Extracted text (via tesseract_tsv)
91240 characters
Maricopa County
Animal Care And Control
2500 South 27th Avenue
Phoenix, AZ 85009
(602) 506-7387 Tele.
(602) 506-2739 Fax
KENNEL PERMIT APPLICATION
Ol New’ &1] Renewal Permit # 440
Kennel Name: £ VAI Z
Kennel Location: J? 5° Dd os WV Babe LOo vey
2
City AeA] ZIP Ag. County Supervisorial District
v
Home Phone: Ge P43 OA19 Kennel Phone:
Please complete and sign this application and retum it to the above address with payment in the amount of three
hundred twenty eight dollars ($328.00) within ten (10) days of receipt.
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. 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
1. We assume complete responsibility for the kennel at the premises for which I/we are making
application 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-
4001). 3 ei
2. We certify that We have 2 4 dogs and that the kennel meets the definition in statute.
aoa
3. 4 lWe certify that /We have not been convicted of a violation of A.R.S. §§ 13-2910 (cruelty to animals)
or 13#2910.01 (dog fighting), or similar violations of any other state, county or municipal animal welfare law.
(Violations of license and leash laws DO NOT apply).
Po 99GPV TIRE
4, We certify that all dogs over the age of three (3) months that are kept, harbored or maintained on the
ap
premisés 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 dog
with this application.
6. We
5 1 5 1 1 3 498 684 182 32 94.901733 understand
5 1 5 1 1 4 692 684 61 30 94.494400 that
5 1 5 1 1 5 764 691 21 23 94.494400 a
5 1 5 1 1 6 796 684 62 38 96.587250 dog
5 1 5 1 1 7 871 683 160 39 96.082115 remaining
5 1 5 1 1 8 1042 682 92 31 96.991539 within
5 1 5 1 1 9 1146 682 50 31 96.969116 the
5 1 5 1 1 10 1209 682 107 31 95.397224 kennel
5 1 5 1 1 11 1327 682 25 31 96.372963 is
5 1 5 1 1 12 1365 683 50 30 96.905296 not
5 1 5 1 1 13 1426 681 134 39 96.462692 required
5 1 5 1 1 14 1572 682 30 29 95.575249 to
5 1 5 1 1 15 1614 681 41 30 95.575249 be
5 1 5 1 1 16 1666 680 133 31 96.194550 licensed
5 1 5 1 1 17 1812 679 174 40 96.884567 individually
5 1 5 1 1 18 1997 679 93 31 91.448357 under
5 1 5 1 1 19 2097 679 111 31 91.212997 A.R.S.
4 1 5 1 2 0 250 726 1961 44 -1
5 1 5 1 2 1 250 730 20 40 93.291710 §
5 1 5 1 2 2 283 731 143 31 94.363632 11-1008.
5 1 5 1 2 3 450 730 67 32 87.266998 I/we
5 1 5 1 2 4 528 730 66 31 96.772629 also
5 1 5 1 2 5 604 729 181 32 96.883171 understand
5 1 5 1 2 6 796 729 64 32 96.527931 that
5 1 5 1 2 7 868 738 22 22 96.661644 a
5 1 5 1 2 8 900 729 62 39 96.462448 dog
5 1 5 1 2 9 973 729 113 38 96.618088 leaving
5 1 5 1 2 10 1097 729 51 30 96.679337 the
5 1 5 1 2 11 1158 728 158 31 95.985664 controlled
5 1 5 1 2 12 1327 727 107 32 95.985970 kennel
5 1 5 1 2 13 1446 727 164 31 95.694481 conditions
5 1 5 1 2 14 1619 726 73 32 96.244385 shall
5 1 5 1 2 15 1706 726 39 32 96.320007 be
5 1 5 1 2 16 1757 726 132 32 94.885422 licensed
5 1 5 1 2 17 1901 726 96 30 93.180237 under
5 1 5 1 2 18 2003 726 109 30 92.485725 A.R.S.
5 1 5 1 2 19 2126 726 19 38 92.843597 §
5 1 5 1 2 20 2159 726 52 30 92.532539 11-
4 1 5 1 3 0 253 772 1799 44 -1
5 1 5 1 3 1 253 777 80 32 96.866692 1008
5 1 5 1 3 2 343 778 110 38 96.927307 except
5 1 5 1 3 3 463 777 19 30 96.833221 if
5 1 5 1 3 4 490 777 52 30 96.766838 the
5 1 5 1 3 5 552 777 62 38 96.971886 dog
5 1 5 1 3 6 625 777 25 30 96.889534 is
5 1 5 1 3 7 660 775 66 40 96.987648 only
5 1 5 1 3 8 736 775 88 40 96.702606 being
5 1 5 1 3 9 835 775 185 38 96.688881 transported
5 1 5 1 3 10 1032 777 30 29 96.806030 to
5 1 5 1 3 11 1072 774 127 32 96.813148 another
5 1 5 1 3 12 1209 774 107 30 26.740437 kennel
5 1 5 1 3 13 1324 774 95 30 96.341782 which
5 1 5 1 3 14 1431 774 59 30 95.941551 has
5 1 5 1 3 15 1500 781 20 23 96.232231 a
5 1 5 1 3 16 1532 773 103 39 64.838707 permit
5 1 5 1 3 17 1645 772 104 32 96.326424 issued
5 1 5 1 3 18 1761 772 95 31 96.927086 under
5 1 5 1 3 19 1865 772 55 31 96.955292 this
5 1 5 1 3 20 1929 772 123 31 96.221581 section.
2 1 6 0 0 0 250 841 1960 115 -1
3 1 6 1 0 0 250 841 1960 115 -1
4 1 6 1 1 0 250 841 1960 110 -1
5 1 6 1 1 1 250 871 29 29 93.247284 7.
5 1 6 1 1 2 282 841 120 110 33.309422 Dep
5 1 6 1 1 3 428 870 70 32 59.157578 me
5 1 6 1 1 4 517 870 181 30 96.714851 understand
5 1 6 1 1 5 715 869 62 31 96.559914 that
5 1 6 1 1 6 795 877 20 23 96.756966 a
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5 1 6 1 1 8 959 868 69 31 96.487350 who
5 1 6 1 1 9 1044 868 65 31 96.754578 fails
5 1 6 1 1 10 1125 869 30 30 96.738464 to
5 1 6 1 1 11 1171 867 100 32 96.307274 obtain
5 1 6 1 1 12 1287 875 21 24 96.535431 a
5 1 6 1 1 13 1326 867 105 30 74.319397 kennel
5 1 6 1 1 14 1450 867 104 38 96.491013 permit
5 1 6 1 1 15 1570 867 94 30 93.275154 under
5 1 6 1 1 16 1678 865 271 40 90.847076 A.R.S.§11-1009
5 1 6 1 1 17 1967 865 24 31 96.794464 is
5 1 6 1 1 18 2007 865 119 38 96.737091 subject
5 1 6 1 1 19 2141 866 31 30 96.868904 to
5 1 6 1 1 20 2189 873 21 23 96.868904 a
4 1 6 1 2 0 252 913 927 43 -1
5 1 6 1 2 1 252 916 117 40 95.656937 penalty
5 1 6 1 2 2 379 909 31 51 96.340767 of
5 1 6 1 2 3 418 916 178 40 96.340767 twenty-five
5 1 6 1 2 4 606 915 122 32 96.873375 dollars
5 1 6 1 2 5 723 923 26 22 96.239326 in
5 1 6 1 2 6 759 915 129 30 95.906342 addition
5 1 6 1 2 7 897 915 32 30 95.906342 to
5 1 6 1 2 8 938 915 51 30 96.509209 the
5 1 6 1 2 9 999 914 108 31 96.509209 annual
5 1 6 1 2 10 1117 913 62 32 96.416046 fee.
2 1 7 0 0 0 252 1005 1956 90 -1
3 1 7 1 0 0 252 1005 1956 90 -1
4 1 7 1 1 0 252 1005 1956 44 -1
5 1 7 1 1 1 252 1011 27 30 96.617241 8.
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5 1 7 1 1 3 511 1009 182 32 96.720848 understand
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5 1 7 1 1 7 948 1009 69 31 95.990456 who
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5 1 7 1 1 10 1285 1009 32 29 96.243607 to
5 1 7 1 1 11 1332 1008 99 30 96.857872 obtain
5 1 7 1 1 12 1446 1015 20 23 96.857872 a
5 1 7 1 1 13 1483 1006 106 32 96.814407 kennel
5 1 7 1 1 14 1604 1006 105 40 96.971916 permit
5 1 7 1 1 15 1722 1006 92 31 95.551750 within
5 1 7 1 1 16 1827 1006 80 39 95.789642 thirty
5 1 7 1 1 17 1919 1006 78 40 96.361122 days
5 1 7 1 1 18 2012 1005 75 32 96.206459 after
5 1 7 1 1 19 2099 1005 109 32 96.539459 written
4 1 7 1 2 0 252 1053 1341 42 -1
5 1 7 1 2 1 252 1057 171 31 23.648977 notification
5 1 7 1 2 2 432 1057 77 31 96.611671 from
5 1 7 1 2 3 521 1057 51 31 96.429626 the
5 1 7 1 2 4 583 1057 109 38 96.710609 county
5 1 7 1 2 5 700 1056 209 30 96.461426 enforcement
5 1 7 1 2 6 919 1055 109 39 96.754387 agent
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5 1 7 1 2 9 1149 1054 33 31 96.735847 of
5 1 7 1 2 10 1191 1062 20 23 95.685791 a
5 1 7 1 2 11 1222 1054 83 31 95.685791 class
5 1 7 1 2 12 1315 1054 20 31 93.305061 2
5 1 7 1 2 13 1347 1053 246 32 88.023300 misdemeanor..
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3 1 8 1 0 0 252 1163 1959 118 -1
4 1 8 1 1 0 252 1163 1959 115 -1
5 1 8 1 1 1 252 1163 169 115 35.290245 ont
5 1 8 1 1 2 423 1197 39 32 96.981537 he
5 1 8 1 1 3 478 1197 210 38 96.226295 undersigned
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5 1 8 1 1 8 1134 1194 110 32 96.552696 kennel
5 1 8 1 1 9 1258 1194 110 39 95.670959 permit
5 1 8 1 1 10 1392 1194 84 30 95.670959 does
5 1 8 1 1 11 1491 1194 53 30 96.727875 not
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5 1 8 1 1 13 1728 1192 53 32 96.781525 the
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5 1 8 1 1 15 1970 1192 34 31 97.009979 of
5 1 8 1 1 16 2016 1200 62 30 96.625748 any
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4 1 8 1 2 0 253 1240 1195 41 -1
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5 1 8 1 2 10 1051 1240 145 40 95.016182 licensing
5 1 8 1 2 11 1210 1240 131 38 96.959618 multiple
5 1 8 1 2 12 1355 1240 93 38 96.915001 dogs.
2 1 9 0 0 0 253 1377 1852 45 -1
3 1 9 1 0 0 253 1377 1852 45 -1
4 1 9 1 1 0 253 1377 1852 45 -1
5 1 9 1 1 1 253 1383 79 30 21.877861 UWe
5 1 9 1 1 2 345 1383 117 39 96.476624 certify
5 1 9 1 1 3 472 1383 73 30 96.959930 that
5 1 9 1 1 4 556 1381 41 32 95.857605 all
5 1 9 1 1 5 612 1381 38 32 96.912193 of
5 1 9 1 1 6 658 1381 56 31 95.686813 the
5 1 9 1 1 7 728 1381 214 31 96.228371 information
5 1 9 1 1 8 955 1380 80 32 79.280243 I/We
5 1 9 1 1 9 1059 1380 87 30 95.115601 have
5 1 9 1 1 10 1159 1380 163 39 96.467522 provided
5 1 9 1 1 11 1335 1380 30 30 97.005493 is
5 1 9 1 1 12 1378 1380 73 30 96.813522 true
5 1 9 1 1 13 1464 1378 68 32 96.838104 and
5 1 9 1 1 14 1545 1380 161 29 96.551529 accurate
5 1 9 1 1 15 1719 1378 107 31 96.624710 under
5 1 9 1 1 16 1838 1377 135 39 96.589912 penalty
5 1 9 1 1 17 1985 1377 37 32 97.011169 of
5 1 9 1 1 18 2034 1377 71 30 96.847672 law.
2 1 10 0 0 0 251 1434 1698 182 -1
3 1 10 1 0 0 251 1434 1698 182 -1
4 1 10 1 1 0 251 1434 1698 182 -1
5 1 10 1 1 1 251 1522 153 40 96.651321 Applicant
5 1 10 1 1 2 414 1522 158 38 96.887161 Signature
5 1 10 1 1 3 588 1479 356 131 0.000000 Lables
5 1 10 1 1 4 993 1434 234 182 38.610886 Paul
5 1 10 1 1 5 1464 1518 87 32 61.626793 Date,
5 1 10 1 1 6 1596 1501 77 46 78.469070 7O
5 1 10 1 1 7 1697 1527 27 5 48.223068 —
5 1 10 1 1 8 1839 1504 110 68 32.030548 “£9
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3 1 11 1 0 0 252 1611 1290 42 -1
4 1 11 1 1 0 252 1611 1290 42 -1
5 1 11 1 1 1 252 1614 152 39 95.519203 Applicant
5 1 11 1 1 2 414 1614 158 39 96.520180 Signature
5 1 11 1 1 3 1455 1611 87 30 94.679543 Date:
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4 1 13 1 1 0 570 1642 1500 10 -1
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5 1 15 1 1 1 255 1758 50 27 95.693779 For
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5 1 15 1 1 4 490 1757 74 36 95.162468 Only:
4 1 15 1 2 0 253 1796 1182 91 -1
5 1 15 1 2 1 253 1842 104 35 96.771942 Copies
5 1 15 1 2 2 367 1842 29 27 97.011116 of
5 1 15 1 2 3 402 1842 72 27 95.661491 Valid
5 1 15 1 2 4 486 1841 104 28 96.973106 Rabies
5 1 15 1 2 5 598 1841 172 28 94.106781 Vaccination
5 1 15 1 2 6 780 1841 165 27 94.672386 Certificates
5 1 15 1 2 7 953 1839 42 29 96.767090 for
5 1 15 1 2 8 1002 1839 72 29 96.579399 each
5 1 15 1 2 9 1083 1839 57 35 96.925995 dog
5 1 15 1 2 10 1150 1839 127 27 96.129517 attached
5 1 15 1 2 11 1311 1823 30 64 27.988907 V
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5 1 15 1 3 5 619 1925 181 28 83.466675 Identification
5 1 15 1 3 6 807 1923 132 29 95.303909 Attached
5 1 15 1 3 7 997 1885 120 78 93.025833 NO
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3 1 16 1 0 0 253 2009 455 36 -1
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5 1 16 1 1 3 375 2009 180 28 94.104195 Identification
5 1 16 1 1 4 564 2009 144 28 96.584778 submitted
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4 1 18 1 1 0 255 2091 977 38 -1
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5 1 18 1 1 6 1135 2091 97 27 96.842674 Permit
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3 1 19 1 0 0 1228 2117 880 9 -1
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5 1 20 1 1 3 2203 3141 10 27 94.145531 2
Maricopa County Animal Care and Control
2500 S. 27th Avenue
Phoenix, AZ 85009-6797
(602) 506-7387
http://pets. maricopa.gov
Receipt Number: R17-281262 Receipt Date: 11/03/2017
Person ID: P0999788
Phone: 602 8430219
EVANZ KENNELS
11/3/2017 10:10:22AM
16853 N 39TH DR
PHOENIX, AZ 85053
Item: : Animal ID: Reference No: Price: Each: Amount:
KEN PERMIT ATT77777 K18-000040 $328.00 1 $328.00
Total Fees Due: $328.00
Payments: Cash:
Check: $328.00
Credit Card:
Total Payments Received: $328.00
Thank You!
Would you like to share your experience with our service to you? Change: $0.00
Please visit our website at http://pets.maricopa.gov and click on Balance Due: $0.00
Contact
5 1 16 3 6 2 478 1780 62 32 96.429398 Us to email your comments for our 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
luffmanm EBUSOFF
Shsts aee4 lO 19-19
Dr. Tom J. Caldwell HOME CARE
VETERINARY SERVICES
PET INFORMATION
Owner Name: Dap Lyao Teel, ate:
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state:
tw_ Sale phone:_(093 ~-343-O2 19
PET INFORMATION: neutered
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Dr. Tom J. Caldwell HOME CARE
VETERINARY SERVICES
PET INFORMATION
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Zip: Phone: 2 oA - G++ 3-~02 hed
PET INFORMATION: scurered
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Dr. Tom J. Caldwell HOME CARE
VETERINARY SERVICES
PET INFORMATION
Owner Name: DM arsbyo te Date:
Address: City: State:
Zip: Phone: 032 = 2 443 -O-21 °)
PET INFORMATION: seutered
Name Age Wt. Sex Breed Color
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LSPA POS EE Ee RABIES VACCINATION CERTIFICATE
NASPHY Form #57 Rabies Tag Number
Jwner's Name and Address Print - use ball point pen or type
First M.l. | Telephone
A. L Mae nf
a 02)9
to trey 7 ' City eet Ate pean Zi
SEC 7
Predominant’ fe
wo Sex: . Age: Size; Colors:
off of
dog Male 1} 3 mo to 12 mo Under 20 Ibs; & id Yi
Lge Np, ~ .
dat Female 6 12 mo or older (]| 20-50 lbs, C1 sot?
dther: [1 | Neutered (1 } Actual Age Grp Over 50 Ibs. (4
|
5 1 18 1 8 3 1333 627 236 26 35.525696 Actual_£—Ibs.
5 1 18 1 8 4 1592 606 15 60 94.786591 |
5 1 18 1 8 5 1611 610 93 26 94.786591 Name:
4 1 18 1 9 0 1642 594 271 117 -1
5 1 18 1 9 1 1642 594 206 108 45.778240 eck
5 1 18 1 9 2 1854 637 59 74 86.189674 2.
4 1 18 1 10 0 648 687 1518 114 -1
5 1 18 1 10 1 648 750 65 27 77.891403 ATE
5 1 18 1 10 2 724 751 208 26 95.318016 VACCINATED:
5 1 18 1 10 3 958 735 13 70 23.004503 +
5 1 18 1 10 4 993 762 1 39 63.654877 |
5 1 18 1 10 5 1036 765 139 26 75.596893 producer:
5 1 18 1 10 6 1383 750 54 36 39.092083 a
5 1 18 1 10 7 1608 752 204 27 82.686836 Veterinarian’s:
5 1 18 1 10 8 1838 753 3 26 86.452255 #
5 1 18 1 10 9 1886 725 46 72 35.782135 Lt
5 1 18 1 10 10 1958 736 42 37 12.190294 Aa
5 1 18 1 10 11 2012 729 30 46 12.190294 /
5 1 18 1 10 12 2044 687 98 88 49.369247 IES
5 1 18 1 10 13 2121 720 45 77 0.000000 Gh.
2 1 19 0 0 0 646 830 283 64 -1
3 1 19 1 0 0 646 830 283 64 -1
4 1 19 1 1 0 646 830 283 64 -1
5 1 19 1 1 1 642 797 99 108 69.359955 10.
5 1 19 1 1 2 759 797 171 108 8.182592 L512
2 1 20 0 0 0 645 888 272 33 -1
3 1 20 1 0 0 645 888 272 33 -1
4 1 20 1 1 0 645 888 272 33 -1
5 1 20 1 1 1 645 888 80 26 28.923330 Aonth
5 1 20 1 1 2 754 888 55 33 79.445358 Day
5 1 20 1 1 3 853 888 64 27 79.445358 Year
2 1 21 0 0 0 645 988 354 26 -1
3 1 21 1 0 0 645 988 354 26 -1
4 1 21 1 1 0 645 988 354 26 -1
5 1 21 1 1 1 645 988 200 26 44.767143 ‘ACCINATION
5 1 21 1 1 2 858 988 141 26 96.101318 EXPIRED:
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3 1 22 1 0 0 1183 725 271 5 -1
4 1 22 1 1 0 1183 725 271 5 -1
5 1 22 1 1 1 1183 725 271 5 95.000000
2 1 23 0 0 0 1450 726 2 104 -1
3 1 23 1 0 0 1450 726 2 104 -1
4 1 23 1 1 0 1450 726 2 104 -1
5 1 23 1 1 1 1450 726 2 104 95.000000
2 1 24 0 0 0 1183 726 2 104 -1
3 1 24 1 0 0 1183 726 2 104 -1
4 1 24 1 1 0 1183 726 2 104 -1
5 1 24 1 1 1 1183 726 2 104 95.000000
2 1 25 0 0 0 1272 726 3 104 -1
3 1 25 1 0 0 1272 726 3 104 -1
4 1 25 1 1 0 1272 726 3 104 -1
5 1 25 1 1 1 1272 726 3 104 95.000000
2 1 26 0 0 0 1360 727 4 103 -1
3 1 26 1 0 0 1360 727 4 103 -1
4 1 26 1 1 0 1360 727 4 103 -1
5 1 26 1 1 1 1360 727 4 103 95.000000
2 1 27 0 0 0 1202 760 234 66 -1
3 1 27 1 0 0 1202 760 234 66 -1
4 1 27 1 1 0 1202 760 234 66 -1
5 1 27 1 1 1 1202 756 78 82 14.700994 A+
5 1 27 1 1 2 1314 756 122 82 17.736874 Olt
2 1 28 0 0 0 1234 840 157 24 -1
3 1 28 1 0 0 1234 840 157 24 -1
4 1 28 1 1 0 1234 840 157 24 -1
5 1 28 1 1 1 1234 840 56 24 87.320206 (First
5 1 28 1 1 2 1297 840 14 20 94.728806 3
5 1 28 1 1 3 1320 840 71 24 90.266586 letters)
2 1 29 0 0 0 1182 825 270 6 -1
3 1 29 1 0 0 1182 825 270 6 -1
4 1 29 1 1 0 1182 825 270 6 -1
5 1 29 1 1 1 1182 825 270 6 95.000000
2 1 30 0 0 0 1055 883 291 59 -1
3 1 30 1 0 0 1055 883 291 59 -1
4 1 30 1 1 0 1055 883 291 59 -1
5 1 30 1 1 1 1055 883 84 56 14.035416 oh
5 1 30 1 1 2 1155 915 32 27 77.462143 yr,
5 1 30 1 1 3 1200 909 63 26 40.664295 Lic./
5 1 30 1 1 4 1268 909 78 26 40.664295 Vacc.
2 1 31 0 0 0 1080 954 266 80 -1
3 1 31 1 0 0 1080 954 266 80 -1
4 1 31 1 1 0 1080 954 266 38 -1
5 1 31 1 1 1 1080 954 33 32 74.029976 (71
5 1 31 1 1 2 1126 960 17 24 74.029976 3
5 1 31 1 1 3 1155 966 30 26 92.456657 yr.
5 1 31 1 1 4 1200 958 48 26 78.185799 Lic/
5 1 31 1 1 5 1250 958 96 26 82.599289 Vace.
4 1 31 1 2 0 1260 1008 81 26 -1
5 1 31 1 2 1 1260 1008 81 26 96.926132 Other
2 1 32 0 0 0 1077 1027 305 87 -1
3 1 32 1 0 0 1077 1027 305 87 -1
4 1 32 1 1 0 1077 1027 305 87 -1
5 1 32 1 1 1 1077 1027 305 87 47.890907 LEFFULA
2 1 33 0 0 0 733 1111 745 8 -1
3 1 33 1 0 0 733 1111 745 8 -1
4 1 33 1 1 0 733 1111 745 8 -1
5 1 33 1 1 1 733 1111 745 8 95.000000
2 1 34 0 0 0 645 1059 291 62 -1
3 1 34 1 0 0 645 1059 291 62 -1
4 1 34 1 1 0 645 1059 291 62 -1
5 1 34 1 1 1 645 1055 76 80 54.787277 10
5 1 34 1 1 2 754 1060 68 54 39.726910 JE
5 1 34 1 1 3 864 1059 72 55 63.575424 1¥
2 1 35 0 0 0 645 1125 270 33 -1
3 1 35 1 0 0 645 1125 270 33 -1
4 1 35 1 1 0 645 1125 270 33 -1
5 1 35 1 1 1 645 1125 77 27 76.282494 fonth
5 1 35 1 1 2 751 1126 56 32 91.622147 Day
5 1 35 1 1 3 850 1125 65 26 75.947197 Year
2 1 36 0 0 0 1015 401 11 814 -1
3 1 36 1 0 0 1015 401 11 814 -1
4 1 36 1 1 0 1015 401 11 814 -1
5 1 36 1 1 1 1015 401 11 814 95.000000
2 1 37 0 0 0 1031 1128 292 32 -1
3 1 37 1 0 0 1031 1128 292 32 -1
4 1 37 1 1 0 1031 1128 292 32 -1
5 1 37 1 1 1 1031 1128 79 26 84.351227 Vacc.
5 1 37 1 1 2 1123 1128 80 26 95.560158 Serial
5 1 37 1 1 3 1215 1128 53 32 62.605263 (lot)
5 1 37 1 1 4 1281 1134 42 20 94.998756 no.
2 1 38 0 0 0 1588 402 12 813 -1
3 1 38 1 0 0 1588 402 12 813 -1
4 1 38 1 1 0 1588 402 12 813 -1
5 1 38 1 1 1 1588 402 12 813 95.000000
2 1 39 0 0 0 1924 702 2 75 -1
3 1 39 1 0 0 1924 702 2 75 -1
4 1 39 1 1 0 1924 702 2 75 -1
5 1 39 1 1 1 1924 702 2 75 95.000000
2 1 40 0 0 0 1872 772 413 8 -1
3 1 40 1 0 0 1872 772 413 8 -1
4 1 40 1 1 0 1872 772 413 8 -1
5 1 40 1 1 1 1872 772 413 8 95.000000
2 1 41 0 0 0 1823 775 486 126 -1
3 1 41 1 0 0 1823 777 486 108 -1
4 1 41 1 1 0 1823 777 486 54 -1
5 1 41 1 1 1 1823 777 145 54 0.000000 _enee
5 1 41 1 1 2 1976 784 45 25 85.676048 No}
5 1 41 1 1 3 2301 781 8 16 0.000000 ?
4 1 41 1 2 0 1998 775 300 126 -1
5 1 41 1 2 1 1998 775 300 126 24.892250 Elwell
2 1 42 0 0 0 1654 802 344 80 -1
3 1 42 1 0 0 1654 802 344 80 -1
4 1 42 1 1 0 1654 802 344 80 -1
5 1 42 1 1 1 1654 822 140 72 28.028351 L012
5 1 42 1 1 2 1815 802 183 77 0.000000 Lor
2 1 43 0 0 0 1606 881 679 6 -1
3 1 43 1 0 0 1606 881 679 6 -1
4 1 43 1 1 0 1606 881 679 6 -1
5 1 43 1 1 1 1606 881 679 6 95.000000
2 1 44 0 0 0 1607 885 142 30 -1
3 1 44 1 0 0 1607 885 142 30 -1
4 1 44 1 1 0 1607 885 142 30 -1
5 1 44 1 1 1 1607 885 142 30 75.418205 (Signature)
5 1 44 1 1 2 1739 881 14 40 34.603199 *
2 1 45 0 0 0 1605 915 576 201 -1
3 1 45 1 0 0 1605 915 576 197 -1
4 1 45 1 1 0 1605 915 576 86 -1
5 1 45 1 1 1 1605 940 99 20 0.000000 ras:
5 1 45 1 1 2 1740 915 168 86 24.394287 es
5 1 45 1 1 3 1927 915 146 75 2.769184 ISH
5 1 45 1 1 4 2080 927 101 57 7.922935 Sf-
4 1 45 1 2 0 1693 988 314 128 -1
5 1 45 1 2 1 1693 1001 211 115 0.000000 tevfi,
5 1 45 1 2 2 1929 988 78 100 95.511299 A
2 1 46 0 0 0 2007 1024 240 65 -1
3 1 46 1 0 0 2007 1024 240 65 -1
4 1 46 1 1 0 2007 1024 240 65 -1
5 1 46 1 1 1 2007 1020 92 82 20.830196 of
5 1 46 1 1 2 2126 1020 121 82 12.300816 dLG)
2 1 47 0 0 0 2293 82 16 1135 -1
3 1 47 1 0 0 2293 82 16 1135 -1
4 1 47 1 1 0 2293 82 16 1135 -1
5 1 47 1 1 1 2293 82 16 1135 95.000000
2 1 48 0 0 0 645 1210 1652 7 -1
3 1 48 1 0 0 645 1210 1652 7 -1
4 1 48 1 1 0 645 1210 1652 7 -1
5 1 48 1 1 1 645 1210 1652 7 95.000000
2 1 49 0 0 0 1061 1543 1224 22 -1
3 1 49 1 0 0 1061 1543 1224 22 -1
4 1 49 1 1 0 1061 1543 1224 22 -1
5 1 49 1 1 1 1061 1543 1224 22 95.000000
2 1 50 0 0 0 687 1598 1646 31 -1
3 1 50 1 0 0 687 1598 1646 31 -1
4 1 50 1 1 0 687 1598 1646 31 -1
5 1 50 1 1 1 687 1598 1646 31 95.000000
2 1 51 0 0 0 753 1643 204 18 -1
3 1 51 1 0 0 753 1643 204 18 -1
4 1 51 1 1 0 753 1643 204 18 -1
5 1 51 1 1 1 753 1645 60 16 1.418705 Sythe
5 1 51 1 1 2 825 1646 23 13 0.000000 te
5 1 51 1 1 3 885 1643 72 16 17.298737 ee
2 1 52 0 0 0 687 1729 393 31 -1
3 1 52 1 0 0 687 1729 393 31 -1
4 1 52 1 1 0 687 1729 393 31 -1
5 1 52 1 1 1 687 1733 98 27 24.804863 wner’s
5 1 52 1 1 2 798 1732 84 26 95.806709 Name
5 1 52 1 1 3 894 1731 53 26 95.806709 and
5 1 52 1 1 4 958 1729 122 28 95.518761 Address
2 1 53 0 0 0 1056 1620 870 50 -1
3 1 53 1 0 0 1056 1620 870 50 -1
4 1 53 1 1 0 1056 1620 870 50 -1
5 1 53 1 1 1 1056 1629 180 41 96.120735 RABIES
5 1 53 1 1 2 1251 1624 338 43 96.294060 VACCINATION
5 1 53 1 1 3 1608 1620 318 42 95.514030 CERTIFICATE
2 1 54 0 0 0 1237 1684 509 77 -1
3 1 54 1 0 0 1237 1684 509 77 -1
4 1 54 1 1 0 1339 1684 299 31 -1
5 1 54 1 1 1 1339 1686 143 29 83.288506 NASPHV
5 1 54 1 1 2 1492 1686 80 27 95.203293 Form
5 1 54 1 1 3 1585 1684 53 28 88.347191 #57
4 1 54 1 2 0 1237 1728 509 33 -1
5 1 54 1 2 1 1237 1731 74 27 93.137520 Print
5 1 54 1 2 2 1321 1743 11 6 78.174744 -
5 1 54 1 2 3 1344 1737 54 20 96.769203 use
5 1 54 1 2 4 1410 1729 56 28 55.325962 bail
5 1 54 1 2 5 1477 1729 80 32 95.968987 point
5 1 54 1 2 6 1567 1734 58 26 95.968987 pen
5 1 54 1 2 7 1636 1734 34 18 96.227791 or
5 1 54 1 2 8 1678 1728 68 30 96.493759 type
2 1 55 0 0 0 1959 1653 375 6 -1
3 1 55 1 0 0 1959 1653 375 6 -1
4 1 55 1 1 0 1959 1653 375 6 -1
5 1 55 1 1 1 1959 1653 375 6 95.000000
2 1 56 0 0 0 1977 1666 20 26 -1
3 1 56 1 0 0 1977 1666 20 26 -1
4 1 56 1 1 0 1977 1666 20 26 -1
5 1 56 1 1 1 1977 1666 20 26 93.009941 R
2 1 57 0 0 0 1999 1663 269 34 -1
3 1 57 1 0 0 1999 1663 269 34 -1
4 1 57 1 1 0 1999 1663 269 34 -1
5 1 57 1 1 1 1999 1666 77 26 96.160553 abies
5 1 57 1 1 2 2086 1665 52 32 93.273651 Tag
5 1 57 1 1 3 2149 1663 119 28 83.692749 Nurnber
2 1 58 0 0 0 688 1749 1646 30 -1
3 1 58 1 0 0 688 1749 1646 30 -1
4 1 58 1 1 0 688 1749 1646 30 -1
5 1 58 1 1 1 688 1749 1646 30 95.000000
2 1 59 0 0 0 1958 1657 5 205 -1
3 1 59 1 0 0 1958 1657 5 205 -1
4 1 59 1 1 0 1958 1657 5 205 -1
5 1 59 1 1 1 1958 1657 5 205 95.000000
2 1 60 0 0 0 688 1848 1646 31 -1
3 1 60 1 0 0 688 1848 1646 31 -1
4 1 60 1 1 0 688 1848 1646 31 -1
5 1 60 1 1 1 688 1848 1646 31 95.000000
2 1 61 0 0 0 948 1871 2 80 -1
3 1 61 1 0 0 948 1871 2 80 -1
4 1 61 1 1 0 948 1871 2 80 -1
5 1 61 1 1 1 948 1871 2 80 95.000000
2 1 62 0 0 0 1906 1856 2 85 -1
3 1 62 1 0 0 1906 1856 2 85 -1
4 1 62 1 1 0 1906 1856 2 85 -1
5 1 62 1 1 1 1906 1856 2 85 95.000000
2 1 63 0 0 0 2124 1855 2 79 -1
3 1 63 1 0 0 2124 1855 2 79 -1
4 1 63 1 1 0 2124 1855 2 79 -1
5 1 63 1 1 1 2124 1855 2 79 95.000000
2 1 64 0 0 0 1741 1926 595 12 -1
3 1 64 1 0 0 1741 1926 595 12 -1
4 1 64 1 1 0 1741 1926 595 12 -1
5 1 64 1 1 1 1741 1926 595 12 95.000000
2 1 65 0 0 0 688 1924 1648 30 -1
3 1 65 1 0 0 688 1924 1648 30 -1
4 1 65 1 1 0 688 1924 1648 30 -1
5 1 65 1 1 1 688 1924 1648 30 95.000000
2 1 66 0 0 0 687 1766 1565 442 -1
3 1 66 1 0 0 687 1766 1565 438 -1
4 1 66 1 1 0 688 1766 1438 142 -1
5 1 66 1 1 1 688 1782 79 27 95.834755 RINT
5 1 66 1 1 2 691 1782 170 126 53.173477 bs
Specify)
First M.}. | Telephone
LI
sb Stred Peed ; ity bap: State —; ip.
i
re Ln fey Lia
a
pecies: Age: Size: Colors:
Male 3 mo to 12 mot Under 20 Le Cb, 1 h
og bei b, p
A
at {1]| Female 12 mo or older (J | 20 - 50 tbs.
ither: [| Neutered [7] | Actual Naeger Over 50 Ibs. (J
pecify) N ame:
Actual 7 Ibs.
ATE
5 1 72 1 1 2 760 2296 209 28 95.741982 VACCINATED:
2 1 73 0 0 0 690 2367 279 62 -1
3 1 73 1 0 0 690 2367 279 62 -1
4 1 73 1 1 0 690 2367 279 62 -1
5 1 73 1 1 1 686 2363 74 88 60.216618 lo
5 1 73 1 1 2 774 2363 88 88 28.808495 _1¥
5 1 73 1 1 3 891 2363 81 88 43.493710 17.
2 1 74 0 0 0 690 2433 266 33 -1
3 1 74 1 0 0 690 2433 266 33 -1
4 1 74 1 1 0 690 2433 266 33 -1
5 1 74 1 1 1 690 2436 74 26 91.945747 fonth
5 1 74 1 1 2 793 2436 56 30 86.584793 Day
5 1 74 1 1 3 892 2433 64 26 86.584793 Year
2 1 75 0 0 0 690 2532 351 30 -1
3 1 75 1 0 0 690 2532 351 30 -1
4 1 75 1 1 0 690 2532 351 30 -1
5 1 75 1 1 1 690 2534 195 28 91.630928 ACCINATION
5 1 75 1 1 2 898 2532 143 27 96.595360 EXPIRED:
2 1 76 0 0 0 690 2610 285 59 -1
3 1 76 1 0 0 690 2610 285 59 -1
4 1 76 1 1 0 690 2610 285 59 -1
5 1 76 1 1 1 686 2606 192 85 73.229149 10.15.
5 1 76 1 1 2 898 2606 77 85 24.232334 1s
2 1 77 0 0 0 690 2672 269 33 -1
3 1 77 1 0 0 690 2672 269 33 -1
4 1 77 1 1 0 690 2672 269 33 -1
5 1 77 1 1 1 690 2673 75 27 92.776947 fonth
5 1 77 1 1 2 795 2672 55 33 95.139259 Day
5 1 77 1 1 3 894 2672 65 25 94.079231 Year
2 1 78 0 0 0 1218 2262 272 7 -1
3 1 78 1 0 0 1218 2262 272 7 -1
4 1 78 1 1 0 1218 2262 272 7 -1
5 1 78 1 1 1 1218 2262 272 7 95.000000
2 1 79 0 0 0 1074 2307 137 26 -1
3 1 79 1 0 0 1074 2307 137 26 -1
4 1 79 1 1 0 1074 2307 137 26 -1
5 1 79 1 1 1 1074 2307 137 26 96.464203 Producer:
2 1 80 0 0 0 1486 2262 4 104 -1
3 1 80 1 0 0 1486 2262 4 104 -1
4 1 80 1 1 0 1486 2262 4 104 -1
5 1 80 1 1 1 1486 2262 4 104 95.000000
2 1 81 0 0 0 1396 2263 4 104 -1
3 1 81 1 0 0 1396 2263 4 104 -1
4 1 81 1 1 0 1396 2263 4 104 -1
5 1 81 1 1 1 1396 2263 4 104 95.000000
2 1 82 0 0 0 1309 2265 2 102 -1
3 1 82 1 0 0 1309 2265 2 102 -1
4 1 82 1 1 0 1309 2265 2 102 -1
5 1 82 1 1 1 1309 2265 2 102 95.000000
2 1 83 0 0 0 1218 2266 3 104 -1
3 1 83 1 0 0 1218 2266 3 104 -1
4 1 83 1 1 0 1218 2266 3 104 -1
5 1 83 1 1 1 1218 2266 3 104 95.000000
2 1 84 0 0 0 1248 2295 219 66 -1
3 1 84 1 0 0 1248 2295 219 66 -1
4 1 84 1 1 0 1248 2295 219 66 -1
5 1 84 1 1 1 1248 2288 117 85 0.000000 Zio
5 1 84 1 1 2 1385 2288 82 85 0.000000 lE
2 1 85 0 0 0 1273 2376 157 27 -1
3 1 85 1 0 0 1273 2376 157 27 -1
4 1 85 1 1 0 1273 2376 157 27 -1
5 1 85 1 1 1 1273 2379 53 24 96.676315 (First
5 1 85 1 1 2 1335 2378 12 19 89.235764 3
5 1 85 1 1 3 1356 2376 74 24 23.312464 setters)
2 1 86 0 0 0 1218 2362 272 8 -1
3 1 86 1 0 0 1218 2362 272 8 -1
4 1 86 1 1 0 1218 2362 272 8 -1
5 1 86 1 1 1 1218 2362 272 8 95.000000
2 1 87 0 0 0 1120 2447 265 126 -1
3 1 87 1 0 0 1120 2447 265 126 -1
4 1 87 1 1 0 1168 2447 217 34 -1
5 1 87 1 1 1 1168 2451 10 24 72.372925 1
5 1 87 1 1 2 1194 2456 32 25 69.515808 yr.
5 1 87 1 1 3 1240 2447 145 27 72.004196 Lic./Vacc.
4 1 87 1 2 0 1120 2496 265 36 -1
5 1 87 1 2 1 1120 2496 34 32 61.181488 [43
5 1 87 1 2 2 1195 2505 31 27 53.443275 yr.
5 1 87 1 2 3 1240 2498 145 27 29.682217 Lic,/Vace.
4 1 87 1 3 0 1302 2547 81 26 -1
5 1 87 1 3 1 1302 2547 81 26 96.767136 Other
2 1 88 0 0 0 1106 2579 303 78 -1
3 1 88 1 0 0 1106 2579 303 78 -1
4 1 88 1 1 0 1106 2579 303 78 -1
5 1 88 1 1 1 1106 2579 303 78 17.548800 LEEFVCA
2 1 89 0 0 0 1075 2667 290 33 -1
3 1 89 1 0 0 1075 2667 290 33 -1
4 1 89 1 1 0 1075 2667 290 33 -1
5 1 89 1 1 1 1075 2670 77 26 50.840073 Vacc.
5 1 89 1 1 2 1167 2669 80 27 86.844925 Serial
5 1 89 1 1 3 1258 2667 53 33 66.037437 (lot)
5 1 89 1 1 4 1324 2673 41 20 95.901001 no,
2 1 90 0 0 0 1074 2649 447 11 -1
3 1 90 1 0 0 1074 2649 447 11 -1
4 1 90 1 1 0 1074 2649 447 11 -1
5 1 90 1 1 1 1074 2649 447 11 95.000000
2 1 91 0 0 0 1052 1933 13 826 -1
3 1 91 1 0 0 1052 1933 13 826 -1
4 1 91 1 1 0 1052 1933 13 826 -1
5 1 91 1 1 1 1052 1933 13 826 95.000000
2 1 92 0 0 0 2021 2246 202 56 -1
3 1 92 1 0 0 2021 2246 202 56 -1
4 1 92 1 1 0 2021 2246 202 56 -1
5 1 92 1 1 1 2021 2246 202 56 0.000000 >af/T7
2 1 93 0 0 0 1995 2232 3 101 -1
3 1 93 1 0 0 1995 2232 3 101 -1
4 1 93 1 1 0 1995 2232 3 101 -1
5 1 93 1 1 1 1995 2232 3 101 95.000000
2 1 94 0 0 0 1645 2284 233 28 -1
3 1 94 1 0 0 1645 2284 233 28 -1
4 1 94 1 1 0 1645 2284 233 28 -1
5 1 94 1 1 1 1645 2284 203 28 57.871437 Veterinarian's:
5 1 94 1 1 2 1860 2284 18 26 93.269852 #
2 1 95 0 0 0 1911 2298 411 9 -1
3 1 95 1 0 0 1911 2298 411 9 -1
4 1 95 1 1 0 1911 2298 411 9 -1
5 1 95 1 1 1 1911 2298 411 9 95.000000
2 1 96 0 0 0 1912 2307 92 30 -1
3 1 96 1 0 0 1912 2307 92 30 -1
4 1 96 1 1 0 1912 2307 92 30 -1
5 1 96 1 1 1 1912 2307 92 30 41.156151 (license
2 1 97 0 0 0 1981 2307 314 102 -1
3 1 97 1 0 0 1981 2307 314 102 -1
4 1 97 1 1 0 1981 2307 314 102 -1
5 1 97 1 1 1 1981 2307 314 102 32.727390 hl
2 1 98 0 0 0 1644 2406 680 15 -1
3 1 98 1 0 0 1644 2406 680 15 -1
4 1 98 1 1 0 1644 2406 680 15 -1
5 1 98 1 1 1 1644 2406 680 15 95.000000
2 1 99 0 0 0 1647 2418 117 32 -1
3 1 99 1 0 0 1647 2418 117 32 -1
4 1 99 1 1 0 1647 2418 117 32 -1
5 1 99 1 1 1 1647 2418 117 32 44.814674 (Sighature}
2 1 100 0 0 0 1727 2532 267 114 -1
3 1 100 1 0 0 1727 2532 267 114 -1
4 1 100 1 1 0 1727 2532 267 114 -1
5 1 100 1 1 1 1727 2532 267 114 0.000000 fers,
2 1 101 0 0 0 1624 1957 13 794 -1
3 1 101 1 0 0 1624 1957 13 794 -1
4 1 101 1 1 0 1624 1957 13 794 -1
5 1 101 1 1 1 1624 1957 13 794 95.000000
2 1 102 0 0 0 1645 2439 536 93 -1
3 1 102 1 0 0 1645 2439 536 93 -1
4 1 102 1 1 0 1645 2439 536 93 -1
5 1 102 1 1 1 1645 2475 92 21 17.538757 Across
5 1 102 1 1 2 1773 2458 89 74 49.013702 nh
5 1 102 1 1 3 1885 2452 55 80 21.165730 FE.
5 1 102 1 1 4 1937 2508 13 14 1.252985 .
5 1 102 1 1 5 1965 2460 99 63 51.579136 wz
5 1 102 1 1 6 2053 2450 75 66 38.001556 Ly
5 1 102 1 1 7 2126 2439 55 78 0.000000 q.,
2 1 103 0 0 0 2001 2556 240 65 -1
3 1 103 1 0 0 2001 2556 240 65 -1
4 1 103 1 1 0 2001 2556 240 65 -1
5 1 103 1 1 1 2001 2574 57 35 64.538895 2
5 1 103 1 1 2 2072 2556 169 65 14.798079 YSLF/
2 1 104 0 0 0 694 2735 1646 30 -1
3 1 104 1 0 0 694 2735 1646 30 -1
4 1 104 1 1 0 694 2735 1646 30 -1
5 1 104 1 1 1 694 2735 1646 30 95.000000
2 1 105 0 0 0 2332 1167 76 2 -1
3 1 105 1 0 0 2332 1167 76 2 -1
4 1 105 1 1 0 2332 1167 76 2 -1
5 1 105 1 1 1 2332 1167 76 2 95.000000
2 1 106 0 0 0 2397 30 16 1215 -1
3 1 106 1 0 0 2397 30 16 1215 -1
4 1 106 1 1 0 2397 30 16 1215 -1
5 1 106 1 1 1 2397 30 16 1215 95.000000
2 1 107 0 0 0 2328 1603 16 1139 -1
3 1 107 1 0 0 2328 1603 16 1139 -1
4 1 107 1 1 0 2328 1603 16 1139 -1
5 1 107 1 1 1 2328 1603 16 1139 95.000000
2 1 108 0 0 0 2376 1548 43 1278 -1
3 1 108 1 0 0 2376 1548 43 1278 -1
4 1 108 1 1 0 2376 1548 43 1278 -1
5 1 108 1 1 1 2376 1548 43 1278 95.000000
2 1 109 0 0 0 2541 8 9 3285 -1
3 1 109 1 0 0 2541 8 9 3285 -1
4 1 109 1 1 0 2541 8 9 3285 -1
5 1 109 1 1 1 2541 8 9 3285 95.000000
nr es eee
BVA CaP RABIES VACCINATION CERTIFICATE
Rabies Tag Number
NASPHY Form #51
iwner’s Name and Address Print - use ball point pen or type
First M.L. | Telephone
BINT
ba
i
Lahey Mn it ee ip
‘ ,
wiv
Sex: Size: Predominant Breed: Colors:
pecies: i ys
og Male ai | mo to 12 mo [] | Under 20 aa fi WA
Oba.
at [1 | Female 12 mo or older 20 - 50 Ibs.
=
ther: [3 | Neutered Actual | Over 50 tbs. ; , ee
ry AW
peoify Actual_§ tbs. mre
Vare LLED
Veterinarian’s: #
ATE VACCINATED: Producer: 2Ilo eC see y
La
SL LJ hab
(First 3 letters} ed yy
aod
fonth Day Year iam Lic./Vacc. ; SK
yr. Adaress: F. / y 7K
: oS
(13 yr, Lic Vace.
ACCINATION EXPIRED: Other 2, f5.
Londoe A: al
)
|_LEEFA OPS
/9_jP JP
jonth Day Year Vace. Serial (lot) no.
ae rete pate ts Tare tate
VACCINATION ¢
VETERINARIAN'S COPY RABIES CERTIFICATE
Owner's Name and Addres\ Sd Print - use ball point pen or type fob
PRINT First . ML. Telephone
fa uf Macha, BOF? 0219
ee
No. tre: CO Oe. City . ft te -'} | Zip
eps P40 39h phony Aa. FOS)
Sex: Age: Size: Predominant Breed: Colors:
Species: ,
Dog Male 3 mo to 12 mo C1 | Under 20 tbs. pas le CEO pn
F €
Cat [1] Female 12 mo or older F5} | 20-50 Ibs. C1 (PAM. £9008
Other: [| Neutered [1 | Actual Age Ly" Over 56 Ips. (1
;
. Specify) Ft Actual Ibs. Name: i :
y
Credin AAIYP)———_
f +4. 1d HY CG :
.
DATE VACCINATED: Producer: cE # efi
a QO Ne No) ff
coed rg, te
G16 1G (First 3 tetters} N.: on, iA
ra
is Asi
Month Day Year
1 yr. Lic./Vacc, vases 2ON) Ee
~hs
yr. Lic./ Vacc.
VACCINATION EXPIRED:
Other
g26 /7 1521754
Month Day Year Vacc. Serial (lot) no.
a
pew nt ee pee ine
CERTIFICATE -
RABIES VACCINATION Number
[Rabies Tag
NASPHV Form #5 7
Address Print _ - use ball point pen or type
2wner’s Name and iephone
4 1 53 1 4 0 945 429 1178 132 -1
5 1 53 1 4 1 945 433 216 124 24.160038 Mork
5 1 53 1 4 2 1183 429 66 132 56.390079 yn
5 1 53 1 4 3 1722 456 225 58 15.253668 LOUAF43
5 1 53 1 4 4 1962 456 116 51 74.524284 ~O2)
5 1 53 1 4 5 2097 453 26 42 47.568573 4
4 1 53 1 5 0 1353 509 708 99 -1
5 1 53 1 5 1 1353 534 59 32 61.488659 City
5 1 53 1 5 2 1474 510 120 98 53.139378 Lk
5 1 53 1 5 3 1781 509 35 82 0.000000 »
5 1 53 1 5 4 1835 522 72 57 85.599571 State
5 1 53 1 5 5 2056 514 5 5 88.199631 i
4 1 53 1 6 0 1017 532 1029 85 -1
5 1 53 1 6 1 1017 568 17 44 33.083229 9
5 1 53 1 6 2 1088 591 12 18 77.755447 th
5 1 53 1 6 3 1208 555 104 62 43.830242 wre
5 1 53 1 6 4 1552 533 164 72 40.258430 a)
5 1 53 1 6 5 1896 532 150 65 13.548470 fall
4 1 53 1 7 0 574 544 1553 142 -1
5 1 53 1 7 1 574 652 118 34 68.086197 3pecies:
5 1 53 1 7 2 727 644 12 46 91.779388 |
5 1 53 1 7 3 746 648 63 26 96.660164 Sex:
5 1 53 1 7 4 969 640 65 32 79.859093 Age:
5 1 53 1 7 5 1050 670 5 4 52.106506 .
5 1 53 1 7 6 1267 630 68 26 96.494881 Size:
5 1 53 1 7 7 1543 593 187 54 69.865379 Predomindnt
5 1 53 1 7 8 1741 544 94 97 45.923141 non
5 1 53 1 7 9 2025 601 102 41 96.494865 Colors:
4 1 53 1 8 0 576 647 1587 130 -1
5 1 53 1 8 1 576 703 53 32 92.864494 Jog
5 1 53 1 8 2 655 676 60 101 0.000000 ‘
5 1 53 1 8 3 748 679 70 55 96.281891 Male
5 1 53 1 8 4 970 691 17 25 93.612297 3
5 1 53 1 8 5 1000 696 46 20 96.062485 mo
5 1 53 1 8 6 1056 688 29 25 96.097397 to
5 1 53 1 8 7 1101 685 30 26 93.986626 12
5 1 53 1 8 8 1150 690 38 20 93.986626 mo
5 1 53 1 8 9 1204 665 33 65 7.581501 C1]
5 1 53 1 8 10 1247 665 12 65 63.785328 |
5 1 53 1 8 11 1269 678 89 27 96.960457 Under
5 1 53 1 8 12 1368 676 36 26 96.943298 20
5 1 53 1 8 13 1416 675 42 26 55.598446 ios
5 1 53 1 8 14 1483 658 41 47 50.046707 A
5 1 53 1 8 15 1565 650 80 87 29.557301 Kis
5 1 53 1 8 16 1696 664 19 47 13.676796 p
5 1 53 1 8 17 1702 647 50 86 41.939007 Nf
5 1 53 1 8 18 1951 675 26 26 86.900345 G
5 1 53 1 8 19 2094 649 69 46 31.677567 ip
4 1 53 1 9 0 576 688 1130 96 -1
5 1 53 1 9 1 576 753 45 26 54.666256 Sat
5 1 53 1 9 2 750 735 105 49 96.598183 Female
5 1 53 1 9 3 884 688 60 88 0.000000 “a
5 1 53 1 9 4 974 741 33 26 72.887787 12
5 1 53 1 9 5 1020 744 45 21 95.520081 mo
5 1 53 1 9 6 1077 742 30 20 96.773361 or
5 1 53 1 9 7 1117 710 80 67 66.126457 older
5 1 53 1 9 8 1207 714 37 59 39.815773 th
5 1 53 1 9 9 1270 726 166 29 73.834984 20-50ibs.
5 1 53 1 9 10 1479 718 33 32 62.329430 CI
5 1 53 1 9 11 1644 708 24 21 15.754318 EE
4 1 53 1 10 0 577 768 937 81 -1
5 1 53 1 10 1 577 802 83 28 0.000000 ther:
5 1 53 1 10 2 684 795 33 32 48.346703 (|
5 1 53 1 10 3 751 793 133 31 96.842262 Neutered
5 1 53 1 10 4 907 788 34 31 67.998543 C1
5 1 53 1 10 5 947 783 13 51 79.777809 |
5 1 53 1 10 6 972 787 92 29 93.839600 Actual
5 1 53 1 10 7 1077 786 120 59 14.632578 as
5 1 53 1 10 8 1214 775 32 74 45.682648 a
5 1 53 1 10 9 1270 780 70 26 95.693199 Over
5 1 53 1 10 10 1350 777 36 26 91.191811 50
5 1 53 1 10 11 1398 775 50 26 70.809624 Ibs.
5 1 53 1 10 12 1479 768 35 32 0.000000 [1]
4 1 53 1 11 0 579 804 1271 85 -1
5 1 53 1 11 1 579 833 87 56 60.952427 Specify
5 1 53 1 11 2 1132 810 64 56 44.840729 dy
5 1 53 1 11 3 1272 807 132 56 0.000000 Actual_7
5 1 53 1 11 4 1431 807 75 56 0.000000 Ibs.
5 1 53 1 11 5 1548 804 134 72 38.301933 Ne
5 1 53 1 11 6 1815 813 35 30 28.444199 a
4 1 53 1 12 0 1644 843 581 44 -1
5 1 53 1 12 1 1644 843 581 44 31.721573 Ont.)
4 1 53 1 13 0 1322 939 460 50 -1
5 1 53 1 13 1 1322 947 42 42 1.773777 cc
5 1 53 1 13 2 1549 940 203 31 60.710873 Veterinarian’s:
5 1 53 1 13 3 1766 939 16 26 89.636009 #
2 1 54 0 0 0 581 969 294 35 -1
3 1 54 1 0 0 581 969 294 35 -1
4 1 54 1 1 0 581 969 294 35 -1
5 1 54 1 1 1 581 976 75 28 82.384804 DATE
5 1 54 1 1 2 666 969 209 32 94.381706 VACCINATED:
2 1 55 0 0 0 607 1042 269 64 -1
3 1 55 1 0 0 607 1042 269 64 -1
4 1 55 1 1 0 607 1042 269 64 -1
5 1 55 1 1 1 607 1053 50 47 56.331974 Jo
5 1 55 1 1 2 702 1038 64 85 27.596426 Mg
5 1 55 1 1 3 786 1042 90 64 69.266342 12.
2 1 56 0 0 0 583 1107 281 36 -1
3 1 56 1 0 0 583 1107 281 36 -1
4 1 56 1 1 0 583 1107 281 36 -1
5 1 56 1 1 1 583 1113 88 29 91.966911 Vionth
5 1 56 1 1 2 700 1111 55 32 91.797768 Day
5 1 56 1 1 3 799 1107 65 27 80.475197 Year
2 1 57 0 0 0 584 1101 84 6 -1
3 1 57 1 0 0 584 1101 84 6 -1
4 1 57 1 1 0 584 1101 84 6 -1
5 1 57 1 1 1 584 1101 84 6 95.000000
2 1 58 0 0 0 586 1203 364 38 -1
3 1 58 1 0 0 586 1203 364 38 -1
4 1 58 1 1 0 586 1203 364 38 -1
5 1 58 1 1 1 586 1208 209 33 81.802887 JACCINATION
5 1 58 1 1 2 808 1203 142 30 96.700073 EXPIRED:
2 1 59 0 0 0 590 1264 292 80 -1
3 1 59 1 0 0 590 1264 292 80 -1
4 1 59 1 1 0 590 1264 292 80 -1
5 1 59 1 1 1 590 1264 292 80 72.825325 Jo
5 1 59 1 1 2 703 1260 71 94 51.907761 SP
5 1 59 1 1 3 813 1260 71 94 51.907761 26
2 1 60 0 0 0 1189 928 205 4 -1
3 1 60 1 0 0 1189 928 205 4 -1
4 1 60 1 1 0 1189 928 205 4 -1
5 1 60 1 1 1 1189 928 205 4 95.000000
2 1 61 0 0 0 1391 925 4 103 -1
3 1 61 1 0 0 1391 925 4 103 -1
4 1 61 1 1 0 1391 925 4 103 -1
5 1 61 1 1 1 1391 925 4 103 95.000000
2 1 62 0 0 0 1302 928 4 103 -1
3 1 62 1 0 0 1302 928 4 103 -1
4 1 62 1 1 0 1302 928 4 103 -1
5 1 62 1 1 1 1302 928 4 103 95.000000
2 1 63 0 0 0 1214 931 4 103 -1
3 1 63 1 0 0 1214 931 4 103 -1
4 1 63 1 1 0 1214 931 4 103 -1
5 1 63 1 1 1 1214 931 4 103 95.000000
2 1 64 0 0 0 979 960 324 66 -1
3 1 64 1 0 0 979 960 324 66 -1
4 1 64 1 1 0 979 960 324 66 -1
5 1 64 1 1 1 979 965 139 46 95.834511 Producer:
5 1 64 1 1 2 1152 960 62 66 72.383385 2.
5 1 64 1 1 3 1239 978 36 38 70.155167 O
5 1 64 1 1 4 1297 1002 6 3 82.701271 |
2 1 65 0 0 0 1180 1040 157 30 -1
3 1 65 1 0 0 1180 1040 157 30 -1
4 1 65 1 1 0 1180 1040 157 30 -1
5 1 65 1 1 1 1180 1045 55 25 96.660233 (First
5 1 65 1 1 2 1242 1044 12 18 93.023918 3
5 1 65 1 1 3 1263 1040 74 24 72.485718 tetters)
2 1 66 0 0 0 1215 1025 180 5 -1
3 1 66 1 0 0 1215 1025 180 5 -1
4 1 66 1 1 0 1215 1025 180 5 -1
5 1 66 1 1 1 1215 1025 180 5 95.000000
2 1 67 0 0 0 1215 1029 116 2 -1
3 1 67 1 0 0 1215 1029 116 2 -1
4 1 67 1 1 0 1215 1029 116 2 -1
5 1 67 1 1 1 1215 1029 116 2 95.000000
2 1 68 0 0 0 1027 1113 268 126 -1
3 1 68 1 0 0 1027 1113 268 126 -1
4 1 68 1 1 0 1027 1113 266 38 -1
5 1 68 1 1 1 1027 1116 59 32 63.551079 (14
5 1 68 1 1 2 1102 1124 32 27 91.332840 yr.
5 1 68 1 1 3 1146 1113 147 29 67.199875 Lic./Vace.
4 1 68 1 2 0 1077 1162 218 38 -1
5 1 68 1 2 1 1077 1169 15 25 93.477570 3
5 1 68 1 2 2 1104 1173 30 27 86.161102 yr,
5 1 68 1 2 3 1153 1164 58 27 68.098923 Lic./
5 1 68 1 2 4 1226 1162 69 26 35.807682 Vace.
4 1 68 1 3 0 1210 1212 83 27 -1
5 1 68 1 3 1 1210 1212 83 27 96.792732 Other
2 1 69 0 0 0 1024 1240 278 86 -1
3 1 69 1 0 0 1024 1240 278 86 -1
4 1 69 1 1 0 1024 1240 278 86 -1
5 1 69 1 1 1 1024 1240 278 86 5.954475 JERPIEA
2 1 70 0 0 0 1032 1236 165 9 -1
3 1 70 1 0 0 1032 1236 165 9 -1
4 1 70 1 1 0 1032 1236 165 9 -1
5 1 70 1 1 1 1032 1236 165 9 95.000000
2 1 71 0 0 0 1058 1313 371 12 -1
3 1 71 1 0 0 1058 1313 371 12 -1
4 1 71 1 1 0 1058 1313 371 12 -1
5 1 71 1 1 1 1058 1313 371 12 95.000000
2 1 72 0 0 0 952 603 27 771 -1
3 1 72 1 0 0 952 603 27 771 -1
4 1 72 1 1 0 952 603 27 771 -1
5 1 72 1 1 1 952 603 27 771 95.000000
2 1 73 0 0 0 589 1344 280 35 -1
3 1 73 1 0 0 589 1344 280 35 -1
4 1 73 1 1 0 589 1344 280 35 -1
5 1 73 1 1 1 589 1350 88 27 88.011360 Vionth
5 1 73 1 1 2 705 1348 57 31 92.486511 Day
5 1 73 1 1 3 804 1344 65 26 92.486511 Year
2 1 74 0 0 0 985 1327 293 40 -1
3 1 74 1 0 0 985 1327 293 40 -1
4 1 74 1 1 0 985 1327 293 40 -1
5 1 74 1 1 1 985 1323 73 50 38.358582 Vacc.
5 1 74 1 1 2 1076 1323 82 50 95.998985 Serial
5 1 74 1 1 3 1170 1332 53 35 84.525764 {lot}
5 1 74 1 1 4 1234 1338 44 20 96.896843 no.
2 1 75 0 0 0 1911 883 4 83 -1
3 1 75 1 0 0 1911 883 4 83 -1
4 1 75 1 1 0 1911 883 4 83 -1
5 1 75 1 1 1 1911 883 4 83 95.000000
2 1 76 0 0 0 1825 894 401 97 -1
3 1 76 1 0 0 1825 894 401 97 -1
4 1 76 1 1 0 1825 894 401 97 -1
5 1 76 1 1 1 1825 967 17 20 61.412785 Li
5 1 76 1 1 2 1858 894 158 97 0.000000 fj227
5 1 76 1 1 3 2048 894 178 97 35.761810 EL
2 1 77 0 0 0 1576 987 604 302 -1
3 1 77 1 0 0 1554 987 626 302 -1
4 1 77 1 1 0 1657 987 455 188 -1
5 1 77 1 1 1 1554 1053 230 122 11.368341 eas
5 1 77 1 1 2 1798 1101 59 72 0.000000 E.
5 1 77 1 1 3 1872 987 143 180 23.699236 ae
5 1 77 1 1 4 2025 1061 129 97 21.262459 Ke
4 1 77 1 2 0 1576 1084 604 205 -1
5 1 77 1 2 1 1576 1084 296 205 33.600807 “ee
5 1 77 1 2 2 1893 1159 168 85 0.000000 Aref
5 1 77 1 2 3 2050 1176 130 68 0.000000 S25)
2 1 78 0 0 0 1635 1062 336 11 -1
3 1 78 1 0 0 1635 1062 336 11 -1
4 1 78 1 1 0 1635 1062 336 11 -1
5 1 78 1 1 1 1635 1062 336 11 95.000000
2 1 79 0 0 0 1554 1134 96 20 -1
3 1 79 1 0 0 1554 1134 96 20 -1
4 1 79 1 1 0 1554 1134 96 20 -1
5 1 79 1 1 1 1554 1134 96 20 96.480934 Address:
2 1 80 0 0 0 2224 251 32 1077 -1
3 1 80 1 0 0 2224 251 32 1077 -1
4 1 80 1 1 0 2224 251 32 1077 -1
5 1 80 1 1 1 2224 251 32 1077 95.000000
2 1 81 0 0 0 1525 580 23 775 -1
3 1 81 1 0 0 1525 580 23 775 -1
4 1 81 1 1 0 1525 580 23 775 -1
5 1 81 1 1 1 1525 580 23 775 95.000000
2 1 82 0 0 0 2278 168 28 832 -1
3 1 82 1 0 0 2278 168 28 832 -1
4 1 82 1 1 0 2278 168 28 832 -1
5 1 82 1 1 1 2278 168 28 832 95.000000
2 1 83 0 0 0 2281 168 39 1169 -1
3 1 83 1 0 0 2281 168 39 1169 -1
4 1 83 1 1 0 2281 168 39 1169 -1
5 1 83 1 1 1 2281 168 39 1169 95.000000
2 1 84 0 0 0 1754 1797 571 13 -1
3 1 84 1 0 0 1754 1797 571 13 -1
4 1 84 1 1 0 1754 1797 571 13 -1
5 1 84 1 1 1 1754 1797 571 13 95.000000
2 1 85 0 0 0 621 1822 1655 46 -1
3 1 85 1 0 0 621 1822 1655 46 -1
4 1 85 1 1 0 621 1822 1655 46 -1
5 1 85 1 1 1 621 1822 1655 46 95.000000
2 1 86 0 0 0 1002 1849 870 103 -1
3 1 86 1 0 0 1002 1849 870 103 -1
4 1 86 1 1 0 1002 1849 870 103 -1
5 1 86 1 1 1 1002 1849 180 41 96.669327 RABIES
5 1 86 1 1 2 1198 1853 335 57 96.259132 VACCINATION
5 1 86 1 1 3 1552 1860 320 92 88.984245 CERTIFICATE
2 1 87 0 0 0 1902 1903 374 11 -1
3 1 87 1 0 0 1902 1903 374 11 -1
4 1 87 1 1 0 1902 1903 374 11 -1
5 1 87 1 1 1 1902 1903 374 11 95.000000
2 1 88 0 0 0 616 1971 1658 49 -1
3 1 88 1 0 0 616 1971 1658 49 -1
4 1 88 1 1 0 616 1971 1658 49 -1
5 1 88 1 1 1 616 1971 1658 49 95.000000
2 1 89 0 0 0 1899 1905 4 203 -1
3 1 89 1 0 0 1899 1905 4 203 -1
4 1 89 1 1 0 1899 1905 4 203 -1
5 1 89 1 1 1 1899 1905 4 203 95.000000
2 1 90 0 0 0 613 2072 1660 47 -1
3 1 90 1 0 0 613 2072 1660 47 -1
4 1 90 1 1 0 613 2072 1660 47 -1
5 1 90 1 1 1 613 2072 1660 47 95.000000
2 1 91 0 0 0 1923 2106 2 81 -1
3 1 91 1 0 0 1923 2106 2 81 -1
4 1 91 1 1 0 1923 2106 2 81 -1
5 1 91 1 1 1 1923 2106 2 81 95.000000
2 1 92 0 0 0 2061 2109 2 77 -1
3 1 92 1 0 0 2061 2109 2 77 -1
4 1 92 1 1 0 2061 2109 2 77 -1
5 1 92 1 1 1 2061 2109 2 77 95.000000
2 1 93 0 0 0 612 2147 1658 47 -1
3 1 93 1 0 0 612 2147 1658 47 -1
4 1 93 1 1 0 612 2147 1658 47 -1
5 1 93 1 1 1 612 2147 1658 47 95.000000
2 1 94 0 0 0 1280 2168 11 309 -1
3 1 94 1 0 0 1280 2168 11 309 -1
4 1 94 1 1 0 1280 2168 11 309 -1
5 1 94 1 1 1 1280 2168 11 309 95.000000
2 1 95 0 0 0 1578 2311 357 10 -1
3 1 95 1 0 0 1578 2311 357 10 -1
4 1 95 1 1 0 1578 2311 357 10 -1
5 1 95 1 1 1 1578 2311 357 10 95.000000
2 1 96 0 0 0 1966 2381 284 9 -1
3 1 96 1 0 0 1966 2381 284 9 -1
4 1 96 1 1 0 1966 2381 284 9 -1
5 1 96 1 1 1 1966 2381 284 9 95.000000
2 1 97 0 0 0 1949 2157 12 317 -1
3 1 97 1 0 0 1949 2157 12 317 -1
4 1 97 1 1 0 1949 2157 12 317 -1
5 1 97 1 1 1 1949 2157 12 317 95.000000
2 1 98 0 0 0 1964 2456 285 9 -1
3 1 98 1 0 0 1964 2456 285 9 -1
4 1 98 1 1 0 1964 2456 285 9 -1
5 1 98 1 1 1 1964 2456 285 9 95.000000
2 1 99 0 0 0 601 2451 1099 28 -1
3 1 99 1 0 0 601 2451 1099 28 -1
4 1 99 1 1 0 601 2451 1099 28 -1
5 1 99 1 1 1 601 2451 1099 28 95.000000
2 1 100 0 0 0 601 2452 1661 41 -1
3 1 100 1 0 0 601 2452 1661 41 -1
4 1 100 1 1 0 601 2452 1661 41 -1
5 1 100 1 1 1 601 2452 1661 41 95.000000
2 1 101 0 0 0 601 2450 1662 51 -1
3 1 101 1 0 0 601 2450 1662 51 -1
4 1 101 1 1 0 601 2450 1662 51 -1
5 1 101 1 1 1 601 2450 1662 51 95.000000
2 1 102 0 0 0 595 1914 1655 865 -1
3 1 102 1 0 0 612 1914 1599 201 -1
4 1 102 1 1 0 616 1914 1369 54 -1
5 1 102 1 1 1 616 1939 113 29 79.420197 Swner's
5 1 102 1 1 2 741 1941 21 27 78.736176 N.
5 1 102 1 1 3 1282 1905 152 39 92.086388 NASPHV
5 1 102 1 1 4 1434 1919 81 28 92.337914 Form
5 1 102 1 1 5 1528 1921 38 26 96.652588 #5
5 1 102 1 1 6 1980 1915 5 5 75.890419 i
4 1 102 1 2 0 616 1914 1595 102 -1
5 1 102 1 2 1 616 1989 92 27 25.844608 sane
5 1 102 1 2 2 763 1949 63 21 94.674622 lame
5 1 102 1 2 3 837 1945 54 26 95.504929 and
5 1 102 1 2 4 903 1945 120 28 96.765839 Address
5 1 102 1 2 5 1180 1956 95 27 92.612755 Print
5 1 102 1 2 6 1264 1952 12 46 90.012344 -
5 1 102 1 2 7 1287 1964 54 21 96.748184 use
5 1 102 1 2 8 1353 1959 54 27 88.621819 ball
5 1 102 1 2 9 1419 1961 81 31 96.607307 point
5 1 102 1 2 10 1510 1968 52 26 39.983208 nen
5 1 102 1 2 11 1576 1921 35 68 70.911728 or
5 1 102 1 2 12 1617 1957 72 44 88.757156 type
5 1 102 1 2 13 1920 1914 99 27 0.000000 manee
5 1 102 1 2 14 2029 1917 52 33 96.233406 Tag
5 1 102 1 2 15 2093 1918 118 28 28.673878 Number
4 1 102 1 3 0 718 1983 1349 150 -1
5 1 102 1 3 1 718 1983 224 107 46.479515 fink,
5 1 102 1 3 2 948 2007 146 85 7.859640 SMon
5 1 102 1 3 3 1085 1998 147 135 55.541924 Lyn
5 1 102 1 3 4 1368 2003 62 27 96.262589 First
5 1 102 1 3 5 1798 2011 52 28 33.710136 Mi.
5 1 102 1 3 6 1915 1988 152 66 0.000000 Talaphoni®
4 1 102 1 4 0 612 2089 42 28 -1
5 1 102 1 4 1 612 2089 42 28 88.584541 No,
3 1 102 2 0 0 604 2046 1646 314 -1
4 1 102 2 1 0 669 2046 1523 118 -1
5 1 102 2 1 1 669 2090 343 71 29.315090 ESE
5 1 102 2 1 2 979 2106 95 56 37.406219 JEK
5 1 102 2 1 3 1093 2094 84 70 20.656372 OL,
5 1 102 2 1 4 1393 2104 58 34 0.000000 iy
5 1 102 2 1 5 1789 2046 125 93 43.530064 COM
5 1 102 2 1 6 1956 2049 69 57 43.530064 FAS
5 1 102 2 1 7 2032 2052 160 71 30.263176 -O2)9
4 1 102 2 2 0 607 2120 1567 136 -1
5 1 102 2 2 1 607 2181 121 75 38.810768 species
5 1 102 2 2 2 783 2184 62 27 95.609253 Sex:
5 1 102 2 2 3 1004 2177 66 49 96.094368 Age:
5 1 102 2 2 4 1302 2194 69 26 94.710938 Size:
5 1 102 2 2 5 1578 2200 66 26 81.042328 Pred
5 1 102 2 2 6 1675 2165 25 42 76.458450 =
5 1 102 2 2 7 1805 2156 47 79 0.000000 wi,
5 1 102 2 2 8 1929 2120 43 61 8.240347 oh
5 1 102 2 2 9 2006 2186 21 15 0.000000 ¢
5 1 102 2 2 10 2121 2131 53 53 48.006943 Sy
4 1 102 2 3 0 606 2192 1556 117 -1
5 1 102 2 3 1 606 2238 56 69 21.434565 xe
5 1 102 2 3 2 714 2279 32 30 31.372658 a
5 1 102 2 3 3 782 2227 69 49 94.538376 Mate
5 1 102 2 3 4 937 2233 35 31 23.706465 |
5 1 102 2 3 5 1003 2239 17 25 76.292160 8
5 1 102 2 3 6 1033 2245 46 20 93.971497 mo
5 1 102 2 3 7 1089 2241 29 24 96.133293 to
5 1 102 2 3 8 1131 2241 33 26 96.797264 12
5 1 102 2 3 9 1176 2248 45 20 92.908691 mo
5 1 102 2 3 10 1237 2228 51 59 23.528309 (1,|
5 1 102 2 3 11 1302 2244 89 27 96.689964 Under
5 1 102 2 3 12 1401 2245 36 26 93.292000 20
5 1 102 2 3 13 1449 2232 102 51 35.368046 tbs-t4-
5 1 102 2 3 14 1646 2204 120 54 89.123802 ominant
5 1 102 2 3 15 1777 2203 94 28 43.192726 Breéa:
5 1 102 2 3 16 2059 2192 103 49 96.411919 Colors:
4 1 102 2 4 0 604 2232 1646 132 -1
5 1 102 2 4 1 604 2295 66 62 37.444641 she
5 1 102 2 4 2 712 2328 33 32 26.641537 5
5 1 102 2 4 3 776 2276 110 88 78.446457 Female
5 1 102 2 4 4 927 2259 48 65 31.815926 4
5 1 102 2 4 5 1005 2289 33 26 96.700394 12
5 1 102 2 4 6 1051 2295 44 20 96.575371 mo
5 1 102 2 4 7 1107 2297 30 19 96.728561 or
5 1 102 2 4 8 1147 2291 74 27 96.416527 older
5 1 102 2 4 9 1300 2294 104 27 33.863873 20-50
5 1 102 2 4 10 1416 2295 42 27 33.863873 lbs.
5 1 102 2 4 11 1509 2294 33 31 52.231789 [J
5 1 102 2 4 12 1616 2232 190 95 29.575834 Lest
5 1 102 2 4 13 1964 2260 286 64 32.537685 Lo
3 1 102 3 0 0 606 2318 935 87 -1
4 1 102 3 1 0 672 2318 794 40 -1
5 1 102 3 1 1 672 2339 17 19 23.116922 A
5 1 102 3 1 2 1461 2318 5 4 50.001774 :
4 1 102 3 2 0 606 2330 935 79 -1
5 1 102 3 2 1 606 2366 87 25 31.951361 other:
5 1 102 3 2 2 802 2336 111 25 50.135418 jeutered
5 1 102 3 2 3 936 2333 33 31 42.103191 [1
5 1 102 3 2 4 976 2326 14 51 65.628738 |
5 1 102 3 2 5 1000 2339 94 27 96.271629 Actual
5 1 102 3 2 6 1104 2340 57 32 60.630096 Age
5 1 102 3 2 7 1179 2330 90 79 31.184963 Day
5 1 102 3 2 8 1299 2343 71 27 96.191116 Over
5 1 102 3 2 9 1378 2346 35 24 96.191116 50
5 1 102 3 2 10 1426 2345 50 27 75.653938 tbs.
5 1 102 3 2 11 1507 2343 34 32 14.933519 [7]
3 1 102 4 0 0 595 2373 1561 396 -1
4 1 102 4 1 0 1296 2373 601 106 -1
5 1 102 4 1 1 1296 2394 92 27 0.000000 Actual
5 1 102 4 1 2 1471 2373 61 69 58.844795 ths,
5 1 102 4 1 3 1574 2382 200 93 30.466579 pn
5 1 102 4 1 4 1790 2373 107 106 0.000000 atnl
4 1 102 4 2 0 598 2469 1350 68 -1
5 1 102 4 2 1 598 2505 77 27 95.054764 DATE
5 1 102 4 2 2 687 2507 207 30 95.054764 VACCINATED:
5 1 102 4 2 3 1718 2469 12 8 27.369331
First ML
i
: Producer:} Veterinarian’ ian’s: # F122) J og
J C
O (License No.)
{First - 3 letters)
Mont, fey ear “
CA yr. Lic./Vacc. Signature)
ys, Lic/ Vacc. Across: saS fu / §; vA xr r
VACCINATION EXPIRED: ve
—___. Other
Terefee, Ar
fo F525)
10 Lier,
fF JO
Month Day Year Vace. Serial (lof) no.
OWNER’ COPY RABIES VACCINATION CERTIFICATE
NASPHV Form #57 Rables Tag Number
Owner's and Address Print - use ball point pen or type
deol
PRINT - First MI. Telep one
767A Ser Lind. Be |
Pheer, Ar, 9
Species: | Sex: Age: Size: Predominant Breed: Colors:
Dog brs Male 3 mo to 12 mo [1] | Under 20 nn
a far
Cat []j Female 12 mo or older [7h 20-50 tbs. CI a
Other: [1 | Neutered [7 | Actual Age Over 50 tbs.
(Specify) Actual Ibs Name:
Spon ZG:e4¢$ —$—
a
DATE VACCINATED: Producer: Veterinarian’s: # av } fi 7
2 O £ fone
Month Day Year (Signature)
(11 yr. Lie./Vace
6 yr. Lic/ Vace. Address: Sas £ / 57 7? 4 AY 7s
VACCINATION EXPIRED:
Other YA A
120 | /FRRA epe, M2- F535)
jo
Month Day Year Vacc. Serial (lot) no.
OWNER'S COPY RABIES VACCINATION CERTIFICATE
Owner’s Name and Address Print - use ball point pen or type
PRINE. Last r' MI. Felephone
Pave marily [0.543 agig
N “Street i a State 185053
Wes Se" BQ re! AS
py
Species: | Sex: Age: Size: Predominant Breed: . “Colors:
Dog Male 1/3 moto 12 mo C1| Under 20 Ibs. (H4* / y; p
Hoe! C.
Cat []|Female [4412 mo or -50 lbs.
aA
Other: [1] | Neutered (4 | Actual Age Over 50 lbs. [J
Spedity) Actual {0 Ibs. | N Name:
|
SEfe aadé
184
Azl
DATE VACCINATED: Producer: wd re) ~ Veterinarian’s: #
Ee aidetok5)
S| [5 (First 3 letters) Ly. Fern Lub
~
Month Day Year (Signature)
1 yr. Lic/Vace.
Address:
Sy. te
VACCINATION EXPIRED: other th
f-
6 K j G 6
4°
13 | SHH4u9R |
ETO Se
Month Day Year Vac. Serial (lot) no. Vie sly}
7
‘pony weape ein SONIA ae a
CINER'S COPY RABIES VACCINATION CERTIFICATE
NASPHV Form #51 Rabies Tag Number
Owner's Name and Address Print - use ball point pen or iype
PRINT -Last . First . MAL.
Pau ‘ le AAC Q oy F W “O08
SL 160384309 20
et - - ity 4 . ee
A 6SS'S" A aq 5 pe” VPhoeniy ; : (R653 .
Species: ex! Age: Size: Predominant Breed: Colors:
Dog Male £13 mo-to 12 mo (1 | Under 20 Ibs. EB’ (2. \ < ‘ i ve 7
Loac| €
Cat (l] Female #1] 12 mo or older 14] 20 - 50 Ibs.
Other: [1 | Neutered [1 | Actuat Agena. Over 50 Ibs. (1
Specify) Actual ibs. .
sy Sh +f .
{ ng oi] —_—
Veterinarian‘
DATE VACCINATED: | proaucers! “Z} # AZ WB4 _
©] E-.
A A 5 rai Lavtherrblluel!
Month Day Year :
[14 yr Lie./Vace. (Sonate)
“
MS Lic/Vace,
VACCINATION EXPIRED: yr i ‘
ie Other aa rr icthey
VETERINARIAN’S COPY RABIES VACCINATION CERTIFICATE
oo NASPHV Form #57 Rabies Tag Number
Owner's Name and Addrest ) Print - use ball point pen or type ‘a ™~
PRINT - Last First ~\ dl. | Telephone
baker, Mencl, born F 3-099
Lag}
No. ite Str SH, Gity * te. Zip
3d. Za Druise MPoeny . A An TER
Deg Sex: : Size: Predominant Breed: Colors: .
sl
Dog “~l]}Male [[]]3 moto 12mo [| Under 20 tbs. 0 _ |
he (Mgr
Cat []| Female “i 12 mo or o 20 - 50 ibs. [act (082 1
hor. 5 {i MinvTian) =n
Other: [1 | Neutered [1] | Actual AgeAYY" | Over 50 Ibs. eg
(Specity) a ; g ,
ea Name: ae
CT terres. a
DATE VACCINATED: fe / / oO?
Producer:| 7 ‘ Veterinarian’s: #
219 _
Af Z
¥ 21 (First 3 letters) Lh; Fond ee! Lid) whl!
:
‘|Month Day Year {Signature)
A ye. Lic./Vace.
Address: 32 5 £, ISH, 57
3 yr. Lic./ Vacc.
VACCINATION EXPIRED:
Other
Jowspe, J.-F SF
F 26 19 /S2py5A4
Month Day Year Vacc. Serial (lot) no.
OWWNER'S COPY RABIES VACCINATION CERTIFICATE
NASPHV Form #57 Rabies Tag Number
Owner's Name and Address Print - use ball point pen or type
PRINT - La: < First ML. | Telephone
Por lest Macilu rN es U3 oals
as
Ny safest aky <VY City 1, State
ed a » Dc Ono are & B05
Species: |Sex: Age: Size: Predominant Breed: Colors:
Dog Male [1] 3 mo to 12 mo FJ | Under 20 ibs. a ‘ \ 4
? ne . SE a . rer
Gat ()} Female Mf} 12 moor older £41 20-50 lbs. 0
C1} Neutered (1 | Actual Age Over 50 tbs. C1 \
Other:
pee eC . \
Actual"? Ibs. Name:
. see:
ALONE,
:
DATE VACCINATED: | Veterinariar’s: # — PVE NN, ¢
producer: 4 ‘S) ¥. (License No.) *
_ _
9 ei \% First 8 fetters) Lh A De WTI
o
M onth Day Year (Signature) > :
11 yr Lic/Vace.
Address:
R3S yr. Lic./Vace.
VACCINATION EXPIRED:
Other 345 E iss}
5 Yquq
doy we BLAS |
Vacc. Serial (fot) no. 2,
Tempe
OWNER'S GOPY RABIES VACCINATION CERTIFICATE
Rabies Tag Number
NASPHV Form #51
Owner’s Name and Address Print - use ball point pen or type
PRINT -Aast First ML. Telephone
Koules) Ya rib Lory p-9 IF
Str City t Zip
No. ~} ib her J ye £50
MWS DAA Dracse fds
Size: Pred minant Breed: Colors:
Species: | Sex: Age:
Dog Male ~4 3 mo to 12 mo [J | Under 20 Ibs. S| -. AL C nicer,
¢
Cat Female [1] | 12 mo or older 20-50 lbs. [3 < ri
Other: [1] | Neutered (1 | Actual Age Over 50 Ibs. [1 ee
N
Specify) Actual ibs, y
Ap priéat ele ————
A2.») } od
DATE VACCINATED: : Producer: iC Veterinarian’s: inarian’s: #
2. O he
First 3 letters)
ff
Month £8 {Sidfature) Ds Belg
(1 yr. Lic./Vace.
Address:
‘pds yr. Lic./Vacc.
VACCINATION EXPIRED: Other
JO 1¥ 20 56
Month Day Year Vacc. {lot} no.
RABIES VACCINATION CERTIFICATE
ss Print ~ use ball point pen or type
:
First ML Telephone
Lt
(or
) ity P/)-02)9
7% (Purse Sta
[Xberon, Ari Pr Ogg
Size:
Colors:
3 moto 12 moAzh Under 20 ibsryQ Call
12 mo or older [1] 20 - 50 Ibs. Ae.
Actual Ase yy Over 50 Ibs. (9
Actual Ibs, Nai
N
a
Podoe ‘é) | Veterinarian’s: # de) EF
= zt.
{License No,)
(First 3 letters)
rh yr. Lic./Vace. (Signature)”
(18 yr. Lic./Vace. Address:
BE rem
——___._. Other
LEEFIA
face, Serial ( (lot) no,
RABIES VACCINATION CERTIFICATE
NASPHV Form #51 Rabies Tag Number
SS Print ~ use ball point pen or type
First M.L | Telephone
Manibrs 602 AFY3-OL)F
? a City
th litte A Zip
ds F062
t5
Age: Size: Predominant Breed:
Colors:
3 mo to 12 mo (] | Under 20 tbs. JA,
iy) |Bbkb /
. 12 mo or older 20-50lbs, (C] ANVOTN2S
Actual ae apy Over 50.fbs. {7 etd
Actual Ibs.
AL
ye
OWNERS COPY RABIES VACCINATION
CERTIFICATE
Owner'a Name and Address Print - use ball point pen or type
PRINT - Last First
Ml. [ Telephone
¢ C ex (gO
™ cone COADLOES D\Q_ GNF
Wega vane State :
B90 pc Bnoeasy 8 5 053
Species: eX! Age: Size:
| Predominant Breed: Colors:
Dog Male S13 mo to 12 mo [1 Under 20 Ibs, CW’ | ec
. 8 ¥ .
Cat ()| Female [1] 12 mo or older Ra} 20-50 tbs. Roc Ve :
Other: [1] / Neutered [1] | Actual Over 50 ibs, [I
AgeQs\ .
(Specify) Actual__/_ Ibs, | Name:
Ran Ne ———
DATE VACCINATED: Producer: Veterinarian’s: aN \\ O% )
“al iE # &
pan, icense No.
“A aa (5 First 3 tetters) Li kok Led VA
LZ (Ne
Month Day Year we; |
CJ 1 Lic./Vacc. (Sona Signat
yp. 5
yt. Lic./ Vac, Address:
VAGCINATION EXPIRED: ; Wn
Other ARG Ee. \ S
GA \% 5. UWA UG B sas| H
~
Month Day Vacc. Serial (lot) no, Tempe A285
%
RABIES CERTIFICATE
VETERINARIAN'S COPY VACCINATION
. -* NASPHV Form #51. Rabies Tag Number
Owner’s Name and Addresi_ } Print « -use ball point pen or type ‘ 5
PRINT - Lagt First
5 1 77 1 4 5 1914 1951 63 42 64.636093 Tele!
5 1 77 1 4 6 1993 1939 74 44 73.735390 hone
4 1 77 1 5 0 711 1937 1481 124 -1
5 1 77 1 5 1 711 1986 128 75 62.826389 fel
5 1 77 1 5 2 838 2011 76 42 33.202480 SA,
5 1 77 1 5 3 936 1969 256 89 33.862152 Mankyp-
5 1 77 1 5 4 1791 1937 166 112 32.838284 mobs
5 1 77 1 5 5 1964 1993 175 57 46.465622 VP
5 1 77 1 5 6 2143 1987 49 52 47.030869 IF
4 1 77 1 6 0 577 2044 1585 89 -1
5 1 77 1 6 1 577 2047 77 40 37.782104 No:
5 1 77 1 6 2 810 2051 60 52 35.350052 Sie
5 1 77 1 6 3 1392 2049 59 52 93.249016 City
5 1 77 1 6 4 1703 2044 52 89 90.154991 A
5 1 77 1 6 5 2076 2058 47 32 55.186085 Zip
4 1 77 1 7 0 649 2018 1360 136 -1
5 1 77 1 7 1 649 2055 148 71 0.000000 “ERS
5 1 77 1 7 2 773 2050 21 81 0.000000 3
5 1 77 1 7 3 816 2055 93 71 68.752235 SHE
5 1 77 1 7 4 916 2063 116 91 34.955669 3444
5 1 77 1 7 5 1050 2051 78 82 51.029892 Lr.
5 1 77 1 7 6 1470 2018 218 121 42.733284 hens,
5 1 77 1 7 7 1745 2054 58 64 28.576183 (2.
5 1 77 1 7 8 1845 2059 164 76 0.000000 PRETY
4 1 77 1 8 0 595 2127 1571 87 -1
5 1 77 1 8 1 595 2154 63 32 36.189278 be
5 1 77 1 8 2 780 2148 63 40 96.760628 Sex:
5 1 77 1 8 3 1003 2148 65 40 96.417702 Age:
5 1 77 1 8 4 1291 2139 5 9 0.000000 ’
5 1 77 1 8 5 1308 2151 63 27 96.530052 Size:
5 1 77 1 8 6 1579 2127 188 50 94.918579 Predominant
5 1 77 1 8 7 1780 2150 109 61 61.426498 Breed.
5 1 77 1 8 8 2064 2149 102 65 76.584106 Colors:
4 1 77 1 9 0 601 2160 1660 148 -1
5 1 77 1 9 1 601 2198 58 37 96.874001 Dog
5 1 77 1 9 2 780 2203 71 26 77.718925 Male
5 1 77 1 9 3 907 2221 31 22 51.623642 [1]
5 1 77 1 9 4 1014 2203 6 25 85.223785 3
5 1 77 1 9 5 1033 2209 44 19 85.223785 mo
5 1 77 1 9 6 1089 2203 29 25 94.100433 to
5 1 77 1 9 7 1131 2202 33 26 94.100433 12
5 1 77 1 9 8 1177 2208 46 20 95.145233 mo
5 1 77 1 9 9 1236 2197 33 31 0.000000 CJ
5 1 77 1 9 10 1279 2193 12 44 91.093071 |
5 1 77 1 9 11 1303 2202 89 26 94.896721 Under
5 1 77 1 9 12 1402 2202 37 24 96.524826 20
5 1 77 1 9 13 1450 2168 95 70 4.706078 Dey
5 1 77 1 9 14 1850 2184 52 79 27.314034 Uy.
5 1 77 1 9 15 1969 2164 169 140 21.180525 white
5 1 77 1 9 16 2150 2160 111 148 21.180525 __
4 1 77 1 10 0 1350 2205 506 89 -1
5 1 77 1 10 1 1350 2265 11 3 31.070528 .
5 1 77 1 10 2 1507 2219 38 62 24.627829 oq
5 1 77 1 10 3 1563 2208 128 57 18.254843 A)
5 1 77 1 10 4 1698 2205 158 89 14.298105 fsa
4 1 77 1 11 0 577 2185 893 110 -1
5 1 77 1 11 1 577 2286 4 3 72.082596 |
5 1 77 1 11 2 606 2245 45 50 72.150085 Cat
5 1 77 1 11 3 691 2185 55 109 27.029505 BS
5 1 77 1 11 4 780 2243 107 50 96.658768 Female
5 1 77 1 11 5 1005 2252 33 25 96.359009 12
5 1 77 1 11 6 1051 2258 45 19 96.359009 mo
5 1 77 1 11 7 1107 2257 30 20 96.924614 or
5 1 77 1 11 8 1147 2251 77 26 23.912420 older
| 20 - 50 Ibs.
| Other: 1 | Neutered Cy Actual AD Sor Over 50,bs. (J By Mies ee
{| Gpecity) TF | Actual} Ibs. +
“p> “ite F Xe<0}
: 41 1c Az. NY?
DATE VACCINATED: ; Veterinarian's: #
Producer: 2 C) & ¢ “le roy, a,
‘a
Foe /e- (First 9 letters} LD eook- iz,
ad
Month Day Year (Signature)
C141 yr. Lic./Vacc. sta ST.
masse JOS Es
3 yr. Lic./Vacc.
VACCINATION EXPIRED: fo. prs
Jere
Toad et
gb /9 wt
Month Day Year Vacc. Serial (lot) no.
VETERINARIAN'S COPY RABIES VACCINATION CERTIFICATE
. oN NASPHYV Form #51 lan Rabies Tag Number
Owner’s Name and Addreg Print - use ball point pen or type \
PRINT First MAI.
(au hey (Beer , Telephone
tlyene Joke P19m/ FOR
Sth br. PMrease An. rata Zip
SSPE
Species:, | Sex: Age: Size: Predominant Breed: Colors:
.
Dog W]{ Male 3 mo to 12 mo [} | Under 20 lbs, val - 4
A pI Ly wrefle oy, chee! fo
‘Cat [1] |.Femate 12 mo or older 1 20-50ibs. (1 fe
Other: [7 } Neutered [] | Actual 9° faye Over 50 }bs. [1
}
(Specify) Name:
Actual ibs.
A,
DATE VACCINATED: Producer: . fg — # fF dan Lit? 7
Z QO (License No) “i
ra van Lb Pests letters) , th. Bs —~ TS Lh a) Vi
Month Day Year (Signature)
[11 yr. Lic/Vace
“ee 3 Lic./ Vace. Address: OT E pA SF ~
yr. 8
VACCINATION EXPIRED: vi
— Other .
orxe, 2. PSD)
FA /9 lsd
Month Day Year Vacc. Serial (lot) no.
RABIES VACCINATION CERTIFICATE
NASPHV Form #51 Rabies Tag Number
Jwner’s Narne and Address Print ~ use ball point pen or type
*RINT - Last First MJ. Telephone
||
uber, Marilyn for Vte-02)9
S “hr
NLISS RA A Dare Ta 2. og3”
species: | Sex: Age: Size: Predominant Breed: Colors:
Jog wi Male C4] 3 mo to 12 mo [1] | Under 20 ised fA Lf;
.
Sat Female “| 12 mo or oldeNG{| 20 - 60 Ibs.
3ther; [1] | Neutered (1 | Actual food Over 50 Ibs, (1
Specify) [bros Name:
Actual Ke
Lo
JATE VACCINATED: Producer: Veterinarian’s: # A2~ }} x 7
2. ?) E
Jo a {? (First 3 Jetters} Lit Sond VA 2b), A
Vionth Day Year (Signature) ?
C114 yr. Lic/Vace.
radess: 2) EIS Wa
‘ws yt. Lic./Vace.
VACCINATION EXPIRED: Other .
; fo
Hlorpe, F2¥)
| IFA
Jo le 20
Month Day Year Vacc. Serial (lot} no.
VETERINARIAN'S COPY RABIES VACCINATION CERTIFICATE
NASPHV Form #51 Rabies Tag Number
Owner's mane and Addred J Print - use ball point pen or type O
PRINT - First va Telephone
alors Lays Mh nib. Jae LolrPy 0269
N O. City “* State =
Ib Es “WZ Z G4 Pr, ep AD ep
3 ve (ete)
Species: Sex.” . Age: Size: Predominant Breed: “Colors
|
Dog Male xf 3 mo to 12 mo C1 | Under 20 ibs].
Cat Female 12 mo or older EL} 20 - 50 Ibs. ERD Mi BOG Ul j 4 @
fe
=
Other: [] | Neutered [1 | Actual Age_. Over 50
(Specify) . ; loge be
Name:
Actual.
DATE VACCINATED: Ap», / /
Producer: Veterinarian’s: # eZ
QO ao (sa No.)
} f di (First . 3 tetters) iA. Pope v fe fh he
wnolle iz
ay ear 1 7 yr. Lic./Vace. {Signature)
Address: gS EIS \7-
Os yr. Lic./Vace,
NAGCINATION EXPIRED:
Other
bf 1G fen jus fi
ook
ay Year. VacoSéfial (68 Ho. °
C copy RABIES VACCINATION CERTIFICATE Rabies tag Number
_VETERINARIAN’S
NASPHV Form #51 ;
pero ) Print - use pen or type ( )
Owner's Name and bat point lepine
irs ‘sy eo
PRINT - f. “pl 0 1
D,
Ahn
4 Gity ) Viiv <i Zip
, Ne VERSA 390 / Doi _ hcg?
Breed: Fob Colors: —
| Predominant .
- Age: Size:
Species: Sex : mo Under 20 lbs 4 te ¢ ji er
Dog “A Male 3 mo to 12 0 ani
‘4 42 mo or olde? } 20 - 50 Ibs. a
\cat ‘C1| Female
Actual Age Over 50 Ibs.
ther: [1 ) Neutered “ )
eet Actual Ibs, f
-.
DATE VACCINATED: Producer: versa aa fies 7
(First 3 setters) fe r eX.
abe ah eB _ | Gignature) E i +h or.
7.
yt. Lic/ Vace. dross: 1S
&
’3 yr. Lic./Vace. Z A y528)
Ab
VACCINATION EXPIRED: Other
ep
/S2) 415A
Fabia | |
Month Day Year Vacc. Serial (lot) no.
pL
bog
Bis 3 CORY RABIES VACCINATION CERTIFICATE
Rabies Tag Number
NASPHYV Form #57
Owner's Name and Address Print - use bali point pen or type
First MLL. Telephone
Last
mo ra LOR |
MAATADCC 314 190%
eanet
Rous ie Stat
0 394% pe “Wnceny AZ 15053
Species: OX: Age: Size: Predominant Breed: Colors:
of “i
Dog MM Male 3 mo to 12 mo [1 | Under 20 Ibs. Van , \ KR ec\ ~
Ke
Cat ([3{Female [J] 12 moor older 1: 20-50 lbs. []
Other: [1] | Neutered [J | Actual Age Over 50 Ibs. [J
Specify) Actual ibs, | Name:
WUCG e-) |———--—
‘ ] L 39
DATE VACCINATED: Producer: wa ‘.) . Veterinarian’s: # 4
{License No.)
A AAS (First 3 letters}
4 Vind
Month Day Year (Sigitature) ,
1]1 yr Lic/Vace.
Address:
ef yr, Lic./Vace.
VACCINATION EXPIRED: 1S
Other 325 E st
AA ANZ -~ CoH
A2, 858!
“Jere.
Month Day Year Vacc. Serial (lot) no.
URE HS OEY RABIES VACCINATION CERTIFICATE
Rabies Tag Number
NASPHV Form #51
-
Owner's Name and Address Print - use ball point pen or type
First ML. | Telephone
PRINT - Last
Marilyn OIB4304
Pa ae
len
2 Strest 5 =i ‘tate
583 AgtN pc Bihhoeaiy Az
Size: Predominant Breed: Colors: -. |
Species: | Sex: Age:
Male C1} 3 mo to 12 mo (| Under 20 ibs. #27” Ce i le FD 4 ag
Dog “S\ve—
Cat (|Female fT] 12 mo or older PT| 20-50 tbs. LO LAN
Other: (1 | Neutered [77 } Actual Ages. Over 50 Ibs, [7] an
(Specify) Actual ibs, Name: :
riestq
Veterinarian's: # Az. PRS)
DATE VACCINATED: ; Prodcoe|“D ; eC. isaned No}
©
Cy OO (First 3 letters) th LorFk
>
(Signature)
Month Day Year (14 yr. Lic Vace.
Address:
Ka yt. Lic./Vacc. sth.
VACCINATION EXPIRED: Other 325 E st
A A AS ]U\YQHG BR
A2, 8528 |
Month Day Year Vacc. Serial (ot) no. Terry.
OWNER’S COPY RABIES VACCINATION CERTIFICATE
NASPHV Form #51 Rabies Tag Number
Owner’s Name and Address Print - use ball point pen or type
First Telephone
Ku
Zo
ey MM lonely Fi7P-O2)
T
a 4e€) Str 9% Me. Cit 0
(Keeney 4) mv at os oe
Species: | Sex: Age: Size: Predominant
Breed: Colors:
Dog Male C1] 3 mo to 12 mo Under 20 Ibs
2
Cat (1} Female sf 12 mo or older Z| 20-50 tbs. O
Other: [| Neutered [1 Actual Age Over 50 Ibs. [7]
(Specify) o
Actual_ Ibs.
CU
5 1 31 1 2 2 1546 840 410 63 0.000000 patarnop—
2 1 32 0 0 0 1401 788 358 16 -1
3 1 32 1 0 0 1401 788 358 16 -1
4 1 32 1 1 0 1401 788 358 16 -1
5 1 32 1 1 1 1401 788 358 16 95.000000
2 1 33 0 0 0 1744 755 46 197 -1
3 1 33 1 0 0 1744 755 46 197 -1
4 1 33 1 1 0 1744 755 46 197 -1
5 1 33 1 1 1 1744 755 46 197 95.000000
2 1 34 0 0 0 1701 956 388 12 -1
3 1 34 1 0 0 1701 956 388 12 -1
4 1 34 1 1 0 1701 956 388 12 -1
5 1 34 1 1 1 1701 956 388 12 95.000000
2 1 35 0 0 0 401 939 1687 38 -1
3 1 35 1 0 0 401 939 1687 38 -1
4 1 35 1 1 0 401 939 1687 38 -1
5 1 35 1 1 1 401 939 1687 38 95.000000
2 1 36 0 0 0 417 991 299 29 -1
3 1 36 1 0 0 417 991 299 29 -1
4 1 36 1 1 0 417 991 299 29 -1
5 1 36 1 1 1 417 991 78 26 96.083458 DATE
5 1 36 1 1 2 507 993 209 27 96.265167 VACCINATED:
2 1 37 0 0 0 430 1063 274 59 -1
3 1 37 1 0 0 430 1063 274 59 -1
4 1 37 1 1 0 430 1063 274 59 -1
5 1 37 1 1 1 430 1068 58 51 70.437248 Jo
5 1 37 1 1 2 536 1063 73 57 24.227482 J¥
5 1 37 1 1 3 638 1068 66 54 71.733780 /?
2 1 38 0 0 0 414 1129 285 35 -1
3 1 38 1 0 0 414 1129 285 35 -1
4 1 38 1 1 0 414 1129 285 35 -1
5 1 38 1 1 1 414 1129 90 26 95.781944 Month
5 1 38 1 1 2 535 1131 58 33 89.980858 Day
5 1 38 1 1 3 636 1132 63 26 61.620373 Year
2 1 39 0 0 0 411 1117 302 8 -1
3 1 39 1 0 0 411 1117 302 8 -1
4 1 39 1 1 0 411 1117 302 8 -1
5 1 39 1 1 1 411 1117 302 8 95.000000
2 1 40 0 0 0 410 1228 370 31 -1
3 1 40 1 0 0 410 1228 370 31 -1
4 1 40 1 1 0 410 1228 370 31 -1
5 1 40 1 1 1 410 1228 216 29 96.470032 VACCINATION
5 1 40 1 1 2 639 1233 141 26 94.727814 EXPIRED:
2 1 41 0 0 0 406 1302 310 62 -1
3 1 41 1 0 0 406 1302 310 62 -1
4 1 41 1 1 0 406 1302 310 62 -1
5 1 41 1 1 1 406 1319 103 45 25.860085 fo
5 1 41 1 1 2 550 1302 62 54 25.860085 1F
5 1 41 1 1 3 648 1302 68 51 96.542870 20
2 1 42 0 0 0 976 970 263 11 -1
3 1 42 1 0 0 976 970 263 11 -1
4 1 42 1 1 0 976 970 263 11 -1
5 1 42 1 1 1 976 970 263 11 95.000000
2 1 43 0 0 0 1145 975 5 102 -1
3 1 43 1 0 0 1145 975 5 102 -1
4 1 43 1 1 0 1145 975 5 102 -1
5 1 43 1 1 1 1145 975 5 102 95.000000
2 1 44 0 0 0 1055 975 5 102 -1
3 1 44 1 0 0 1055 975 5 102 -1
4 1 44 1 1 0 1055 975 5 102 -1
5 1 44 1 1 1 1055 975 5 102 95.000000
2 1 45 0 0 0 820 999 394 69 -1
3 1 45 1 0 0 820 972 394 102 -1
4 1 45 1 1 0 820 999 394 69 -1
5 1 45 1 1 1 820 1010 137 27 0.000000 Producor|
5 1 45 1 1 2 993 999 123 59 68.821129 210
5 1 45 1 1 3 1165 1008 49 60 82.204536 £
2 1 46 0 0 0 1233 976 6 103 -1
3 1 46 1 0 0 1233 976 6 103 -1
4 1 46 1 1 0 1233 976 6 103 -1
5 1 46 1 1 1 1233 976 6 103 95.000000
2 1 47 0 0 0 964 1071 272 9 -1
3 1 47 1 0 0 964 1071 272 9 -1
4 1 47 1 1 0 964 1071 272 9 -1
5 1 47 1 1 1 964 1071 272 9 95.000000
2 1 48 0 0 0 1018 1086 160 27 -1
3 1 48 1 0 0 1018 1086 160 27 -1
4 1 48 1 1 0 1018 1086 160 27 -1
5 1 48 1 1 1 1018 1086 55 26 92.024117 (First
5 1 48 1 1 2 1081 1089 13 18 92.024117 3
5 1 48 1 1 3 1104 1087 74 26 34.415150 laters)
2 1 49 0 0 0 862 1150 268 133 -1
3 1 49 1 0 0 862 1150 268 133 -1
4 1 49 1 1 0 862 1150 268 38 -1
5 1 49 1 1 1 862 1150 59 31 69.964882 C14
5 1 49 1 1 2 936 1162 32 26 91.259773 yr.
5 1 49 1 1 3 982 1156 148 28 39.994083 Lic./Vaee.
4 1 49 1 2 0 936 1206 192 32 -1
5 1 49 1 2 1 936 1212 30 26 81.088829 yr.
5 1 49 1 2 2 981 1206 147 27 81.690437 Lic./Vacc.
4 1 49 1 3 0 1041 1257 83 26 -1
5 1 49 1 3 1 1041 1257 83 26 96.829964 Other
2 1 50 0 0 0 867 1285 318 80 -1
3 1 50 1 0 0 867 1285 318 80 -1
4 1 50 1 1 0 867 1285 318 80 -1
5 1 50 1 1 1 867 1285 318 80 0.000000 LEEZILA
2 1 51 0 0 0 862 1276 166 7 -1
3 1 51 1 0 0 862 1276 166 7 -1
4 1 51 1 1 0 862 1276 166 7 -1
5 1 51 1 1 1 862 1276 166 7 95.000000
2 1 52 0 0 0 510 1354 749 14 -1
3 1 52 1 0 0 510 1354 749 14 -1
4 1 52 1 1 0 510 1354 749 14 -1
5 1 52 1 1 1 510 1354 749 14 95.000000
2 1 53 0 0 0 408 1366 287 35 -1
3 1 53 1 0 0 408 1366 287 35 -1
4 1 53 1 1 0 408 1366 287 35 -1
5 1 53 1 1 1 408 1366 90 28 96.666740 Month
5 1 53 1 1 2 529 1368 58 33 74.120781 Day
5 1 53 1 1 3 630 1369 65 26 0.000000 Year
2 1 54 0 0 0 810 1356 449 16 -1
3 1 54 1 0 0 810 1356 449 16 -1
4 1 54 1 1 0 810 1356 449 16 -1
5 1 54 1 1 1 810 1356 449 16 95.000000
2 1 55 0 0 0 810 1374 294 35 -1
3 1 55 1 0 0 810 1374 294 35 -1
4 1 55 1 1 0 810 1374 294 35 -1
5 1 55 1 1 1 810 1374 80 26 83.643745 Vacc.
5 1 55 1 1 2 902 1375 81 26 95.497330 Serial
5 1 55 1 1 3 994 1376 53 33 96.338852 (lot)
5 1 55 1 1 4 1060 1384 44 19 96.207100 no.
2 1 56 0 0 0 793 643 24 818 -1
3 1 56 1 0 0 793 643 24 818 -1
4 1 56 1 1 0 793 643 24 818 -1
5 1 56 1 1 1 793 643 24 818 95.000000
2 1 57 0 0 0 1695 969 272 66 -1
3 1 57 1 0 0 1695 969 272 66 -1
4 1 57 1 1 0 1695 969 272 66 -1
5 1 57 1 1 1 1695 965 60 85 33.326164 PV
5 1 57 1 1 2 1759 969 101 60 33.326164 d.0f
5 1 57 1 1 3 1865 973 102 62 26.772045 fF
2 1 58 0 0 0 1392 1003 234 31 -1
3 1 58 1 0 0 1392 1003 234 31 -1
4 1 58 1 1 0 1392 1003 234 31 -1
5 1 58 1 1 1 1392 1003 204 29 88.157791 Veterinarian’s:
5 1 58 1 1 2 1608 1008 18 26 93.244339 #
2 1 59 0 0 0 1659 1027 419 14 -1
3 1 59 1 0 0 1659 1027 419 14 -1
4 1 59 1 1 0 1659 1027 419 14 -1
5 1 59 1 1 1 1659 1027 419 14 95.000000
2 1 60 0 0 0 1660 1036 145 29 -1
3 1 60 1 0 0 1660 1036 145 29 -1
4 1 60 1 1 0 1660 1036 145 29 -1
5 1 60 1 1 1 1660 1039 92 25 88.412560 (License
5 1 60 1 1 2 1761 1036 44 29 64.655869 No.)
2 1 61 0 0 0 1437 1038 641 110 -1
3 1 61 1 0 0 1437 1038 641 110 -1
4 1 61 1 1 0 1437 1038 641 110 -1
5 1 61 1 1 1 1437 1072 116 65 52.459412 Lr.
5 1 61 1 1 2 1581 1031 149 137 23.699211 Fans
5 1 61 1 1 3 1786 1031 292 137 0.000000 lobbed
2 1 62 0 0 0 1389 1130 680 18 -1
3 1 62 1 0 0 1389 1130 680 18 -1
4 1 62 1 1 0 1389 1130 680 18 -1
5 1 62 1 1 1 1389 1130 680 18 95.000000
2 1 63 0 0 0 1366 654 23 815 -1
3 1 63 1 0 0 1366 654 23 815 -1
4 1 63 1 1 0 1366 654 23 815 -1
5 1 63 1 1 1 1366 654 23 815 95.000000
2 1 64 0 0 0 1574 1140 16 12 -1
3 1 64 1 0 0 1574 1140 16 12 -1
4 1 64 1 1 0 1574 1140 16 12 -1
5 1 64 1 1 1 1574 1140 16 12 23.713074 rae
2 1 65 0 0 0 1389 1139 137 31 -1
3 1 65 1 0 0 1389 1139 137 31 -1
4 1 65 1 1 0 1389 1139 137 31 -1
5 1 65 1 1 1 1389 1139 137 31 35.189320 (Signature)
2 1 66 0 0 0 1480 1171 523 82 -1
3 1 66 1 0 0 1386 1171 617 82 -1
4 1 66 1 1 0 1480 1171 523 82 -1
5 1 66 1 1 1 1386 1194 92 20 68.174118 mm
5 1 66 1 1 2 1480 1188 170 65 60.646885 208
5 1 66 1 1 3 1668 1171 77 82 23.342886 E.
5 1 66 1 1 4 1767 1146 239 107 22.986307 Skah
2 1 67 0 0 0 1492 1253 518 121 -1
3 1 67 1 0 0 1492 1253 518 121 -1
4 1 67 1 1 0 1492 1253 518 121 -1
5 1 67 1 1 1 1492 1256 203 118 0.000000 Goope.
5 1 67 1 1 2 1713 1253 297 103 0.000000 Ar-§525)
2 1 68 0 0 0 2074 337 32 1142 -1
3 1 68 1 0 0 2074 337 32 1142 -1
4 1 68 1 1 0 2074 337 32 1142 -1
5 1 68 1 1 1 2074 337 32 1142 95.000000
2 1 69 0 0 0 401 1447 1675 35 -1
3 1 69 1 0 0 401 1447 1675 35 -1
4 1 69 1 1 0 401 1447 1675 35 -1
5 1 69 1 1 1 401 1447 1675 35 95.000000
2 1 70 0 0 0 2148 346 16 665 -1
3 1 70 1 0 0 2148 346 16 665 -1
4 1 70 1 1 0 2148 346 16 665 -1
5 1 70 1 1 1 2148 346 16 665 95.000000
2 1 71 0 0 0 2135 346 31 1207 -1
3 1 71 1 0 0 2135 346 31 1207 -1
4 1 71 1 1 0 2135 346 31 1207 -1
5 1 71 1 1 1 2135 346 31 1207 95.000000
2 1 72 0 0 0 501 1876 1686 48 -1
3 1 72 1 0 0 501 1876 1686 48 -1
4 1 72 1 1 0 501 1876 1686 48 -1
5 1 72 1 1 1 501 1876 1686 48 95.000000
2 1 73 0 0 0 909 1888 872 64 -1
3 1 73 1 0 0 909 1888 872 64 -1
4 1 73 1 1 0 909 1888 872 64 -1
5 1 73 1 1 1 909 1909 180 40 96.837540 RABIES
5 1 73 1 1 2 1106 1910 334 40 96.400246 VACCINATION
5 1 73 1 1 3 1461 1888 320 64 90.605614 CERTIFICATE
2 1 74 0 0 0 1811 1947 375 14 -1
3 1 74 1 0 0 1811 1947 375 14 -1
4 1 74 1 1 0 1811 1947 375 14 -1
5 1 74 1 1 1 1811 1947 375 14 95.000000
2 1 75 0 0 0 516 2001 416 32 -1
3 1 75 1 0 0 516 2001 416 32 -1
4 1 75 1 1 0 516 2001 416 32 -1
5 1 75 1 1 1 516 2004 120 27 89.802498 Owner’s
5 1 75 1 1 2 649 2001 85 32 88.414124 Narhe
5 1 75 1 1 3 745 2006 55 27 96.782631 and
5 1 75 1 1 4 811 2007 121 26 96.711166 Address
2 1 76 0 0 0 1192 1971 299 29 -1
3 1 76 1 0 0 1192 1971 299 29 -1
4 1 76 1 1 0 1192 1971 299 29 -1
5 1 76 1 1 1 1192 1971 119 29 91.740265 NASPHV
5 1 76 1 1 2 1344 1972 80 28 96.335808 Form
5 1 76 1 1 3 1437 1974 54 26 96.544098 #57
2 1 77 0 0 0 1089 2013 509 35 -1
3 1 77 1 0 0 1089 2013 509 35 -1
4 1 77 1 1 0 1089 2013 509 35 -1
5 1 77 1 1 1 1089 2013 74 26 92.926140 Print
5 1 77 1 1 2 1174 2026 11 7 92.926140 -
5 1 77 1 1 3 1197 2020 54 20 96.712364 use
5 1 77 1 1 4 1263 2014 54 26 92.871338 ball
5 1 77 1 1 5 1329 2014 80 32 96.569107 point
5 1 77 1 1 6 1419 2021 57 27 96.474518 pen
5 1 77 1 1 7 1488 2022 32 20 95.703773 or
5 1 77 1 1 8 1530 2017 68 31 95.662239 type
2 1 78 0 0 0 1828 1962 293 33 -1
3 1 78 1 0 0 1828 1962 293 33 -1
4 1 78 1 1 0 1828 1962 293 33 -1
5 1 78 1 1 1 1828 1962 101 26 96.320946 Rabies
5 1 78 1 1 2 1939 1962 50 33 96.147758 Tag
5 1 78 1 1 3 2002 1962 119 27 96.772919 Number
2 1 79 0 0 0 498 2027 1688 46 -1
3 1 79 1 0 0 498 2027 1688 46 -1
4 1 79 1 1 0 498 2027 1688 46 -1
5 1 79 1 1 1 498 2027 1688 46 95.000000
2 1 80 0 0 0 1807 1952 9 204 -1
3 1 80 1 0 0 1807 1952 9 204 -1
4 1 80 1 1 0 1807 1952 9 204 -1
5 1 80 1 1 1 1807 1952 9 204 95.000000
2 1 81 0 0 0 496 2127 1690 46 -1
3 1 81 1 0 0 496 2127 1690 46 -1
4 1 81 1 1 0 496 2127 1690 46 -1
5 1 81 1 1 1 496 2127 1690 46 95.000000
2 1 82 0 0 0 1971 2154 6 78 -1
3 1 82 1 0 0 1971 2154 6 78 -1
4 1 82 1 1 0 1971 2154 6 78 -1
5 1 82 1 1 1 1971 2154 6 78 95.000000
2 1 83 0 0 0 496 2202 1687 47 -1
3 1 83 1 0 0 496 2202 1687 47 -1
4 1 83 1 1 0 496 2202 1687 47 -1
5 1 83 1 1 1 496 2202 1687 47 95.000000
2 1 84 0 0 0 1192 2223 13 304 -1
3 1 84 1 0 0 1192 2223 13 304 -1
4 1 84 1 1 0 1192 2223 13 304 -1
5 1 84 1 1 1 1192 2223 13 304 95.000000
2 1 85 0 0 0 1484 2361 366 14 -1
3 1 85 1 0 0 1484 2361 366 14 -1
4 1 85 1 1 0 1484 2361 366 14 -1
5 1 85 1 1 1 1484 2361 366 14 95.000000
2 1 86 0 0 0 511 2054 1669 482 -1
3 1 86 1 0 0 511 2054 1669 474 -1
4 1 86 1 1 0 516 2054 1461 92 -1
5 1 86 1 1 1 516 2054 121 92 8.292904 mi
5 1 86 1 1 2 652 2055 61 26 95.968468 Last
5 1 86 1 1 3 1278 2058 62 45 96.622749 First
5 1 86 1 1 4 1710 2061 51 26 29.165760 M.E
5 1 86 1 1 5 1825 2061 152 33 32.723614 {Telephone
4 1 86 1 2 0 2170 2102 10 18 -1
5 1 86 1 2 1 2170 2102 10 18 0.000000 o
4 1 86 1 3 0 630 2072 1545 123 -1
5 1 86 1 3 1 630 2072 270 114 35.674934 Ailey
5 1 86 1 3 2 1077 2094 269 90 28.573980 COA
5 1 86 1 3 3 1359 2079 86 116 23.810339 \xy
5 1 86 1 3 4 1492 2098 65 53 39.402641 Al
5 1 86 1 3 5 1782 2086 152 101 0.000000 kfc
5 1 86 1 3 6 1971 2095 88 56 80.747711 843
5 1 86 1 3 7 2077 2100 98 47 0.000000 o2Ne
4 1 86 1 4 0 745 2157 1112 41 -1
5 1 86 1 4 1 745 2157 62 24 25.821766 feet
5 1 86 1 4 2 1329 2166 5 18 77.151787 i
5 1 86 1 4 3 1813 2160 44 38 73.644882 ate
4 1 86 1 5 0 516 2148 1663 92 -1
5 1 86 1 5 1 516 2148 297 84 30.193466 e353
5 1 86 1 5 2 822 2144 74 98 30.193466 Ay
5 1 86 1 5 3 937 2161 136 74 42.832607 BoA
5 1 86 1 5 4 1194 2168 96 56 82.367653 De
5 1 86 1 5 5 1345 2153 292 85 25.913982 Pnloealy
5 1 86 1 5 6 1739 2169 121 71 50.312366 Ae
5 1 86 1 5 7 1986 2162 193 67 12.203331 |0S3
4 1 86 1 6 0 513 2243 1563 55 -1
5 1 86 1 6 1 513 2245 126 34 91.707748 Species:
5 1 86 1 6 2 666 2241 15 43 84.139442 {
5 1 86 1 6 3 693 2247 63 26 96.501350 Sex:
5 1 86 1 6 4 915 2243 66 43 96.099533 Age:
5 1 86 1 6 5 1211 2244 73 44 95.627953 Size:
5 1 86 1 6 6 1491 2251 186 28 96.040131 Predominant
5 1 86 1 6 7 1690 2253 94 26 96.236694 Breed:
5 1 86 1 6 8 1842 2288 5 10 42.489632 ;
5 1 86 1 6 9 1973 2253 103 27 89.047943 Colors:
4 1 86 1 7 0 514 2288 1474 70 -1
5 1 86 1 7 1 514 2295 59 33 96.966957 Dog
5 1 86 1 7 2 694 2288 69 47 96.802223 Male
5 1 86 1 7 3 850 2294 82 30 35.582195 1143
5 1 86 1 7 4 945 2304 45 20 94.190758 mo
5 1 86 1 7 5 1002 2300 29 24 94.912155 to
5 1 86 1 7 6 1044 2298 33 27 94.553375 12
5 1 86 1 7 7 1090 2306 44 19 94.553375 mo
5 1 86 1 7 8 1149 2295 33 30 51.138462 01
5 1 86 1 7 9 1186 2288 13 47 58.584446 |
5 1 86 1 7 10 1215 2298 90 27 96.417267 Under
5 1 86 1 7 11 1315 2300 35 25 94.701134 20
5 1 86 1 7 12 1362 2300 50 27 19.615784 tbs,
5 1 86 1 7 13 1959 2298 29 60 42.461437 S
4 1 86 1 8 0 513 2290 1659 146 -1
5 1 86 1 8 1 513 2346 51 26 93.486023 Cat
5 1 86 1 8 2 627 2343 33 30 0.000000 [1]
5 1 86 1 8 3 693 2348 107 24 0.000000 Female
5 1 86 1 8 4 849 2340 101 33 0.000000 4712
5 1 86 1 8 5 963 2355 87 18 81.015274 moor
5 1 86 1 8 6 1060 2337 86 67 92.428291 older,
5 1 86 1 8 7 1200 2349 180 27 19.340982 r20-S50ibs,
5 1 86 1 8 8 1422 2346 33 30 3.374205 C1]
5 1 86 1 8 9 1482 2315 81 61 9.811945 3
5 1 86 1 8 10 1557 2292 33 68 40.772499 if
5 1 86 1 8 11 1593 2316 93 48 43.931580 eer
5 1 86 1 8 12 1724 2294 155 82 20.178814 Sal
5 1 86 1 8 13 1926 2290 26 146 38.647995 —
5 1 86 1 8 14 1963 2290 208 146 0.000000 S20
es
med DX
Other: CT] Neutered (J | Actuat Over Oo ana?! yer
Specty wit wn
Actual_£4 lbs.
femmes fe, |-——__
A
eu A2
DATE VACCINATED: 1189
Producer:
ZIOlE {License Na.}
i a (First 3 letters) Dn. Lear [Lboekf
Month Day Year (Signature)
(1 yr. Lic./Vace.
Address:
[hSyr. Lic/Vace.
VACCINATION EXPIRED:
Other st
BAS E [sth
14 i8 SY/1949 b
Month Day Year Vacc. Serial (fot) no.
, VETERINARIAN’S COPY VACCINATION CERTIFICATE
RABIES ;
NASPHY Forin #57 . Rabies Tag Number ~
dere.) C)
Owner's Name and Print - use ball point pen or type — ;
' | PRINT - First : M.I. | Telephone:
o |
” Dn. City State ip
G53 ALS HE Phen, fr. Panes
Spetieg: Bex! Age: . *| Size: Predofinant Breed: Colors:
3 1 35 2 0 0 562 723 1637 215 -1
4 1 35 2 1 0 562 723 1637 102 -1
5 1 35 2 1 1 562 792 4 3 86.098686 _
5 1 35 2 1 2 583 747 14 52 95.934067 |
5 1 35 2 1 3 603 756 59 32 94.352615 Dog
5 1 35 2 1 4 675 732 31 69 40.905918 or
5 1 35 2 1 5 783 749 71 44 96.347549 Male
5 1 35 2 1 6 906 723 72 74 22.030077 ~%
5 1 35 2 1 7 1006 759 17 24 92.894974 3
5 1 35 2 1 8 1036 765 46 18 92.894974 mo
5 1 35 2 1 9 1092 760 29 23 96.577950 to
5 1 35 2 1 10 1134 759 33 24 95.887100 12
5 1 35 2 1 11 1180 765 44 20 95.639420 mo
5 1 35 2 1 12 1239 755 33 31 54.742249 [J
5 1 35 2 1 13 1280 751 12 44 85.112732 }
5 1 35 2 1 14 1306 759 89 27 96.782188 Under
5 1 35 2 1 15 1405 762 35 24 96.994446 20
5 1 35 2 1 16 1453 732 100 73 0.000000 ths,f1
4
He Lane
Cat []|Femate C1] 12 moorol er Zt 20-50lbs. CO] (spel [oe LE ye :
Other: [J | Neutered [1] | Actual Age Over 50,\bs. (J
Specity) % Actual.}_Ibs, | R Name
ne Oy . 4, “STO
ie
DATE VACCINATED: . Producer: Veterinarian's: # ite LET
2-|0 f= Ti cnae Ned
Y 26 ff {First 3 letters) LN. Hoan: Lobes
Month Day Year (Signature)
. £11 yr. Lic./Vace, |
5 1 42 1 1 2 1573 1225 98 22 95.258751 Address:
5 1 42 1 1 3 1677 1197 114 68 0.000000 je
5 1 42 1 1 4 1810 1200 59 57 54.443623 F.
5 1 42 1 1 5 1888 1198 22 52 92.542206 /
5 1 42 1 1 6 1911 1204 24 50 93.017456 3
5 1 42 1 1 7 1934 1194 61 51 27.426596 9k
ST-
, a 3 y yr. Lic./Vacc.
VACCINATION EXPIRED: |-
—_____. Other jorge, Ap PL)
[S2145A
Vacc. Serial (lot) no.
a
“
VeTERINARIAN'S COPY RABIES VACCINATION CERTIFICATE
C) NASPHV Form #51 Rabies tag Number
Owner's Name and Addres| co) _|
Print - use ball point pen or type a
PRINT -
Pa First M.L | Telephone
ule, SV rh.
ar LAs 602+ F V3 - ORG
No. tree
JbFSS Me SIA Dre eens Abe | i
FOS)
species Sex: Age: Size: Predominant Breed:
og ¥ || Male 3 mo to 12 mo [] | Under 20 Ibs. “yf Colors:
nw ere .
Cat Female [J | 12 mo or older 20 - 50 Ibs. go Mi] gelfe : Sheer
| i
Other: [1] Neutered [1] | Actual Age A A> Over 50 | s. Ol
Specify)
Actual Ibs. a
5 1 85 1 7 8 2198 2381 7 4 15.150518 .
5 1 85 1 7 9 2235 2369 3 3 30.329479 0
4 1 85 1 8 0 618 2435 1577 171 -1
5 1 85 1 8 1 618 2450 80 25 95.775589 DATE
5 1 85 1 8 2 708 2451 210 30 53.566513 VACCINATED:
5 1 85 1 8 3 1023 2451 138 52 96.072372 Producer:
5 1 85 1 8 4 1180 2457 64 59 33.688107 Zz.
5 1 85 1 8 5 1277 2455 36 72 46.957611 QO
5 1 85 1 8 6 1360 2445 56 78 20.566616 Eb
5 1 85 1 8 7 1596 2435 220 171 2.743187 —
5 1 85 1 8 8 1812 2477 17 24 87.330261 a
5 1 85 1 8 9 1892 2460 84 38 19.640265 LAs
5 1 85 1 8 10 1986 2451 23 48 92.591278 /
5 1 85 1 8 11 2010 2451 27 50 60.173141 /
5 1 85 1 8 12 2033 2452 43 65 29.967842 ff
5 1 85 1 8 13 2071 2445 34 59 80.846199 7
5 1 85 1 8 14 2187 2501 8 3 67.212288 2
4 1 85 1 9 0 681 2498 1319 34 -1
5 1 85 1 9 1 681 2498 54 21 6.713581 —
5 1 85 1 9 2 1863 2507 92 25 88.160202 {License
5 1 85 1 9 3 1963 2510 37 19 93.698349 No.
4 1 85 1 10 0 658 2505 1524 107 -1
5 1 85 1 10 1 658 2516 22 60 69.680191 6
5 1 85 1 10 2 739 2523 65 63 53.611923 Ly
5 1 85 1 10 3 846 2538 12 45 51.933006 A
5 1 85 1 10 4 868 2522 35 57 34.948086 b
5 1 85 1 10 5 1219 2549 77 25 95.391144 (First
5 1 85 1 10 6 1281 2543 10 38 95.391144 3
5 1 85 1 10 7 1305 2552 72 25 91.818771 letters)
5 1 85 1 10 8 1590 2541 62 65 31.791563 Lh
5 1 85 1 10 9 1629 2521 83 89 26.245222 (hy,
5 1 85 1 10 10 1758 2521 60 89 44.872406 hep
5 1 85 1 10 11 1764 2564 86 43 32.087723 yy,
5 1 85 1 10 12 1855 2528 127 83 38.041145 THe
5 1 85 1 10 13 1917 2505 265 107 60.690353 CEA!
2 1 86 0 0 0 1602 2599 668 21 -1
3 1 86 1 0 0 1602 2599 668 21 -1
4 1 86 1 1 0 1602 2599 668 21 -1
5 1 86 1 1 1 1602 2599 668 21 95.000000
2 1 87 0 0 0 1591 2609 151 28 -1
3 1 87 1 0 0 1591 2609 151 28 -1
4 1 87 1 1 0 1591 2609 151 28 -1
5 1 87 1 1 1 1591 2609 151 28 70.848648 (Signature)
5 1 87 1 1 2 1731 2605 15 36 47.956959 ©
2 1 88 0 0 0 1590 2623 363 80 -1
3 1 88 1 0 0 1590 2623 363 80 -1
4 1 88 1 1 0 1590 2623 363 80 -1
5 1 88 1 1 1 1590 2656 98 35 96.134468 Address:
5 1 88 1 1 2 1697 2639 116 64 29.794340 DS
5 1 88 1 1 3 1846 2623 52 78 22.569675 EF.
5 1 88 1 1 4 1897 2639 56 52 90.656502 of
2 1 89 0 0 0 1567 2133 28 803 -1
3 1 89 1 0 0 1567 2133 28 803 -1
4 1 89 1 1 0 1567 2133 28 803 -1
5 1 89 1 1 1 1567 2133 28 803 95.000000
2 1 90 0 0 0 1924 2624 203 67 -1
3 1 90 1 0 0 1924 2624 203 67 -1
4 1 90 1 1 0 1924 2624 203 67 -1
5 1 90 1 1 1 1924 2619 124 72 52.669216 ISH
5 1 90 1 1 2 2056 2636 71 52 42.565380 ST.
2 1 91 0 0 0 603 2907 1673 42 -1
3 1 91 1 0 0 603 2907 1673 42 -1
4 1 91 1 1 0 603 2907 1673 42 -1
5 1 91 1 1 1 603 2907 1673 42 95.000000
2 1 92 0 0 0 2329 1733 73 1145 -1
3 1 92 1 0 0 2329 1733 73 1145 -1
4 1 92 1 1 0 2329 1733 73 1145 -1
5 1 92 1 1 1 2329 1733 73 1145 95.000000
2 1 93 0 0 0 2274 1809 40 1141 -1
3 1 93 1 0 0 2274 1809 40 1141 -1
4 1 93 1 1 0 2274 1809 40 1141 -1
5 1 93 1 1 1 2274 1809 40 1141 95.000000
2 1 94 0 0 0 2472 21 78 3277 -1
3 1 94 1 0 0 2472 21 78 3277 -1
4 1 94 1 1 0 2472 21 78 3277 -1
5 1 94 1 1 1 2472 21 78 3277 95.000000
sus rs) bit
Month Day Year
(11 yr. Lic./Vace.
yt. Lic./Vacc,
VACCINATION EXPIRED:
Other
Let /9 /SatusA
.|Month Day Year Vacc, Serial (lot) no.
VETERINARIAN'S COPY RABIES VACCINATION CERTIFICATE
NASPHV Form #51 oo ‘ Rabies Tag Number
Owner's Name and Adres ~~) - Print - use ball point ( }
pen or type a é
PRINT - First M.t. {| Telephone
“ts {iq
auley, nm bys KOM 31 Fn J GOK
No. [6EEN rect / AL g City State Zip”
394k Ave Vf Ade
(heen, PCOS
Species: i Sex: Age: Size: Predominant Breed: “Colors:
.
Dog Male ll} 3 mo to 12 mo [2 ! Under 20 ths.
. > j (2 FLV a
4 Cat Female 12 mo or older | 20-50 ibs. 1] A
¥ 1
Other: [4] Neutered [] } Aciual Age Over 50Jps. [1]
(Specify) d
Actual Ibs. Name: .
he SCA .
G
—
DATE VACCINATED: Producer:| Veterinarian's: # fie Le oe
0 f 1
(First 3 featters) Lh. Bor Chel!
Month Day Year (Signature) *
J 4 yr. Lic./Vace,
3 Lic./Vacc. Address: 3af- . E . (x a S7-
yr. .
VACCINATION EXPIRED:
Other Ar.
Jorge PSG]
F 2b LED ee
ey
Month Day Year Vace. Serial {ot} 1 no.
RABIES VACCINATION CERTIFICATE
Rabies Tag Number
NASPHY Form #57
Owner’s Name and Address Print - use ball point pen or type
PRINT - Last First ML. _ Telephone
cay ic
Pauley War Wend 45 OM ;
tt
treet ity Z ; dy
W354 0 3474" Dr Pden . AZ. 89054
Species: Sex: Age: Size: | Predominan i Breed: Colors;
lors
Dog Male 8 mo to 12 mo [1 | Under 20 Ibs. ad p \ ; velar re
OC e
Cat [1|Femate (1| 12 mo or older PT] 20-50 tbs. O
Other: [1 |.Neutered [J | Actual Agent y Over 50 Ibs. C3
(Specify) Aciual Ibs. | Name: ame:
ALC-%
z
DATE
O15
5 1 84 1 13 3 1120 2588 137 49 96.779724 Producer:
5 1 84 1 13 4 1293 2594 50 58 52.154297 2.
5 1 84 1 13 5 1369 2603 49 49 79.348923 O
5 1 84 1 13 6 1453 2586 37 73 16.795120 €
5 1 84 1 13 7 1690 2589 203 26 24.552946 Veterinarian's:
5 1 84 1 13 8 1906 2589 17 26 92.289551 #
5 1 84 1 13 9 1889 2543 32 127 47.778061 +
5 1 84 1 13 10 2023 2556 71 83 6.380301 é
5 1 84 1 13 11 2094 2619 8 24 10.854197 .
5 1 84 1 13 12 2173 2564 18 52 83.616249 l
5 1 84 1 13 13 2265 2610 102 90 30.215954 Wa
4 1 84 1 14 0 727 2615 1605 121 -1
5 1 84 1 14 1 727 2658 38 38 34.680210 i
5 1 84 1 14 2 815 2652 92 84 42.644993 ee
5 1 84 1 14 3 1318 2679 55 26 96.493614 (First
5 1 84 1 14 4 1381 2679 9 20 94.153435 3
5 1 84 1 14 5 1401 2674 75 35 39.451523 tatters}
5 1 84 1 14 6 1727 2636 103 84 0.000000 Cn
5 1 84 1 14 7 1894 2615 92 121 0.000000 Fen
5 1 84 1 14 8 1916 2685 22 42 43.955040 ii
5 1 84 1 14 9 1939 2684 65 34 26.903620 5
5 1 84 1 14 10 2028 2663 44 52 0.000000 y,
5 1 84 1 14 11 2028 2633 186 84 0.000000 rfhep
5 1 84 1 14 12 2200 2635 21 83 18.166752 )
5 1 84 1 14 13 2255 2639 77 75 47.011929 od
4 1 84 1 15 0 717 2646 1091 137 -1
5 1 84 1 15 1 717 2733 90 26 95.751060 Month
5 1 84 1 15 2 838 2733 55 32 96.852539 Day
5 1 84 1 15 3 924 2646 116 113 57.568745 15
5 1 84 1 15 4 1165 2747 58 30 60.653694 C14
5 1 84 1 15 5 1239 2756 32 27 81.390511 yr.
5 1 84 1 15 6 1285 2748 143 27 33.488342 Lic./Vace.
5 1 84 1 15 7 1690 2727 118 26 66.576416 {Signature}
4 1 84 1 16 0 1707 2778 27 20 -1
5 1 84 1 16 1 1707 2778 27 20 91.347603 dd
4 1 84 1 17 0 1161 2778 1147 141 -1
5 1 84 1 17 1 1161 2785 65 52 0.000000 CWS
5 1 84 1 17 2 1239 2785 32 52 0.000000 yr.
5 1 84 1 17 3 1285 2798 61 27 81.420372 Lic./
5 1 84 1 17 4 1359 2794 71 41 78.788757 Vacc.
5 1 84 1 17 5 1689 2778 98 21 84.417068 Address:
5 1 84 1 17 6 2109 2805 199 114 38.057842 hy
4 1 84 1 18 0 715 2797 1381 110 -1
5 1 84 1 18 1 715 2832 214 27 0.000000 VACCINATION
5 1 84 1 18 2 943 2797 143 72 94.791267 EXPIRED:
5 1 84 1 18 3 1345 2847 81 27 96.942406 Other
5 1 84 1 18 4 1690 2829 47 75 96.235672 3
5 1 84 1 18 5 1740 2820 62 87 0.000000 oe)
5 1 84 1 18 6 1800 2820 47 78 68.669525 5
5 1 84 1 18 7 1889 2819 96 86 35.636803 EF
5 1 84 1 18 8 2028 2822 68 78 61.128872 1S
2 1 85 0 0 0 2372 1911 18 1139 -1
3 1 85 1 0 0 2372 1911 18 1139 -1
4 1 85 1 1 0 2372 1911 18 1139 -1
5 1 85 1 1 1 2372 1911 18 1139 95.000000
2 1 86 0 0 0 701 3038 1681 30 -1
3 1 86 1 0 0 701 3038 1681 30 -1
4 1 86 1 1 0 701 3038 1681 30 -1
5 1 86 1 1 1 701 3038 1681 30 95.000000
2 1 87 0 0 0 2398 1935 27 1131 -1
3 1 87 1 0 0 2398 1935 27 1131 -1
4 1 87 1 1 0 2398 1935 27 1131 -1
5 1 87 1 1 1 2398 1935 27 1131 95.000000
2 1 88 0 0 0 2527 22 23 3276 -1
3 1 88 1 0 0 2527 22 23 3276 -1
4 1 88 1 1 0 2527 22 23 3276 -1
5 1 88 1 1 1 2527 22 23 3276 95.000000
oO SUWIY Ay4 58
Térpe 2,
Month Day Year Vacc. Serial (lot} no.