6 1252 2734 69 41 93.236229 Mouth
5 1 213 1 34 7 1336 2738 9 26 93.236229 /
5 1 213 1 34 8 1357 2734 74 41 96.976448 Dental
5 1 213 1 34 9 1554 2740 26 37 65.780571 0
5 1 213 1 34 10 1642 2740 25 24 63.042057 Oa
5 1 213 1 34 11 1800 2748 13 14 26.839882 %
5 1 213 1 34 12 1824 2723 34 43 87.681587 A
5 1 213 1 34 13 1885 2724 20 38 51.258789 \
5 1 213 1 34 14 1917 2721 43 45 0.000000 [-
5 1 213 1 34 15 2000 2755 21 10 0.000000 Bs
4 1 213 1 35 0 60 2765 1848 78 -1
5 1 213 1 35 1 60 2772 139 44 96.911613 Respiratory
5 1 213 1 35 2 360 2780 23 24 59.502850 Oo
5 1 213 1 35 3 444 2779 24 25 35.993496 oO
5 1 213 1 35 4 539 2807 13 36 0.000000 .
5 1 213 1 35 5 574 2784 71 43 43.656334 NN
5 1 213 1 35 6 663 2765 76 52 29.767719 vo
5 1 213 1 35 7 765 2790 25 36 74.618988 2
5 1 213 1 35 8 1255 2768 134 45 52.465405 Respiratory
5 1 213 1 35 9 1554 2778 26 36 0.000000 y
5 1 213 1 35 10 1642 2772 198 44 12.233276 Dian
5 1 213 1 35 11 1866 2772 42 16 81.965729 =
4 1 213 1 36 0 61 2820 1623 35 -1
5 1 213 1 36 1 61 2824 101 23 96.426323 HEALTH
5 1 213 1 36 2 177 2813 92 45 93.104858 WITHIN
5 1 213 1 36 3 285 2813 99 45 88.813210 N@RMAL
5 1 213 1 36 4 398 2813 88 45 94.253578 LIMITS
5 1 213 1 36 5 579 2827 21 29 30.947161 7
5 1 213 1 36 6 653 2824 108 10 20.450315 aes
5 1 213 1 36 7 1255 2820 103 24 96.590302 HEALTH
5 1 213 1 36 8 1367 2821 96 24 93.240723 WITHIN
5 1 213 1 36 9 1473 2804 117 40 88.713928 NCRMAL
5 1 213 1 36 10 1598 2821 86 23 84.484810 LIMITS
4 1 213 1 37 0 190 2846 1431 51 -1
5 1 213 1 37 1 190 2846 75 51 0.000000 1es-O
5 1 213 1 37 2 357 2859 29 25 92.655518 No
5 1 213 1 37 3 400 2859 23 25 67.760643 O
5 1 213 1 37 4 553 2844 60 23 11.197767 aA
5 1 213 1 37 5 1380 2854 100 36 43.119690 Yes-O{
5 1 213 1 37 6 1551 2857 70 25 62.948975 Nod
4 1 213 1 38 0 59 2903 1635 30 -1
5 1 213 1 38 1 59 2907 142 25 61.213627 Vaccinations
5 1 213 1 38 2 211 2909 34 24 90.905617 not
5 1 213 1 38 3 288 2906 66 25 0.000000 #livered
5 1 213 1 38 4 363 2912 25 19 93.679657 on
5 1 213 1 38 5 398 2905 98 26 93.679657 schedule
5 1 213 1 38 6 1254 2904 139 25 89.588432 Vaccinations
5 1 213 1 38 7 1404 2905 34 24 90.441078 not
5 1 213 1 38 8 1446 2900 102 29 94.275864 delivered
5 1 213 1 38 9 1557 2910 27 19 94.275864 on
5 1 213 1 38 10 1594 2903 100 26 96.741920 schedule
4 1 213 1 39 0 60 2933 1635 33 -1
5 1 213 1 39 1 60 2939 62 22 62.080009 loose
5 1 213 1 39 2 145 2936 79 25 74.724762 effective
5 1 213 1 39 3 319 2935 104 31 74.135277 Retuming
5 1 213 1 39 4 447 2935 49 34 73.362785 after
5 1 213 1 39 5 1255 2933 58 25 87.495346 loose
5 1 213 1 39 6 1336 2933 145 26 75.384010 effectiveness
5 1 213 1 39 7 1512 2933 108 31 74.973885 Returning
5 1 213 1 39 8 1644 2933 51 33 94.472923 after
4 1 213 1 40 0 60 2960 1634 42 -1
5 1 213 1 40 1 60 2966 36 25 92.347580 the
5 1 213 1 40 2 114 2966 101 25 30.195213 boosters
5 1 213 1 40 3 262 2973 19 20 27.095318 ie
5 1 213 1 40 4 291 2956 48 35 27.095318 dale
5 1 213 1 40 5 357 2971 45 25 90.976463 may
5 1 213 1 40 6 419 2960 77 42 0.000000 require
5 1 213 1 40 7 1255 2963 32 25 83.193420 the
5 1 213 1 40 8 1306 2963 100 25 44.171570 dooster’s
5 1 213 1 40 9 1425 2964 42 24 92.593811 due
5 1 213 1 40 10 1485 2963 48 25 86.122597 dale
5 1 213 1 40 11 1551 2969 53 25 91.858521 may.
5 1 213 1 40 12 1615 2962 79 35 95.152130 require
4 1 213 1 41 0 60 2991 2301 37 -1
5 1 213 1 41 1 60 2994 140 27 64.109482 additional
5 1 213 1 41 2 182 2986 85 46 20.671625 vagdiles
5 1 213 1 41 3 278 2986 28 46 96.951195 for
5 1 213 1 41 4 312 2990 71 38 93.259369 proper
5 1 213 1 41 5 409 2993 58 26 6.778450 protect}
5 1 213 1 41 6 1250 2987 110 42 85.368668 additional
5 1 213 1 41 7 1372 2987 85 42 91.776978 vaccines
5 1 213 1 41 8 1470 2992 29 26 93.270805 for
5 1 213 1 41 9 1505 2999 74 25 42.934319 propey
5 1 213 1 41 10 1584 2991 109 33 96.030090 protection
5 1 213 1 41 11 2351 3007 10 4 0.000000 “
4 1 213 1 42 0 61 3000 2368 107 -1
5 1 213 1 42 1 61 3026 20 25 93.455780 al
5 1 213 1 42 2 90 3032 27 19 92.140213 an
5 1 213 1 42 3 126 3024 59 27 0.000000 additioggy
5 1 213 1 42 4 240 3027 43 24 59.358463 cos!
5 1 213 1 42 5 293 3027 20 23 83.610840 tc
5 1 213 1 42 6 319 3031 40 26 95.921074 you
5 1 213 1 42 7 437 3000 95 66 44.709240 aie
5 1 213 1 42 8 498 3033 3 3 52.484684 i
5 1 213 1 42 9 510 3019 100 70 22.549963 |
5 1 213 1 42 10 1255 3024 18 24 94.882645 al
5 1 213 1 42 11 1283 3029 22 18 94.882645 an
5 1 213 1 42 12 1317 3022 105 26 84.875351 additional
5 1 213 1 42 13 1431 3023 129 31 64.436020 cost
5 1 213 1 42 14 1483 3017 19 43 70.566490 le
5 1 213 1 42 15 1512 3023 48 31 77.329178 yoit.
5 1 213 1 42 16 1823 3027 4 3 15.645218 *
5 1 213 1 42 17 1883 3033 49 25 38.038277 sy
5 1 213 1 42 18 2022 3030 62 24 95.985413 Sub
5 1 213 1 42 19 2094 3002 83 57 89.541382 Total:
5 1 213 1 42 20 2193 3016 236 87 13.143635 Sine
5 1 213 1 42 21 2223 3015 22 55 46.403694 J
5 1 213 1 42 22 2281 3044 19 7 29.837179 Es
5 1 213 1 42 23 2319 3038 24 69 38.175827 j
4 1 213 1 43 0 57 3032 2397 156 -1
5 1 213 1 43 1 57 3106 197 25 70.286194 Veteringfian:
5 1 213 1 43 2 399 3091 12 8 0.547295 ‘
5 1 213 1 43 3 426 3069 106 78 31.012993 A
5 1 213 1 43 4 538 3069 137 99 49.495293 yi
5 1 213 1 43 5 980 3093 141 46 96.625763 Location:
5 1 213 1 43 6 1133 3070 156 95 38.662849 [owe
5 1 213 1 43 7 1268 3070 130 92 0.000000 a1OU
5 1 213 1 43 8 1392 3078 37 63 25.962934 5
5 1 213 1 43 9 1668 3102 81 24 95.785088 Tech.
5 1 213 1 43 10 1766 3102 52 24 95.785088 Init:
5 1 213 1 43 11 1841 3063 51 76 41.923946 ail.
5 1 213 1 43 12 1904 3068 35 67 71.731506 ~
5 1 213 1 43 13 2048 3100 48 25 96.842201 CC
5 1 213 1 43 14 2112 3101 65 26 95.787048 Fee:
5 1 213 1 43 15 2246 3061 72 127 15.290699 fs
5 1 213 1 43 16 2307 3060 26 90 64.565559 }
5 1 213 1 43 17 2365 3032 89 115 36.955711 Wy
4 1 213 1 44 0 57 3128 2187 84 -1
5 1 213 1 44 1 57 3179 81 25 96.116806 State
5 1 213 1 44 2 152 3179 74 24 79.106995 Lic
5 1 213 1 44 3 210 3169 20 45 79.106995 #
5 1 213 1 44 4 382 3153 79 36 96.091209 1442
5 1 213 1 44 5 504 3152 96 50 36.107288 Date’
5 1 213 1 44 6 590 3176 33 22 24.447412 =
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TL.C..
VACCINATION CERTIFICATE
|
Tender Loving
Care
Veterinary Services & Supplies Lic & & ay powner only. Corporate Office Hours:
480-699-9950
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5 1 224 1 1 2 588 1029 106 61 91.820549 (male):
5 1 224 1 1 3 723 1045 83 31 45.702492 oOn
5 1 224 1 1 4 818 1020 161 79 54.372986 Medication
5 1 224 1 1 5 1005 985 228 107 5.137100 NO. Mon - Fri 9:00 am - 5:00 pm
P.O. Box 14483 + Mesa, AZ 85216
eae o¢Male “ONS tered xd (male mee.
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OCat OFemale @ { Spayeud.(f (female) Prégnant— . ie G Cat Female Spayed-{fémale) Pregnant:
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Type
Lott? (Ct CAL? (Does notinchde [3.4 Tg 36. |lot# Oloy) Tag #_ (Qoesnotincude | 34 ] 6 | 12 | 36
<A Tag Ht Price of boosters.) | Weeks | MonttfS| Months |Wonths ¢ price of b ) | Weeks | Months | Months | Month
Rabies Date Vaccinated: | > fou ieaaaacc] 7A |Rabies Date Vaccinated: —] LSPs spree V
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Rabies Vaccination Due SST Rabies Vaccination Due:
BP1- DA2PPv/ Bordetella Nasal Deworm ccf. . DP1- DA2PPv/ Bordetella Nasal / Deworm $
CP1- 4-in-1 (FVRCP)/ Leukemia / Deworm cots CP4- 4-in-1 (FVRCP)/ Leukemia / Deworm ___ cc] $
DA2PPv _/ DA2PPv+L4 / Corona $ DA2PPv | DA2PPv+L4 / Corona $
Bordetella - Nasal / Injectable / Oral $ Bordetella - Nasal_/ Injectable / Oral $
Rattle Snake / H3N8 / H3N2/Lyme/Lepto. 4 $ Rattle Snake / H3N8 / H3N2/ Lyme /Lepto.4 {$
_|Deworming (Protal 50 mg/ml) cc $ Deworming (Protal 50 mg/ml) cc $
Cat 4-in-1 (FVRCP) / Leukemia $ Cat 4-in-1 (FVRCP) / Leukemia $
| Test: Heartworm / FELV/ Parvol Pos Neg $$ Test: Heartworm / FELV/ Parvol OPposGNeg JS.
.
Heartworm Mfg: © Iverhart Plus OTri-Heart Plus O : Heartworm Mfg: O Iverhart Plus OG TriHeart Plus 0 :
Pet's Weight: 00-254 0 26.50#051-100# |S mem | Pet's Weight: .0-25# 0 26-50#0 51-1008 _[S _ i LL
Micro Chip # 4$ -. |Mfg. Micro Chip # $ Mfg. :
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Treatment Eee: $ Script Fee: $10° |$ A Treatinent Fee: $ Script Fee: $10 4$ cm
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PHYSICAL EXAM: ae PHYSICA EXAM
Abrormal i mat Abrorms! > S
General Appearance ‘S g_ |Next Booster(s) Estimated Price General Appearance ° c_ |Next Booster(s) Estimated Price
Skin / Coat wl 26) NOTES / DOSAGE = Skin / Coat .-” in) NOTES / DOSAGE: i
Eyes Pg Eyes a 0
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HEALTH WITHIN/NORMAL LIMITS tad HEALTH WITHIN’ i NORMAL LIMITS ee
| Yes i NoO = Yes. NoO A
Vaccinations not delivered on schedule | Vaccinations not{delivered on schedule
loose effectiveness. Retuming after — loose effectiveness. Retuming after
the booster's due date may the booster's due dale may require
additional vaccines for proper pro’ ea ! additional vaccines for proper protection \ 4 i
at an additional cost to you. atan atidtional cost lo you. Sub Total: $ at rr
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VACCINATION CERTIFICATE
Tender Loving Care
Veterinary Services & Suppiies Li.c
480-699
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4 1 167 1 1 0 1716 2528 742 14 -1
5 1 167 1 1 1 1716 2528 742 14 95.000000
2 1 168 0 0 0 2068 2531 390 7 -1
3 1 168 1 0 0 2068 2531 390 7 -1
4 1 168 1 1 0 2068 2531 390 7 -1
5 1 168 1 1 1 2068 2531 390 7 95.000000
2 1 169 0 0 0 1716 2543 384 6 -1
3 1 169 1 0 0 1716 2543 384 6 -1
4 1 169 1 1 0 1716 2543 384 6 -1
5 1 169 1 1 1 1716 2543 384 6 95.000000
2 1 170 0 0 0 1715 2616 745 9 -1
3 1 170 1 0 0 1715 2616 745 9 -1
4 1 170 1 1 0 1715 2616 745 9 -1
5 1 170 1 1 1 1715 2616 745 9 95.000000
2 1 171 0 0 0 1984 2661 456 5 -1
3 1 171 1 0 0 1984 2661 456 5 -1
4 1 171 1 1 0 1984 2661 456 5 -1
5 1 171 1 1 1 1984 2661 456 5 95.000000
2 1 172 0 0 0 1716 2710 724 7 -1
3 1 172 1 0 0 1716 2710 724 7 -1
4 1 172 1 1 0 1716 2710 724 7 -1
5 1 172 1 1 1 1716 2710 724 7 95.000000
2 1 173 0 0 0 1726 2761 715 7 -1
3 1 173 1 0 0 1726 2761 715 7 -1
4 1 173 1 1 0 1726 2761 715 7 -1
5 1 173 1 1 1 1726 2761 715 7 95.000000
2 1 174 0 0 0 1727 2811 714 6 -1
3 1 174 1 0 0 1727 2811 714 6 -1
4 1 174 1 1 0 1727 2811 714 6 -1
5 1 174 1 1 1 1727 2811 714 6 95.000000
2 1 175 0 0 0 1717 2862 724 6 -1
3 1 175 1 0 0 1717 2862 724 6 -1
4 1 175 1 1 0 1717 2862 724 6 -1
5 1 175 1 1 1 1717 2862 724 6 95.000000
2 1 176 0 0 0 1258 2888 463 6 -1
3 1 176 1 0 0 1258 2888 463 6 -1
4 1 176 1 1 0 1258 2888 463 6 -1
5 1 176 1 1 1 1258 2888 463 6 95.000000
2 1 177 0 0 0 517 2915 728 7 -1
3 1 177 1 0 0 517 2915 728 7 -1
4 1 177 1 1 0 517 2915 728 7 -1
5 1 177 1 1 1 517 2915 728 7 95.000000
2 1 178 0 0 0 860 2801 134 165 -1
3 1 178 1 0 0 860 2801 134 165 -1
4 1 178 1 1 0 860 2801 134 165 -1
5 1 178 1 1 1 860 2801 134 165 95.000000
2 1 179 0 0 0 527 2966 717 6 -1
3 1 179 1 0 0 527 2966 717 6 -1
4 1 179 1 1 0 527 2966 717 6 -1
5 1 179 1 1 1 527 2966 717 6 95.000000
2 1 180 0 0 0 528 3013 715 7 -1
3 1 180 1 0 0 528 3013 715 7 -1
4 1 180 1 1 0 528 3013 715 7 -1
5 1 180 1 1 1 528 3013 715 7 95.000000
2 1 181 0 0 0 475 2999 32 43 -1
3 1 181 1 0 0 475 2999 32 43 -1
4 1 181 1 1 0 475 2999 32 43 -1
5 1 181 1 1 1 475 2999 32 43 95.000000
2 1 182 0 0 0 55 1352 11 1719 -1
3 1 182 1 0 0 55 1352 11 1719 -1
4 1 182 1 1 0 55 1352 11 1719 -1
5 1 182 1 1 1 55 1352 11 1719 95.000000
2 1 183 0 0 0 1252 1006 16 2060 -1
3 1 183 1 0 0 1252 1006 16 2060 -1
4 1 183 1 1 0 1252 1006 16 2060 -1
5 1 183 1 1 1 1252 1006 16 2060 95.000000
2 1 184 0 0 0 1717 2911 724 8 -1
3 1 184 1 0 0 1717 2911 724 8 -1
4 1 184 1 1 0 1717 2911 724 8 -1
5 1 184 1 1 1 1717 2911 724 8 95.000000
2 1 185 0 0 0 1727 2962 715 7 -1
3 1 185 1 0 0 1727 2962 715 7 -1
4 1 185 1 1 0 1727 2962 715 7 -1
5 1 185 1 1 1 1727 2962 715 7 95.000000
2 1 186 0 0 0 1717 3011 521 4 -1
3 1 186 1 0 0 1717 3011 521 4 -1
4 1 186 1 1 0 1717 3011 521 4 -1
5 1 186 1 1 1 1717 3011 521 4 95.000000
2 1 187 0 0 0 2450 1002 15 2050 -1
3 1 187 1 0 0 2450 1002 15 2050 -1
4 1 187 1 1 0 2450 1002 15 2050 -1
5 1 187 1 1 1 2450 1002 15 2050 95.000000
2 1 188 0 0 0 1716 2382 6 682 -1
3 1 188 1 0 0 1716 2382 6 682 -1
4 1 188 1 1 0 1716 2382 6 682 -1
5 1 188 1 1 1 1716 2382 6 682 95.000000
2 1 189 0 0 0 60 3059 1975 10 -1
3 1 189 1 0 0 60 3059 1975 10 -1
4 1 189 1 1 0 60 3059 1975 10 -1
5 1 189 1 1 1 60 3059 1975 10 95.000000
2 1 190 0 0 0 515 2385 8 750 -1
3 1 190 1 0 0 515 2385 8 750 -1
4 1 190 1 1 0 515 2385 8 750 -1
5 1 190 1 1 1 515 2385 8 750 95.000000
2 1 191 0 0 0 500 3023 8 112 -1
3 1 191 1 0 0 500 3023 8 112 -1
4 1 191 1 1 0 500 3023 8 112 -1
5 1 191 1 1 1 500 3023 8 112 95.000000
2 1 192 0 0 0 395 3043 7 91 -1
3 1 192 1 0 0 395 3043 7 91 -1
4 1 192 1 1 0 395 3043 7 91 -1
5 1 192 1 1 1 395 3043 7 91 95.000000
2 1 193 0 0 0 445 3042 120 93 -1
3 1 193 1 0 0 445 3042 120 93 -1
4 1 193 1 1 0 445 3042 120 93 -1
5 1 193 1 1 1 445 3042 120 93 95.000000
2 1 194 0 0 0 264 3130 686 5 -1
3 1 194 1 0 0 264 3130 686 5 -1
4 1 194 1 1 0 264 3130 686 5 -1
5 1 194 1 1 1 264 3130 686 5 95.000000
2 1 195 0 0 0 601 3201 457 5 -1
3 1 195 1 0 0 601 3201 457 5 -1
4 1 195 1 1 0 601 3201 457 5 -1
5 1 195 1 1 1 601 3201 457 5 95.000000
2 1 196 0 0 0 243 3201 815 6 -1
3 1 196 1 0 0 243 3201 815 6 -1
4 1 196 1 1 0 243 3201 815 6 -1
5 1 196 1 1 1 243 3201 815 6 95.000000
2 1 197 0 0 0 42 986 2433 2234 -1
3 1 197 1 0 0 42 986 2433 2234 -1
4 1 197 1 1 0 304 986 1901 82 -1
5 1 197 1 1 1 304 1058 4 1 85.887573 ale
5 1 197 1 1 2 357 1057 4 2 39.896069 .
5 1 197 1 1 3 379 1017 13 50 74.479843 .
5 1 197 1 1 4 396 1022 201 41 0.000000 -G-Newtered:
5 1 197 1 1 5 591 995 100 73 7.220726 “(male)
5 1 197 1 1 6 734 993 79 60 63.450550 On
5 1 197 1 1 7 826 986 246 81 0.000000 Madication:=-
5 1 197 1 1 8 1595 1046 3 2 20.975304 :
5 1 197 1 1 9 1926 1018 261 44 38.886852 _On-Medication
5 1 197 1 1 10 2203 1019 2 2 49.330437 ©
4 1 197 1 2 0 282 1051 1874 94 -1
5 1 197 1 2 1 282 1062 113 59 61.845432 ‘emale-
5 1 197 1 2 2 406 1075 33 53 42.721230 a
5 1 197 1 2 3 441 1071 129 72 36.298721 Speyer
5 1 197 1 2 4 568 1063 128 71 54.841999 (female)
5 1 197 1 2 5 721 1059 190 78 16.919012 ‘Pregnant
5 1 197 1 2 6 1280 1073 44 28 6.505442 “(9
5 1 197 1 2 7 1332 1053 75 48 52.417915 Cat
5 1 197 1 2 8 1400 1049 12 65 3.545685 °
5 1 197 1 2 9 1425 1073 27 51 42.586143 0
5 1 197 1 2 10 1464 1051 122 49 78.124901 Female’
5 1 197 1 2 11 1598 1055 166 86 20.378571 DSpayed
5 1 197 1 2 12 1764 1051 129 94 49.354897 teal)
5 1 197 1 2 13 1931 1069 27 35 93.083305 G
5 1 197 1 2 14 1970 1066 156 38 59.175652 Pregnant.
5 1 197 1 2 15 2153 1079 3 1 67.417953 -
4 1 197 1 3 0 264 1088 2155 80 -1
5 1 197 1 3 1 264 1112 118 46 62.624355 Cre
5 1 197 1 3 2 405 1113 71 55 56.562279 4)
5 1 197 1 3 3 970 1131 6 5 76.838615 -
5 1 197 1 3 4 983 1111 72 36 76.838615 Age
5 1 197 1 3 5 1059 1113 84 24 0.000000 (check
5 1 197 1 3 6 1151 1117 54 28 94.187820 one):
5 1 197 1 3 7 1510 1141 3 2 21.530613 ;
5 1 197 1 3 8 1926 1111 70 28 4.389572 Seong
5 1 197 1 3 9 2032 1116 20 7 0.000000 Set
5 1 197 1 3 10 2170 1107 64 50 65.868439 Age
5 1 197 1 3 11 2244 1088 94 69 0.000000 (Wcheek
5 1 197 1 3 12 2349 1088 70 69 78.700356 one):
4 1 197 1 4 0 99 1121 2344 65 -1
5 1 197 1 4 1 99 1143 87 36 92.316391 Narne
5 1 197 1 4 2 266 1147 20 7 68.097153 =
5 1 197 1 4 3 538 1174 11 5 10.794601 _
5 1 197 1 4 4 1127 1150 30 30 49.344067 CO
5 1 197 1 4 5 1173 1151 59 28 50.339680 Wks:
5 1 197 1 4 6 1259 1121 144 63 4.981413 Name:
5 1 197 1 4 7 1405 1122 46 43 0.000000 S
5 1 197 1 4 8 1491 1148 5 28 17.499743 :
5 1 197 1 4 9 2262 1167 2 3 7.962246 .
5 1 197 1 4 10 2323 1147 26 29 0.000000 (J
5 1 197 1 4 11 2368 1135 49 51 84.111099 Wks
5 1 197 1 4 12 2429 1141 14 26 41.843113 1.
4 1 197 1 5 0 99 1144 2330 83 -1
5 1 197 1 5 1 99 1186 87 31 87.699806 Breed:
5 1 197 1 5 2 241 1175 121 41 60.996494 HE
5 1 197 1 5 3 385 1175 77 36 53.381638 OT
5 1 197 1 5 4 441 1144 116 83 92.723412 TIE
5 1 197 1 5 5 1123 1169 29 58 20.292425 C1
5 1 197 1 5 6 1163 1188 62 33 55.079079 tice
5 1 197 1 5 7 1234 1169 44 58 55.980644 ||
5 1 197 1 5 8 1301 1180 84 40 23.041054 Breed:
5 1 197 1 5 9 2138 1192 62 9 18.221054 feos
5 1 197 1 5 10 2261 1184 105 39 15.084877 sD
5 1 197 1 5 11 2361 1182 68 42 29.426579 pM:
4 1 197 1 6 0 138 1215 2284 39 -1
5 1 197 1 6 1 138 1234 38 11 41.817608 “tes
5 1 197 1 6 2 1171 1228 8 22 35.055756 a
5 1 197 1 6 3 1347 1231 4 2 0.000000 ,
5 1 197 1 6 4 1498 1222 27 31 0.000000 %
5 1 197 1 6 5 2162 1232 148 22 0.000000 poe
5 1 197 1 6 6 2323 1215 41 37 10.006199 SPN
5 1 197 1 6 7 2369 1218 53 32 0.000000 TS
4 1 197 1 7 0 62 1391 1819 61 -1
5 1 197 1 7 1 62 1418 63 33 76.327728 Lot#
5 1 197 1 7 2 148 1409 74 26 36.352123 2
5 1 197 1 7 3 232 1391 47 61 80.402107 id
5 1 197 1 7 4 654 1427 3 3 0.000000 g
5 1 197 1 7 5 755 1398 56 48 0.000000 (oes
5 1 197 1 7 6 819 1398 98 48 0.000000 notinclute
5 1 197 1 7 7 955 1417 31 17 42.224102 [32
5 1 197 1 7 8 1049 1418 11 16 27.965355 [6
5 1 197 1 7 9 1087 1398 16 48 47.962975 |
5 1 197 1 7 10 1114 1417 33 22 55.266033 42
5 1 197 1 7 11 1171 1398 16 48 55.266033 |
5 1 197 1 7 12 1206 1417 23 16 73.655029 36
5 1 197 1 7 13 1264 1402 64 40 0.000000 ILoté
5 1 197 1 7 14 1586 1410 49 23 45.511662 “oN
5 1 197 1 7 15 1651 1410 94 32 65.656349 Tag
5 1 197 1 7 16 1788 1418 93 18 38.200680 Pees
4 1 197 1 8 0 419 1437 1520 40 -1
5 1 197 1 8 1 419 1448 19 19 26.293106 a]
5 1 197 1 8 2 673 1437 17 40 42.441490 Pe
5 1 197 1 8 3 755 1440 83 26 93.058266 price
5 1 197 1 8 4 806 1436 17 39 85.888756 of
5 1 197 1 8 5 873 1440 46 25 35.419197 bocste:s.)
5 1 197 1 8 6 926 1436 7 39 91.777809 |
5 1 197 1 8 7 938 1446 64 18 67.458054 Weeks
5 1 197 1 8 8 1011 1436 10 39 47.439178 |
5 1 197 1 8 9 1021 1446 67 18 47.439178 Months
5 1 197 1 8 10 1095 1436 7 39 89.974251 |
5 1 197 1 8 11 1102 1446 67 18 92.453186 Months
5 1 197 1 8 12 1176 1436 8 39 44.751640 |
5 1 197 1 8 13 1183 1446 57 10 44.751640 Month
5 1 197 1 8 14 1442 1453 4 4 0.000000 :
5 1 197 1 8 15 1731 1440 93 7 0.000000 Finny
5 1 197 1 8 16 1833 1445 54 16 34.731796 tom
5 1 197 1 8 17 1913 1429 28 40 33.280800 al
4 1 197 1 9 0 47 1434 1785 104 -1
5 1 197 1 9 1 47 1489 3 3 55.549072 E
5 1 197 1 9 2 63 1453 87 57 96.536026 Rabies
5 1 197 1 9 3 159 1467 55 43 96.713768 Date
5 1 197 1 9 4 223 1446 139 65 87.326721 Vaccinated:
5 1 197 1 9 5 426 1468 9 19 51.679806 i
5 1 197 1 9 6 511 1434 46 58 0.000000 “
5 1 197 1 9 7 657 1463 45 30 41.432362 ii
5 1 197 1 9 8 790 1486 116 29 15.902100 res
5 1 197 1 9 9 1199 1480 46 58 21.006489 4
5 1 197 1 9 10 1265 1470 82 25 96.915001 Rabies
5 1 197 1 9 11 1357 1470 55 25 93.304817 Date
5 1 197 1 9 12 1420 1468 139 26 81.361626 Vacciriated:
5 1 197 1 9 13 1586 1475 4 3 79.362007 _-
5 1 197 1 9 14 1678 1446 46 47 65.111542 N
5 1 197 1 9 15 1807 1467 25 35 62.783772 ji
4 1 197 1 10 0 63 1512 1908 49 -1
5 1 197 1 10 1 63 1526 86 35 96.951202 Rabies
5 1 197 1 10 2 158 1525 138 35 95.379807 Vaccination
5 1 197 1 10 3 305 1525 56 26 92.921837 Due:
5 1 197 1 10 4 372 1551 20 4 91.386971 _
5 1 197 1 10 5 787 1518 45 31 23.583775 ok
5 1 197 1 10 6 863 1513 42 21 24.594650 ee
7 ~IRaties Vaccination Due: / j. - = |$
.| ]DP4- DA2PPv/ Bordetella Nasal / Deworm cc} $ “1 10°1- DA2PPv/ Bordetella Nasal /Dewontn,.-. cc} $ a
C4 4in-4 (FVRCP)/ Leukemia /Dewonn___ccl$_- CP1-4-in-1 (FURCP Leukemia [Deworn. Nc 5 ge
|OA2PPv_/DA2PPv+.4/ Corona $ DA2PPv / DA2PPv+L4./ Corona N |$.° 7
Bordetella - Nasal_/ Injectable / Oral __ $ | Bordetella - Nasal _/ Injectable / Oral NS. /
.| Rattle Snake 7: H3N8 / H3NZ / Lyme / Lepto. 4 $ - {Rattle Snake / H3N8 / H3N2/ Lyme / Lepto. 4 §/
- |Deworming (Protal 50 mg/ml) © cc $ Deworming (Protal 56 mg/ml): «cc SN
Cat 4-in-1 (FVRCP)/Leukemia $ Cat 4-in-1 (FVRCP) / Leukemia “i$ N\
Test: Heartwortn f FELV/ Parvo! OPosONeg {$ - - | Test: Heartworm / FELV/ Parvol _ OPosO Neg | $ Ni.
Heartworm Mfo: G Tri-Heart Plus O -~ iy: ‘| [Heartworm Mig: TriHeartPlusG-- / Ng. .
~|Pet's Weight: 0 0-25# O 26-50#G.51-100# [$ | Pet's Weight: 0 0-25# © 26-50#0 51-100#. [$.. | BS
Micro Chip #. - i _|$ Mig. -| Micro Chip # foe (Soc Mfg.
Other. Is Qy: @6. Other: fice ($e. Qyx . @$
Other: - $ Qty: @ $ Other: ” - $ ‘Oly: X @$
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Other: $ Qy:. @$ Other: Ls cect AS fat: \N@$
Treatment Fee: $ Script Fee: $10 }$ Treatment Fee: $_. Script Fee: $10 |$ ~~ | a ie
: 1
4¢.]Exam Fee: $5 $2G--Health Ceriificaie: $ aed Exam Fee: $5 $20 Health Certificate: $--- -|$- : \
{Waste Disposal Fee: $i: $2__ $3 hela be -.| Waste Disposal Fee:-: $1.°$2.: $3.22 [$72 op [TN
| inf {} (Total does not include i ran ¥ Oe : aes ; 4 x44) --(Tolal does nol include Te
RR: rat = Resp: Pet #1 Total CIC transaction fee.) 7 7 i HR: Resp: 7 Pet #2 Total CiC transaction fee.) ¥ 4
| T _ Weights RB = ~
Temp: Nexi Booster(s) Due On: im | II ir lll. sf | Temp: Weight: d Next Due On: ae a Bil i
PHYSICAL EXAM: PHYSICAL EXAM: / cures
General Appearance ‘5 nae Next Booster(s) Estimated Price} ¢/ ri 3 3 General Appearance a / a |Next Booster(s) Estimated Price” |
Skin / Coat “oO @G ACA CE: Skin / Coat Of NOTES er / .
Eves a 0 nm", Eyes - of a DOSAGE:
Ears 5 oO. ik Ears Go .O
Mouth / Dental oO fe Mouth / Dental oO
Respiratory ° Oo oO eal Respiratory 0 UO
HEALTH WITHIN NORMAL. LIMITS cet : HEALTH WITHIN NORMAL LIMITS
Yes- NoG - SS : Yes O NO °
Vaccinations not deiivered on schedule Lek. = ais — Vaccinations not delivered-on schedule
louse effectiveness. Relurning after loose effectiveness. Retuming after
the. boosters due dale may require Me .. the boosters due date may. require
additional vaccines for proper lec “a— t uae :
al an additional cust to you. AE 4 at an additional cost to you. Sub Total: $_
Veterinarian: en i WAN! Location: li we le) S He. [ial Yee bu»tech. init_fce/ CC Fee: $
State Lic# 1442 Date: l & | | Bal $ Cashia $ ccO$ Cashier Inte TOTAL: $ 7 4
White: TLC VETERINARY SERVICES & SUPPLIES LLC Yellow. CLIENT / COUNTY
JEL.
VACCINATION CERTIFICATE
Tender Loving ‘OOF. F
ae Corporate Office Hours:
480-699-9950
P.O
5 1 35 1 1 3 1976 253 49 75 76.887047 Box
5 1 35 1 1 4 2048 254 60 75 65.006294 448
5 1 35 1 1 5 2159 255 253 81 39.723221 Mesa,
5 1 35 1 1 6 2264 248 36 108 39.723221 AZ
5 1 35 1 1 7 2309 255 103 81 34.331787 88290.
4 1 35 1 2 0 636 342 1723 44 -1
5 1 35 1 2 1 77 354 75 14 36.898239 Eel
5 1 35 1 2 2 636 359 17 10 43.115215 th
5 1 35 1 2 3 900 346 152 26 96.095490 OFFICIAL
5 1 35 1 2 4 1064 348 139 24 93.291039 RECORD
5 1 35 1 2 5 1215 361 10 5 91.838951 -
5 1 35 1 2 6 1237 347 130 25 96.570938 PLEASE
5 1 35 1 2 7 1379 347 97 26 96.810410 PRINT
5 1 35 1 2 8 1488 342 153 31 96.266533 CLEARLY
5 1 35 1 2 9 1931 339 87 52 24.355911 www.
5 1 35 1 2 10 2021 343 338 43 24.355911 TLCVetServices.com
4 1 35 1 3 0 65 319 1770 137 -1
5 1 35 1 3 1 65 319 101 137 43.039532 i.
5 1 35 1 3 2 118 417 65 25 95.585793 Last
5 1 35 1 3 3 191 391 91 59 96.141014 Name:
5 1 35 1 3 4 335 415 28 25 55.396996 >
5 1 35 1 3 5 400 365 44 69 0.000000 -
5 1 35 1 3 6 432 362 61 70 34.365685 iE
5 1 35 1 3 7 520 361 37 71 5.180597 @
5 1 35 1 3 8 582 359 38 70 45.077229 A
5 1 35 1 3 9 640 398 160 41 9.644203 ES
5 1 35 1 3 10 1337 421 63 25 96.672501 First
5 1 35 1 3 11 1411 418 94 28 89.883560 Name:
5 1 35 1 3 12 1551 392 222 50 0.000000 fIEIE|S
5 1 35 1 3 13 1808 395 27 51 56.247784 i
4 1 35 1 4 0 76 459 1302 67 -1
5 1 35 1 4 1 76 459 23 6 23.312216 x
5 1 35 1 4 2 114 474 131 52 94.327385 Address:
5 1 35 1 4 3 1374 481 4 3 0.000000 ;
4 1 35 1 5 0 75 521 2070 73 -1
5 1 35 1 5 1 75 534 25 51 4.626036 sf
5 1 35 1 5 2 107 521 85 73 66.429077 ‘City,
5 1 35 1 5 3 309 560 3 3 38.242615 ;
5 1 35 1 5 4 1082 576 4 3 0.000000 :
5 1 35 1 5 5 1818 556 83 25 96.952141 State:
5 1 35 1 5 6 2088 535 57 55 96.588005 Zip:
4 1 35 1 6 0 77 597 1446 67 -1
5 1 35 1 6 1 77 597 22 55 24.546213 fs
5 1 35 1 6 2 109 605 99 59 71.486649 ‘Email:
5 1 35 1 6 3 1143 646 4 2 25.414305 ;
5 1 35 1 6 4 1281 639 48 9 70.641312 An
5 1 35 1 6 5 1510 638 13 9 32.590141 a
4 1 35 1 7 0 64 648 2143 90 -1
5 1 35 1 7 1 64 662 36 61 30.203495 ‘A
5 1 35 1 7 2 123 681 90 32 69.046585 Home:
5 1 35 1 7 3 217 648 120 68 69.183784 Glo
5 1 35 1 7 4 351 655 87 62 0.000000 (2I-
5 1 35 1 7 5 450 657 36 67 0.000000 \
Al Al- ie eS » 2 | Cell: can (| \} i f Work: =|] | a
. i
eu | | acknowledge having read-and | understand the back of this document. Being aware of ° Np be a ITU A per’ E? J 2 oe |
EA | these facts, | give my permission to TENDER LOVING CARE VETERINARY SERVICES & XL EAB AS Vos Xe Aue So _- pate pf i/?
SUPPLIES LLC andlor the Doctor to treat and/or administer the vaccinations listed below. “Thee is a $44 sawasle disposal fée per animal. ONLY fee $10.
Prescription
or New Client Yes 0 NoG — Howdid you hear about this clinic? © Flyer from Store © Mailer OC) Referral 0 Website O Other
GWeutered (male) G:On ‘Medication Kad" ‘S Dog a) Male OQ Neutered (male) 0 On: Medication AL ws;
‘a OCat fe Female bs Spayed {female)—0 : a O Cat A, Female @ ‘Spayed a)
Pregnant’ eli OPregnant.
s ie CSE Age (“check one); © 4/277 ies £ ye (“check one):
iy Name: . : 4S" =|'F4G0 Wis Name: ZY , / $46 O Wes
e Breed: SA iT i ‘© Mos ||> Breed: SHELTIE lt Mos
a ae <3
Ba Colors: By & ava 13) Yes Colors: _& (- GOVE ee
Rabies Type: KILLED VIRUS ‘Mfg. Re aft R Rabies Ty : KILLED VIRUS Mig. >
tot#_22\ 25\ 5\ Cy o CO Ve PIER}, = PRICE: not include f % on — (Does not include -
C a Ue RSC LO ene CC
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Rabies Date Vaccinated: , { Rabies Date Vaccinated: So) | (ini
ee —_ : eT
Rabies Vaccination Due: 357} is Rabies Vaccination Due: Is ps ian a
Ma
DP1- DA2PPv/Bordetella.Nasal/Deworm cc} $ D?1-.DA2PPv/ Bordetella Nasal /De
ot
CP4- 4-in-1 (FVRCP) / Leukemia / Deworm cc] $ CP41-4-in-1 (FVRCP)/ Leukemia / Deworm_"_ cc] $
DA2PPy_/ DA2PPy+14 / Corona $ DA2PPv_/DA2PPv+_4 / Corona $
Bordetella - Nasal / Injectable. / Oral $ {Bordetella - Nasal_/ Injectable / Oral $
Rattle Snake / H3N8./ H3N2/ Lyme /Lepto. 4 $ Rattle Snake / H3N8 / H3N2/ Lyme/Lepto. 4 ]$ -
Deworming (Protal 50 mg/ml)” cc 1$ Deworming (Protal.50 mg/ml) co.” AS
Cat 4in-1 (FVRCP) /Leukemia — - I$ Cat 4in-1 (FVRCP) / Leukemia $.
“| Test: Heartworm / FELV/ Parvol OPosONeg |$ Test: Heartworm / FELV/ Parvol OPos ONeg | $
-{Heartworm Mfg: O Tri-Heart Plus G O fesek: Heartworm Mfg: O Tri-Heart Plus O a)
Pet's Weight: O 0-254 © 26-50#051-100# |$ .-- jy Pet's Weight: 0 0-25# O 26-50# 0 51-100#. -{$ |
{Micro Chip# $ Mfg. Micro Chip # $ Mig.
Other: $ Qty: @ $. Other: $ Qty: @$
Other: - $ Qty: @ $ Other: $ |Qty: @$.
Other: . : $ _ | Qty: @.$ Other: $ Qty: @ $
Treatment Fee: $. Script Fee: $10 }$ i TreatmentFee: $. Script Fee: $10 [$ 2 ae
a
Exam Fee: $5 $20 Health Certificate: $$ COD ef TG] Exam Fee: $5-$20° Health Certificate: $ $5 es) es
Waste Disposal Fee: $4--$2 $3. |g] a ie ‘1-P | [Waste Disposal Fee:¢ $143 $2 $3 gi-Cyi fe ck
| Resp: Pet #1 Total ‘lal does nol include 57%, 7s, NLR: j } |Pet #2 Total Lia lal does.not includ
eth 7B £2 PIaqe) Hr Resp at » HOF
Weight<2> : ae ai > ue
Temp: aoa, ee 7 Temp: Weight}
_ |NextBooster(s)/Due On: Lo WL) We | Next Booster(s) Due on: miras [Co ]I[ 1 E> ie
PHYSICALEXAM, . PHYSICAL EXAM
General Appearance p — Next Booster) Estimated-Price gh} AHR General, — ny hE Next Booster(s) Estimated Price HI: |
Z
sae teat 2 © Notes / DOSAGE: __- sig D © notes DOSAGE:
Eyes io oa “ Eyes o oO
Ears o oC. > =| Ears D oO sf
Mouth / Dental [ a) | Mouth / Dental o oa ahd
Respiratory ia) ; wT Respiratory ; i) Tai
AS
HEALTH WITHIN NORMAL LIMITS HEALTH WITHIN, NCRMAL LIMITS Xx =
YesOf NoO- t WV AJAY Yes | No O
Vaccinalions nol delivered on schedule at Vaccinations not delivered on schedule
loose effectiveness, Relurning after : loose effectiveness. Relurning after
the boosler’s due dale may Berg the booster’s due date may. require
adgilional vaccines for proper pyo' —_ additional vaccines for proper protection
al an additional cost fo you. th Ek : : 1 _fatan fo , >
wit: ir cos cio. = Sub Total: $47.
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White: TLC VETERINARY. SERVICES & SUPPLIES LLC Yellow. CLIENT / COUNTY
VACCINATION CERTIFICATE «
Tender Loving Ca cial:Proof.of Vaccination. ,
@ Keep this‘record ina‘safe place. “Corporate Office Hours:
Veterinary Services & Supplies LLC sts emailed. Within: 24 fours
Mon - Fri 9:00 am - 5:00 pm
480-699-9950 P.O. Box 14483 » Mesa, AZ 85216
OFFICIAL RECORD - PLEASE PRINT CLEARLY www. TLCVetServices.com
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Lot #. S, o it ee ese coro Riad PA i el FE Aj TFs “y To i] Price (Oaes naincude ) | Weeks 34 ]-6. | Months | Months 12°], | 36 Month
—* ae price of ) | Weeks | Months | Months = ie of
Rabies Date Vaccinated: ai “|Rabies Date Vaccinated: ) oe
\ z. oi 35) %
Rabies Vaccination Due: ra le ak, Rabies Vaccination Due:
DP1- DA2PPv/ Bordetella Nasal / Deworm ccl$ DP1-DA2PPv/ Bordetella Nasal/Deworm_.-_cc]$-.
CP1- 4-in-1 (FVRCP)/ Leukemia / Deworm cc}$ CP4-4-in-1 (FVRCP)/ Leukemia / Deworm __- cc} $
-|DA2PPv / DA2PPv+L4 / Corona $ DA2PPv / DA2PPv+L4 / Corona $
Bordetella - Nasal / Injectable / Oral $ _|Bordetella - Nasal-/ Injectable / Oral_- $
Rattle Snake / H3N8 / H3N2/Lyme/Lepto. 4 |$ ” Rattle Snake / H3N8 / H3N2/ Lyme / Lepto. 4 $
Deworming (Protal 50 mg/ml) ~ cc $ Deworming (Protal 50:mgiml) cc’ I$
Cat 4-in-1_ (FVRCP) / Leukemia $ Cat 4-in-1 (FVRCP) / Leukemia $
| Test: Heartworm / FELV/ Parvol T Pos Neg 1$ Test: Heartworm / FELV/ Parvol. OGPosONeg {$ —.
_ Heartworm Mfg: O Iverhart Plus OTri-Heart Plus 0 : Heartworm Mig: O lverhart Plus_ GO Tri-HeartPlus © _
[Pet's Weight: 0 0-25# © 26-50#051-100#_[$ | Pet's Weight:0.0-254.0.26-50%0 51100# [SE | Ee
Micro Chip # $ . Mfg. Micro Chip # -4$ Mfg.
Other: $ Qy: @$ Other: $. Qy: @$ .
Other: $ Qy: - @$ Other: $ Qy: @¢$-
Other. $ ay: __@ $ Other: $ Qty: —-.@ $
| Treatment Fee: $ Script Fee: $10 {$ ~ - {ow OS | Treatment Eee: $ Script Fee: $10 4$ zi NS
Exam , Fee: $53$20 Health Certificate:$__J$=3 G3 T" ¥|Exam Fee: $53$20 Health Certificate: $_._ [$53 CS \
Pas .
rr Fee:( $15 $2 $3 SLACK - Wests Disposal Fee:{ oh $2932: ig -7-00y Leto USé
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5 1 208 1 31 9 1612 2505 58 22 0.000000 *
5 1 208 1 31 10 1793 2508 5 3 29.177866 ;
5 1 208 1 31 11 2039 2529 5 5 77.628548 ;
5 1 208 1 31 12 2237 2492 56 42 0.000000 —Se
5 1 208 1 31 13 2361 2502 53 31 49.904308 hey
4 1 208 1 32 0 168 2441 2261 186 -1
5 1 208 1 32 1 168 2557 135 26 96.170662 PHYSICAL
5 1 208 1 32 2 312 2557 84 25 96.906006 EXAM:
5 1 208 1 32 3 479 2507 100 66 23.155460 —WNext
5 1 208 1 32 4 588 2486 140 96 51.497173 Booster)
5 1 208 1 32 5 720 2510 57 49 91.483772 ‘Due
5 1 208 1 32 6 786 2530 45 47 96.933609 On:
5 1 208 1 32 7 862 2512 63 62 51.736603 “i
5 1 208 1 32 8 963 2481 106 93 33.229389 ie
5 1 208 1 32 9 1079 2511 135 116 10.785847 UZ
5 1 208 1 32 10 1147 2535 37 28 37.241192 a
5 1 208 1 32 11 1189 2532 37 61 96.423599 2
5 1 208 1 32 12 1281 2552 4 3 34.780083 -
5 1 208 1 32 13 1314 2536 10 31 10.838356 }
5 1 208 1 32 14 1377 2548 134 26 10.838356 BHYSICAL
5 1 208 1 32 15 1520 2547 82 26 96.138474 EXAM:
5 1 208 1 32 16 1691 2484 96 101 6.539278 ‘vee
5 1 208 1 32 17 1795 2518 132 45 90.875221 Booster(s)
5 1 208 1 32 18 1938 2484 51 100 38.839973 Ow
5 1 208 1 32 19 1998 2487 46 96 71.588028 of
5 1 208 1 32 20 2042 2477 94 85 51.330681 Py
5 1 208 1 32 21 2153 2449 116 112 49.366234 “Te
5 1 208 1 32 22 2239 2528 35 29 15.605774 KS
5 1 208 1 32 23 2290 2441 92 127 18.160686 “<r
5 1 208 1 32 24 2383 2528 46 27 12.940311 (2,
4 1 208 1 33 0 60 2480 2343 212 -1
5 1 208 1 33 1 60 2607 88 50 96.176086 General
5 1 208 1 33 2 154 2600 134 62 96.267838 Appearance
5 1 208 1 33 3 348 2517 73 146 0.000000 “
5 1 208 1 33 4 451 2625 26 24 35.638027 co
5 1 208 1 33 5 522 2608 59 29 32.292553 Next
5 1 208 1 33 6 589 2582 130 78 17.122841 Booster(s}
5 1 208 1 33 7 728 2582 127 78 17.122841 Estimated
5 1 208 1 33 8 865 2598 65 50 96.979103 Price
5 1 208 1 33 9 1092 2605 57 8 43.824902 ae
5 1 208 1 33 10 1270 2613 86 30 47.414185 Chima
5 1 208 1 33 11 1363 2617 133 32 0.000000 apes
5 1 208 1 33 12 1557 2480 88 212 0.000000 .
5 1 208 1 33 13 1659 2615 26 25 5.988417 c_
5 1 208 1 33 14 1730 2598 58 29 87.125542 |Next
5 1 208 1 33 15 1799 2597 130 45 87.058586 Booster(s)
5 1 208 1 33 16 1941 2573 125 76 47.510536 Estiqated
5 1 208 1 33 17 2077 2591 71 50 95.558701 Price
5 1 208 1 33 18 2227 2579 41 60 0.000000 $j
5 1 208 1 33 19 2279 2587 124 50 41.649914 AY
4 1 208 1 34 0 61 2651 2236 49 -1
5 1 208 1 34 1 61 2664 50 26 68.591469 Skin
5 1 208 1 34 2 120 2664 9 25 68.591469 /
5 1 208 1 34 3 143 2660 52 40 96.941162 Coat
5 1 208 1 34 4 451 2664 26 24 66.721741 a
5 1 208 1 34 5 572 2668 64 17 34.270935 Tie}
5 1 208 1 34 6 741 2664 68 22 47.430679 ers
5 1 208 1 34 7 1217 2661 36 23 25.661007 7
5 1 208 1 34 8 1270 2655 69 26 18.167658 {Skin
5 1 208 1 34 9 1333 2651 10 40 80.122612 /
5 1 208 1 34 10 1345 2655 59 26 96.997063 Coat
5 1 208 1 34 11 1660 2654 25 24 62.656673 0
5 1 208 1 34 12 1830 2662 3 2 42.606224 :
5 1 208 1 34 13 1968 2673 6 4 54.272499 3
5 1 208 1 34 14 2272 2651 25 28 21.793518 v4
4 1 208 1 35 0 62 2648 2206 89 -1
5 1 208 1 35 1 62 2703 58 32 42.426903 =
5 1 208 1 35 2 363 2664 26 73 79.414276 5
5 1 208 1 35 3 451 2701 26 24 14.839602 C
5 1 208 1 35 4 500 2658 118 71 28.263130 [NOTES
5 1 208 1 35 5 630 2658 144 71 0.000000 fDOSAGE:.
5 1 208 1 35 6 1123 2717 23 9 0.000000 -
5 1 208 1 35 7 1272 2694 59 32 13.295689 cn
5 1 208 1 35 8 1573 2691 112 38 45.841850 boo
5 1 208 1 35 9 1733 2648 87 57 89.691246 NOTES
5 1 208 1 35 10 1833 2667 10 26 89.691246 /
5 1 208 1 35 11 1862 2648 112 57 96.558372 DOSAGE:
5 1 208 1 35 12 1998 2655 18 63 18.141956 \
5 1 208 1 35 13 2265 2682 3 4 18.791399 .
4 1 208 1 36 0 62 2723 2122 55 -1
5 1 208 1 36 1 62 2733 54 45 96.976273 Ears
5 1 208 1 36 2 343 2739 135 36 33.443832 8B
5 1 208 1 36 3 515 2726 182 53 38.289066 |
5 1 208 1 36 4 1272 2724 55 45 96.973549 Ears
5 1 208 1 36 5 1660 2729 26 24 71.462791 a
5 1 208 1 36 6 1848 2723 7 4 0.000000 s
5 1 208 1 36 7 2173 2748 11 6 74.369591 =
4 1 208 1 37 0 63 2761 2036 52 -1
5 1 208 1 37 1 63 2777 91 27 93.152626 Mouth
5 1 208 1 37 2 141 2773 11 41 93.152626 /
5 1 208 1 37 3 163 2777 77 26 96.174347 Dental
5 1 208 1 37 4 364 2777 26 36 39.032127 08
5 1 208 1 37 5 452 2776 26 25 47.540516 oO
5 1 208 1 37 6 751 2783 46 17 0.000000 '
5 1 208 1 37 7 1272 2769 90 26 93.294502 Mouth
5 1 208 1 37 8 1350 2764 11 41 93.066574 /
5 1 208 1 37 9 1371 2768 77 26 96.907349 Dental
5 1 208 1 37 10 1658 2761 28 41 45.225090 Oo
5 1 208 1 37 11 2083 2771 16 3 1.213875 =
4 1 208 1 38 0 63 2794 1981 62 -1
5 1 208 1 38 1 63 2807 139 49 87.864418 Respiratory
5 1 208 1 38 2 364 2814 26 26 77.425873 o
5 1 208 1 38 3 452 2814 27 26 71.274727 oO
5 1 208 1 38 4 646 2808 56 44 21.785583 a
5 1 208 1 38 5 714 2807 183 45 27.388435 eee
5 1 208 1 38 6 1272 2798 139 49 93.168510 Respiratory
5 1 208 1 38 7 1658 2794 29 49 66.477669 a)
5 1 208 1 38 8 1847 2814 50 30 0.000000 CC)
5 1 208 1 38 9 2008 2826 36 17 39.741177 2
4 1 208 1 39 0 63 2841 1892 62 -1
5 1 208 1 39 1 63 2861 104 27 93.263245 HEALTH
5 1 208 1 39 2 176 2859 225 25 91.618011 WITHIN-NORMAL
5 1 208 1 39 3 408 2859 87 23 96.888573 LIMITS
5 1 208 1 39 4 612 2861 22 42 0.000000 \
5 1 208 1 39 5 652 2850 59 48 59.236671 KG
5 1 208 1 39 6 728 2859 7 15 0.000000 y
5 1 208 1 39 7 1272 2852 105 24 96.877281 HEALTH
5 1 208 1 39 8 1385 2851 97 35 96.453888 WITHIN
5 1 208 1 39 9 1492 2850 116 24 96.819771 NORMAL
5 1 208 1 39 10 1616 2849 95 30 88.090965 LIMITS.
5 1 208 1 39 11 1796 2841 63 53 40.840652 We
5 1 208 1 39 12 1868 2849 87 27 57.581215 Wo
4 1 208 1 40 0 190 2877 1746 49 -1
5 1 208 1 40 1 190 2883 110 43 59.707294 Yes.
5 1 208 1 40 2 362 2894 70 26 35.018864 NoO
5 1 208 1 40 3 639 2900 20 15 41.687935 =
5 1 208 1 40 4 1398 2877 86 42 0.000000 Yesti.
5 1 208 1 40 5 1570 2885 71 25 35.674721 NoO
5 1 208 1 40 6 1820 2877 116 30 51.244499 a
4 1 208 1 41 0 62 2931 1653 41 -1
5 1 208 1 41 1 62 2943 141 26 94.759155 Vaccinations
5 1 208 1 41 2 211 2945 37 23 94.759155 not
5 1 208 1 41 3 256 2941 102 26 94.692863 delivered
5 1 208 1 41 4 367 2948 29 18 96.967796 on
5 1 208 1 41 5 404 2941 102 25 96.502274 schedule
5 1 208 1 41 6 509 2937 11 42 63.741955 |
5 1 208 1 41 7 538 2969 4 3 63.741955 —
5 1 208 1 41 8 1271 2934 141 26 95.574135 Vaccinations
5 1 208 1 41 9 1422 2935 35 23 95.574135 not
5 1 208 1 41 10 1465 2926 101 32 52.847740 delivered
5 1 208 1 41 11 1576 2939 27 18 96.901863 on
5 1 208 1 41 12 1612 2931 103 25 96.308823 schedule
4 1 208 1 42 0 63 2960 1653 43 -1
5 1 208 1 42 1 63 2973 59 26 93.718346 loose
5 1 208 1 42 2 146 2973 154 25 94.288597 effectiveness.
5 1 208 1 42 3 324 2971 107 32 53.001522 Returning
5 1 208 1 42 4 456 2970 51 35 82.716957 after
5 1 208 1 42 5 1272 2964 60 26 93.797974 loose
5 1 208 1 42 6 1355 2963 154 26 92.804901 effectiveness.
5 1 208 1 42 7 1532 2961 109 32 92.024406 Retuming
5 1 208 1 42 8 1665 2960 51 34 89.297592 after
4 1 208 1 43 0 63 2992 1652 63 -1
5 1 208 1 43 1 63 3003 35 26 92.206947 the
5 1 208 1 43 2 115 3003 102 26 43.651966 booster's
5 1 208 1 43 3 229 3002 49 35 96.601959 due
5 1 208 1 43 4 296 3002 50 25 96.601959 date
5 1 208 1 43 5 363 3008 47 25 96.809868 may
5 1 208 1 43 6 428 3000 78 55 30.340000 ara
5 1 208 1 43 7 1274 2994 33 26 93.042320 the
5 1 208 1 43 8 1325 2994 103 25 70.571503 boosler's
5 1 208 1 43 9 1446 2992 41 26 96.722504 due
5 1 208 1 43 10 1505 2992 48 25 96.492569 date
5 1 208 1 43 11 1571 2997 48 26 96.492569 may
5 1 208 1 43 12 1636 2990 79 34 94.084770 require
4 1 208 1 44 0 64 3020 1651 81 -1
5 1 208 1 44 1 64 3033 108 26 93.367821 additional
5 1 208 1 44 2 177 3032 98 25 93.367821 vaccines
5 1 208 1 44 3 281 3032 31 25 96.873627 for
5 1 208 1 44 4 318 3037 74 26 95.221313 proper
5 1 208 1 44 5 397 3038 34 24 96.663940 pro
5 1 208 1 44 6 565 3027 26 74 24.215046 3]
5 1 208 1 44 7 1273 3023 108 25 96.170128 additional
5 1 208 1 44 8 1386 3023 98 25 96.736420 vaccines
5 1 208 1 44 9 1491 3022 31 24 96.917725 for
5 1 208 1 44 10 1526 3027 72 26 96.917725 proper
5 1 208 1 44 11 1603 3020 112 33 96.770798 protection
4 1 208 1 45 0 64 3052 2175 41 -1
5 1 208 1 45 1 64 3064 21 24 95.249115 at
5 1 208 1 45 2 91 3070 28 31 96.521072 an
5 1 208 1 45 3 127 3062 107 26 93.514397 additional
5 1 208 1 45 4 243 3063 47 24 96.765656 cost
5 1 208 1 45 5 297 3063 21 23 96.744385 to
5 1 208 1 45 6 325 3067 47 26 96.678040 you.
5 1 208 1 45 7 1274 3055 22 24 96.619675 at
5 1 208 1 45 8 1302 3060 27 18 92.141594 an
5 1 208 1 45 9 1338 3052 106 26 92.141594 additional
5 1 208 1 45 10 1452 3053 46 24 96.973000 cost
5 1 208 1 45 11 1506 3052 20 24 96.876038 to
5 1 208 1 45 12 1533 3056 48 27 96.786804 you.
5 1 208 1 45 13 2048 3056 64 24 96.490700 Sub
5 1 208 1 45 14 2123 3054 85 26 92.131828 Total:
5 1 208 1 45 15 2221 3054 18 27 91.805489 $
2 1 209 0 0 0 2452 1019 25 2059 -1
3 1 209 1 0 0 2452 1019 25 2059 -1
4 1 209 1 1 0 2452 1019 25 2059 -1
5 1 209 1 1 1 2452 1019 25 2059 95.000000
2 1 210 0 0 0 55 3086 1990 22 -1
3 1 210 1 0 0 55 3086 1990 22 -1
4 1 210 1 1 0 55 3086 1990 22 -1
5 1 210 1 1 1 55 3086 1990 22 95.000000
2 1 211 0 0 0 538 3045 6 110 -1
3 1 211 1 0 0 538 3045 6 110 -1
4 1 211 1 1 0 538 3045 6 110 -1
5 1 211 1 1 1 538 3045 6 110 95.000000
2 1 212 0 0 0 651 3043 5 116 -1
3 1 212 1 0 0 651 3043 5 116 -1
4 1 212 1 1 0 651 3043 5 116 -1
5 1 212 1 1 1 651 3043 5 116 95.000000
2 1 213 0 0 0 551 3054 6 99 -1
3 1 213 1 0 0 551 3054 6 99 -1
4 1 213 1 1 0 551 3054 6 99 -1
5 1 213 1 1 1 551 3054 6 99 95.000000
2 1 214 0 0 0 382 3056 342 107 -1
3 1 214 1 0 0 382 3056 342 107 -1
4 1 214 1 1 0 382 3056 342 107 -1
5 1 214 1 1 1 382 3089 131 68 6.875305 ke
5 1 214 1 1 2 545 3056 179 107 38.113396 ova
2 1 215 0 0 0 56 3126 202 51 -1
3 1 215 1 0 0 56 3126 202 51 -1
4 1 215 1 1 0 56 3126 202 51 -1
5 1 215 1 1 1 56 3126 202 51 96.562790 Veterinarian:
2 1 216 0 0 0 992 3098 397 71 -1
3 1 216 1 0 0 992 3098 397 71 -1
4 1 216 1 1 0 992 3098 397 71 -1
5 1 216 1 1 1 992 3098 150 71 0.000000 reeenet
5 1 216 1 1 2 1157 3119 98 42 32.161621 Cro
5 1 216 1 1 3 1251 3109 29 40 0.000000 §
5 1 216 1 1 4 1272 3112 60 45 45.461975 mae
5 1 216 1 1 5 1334 3110 55 46 53.034134 i
2 1 217 0 0 0 1441 3099 158 94 -1
3 1 217 1 0 0 1441 3099 160 94 -1
4 1 217 1 1 0 1441 3099 158 94 -1
5 1 217 1 1 1 1441 3099 30 59 0.000000 \
5 1 217 1 1 2 1481 3114 118 79 0.000000 C40
2 1 218 0 0 0 1343 3105 501 53 -1
3 1 218 1 0 0 1343 3105 501 53 -1
4 1 218 1 1 0 1343 3105 501 53 -1
5 1 218 1 1 1 1343 3105 43 50 48.929501 ie
5 1 218 1 1 2 1383 3133 43 25 21.779751 Raa
5 1 218 1 1 3 1689 3129 85 25 96.710114 Tech.
5 1 218 1 1 4 1789 3129 55 24 96.727669 Init:
2 1 219 0 0 0 1140 3157 531 8 -1
3 1 219 1 0 0 1140 3157 531 8 -1
4 1 219 1 1 0 1140 3157 531 8 -1
5 1 219 1 1 1 1140 3157 531 8 95.000000
2 1 220 0 0 0 259 3162 691 10 -1
3 1 220 1 0 0 259 3162 691 10 -1
4 1 220 1 1 0 259 3162 691 10 -1
5 1 220 1 1 1 259 3162 691 10 95.000000
2 1 221 0 0 0 378 3179 194 64 -1
3 1 221 1 0 0 378 3179 162 64 -1
4 1 221 1 1 0 433 3179 80 33 -1
5 1 221 1 1 1 433 3179 80 33 96.942047 1442
4 1 221 1 2 0 378 3213 194 30 -1
5 1 221 1 2 1 378 3240 126 3 30.619659 ___..._
5 1 221 1 2 2 517 3213 55 23 96.895271 Dat
2 1 222 0 0 0 712 3181 272 59 -1
3 1 222 1 0 0 712 3181 272 59 -1
4 1 222 1 1 0 712 3181 272 59 -1
5 1 222 1 1 1 712 3181 87 59 0.995598 HX)
5 1 222 1 1 2 813 3208 80 25 74.362801 pas
5 1 222 1 1 3 947 3202 37 7 28.182955 7
2 1 223 0 0 0 704 3233 355 8 -1
3 1 223 1 0 0 704 3233 355 8 -1
4 1 223 1 1 0 704 3233 355 8 -1
5 1 223 1 1 1 704 3233 355 8 95.000000
2 1 224 0 0 0 59 3216 209 29 -1
3 1 224 1 0 0 59 3216 209 29 -1
4 1 224 1 1 0 59 3216 209 29 -1
5 1 224 1 1 1 59 3217 81 23 93.256416 State
5 1 224 1 1 2 154 3216 74 23 90.451775 Lic#
5 1 224 1 1 3 242 3243 26 2 74.564384 _
2 1 225 0 0 0 574 3171 121 109 -1
3 1 225 1 0 0 574 3171 121 109 -1
4 1 225 1 1 0 574 3171 121 92 -1
5 1 225 1 1 1 574 3171 81 71 31.035318 OF
5 1 225 1 1 2 639 3181 56 82 61.657757 5
4 1 225 1 2 0 602 3209 65 71 -1
5 1 225 1 2 1 602 3209 65 71 47.603386 i
2 1 226 0 0 0 1071 3162 610 96 -1
3 1 226 1 0 0 1071 3162 610 96 -1
4 1 226 1 1 0 1071 3162 610 96 -1
5 1 226 1 1 1 1071 3204 120 27 39.803841 CashO$
5 1 226 1 1 2 1404 3188 90 70 57.188820 co
5 1 226 1 1 3 1503 3171 29 58 0.000000 $\
5 1 226 1 1 4 1539 3186 77 36 62.989243 Ge.
5 1 226 1 1 5 1614 3162 67 66 44.873253 4
2 1 227 0 0 0 1539 3160 62 35 -1
3 1 227 1 0 0 1539 3160 62 35 -1
4 1 227 1 1 0 1539 3160 62 35 -1
5 1 227 1 1 1 1539 3160 62 35 54.621510 hes,
2 1 228 0 0 0 1919 3120 57 32 -1
3 1 228 1 0 0 1919 3120 57 32 -1
4 1 228 1 1 0 1919 3120 57 32 -1
5 1 228 1 1 1 1919 3120 57 32 96.572548 KD
2 1 229 0 0 0 1758 3153 642 77 -1
3 1 229 1 0 0 1758 3153 642 77 -1
4 1 229 1 1 0 1758 3153 642 77 -1
5 1 229 1 1 1 1758 3201 126 24 96.686760 Cashier
5 1 229 1 1 2 1896 3201 53 23 57.655151 Init:
5 1 229 1 1 3 1963 3195 85 35 49.607601 CD
5 1 229 1 1 4 2094 3197 123 24 72.262589 TOTAL:
5 1 229 1 1 5 2231 3195 14 26 75.299263 $
5 1 229 1 1 6 2265 3207 39 14 0.000000 *_
5 1 229 1 1 7 2328 3153 72 55 39.683487 »
2 1 230 0 0 0 2073 3069 383 98 -1
3 1 230 1 0 0 2073 3069 383 86 -1
4 1 230 1 1 0 2365 3069 50 57 -1
5 1 230 1 1 1 2365 3069 50 57 69.366837 A
4 1 230 1 2 0 2073 3093 383 74 -1
5 1 230 1 2 1 2073 3126 54 24 92.352150 CC
5 1 230 1 2 2 2140 3126 68 24 86.444725 Fee:
5 1 230 1 2 3 2222 3123 18 29 86.444725 $
5 1 230 1 2 4 2250 3093 206 74 37.528503 Ak
d SS — i
VACCINATION A
be Ad LP
Tender Loving a
QD
Veterinary Services & Supplies LLC
480 699-9950
2 1 8 0 0 0 328 428 917 13 -1
3 1 8 1 0 0 328 428 917 13 -1
4 1 8 1 1 0 328 428 917 13 -1
5 1 8 1 1 1 328 428 917 13 95.000000
2 1 9 0 0 0 450 436 2 64 -1
3 1 9 1 0 0 450 436 2 64 -1
4 1 9 1 1 0 450 436 2 64 -1
5 1 9 1 1 1 450 436 2 64 95.000000
2 1 10 0 0 0 903 389 747 35 -1
3 1 10 1 0 0 903 389 747 35 -1
4 1 10 1 1 0 903 389 747 35 -1
5 1 10 1 1 1 903 394 153 26 95.154564 OFFICIAL
5 1 10 1 1 2 1066 394 141 25 93.296051 RECORD
5 1 10 1 1 3 1220 406 11 5 92.622040 -
5 1 10 1 1 4 1242 391 131 26 96.351929 PLEASE
5 1 10 1 1 5 1386 391 99 26 96.390625 PRINT
5 1 10 1 1 6 1496 389 154 35 96.513542 CLEARLY
2 1 11 0 0 0 1123 432 1 68 -1
3 1 11 1 0 0 1123 432 1 68 -1
4 1 11 1 1 0 1123 432 1 68 -1
5 1 11 1 1 1 1123 432 1 68 95.000000
2 1 12 0 0 0 1889 230 538 139 -1
3 1 12 1 0 0 1889 230 538 139 -1
4 1 12 1 1 0 1902 230 491 57 -1
5 1 12 1 1 1 1902 230 7 4 0.000000 ‘
5 1 12 1 1 2 1920 248 195 39 96.865273 Corporate
5 1 12 1 1 3 2133 247 115 28 96.130539 Office
5 1 12 1 1 4 2264 246 129 27 96.579422 Hours:
4 1 12 1 2 0 1889 288 538 34 -1
5 1 12 1 2 1 1889 291 80 27 92.386681 Mon
5 1 12 1 2 2 1985 304 15 18 92.386681 -
5 1 12 1 2 3 2011 289 47 28 95.543495 Fri
5 1 12 1 2 4 2073 289 84 27 95.543495 9:00
5 1 12 1 2 5 2173 295 58 22 89.791893 am
5 1 12 1 2 6 2247 302 11 6 89.791893 -
5 1 12 1 2 7 2272 288 80 27 95.037109 5:00
5 1 12 1 2 8 2370 294 57 27 96.800919 pm
4 1 12 1 3 0 1911 332 495 37 -1
5 1 12 1 3 1 1911 336 56 29 94.958733 P.O.
5 1 12 1 3 2 1980 336 54 27 96.687180 Box
5 1 12 1 3 3 2046 334 90 29 96.877190 14483
5 1 12 1 3 4 2148 345 8 8 46.078621 +
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5 1 210 1 1 1 1278 1037 30 2065 95.000000
2 1 211 0 0 0 1774 2939 721 13 -1
3 1 211 1 0 0 1774 2939 721 13 -1
4 1 211 1 1 0 1774 2939 721 13 -1
5 1 211 1 1 1 1774 2939 721 13 95.000000
2 1 212 0 0 0 1773 2988 724 15 -1
3 1 212 1 0 0 1773 2988 724 15 -1
4 1 212 1 1 0 1773 2988 724 15 -1
5 1 212 1 1 1 1773 2988 724 15 95.000000
2 1 213 0 0 0 1776 3040 513 9 -1
3 1 213 1 0 0 1776 3040 513 9 -1
4 1 213 1 1 0 1776 3040 513 9 -1
5 1 213 1 1 1 1776 3040 513 9 95.000000
2 1 214 0 0 0 1758 2414 12 684 -1
3 1 214 1 0 0 1758 2414 12 684 -1
4 1 214 1 1 0 1758 2414 12 684 -1
5 1 214 1 1 1 1758 2414 12 684 95.000000
2 1 215 0 0 0 93 3088 1991 26 -1
3 1 215 1 0 0 93 3088 1991 26 -1
4 1 215 1 1 0 93 3088 1991 26 -1
5 1 215 1 1 1 93 3088 1991 26 95.000000
2 1 216 0 0 0 690 3047 5 106 -1
3 1 216 1 0 0 690 3047 5 106 -1
4 1 216 1 1 0 690 3047 5 106 -1
5 1 216 1 1 1 690 3047 5 106 95.000000
2 1 217 0 0 0 575 3050 6 111 -1
3 1 217 1 0 0 575 3050 6 111 -1
4 1 217 1 1 0 575 3050 6 111 -1
5 1 217 1 1 1 575 3050 6 111 95.000000
2 1 218 0 0 0 621 3059 4 94 -1
3 1 218 1 0 0 621 3059 4 94 -1
4 1 218 1 1 0 621 3059 4 94 -1
5 1 218 1 1 1 621 3059 4 94 95.000000
2 1 219 0 0 0 297 3168 692 8 -1
3 1 219 1 0 0 297 3168 692 8 -1
4 1 219 1 1 0 297 3168 692 8 -1
5 1 219 1 1 1 297 3168 692 8 95.000000
2 1 220 0 0 0 1175 3159 537 10 -1
3 1 220 1 0 0 1175 3159 537 10 -1
4 1 220 1 1 0 1175 3159 537 10 -1
5 1 220 1 1 1 1175 3159 537 10 95.000000
2 1 221 0 0 0 1267 3232 521 8 -1
3 1 221 1 0 0 1267 3232 521 8 -1
4 1 221 1 1 0 1267 3232 521 8 -1
5 1 221 1 1 1 1267 3232 521 8 95.000000
2 1 222 0 0 0 652 3240 445 6 -1
3 1 222 1 0 0 652 3240 445 6 -1
4 1 222 1 1 0 652 3240 445 6 -1
5 1 222 1 1 1 652 3240 445 6 95.000000
2 1 223 0 0 0 55 997 2443 2273 -1
3 1 223 1 0 0 55 997 2442 2273 -1
4 1 223 1 1 0 87 997 1481 143 -1
5 1 223 1 1 1 87 1053 84 51 29.422293 Pont
5 1 223 1 1 2 431 1026 200 114 0.000000 cyte
5 1 223 1 1 3 622 1021 112 82 0.000000 (niels):
5 1 223 1 1 4 759 1051 30 51 45.431740 a)
5 1 223 1 1 5 784 1024 55 80 19.929180 On
5 1 223 1 1 6 830 1020 6 2 67.487251 »
5 1 223 1 1 7 861 1016 155 85 73.796967 Medication
5 1 223 1 1 8 1112 997 115 89 24.389811 ro
5 1 223 1 1 9 1294 999 54 79 9.415541 CC
5 1 223 1 1 10 1334 1018 91 83 25.113014 Dog
5 1 223 1 1 11 1456 1024 28 56 0.000000 o
5 1 223 1 1 12 1495 1014 73 65 94.868279 Male
4 1 223 1 2 0 121 1066 2029 115 -1
5 1 223 1 2 1 121 1115 29 27 68.961166 G
5 1 223 1 2 2 160 1111 52 31 95.643021 Cat
5 1 223 1 2 3 232 1103 167 78 18.222322 Za
5 1 223 1 2 4 470 1086 116 90 41.512611 Spayed
5 1 223 1 2 5 618 1088 104 58 68.038490 emale)
5 1 223 1 2 6 723 1085 213 86 0.000000 —eFPregnant
5 1 223 1 2 7 1119 1094 9 16 45.609291 :
5 1 223 1 2 8 1326 1083 93 48 0.000000 Cat
5 1 223 1 2 9 1456 1091 166 76 0.000000 Female
5 1 223 1 2 10 1639 1101 29 27 16.511173 a
5 1 223 1 2 11 1679 1077 114 81 0.000000 Spayett
5 1 223 1 2 12 1808 1073 83 89 24.831482 (lemma
5 1 223 1 2 13 1901 1093 40 47 29.141760 e):
5 1 223 1 2 14 1956 1076 37 65 76.656754 a
5 1 223 1 2 15 1995 1066 155 92 62.242741 Pregnant
4 1 223 1 3 0 580 1127 1804 63 -1
5 1 223 1 3 1 580 1146 29 44 0.000000 (—
5 1 223 1 3 2 1080 1140 15 44 27.280811 Y
5 1 223 1 3 3 1173 1150 60 20 26.827930 check’one):
5 1 223 1 3 4 1256 1140 22 44 0.000000 |]
5 1 223 1 3 5 1292 1158 3 2 0.000000 -
5 1 223 1 3 6 2013 1156 15 5 0.000000 as
5 1 223 1 3 7 2218 1132 22 28 95.740662 A
5 1 223 1 3 8 2294 1132 12 22 47.926708 V
5 1 223 1 3 9 2321 1127 63 62 22.444798 chick
4 1 223 1 4 0 88 1116 2339 135 -1
5 1 223 1 4 1 88 1194 3 19 44.240402 sa
5 1 223 1 4 2 121 1181 95 33 92.900528 Name:
5 1 223 1 4 3 254 1143 131 88 15.912523 Re
5 1 223 1 4 4 359 1179 36 24 14.588814 “
5 1 223 1 4 5 377 1173 54 57 50.847427 ae
5 1 223 1 4 6 432 1165 14 29 30.941769 )
5 1 223 1 4 7 465 1116 174 135 80.766251 BLE
5 1 223 1 4 8 1010 1142 46 66 91.096649 Age
5 1 223 1 4 9 1072 1150 9 28 91.096649 (
5 1 223 1 4 10 1108 1150 38 22 36.251083 a
5 1 223 1 4 11 1329 1159 96 46 94.671059 Name:
5 1 223 1 4 12 1576 1139 84 65 55.720325 vz
5 1 223 1 4 13 1674 1148 54 45 36.305599 Ex
5 1 223 1 4 14 1721 1139 72 49 39.141689 Ee
5 1 223 1 4 15 2240 1139 28 28 73.615791 ge
5 1 223 1 4 16 2283 1137 7 29 66.485359 (
5 1 223 1 4 17 2387 1142 40 35 0.000000 ay
4 1 223 1 5 0 122 1201 1690 98 -1
5 1 223 1 5 1 122 1231 86 34 96.845940 Breed
5 1 223 1 5 2 268 1214 78 42 5.185776 SH
5 1 223 1 5 3 382 1218 128 38 5.185776 EUs
PET-OWNER:-Fill.out-sections #4
-G Mos Breed: S He ELTIE
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Rabies Type, KILED. Mig. | E PRICE - R00 HRabies Type: KILLED VIRUS Mig. [7 |. [4 || PRICE r BOG
VIRUS ms a ale A
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Lota CA or anapebaas price of boosters.) | Weeks | Months | Months | Month a > = apm patel price of b ) | Weeks’ | Months | Months | Month:
Rabies Date Vaccinated: } = Rabies Date Vaccinated: fi.¥h— if BO 4 ;
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Rabies Vaccination Due: $i3cP) Rabies Vaccination Due:
i
DP1- DA2PPv/ Bordetella Nasal / Deworm ccl$ DP1- DA2PPv/ Bordetella Nasal / Deworm
CP1- 4-in-1 (FVRCP)! Leukemia / Deworm cc}S CP1- 4-in-1 (FVRCP)/ Leukemia / Deworm _____cc]$
DA2PPv_/ DA2PPv+L4 / Corona $ DA2PPv_/ DA2PPv+L4 / Corona $
Bordetella - Nasal / Injectable / Oral $- _.| Bordetella - Nasal / Injectable / Oral _4$
Rattle Snake / H3N8 / H3N2/ Lyme /Lepto. 4 |S Rattle Snake / H3N8 / H3N2/ Lyme / Lepto. 4 $
Deworming (Protal 50 mg/ml) cc $ Deworming (Protal 50‘mgiml)"- cc S
Cat 4-in-1 (FVRCP) / Leukemia $ Cat 4-in-1 (FVRCP) / Leukemia 7
| Test: Heartworm / FELV/ Parvol Pos Neg [$ Test: Heartworm / FELV/ Parvol OPposONeg |{$
.
Heartworm Mfg: GO lverhart Plus OTri-HeartPlus O _ | |Heartworm Mfg: G Iverhart Plus © Tri-HeartPlus 0 -
Pet's Weight: 0 0-254 © 26-50#0 51-100#_[$ | Pet's Weight: 10-25% 2.26-50#0.51-100# [$y
Micro Chip # $ . Mfg. Micro Chip # A$. Mfg. ‘
Other: $ Qly: @$ Other: 1S Qy: @$ .
$ Qty: @$ Other: $ Qty: - @ $-
Other.
Other: S Qty: $ Other: $ Qty: $
Treatment Fee; $__ Script Fee: $10 |S = Treatment Fee; $ Script Fee: $10 [$ a
[Exam Feei$5 $20 Health Cerfificate:$__$=3Q)_ | “3 [¥] Exam Fee: §5-$20_ Health Cerlificate: Se ($5 OD | Se BS
S Waste Fee: \$1 3} $2 $3 gf CXS y Vg ik Waste Disposal Fee. $1) $2 $3- Wop Ae =e
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rs Next Booster(s) Estimated Price =} ae am General ‘o a Next Booster(s) Estimated Price g =i |
_ |General Appearance = Appearance x : -
JSkin/ Coat Oo \ : ~ |Skin/Coat ./ . q _.@4 TNOTES : / DOSAGE: _e
_ Gg , |NOTES/ DOSAGE: Eyes y 5 =
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HEALTH WITHIN NORMALLIMITS |} {yp Jt == HEALTH WITHIN NORMAL LIMITS (RI
Ys. No Tc —— Yes 0 No O oF
Vaccinations not delivered on schedule | —— Vaccinations not delivered on schedule
loose ‘effectiveness. Returning after loose effectiveness. Retuming after
the booster's due date may require the booster's due dale may require ;
additional vaccines for proper pro : additional vaccines for proper protection
at an additional cost to you. ae f lel My at an —— Sub Total: $ A
:
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Veterinarian: EVY, i Location: yo
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1442 ASL He Mga § 6 CashO $ ccf less Cashier Init: CD TOTAL: $
State Lic#
WL.C,
VACCINATION CERTIFICATE
render Loving Care
Services & LLC re ue Corporate Office Hours:
IY: aupORSS 480-699-9950 Mion - Fri 9:00 am - 5:00 pm
P.O, Box 14483 +* Mesa, AZ 85216
HLOUESE CHC i OFFICIAL RECORD - PLEASE PRINT CLEARLY . www. TLCVetServices.com
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{ acknowledge having read mr | understand the back of this document. Being aware of: X: if ws = ft Hide yey feet ‘DATE >
these facis, | give my permission fo TENDER LOVING CARE VETERINARY SERVICES & Ala Vs eee AE 7USS - a bd i
SUPPLIES LLC. andlor the Doctor to treat and/or administer the vaccinations listed below, There is a $42$3.Avasté ‘disposal fee per animal. Prescription ONL
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Name: _$".. . ‘o tit C.Wks |} | Name: KAYL & AS oe /e s
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Lote Ar\ CoCo Co tagk eliiasane| Rea Oo Mil ee Lott Co WC Tae Does notinciude b [34 [- 6 | 12 | 36
Stand ea price of ) | Weeks | Months} Months | Month ey price of -) [Weeks | Months {Months | Month
Rabies Date Vaccinated: ( ay 1} a ; Rabies Date Vaccinated: _Co’_/ i Ff
Ne rg
Rabies Vaccination Due:_Cr> j_| J go) $y 5 \. |Rabies Vaccination Due:_ (2 / \ | _/ Ae Var Py
‘1 DP1- DA2PPv/ Bordetella Nasal / Deworm ccl $ DP1- DA2PPv | Bordetella ;Nasal/Deworn cc] $
Aint (FRCP) | Leukemia / Deworm cc} $ CP1: 4-in-1 (FVRCP)/ Leukemia /Deworm____cc] $
_1~* _j. _.pPv./ DA2PPv+.4 /Corona_- $ DA2PPv _/DA2PPv+L4/-Corona $
Bordetella - Nasal / Injectable / Oral $ Bordetella - Nasal / Injectable / Oral $
Rattle Snake / H3N8 / H3N2/ Lyme / Lepto. 4 $ Rattle Snake / H3N8 / H3N2 / Lyme / Lepto. 4 $
- |Deworming (Protal 50 mg/ml) cc $ Deworming {Protal 50 mg/ml) cc 1s.
Cat 4-in-1 (FVRCP) / Leukemia $ Cat 4-in-1 (FVRCP) / Leukemia $
Test: Heartworm / FELV/ Parvol ; OPosG Neg |$ Test: Heartworm? FELV/ Parvol OPosONeg [$3 ~
Heartworm Mfg: O Tri-Héart Plus 0 Oo Heartworm Mig: O Tri-Heart-Plus 0 O__..
Pet's Weight: 0 0-25# 0 26-50# 0 51-100# |$ i Pet's Weight: 0 0-25# 0 26-50# 0 51-100#._|$ ei. |
Micro Chip #. $ Mfg. : Micro Chip # $ | Mfg.
Other: - $ Qty: @ $. Other: $ Qty: @ $
Other: - $ Qty: @$ Other: $ “Qty: @$.
Other: $ Qty: @ $ | Other: 4$ Qty: @ $
Treatment Fee: $ Script Fee: $10 ]$ ae Treatment Eee: $ Script Fee: $10 [$ ;
Exam Fee{ $5)§20_Healih Certificate: $__]$S- GO" SRE] [Exam Feg: $§ $20 Health Certificate: $__ [$5 Oo -]-—[ Tk |X
Waste Disposal Fee: ($1, $2 $3 $1 ED Waste Disposal Fee: ($f: $2 $3. $) 2505] Tote
WO) oo. 77.) fal does not include qf = cs BSS Pet #2 5. Total fal d ee) Jud sha] ae
HR: Resp: Uf Pet #1 Total Getaresctoniee) SE AAs} IYEVS) RR Resp: ic tonsacion
50 = aK we
M_.
5 1 219 1 32 3 287 2451 82 32 96.860512 Weight:
5 1 219 1 32 4 380 2439 71 47 11.353941 a>
5 1 219 1 32 5 476 2457 31 17 27.900452 kc
5 1 219 1 32 6 731 2451 11 20 58.581486 7
5 1 219 1 32 7 829 2478 5 6 4.554482 :
5 1 219 1 32 8 1127 2451 95 26 31.632404 IPs
5 1 219 1 32 9 1263 2443 67 41 0.000000 [ivemp:
5 1 219 1 32 10 1479 2432 82 46 96.312927 Weight:
5 1 219 1 32 11 1755 2457 3 2 47.745338 :
5 1 219 1 32 12 2341 2428 64 38 51.252617 Tae
4 1 219 1 33 0 147 2442 2293 103 -1
5 1 219 1 33 1 147 2485 167 40 64.180237 PHYSICAL
5 1 219 1 33 2 321 2497 81 25 53.889198 EXAM:
5 1 219 1 33 3 524 2468 59 48 95.965935 Next
5 1 219 1 33 4 591 2471 192 74 0.000000 =
5 1 219 1 33 5 789 2466 45 48 95.852577 On:
5 1 219 1 33 6 864 2453 76 65 28.167290 to
5 1 219 1 33 7 966 2451 91 60 47.221470 iz
5 1 219 1 33 8 1089 2451 46 60 38.739925 |i
5 1 219 1 33 9 1146 2472 122 36 49.253159 SS
5 1 219 1 33 10 1372 2474 232 40 41.218689 pHYSICALEXAM:
5 1 219 1 33 11 1717 2464 60 28 93.283691 Next
5 1 219 1 33 12 1785 2451 131 50 0.000000 Boosters)
5 1 219 1 33 13 1925 2442 53 62 96.258423 Due
5 1 219 1 33 14 1987 2456 44 48 96.695740 On:
5 1 219 1 33 15 2061 2443 73 62 0.000000 Cp
5 1 219 1 33 16 2175 2442 31 62 25.293774 I|
5 1 219 1 33 17 2251 2453 8 44 40.193935 (
5 1 219 1 33 18 2313 2442 17 60 0.000000 \
5 1 219 1 33 19 2342 2442 98 64 69.326096 BD
4 1 219 1 34 0 72 2517 2341 82 -1
5 1 219 1 34 1 72 2565 88 27 96.070084 General
5 1 219 1 34 2 167 2566 130 32 76.913025 Appearance
5 1 219 1 34 3 357 2529 55 64 12.890682 ms
5 1 219 1 34 4 527 2538 57 61 93.287010 Next
5 1 219 1 34 5 599 2538 124 61 60.073662 Béoster(s)
5 1 219 1 34 6 733 2545 125 41 96.876747 Estimated
5 1 219 1 34 7 868 2545 65 29 97.004860 Price
5 1 219 1 34 8 1059 2533 167 52 29.582500 POP,
5 1 219 1 34 9 1265 2517 87 68 57.186127 iad
5 1 219 1 34 10 1359 2533 131 59 96.318069 Appearance
5 1 219 1 34 11 1550 2524 54 56 20.787006 ‘7
5 1 219 1 34 12 1629 2524 59 55 32.444839 =
5 1 219 1 34 13 1689 2522 12 18 44.517609 *
5 1 219 1 34 14 1721 2538 58 29 11.654758 Next
5 1 219 1 34 15 1788 2536 130 38 90.404762 Booster(s)
5 1 219 1 34 16 1928 2517 126 60 80.097885 Estimated
5 1 219 1 34 17 2064 2536 68 28 70.717552 Price
5 1 219 1 34 18 2177 2526 23 54 49.292206 =
5 1 219 1 34 19 2213 2532 89 44 41.073071 $y}.
5 1 219 1 34 20 2304 2520 109 56 49.378090 Hy
4 1 219 1 35 0 72 2581 2267 49 -1
5 1 219 1 35 1 72 2604 52 26 93.279236 Skin
5 1 219 1 35 2 134 2603 8 26 80.878952 !
5 1 219 1 35 3 156 2604 50 25 96.942566 Coat
5 1 219 1 35 4 371 2591 25 36 58.385220 o
5 1 219 1 35 5 458 2602 25 24 63.232273 oO
5 1 219 1 35 6 628 2612 4 3 32.934113 T
5 1 219 1 35 7 703 2604 61 21 54.070572 DOSAGE:
5 1 219 1 35 8 1245 2606 3 3 55.148655 “|
5 1 219 1 35 9 1269 2582 66 37 82.286324 Skin
5 1 219 1 35 10 1343 2593 57 25 84.224548 Coat
5 1 219 1 35 11 1564 2581 25 36 77.693550 a
5 1 219 1 35 12 1651 2592 25 24 24.847059 oO
5 1 219 1 35 13 1957 2610 5 5 14.139137 hee
5 1 219 1 35 14 2102 2614 6 4 32.252880 Tae
5 1 219 1 35 15 2236 2592 103 30 2.030878 a
4 1 219 1 36 0 73 2600 2161 79 -1
5 1 219 1 36 1 73 2616 59 63 95.390022 Eyes
5 1 219 1 36 2 372 2629 26 47 41.825607 i
5 1 219 1 36 3 458 2640 25 24 83.760056 g
5 1 219 1 36 4 531 2610 82 43 83.011589 NOTES
5 1 219 1 36 5 623 2614 14 27 83.011589 /
5 1 219 1 36 6 645 2609 120 58 54.136925 DOSAGE:
5 1 219 1 36 7 1269 2631 58 32 91.303642 Eyes
5 1 219 1 36 8 1337 2609 6 24 91.782745 |
5 1 219 1 36 9 1564 2619 25 48 34.451035 q
5 1 219 1 36 10 1651 2630 51 24 62.789276 QO.
5 1 219 1 36 11 1723 2600 90 43 0.000000 NOTES
5 1 219 1 36 12 1820 2604 13 28 0.000000 /
5 1 219 1 36 13 1840 2604 123 58 20.917015 eS
5 1 219 1 36 14 2083 2618 151 9 29.796276 ee
4 1 219 1 37 0 73 2665 1604 50 -1
5 1 219 1 37 1 73 2681 55 25 75.167732 Ears
5 1 219 1 37 2 147 2711 5 4 52.010921 |
5 1 219 1 37 3 372 2678 25 37 86.404282 o
5 1 219 1 37 4 458 2678 24 24 90.752922 9
5 1 219 1 37 5 713 2665 21 46 73.513245 \.
5 1 219 1 37 6 1249 2669 92 36 60.134186 JEars
5 1 219 1 37 7 1327 2655 15 55 71.162483 ;
5 1 219 1 37 8 1525 2668 68 37 50.782387 qa
5 1 219 1 37 9 1651 2667 26 25 68.241791 a
4 1 219 1 38 0 70 2693 1607 75 -1
5 1 219 1 38 1 70 2713 75 45 93.190506 Mouth
5 1 219 1 38 2 158 2717 9 27 93.190506 /
5 1 219 1 38 3 178 2713 72 45 96.890060 Dental
5 1 219 1 38 4 372 2716 25 35 82.075218 o
5 1 219 1 38 5 459 2715 24 24 74.042686 oO
5 1 219 1 38 6 734 2712 20 26 46.653732 Be
5 1 219 1 38 7 1270 2697 72 44 82.868919 Mouth
5 1 219 1 38 8 1349 2706 10 26 82.868919 /
5 1 219 1 38 9 1372 2693 72 53 95.007484 Dental
5 1 219 1 38 10 1534 2738 5 4 11.756630 .
5 1 219 1 38 11 1564 2706 29 62 0.000000 i
5 1 219 1 38 12 1651 2706 26 24 42.519550 oO
4 1 219 1 39 0 74 2703 1979 106 -1
5 1 219 1 39 1 74 2747 135 44 96.812691 Respiratory
5 1 219 1 39 2 373 2754 25 24 74.861443 o
5 1 219 1 39 3 459 2753 24 24 63.871456 Oo
5 1 219 1 39 4 735 2748 16 40 38.707890 .
5 1 219 1 39 5 759 2744 67 44 40.914040 “AY
5 1 219 1 39 6 1268 2729 137 51 89.294090 ReSpiratory
5 1 219 1 39 7 1559 2754 4 3 0.000000 ,
5 1 219 1 39 8 1587 2746 49 63 39.812302 |
5 1 219 1 39 9 1639 2743 41 28 52.289825 Oo
5 1 219 1 39 10 1922 2703 131 81 0.000000 Maca
4 1 219 1 40 0 75 2780 1914 60 -1
5 1 219 1 40 1 75 2800 105 23 96.451233 HEALTH
5 1 219 1 40 2 189 2799 101 36 75.551651 WITHIN.
5 1 219 1 40 3 294 2780 115 44 94.861336 NORMAL
5 1 219 1 40 4 416 2796 86 24 64.578484 LIMITS
5 1 219 1 40 5 699 2794 221 46 51.726837 =,
5 1 219 1 40 6 1127 2780 127 47 0.000000 |
5 1 219 1 40 7 1270 2789 103 24 0.000000 HEALTH
5 1 219 1 40 8 1381 2788 95 23 91.071518 WITHIN
5 1 219 1 40 9 1491 2783 93 31 39.220181 NORMAL
5 1 219 1 40 10 1609 2784 89 26 90.468811 LIMITS
5 1 219 1 40 11 1883 2785 106 46 5.308161 yw
4 1 219 1 41 0 201 2814 1749 59 -1
5 1 219 1 41 1 201 2835 74 26 93.271156 Yes
5 1 219 1 41 2 254 2819 30 53 39.157700 &;
5 1 219 1 41 3 372 2833 29 25 89.489967 No
5 1 219 1 41 4 415 2833 24 24 75.593079 O
5 1 219 1 41 5 681 2826 38 46 3.367519 =
5 1 219 1 41 6 921 2824 204 13 19.132013 ae
5 1 219 1 41 7 1394 2823 40 26 93.202042 Yes
5 1 219 1 41 8 1448 2824 38 24 0.000000 O
5 1 219 1 41 9 1563 2823 30 24 89.609016 No
5 1 219 1 41 10 1608 2823 24 24 69.037285 G
5 1 219 1 41 11 1854 2814 96 58 0.000000 —
4 1 219 1 42 0 74 2864 1632 45 -1
5 1 219 1 42 1 74 2883 141 26 24.007540 Var~-ations
5 1 219 1 42 2 225 2884 34 24 73.275734 nol
5 1 219 1 42 3 269 2880 100 27 82.473297 delivered
5 1 219 1 42 4 378 2886 26 19 96.987877 on
5 1 219 1 42 5 412 2878 101 26 93.305756 schedule
5 1 219 1 42 6 547 2877 3 2 89.719315 |—
5 1 219 1 42 7 640 2864 19 26 23.281464 oon
5 1 219 1 42 8 720 2872 29 7 41.092335 la
5 1 219 1 42 9 1270 2871 138 26 53.608528 Vaccinations
5 1 219 1 42 10 1418 2872 35 25 81.267410 not
5 1 219 1 42 11 1461 2853 99 43 85.370918 delivered
5 1 219 1 42 12 1569 2877 27 18 96.972458 on
5 1 219 1 42 13 1606 2868 100 26 96.244385 schedule
4 1 219 1 43 0 75 2898 1632 42 -1
5 1 219 1 43 1 75 2913 22 25 96.320793 Ic
5 1 219 1 43 2 174 2911 137 29 25.411755 flectiveness.
5 1 219 1 43 3 335 2908 105 31 91.229713 Relurning
5 1 219 1 43 4 464 2908 50 34 32.499702 after
5 1 219 1 43 5 1272 2901 57 25 93.086922 loose
5 1 219 1 43 6 1351 2900 151 25 84.087463 effectiveness,
5 1 219 1 43 7 1526 2899 106 32 92.599785 Returning
5 1 219 1 43 8 1656 2898 51 34 69.378464 after
4 1 219 1 44 0 76 2928 1663 43 -1
5 1 219 1 44 1 76 2942 28 26 35.015163 th,
5 1 219 1 44 2 162 2941 67 27 46.306549 _vsters
5 1 219 1 44 3 247 2940 42 26 95.541786 due
5 1 219 1 44 4 308 2940 46 25 95.541786 dale
5 1 219 1 44 5 373 2944 46 26 93.181183 may
5 1 219 1 44 6 436 2937 77 34 0.000000 jequire
5 1 219 1 44 7 1272 2930 33 26 92.847168 the
5 1 219 1 44 8 1317 2929 105 27 41.577019 booster’s
5 1 219 1 44 9 1441 2929 42 26 50.814110 due
5 1 219 1 44 10 1500 2928 51 27 1.844244 dale.
5 1 219 1 44 11 1564 2934 53 26 83.605606 may.
5 1 219 1 44 12 1629 2927 78 35 91.687004 require
5 1 219 1 44 13 1736 2949 3 3 27.278194 }~
4 1 219 1 45 0 77 2956 2386 59 -1
5 1 219 1 45 1 77 2963 108 47 8.380241 addilrOnal
5 1 219 1 45 2 194 2963 87 47 91.062202 vaccines
5 1 219 1 45 3 293 2970 30 26 96.541161 for
5 1 219 1 45 4 331 2963 69 47 94.471207 proper
5 1 219 1 45 5 419 2969 41 46 46.698742 Kole
5 1 219 1 45 6 461 2967 24 25 24.206724 cl
5 1 219 1 45 7 1272 2952 105 45 92.317680 additional
5 1 219 1 45 8 1388 2952 87 45 87.496536 vaccines
5 1 219 1 45 9 1486 2952 30 45 90.260597 for
5 1 219 1 45 10 1523 2952 68 45 95.362152 proper
5 1 219 1 45 11 1601 2956 105 34 95.864204 protection
5 1 219 1 45 12 2315 2972 22 24 13.558826 I.
5 1 219 1 45 13 2430 2958 33 22 22.333012 ra
4 1 219 1 46 0 76 2982 2414 66 -1
5 1 219 1 46 1 76 3002 21 25 91.252335 al
5 1 219 1 46 2 107 3008 23 18 91.252335 an
5 1 219 1 46 3 140 3000 106 27 94.843323 additional
5 1 219 1 46 4 255 3001 45 24 92.819023 cost
5 1 219 1 46 5 309 3001 18 23 58.735195 {o
5 1 219 1 46 6 336 3005 45 26 81.673111 you.
5 1 219 1 46 7 600 2998 29 40 47.216774 ‘sf
5 1 219 1 46 8 1272 2985 16 48 62.489265 af
5 1 219 1 46 9 1304 2991 20 24 92.978142 an
5 1 219 1 46 10 1334 2988 158 60 27.851486 —
5 1 219 1 46 11 1499 2990 74 38 79.350159 loyou.
5 1 219 1 46 12 2036 2994 61 24 96.014488 Sub
5 1 219 1 46 13 2107 2993 86 25 93.229057 Total:
5 1 219 1 46 14 2208 2993 26 28 59.475727 $°
5 1 219 1 46 15 2253 2996 17 41 54.064445 fi
5 1 219 1 46 16 2336 2991 59 44 66.323158 way
5 1 219 1 46 17 2424 2982 66 33 31.121445 El
4 1 219 1 47 0 68 2977 2408 183 -1
5 1 219 1 47 1 68 3056 203 59 36.629566 Velerinaiiars:
5 1 219 1 47 2 444 3074 88 30 0.000000 armel
5 1 219 1 47 3 602 3042 91 61 12.186489 1A.
5 1 219 1 47 4 994 3067 144 41 96.831978 Location:
5 1 219 1 47 5 1181 3003 210 94 42.272644 ARIS
5 1 219 1 47 6 1337 3067 36 29 26.280800 3g
5 1 219 1 47 7 1543 3070 39 23 56.869045 it
5 1 219 1 47 8 1680 3067 84 24 92.931618 Tech.
5 1 219 1 47 9 1780 3066 53 24 80.495560 Init:
5 1 219 1 47 10 1897 3039 105 51 65.369156 an
5 1 219 1 47 11 2063 3064 47 24 94.965836 CC
5 1 219 1 47 12 2127 3064 66 23 91.823296 Fee:
5 1 219 1 47 13 2208 3064 18 26 91.843826 $
5 1 219 1 47 14 2235 3034 206 126 39.855888 ory
5 1 219 1 47 15 2270 2977 78 109 53.776939 T
5 1 219 1 47 16 2349 3025 52 62 18.314657 ff
5 1 219 1 47 17 2395 3040 37 45 71.535095 vl
5 1 219 1 47 18 2458 3011 18 69 49.344749 /
4 1 219 1 48 0 71 3046 2190 147 -1
5 1 219 1 48 1 71 3155 84 24 96.963631 State
5 1 219 1 48 2 168 3153 74 25 80.482567 Lic
5 1 219 1 48 3 228 3142 18 51 83.770668 #
5 1 219 1 48 4 400 3129 80 33 92.425316 1442
5 1 219 1 48 5 525 3141 72 32 32.788963 pad
5 1 219 1 48 6 622 3112 28 61 32.788963 c\
5 1 219 1 48 7 672 3120 9 53 95.573593 |
5 1 219 1 48 8 704 3120 45 53 0.000000 i
5 1 219 1 48 9 807 3140 90 34 17.325191 |Bal
5 1 219 1 48 10 922 3152 37 6 51.162354 $_—
5 1 219 1 48 11 1073 3139 116 52 27.717285 Cash
5 1 219 1 48 12 1120 3115 52 78 55.254807 fy
5 1 219 1 48 13 1217 3115 72 78 33.840668 XV
5 1 219 1 48 14 1308 3115 92 78 31.194702 V8
5 1 219 1 48 15 1251 3113 99 49 26.402344 am
5 1 219 1 48 16 1329 3046 186 122 14.832764 Coax
5 1 219 1 48 17 1555 3135 47 21 37.814377 —
5 1 219 1 48 18 1749 3126 108 51 96.270996 Cashier
5 1 219 1 48 19 1876 3126 65 51 96.238205 Init}
5 1 219 1 48 20 2080 3135 121 25 93.292953 TOTAL:
5 1 219 1 48 21 2216 3136 13 27 84.173477 $
5 1 219 1 48 22 2252 3130 9 14 81.476990 *
4 1 219 1 49 0 649 3171 1295 28 -1
5 1 219 1 49 1 649 3180 64 19 53.406021 tr?
5 1 219 1 49 2 1938 3171 6 5 12.567148 .
2 1 220 0 0 0 762 3187 634 34 -1
3 1 220 1 0 0 762 3187 634 34 -1
4 1 220 1 1 0 762 3187 634 34 -1
5 1 220 1 1 1 762 3193 70 20 92.063255 White:
5 1 220 1 1 2 846 3193 47 20 93.793488 TLC
5 1 220 1 1 3 900 3192 161 29 96.627151 VETERINARY
5 1 220 1 1 4 1071 3180 123 31 93.275543 SERVICES
5 1 220 1 1 5 1201 3190 16 19 93.027359 &
5 1 220 1 1 6 1225 3189 118 20 96.858543 SUPPLIES
5 1 220 1 1 7 1352 3188 44 20 96.858543 LLC
2 1 221 0 0 0 1459 3185 305 23 -1
3 1 221 1 0 0 1459 3185 305 23 -1
4 1 221 1 1 0 1459 3185 305 23 -1
5 1 221 1 1 1 1459 3187 76 21 84.792427 Yellow.
5 1 221 1 1 2 1551 3185 213 21 91.637833 CLIENT
5 1 221 1 1 3 1650 3181 9 36 24.668760 f
5 1 221 1 1 4 1674 3185 90 21 96.531532 COUNTY =
Temp:
CERTIFICATE OF VACCINATION
Date of Rabies Vaccination: 10-30-20 Certificate No: 0
Next Rabies Vaccination On: 10-30-23 Previous Rabies Vaccination:
VETERINARY CLINIC OWNER OF ANIMAL
Sunburst Animal Hospital Peggy Stephens
13807 North 51st Avenue, Suite A 3942 W Tierra Buena
Glendale, AZ 85306 Phoenix, AZ 85053
602-938-1860 County:
This is to certify...
THAT | HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW.
Patient information...
PATIENT: Dani BREED: Sheltie
SPECIES: Canine WEIGHT: 21.20
SEX: F AGE: 2 years
Color and markings... Black/White MICROCHIP: 9851 12009986204
Rabies Vaccine Information...
MFG BY: MER SER.NO: 18482 LOT EXP: 06/11/22 ADM: SQ
TY
Signed / sete Laie
Todd A. LuttgeHfarm, D License: AZ6604
SIV CERTTRICATE OF VAGCINATION |
i
Date of Rabies Vaccination: 10-30-20 Certificate No: 0
Next Rabies Vaccination On: 10-30-21 Previous Rabies Vaccination:
VETERINARY CLINIC OWNER OF ANIMAL
Sunburst Animal Hospital Peggy Stephens
13807 North 51st Avenue, Suite A 3942 W Tierra Buena
Glendale, AZ 85306 Phoenix, AZ 85053
602-938-1860 County:
This is to certify...
THAT | HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW.
Patient information...
PATIENT: Kerry BREED: Sheltie
SPECIES: Canine WEIGHT: 16.40
SEX: F AGE: 5 months
Color and markings... Black/White MICROCHIP: 99S #t2ZO)(S 77 §o3
Rabies Vaccine Information...
MFG BY: MER SER.NO: 18482 LOT EXP: 06/11/22 ADM: SQ
—_
(oA Lh
Signed
Todd A. Luttgeharm, DVM License: AZ6604