NO LOST PAWS.PDF

Maricopa County — Formal (2016-03-09)

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Extracted text (via tesseract_tsv) 116583 characters
Maricopa County
Animal Care and Control
2500 South 27th Avenue
Phoenix, AZ 85009
(602) 506-7387 Tele.
(602) 506-2739 Fax
KENNEL PERMIT K/ 7-0 0090 6]
APPLICATION
i New L] Renewal
No lost a Pau WS *
Name: Kim Porter Kennel Name:
Mailing Address: 19926 W Colter Street Kennel Address: Same
City: Litchfield Park State: AZ Zip: 85340 City: Litchfield Park Zip: 85340
County Supervisorial District: 4
Phone: 623-734-7250 Kennel Phone: 623-734-7250
Please complete and sign this application and return it to the above address with payment in the amount of three
hundred twenty-eight dollars ($328.00) within ten (10) days of receipt.
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 $4 per month for unaltered dog and $2 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
1§ lMWe 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
condjtions (ARS 11-1001).
e certify that I/We have 49). dogs and that the kennel meets the definition in statute.
EAN e certify that I/We have not been convicted of a violation of A.R.S. §§ 13-2910 (cruelty to animals)
Bl
or 13-2910.01 (dog fighting), or similar violations of any other state, county or municipal animal welfare law.
(Violations-pf license and leash laws DO NOT apply).
4 A] \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. [Lf | We certify that I/We are submitting a valid copy of the rabies vaccination certificate for each
dog with/this application.
som We understand that a dog remaining within the kennel is not required to be licensed individually under
A.R.S."§ 11-1008. IAve 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 thig section.
hi {We understand that a person who fails to obtain a kennel permit under A.R.S.§11-1009 is subject to a
i
penalty gf twenty-five dollars in addition to the annual fee.
8. We understand that a person who knowingly fails to obtain a kennel permit within thirty days after
wriften'notification from the county enforcement agent is guilty of a class 2 misdemeanor..
9: Lf The 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 jnformation I/We have provi is true and accurate under penalty of law.
| Dior
UTE nh bes th CC.
Applicant Signature _Date:
‘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 & Control
2500 South 27" Avenue
Phoenix, AZ 85009
Phone: (602) 506-7387
pets.maricopa.gov
KENNEL PERMIT K17-000061
PREMISE INSPECTION
Number of Dogs: 4S
Name: KIM PORTER Kennel Name: NOLOST PAWS
Mailing Address: 19926 W COLTER ST Kennel Address: SAME
City: LITCHFIELD PARK State: AZ Zip:85340
County Supervisorial District: #4
Phone: 623-734-4250 Kennel Phone: 623-734-4250
1. Are all dogs over the age of three months properly vaccinated for rabies and in
of a valid rabies vaccination certificate?
=
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?
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.)
Deputy Enforcement Agent & Badge #: Lt Timothy Rummel Date: Ilo
October 2015

Maricopa County Animal Care and Control
2500 S. 27th Avenue
Phoenix, AZ 85009-6797
(602) 506-7387
http://pets.maricopa.gov
Receipt Number: R15-280199 Receipt Date: 12/16/2015
Person ID: P1233846
Phone: 623 7347250
NO PAWS LEFT BEHIND KENNELS
12/16/2015 3:40:13Ph
19926 W COLTER ST
LITCHFIELD PARK, AZ 85340
Item: ‘ Animal ID: Reference No: . Price: Each: Amount:
KEN PERMIT $328.00 1 $328.00
5	1	18	1	3	2	1670	1315	70	26	96.020859	Total
5	1	18	1	3	3	1752	1315	72	26	96.761833	Fees
5	1	18	1	3	4	1836	1315	66	26	95.927895	Due:
5	1	18	1	3	5	2105	1306	147	38	96.803986	$328.00
4	1	18	1	4	0	1497	1374	755	57	-1	
5	1	18	1	4	1	1497	1388	162	43	96.266518	Payments:
5	1	18	1	4	2	1796	1374	106	42	27.662039	Cash:
5	1	18	1	4	3	2151	1388	101	37	96.457779	$0.00
4	1	18	1	5	0	1802	1429	450	47	-1	
5	1	18	1	5	1	1802	1429	100	47	96.148262	Check:
5	1	18	1	5	2	2103	1437	149	38	95.863579	$328.00
4	1	18	1	6	0	1725	1488	527	36	-1	
5	1	18	1	6	1	1725	1489	89	26	96.743767	Credit
5	1	18	1	6	2	1824	1489	78	26	96.855377	Card:
5	1	18	1	6	3	2150	1488	102	36	95.852585	$0.00
4	1	18	1	7	0	1494	1564	756	37	-1	
5	1	18	1	7	1	1494	1567	74	26	96.147575	Total
5	1	18	1	7	2	1581	1567	155	32	96.769363	Payments
5	1	18	1	7	3	1747	1566	154	26	95.806503	Received:
5	1	18	1	7	4	2103	1564	147	37	96.574631	$328.00
3	1	18	2	0	0	207	1618	2043	164	-1	
4	1	18	2	1	0	1524	1618	219	32	-1	
5	1	18	2	1	1	1524	1618	122	32	96.471062	Thank
5	1	18	2	1	2	1657	1618	86	31	38.482552	You!
4	1	18	2	2	0	207	1685	2043	52	-1	
5	1	18	2	2	1	207	1696	114	32	96.306328	Would
5	1	18	2	2	2	336	1704	63	33	96.703331	you
5	1	18	2	2	3	415	1696	58	32	96.271721	like
5	1	18	2	2	4	487	1697	32	31	96.271721	to
5	1	18	2	2	5	534	1696	101	32	96.603256	share
5	1	18	2	2	6	646	1704	80	32	96.659836	your
5	1	18	2	2	7	738	1695	200	41	96.651169	experience
5	1	18	2	2	8	949	1693	71	32	96.795158	with
5	1	18	2	2	9	1035	1701	59	24	96.810600	our
5	1	18	2	2	10	1106	1693	129	32	96.369614	service
5	1	18	2	2	11	1247	1694	33	31	96.795570	to
5	1	18	2	2	12	1293	1692	86	41	96.965706	you?
5	1	18	2	2	13	1779	1685	122	50	96.637123	Change:
5	1	18	2	2	14	2150	1688	100	37	95.660332	$0.00
4	1	18	2	3	0	217	1738	2033	44	-1	
5	1	18	2	3	1	217	1744	122	32	95.995667	Please
5	1	18	2	3	2	352	1744	71	32	96.769470	visit
5	1	18	2	3	3	435	1752	60	23	96.885437	our
5	1	18	2	3	4	505	1743	137	32	96.236305	website
5	1	18	2	3	5	657	1744	32	31	93.260399	at
5	1	18	2	3	6	703	1741	438	41	87.740967	http://pets.maricopa.gov
5	1	18	2	3	7	1153	1740	65	32	96.835243	and
5	1	18	2	3	8	1233	1740	80	32	96.610786	click
5	1	18	2	3	9	1326	1747	42	25	97.007118	on
5	1	18	2	3	10	1704	1740	119	26	96.596283	Balance
5	1	18	2	3	11	1835	1740	66	26	96.797302	Due:
5	1	18	2	3	12	2148	1738	102	37	96.289688	$0.00
2	1	19	0	0	0	1425	1677	7	168	-1	
3	1	19	1	0	0	1425	1677	7	168	-1	
4	1	19	1	1	0	1425	1677	7	168	-1	
5	1	19	1	1	1	1425	1677	7	168	95.000000	 
2	1	20	0	0	0	153	1683	7	167	-1	
3	1	20	1	0	0	153	1683	7	167	-1	
4	1	20	1	1	0	153	1683	7	167	-1	
5	1	20	1	1	1	153	1683	7	167	95.000000	 
2	1	21	0	0	0	315	1788	951	42	-1	
3	1	21	1	0	0	315	1788	951	42	-1	
4	1	21	1	1	0	315	1788	951	42	-1	
5	1	21	1	1	1	315	1791	157	32	94.319923	“Contact
5	1	21	1	1	2	486	1791	62	32	94.643776	Us
to email your comments for our review.
RUBINOJ WBUSOFF

RABIES VACCINATION CERTIFICATE
OWNER'S INFORMATION:
qm (P217699 | GtbL2e57649 CELL
cLISGUN
LAST NAME FIRST NAME PERSON ID TELEPHONE NUMBER EXT:
8609 -E NORTHLAND, COR SCOTTSDALE AZ (G5250)
STREET ADDRESS APT CITY STATE ZIP CODE
ANIMAL INFORMATION
DOG SPAYED 5/28/2004 SMALL CHIHUAHUA SH MIX
ANIMAL TYPE ANIMAL SEX ANIMAL DATE OF BIRTH SIZE PRIMARY BREED SECONDARY BREED
aN) a3606489 Sashe Va ; Sana ae BLACK | WHITE
| . 1995 //2005.374%23
P PRIMARY. COLOR: WHITE SECONDARY. COLOR
ANIMAL NAME MICROCHIP NUMBER
\9
\S VACGINATION INFORMATION
‘SS RABDOMUN 42 Months 6/6/2015 6/6/2016 2/22/16
a)
kc VACCINE PRODUCER VACC. LENGTH DATE VACCINATED VACCINATION EXPIRES PRINT DATE
DL ~~ vom
Aare hi ae ‘ Maricopa County
KILLED
Animal Care & Control
VACCINE TYPE VETERINARIANS SIGNATURE 2500 S 27th Avenue, Phoenix, AZ 85009
(602) 506-7387
$410328
VACC. SERIAL NO. VETERINARIAN'S LICENSE NUMBER
}
. |
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|
RABIES VACCINATION CERTIFICATE Tag fee $: Rone ew ys
| ame |
| ADAPTED NASPHV FORM 51 Tag #:
LI RABIES
| Owner's Name & Address PRINT - use ballpoint pen or type Cert. Serial #: |
}
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PRI FIRST MI TELEPHONE ‘ica |
nae COCANINE DISTEMPER
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P, Le STREET al, airy 1) STATE ZIP OCANINE PARAINFLUENA
Alle 4 Le), fi Dh ry Lid Awd Vn +O 7 CICANINE ADENOVIRUS 2
3 Sh CMe ets,
ee a . SIZE: “TREDOMNANT | COLORS C1CANINE PARVOVIRUS
a val . ‘BREED:
ig ale _f2T3 ie Mo. to . 12 Mo. ’ Under 20 Ibs. EJ'}-*
5	1	83	1	34	12	1591	2375	26	9	41.636806	aa
5	1	83	1	34	13	1639	2371	33	26	29.876209	di
5	1	83	1	34	14	1765	2399	4	8	58.105335	\
4	1	83	1	35	0	215	2375	2219	88	-1	
5	1	83	1	35	1	215	2419	45	24	65.720131	Cat
5	1	83	1	35	2	291	2415	45	29	45.280884	(0
5	1	83	1	35	3	434	2422	94	41	74.167534	Female
5	1	83	1	35	4	597	2417	262	36	46.607544	(1/12Mo.orolder
5	1	83	1	35	5	900	2421	211	31	0.000000	2E|20-sobs
5	1	83	1	35	6	1166	2424	29	29	13.128214	OO]
5	1	83	1	35	7	1258	2410	54	38	23.521973	\
5	1	83	1	35	8	1317	2385	16	33	59.244465	:
5	1	83	1	35	9	1324	2375	65	64	34.827190	1s
5	1	83	1	35	10	1390	2412	68	26	33.089832	ae
5	1	83	1	35	11	1611	2397	119	51	39.513718	fool
5	1	83	1	35	12	1729	2408	38	13	42.371582	p=
5	1	83	1	35	13	2028	2387	160	30	17.447357	eee
5	1	83	1	35	14	2199	2390	235	37	88.571335	CORONAVIRUS
4	1	83	1	36	0	215	2428	2223	71	-1	
5	1	83	1	36	1	215	2466	72	24	83.243546	Other
5	1	83	1	36	2	309	2462	29	30	65.445236	C
5	1	83	1	36	3	367	2436	18	67	93.183250	|
5	1	83	1	36	4	406	2436	18	67	37.859955	|
5	1	83	1	36	5	432	2469	92	24	25.119705	Altered
5	1	83	1	36	6	562	2436	18	67	46.480453	=
5	1	83	1	36	7	596	2465	29	29	61.690166	0
5	1	83	1	36	8	971	2474	156	24	1.837711	omege
5	1	83	1	36	9	1166	2470	28	29	40.173855	Gl
5	1	83	1	36	10	1244	2470	69	24	20.001072	RE:
5	1	83	1	36	11	2027	2443	160	29	88.368042	CICANINE
5	1	83	1	36	12	2199	2447	209	27	96.703743	BORDETELLA
5	1	83	1	36	13	2432	2428	6	68	95.488731	|
4	1	83	1	37	0	215	2499	2103	61	-1	
5	1	83	1	37	1	215	2515	110	45	96.555634	(Specify)
5	1	83	1	37	2	1257	2516	45	30	15.447645	™~
5	1	83	1	37	3	1407	2539	20	17	0.000000	.
5	1	83	1	37	4	2026	2499	29	29	19.010258	CU
5	1	83	1	37	5	2066	2502	252	27	19.010258	LEPTOSPIROSIS
4	1	83	1	38	0	215	2553	2222	79	-1	
5	1	83	1	38	1	215	2608	96	24	40.769463	a
5	1	83	1	38	2	1272	2567	5	30	58.850784	1
5	1	83	1	38	3	1346	2556	88	41	20.561367	S403
5	1	83	1	38	4	2025	2555	149	30	31.878265	CFELINE
5	1	83	1	38	5	2186	2559	161	26	93.259872	LEUKEMIA
5	1	83	1	38	6	2356	2553	81	32	61.510647	VIRU
4	1	83	1	39	0	268	2586	2169	50	-1	
5	1	83	1	39	1	268	2610	16	21	45.781895	E
5	1	83	1	39	2	308	2610	40	23	45.781895	VAC
5	1	83	1	39	3	748	2610	8	19	0.000000	f
5	1	83	1	39	4	1292	2586	22	50	26.625738	ee
4	1	83	1	40	0	256	2593	2181	85	-1	
5	1	83	1	40	1	256	2655	17	23	0.000000
CINATED: PRODUCER; CJ FELINE PANLEUKOPENI/
iavinoiieniiadd ( 3s.
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VACCINATION TYR Signature i
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\ Month Day Year tPA Beet CAC 4 5
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VACO0410001 Ingelheim
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RABIES VACCINATION CERTIFICATE
Tag fee $:
ADAPTED NASPHY F ORM 51 Tag #:
Owner's Name & Address PRINT ~ use ball point pen or type Cert, Serial #:
RIT LAST.
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SPECIES: (s
Male Wo SIZE: PREDOMINANT BREED: | COLORS:
Dog 3 to 12 Mo. C)| Under 20 los. O ~
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or older 20-50lbs b ~
Other CI | Altred
hover 50 Ibs, }d) NAME:
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(Specify) N
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DATE VACCINATED: PRODUCER:
Veterinarian'sef” 3 3
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License No.
Month Day Year
_ First 3 Letters) Veterinar
VACCINATION | |" “e/Vace. CJ | Ws
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Vacc. Serial Crrtnd Lag f- ae
(Lot) No. wy
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RABIES VACCINATION CERTIFICATE
Tagfee$:_
; ADAPTED NASPHV FORM 57 Tag #:
Owner's Name & Address PRINT - use ball point pen or type Cert. Serial —_———- #:
Voit LF u M
Big ahs 23 BVI2Se
- STREET
5	1	108	1	6	3	879	2048	27	24	65.157394	Cl
5	1	108	1	6	4	1237	2042	10	7	0.000000	~
5	1	108	1	6	5	1263	2042	84	40	96.388016	STATE
5	1	108	1	6	6	1497	2063	47	24	80.286110	ZIP
4	1	108	1	7	0	120	1993	1731	150	-1	
5	1	108	1	7	1	120	2028	168	109	29.811544	(P92
5	1	108	1	7	2	438	2062	395	70	27.382059	lope
5	1	108	1	7	3	849	2034	357	96	0.000000	Jilbibdid
5	1	108	1	7	4	1249	2076	130	78	54.152409	fi.
5	1	108	1	7	5	1488	2089	141	54	19.329271	|S5S82
5	1	108	1	7	6	1642	1993	209	142	0.000000	——
4	1	108	1	8	0	129	2127	1536	115	-1	
5	1	108	1	8	1	129	2127	131	39	69.422134	SPECIES:
5	1	108	1	8	2	352	2133	61	37	81.215302	SEX:
5	1	108	1	8	3	576	2138	66	37	76.654449	AGE:
5	1	108	1	8	4	897	2148	69	24	96.424095	SIZE:
5	1	108	1	8	5	1087	2149	51	93	39.710522	ve
5	1	108	1	8	6	1155	2142	191	39	96.777046	PREDOMINANT
5	1	108	1	8	7	1353	2160	92	24	96.529541	BREED:
5	1	108	1	8	8	1472	2156	17	39	96.153656	|
5	1	108	1	8	9	1494	2161	128	26	92.249008	COLORS:
5	1	108	1	8	10	1662	2169	3	3	69.509575	-
4	1	108	1	9	0	129	2174	1521	83	-1	
5	1	108	1	9	1	129	2178	54	30	96.545074	Dog
5	1	108	1	9	2	352	2174	62	46	59.824417	Male
5	1	108	1	9	3	514	2181	76	30	0.000000	{3}3
5	1	108	1	9	4	606	2188	48	25	81.676949	Mo,
5	1	108	1	9	5	670	2191	26	22	84.396454	to
5	1	108	1	9	6	713	2190	30	24	84.396454	12
5	1	108	1	9	7	760	2192	47	24	89.525368	Mo.
5	1	108	1	9	8	835	2187	31	30	22.597103	(|
5	1	108	1	9	9	897	2194	80	26	96.522293	Under
5	1	108	1	9	10	985	2197	32	23	96.522293	20
5	1	108	1	9	11	1029	2197	42	25	88.703087	tbs,
5	1	108	1	9	12	1139	2224	13	7	48.564720	L
5	1	108	1	9	13	1368	2214	11	8	20.179100	.
5	1	108	1	9	14	1566	2200	8	57	33.332474	|
5	1	108	1	9	15	1596	2200	54	56	49.765572	he
4	1	108	1	10	0	93	2196	1617	90	-1	
5	1	108	1	10	1	93	2217	81	32	70.183540	‘Tcat
5	1	108	1	10	2	222	2221	29	29	26.129993	0
5	1	108	1	10	3	351	2230	93	25	94.959381	Female
5	1	108	1	10	4	561	2236	42	28	58.778095	112
5	1	108	1	10	5	616	2236	47	23	96.152626	Mo.
5	1	108	1	10	6	676	2242	27	17	94.937813	or
5	1	108	1	10	7	712	2238	68	23	94.973381	older
5	1	108	1	10	8	894	2242	143	25	58.563721	20-50ibs
5	1	108	1	10	9	1090	2241	32	29	13.610373	L]
5	1	108	1	10	10	1254	2196	51	65	88.097717	C
5	1	108	1	10	11	1316	2204	46	82	49.479927	be
5	1	108	1	10	12	1371	2245	12	19	64.870590	&
5	1	108	1	10	13	1651	2227	59	33	62.975254	“A,
4	1	108	1	11	0	124	2268	1115	48	-1	
5	1	108	1	11	1	124	2271	78	26	92.014664	Other
5	1	108	1	11	2	223	2268	29	30	85.407631	O
5	1	108	1	11	3	348	2277	90	26	88.551575	Altered
5	1	108	1	11	4	869	2280	87	32	85.794128	TOver
5	1	108	1	11	5	964	2290	32	23	95.590958	50
5	1	108	1	11	6	1008	2290	44	25	76.205338	Ibs.
5	1	108	1	11	7	1089	2287	32	29	1.329203	(1)
5	1	108	1	11	8	1131	2276	9	50	48.523376	}
5	1	108	1	11	9	1150	2288	89	25	94.337776	NAME:
4	1	108	1	12	0	123	2409	1488	93	-1	
5	1	108	1	12	1	123	2415	73	24	96.960175	DATE
5	1	108	1	12	2	205	2416	185	28	96.218384	VACCINATED:
5	1	108	1	12	3	498	2409	170	53	95.924606	PRODUCER:
5	1	108	1	12	4	1146	2457	174	26	48.989464	\eterinarian's
5	1	108	1	12	5	1329	2460	15	24	69.011902	#
5	1	108	1	12	6	1351	2427	90	75	41.852470	eo,
5	1	108	1	12	7	1450	2433	161	54	59.431313	32557
4	1	108	1	13	0	100	2444	1402	94	-1	
5	1	108	1	13	1	100	2444	19	76	53.015854	|
5	1	108	1	13	2	138	2448	23	68	47.343155	|
5	1	108	1	13	3	181	2450	64	62	31.455526	mw
5	1	108	1	13	4	288	2449	11	53	92.190857	|
5	1	108	1	13	5	316	2460	32	44	71.545616	O
5	1	108	1	13	6	386	2460	19	62	72.654480	|
5	1	108	1	13	7	417	2462	60	64	16.852608	oe
5	1	108	1	13	8	810	2478	49	56	1.154022	i
5	1	108	1	13	9	871	2463	50	75	0.000000	L|
5	1	108	1	13	10	1350	2480	96	37	51.535378	License
5	1	108	1	13	11	1458	2490	44	29	79.337723	No.
4	1	108	1	14	0	127	2523	1189	79	-1	
5	1	108	1	14	1	127	2525	86	25	86.970924	Month
5	1	108	1	14	2	279	2529	50	30	71.747879	Day
5	1	108	1	14	3	387	2523	65	33	59.131489	“Year
5	1	108	1	14	4	732	2552	62	28	91.275337	(First
5	1	108	1	14	5	810	2553	6	23	79.054550	3
5	1	108	1	14	6	832	2536	94	66	80.895950	Letters)
5	1	108	1	14	7	1143	2567	173	34	41.633266	Veterinariaf's
4	1	108	1	15	0	492	2607	773	63	-1	
5	1	108	1	15	1	492	2610	9	21	91.700844	1
5	1	108	1	15	2	515	2616	30	21	75.065796	yr.
5	1	108	1	15	3	556	2610	43	23	64.913002	Lic
5	1	108	1	15	4	600	2612	81	24	39.566277	Vace.
5	1	108	1	15	5	690	2607	30	29	29.725351	[J
5	1	108	1	15	6	1141	2620	124	50	96.824295	Signature
4	1	108	1	16	0	115	2628	1573	71	-1	
5	1	108	1	16	1	115	2628	191	27	41.010551	VACCINATION
5	1	108	1	16	2	318	2634	123	24	94.410461	EXPIRES:
5	1	108	1	16	3	1318	2667	7	14	21.653236	v
5	1	108	1	16	4	1527	2660	12	35	13.296928	Ly
5	1	108	1	16	5	1674	2693	14	6	0.000000	.
4	1	108	1	17	0	487	2657	1331	86	-1	
5	1	108	1	17	1	487	2672	16	22	91.103889	3
5	1	108	1	17	2	513	2678	30	22	58.756710	yt
5	1	108	1	17	3	555	2673	42	23	54.355946	Lic.
5	1	108	1	17	4	598	2673	82	24	54.355946	Macc.
5	1	108	1	17	5	675	2657	63	85	0.000000	re
5	1	108	1	17	6	1138	2699	107	24	22.529102	Address
5	1	108	1	17	7	1266	2666	27	54	22.529102	3
5	1	108	1	17	8	1304	2677	20	60	14.309483	a
5	1	108	1	17	9	1367	2680	43	58	35.133911	UY
5	1	108	1	17	10	1448	2674	69	65	27.035805	rw
5	1	108	1	17	11	1530	2671	194	72	45.373016	Stung
5	1	108	1	17	12	1734	2712	84	24	24.075264	(2.
4	1	108	1	18	0	112	2693	1646	110	-1	
5	1	108	1	18	1	112	2733	86	26	77.251991	Manth
5	1	108	1	18	2	272	2739	51	29	96.507919	Day
5	1	108	1	18	3	388	2741	56	24	96.506973	Year
5	1	108	1	18	4	721	2693	357	94	0.000000	SYHLYgI4y
5	1	108	1	18	5	1249	2750	95	37	8.009281	Ark
5	1	108	1	18	6	1349	2757	70	32	24.429569	a
5	1	108	1	18	7	1478	2765	37	27	16.319809	a
5	1	108	1	18	8	1560	2749	118	54	37.295189	hae
5	1	108	1	18	9	1729	2738	29	45	86.228294	J
4	1	108	1	19	0	126	2744	1665	124	-1	
5	1	108	1	19	1	126	2744	16	72	72.087479	i
5	1	108	1	19	2	169	2764	68	57	22.869419	o-
5	1	108	1	19	3	261	2775	12	41	68.361725	i
5	1	108	1	19	4	288	2780	45	36	90.592941	D
5	1	108	1	19	5	366	2771	12	63	29.846367	{
5	1	108	1	19	6	390	2769	65	75	71.571365	Py
5	1	108	1	19	7	701	2805	4	3	54.986053	.
5	1	108	1	19	8	724	2781	70	24	72.792603	Vace.
5	1	108	1	19	9	804	2784	72	24	96.046066	Serial
5	1	108	1	19	10	886	2784	56	30	91.066704	(Lot)
5	1	108	1	19	11	952	2787	52	41	52.471012	No.
5	1	108	1	19	12	1570	2801	29	51	25.120148	&
5	1	108	1	19	13	1614	2817	75	45	61.570896	T>
5	1	108	1	19	14	1707	2828	30	33	66.526100	>
5	1	108	1	19	15	1747	2825	44	43	59.850445	~
2	1	109	0	0	0	1117	2136	28	726	-1	
3	1	109	1	0	0	1117	2136	28	726	-1	
4	1	109	1	1	0	1117	2136	28	726	-1	
5	1	109	1	1	1	1117	2136	28	726	95.000000	 
2	1	110	0	0	0	464	2404	22	443	-1	
3	1	110	1	0	0	464	2404	22	443	-1	
4	1	110	1	1	0	464	2404	22	443	-1	
5	1	110	1	1	1	464	2404	22	443	95.000000	 
2	1	111	0	0	0	1266	2657	530	23	-1	
3	1	111	1	0	0	1266	2657	530	23	-1	
4	1	111	1	1	0	1266	2657	530	23	-1	
5	1	111	1	1	1	1266	2657	530	23	95.000000	 
2	1	112	0	0	0	1254	2717	563	26	-1	
3	1	112	1	0	0	1254	2717	563	26	-1	
4	1	112	1	1	0	1254	2717	563	26	-1	
5	1	112	1	1	1	1254	2717	563	26	95.000000	 
2	1	113	0	0	0	1247	2780	541	24	-1	
3	1	113	1	0	0	1247	2780	541	24	-1	
4	1	113	1	1	0	1247	2780	541	24	-1	
5	1	113	1	1	1	1247	2780	541	24	95.000000	 
2	1	114	0	0	0	1851	1788	39	1076	-1	
3	1	114	1	0	0	1851	1788	39	1076	-1	
4	1	114	1	1	0	1851	1788	39	1076	-1	
5	1	114	1	1	1	1851	1788	39	1076	95.000000	 
2	1	115	0	0	0	184	2828	1570	54	-1	
3	1	115	1	0	0	184	2828	1570	54	-1	
4	1	115	1	1	0	184	2828	1570	54	-1	
5	1	115	1	1	1	184	2828	1570	54	95.000000	 
2	1	116	0	0	0	88	2852	170	27	-1	
3	1	116	1	0	0	88	2852	170	27	-1	
4	1	116	1	1	0	88	2852	170	27	-1	
5	1	116	1	1	1	88	2852	170	27	41.172768	VAC0410007
2	1	117	0	0	0	2040	442	371	79	-1	
3	1	117	1	0	0	2040	442	371	79	-1	
4	1	117	1	1	0	2040	442	371	37	-1	
5	1	117	1	1	1	2040	442	219	34	96.455345	VACCINATION
5	1	117	1	1	2	2272	451	139	28	94.812096	RECORD
4	1	117	1	2	0	2040	493	87	28	-1	
5	1	117	1	2	1	2040	493	87	28	96.816605	Name
2	1	118	0	0	0	2018	521	460	120	-1	
3	1	118	1	0	0	2022	522	456	119	-1	
4	1	118	1	1	0	2136	522	342	14	-1	
5	1	118	1	1	1	2136	522	342	14	4.363079	a
4	1	118	1	2	0	2018	521	172	118	-1	
5	1	118	1	2	1	2018	521	172	118	23.045816	Devos
4	1	118	1	3	0	2032	604	274	37	-1	
5	1	118	1	3	1	2032	604	125	32	20.362816	Owe
5	1	118	1	3	2	2169	612	137	29	96.158066	DISEASE
2	1	119	0	0	0	2007	660	486	665	-1	
3	1	119	1	0	0	2031	660	360	39	-1	
4	1	119	1	1	0	2031	660	360	39	-1	
5	1	119	1	1	1	2031	660	161	33	8.465405	CICANINE
5	1	119	1	1	2	2205	669	186	30	92.473312	DISTEMPER
3	1	119	2	0	0	2017	717	476	318	-1	
4	1	119	2	1	0	2028	717	444	42	-1	
5	1	119	2	1	1	2028	717	30	29	45.379967	(2
5	1	119	2	1	2	2067	720	123	30	83.717857	CANINE
5	1	119	2	1	3	2202	726	270	33	46.025921	PARAINELUENZA
4	1	119	2	2	0	2026	772	416	43	-1	
5	1	119	2	2	1	2026	772	161	43	63.338802	CICANINE
5	1	119	2	2	2	2197	781	217	31	96.587936	ADENOVIRUS
5	1	119	2	2	3	2425	788	17	25	96.087677	2
4	1	119	2	3	0	2023	829	382	40	-1	
5	1	119	2	3	1	2023	829	163	34	34.633720	CCANINE
5	1	119	2	3	2	2197	838	208	31	96.774612	PARVOVIRUS
4	1	119	2	4	0	2022	885	471	56	-1	
5	1	119	2	4	1	2022	885	162	33	48.000343	CICANINE
5	1	119	2	4	2	2194	894	242	40	70.575272	CORONAVIRUS
5	1	119	2	4	3	2450	934	4	4	70.575272	_
4	1	119	2	5	0	2020	940	421	41	-1	
5	1	119	2	5	1	2020	942	161	33	8.093796	CCANINE
5	1	119	2	5	2	2193	951	216	30	88.671371	BORDETELLA
5	1	119	2	5	3	2436	940	5	4	6.201763	—
4	1	119	2	6	0	2017	999	298	36	-1	
5	1	119	2	6	1	2017	999	298	36	31.880337	DOLEPTOSPIROSIS
3	1	119	3	0	0	2007	1054	465	271	-1	
4	1	119	3	1	0	2016	1054	437	47	-1	
5	1	119	3	1	1	2016	1054	149	34	24.897947	CIFELINE
5	1	119	3	1	2	2177	1062	168	30	96.200775	LEUKEMIA
5	1	119	3	1	3	2354	1068	99	33	96.551651	VIRUS
4	1	119	3	2	0	2013	1111	438	41	-1	
5	1	119	3	2	1	2013	1111	150	32	10.909128	CUFELINE
5	1	119	3	2	2	2175	1119	276	33	90.860672	PANLEUKOPENIA
4	1	119	3	3	0	2011	1167	461	42	-1	
5	1	119	3	3	1	2011	1167	151	32	42.510735	CIFELINE
5	1	119	3	3	2	2173	1174	299	35	91.427338	RHINOTRACHEITIS
4	1	119	3	4	0	2008	1224	368	38	-1	
5	1	119	3	4	1	2008	1224	152	32	36.294563	CFELINE
5	1	119	3	4	2	2170	1231	206	31	77.596764	CALICIVIRUS
4	1	119	3	5	0	2007	1279	359	46	-1	
5	1	119	3	5	1	2007	1279	150	34	53.329170	(FELINE
5	1	119	3	5	2	2167	1287	199	38	96.874695	CHLAMYDIA
2	1	120	0	0	0	2005	1336	497	80	-1	
3	1	120	1	0	0	2005	1336	497	80	-1	
4	1	120	1	1	0	2005	1336	497	43	-1	
5	1	120	1	1	1	2005	1336	31	29	41.955864	CO
5	1	120	1	1	2	2044	1341	112	27	43.871136	FELINE
5	1	120	1	1	3	2167	1344	335	35	96.022049	IMMUNODEFICIENCY
4	1	120	1	2	0	2043	1389	98	27	-1	
5	1	120	1	2	1	2043	1389	98	27	94.108231	VIRUS
2	1	121	0	0	0	2059	1512	37	57	-1	
3	1	121	1	0	0	2059	1512	37	57	-1	
4	1	121	1	1	0	2059	1512	37	57	-1	
5	1	121	1	1	1	2059	1497	37	72	54.041065	th
2	1	122	0	0	0	2132	1494	189	81	-1	
3	1	122	1	0	0	2132	1494	189	81	-1	
4	1	122	1	1	0	2133	1494	188	42	-1	
5	1	122	1	1	1	2133	1494	188	42	95.715874	Boehringer
4	1	122	1	2	0	2132	1537	168	38	-1	
5	1	122	1	2	1	2132	1537	168	38	41.606361	Ingelheim
2	1	123	0	0	0	2239	1635	10	21	-1	
3	1	123	1	0	0	2239	1635	10	21	-1	
4	1	123	1	1	0	2239	1635	10	21	-1	
5	1	123	1	1	1	2239	1635	10	21	0.000000	D
2	1	124	0	0	0	1979	1773	372	33	-1	
3	1	124	1	0	0	1979	1773	372	33	-1	
4	1	124	1	1	0	1979	1773	372	33	-1	
5	1	124	1	1	1	1979	1773	219	30	95.877319	VACCINATION
5	1	124	1	1	2	2211	1779	140	27	91.494110	RECORD
2	1	125	0	0	0	1979	1824	151	87	-1	
3	1	125	1	0	0	1979	1824	151	87	-1	
4	1	125	1	1	0	1979	1824	88	26	-1	
5	1	125	1	1	1	1979	1824	88	26	26.166067	Nayhe
4	1	125	1	2	0	2008	1874	122	37	-1	
5	1	125	1	2	1	2008	1874	122	37	88.504631	RABIES
2	1	126	0	0	0	1950	1935	462	656	-1	
3	1	126	1	0	0	1970	1935	388	93	-1	
4	1	126	1	1	0	1972	1935	386	48	-1	
5	1	126	1	1	1	1972	1935	124	32	67.915657	COLYME
5	1	126	1	1	2	2107	1941	139	27	95.948868	DISEASE
5	1	126	1	1	3	2355	1980	3	3	31.004330	;
4	1	126	1	2	0	1970	1990	363	38	-1	
5	1	126	1	2	1	1970	1990	163	34	51.772087	(CANINE
5	1	126	1	2	2	2144	1998	189	30	92.064819	DISTEMPER
3	1	126	2	0	0	1963	2047	449	149	-1	
4	1	126	2	1	0	1968	2047	444	38	-1	
5	1	126	2	1	1	1968	2047	30	29	64.296036	C
5	1	126	2	1	2	2007	2052	123	27	93.273941	CANINE
5	1	126	2	1	3	2142	2053	270	32	92.158188	PARAINFLUENZA
4	1	126	2	2	0	1966	2103	416	38	-1	
5	1	126	2	2	1	1966	2103	31	30	0.000000	[LI
5	1	126	2	2	2	2005	2107	124	29	0.000000	CANINE
5	1	126	2	2	3	2137	2111	218	28	95.832748	ADENOVIRUS
5	1	126	2	2	4	2366	2116	16	25	96.195122	2
4	1	126	2	3	0	1963	2160	385	36	-1	
5	1	126	2	3	1	1963	2160	163	32	81.118080	CICANINE
5	1	126	2	3	2	2139	2167	209	29	96.205040	PARVOVIRUS
3	1	126	3	0	0	1950	2215	462	376	-1	
4	1	126	3	1	0	1962	2215	416	38	-1	
5	1	126	3	1	1	1962	2215	30	31	7.317419	CJ)
5	1	126	3	1	2	2002	2220	122	29	57.583458	CANINE
5	1	126	3	1	3	2136	2223	242	30	95.433403	CORONAVIRUS
4	1	126	3	2	0	1960	2272	391	53	-1	
5	1	126	3	2	1	1960	2272	163	34	50.636398	(CANINE
5	1	126	3	2	2	2134	2276	217	49	96.652321	BORDETELLA
4	1	126	3	3	0	1957	2329	301	34	-1	
5	1	126	3	3	1	1957	2329	301	34	0.000000	CULEPTOSPIROSIS
4	1	126	3	4	0	1956	2385	437	38	-1	
5	1	126	3	4	1	1956	2385	150	32	62.682480	COFELINE
5	1	126	3	4	2	2118	2392	167	29	96.001488	LEUKEMIA
5	1	126	3	4	3	2295	2395	98	28	96.001488	VIRUS
4	1	126	3	5	0	1954	2442	437	38	-1	
5	1	126	3	5	1	1954	2442	31	29	47.022518	CU
5	1	126	3	5	2	1995	2446	110	28	51.985664	FELINE
5	1	126	3	5	3	2116	2449	275	31	89.843552	PANLEUKOPENIA
4	1	126	3	6	0	1951	2498	461	37	-1	
5	1	126	3	6	1	1951	2498	152	33	32.475136	OOFELINE
5	1	126	3	6	2	2113	2505	299	30	59.821411	RHINOTRACHEITIS
4	1	126	3	7	0	1950	2555	368	36	-1	
5	1	126	3	7	1	1950	2555	32	28	15.191288	CJ
5	1	126	3	7	2	1990	2559	110	27	15.191288	FELINE
5	1	126	3	7	3	2110	2562	208	29	92.163071	CALICIVIRUS
2	1	127	0	0	0	2076	1849	327	15	-1	
3	1	127	1	0	0	2076	1849	327	15	-1	
4	1	127	1	1	0	2076	1849	327	15	-1	
5	1	127	1	1	1	2076	1849	327	15	95.000000	 
2	1	128	0	0	0	1860	2612	446	35	-1	
3	1	128	1	0	0	1860	2612	446	35	-1	
4	1	128	1	1	0	1860	2612	446	35	-1	
5	1	128	1	1	1	1856	2608	12	48	59.954033	|
5	1	128	1	1	2	1860	2612	119	35	0.000000	___
5	1	128	1	1	3	1989	2615	110	28	0.000000	 FEWINE
5	1	128	1	1	4	2109	2618	197	28	95.847046	CHLAMYDIA
2	1	129	0	0	0	1947	2662	503	239	-1	
3	1	129	1	0	0	1947	2662	503	239	-1	
4	1	129	1	1	0	1947	2662	503	47	-1	
5	1	129	1	1	1	1947	2667	30	29	67.919975	[9
5	1	129	1	1	2	1986	2672	111	27	94.666542	FELINE
5	1	129	1	1	3	2107	2662	343	47	96.191269	IMMUNODEFICIENCY
4	1	129	1	2	0	1984	2720	98	28	-1	
5	1	129	1	2	1	1984	2720	98	28	90.519234	VIRUS
4	1	129	1	3	0	1981	2829	113	72	-1	
5	1	129	1	3	1	1981	2829	113	72	28.549141	Cl:
2	1	130	0	0	0	2075	2826	189	81	-1	
3	1	130	1	0	0	2075	2826	189	81	-1	
4	1	130	1	1	0	2075	2826	189	47	-1	
5	1	130	1	1	1	2075	2826	189	47	71.977783	Boehringer
4	1	130	1	2	0	2075	2853	169	54	-1	
5	1	130	1	2	1	2075	2853	169	54	0.000000	Ingelheim
2	1	131	0	0	0	2497	1394	53	1903	-1	
3	1	131	1	0	0	2497	1394	53	1903	-1	
4	1	131	1	1	0	2497	1394	53	1903	-1	
5	1	131	1	1	1	2497	1394	53	1903	95.000000

VACCINATION RECORD
RABIES — VACCINATION CERTIFICATE _ Tag fee $:
Name
ADAPTED NASPHV FORM 57 Tag #:
RABIES
Owner's Name & Address PRINT - use ball point pen or type Cert. Serial #:
LOLYME DISEASE
T LAST, Ml LEPHONE
P, of, CICANINE DISTEMPER
Y IEC. wf A , 2322 Z ~IICR
Cit ABU CI CANINE PARAINFLUENZA
ETe bd, folder Lilhfet Aa\"SS% |
[Mog SE" BY, > commesenoneiss
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SPECIES: SEX: AGE: PREDOMINANT BREED: | COLORS: CICANINE PARVOVIRUS
_
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Dog PX | Male 3 Mo. to 12 Mo. C1] Under 20 Ibs. 2 2D, i- {i > CICANINE CORONAVIRUS
{
Cat Female [12 Mo. or older 20 -50lbs q ¥ CICANINE BORDETEL}A
-
Other Altered Over 50 Ibs. ¥ AME
CILEPTOSPIROSIS
(Specify) Sn oop pS, OFELINE LEUKEMIA VIRUS
VACCINATED: . PRODUCER: . 0 3 357 Go F ELINE PANL EUKOPENIA N
DATE Veterinatian’s'
| License No. [FELINE RHINOTRACHEITIS
PN | o1< P lc |
Month Day —-Year : . ¥ (FELINE CALICIMRUS
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O FELINE C HLAMYDIA D
1 yr LieWace. CI | aie
EXPIRES: 5 9 (0 FELINE IMMUNODEFICIENCY
VACCINATION .
A 3 yr werce Rs Address SY if rw Sun) rmase_ VIRUS
| Y { D { Ug
Ul Uv
Month Day Year CthandA (aa ASS. x. ar
Vace. Serial (Lot} No. Boehtin
ger
) Ingelheim
VAC0410004
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: . VACCINATION RECORD
RABIES VACCINATION CERTIFICATE Tagfee$_
Nam
ADAPTED NASPHV FORM 51 Tag #:
ABIES
PRINT - use bail point pen or type Cert. « Serial #: .
Owner's Name & Address CLYME DISEASE
.
Ast Fs Ye (lB CICANINE DISTEMPER
PPe / 2 25 DZS Z
MABE, 4
tL CI CANINE PARAINFLUENZA
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_£ ww ¢ 2
SPECIES: AGE: SIZE: PREDOMINANT BREED: | COLORS; LI CANINE PARVOVIRUS
Dog Male ts 3 Mo, to 12 Mo. {1} Under 20 ibs. My “Taal iJ CI CANINE CORONAVIRUS
Ch
Cat Female (1) | 12 Mo. or older Pt 20-50Ibs OU 4. COCANINE BORDETELLA: **
Other C) Altered vd Over 50 Ibs. (1); NAME: CLEPTOSPIROSIS
~ S\iCee ter (FELINE LEUKEMIA VIRUS
(Speclty)
OOFELINE PANLEUKOPENIA
“ee H Prone : Veterinarian’ # 23 AS=
{ ct _License No. LJ FELINE LINE RHINOTRACHEITIS
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Month = Day Year (First 3 Letters) A cuLanvoIn
Veterinaria’,
FELINE A
1 ye. Lic. Wace. Signature es ees ee _
VACCINATION EXPIRES: CJ FELINE IMMUNODEFICIENCY
, Re
3 yt | Address. St Gy Wd. San. VIRUS
I yY (oO | A ven __ an
Ly j
Month Day Year \ 4b (o_.
Vacc. Serial (Loi} No. ’ fBN Bo ehringer
‘lh Ingelheim
VAC0410001

: VACCINATION RECORD
CERTIFICATE Tag fee $:_ Name
RABIES VACCINATION
Tag #: ABIES
ADAPTED NASPHV FORM 517
Cert. Serial #:
PRINT - use ball point pen or type COLYME DISEASE
Owner’s Name & Address | CICANINE DISTEMPER
IRST f P78 EAS
LAST. (CANINE PARAINFLUENZA
Pi Lie hig)
MAE AA A ADENOVIRUS 2
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STREET | LC oy of, A
; ; l Act. SSS . [CANINE PARVOVIRUS
22 G if —_ BREED: ;
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SPECIES: SEX:
ne Male & Ve CICANINE BORDETELLA
Dog
cat U Female Ol) , NAME: CLEPTOSPIROSIS
Other 1 | Altered CIFELINE LEUKEMIA VIRUS
poke
(Specify) CIFELINE PANLEUKOPENIA
.
PRODUCER: Veterinarian’ # CFELINE RHINOTRACHEITIS
DATE VACCINATED: Cicense No.
CI FELINE CALICIVIRUS
I é: L o bse aia CIFELINE CHLAMYDIA
om yes ‘ (First 8 Letters) Veterinar aan
‘ : woof een C] FELINE IMMUNODEFICIENG
+ * ye. Lic. Vace. Signature
Stn cidse— VIRUS
VACCINATION EXPIRES: | Address
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[xy 10 tO [6 | BAW
Boehringer
Month Day Year Serial (Lot) No. Oe > awe i
Vace. Ingelheim
|
VAC0410004
t
f
VACCINATION RECORD
RABIES VACCINATION CERTIFICATE Tag fee $:
Nghe |
ADAPTED NASPHV FORM 51 Tag#: |
ABIES |
Owner’s | Name & Address PRINT - use ball point pen or type Cert, Serial #: :
. OOLYME DISEASE
.
5	1	86	1	1	7	1492	2024	196	101	8.708086	Pare
5	1	86	1	1	8	1698	2055	93	62	45.779488	LF,
5	1	86	1	1	9	1779	2064	135	56	0.000000	IPE
5	1	86	1	1	10	1990	2058	163	29	55.674171	CANINE
5	1	86	1	1	11	2164	2059	187	26	91.996223	DISTEMPER
2	1	87	0	0	0	133	2118	1765	10	-1	
3	1	87	1	0	0	133	2118	1765	10	-1	
4	1	87	1	1	0	133	2118	1765	10	-1	
5	1	87	1	1	1	133	2118	1765	10	95.000000	 
2	1	88	0	0	0	132	2220	1766	9	-1	
3	1	88	1	0	0	132	2220	1766	9	-1	
4	1	88	1	1	0	132	2220	1766	9	-1	
5	1	88	1	1	1	132	2220	1766	9	95.000000	 
2	1	89	0	0	0	1513	2333	359	5	-1	
3	1	89	1	0	0	1513	2333	359	5	-1	
4	1	89	1	1	0	1513	2333	359	5	-1	
5	1	89	1	1	1	1513	2333	359	5	95.000000	 
2	1	90	0	0	0	1158	2354	344	6	-1	
3	1	90	1	0	0	1158	2354	344	6	-1	
4	1	90	1	1	0	1158	2354	344	6	-1	
5	1	90	1	1	1	1158	2354	344	6	95.000000	 
2	1	91	0	0	0	353	2220	7	215	-1	
3	1	91	1	0	0	353	2220	7	215	-1	
4	1	91	1	1	0	353	2220	7	215	-1	
5	1	91	1	1	1	353	2220	7	215	95.000000	 
2	1	92	0	0	0	900	2223	6	209	-1	
3	1	92	1	0	0	900	2223	6	209	-1	
4	1	92	1	1	0	900	2223	6	209	-1	
5	1	92	1	1	1	900	2223	6	209	95.000000	 
2	1	93	0	0	0	579	2217	6	225	-1	
3	1	93	1	0	0	579	2217	6	225	-1	
4	1	93	1	1	0	579	2217	6	225	-1	
5	1	93	1	1	1	579	2217	6	225	95.000000	 
2	1	94	0	0	0	353	2427	808	7	-1	
3	1	94	1	0	0	353	2427	808	7	-1	
4	1	94	1	1	0	353	2427	808	7	-1	
5	1	94	1	1	1	353	2427	808	7	95.000000	 
2	1	95	0	0	0	1512	2445	356	4	-1	
3	1	95	1	0	0	1512	2445	356	4	-1	
4	1	95	1	1	0	1512	2445	356	4	-1	
5	1	95	1	1	1	1512	2445	356	4	95.000000	 
2	1	96	0	0	0	1496	2124	10	383	-1	
3	1	96	1	0	0	1496	2124	10	383	-1	
4	1	96	1	1	0	1496	2124	10	383	-1	
5	1	96	1	1	1	1496	2124	10	383	95.000000	 
2	1	97	0	0	0	142	2501	1753	9	-1	
3	1	97	1	0	0	142	2501	1753	9	-1	
4	1	97	1	1	0	142	2501	1753	9	-1	
5	1	97	1	1	1	142	2501	1753	9	95.000000	 
2	1	98	0	0	0	775	2554	173	4	-1	
3	1	98	1	0	0	775	2554	173	4	-1	
4	1	98	1	1	0	775	2554	173	4	-1	
5	1	98	1	1	1	775	2554	173	4	95.000000	 
2	1	99	0	0	0	1568	2564	300	3	-1	
3	1	99	1	0	0	1568	2564	300	3	-1	
4	1	99	1	1	0	1568	2564	300	3	-1	
5	1	99	1	1	1	1568	2564	300	3	95.000000	 
2	1	100	0	0	0	828	2555	2	78	-1	
3	1	100	1	0	0	828	2555	2	78	-1	
4	1	100	1	1	0	828	2555	2	78	-1	
5	1	100	1	1	1	828	2555	2	78	95.000000	 
2	1	101	0	0	0	774	2555	3	79	-1	
3	1	101	1	0	0	774	2555	3	79	-1	
4	1	101	1	1	0	774	2555	3	79	-1	
5	1	101	1	1	1	774	2555	3	79	95.000000	 
2	1	102	0	0	0	888	2555	3	78	-1	
3	1	102	1	0	0	888	2555	3	78	-1	
4	1	102	1	1	0	888	2555	3	78	-1	
5	1	102	1	1	1	888	2555	3	78	95.000000	 
2	1	103	0	0	0	946	2555	2	79	-1	
3	1	103	1	0	0	946	2555	2	79	-1	
4	1	103	1	1	0	946	2555	2	79	-1	
5	1	103	1	1	1	946	2555	2	79	95.000000	 
2	1	104	0	0	0	774	2630	174	4	-1	
3	1	104	1	0	0	774	2630	174	4	-1	
4	1	104	1	1	0	774	2630	174	4	-1	
5	1	104	1	1	1	774	2630	174	4	95.000000	 
2	1	105	0	0	0	1156	2640	737	4	-1	
3	1	105	1	0	0	1156	2640	737	4	-1	
4	1	105	1	1	0	1156	2640	737	4	-1	
5	1	105	1	1	1	1156	2640	737	4	95.000000	 
2	1	106	0	0	0	1302	2744	564	5	-1	
3	1	106	1	0	0	1302	2744	564	5	-1	
4	1	106	1	1	0	1302	2744	564	5	-1	
5	1	106	1	1	1	1302	2744	564	5	95.000000	 
2	1	107	0	0	0	127	2834	380	4	-1	
3	1	107	1	0	0	127	2834	380	4	-1	
4	1	107	1	1	0	127	2834	380	4	-1	
5	1	107	1	1	1	127	2834	380	4	95.000000	 
2	1	108	0	0	0	124	1840	18	1109	-1	
3	1	108	1	0	0	124	1840	18	1109	-1	
4	1	108	1	1	0	124	1840	18	1109	-1	
5	1	108	1	1	1	124	1840	18	1109	95.000000	 
2	1	109	0	0	0	1885	1839	20	1109	-1	
3	1	109	1	0	0	1885	1839	20	1109	-1	
4	1	109	1	1	0	1885	1839	20	1109	-1	
5	1	109	1	1	1	1885	1839	20	1109	95.000000	 
2	1	110	0	0	0	142	2110	2339	859	-1	
3	1	110	1	0	0	142	2114	2339	853	-1	
4	1	110	1	1	0	345	2129	633	54	-1	
5	1	110	1	1	1	345	2129	90	54	96.208618	STREET
5	1	110	1	1	2	453	2143	14	23	68.489182	|
5	1	110	1	1	3	972	2134	6	5	15.479326	:
4	1	110	1	2	0	1284	2114	971	51	-1	
5	1	110	1	2	1	1284	2142	84	23	58.482685	STATE
5	1	110	1	2	2	1990	2103	37	54	0.000000	CI
5	1	110	1	2	3	2029	2116	122	26	0.000000	CANINE
5	1	110	1	2	4	2164	2115	91	27	88.121330	PARAI
4	1	110	1	3	0	142	2110	2290	130	-1	
5	1	110	1	3	1	142	2127	213	99	24.192801	Peta
5	1	110	1	3	2	359	2161	171	65	35.712959	Ol
5	1	110	1	3	3	563	2122	196	146	52.791664	Cathe
5	1	110	1	3	4	843	2122	317	146	37.574421	edhe
5	1	110	1	3	5	1518	2110	212	130	41.852379	Boye
5	1	110	1	3	6	2226	2115	206	27	0.000000	wove
4	1	110	1	4	0	151	2170	2251	97	-1	
5	1	110	1	4	1	151	2242	129	25	0.000000	Sos
5	1	110	1	4	2	372	2242	62	25	39.028442	a
5	1	110	1	4	3	597	2242	66	23	49.530632	—
5	1	110	1	4	4	892	2241	95	23	49.498596	Te
5	1	110	1	4	5	1177	2241	50	24	59.790649	=
5	1	110	1	4	6	1723	2173	54	53	29.153862	Cy
5	1	110	1	4	7	1989	2170	30	29	18.742628	CJ
5	1	110	1	4	8	2028	2173	123	26	18.742628	CANINE
5	1	110	1	4	9	2160	2172	215	26	95.400009	ADENOVIRUS
5	1	110	1	4	10	2386	2173	16	25	95.400009	2
4	1	110	1	5	0	157	2234	1487	51	-1	
5	1	110	1	5	1	157	2278	23	7	51.821400	a
5	1	110	1	5	2	1228	2240	139	24	96.398354	DOMINANT
5	1	110	1	5	3	1402	2234	64	18	95.846184	BREED;
5	1	110	1	5	4	1639	2245	5	5	71.163681	:
4	1	110	1	6	0	153	2226	2216	108	-1	
5	1	110	1	6	1	153	2290	51	29	38.762863	Bg
5	1	110	1	6	2	372	2289	63	32	58.777634	Male
5	1	110	1	6	3	535	2253	44	80	46.016876	K
5	1	110	1	6	4	597	2290	15	22	8.616209	>
5	1	110	1	6	5	630	2289	47	23	27.921158	ito
5	1	110	1	6	6	692	2289	25	23	59.591263	to
5	1	110	1	6	7	735	2288	30	22	82.561165	12
5	1	110	1	6	8	781	2287	48	23	78.289101	Mo
5	1	110	1	6	9	856	2226	32	84	0.000000	H
5	1	110	1	6	10	919	2287	79	25	21.540016	wir
5	1	110	1	6	11	1008	2289	33	21	67.161621	20
5	1	110	1	6	12	1053	2288	36	24	69.937553	ts
5	1	110	1	6	13	1092	2262	111	59	42.918072	Pe
5	1	110	1	6	14	1372	2241	94	48	85.727333	BREED:
5	1	110	1	6	15	1516	2239	128	95	24.309950	a)
5	1	110	1	6	16	1989	2220	37	49	33.939095	CI
5	1	110	1	6	17	2028	2229	123	27	33.939095	CANINE
5	1	110	1	6	18	2163	2228	206	27	94.997047	PARVOVIRUS
4	1	110	1	7	0	151	2268	2249	140	-1	
5	1	110	1	7	1	151	2337	47	69	51.856361	os
5	1	110	1	7	2	247	2377	29	31	0.000000	°
5	1	110	1	7	3	372	2337	95	32	59.331024	Female
5	1	110	1	7	4	538	2329	90	31	54.473190	LIN2
5	1	110	1	7	5	640	2335	47	23	91.026276	Mo.
5	1	110	1	7	6	700	2341	26	17	93.092461	or
5	1	110	1	7	7	736	2335	67	23	96.699211	older
5	1	110	1	7	8	852	2290	49	102	26.514826	Fi
5	1	110	1	7	9	918	2335	51	23	14.220972	x
5	1	110	1	7	10	981	2334	81	24	43.329254	aoe
5	1	110	1	7	11	1102	2329	44	29	15.013895	Ll
5	1	110	1	7	12	1260	2283	137	71	72.194847	Ch,
5	1	110	1	7	13	1652	2280	75	54	53.028130	lke
5	1	110	1	7	14	1769	2268	102	71	52.744411	Ten
5	1	110	1	7	15	1987	2262	38	63	20.328999	CI
5	1	110	1	7	16	2026	2286	124	26	20.328999	CANINE
5	1	110	1	7	17	2161	2284	239	28	95.893044	CORONAVIRUS
4	1	110	1	8	0	153	2331	2223	140	-1	
5	1	110	1	8	1	153	2441	25	30	14.256821	°
5	1	110	1	8	2	199	2389	26	19	82.244324	er
5	1	110	1	8	3	369	2383	93	25	59.129009	Altered
5	1	110	1	8	4	500	2353	21	81	59.674805	—
5	1	110	1	8	5	537	2376	38	54	63.580315	OY
5	1	110	1	8	6	903	2382	77	23	63.798962	Lover
5	1	110	1	8	7	990	2382	32	23	63.093369	60
5	1	110	1	8	8	1033	2382	44	23	76.054504	tbs.
5	1	110	1	8	9	1116	2376	30	29	21.653057	[|
5	1	110	1	8	10	1176	2374	89	23	96.251045	NAME:
5	1	110	1	8	11	1987	2340	163	29	39.749153	(CANINE
5	1	110	1	8	12	2161	2331	215	36	96.533974	BORDETELLA
4	1	110	1	9	0	180	2385	2075	121	-1	
5	1	110	1	9	1	180	2411	84	65	60.638920	pecify)
5	1	110	1	9	2	536	2433	60	14	29.943825	AS
5	1	110	1	9	3	1169	2397	73	109	46.905281	Ss
5	1	110	1	9	4	1987	2385	268	54	60.903809	CILEPTOSPIROS
4	1	110	1	10	0	2257	2398	28	25	-1	
5	1	110	1	10	1	2257	2398	28	25	89.387726	is
4	1	110	1	11	0	1245	2454	33	38	-1	
5	1	110	1	11	1	1245	2454	33	38	91.348442	A
4	1	110	1	12	0	153	2452	2268	111	-1	
5	1	110	1	12	1	153	2526	70	24	94.772034	DATE
5	1	110	1	12	2	231	2526	184	24	94.772034	VACCINATED:
5	1	110	1	12	3	528	2510	167	53	96.767807	PRODUCER:
5	1	110	1	12	4	1230	2477	120	52	0.000000	oe
5	1	110	1	12	5	1357	2462	118	40	6.189346	9°82
5	1	110	1	12	6	1986	2452	71	29	0.000000	aaa
5	1	110	1	12	7	2072	2455	42	26	0.000000	eey
5	1	110	1	12	8	2149	2454	272	26	0.000000	ceancunceeean
4	1	110	1	13	0	292	2509	2129	116	-1	
5	1	110	1	13	1	292	2568	124	57	25.559769	pit
5	1	110	1	13	2	783	2580	19	30	0.000000	;
5	1	110	1	13	3	1176	2542	174	23	19.823389	Veterinarians
5	1	110	1	13	4	1359	2543	15	22	19.823389	#
5	1	110	1	13	5	1429	2512	41	59	43.958473	3
5	1	110	1	13	6	1552	2520	113	45	43.958473	SS
5	1	110	1	13	7	1986	2509	150	29	45.768055	(FELINE
5	1	110	1	13	8	2148	2510	273	27	92.453369	PANLEUKOPENIA
4	1	110	1	14	0	160	2565	2284	101	-1	
5	1	110	1	14	1	160	2637	82	23	37.724796	bo
5	1	110	1	14	2	307	2637	52	29	0.000000	IO
5	1	110	1	14	3	424	2637	58	23	51.583157	1s
5	1	110	1	14	4	772	2574	44	87	40.746494	I?
5	1	110	1	14	5	837	2575	51	55	8.106565	i
5	1	110	1	14	6	904	2571	13	75	81.484566	|
5	1	110	1	14	7	1381	2574	98	23	96.663399	License
5	1	110	1	14	8	1489	2574	43	23	96.254967	No.
5	1	110	1	14	9	1986	2565	21	29	29.488888	O
5	1	110	1	14	10	2025	2568	110	26	87.981163	FELINE
5	1	110	1	14	11	2148	2567	296	25	87.957542	RHINOTRACHEITIS
4	1	110	1	15	0	763	2622	1588	63	-1	
5	1	110	1	15	1	763	2648	64	28	79.860298	(First
5	1	110	1	15	2	835	2649	16	21	95.213242	3
5	1	110	1	15	3	861	2646	96	30	85.813461	Letters)
5	1	110	1	15	4	1174	2661	175	24	5.240622	Voloinarbare
5	1	110	1	15	5	1984	2622	151	29	65.336700	(FELINE
5	1	110	1	15	6	2146	2622	205	27	91.589134	CALICIVIRUS
4	1	110	1	16	0	526	2712	83	21	-1	
5	1	110	1	16	1	526	2712	10	21	17.660398	tye
5	1	110	1	16	2	606	2712	3	3	17.660398	Li
4	1	110	1	17	0	150	2678	2190	85	-1	
5	1	110	1	17	1	150	2739	189	24	29.093929	vaccination
5	1	110	1	17	2	349	2741	127	22	0.000000	expires:
5	1	110	1	17	3	501	2701	14	79	65.029900	|
5	1	110	1	17	4	550	2717	28	22	36.692867	1%
5	1	110	1	17	5	589	2711	124	24	0.000000	Ue“¥eee.
5	1	110	1	17	6	1174	2723	110	28	0.000000	Signatupa,
5	1	110	1	17	7	1369	2693	578	52	0.000000	2A
5	1	110	1	17	8	1984	2678	151	28	0.000000	CPELINE
5	1	110	1	17	9	2146	2679	194	26	74.291901	CHLAMYDIA
4	1	110	1	18	0	525	2738	1536	64	-1	
5	1	110	1	18	1	525	2775	15	21	94.567726	3
5	1	110	1	18	2	550	2780	27	22	55.992550	yr.
5	1	110	1	18	3	590	2774	42	22	19.618368	Lic.
5	1	110	1	18	4	644	2770	69	36	19.618368	Vacc.
5	1	110	1	18	5	2043	2738	18	9	46.171570	E
4	1	110	1	19	0	150	2735	2331	133	-1	
5	1	110	1	19	1	150	2838	26	30	81.672112	|
5	1	110	1	19	2	279	2784	62	51	62.627457	io
5	1	110	1	19	3	388	2778	80	57	5.469923	(%
5	1	110	1	19	4	1173	2736	108	76	0.000000	neiroad
5	1	110	1	19	5	1402	2792	10	15	56.838879	uy
5	1	110	1	19	6	1503	2751	273	54	31.525517	WS,
5	1	110	1	19	7	1984	2722	28	54	16.180286	CI
5	1	110	1	19	8	2023	2736	112	27	85.850533	FELINE
5	1	110	1	19	9	2146	2735	335	27	96.318268	IMMUNODEFICIENCY
4	1	110	1	20	0	175	2786	1945	90	-1	
5	1	110	1	20	1	175	2847	58	23	58.803082	onth
5	1	110	1	20	2	306	2847	51	29	96.662918	Day
5	1	110	1	20	3	423	2846	59	22	96.837929	Year
5	1	110	1	20	4	951	2804	38	52	51.195633	G
5	1	110	1	20	5	1367	2817	16	36	0.000000	-
5	1	110	1	20	6	2023	2786	97	25	81.207878	VIBUS
4	1	110	1	21	0	761	2847	700	60	-1	
5	1	110	1	21	1	761	2879	69	22	84.067848	Vace.
5	1	110	1	21	2	841	2879	71	22	96.960068	Serial
5	1	110	1	21	3	924	2877	54	30	96.283516	(Lot)
5	1	110	1	21	4	990	2877	44	24	95.936501	No.
5	1	110	1	21	5	1435	2847	26	23	59.826794	©
4	1	110	1	22	0	1611	2883	690	86	-1	
5	1	110	1	22	1	1611	2883	272	56	0.000000	GCS205.
WA Lita Reef, A.
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nringer
(ae ui i" eilbeim
VAC04{0001

VACCINATION RECORD
RABIES VACCINATION CERTIFICATE Tag fee $: Name
ADAPTED NASPHV FORM 57 Tag #:
infos
Cert. Serial #:
Owner's Name & Address PRINT - use ball point pen or type
LYME DISEASE
NT, Tr TELEPHONE C] CANINE DISTEMPER
PA. LGB yr Bic” A. O38 BY7zZSe
foe
an LIU CANINE PARAINFLUENZA
i Aes Vebhbacled “OR O32 0 LICANINE ADENOVIRUS 2
930 1 OO
aan
{1 CANINE PARVOVIRUS
SPECIES: SEX SIZE: PREDOMINANT BREED: | COLORS:
Dog Male x 3 Mo. to 12 Mo. C1} Under 20 Ibs. 0 Coren L6 { i [1 CANINE CORONAVIRUS
, ceter—
Cat Female C3} 12 Mo. or older 20-50lbs 7 OO CANINE BORDETELLA
Other C) Altered | Over 50 Ibs, xX NAME: CJLEPTOSPIROSIS
a -
{Speci ~ & C1) FELINE LEUKEMIA VIRUS
Cer
a (J FELINE PANLEUKOPENIA
DATE VACCINATED: . . | PRODUCER: . Veterinarian’s'# 3 4c
License No. (FELINE RHINOTRACHEITIS
| >) { Oo i iw ) = |
(FELINE CALICIVIRUS -
Month Day Year {First 3 Letters) ~4
Veterin OO FELINE CHLAMYDIA
yr
5	1	43	1	10	4	594	1068	126	24	10.911541	He.Mace.
5	1	43	1	10	5	729	1062	30	29	0.000000	O)
5	1	43	1	10	6	1180	1070	83	50	91.263466	Signat
5	1	43	1	10	7	1357	1075	10	8	18.281898	y
5	1	43	1	10	8	1500	1101	107	51	0.000000	OK
5	1	43	1	10	9	1807	1074	5	3	43.187874	:
4	1	43	1	11	0	529	1106	1309	88	-1	
5	1	43	1	11	1	529	1134	16	21	96.366173	3
5	1	43	1	11	2	556	1138	26	23	87.538536	yr.
5	1	43	1	11	3	598	1131	40	23	32.370789	Lic.
5	1	43	1	11	4	654	1131	66	24	32.370789	Vace.
5	1	43	1	11	5	1296	1123	54	49	72.053696	3
5	1	43	1	11	6	1359	1135	41	47	28.728552	=
5	1	43	1	11	7	1413	1134	8	27	54.124741	}
5	1	43	1	11	8	1433	1131	37	53	36.031067	uy
5	1	43	1	11	9	1624	1128	65	27	52.412392	wr
5	1	43	1	11	10	1695	1106	44	61	26.468433	ral
5	1	43	1	11	11	1749	1120	60	74	68.599663	4
5	1	43	1	11	12	1813	1134	58	38	33.107620	an
4	1	43	1	12	0	177	1108	1145	105	-1	
5	1	43	1	12	1	177	1139	71	56	48.634056	iy
5	1	43	1	12	2	295	1145	64	50	40.348282	{o
5	1	43	1	12	3	421	1138	73	56	70.612144	18
5	1	43	1	12	4	718	1108	62	91	0.000000	«
5	1	43	1	12	5	1079	1120	78	93	28.964529	io
5	1	43	1	12	6	1179	1140	108	23	89.340477	Address
5	1	43	1	12	7	1315	1153	7	9	27.576590	_j
4	1	43	1	13	0	159	1153	1650	92	-1	
5	1	43	1	13	1	159	1195	84	50	96.562538	Month
5	1	43	1	13	2	315	1206	50	29	73.923477	Day
5	1	43	1	13	3	401	1202	17	40	60.373512	=
5	1	43	1	13	4	429	1206	57	23	65.770203	Year
5	1	43	1	13	5	778	1155	51	60	86.054146	S
5	1	43	1	13	6	846	1170	65	69	66.913010	Yt
5	1	43	1	13	7	927	1153	141	60	42.578426	ya
5	1	43	1	13	8	1290	1182	15	63	59.049145	(
5	1	43	1	13	9	1350	1164	45	80	60.108295	In
5	1	43	1	13	10	1410	1179	20	53	65.553596	f,
5	1	43	1	13	11	1513	1192	40	38	32.276188	LL.
5	1	43	1	13	12	1669	1161	140	59	37.399502	An?
4	1	43	1	14	0	118	1221	1751	77	-1	
5	1	43	1	14	1	118	1295	3	3	36.280563	.
5	1	43	1	14	2	748	1254	2	3	78.219696	.
5	1	43	1	14	3	769	1236	70	23	89.722786	Vace.
5	1	43	1	14	4	850	1235	71	22	84.816002	Serial
5	1	43	1	14	5	931	1233	56	30	96.719765	(Lot)
5	1	43	1	14	6	997	1234	44	23	96.719765	No.
5	1	43	1	14	7	1635	1231	29	49	88.314728	€
5	1	43	1	14	8	1680	1234	81	40	42.715984	C3
5	1	43	1	14	9	1773	1221	96	60	50.751110	+S (0 FELINE IMMUNODEFICIENCY
VACCINATION EXPIRES:
VIRUS
Boehringer
th
Ingelheim
VAC0410601
h
r
t
VACCINATION RECORD
RABIES VACCINATION CERTIFICATE Tag fee $: Name
ADAPTED NASPHV FORM 57 Tag #: RABIES
. Gert. Serial #:
Owner's Name & Address PRINT - use ball point pen or type LYME DISEASE
ST ELEPHONE OICANINE DISTEMPER
a 7250
TL, ALBEMM ax
Be CU CANINE PARAINFLUENZA
STREET ber ye pg ya STA S53 COD CI CANINE ADENOVIRUS 2
re, i: 3 EA :
EW a? £ ) DCANINE
SPECIS: | SEX: AGE: SIZE: PREDOMINANT BREED: coupes PARVOVIRUS
tant -_ OO CANINE CORONAVIRUS
Dog Male i> Mo. to 12 Mo. [J] Under 20 Ibs. he Lea Wt,
Cat i) Female 12 Mo. or older 20 - 50 fbs G CUCANINE BORDETELLA
ji
r Ottier Altered O LOver 50 Ibs. [J] NAME: CLEPTOSPIROSIS
.
DA QFELINE LEUKEMIA VIRUS
(Specify) “4 —
DATE VACCINATED: PRODUCER: Veterinarian’s # ES 40- SctINE a vornacuemns
r License No. E
lo a p F | (O FELINE CALICIVIRUS
[
Morth Day Year {First 3 Leiters) Faria! s
Veterinariay (J FELINE CHLAMYDIA
amet
| *" UeW2°°- Signature CI FELINE IMMUNODEFICIENCY
comamion expires: |
3 yr. Lic.Mace. Address Seppe} NK? SNe PORT VIRUS
[> lo [ eC G «|
{ 1e
C Ante wth Abo
Month Day Year :
Vac. Serial {Lot} No. x sy +s7 Fy) B oek ing get
Gin) il i
elh
VAC0410007

: YACCINATION RECORD
RABIES VACCINATION CERTIFIGATE _ Tag fee $:
Name
ADAPTED NASPHV FORM 57 Tag # :
O SN,
5	1	4	2	1	3	828	358	75	20	92.812637	PRINT
5	1	4	2	1	4	912	367	9	5	70.801529	-
5	1	4	2	1	5	931	363	41	14	96.398712	use
5	1	4	2	1	6	981	358	41	20	86.253410	bail
5	1	4	2	1	7	1030	358	62	25	95.685013	point
5	1	4	2	1	8	1100	363	43	18	96.788757	pen
5	1	4	2	1	9	1152	363	24	14	96.535744	or
5	1	4	2	1	10	1182	360	50	21	95.531044	type
5	1	4	2	1	11	1447	364	2	4	32.359993	:
5	1	4	2	1	12	1545	346	62	23	89.808594	Cert,
5	1	4	2	1	13	1618	346	71	23	91.059647	Serial
5	1	4	2	1	14	1698	346	197	26	0.000000	#2
5	1	4	2	1	15	2055	326	114	25	96.475510	RABIES
3	1	4	3	0	0	175	367	2194	137	-1	
4	1	4	3	1	0	204	367	2084	41	-1	
5	1	4	3	1	1	204	370	83	19	31.274996	wner’s
5	1	4	3	1	2	316	372	56	17	92.353455	Name
5	1	4	3	1	3	381	367	18	22	92.353455	&
5	1	4	3	1	4	406	367	110	22	96.806061	Address
5	1	4	3	1	5	2016	379	122	29	1.575470	ONVME
5	1	4	3	1	6	2149	382	139	26	96.040054	DISEASE
4	1	4	3	2	0	175	408	2194	98	-1	
5	1	4	3	2	1	175	408	89	96	36.778923	By
5	1	4	3	2	2	270	419	74	36	96.045494	LAST
5	1	4	3	2	3	583	423	106	81	68.765953	ki
5	1	4	3	2	4	1272	413	74	93	7.363205	fh
5	1	4	3	2	5	1544	420	171	23	95.656929	TELEPHONE
5	1	4	3	2	6	1854	440	2	2	19.583206	:
5	1	4	3	2	7	2012	415	33	54	75.250488	oO
5	1	4	3	2	8	2361	450	8	3	28.181568	-
3	1	4	4	0	0	213	434	2244	111	-1	
4	1	4	4	1	0	745	434	1631	40	-1	
5	1	4	4	1	1	745	434	52	40	10.179434	ra
5	1	4	4	1	2	1464	453	3	5	31.496712	.
5	1	4	4	1	3	2053	438	121	26	93.206841	CANINE
5	1	4	4	1	4	2185	438	191	26	90.874924	DISTEMPER
4	1	4	4	2	0	213	436	2244	109	-1	
5	1	4	4	2	1	213	448	242	56	23.000999	HiT?
5	1	4	4	2	2	670	436	299	67	39.450264	[AMBEAS
5	1	4	4	2	3	1306	444	335	101	0.933666	F.__29
5	1	4	4	2	4	1654	451	257	49	0.000000	287250]
5	1	4	4	2	5	2015	492	159	29	0.000000	chnc
5	1	4	4	2	6	2185	495	272	26	0.000000	exrantsvENZA
2	1	5	0	0	0	162	461	1763	83	-1	
3	1	5	1	0	0	162	461	1763	83	-1	
4	1	5	1	1	0	162	461	1763	83	-1	
5	1	5	1	1	1	162	461	1763	83	95.000000	 
2	1	6	0	0	0	181	500	2246	135	-1	
3	1	6	1	0	0	181	504	2246	131	-1	
4	1	6	1	1	0	1255	504	20	21	-1	
5	1	6	1	1	1	1255	504	20	21	41.055977	a
4	1	6	1	2	0	181	500	2246	115	-1	
5	1	6	1	2	1	181	519	60	96	27.310286	ye)
5	1	6	1	2	2	243	561	83	43	72.428764	Pa
5	1	6	1	2	3	343	525	62	81	37.855087	a
5	1	6	1	2	4	406	525	104	81	0.000000	T
5	1	6	1	2	5	506	565	58	40	53.212582	A.
5	1	6	1	2	6	586	524	89	85	73.348412	(3
5	1	6	1	2	7	672	537	179	66	32.577293	VAs
5	1	6	1	2	8	859	500	157	107	53.123585	Lb
5	1	6	1	2	9	1033	500	143	107	25.726957	fld
5	1	6	1	2	10	1179	544	132	59	45.199818	UN
5	1	6	1	2	11	1348	543	109	60	46.333141	Lb
5	1	6	1	2	12	1529	516	158	82	8.740606	SS3,
5	1	6	1	2	13	1695	543	116	54	51.865345	So
5	1	6	1	2	14	2014	549	160	29	27.654696	COCANINE
5	1	6	1	2	15	2183	550	217	27	96.307655	ADENOVIRUS
5	1	6	1	2	16	2412	552	15	24	97.010292	2
4	1	6	1	3	0	454	601	1940	34	-1	
5	1	6	1	3	1	454	630	5	5	1.294107	.
5	1	6	1	3	2	640	601	4	2	25.178003	’
5	1	6	1	3	3	2014	606	160	29	83.247169	CICANINE
5	1	6	1	3	4	2185	607	209	26	96.067749	PARVOVIRUS
2	1	7	0	0	0	160	562	1765	83	-1	
3	1	7	1	0	0	160	562	1765	83	-1	
4	1	7	1	1	0	160	562	1765	83	-1	
5	1	7	1	1	1	160	562	1765	83	95.000000	 
2	1	8	0	0	0	1539	706	357	18	-1	
3	1	8	1	0	0	1539	706	357	18	-1	
4	1	8	1	1	0	1539	706	357	18	-1	
5	1	8	1	1	1	1539	706	357	18	95.000000	 
2	1	9	0	0	0	1182	728	345	17	-1	
3	1	9	1	0	0	1182	728	345	17	-1	
4	1	9	1	1	0	1182	728	345	17	-1	
5	1	9	1	1	1	1182	728	345	17	95.000000	 
2	1	10	0	0	0	923	603	11	207	-1	
3	1	10	1	0	0	923	603	11	207	-1	
4	1	10	1	1	0	923	603	11	207	-1	
5	1	10	1	1	1	923	603	11	207	95.000000	 
2	1	11	0	0	0	600	604	12	208	-1	
3	1	11	1	0	0	600	604	12	208	-1	
4	1	11	1	1	0	600	604	12	208	-1	
5	1	11	1	1	1	600	604	12	208	95.000000	 
2	1	12	0	0	0	375	606	12	207	-1	
3	1	12	1	0	0	375	606	12	207	-1	
4	1	12	1	1	0	375	606	12	207	-1	
5	1	12	1	1	1	375	606	12	207	95.000000	 
2	1	13	0	0	0	1539	818	356	17	-1	
3	1	13	1	0	0	1539	818	356	17	-1	
4	1	13	1	1	0	1539	818	356	17	-1	
5	1	13	1	1	1	1539	818	356	17	95.000000	 
2	1	14	0	0	0	379	789	806	40	-1	
3	1	14	1	0	0	379	789	806	40	-1	
4	1	14	1	1	0	379	789	806	40	-1	
5	1	14	1	1	1	379	789	806	40	95.000000	 
2	1	15	0	0	0	1515	401	23	484	-1	
3	1	15	1	0	0	1515	401	23	484	-1	
4	1	15	1	1	0	1515	401	23	484	-1	
5	1	15	1	1	1	1515	401	23	484	95.000000	 
2	1	16	0	0	0	159	844	1764	82	-1	
3	1	16	1	0	0	159	844	1764	82	-1	
4	1	16	1	1	0	159	844	1764	82	-1	
5	1	16	1	1	1	159	844	1764	82	95.000000	 
2	1	17	0	0	0	1407	935	489	22	-1	
3	1	17	1	0	0	1407	935	489	22	-1	
4	1	17	1	1	0	1407	935	489	22	-1	
5	1	17	1	1	1	1407	935	489	22	95.000000	 
2	1	18	0	0	0	799	931	176	8	-1	
3	1	18	1	0	0	799	931	176	8	-1	
4	1	18	1	1	0	799	931	176	8	-1	
5	1	18	1	1	1	799	931	176	8	95.000000	 
2	1	19	0	0	0	177	615	2321	413	-1	
3	1	19	1	0	0	177	615	2321	413	-1	
4	1	19	1	1	0	178	615	1490	48	-1	
5	1	19	1	1	1	178	618	82	38	96.619064	SPECI
5	1	19	1	1	2	276	622	29	38	15.540066	‘S:
5	1	19	1	1	3	397	624	55	23	88.737648	SEX
5	1	19	1	1	4	622	618	67	38	90.686798	AGE:
5	1	19	1	1	5	945	621	69	23	74.020645	SIZE:
5	1	19	1	1	6	1151	640	32	17	52.728233	a
5	1	19	1	1	7	1187	621	204	32	61.033424	PREDOMINANT
5	1	19	1	1	8	1399	615	92	48	96.615463	BREED:
5	1	19	1	1	9	1542	619	126	23	82.971268	COLORS:
4	1	19	1	2	0	178	622	2249	125	-1	
5	1	19	1	2	1	178	670	52	28	96.984207	Dog
5	1	19	1	2	2	257	622	67	116	70.140915	a
5	1	19	1	2	3	397	650	64	54	96.710106	Male
5	1	19	1	2	4	554	649	49	98	0.000000	it
5	1	19	1	2	5	622	670	16	22	79.735123	3
5	1	19	1	2	6	654	669	48	23	79.735123	Mo.
5	1	19	1	2	7	718	670	25	22	94.628838	to
5	1	19	1	2	8	760	669	29	21	93.558128	12
5	1	19	1	2	9	807	667	47	23	92.289085	Mo.
5	1	19	1	2	10	883	661	31	29	31.822227	CI|
5	1	19	1	2	11	945	667	80	23	91.782959	Under
5	1	19	1	2	12	1035	669	32	21	96.686493	20
5	1	19	1	2	13	1078	668	44	22	58.832237	tbs.
5	1	19	1	2	14	1135	658	74	38	49.115654	(ZS
5	1	19	1	2	15	1287	648	137	78	0.000000	CAv
5	1	19	1	2	16	1428	692	12	22	61.199623	\
5	1	19	1	2	17	1551	642	53	71	55.168823	2
5	1	19	1	2	18	1617	661	69	50	50.445198	VK
5	1	19	1	2	19	1699	654	154	60	43.099983	Ita
5	1	19	1	2	20	2014	661	158	29	20.700207	COCANINE
5	1	19	1	2	21	2184	663	243	27	96.223846	CORONAVIRUS
4	1	19	1	3	0	178	695	2224	61	-1	
5	1	19	1	3	1	178	711	44	40	96.949615	Cat
5	1	19	1	3	2	397	717	95	23	82.158829	Femaie
5	1	19	1	3	3	604	711	10	40	52.944336	|
5	1	19	1	3	4	608	715	45	32	52.944336	12
5	1	19	1	3	5	664	715	49	23	96.167351	Mo.
5	1	19	1	3	6	724	720	28	17	95.419098	or
5	1	19	1	3	7	762	715	63	22	95.419098	older
5	1	19	1	3	8	879	695	56	61	16.374130	ON.
5	1	19	1	3	9	945	714	30	38	16.374130	20
5	1	19	1	3	10	987	714	101	23	0.811720	-50lbs
5	1	19	1	3	11	1141	708	29	29	71.932343	O
5	1	19	1	3	12	1696	716	10	21	36.876827	a
5	1	19	1	3	13	1849	716	14	16	68.966812	%
5	1	19	1	3	14	2013	718	159	29	70.525246	CICANINE
5	1	19	1	3	15	2184	720	218	26	96.318069	BORDETELLA
4	1	19	1	4	0	177	753	2132	93	-1	
5	1	19	1	4	1	177	762	72	24	91.167137	Other
5	1	19	1	4	2	271	757	31	28	77.626442	O
5	1	19	1	4	3	395	763	94	23	96.931534	Altered
5	1	19	1	4	4	943	760	64	23	95.720642	Over
5	1	19	1	4	5	1016	762	33	21	80.328003	50
5	1	19	1	4	6	1059	762	45	21	60.310524	tbs.
5	1	19	1	4	7	1141	754	29	29	25.784130	1
5	1	19	1	4	8	1200	753	87	93	61.636517	Pc
5	1	19	1	4	9	1315	781	41	44	38.242512	i
5	1	19	1	4	10	1371	784	39	59	58.084839	Y
5	1	19	1	4	11	1883	788	4	4	53.044159	.
5	1	19	1	4	12	2013	774	296	29	21.175674	CULEPTOSPIROSIS
4	1	19	1	5	0	178	816	2269	67	-1	
5	1	19	1	5	1	178	816	110	65	12.959528	Specify)
5	1	19	1	5	2	1279	825	221	58	0.000000	aricet
5	1	19	1	5	3	2013	829	147	31	34.928780	[FELINE
5	1	19	1	5	4	2172	832	168	37	96.829552	LEUKEMIA
5	1	19	1	5	5	2349	832	98	26	96.114189	VIRUS
4	1	19	1	6	0	178	886	2270	63	-1	
5	1	19	1	6	1	178	906	70	23	96.508354	DATE
5	1	19	1	6	2	255	906	186	23	95.554230	VACCINATED:
5	1	19	1	6	3	553	904	167	25	96.242104	PRODUCER:
5	1	19	1	6	4	1200	901	177	44	60.244720	Veterinarian’s
5	1	19	1	6	5	1384	922	14	22	23.592291	@
5	1	19	1	6	6	1459	897	41	48	92.649185	2
5	1	19	1	6	7	1514	900	28	45	57.400116	2
5	1	19	1	6	8	1558	893	85	56	4.131384	Ce
5	1	19	1	6	9	1656	898	26	47	4.131384	7
5	1	19	1	6	10	2011	886	148	29	15.202770	(OOFELINE
5	1	19	1	6	11	2170	888	278	27	91.277199	PANLEUKOPENIA
4	1	19	1	7	0	186	938	2312	71	-1	
5	1	19	1	7	1	186	939	14	66	91.334274	|
5	1	19	1	7	2	213	938	50	71	31.062130	ma
5	1	19	1	7	3	316	942	13	56	77.809204	{
5	1	19	1	7	4	342	945	92	51	58.653709	oO]
5	1	19	1	7	5	443	949	75	60	23.201780	Ss”
5	1	19	1	7	6	804	942	30	57	38.684357	p
5	1	19	1	7	7	860	944	51	63	42.394695	Ee
5	1	19	1	7	8	936	948	11	61	70.266510	}
5	1	19	1	7	9	1405	947	100	30	69.663994	Licefige
5	1	19	1	7	10	1515	947	68	28	43.737717	No.
—" CIFELINE RHINOTRACHEFTIS. -
OIFEUNE CALICIVIRUS
Month Bay Year (First 3
Letters)
weotofe | CFELINE CHLAMYDIA
1 CE yr. Lic.Mace. C1 lg |)
VACCINATION EXPIRES: Signature fy CUFELINE IMMUNODEFICIENCY
5 3 yr. Lic.Vacc. Address VIRUS ©
I 1p | Re
L i 4445
Month Day Year tanng AL, e-O oe
Vace. sbrial (Lot) No. ” ;
. ~\ Boehringer
tlh Ingelheim
VAC0410004
§
RABIES VACCINATION CERTIFICATE VACCINATION RECORD
Tag fee $:
. ADAPTED NASPHY FORM 51 Tag #: Name
Owner's - Name & Address PRINT - use ball point pen or type Cert. Seriat #:
PE vos
PRINT LAS :
Wha ChBe/ Scwnene
Yo Bes
is , + . 23. 23 a 22:50 CANINE
B. STREET q Cl 0 ARAN
Y74) 6 l Colle 5) Dh ft E 2p RAINFLUENZA
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SPECIES: ? MAL. SASL SMe CENOVIRUS
SEX: . : SIZE: : PREDOMINANT BREED: | 2
Dog i. Male ‘0. COLORS: ; CICANINE E PARVOVIRUS
3 Mo, to 12 Mo. CJ] Under 20 Ibs. x .
Cat Female (1) 42 Mo. or older C Lu YO W L- CICANINE CORONAVIRUS
20-50 lbs (Jf :
Other O [atered Over 50 Ibs. CH NAME: COCANINE BORDETELLA .
(Specify) : y
22 COLEPTOSPIROSIS
4 Se NE CeUKEMIA VIRUS
DATE VACCINATED: PRODUCER:
os
Veterinarian’s el 22 [< CO FELINE PANLEUKOPENIA
[> io IS
fp | Fl | License No. . CU
Ae . FELINE RHINOTRACHEITIS
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(First 3 Letters) CI FEUNE CALICIVIRUS
Veterinaria
Tyr Ue-Maco. | CIFELINE
VACCINATION EXPIRES: Signature CHLAMYDIA
D / 3 yr. Lic ace. - | WO) Stuart CIFELIN E IMMUNODEFICIENCY a
, Su - aadiess! 3 Ga ey UAM ni deel
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Vacc. Serial (Lot) No.
¢ ce a iy \ Boehringer
VAC0410004 AXN | ally that
lngelheim

——]: VACCINATION RECORD
VACCINATION CERTIFICATE Tag fee $: Name
RABIES
ADAPTED NASPHV FORM 51 Ta
— theo « ert, — Tl x ‘OSs
PRINT - use ball point pen or ype COLYME DISEASE
Owner’s Name & Address
Ml JELEPHONE | CICANINE DISTEMPER
JA ef A: CF, 2
VOite LUA & Ck. — COCANINE PARAINFLUENZA
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5	1	117	1	8	3	676	517	224	87	58.885269	LAW
5	1	117	1	8	4	888	501	126	89	86.517647	LEY
5	1	117	1	8	5	1011	498	178	104	51.152004	ita
5	1	117	1	8	6	1201	494	205	98	38.446960	Am
5	1	117	1	8	7	1557	497	114	83	38.497437	553
5	1	117	1	8	8	1686	520	104	56	70.809303	Yo
5	1	117	1	8	9	2028	518	161	30	0.000000	COCANINE
5	1	117	1	8	10	2198	511	214	32	96.813499	ADENOVIRUS
5	1	117	1	8	11	2425	511	16	26	96.986809	2
4	1	117	1	9	0	238	540	2180	107	-1	
5	1	117	1	9	1	238	552	153	65	57.604832	ZIM
5	1	117	1	9	2	415	548	64	99	70.318909	Ce
5	1	117	1	9	3	556	540	112	103	39.691029	lage
5	1	117	1	9	4	1639	598	44	23	43.264919	AS:
5	1	117	1	9	5	2028	574	162	31	90.440292	CICANINE
5	1	117	1	9	6	2202	568	216	32	90.031189	PARVOVIRUS
5	1	117	1	9	7	2409	561	14	55	45.434437	,
4	1	117	1	10	0	214	598	1814	69	-1	
5	1	117	1	10	1	214	630	107	37	56.342491	PECIES:
5	1	117	1	10	2	415	627	61	35	91.778641	SEX:
5	1	117	1	10	3	589	612	35	21	8.593416	=
5	1	117	1	10	4	639	598	68	50	78.011818	AGE:
5	1	117	1	10	5	962	616	67	23	94.191956	SIZE:
5	1	117	1	10	6	1203	602	19	46	80.913445	|,
5	1	117	1	10	7	1229	602	178	46	91.418427	PREDOMINANT
5	1	117	1	10	8	1416	603	92	24	77.944519	BREED;
5	1	117	1	10	9	1535	596	15	36	31.183529	{|
5	1	117	1	10	10	1557	600	126	23	95.820786	COLORS:
5	1	117	1	10	11	2025	619	3	4	0.000000	;
4	1	117	1	11	0	195	623	2249	57	-1	
5	1	117	1	11	1	195	637	18	23	82.092880	°
5	1	117	1	11	2	1203	627	35	48	91.732101	<
5	1	117	1	11	3	1366	651	17	8	79.337471	~
5	1	117	1	11	4	1575	623	106	57	0.000000	TT,
5	1	117	1	11	5	2029	631	29	29	0.000000	CO
5	1	117	1	11	6	2067	631	123	28	0.000000	CANINE
5	1	117	1	11	7	2202	625	242	31	96.499130	CORONAVIRUS
4	1	117	1	12	0	196	644	1541	68	-1	
5	1	117	1	12	1	196	684	52	27	84.581421	Dog
5	1	117	1	12	2	417	669	62	43	96.703453	Male
5	1	117	1	12	3	583	669	29	29	37.150864	(|
5	1	117	1	12	4	642	673	14	22	63.173462	3
5	1	117	1	12	5	673	671	47	24	94.932625	Mo.
5	1	117	1	12	6	736	670	26	22	95.798454	to
5	1	117	1	12	7	778	669	31	21	71.853409	42
5	1	117	1	12	8	826	666	47	23	94.913269	Mo.
5	1	117	1	12	9	903	658	30	29	16.720753	[|
5	1	117	1	12	10	963	663	80	23	96.846481	Under
5	1	117	1	12	11	1053	661	32	22	88.535309	20
5	1	117	1	12	12	1096	660	44	23	93.609161	Ibs.
5	1	117	1	12	13	1620	644	12	49	71.700768	|
5	1	117	1	12	14	1645	656	92	43	35.924068	EN
4	1	117	1	13	0	196	681	2222	84	-1	
5	1	117	1	13	1	196	714	58	49	53.504387	Cat
[CO CANINE BORDETELLA
Female 42 Mo. or older OK 20-50lbs O
| Pover 50 tbs. 1] NAME: (LEPTOSPIROSIS
other | Altered
DFELINE LEUKEMIA VIRUS
(Specify) Zac
( FELINE PANLEUKOPENIA
; 33 co
meas Prooooss: # OIFELINE RHINOTRAGHETHS
Veterinarian caiiee No.
[> lo 1S on] im | CFELINE CALICIVIRUS
Month Day weer (First 8 Letiers Veterinarign’ (0 FELINE CHLAMYDIA
(3 Pt FELINE IMMUNODEFICIENC
4 yr. Lic.Nace. Signatur
VACCINATION EXPIRES: . muy LT WraeW ak A VIRUS
3 yr. wen Ruy Addres 2S idsg
> { ) | P G . -
Pay Wear ~ Boehringer
Month Vacc. Serial (Lot) No.
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VAG0410001
Lf
VACCINATION RECORD
RABIES VACCINATION CERTIFICATE ‘Tag fee $;
Name
ADAPTED NASPHYV FORM 57 Tag #:
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Owner's Name & Address PRINT - use ball point pen or type Cert. Serial #:
COMME DISEASE
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Man Le fl Y— | Utghb yy WE eo OG S>4O COCANINE ADENOVIRUS 2
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SPECIES: AGE: SIZE: BREED: } COLORS:
Dog Male thls Mo. to 12 Mo. (| Under 20 Ibs. Sat Oe CI CANINE CORONAVIRUS °
CHW
Cat Female ()] 12 Mo. or older 20-50ibs © & CJ CANINE BORDETELLA
Other 1 Aliered POver 50 tbs. (1 } NAME:
(J LEPTOSPIROSIS
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“2 CIFELINE PANLEUKOPENIA
D, ATE VACCINATED: I: PRODUCER : Veterinarian’s # ‘2 Ao eee
_ License Nov CIFELINE RHINOTRAGCHEITIS
1d. lo [Ss OT |
) OC) FEUINE CALICIVIRUS
Month Da y Year (First 7 3 Letters) :
Veterinari
i C3 FELINE CHLAMYDIA
4 |” yr. Lic. Wace. C)
VACCINATION Expires: | Signature a ~ TO FELINE SMMUNODEFICIENCY
{ >) 3 yr. Lic.Mace. | Address me Lip — ays . VIRUS
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Morith Day Year : { a fe.
Vacc. Serial (Loi) No. BESTS a Boehringer
33.57
Gl ally!
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VAC0410001

RABIES VACCINATION CERTIFICATE Tag fee $:
ADAPTED NASPHV FORM 57 Tag #:
Owner's Name & Address PRINT - use ball point pen or type - Cert. Serial #:
1
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SPECIES: AGE: SIZE: PREDOMINANT BREED: | COLORS:
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DATE VACCINATED: PRODUCER: “einanade “2 2 CS
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Month Day Year (First 3 Letlers)
Voterinariahy
“| | 1% Ue Signature
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Month Day Year L
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Vacc. Serial (Lot} No.
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VAC0410001
RABIES VACCINATION CERTIFICATE Tag fee $:
ADAPTED NASPHV FORM 51 Tag i:
Owner’s Name & Address PRINT - use ball point pen or type Cert. Serial #:
PRINT LAST Mi TELEPHONE
otra, ICMAB yy LE PZ EVESO
STREET fae), CITY STATE
$936 td). Fs BO
2A
SPECIES: _| SEX: TAGE: SIZE: PREDQMINANT BREED: COLORS:
Dog Male xls Mo. to 12 Mo. (Ij Under 20 tbs. C3] ‘wa
Cure
Cat Female (1/42 Mo. or older Be 20 - 50 Ibs AN L=-
Other 0 Altered B] - Over 50 Ibs, ‘C] SNAME: 4
- —_ «
(Specify) : ) Uni Or
|
5	1	61	1	14	2	166	2287	70	25	82.020447	DATE
5	1	61	1	14	3	244	2287	185	49	96.328560	VACCINATED:
5	1	61	1	14	4	540	2274	167	49	92.791893	PRODUCER:
5	1	61	1	14	5	1185	2304	173	23	47.143394	Veterinarian’s
5	1	61	1	14	6	1366	2304	16	23	92.172974	#
5	1	61	1	14	7	1431	2271	55	59	50.659416	“2
5	1	61	1	14	8	1558	2310	7	16	18.236027	2%
4	1	61	1	15	0	187	2321	1396	73	-1	
5	1	61	1	15	1	187	2324	83	68	23.391472	ips
5	1	61	1	15	2	319	2329	54	63	51.066513	[od
5	1	61	1	15	3	420	2330	70	55	31.729174	[>
5	1	61	1	15	4	793	2321	139	73	19.194717	Plel|
5	1	61	1	15	5	1389	2324	104	43	34.124683	Licefse
5	1	61	1	15	6	1506	2324	77	43	31.844254	NO.”
3	1	61	2	0	0	174	2390	1151	61	-1	
4	1	61	2	1	0	174	2390	1151	61	-1	
5	1	61	2	1	1	174	2391	81	32	69.653687	Month
5	1	61	2	1	2	319	2390	53	37	43.407837	Day
5	1	61	2	1	3	438	2398	57	23	46.778831	Year
5	1	61	2	1	4	774	2409	65	29	96.083435	(First
5	1	61	2	1	5	847	2410	16	22	96.510834	3
5	1	61	2	1	6	873	2409	96	29	77.868347	Letters)
5	1	61	2	1	7	1183	2398	121	53	63.237274	Veierinari
5	1	61	2	1	8	1317	2397	8	6	15.481005	H
3	1	61	3	0	0	162	2466	1633	104	-1	
4	1	61	3	1	0	537	2466	1247	38	-1	
5	1	61	3	1	1	537	2473	11	23	76.103989	4
5	1	61	3	1	2	559	2462	29	46	59.572754	yr,
5	1	61	3	1	3	600	2473	21	23	69.799995	Lic
5	1	61	3	1	4	640	2472	34	23	52.159657	Wace.
5	1	61	3	1	5	743	2466	19	29	45.344124	0
5	1	61	3	1	6	1203	2469	5	21	0.000000	,
5	1	61	3	1	7	1470	2462	12	46	29.971718	|
5	1	61	3	1	8	1474	2466	310	38	24.900408	en
4	1	61	3	2	0	162	2478	1633	92	-1	
5	1	61	3	2	1	162	2502	191	23	95.386208	VACCINATION
5	1	61	3	2	2	364	2502	124	23	80.844711	EXPIRES:
5	1	61	3	2	3	513	2474	17	61	57.572090	|
5	1	61	3	2	4	1183	2479	110	53	91.241310	Signatur
5	1	61	3	2	5	1323	2510	60	60	52.128925	¥
5	1	61	3	2	6	1331	2478	142	53	35.525990	hoe
5	1	61	3	2	7	1507	2512	109	52	59.157883	eK
5	1	61	3	2	8	1713	2520	82	50	53.264130	a
3	1	61	4	0	0	163	2507	1694	154	-1	
4	1	61	4	1	0	536	2507	1321	92	-1	
5	1	61	4	1	1	536	2535	13	23	87.303978	3
5	1	61	4	1	2	562	2541	26	23	69.391777	yr
5	1	61	4	1	3	600	2507	157	92	0.000000	ucNeco}h
5	1	61	4	1	4	1657	2553	22	11	63.366928	~
5	1	61	4	1	5	1814	2538	43	26	31.263031	gL
4	1	61	4	2	0	172	2527	1549	79	-1	
5	1	61	4	2	1	172	2541	68	65	33.848873	Ley
5	1	61	4	2	2	313	2545	16	52	50.240959	|
5	1	61	4	2	3	346	2549	36	53	36.662415	oO
5	1	61	4	2	4	417	2539	14	53	77.437424	|
5	1	61	4	2	5	445	2535	44	56	32.584229	a
5	1	61	4	2	6	1020	2570	50	6	40.870827	og
5	1	61	4	2	7	1182	2547	108	23	95.814445	Address
5	1	61	4	2	8	1374	2527	56	53	68.662453	YI
5	1	61	4	2	9	1444	2533	38	49	77.099304	Y
5	1	61	4	2	10	1621	2541	100	29	0.000000	lancy
4	1	61	4	3	0	163	2540	948	125	-1	
5	1	61	4	3	1	163	2600	82	31	96.791695	Month
5	1	61	4	3	2	321	2609	50	28	96.565979	Day
5	1	61	4	3	3	436	2606	57	24	96.319626	Year
5	1	61	4	3	4	756	2540	292	125	3.169174	SUiy44
5	1	61	4	3	5	1078	2540	33	125	20.693077	s
3	1	61	5	0	0	771	2639	275	28	-1	
4	1	61	5	1	0	771	2639	275	28	-1	
5	1	61	5	1	1	771	2640	71	21	92.740402	Vacc.
5	1	61	5	1	2	871	2640	53	23	93.270088	Serial
5	1	61	5	1	3	934	2639	57	28	87.876572	(Lot}
5	1	61	5	1	4	1002	2640	44	21	96.548729	No.
2	1	62	0	0	0	1897	1599	13	1110	-1	
3	1	62	1	0	0	1897	1599	13	1110	-1	
4	1	62	1	1	0	1897	1599	13	1110	-1	
5	1	62	1	1	1	1897	1599	13	1110	95.000000	 
2	1	63	0	0	0	141	2690	1758	35	-1	
3	1	63	1	0	0	141	2690	1758	35	-1	
4	1	63	1	1	0	141	2690	1758	35	-1	
5	1	63	1	1	1	141	2690	1758	35	95.000000	 
2	1	64	0	0	0	141	2726	168	24	-1	
3	1	64	1	0	0	141	2726	168	24	-1	
4	1	64	1	1	0	141	2726	168	24	-1	
5	1	64	1	1	1	141	2726	168	24	76.207237	VAC0410001
2	1	65	0	0	0	2005	141	374	27	-1	
3	1	65	1	0	0	2005	141	374	27	-1	
4	1	65	1	1	0	2005	141	374	27	-1	
5	1	65	1	1	1	2005	142	220	26	96.196640	VACCINATION
5	1	65	1	1	2	2238	141	141	26	95.056686	RECORD
2	1	66	0	0	0	1983	192	177	97	-1	
3	1	66	1	0	0	1987	192	173	92	-1	
4	1	66	1	1	0	2007	192	86	24	-1	
5	1	66	1	1	1	2007	192	86	24	62.522987	Name
4	1	66	1	2	0	1983	194	177	95	-1	
5	1	66	1	2	1	1983	194	177	95	0.000000	dansies
2	1	67	0	0	0	2000	302	463	705	-1	
3	1	67	1	0	0	2004	302	275	28	-1	
4	1	67	1	1	0	2004	302	275	28	-1	
5	1	67	1	1	1	2004	302	123	28	0.000000	LILYME
5	1	67	1	1	2	2140	304	139	26	96.579880	DISEASE
3	1	67	2	0	0	2003	358	364	29	-1	
4	1	67	2	1	0	2003	358	364	29	-1	
5	1	67	2	1	1	2003	358	30	29	49.548458	CO
5	1	67	2	1	2	2041	361	124	26	53.742733	CANINE
5	1	67	2	1	3	2176	360	191	26	90.753036	DISTEMPER
3	1	67	3	0	0	2002	415	446	142	-1	
4	1	67	3	1	0	2002	415	446	29	-1	
5	1	67	3	1	1	2002	415	31	29	51.687698	(C3
5	1	67	3	1	2	2041	417	124	26	65.569443	CANINE
5	1	67	3	1	3	2176	417	272	26	92.488594	PARAINFLUENZA
4	1	67	3	2	0	2002	471	416	29	-1	
5	1	67	3	2	1	2002	471	161	29	30.511370	COCANINE
5	1	67	3	2	2	2174	472	217	28	96.252357	ADENOVIRUS
5	1	67	3	2	3	2402	474	16	24	96.539047	2
4	1	67	3	3	0	2002	528	383	29	-1	
5	1	67	3	3	1	2002	528	29	29	2.975855	C]
5	1	67	3	3	2	2041	529	122	28	95.205948	CANINE
5	1	67	3	3	3	2176	528	209	27	95.205948	PARVOVIRUS
3	1	67	4	0	0	2002	585	416	84	-1	
4	1	67	4	1	0	2002	585	416	28	-1	
5	1	67	4	1	1	2002	585	29	28	1.731806	LI
5	1	67	4	1	2	2041	586	122	26	1.731806	CANINE
5	1	67	4	1	3	2175	585	243	27	96.404358	CORONAVIRUS
4	1	67	4	2	0	2002	640	391	29	-1	
5	1	67	4	2	1	2002	640	29	29	46.225933	CJ
5	1	67	4	2	2	2040	643	123	26	46.225933	CANINE
5	1	67	4	2	3	2175	642	218	26	96.246086	BORDETELLA
3	1	67	5	0	0	2001	696	300	29	-1	
4	1	67	5	1	0	2001	696	300	29	-1	
5	1	67	5	1	1	2001	696	30	29	28.312813	DO
5	1	67	5	1	2	2041	699	260	26	28.312813	LEPTOSPIROSIS
3	1	67	6	0	0	2001	753	462	198	-1	
4	1	67	6	1	0	2001	753	438	29	-1	
5	1	67	6	1	1	2001	753	29	29	79.021622	C]
5	1	67	6	1	2	2040	756	111	26	95.372124	FELINE
5	1	67	6	1	3	2163	754	168	26	96.870232	LEUKEMIA
5	1	67	6	1	4	2340	754	99	26	95.191322	VIRUS
4	1	67	6	2	0	2001	810	440	29	-1	
5	1	67	6	2	1	2001	810	29	29	45.882019	CU
5	1	67	6	2	2	2040	811	111	28	59.896091	FELINE
5	1	67	6	2	3	2163	810	278	27	92.265694	PANLEUKOPENIA
4	1	67	6	3	0	2001	865	462	29	-1	
5	1	67	6	3	1	2001	865	29	29	45.843086	(1
5	1	67	6	3	2	2040	868	110	26	79.680634	FELINE
5	1	67	6	3	3	2163	867	300	27	90.814331	RHINOTRACHEITIS
4	1	67	6	4	0	2001	922	368	29	-1	
5	1	67	6	4	1	2001	922	29	29	79.426079	()
5	1	67	6	4	2	2040	924	110	27	92.092125	FELINE
5	1	67	6	4	3	2161	924	208	26	59.094620	CALIGIVIRUS
3	1	67	7	0	0	2000	979	360	28	-1	
4	1	67	7	1	0	2000	979	360	28	-1	
5	1	67	7	1	1	2000	979	30	28	38.749222	(4
5	1	67	7	1	2	2040	981	110	26	87.228104	FELINE
5	1	67	7	1	3	2161	979	199	28	96.258133	CHLAMYDIA
2	1	68	0	0	0	2102	214	343	9	-1	
3	1	68	1	0	0	2102	214	343	9	-1	
4	1	68	1	1	0	2102	214	343	9	-1	
5	1	68	1	1	1	2102	214	343	9	95.000000	 
2	1	69	0	0	0	1910	1035	592	33	-1	
3	1	69	1	0	0	1910	1035	592	33	-1	
4	1	69	1	1	0	1910	1035	592	33	-1	
5	1	69	1	1	1	1906	1031	19	44	50.061615	|
5	1	69	1	1	2	1910	1035	120	33	0.000000	__C
5	1	69	1	1	3	2040	1038	110	26	83.680130	FELINE
5	1	69	1	1	4	2161	1036	341	26	95.176186	IMMUNODEFICIENCY
2	1	70	0	0	0	2039	1086	97	26	-1	
3	1	70	1	0	0	2039	1086	97	26	-1	
4	1	70	1	1	0	2039	1086	97	26	-1	
5	1	70	1	1	1	2039	1086	97	26	96.305908	VIRUS
2	1	71	0	0	0	2067	1186	254	83	-1	
3	1	71	1	0	0	2067	1186	254	83	-1	
4	1	71	1	1	0	2067	1186	254	40	-1	
5	1	71	1	1	1	2067	1195	23	13	46.479221	~\
5	1	71	1	1	2	2133	1186	188	40	95.761612	Boehringer
4	1	71	1	2	0	2068	1209	235	60	-1	
5	1	71	1	2	1	2068	1209	20	57	34.068111	ll)
5	1	71	1	2	2	2133	1230	170	39	0.000000	Ingelheim
2	1	72	0	0	0	2001	1600	372	77	-1	
3	1	72	1	0	0	2001	1600	372	77	-1	
4	1	72	1	1	0	2001	1600	372	28	-1	
5	1	72	1	1	1	2001	1600	218	28	96.289413	VACCINATION
5	1	72	1	1	2	2232	1600	141	26	96.463921	RECORD
4	1	72	1	2	0	2002	1651	253	26	-1	
5	1	72	1	2	1	2002	1651	86	26	96.850945	Name
5	1	72	1	2	2	2245	1656	10	18	29.930048	t
2	1	73	0	0	0	2038	1698	235	93	-1	
3	1	73	1	0	0	2038	1698	235	93	-1	
4	1	73	1	1	0	2038	1698	118	38	-1	
5	1	73	1	1	1	2038	1698	118	38	96.538345	RABIES
4	1	73	1	2	0	2074	1764	199	27	-1	
5	1	73	1	2	1	2074	1765	47	26	96.409042	ME
5	1	73	1	2	2	2134	1764	139	27	96.868164	DISEASE
2	1	74	0	0	0	1990	1819	503	754	-1	
3	1	74	1	0	0	1990	1819	503	754	-1	
4	1	74	1	1	0	1998	1819	363	29	-1	
5	1	74	1	1	1	1998	1819	161	29	35.998024	CCANINE
5	1	74	1	1	2	2170	1821	191	26	91.292709	DISTEMPER
4	1	74	1	2	0	1998	1875	444	29	-1	
5	1	74	1	2	1	1998	1875	161	29	20.558195	CCANINE
5	1	74	1	2	2	2170	1876	272	28	91.776062	PARAINFLUENZA
4	1	74	1	3	0	1996	1932	416	29	-1	
5	1	74	1	3	1	1996	1932	161	29	0.000000	COCANINE
5	1	74	1	3	2	2168	1933	217	26	96.530754	ADENOVIRUS
5	1	74	1	3	3	2396	1933	16	26	96.855385	2
4	1	74	1	4	0	1996	1987	383	29	-1	
5	1	74	1	4	1	1996	1987	161	29	21.117786	CCANINE
5	1	74	1	4	2	2169	1989	210	27	96.758018	PARVOVIRUS
4	1	74	1	5	0	1995	2041	416	32	-1	
5	1	74	1	5	1	1995	2044	162	29	15.853481	COCANINE
5	1	74	1	5	2	2168	2041	243	31	92.327721	CORONAVIRUS
4	1	74	1	6	0	1995	2100	390	29	-1	
5	1	74	1	6	1	1995	2100	162	29	21.845999	CCANINE
5	1	74	1	6	2	2169	2101	216	28	96.147148	BORDETELLA
4	1	74	1	7	0	1995	2157	318	29	-1	
5	1	74	1	7	1	1995	2157	299	29	9.086418	CILEPTOSPIROSIS
5	1	74	1	7	2	2309	2164	4	4	88.430099	-
4	1	74	1	8	0	1993	2199	488	44	-1	
5	1	74	1	8	1	1993	2212	151	31	46.044922	CFELINE
5	1	74	1	8	2	2155	2199	169	42	95.958771	LEUKEMIA
5	1	74	1	8	3	2333	2211	99	30	52.504951	VIRUS
5	1	74	1	8	4	2462	2218	19	7	52.500996	~~
4	1	74	1	9	0	1993	2269	439	29	-1	
5	1	74	1	9	1	1993	2269	29	29	90.087181	O
5	1	74	1	9	2	2032	2272	112	26	92.802925	FELINE
5	1	74	1	9	3	2155	2271	277	27	92.243492	PANLEUKOPENIA
4	1	74	1	10	0	1992	2326	462	29	-1	
5	1	74	1	10	1	1992	2326	150	29	24.946089	OFELINE
5	1	74	1	10	2	2154	2328	300	26	91.455551	RHINOTRACHEITIS
4	1	74	1	11	0	1992	2379	368	33	-1	
5	1	74	1	11	1	1992	2382	150	30	0.000000	(FELINE
5	1	74	1	11	2	2154	2379	206	32	92.493973	CALICIVIRUS
4	1	74	1	12	0	1992	2439	359	29	-1	
5	1	74	1	12	1	1992	2439	29	29	20.522503	CO
5	1	74	1	12	2	2031	2442	110	26	20.522503	FELINE
5	1	74	1	12	3	2152	2440	199	28	96.020493	CHLAMYDIA
4	1	74	1	13	0	1990	2496	503	32	-1	
5	1	74	1	13	1	1990	2496	31	29	36.415398	(CO
5	1	74	1	13	2	2030	2499	111	26	45.555893	FELINE
5	1	74	1	13	3	2152	2496	341	32	96.055046	IMMUNODEFICIENCY
4	1	74	1	14	0	2029	2547	98	26	-1	
5	1	74	1	14	1	2029	2547	98	26	96.840759	VIRUS
2	1	75	0	0	0	2097	1675	345	7	-1	
3	1	75	1	0	0	2097	1675	345	7	-1	
4	1	75	1	1	0	2097	1675	345	7	-1	
5	1	75	1	1	1	2097	1675	345	7	95.000000	 
2	1	76	0	0	0	2123	2648	172	82	-1	
3	1	76	1	0	0	2123	2648	172	82	-1	
4	1	76	1	1	0	2123	2648	172	49	-1	
5	1	76	1	1	1	2123	2648	172	49	86.303970	Bochringe
4	1	76	1	2	0	2123	2691	171	39	-1	
5	1	76	1	2	1	2123	2691	171	39	0.000000	Ingelheim
2	1	77	0	0	0	2544	1514	6	139	-1	
3	1	77	1	0	0	2544	1514	6	139	-1	
4	1	77	1	1	0	2544	1514	6	139	-1	
5	1	77	1	1	1	2544	1514	6	139	95.000000	 
2	1	78	0	0	0	2537	2106	13	1192	-1	
3	1	78	1	0	0	2537	2106	13	1192	-1	
4	1	78	1	1	0	2537	2106	13	1192	-1	
5	1	78	1	1	1	2537	2106	13	1192	95.000000

VACCINATION RECORD
RABIES VACCINATION CERTIFICATE Tag fee $:
Name
ADAPTED NASPHV FORM 57 Tag #:
RABIES
Owner's Name & Address PRINT = use balt point pen or type Cert. Serial #:
(OLYME DISEASE
DRINTLAST aReT jl TELEPHONE
Ma Zen Ah. C1 CANINE DISTEMPER
D3 DBjIED2S%
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COCANINE PARAINFLUENZA
STREET CITY sappy . [Ze
Y7Gn0 Ces. [Nbc 'L IMAL y SL SLO SO LJ CANINE ADENOVIRUS 2
: CICANINE PARVOVIRUS
SPECIES: _- }SEX: - AGE: : SIZE: PREDOMINANT BREED: | COLORS:
Dog Oe Male “El 3 Mo. io 12 Mo. [| Under 20 ibs. DX A OCANINE CORONAVIRUS
arr
cat O Female (2) 42 Mo. or older xe 20-50ibs Of” (CANINE BORDETELLA
Other D Altered rOver 50 tbs. (1 | NAME:
OULEPTOSPIROSIS
(Specify) RB bt. a4 CI FELINE LEUKEMIA VIRUS
C1 FELINE PANLEUKOPENIA
DATE VACCINATED: PRODUCER: 3 3 S a
Veterinarian’s #
}> {vr 9) 4 | License No. (J FELINE RHINOTRACHEITIS
| dD. _
CI FELINE CALICIVIRUS
Month Day Year (First 3 Letters)
Veterinarian’s
i OFELINE CHLAMYDIA
| * °° 7 Signature _f| EL a FELINE IMMUNODEFICIENCY
VACCINATION Expires: CJ
:
3 yt. Lic.Mace. Address. nd Ma Moy VIRUS
Lp lo Ib
S U f “yy
Month Day Year Wa
Vacc. Serial (Lot} No. o~
«S> 3 ~ Boehringer
ill” ingetheim
VAC0410004
’
VACCINATION RECORD
RABIES VACCINATION CERTIFICATE Tag fee $:
Name
ADAPTED NASPHV FORM 51 Tag #: fF
Owner’s Name & Address PRINT - use ball point pen or type Cert. Serial #: JReasies
CNME DISEASE
P, LAST Mi FELEPHONE
CLP a ht B sey A. DB EIESO COCANINE DISTEMPER
COCANINE PARAINELUENZA
NQ. STREET Cl STATE ZIP
7994 Ce Ua, (bb DAMME AL R53 CICANINE ADENOVIRUS 2
SPECIES: SEX: AGE: SIZE: PRE; COLORS: CUCANINE PARVOVIRUS
Dog PET | Male C)}3 Mo. to 12 Mo. C1] Under 20 ibs. 0 p ~~ ef el 2 CO CANINE CORONAVIRUS
'
cat O Female 12 Mo. or older - X20-50lbs CICANINE BORDETELLA
|
Other O Altered NSver 50 Ibs. NAME:
COLEPTOSPIROSIS
(Specify) ~ “ cy Lou
CIFELINE LEUKEMIA VIRUS _;
DATE VACCINATED: PRODUCER: ‘3 305 CFELINE PANLEUKOPENIA
Vetetinavian’s
> {bo [S| p | } License No. OFELINE RHINOTRACHEITIS
;
Month Day Year O FELINE CALICIVIRUS
= (First 3 Letters)
Veterinari
ia (FELINE CHLAMYDIA
|” Nace.) =
VACCINATION EXPIRES: | ue Stanatureey Poe ? CIFELINE IMMUNODEFICIENCY
{oO | r) Syr bo.Nace Address < _ VIRUS
i> __.|
Seg Gy§ /
{Month Day Year 74
Vacc. Serial {Lot} No.
Boehringer
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all
ingetheim
VAC0410007

RABIES VACCINATION CERTIFICATE Tag fee $:
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Owner's Name & Address PRINT - use balt point pen or type Cert. Serial #:
LAST IRST i TELEPHONE
PASI AS Ae.
q Lins Ld 31K AZSO
.
ere
STREET
Joa Colle BR” Lite Alle ba BY
Lb-
Gale
3 yr. Lic ace. 3 J Sue e
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u ! if q Ut
Month Day Year
. Vacc. ‘acc. Serial Serial (Lot} {Lot} No. No «Ss a :
a
VAC0410001
}
RABIES VACCINATION CERTIFICATE Tag fee $:
ADAPTED NASPHV FORM 51 Tag #:
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ELEPHONE
Lim A: PR 73 72D
_
Bid
STREET
5	1	78	1	1	2	1279	1868	85	22	95.968719	STATE
5	1	78	1	1	3	1517	1867	43	23	77.466530	Zip
3	1	78	2	0	0	123	1796	1638	169	-1	
4	1	78	2	1	0	123	1796	1638	169	-1	
5	1	78	2	1	1	123	1796	222	169	38.981804	Peeve
5	1	78	2	1	2	457	1916	41	33	82.067459	L
5	1	78	2	1	3	534	1851	94	95	19.576817	GB
5	1	78	2	1	4	631	1846	134	118	0.000000	bec
5	1	78	2	1	5	804	1850	66	98	67.431259	SY
5	1	78	2	1	6	892	1856	184	107	38.783592	Adds
5	1	78	2	1	7	1059	1851	207	96	23.881035	Yet
5	1	78	2	1	8	1312	1881	131	67	31.889576	AN
5	1	78	2	1	9	1504	1892	257	56	23.955755	|\SS3£0
3	1	78	3	0	0	151	1955	1492	45	-1	
4	1	78	3	1	0	151	1955	1492	45	-1	
5	1	78	3	1	1	151	1968	127	23	93.423576	SPECIES:
5	1	78	3	1	2	372	1968	59	23	96.150597	SEX:
5	1	78	3	1	3	594	1955	66	45	96.684669	AGE:
5	1	78	3	1	4	916	1955	70	44	96.079323	SIZE:
5	1	78	3	1	5	1173	1966	191	25	96.468925	PREDOMINANT
5	1	78	3	1	6	1372	1966	92	23	92.124786	BREED:
5	1	78	3	1	7	1491	1955	16	45	96.278481	|
5	1	78	3	1	8	1515	1966	128	23	96.579834	COLORS:
3	1	78	4	0	0	151	1964	1564	125	-1	
4	1	78	4	1	0	151	1964	1564	125	-1	
5	1	78	4	1	1	151	2014	53	29	96.682213	Dog
5	1	78	4	1	2	231	1964	72	125	65.969742	ar
5	1	78	4	1	3	372	2005	60	50	93.451569	Mate
5	1	78	4	1	4	535	2008	74	40	48.252266	CIL8
5	1	78	4	1	5	627	2013	47	23	95.304001	Mo.
5	1	78	4	1	6	690	2014	26	22	95.456810	to
5	1	78	4	1	7	732	2013	30	23	91.118095	12
5	1	78	4	1	8	780	2013	47	23	95.310738	Mo.
5	1	78	4	1	9	856	2007	31	29	47.420940	CJ}
5	1	78	4	1	10	918	2013	122	23	94.533615	Under
5	1	78	4	1	11	1011	2003	30	51	94.533615	20
5	1	78	4	1	12	1051	2013	44	24	90.307938	Ibs.
5	1	78	4	1	13	1128	1996	27	53	20.855755	|
5	1	78	4	1	14	1257	2011	138	68	75.626358	Chi
5	1	78	4	1	15	1555	1991	85	74	27.710686	RS)
5	1	78	4	1	16	1653	2001	62	64	0.000000	\e
3	1	78	5	0	0	150	2047	1583	70	-1	
4	1	78	5	1	0	150	2047	1583	70	-1	
5	1	78	5	1	1	150	2052	45	41	96.865250	Cat
5	1	78	5	1	2	370	2052	95	41	96.598030	Female
5	1	78	5	1	3	580	2089	8	8	94.987595	|
5	1	78	5	1	4	595	2061	31	23	94.987595	12
5	1	78	5	1	5	637	2061	47	21	96.332031	Mo.
5	1	78	5	1	6	697	2065	28	17	96.440445	or
5	1	78	5	1	7	733	2059	67	23	96.992073	older
5	1	78	5	1	8	838	2053	60	64	0.049191	4
5	1	78	5	1	9	915	2059	144	23	70.635872	20-50ibs
5	1	78	5	1	10	1114	2047	59	37	68.629173	Of
5	1	78	5	1	11	1389	2053	11	20	83.518913	4
5	1	78	5	1	12	1711	2064	22	15	0.000000	~
3	1	78	6	0	0	150	2097	1110	44	-1	
4	1	78	6	1	0	150	2097	1110	44	-1	
5	1	78	6	1	1	150	2107	73	25	96.312263	Other
5	1	78	6	1	2	244	2102	31	30	33.868355	(3
5	1	78	6	1	3	367	2097	94	44	80.631454	Alterect
5	1	78	6	1	4	835	2109	4	3	0.000000	‘
5	1	78	6	1	5	915	2106	63	23	94.474915	Over
5	1	78	6	1	6	987	2107	32	22	89.004433	50
5	1	78	6	1	7	1030	2107	44	23	81.567764	ibs.
5	1	78	6	1	8	1113	2101	30	29	28.185081	(|
5	1	78	6	1	9	1173	2100	87	23	96.821884	NAME:
3	1	78	7	0	0	117	2124	1529	182	-1	
4	1	78	7	1	0	151	2124	1235	106	-1	
5	1	78	7	1	1	151	2162	110	38	87.829468	(Specify)
5	1	78	7	1	2	1178	2124	63	102	71.518150	(2
5	1	78	7	1	3	1266	2159	45	53	87.807793	Le
5	1	78	7	1	4	1313	2159	30	59	40.359489	is
5	1	78	7	1	5	1356	2187	30	43	88.741676	4
4	1	78	7	2	0	117	2228	1529	82	-1	
5	1	78	7	2	1	117	2268	5	5	76.135414	.|
5	1	78	7	2	2	150	2251	71	28	95.830513	DATE
5	1	78	7	2	3	228	2251	185	23	9.851112	VACCINATED:
5	1	78	7	2	4	525	2250	167	23	51.188049	PRODUCER:
5	1	78	7	2	5	760	2255	2	3	4.845591	 -
5	1	78	7	2	6	888	2284	8	11	49.868073	:
5	1	78	7	2	7	1171	2268	161	24	33.196808	Veterinarian’
5	1	78	7	2	8	1328	2228	69	82	28.004093	oe.
5	1	78	7	2	9	1435	2234	95	62	64.078049	33,
5	1	78	7	2	10	1542	2234	53	62	54.070263	S!
5	1	78	7	2	11	1587	2239	59	50	24.289570	—
3	1	78	8	0	0	159	2283	1371	122	-1	
4	1	78	8	1	0	181	2283	1349	69	-1	
5	1	78	8	1	1	181	2295	76	55	89.408691	i>
5	1	78	8	1	2	297	2308	65	41	10.796204	10
5	1	78	8	1	3	399	2298	12	42	0.000000	l
5	1	78	8	1	4	784	2283	37	69	39.698635	9)
5	1	78	8	1	5	837	2287	86	62	51.384548	Fl
5	1	78	8	1	6	1377	2301	101	45	89.727501	License
5	1	78	8	1	7	1486	2287	44	44	96.359833	No.
4	1	78	8	2	0	159	2361	797	44	-1	
5	1	78	8	2	1	159	2361	80	24	94.160057	Month
5	1	78	8	2	2	274	2357	17	51	57.918438	=
5	1	78	8	2	3	306	2361	50	29	75.111000	Day
5	1	78	8	2	4	421	2361	58	23	0.000000	Year
5	1	78	8	2	5	759	2373	65	32	96.357803	(First
5	1	78	8	2	6	832	2373	17	23	96.451431	3
5	1	78	8	2	7	859	2372	97	30	77.475266	Letters)
2	1	79	0	0	0	1170	2383	174	56	-1	
3	1	79	1	0	0	1170	2383	174	56	-1	
4	1	79	1	1	0	1170	2383	174	56	-1	
5	1	79	1	1	1	1170	2383	107	56	35.296524	Veterina
5	1	79	1	1	2	1291	2392	53	19	0.000000	angs
2	1	80	0	0	0	1170	2424	104	57	-1	
3	1	80	1	0	0	1170	2424	104	57	-1	
4	1	80	1	1	0	1170	2424	104	57	-1	
5	1	80	1	1	1	1170	2424	104	57	87.098167	Signatuy
2	1	81	0	0	0	1482	2387	350	71	-1	
3	1	81	1	0	0	1482	2387	350	71	-1	
4	1	81	1	1	0	1482	2387	350	71	-1	
5	1	81	1	1	1	1482	2387	350	71	32.764671	Nee
2	1	82	0	0	0	1301	2468	561	9	-1	
3	1	82	1	0	0	1301	2468	561	9	-1	
4	1	82	1	1	0	1301	2468	561	9	-1	
5	1	82	1	1	1	1301	2468	561	9	95.000000	 
2	1	83	0	0	0	1168	2470	616	107	-1	
3	1	83	1	0	0	1168	2470	616	107	-1	
4	1	83	1	1	0	1168	2470	616	107	-1	
5	1	83	1	1	1	1168	2510	107	24	96.698730	Address
5	1	83	1	1	2	1297	2484	152	62	14.774532	ayy
5	1	83	1	1	3	1466	2470	54	107	21.796097	NO
5	1	83	1	1	4	1546	2470	238	107	0.000000	Sranelé
2	1	84	0	0	0	1284	2531	575	6	-1	
3	1	84	1	0	0	1284	2531	575	6	-1	
4	1	84	1	1	0	1284	2531	575	6	-1	
5	1	84	1	1	1	1284	2531	575	6	95.000000	 
2	1	85	0	0	0	1245	2537	503	73	-1	
3	1	85	1	0	0	1245	2537	503	73	-1	
4	1	85	1	1	0	1245	2537	503	73	-1	
5	1	85	1	1	1	1245	2541	108	69	63.035091	CAs
5	1	85	1	1	2	1368	2537	212	58	36.530972	anther
5	1	85	1	1	3	1597	2537	151	57	36.257599	fe
5	1	85	1	1	4	1721	2533	32	74	74.728828	4
2	1	86	0	0	0	1281	2591	576	9	-1	
3	1	86	1	0	0	1281	2591	576	9	-1	
4	1	86	1	1	0	1281	2591	576	9	-1	
5	1	86	1	1	1	1281	2591	576	9	95.000000	 
2	1	87	0	0	0	1884	1566	17	1109	-1	
3	1	87	1	0	0	1884	1566	17	1109	-1	
4	1	87	1	1	0	1884	1566	17	1109	-1	
5	1	87	1	1	1	1884	1566	17	1109	95.000000	 
2	1	88	0	0	0	1608	2613	215	50	-1	
3	1	88	1	0	0	1608	2613	215	50	-1	
4	1	88	1	1	0	1608	2613	215	50	-1	
5	1	88	1	1	1	1608	2613	215	50	0.000000	€C730
2	1	89	0	0	0	159	2661	1728	22	-1	
3	1	89	1	0	0	159	2661	1728	22	-1	
4	1	89	1	1	0	159	2661	1728	22	-1	
5	1	89	1	1	1	159	2661	1728	22	95.000000	 
2	1	90	0	0	0	123	2688	168	24	-1	
3	1	90	1	0	0	123	2688	168	24	-1	
4	1	90	1	1	0	123	2688	168	24	-1	
5	1	90	1	1	1	123	2688	168	24	45.415901	VAC0410001
2	1	91	0	0	0	1993	162	445	362	-1	
3	1	91	1	0	0	1999	162	373	29	-1	
4	1	91	1	1	0	1999	162	373	29	-1	
5	1	91	1	1	1	1999	162	220	29	96.398003	VACCINATION
5	1	91	1	1	2	2233	166	139	25	96.366165	RECORD
3	1	91	2	0	0	1999	214	155	83	-1	
4	1	91	2	1	0	1999	214	88	26	-1	
5	1	91	2	1	1	1999	214	88	26	95.503807	Name
4	1	91	2	2	0	2058	271	96	26	-1	
5	1	91	2	2	1	2058	271	96	26	95.844833	ABIES
3	1	91	3	0	0	1995	325	276	29	-1	
4	1	91	3	1	0	1995	325	276	29	-1	
5	1	91	3	1	1	1995	325	125	29	70.893967	LILYME
5	1	91	3	1	2	2133	328	138	26	96.691147	DISEASE
3	1	91	4	0	0	1995	381	365	30	-1	
4	1	91	4	1	0	1995	381	365	30	-1	
5	1	91	4	1	1	1995	381	164	29	53.083008	CICANINE
5	1	91	4	1	2	2170	385	190	26	90.690193	DISTEMPER
3	1	91	5	0	0	1994	438	444	29	-1	
4	1	91	5	1	0	1994	438	444	29	-1	
5	1	91	5	1	1	1994	438	31	29	17.001162	CO
5	1	91	5	1	2	2034	439	123	28	17.001162	CANINE
5	1	91	5	1	3	2169	441	269	26	91.893639	PARAINFLUENZA
3	1	91	6	0	0	1993	488	416	36	-1	
4	1	91	6	1	0	1993	488	416	36	-1	
5	1	91	6	1	1	1993	493	164	30	83.103012	CICANINE
5	1	91	6	1	2	2167	488	215	36	95.960648	ADENOVIRUS
5	1	91	6	1	3	2392	498	17	24	96.921883	2
2	1	92	0	0	0	2096	237	342	8	-1	
3	1	92	1	0	0	2096	237	342	8	-1	
4	1	92	1	1	0	2096	237	342	8	-1	
5	1	92	1	1	1	2096	237	342	8	95.000000	 
2	1	93	0	0	0	156	542	2333	547	-1	
3	1	93	1	0	0	159	542	2291	538	-1	
4	1	93	1	1	0	160	542	2216	53	-1	
5	1	93	1	1	1	160	546	101	38	30.608845	species;
5	1	93	1	1	2	337	542	31	53	59.884148	“|
5	1	93	1	1	3	376	546	62	39	4.628525	SEX:
5	1	93	1	1	4	588	565	11	13	0.000000	r
5	1	93	1	1	5	609	562	59	23	70.623062	AGE:
5	1	93	1	1	6	924	542	69	53	92.725555	SIZE:
5	1	93	1	1	7	1180	562	191	25	96.644386	PREDOMINANT
5	1	93	1	1	8	1380	562	92	23	92.998154	BREED:
5	1	93	1	1	9	1498	542	19	53	92.998154	|
5	1	93	1	1	10	1522	562	128	25	96.310127	COLORS:
5	1	93	1	1	11	1993	546	163	33	44.582558	CCANINE
5	1	93	1	1	12	2169	546	207	33	96.441498	PARVOVIRUS
4	1	93	1	2	0	160	571	2248	106	-1	
5	1	93	1	2	1	160	609	48	27	93.183151	Dog
5	1	93	1	2	2	231	613	5	7	18.198137	»
5	1	93	1	2	3	379	602	61	44	95.236145	Male
5	1	93	1	2	4	511	571	106	70	72.010384	AL
5	1	93	1	2	5	634	609	47	23	95.739418	Mo.
5	1	93	1	2	6	697	609	26	23	95.524887	to
5	1	93	1	2	7	739	609	31	23	95.524887	12
5	1	93	1	2	8	787	609	47	23	81.373466	Mo.
5	1	93	1	2	9	864	603	30	29	45.660217	CJ]
5	1	93	1	2	10	925	609	79	23	95.296738	Under
5	1	93	1	2	11	1014	610	33	22	91.446449	20
5	1	93	1	2	12	1059	610	42	22	91.446449	Ibs.
5	1	93	1	2	13	1218	606	126	71	92.208603	Ch
5	1	93	1	2	14	1357	612	11	8	55.713955	.
5	1	93	1	2	15	1578	607	15	49	4.906673	f
5	1	93	1	2	16	1619	604	13	52	82.873436	>
5	1	93	1	2	17	1645	604	27	53	61.521660	2,
5	1	93	1	2	18	1678	603	19	50	78.766342	A
5	1	93	1	2	19	1707	604	18	54	60.888401	{
5	1	93	1	2	20	1734	598	33	58	89.263885	B
5	1	93	1	2	21	1780	636	32	21	0.000000	r
5	1	93	1	2	22	1992	603	40	47	0.000000	CI
5	1	93	1	2	23	2032	609	124	27	0.000000	CANINE
5	1	93	1	2	24	2167	610	241	26	73.968674	GORONAVIRUS
4	1	93	1	3	0	159	640	2223	52	-1	
5	1	93	1	3	1	159	655	45	23	94.207191	cat
5	1	93	1	3	2	250	649	31	28	33.673912	OO
5	1	93	1	3	3	379	656	94	24	96.455727	Female
5	1	93	1	3	4	543	649	30	29	58.649330	J
5	1	93	1	3	5	603	657	29	21	68.968727	12
5	1	93	1	3	6	645	655	48	23	94.758713	Mo.
5	1	93	1	3	7	705	661	26	17	96.541298	or
5	1	93	1	3	8	741	655	66	23	83.903748	older
5	1	93	1	3	9	924	655	30	23	92.305725	20
5	1	93	1	3	10	965	667	10	4	91.709892	-
5	1	93	1	3	11	986	657	31	21	96.666740	50
5	1	93	1	3	12	1029	655	38	23	79.341362	ibs
5	1	93	1	3	13	1116	647	37	40	19.956913	im)
5	1	93	1	3	14	1359	646	9	17	31.052109	‘
5	1	93	1	3	15	1738	648	10	10	26.076889	*
5	1	93	1	3	16	1807	640	34	18	46.554138	a
5	1	93	1	3	17	1992	663	30	29	78.469063	(J
5	1	93	1	3	18	2032	666	124	26	92.774918	CANINE
5	1	93	1	3	19	2167	666	215	26	96.088898	BORDETELLA
4	1	93	1	4	0	159	686	2133	68	-1	
5	1	93	1	4	1	159	701	72	24	94.633179	Other
5	1	93	1	4	2	253	696	29	29	55.495323	(J
5	1	93	1	4	3	372	692	96	41	96.453247	Altered
5	1	93	1	4	4	525	686	59	68	30.273548	VA
5	1	93	1	4	5	909	696	7	3	0.000000	.
5	1	93	1	4	6	922	702	64	23	95.737549	Over
5	1	93	1	4	7	994	703	32	22	93.001678	50
5	1	93	1	4	8	1038	703	44	22	76.191803	Ibs.
5	1	93	1	4	9	1120	697	31	29	0.000000	(4
5	1	93	1	4	10	1160	692	11	42	0.000000	}
5	1	93	1	4	11	1180	696	88	23	96.364090	NAME:
5	1	93	1	4	12	1992	720	30	27	70.619530	[3
5	1	93	1	4	13	2032	723	260	26	54.481930	LEPTOSPIROSIS
4	1	93	1	5	0	160	734	2131	96	-1	
5	1	93	1	5	1	160	747	110	45	85.031799	(Specify}
5	1	93	1	5	2	516	752	18	21	45.212784	?
5	1	93	1	5	3	1185	734	69	96	18.707657	P,
5	1	93	1	5	4	2272	751	19	5	0.000000	.
4	1	93	1	6	0	1201	774	1226	56	-1	
5	1	93	1	6	1	1201	817	7	9	0.000000	“
5	1	93	1	6	2	1265	774	89	56	68.022858	Ch.
5	1	93	1	6	3	1359	792	45	34	20.051641	7
5	1	93	1	6	4	1990	775	31	29	46.017288	C1
5	1	93	1	6	5	2031	778	111	26	73.303780	FELINE
5	1	93	1	6	6	2154	778	168	26	96.129890	LEUKEMIA
5	1	93	1	6	7	2331	778	96	32	96.151772	VIRUS
4	1	93	1	7	0	160	832	2267	56	-1	
5	1	93	1	7	1	160	844	68	23	96.212830	DATE
5	1	93	1	7	2	237	843	183	24	96.601509	VACCINATED:
5	1	93	1	7	3	532	832	167	46	95.137039	PRODUCER:
5	1	93	1	7	4	1179	864	174	23	64.169098	Veterinarian's
5	1	93	1	7	5	1362	864	15	23	92.873817	#
5	1	93	1	7	6	1458	835	39	53	62.858074	3
5	1	93	1	7	7	1506	838	45	50	79.248878	2
5	1	93	1	7	8	1566	841	123	47	45.441887	So
5	1	93	1	7	9	1990	832	31	29	90.430305	CJ
5	1	93	1	7	10	2031	835	110	26	92.277412	FELINE
5	1	93	1	7	11	2154	835	273	26	91.589806	PANLEUKOPENIA
4	1	93	1	8	0	193	876	2257	79	-1	
5	1	93	1	8	1	193	879	71	56	79.199753	fa
5	1	93	1	8	2	291	891	66	39	28.134094	to
5	1	93	1	8	3	423	892	56	52	0.000000	S
5	1	93	1	8	4	792	876	38	79	0.000000	9)
5	1	93	1	8	5	851	891	79	60	0.000000	Ay
5	1	93	1	8	6	1356	898	6	8	42.531300	©
5	1	93	1	8	7	1385	876	98	58	29.271021	Lieen&é
5	1	93	1	8	8	1497	895	41	23	93.535423	No.
5	1	93	1	8	9	1989	888	152	30	16.085777	CFELINE
5	1	93	1	8	10	2153	891	297	27	91.044533	RHINOTRACHEITIS
4	1	93	1	9	0	166	945	2192	42	-1	
5	1	93	1	9	1	166	948	80	38	96.678085	Month
5	1	93	1	9	2	315	955	50	29	96.141991	Day
5	1	93	1	9	3	430	948	56	39	96.972282	Year
5	1	93	1	9	4	788	948	19	39	0.000000	oy
5	1	93	1	9	5	920	948	12	38	46.335583	iu
5	1	93	1	9	6	1989	945	30	29	0.000000	OO
5	1	93	1	9	7	2029	948	112	26	0.000000	FELINE
5	1	93	1	9	8	2151	948	207	26	90.300354	CALICIVIRUS
4	1	93	1	10	0	766	967	1429	52	-1	
5	1	93	1	10	1	766	967	65	29	92.175598	(First
5	1	93	1	10	2	840	969	15	26	95.892578	3
5	1	93	1	10	3	867	967	95	31	96.087471	Letters)
5	1	93	1	10	4	1177	973	161	46	94.316635	Veterinarian’
5	1	93	1	10	5	2190	988	5	4	15.038481	:
4	1	93	1	11	0	608	1002	1771	33	-1	
5	1	93	1	11	1	608	1030	4	5	22.931915	:
5	1	93	1	11	2	1988	1002	151	29	0.000000	DIFELINE
5	1	93	1	11	3	2151	1005	197	26	91.897858	CHLAMYDIA
5	1	93	1	11	4	2374	1008	5	17	28.056530	-
4	1	93	1	12	0	531	1009	1506	75	-1	
5	1	93	1	12	1	531	1031	9	22	86.024422	1
5	1	93	1	12	2	553	1036	28	23	86.024422	yr.
5	1	93	1	12	3	592	1009	171	75	27.249146	LieWaceNh
5	1	93	1	12	4	1177	1045	125	28	87.454094	Signature
5	1	93	1	12	5	1580	1020	196	46	23.441906	an
5	1	93	1	12	6	1905	1020	132	46	14.787178	Ba
3	1	93	2	0	0	156	1057	2333	32	-1	
4	1	93	2	1	0	156	1057	2333	32	-1	
5	1	93	2	1	1	156	1057	188	25	96.124733	VACCINATION
5	1	93	2	1	2	355	1059	124	23	96.327324	EXPIRES:
5	1	93	2	1	3	1332	1071	50	18	25.153208	he
5	1	93	2	1	4	1987	1057	31	29	42.026638	OO
5	1	93	2	1	5	2029	1060	110	26	49.446686	FELINE
5	1	93	2	1	6	2151	1060	338	28	95.465500	IMMUNODEFICIENCY
2	1	94	0	0	0	2028	1108	98	28	-1	
3	1	94	1	0	0	2028	1108	98	28	-1	
4	1	94	1	1	0	2028	1108	98	28	-1	
5	1	94	1	1	1	2028	1108	98	28	96.345367	VIRUS
2	1	95	0	0	0	2121	1211	188	82	-1	
3	1	95	1	0	0	2121	1211	188	82	-1	
4	1	95	1	1	0	2121	1211	188	39	-1	
5	1	95	1	1	1	2121	1211	188	39	79.408737	Boehringer
4	1	95	1	2	0	2121	1254	170	39	-1	
5	1	95	1	2	1	2121	1254	170	39	95.480492	Ingelheim
2	1	96	0	0	0	2047	1233	38	57	-1	
3	1	96	1	0	0	2047	1233	38	57	-1	
4	1	96	1	1	0	2047	1233	38	57	-1	
5	1	96	1	1	1	2047	1218	38	72	54.802513	lh
2	1	97	0	0	0	1990	1567	374	77	-1	
3	1	97	1	0	0	1990	1567	374	77	-1	
4	1	97	1	1	0	1990	1567	374	28	-1	
5	1	97	1	1	1	1990	1567	220	28	96.582458	VACCINATION
5	1	97	1	1	2	2224	1567	140	26	96.181580	RECORD
4	1	97	1	2	0	1992	1618	87	26	-1	
5	1	97	1	2	1	1992	1618	87	26	96.229233	Name
2	1	98	0	0	0	1955	1647	309	117	-1	
3	1	98	1	0	0	1955	1647	309	117	-1	
4	1	98	1	1	0	1955	1647	190	117	-1	
5	1	98	1	1	1	1955	1647	190	117	0.000000	P€fastes
4	1	98	1	2	0	1987	1725	277	33	-1	
5	1	98	1	2	1	1987	1729	125	29	22.244463	CONME
5	1	98	1	2	2	2125	1725	139	33	96.476860	DISEASE
2	1	99	0	0	0	1969	1785	468	650	-1	
3	1	99	1	0	0	1987	1785	364	29	-1	
4	1	99	1	1	0	1987	1785	364	29	-1	
5	1	99	1	1	1	1987	1785	31	29	34.832424	[1
5	1	99	1	1	2	2026	1788	124	26	90.867584	CANINE
5	1	99	1	1	3	2162	1788	189	26	91.152565	DISTEMPER
3	1	99	2	0	0	1986	1842	444	29	-1	
4	1	99	2	1	0	1986	1842	444	29	-1	
5	1	99	2	1	1	1986	1842	30	29	56.211685	C]
5	1	99	2	1	2	2026	1845	124	26	93.291962	CANINE
5	1	99	2	1	3	2161	1843	269	28	92.235275	PARAINFLUENZA
3	1	99	3	0	0	1986	1897	414	29	-1	
4	1	99	3	1	0	1986	1897	414	29	-1	
5	1	99	3	1	1	1986	1897	30	29	78.179428	O
5	1	99	3	1	2	2026	1900	122	26	95.117332	CANINE
5	1	99	3	1	3	2158	1900	217	26	95.117332	ADENOVIRUS
5	1	99	3	1	4	2385	1900	15	26	96.915581	2
3	1	99	4	0	0	1986	1954	381	29	-1	
4	1	99	4	1	0	1986	1954	381	29	-1	
5	1	99	4	1	1	1986	1954	29	29	26.503344	LI
5	1	99	4	1	2	2025	1957	123	26	85.965553	CANINE
5	1	99	4	1	3	2160	1956	207	27	95.821877	PARVOVIRUS
3	1	99	5	0	0	1984	2010	443	30	-1	
4	1	99	5	1	0	1984	2010	443	30	-1	
5	1	99	5	1	1	1984	2010	163	30	32.194561	(CANINE
5	1	99	5	1	2	2158	2013	245	26	93.001953	CORONAVIRUS.
5	1	99	5	1	3	2424	2015	3	3	68.244957	°
3	1	99	6	0	0	1984	2067	391	29	-1	
4	1	99	6	1	0	1984	2067	391	29	-1	
5	1	99	6	1	1	1984	2067	31	29	71.211197	CI
5	1	99	6	1	2	2023	2070	124	26	71.211197	CANINE
5	1	99	6	1	3	2158	2069	217	27	96.709175	BORDETELLA
3	1	99	7	0	0	1983	2124	300	29	-1	
4	1	99	7	1	0	1983	2124	300	29	-1	
5	1	99	7	1	1	1983	2124	30	29	38.104515	CJ
5	1	99	7	1	2	2023	2125	260	28	38.104515	LEPTOSPIROSIS
3	1	99	8	0	0	1969	2179	451	86	-1	
4	1	99	8	1	0	1982	2179	436	29	-1	
5	1	99	8	1	1	1982	2179	31	29	18.737288	(J
5	1	99	8	1	2	2022	2182	111	26	93.586189	FELINE
5	1	99	8	1	3	2145	2181	168	27	96.225060	LEUKEMIA
5	1	99	8	1	4	2322	2181	96	27	96.225060	VIRUS
4	1	99	8	2	0	1969	2234	466	50	-1	
5	1	99	8	2	1	1969	2223	43	42	0.000000	CO
5	1	99	8	2	2	2022	2239	111	26	39.289986	FELINE
5	1	99	8	2	3	2145	2234	249	50	90.901741	PANLEUKOPENIA
5	1	99	8	2	4	2420	2238	15	42	51.322445	|
3	1	99	9	0	0	1981	2269	460	65	-1	
4	1	99	9	1	0	1981	2269	456	65	-1	
5	1	99	9	1	1	1981	2292	151	29	71.123642	(FELINE
5	1	99	9	1	2	2143	2269	294	65	22.683712	RHINOTRACHEITIS
3	1	99	10	0	0	1980	2349	368	29	-1	
4	1	99	10	1	0	1980	2349	368	29	-1	
5	1	99	10	1	1	1980	2349	30	29	28.476357	(]
5	1	99	10	1	2	2020	2352	112	26	93.161636	FELINE
5	1	99	10	1	3	2142	2351	206	27	91.657700	CALICIVIRUS
3	1	99	11	0	0	1980	2406	357	29	-1	
4	1	99	11	1	0	1980	2406	357	29	-1	
5	1	99	11	1	1	1980	2406	30	29	40.830948	LJ
5	1	99	11	1	2	2020	2409	110	26	95.499931	FELINE
5	1	99	11	1	3	2142	2407	195	26	95.718857	CHLAMYDIA
2	1	100	0	0	0	1978	2461	502	77	-1	
3	1	100	1	0	0	1978	2461	502	77	-1	
4	1	100	1	1	0	1978	2461	502	29	-1	
5	1	100	1	1	1	1978	2461	31	29	31.740421	DC
5	1	100	1	1	2	2019	2465	111	25	62.340248	FELINE
5	1	100	1	1	3	2142	2463	338	27	58.702950	IMMUNODEFICIENCY
4	1	100	1	2	0	2018	2514	97	24	-1	
5	1	100	1	2	1	2018	2514	97	24	96.002258	VIRUS
2	1	101	0	0	0	2088	1642	342	7	-1	
3	1	101	1	0	0	2088	1642	342	7	-1	
4	1	101	1	1	0	2088	1642	342	7	-1	
5	1	101	1	1	1	2088	1642	342	7	95.000000	 
2	1	102	0	0	0	2111	2615	189	82	-1	
3	1	102	1	0	0	2111	2615	189	75	-1	
4	1	102	1	1	0	2112	2615	188	39	-1	
5	1	102	1	1	1	2112	2615	188	39	89.538071	Boehringer
4	1	102	1	2	0	2111	2657	169	40	-1	
5	1	102	1	2	1	2111	2657	169	40	84.642670	Ingelheim
2	1	103	0	0	0	2038	2637	46	57	-1	
3	1	103	1	0	0	2038	2637	46	57	-1	
4	1	103	1	1	0	2038	2637	46	57	-1	
5	1	103	1	1	1	2038	2622	46	72	59.747334	th
2	1	104	0	0	0	2544	1746	6	169	-1	
3	1	104	1	0	0	2544	1746	6	169	-1	
4	1	104	1	1	0	2544	1746	6	169	-1	
5	1	104	1	1	1	2544	1746	6	169	95.000000	 
2	1	105	0	0	0	2541	2216	9	1082	-1	
3	1	105	1	0	0	2541	2216	9	1082	-1	
4	1	105	1	1	0	2541	2216	9	1082	-1	
5	1	105	1	1	1	2541	2216	9	1082	95.000000
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AGE: SIZE:
Dog Male AKL] 3 Mo. to 12 Mo. (| Under 20 ibs. ry > 4— ile COCANINE CORONAVIRUS
cat Female (Q] 12 Mo. or older 20 - 50 Ibs & ; CI CANINE BORDETE wer
Me
Other [1 | Altered — f “f “POver 50 Ibs. (J) NAMED CILEPTOSPIROSIS
: ,
(Specify) . Ci ack, CO) FELINE LEUKEMIA VIRUS
(FELINE PANLEUKOPENIA
DATE VACCINATED: PRODUCER: Veterinarian’s # oe Ss. —
CIFELINE BHINOTRACHEITIS
[ of S Ip ‘a
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—
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VAC CINATION EXPIRES: arg,
3 yr, Lie, nace, Address Bung 4 4 WO Suc rh C VIRUS
[x ] A Syigays
10 ire PO
Month ay C C404
Vacc. Serial (Lot) No. YT 3x25" ;
( Thasalbeten
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VAC040001
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RABIES VACCINATION CERTIFICATE VA RECORD E
Tag fee $: ON
Ne
ADAPTED NASPHV FORM 51 Tag #:
Owner’s Name & Address PRINT - use ball point pen or type Cert. Serial #: RABIES
FIRST. COLYME DISEASE
UHR LEPHONE
MA AA Bot CICANINE DISTEMPER
D372 SCP 210
Hy Ct STATE (CANINE PARAINFLUENZA
Fs. ae L a be: Libtddf ci baer
ty vA Hey CICANINE ADENOVIRUS 2
SPECIES: SEX: SIZE: DOMINANT BREED: | COLORS: CICANINE PARVOVIRUS
Bog a Male 0 s Mo to 12 Mo. O 20 Ibs, Oo es uD .
| Under a Le L x be f LI CANINE CORONAVIRUS
cat O Female |_12 Mo. or older 20 - 50 Ibs \ L. L-
Other 0 | Altered | CICANINE BORDETELLA
Over 50 tbs.) | NAME:
LepTOSPIROSIS
(Specify) ‘ oO Ei? | 1
Dé a
a sSy nn ee CFELINE
LEUKEMIA VIRUS
DATE VACCINATED: PRODUCER:
2350 CUFELINE PANLEUKOPENIA
\eterinarian’s # Ss
+ Lolly ip = } | Licensé No. (FELINE RHINOTRACHEITIS —
Month Day Year 3 Lowe aI
{ First 3 Leiters) fh L. CFELINE CALICIVIRUS
Veterinarian’ re
. |’ Lie/Vace. CI CJ FELINE CHLAMYDIA
VACCINATION ExpIRes: signature U4 | Y ON Sunes
3 Lie/Vace As —— CG FELINE = IMMUNODEFICIENCY MMU
| Poa 1 O | B ye — 7 Address Amora hen As
Ss Uy D o VIRUS
Month Day Year w aie Lf} y C>
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Vacc. Serial (Lot) No. ~ - s
_| Boehringer }
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VAC0440001 Td i ingelhairg

VACCINATION RECORD
RABIES VACCINATION CERTIFICATE ag fee $: Name
ADAPTED NASPHV FORM 51 Tag - ABIES
Cert. Seriai ae #:
PRINT - use balf point pen or type DLYME DISEASE
Owner’s Name & Address
MI ELEPHONE (J CANINE DISTEMPER
{T LAST. &. Pr
VOITEX. AinBiel.- peste rae3 CI CANINE PARAINFLUENZA
a Ole ws Dbl A S3¥o 1) CANINE ADENOVIRUS 2
ay 1h. 3
(J CANINE PARVOVIRUS
SIZE: PREDOMINANT BREED: COLORS: 7 —
SPECI SEX: : AGE: (CANINE CORONAVIRUS
ag Male (1) 3 Mo. to 12 Mo. CJ] Under 20 tbs. [1 lrdex aN aa at
Dog () CANINE BORDETELLA
cat O Fernale 12 Mo. or older 20-50ibs |
Other (1) Altered ver 50 Ibs. NAME: CILEPTOSPIROSIS
Di O FELINE LEUKEMIA VIRUS
Speci wie
CJ FELINE PANLEUKOPENIA
23 SO
VACCINATED: PRODUCER: Veterinarian’s # 3 (CO FELINE RHINOTRACHEITIS
: icense No.
b yy lo IS p all (0 FELINE CALIGIVIRUS
Month Day Year (First 3 Letters) Veterin arigh (C1 FELINE CHLAMYDIA
a
tyr. Lie.Mace. Signatur (0 FELINE IMMUNODEFICIENC
ane ot i
Tu
5	1	42	1	19	12	1375	1142	34	42	61.919823	Ly
5	1	42	1	19	13	1411	1084	67	82	17.616730	fe
5	1	42	1	19	14	1450	1135	38	52	74.075531	4
5	1	42	1	19	15	1526	1103	120	73	22.909893	rn2S
5	1	42	1	19	16	1654	1135	71	29	43.342213	von
5	1	42	1	19	17	1732	1122	97	78	70.624451	ad
5	1	42	1	19	18	1836	1128	66	33	30.025988	Cc
4	1	42	1	20	0	189	1159	1624	107	-1	
5	1	42	1	20	1	189	1159	92	70	15.208406	{>-
5	1	42	1	20	2	310	1176	71	74	84.622116	LO
5	1	42	1	20	3	420	1161	89	86	62.734852	Le
5	1	42	1	20	4	787	1161	340	84	0.000000	SUIYTYS
5	1	42	1	20	5	1228	1192	5	4	5.956764	,
5	1	42	1	20	6	1276	1201	41	65	13.569698	16
5	1	42	1	20	7	1342	1192	60	56	73.822708	Ap
5	1	42	1	20	8	1430	1171	71	59	62.031788	bon
5	1	42	1	20	9	1529	1167	114	85	25.840317	BAe
5	1	42	1	20	10	1706	1167	107	85	21.209579	PAS
4	1	42	1	21	0	205	1220	1637	76	-1	
5	1	42	1	21	1	205	1220	56	31	48.839012	ent
5	1	42	1	21	2	357	1232	30	24	10.191536	*v
5	1	42	1	21	3	790	1251	71	23	91.383553	Vacc.
5	1	42	1	21	4	871	1248	74	24	93.101379	Serial
5	1	42	1	21	5	954	1247	57	30	85.534981	{Lot)
5	1	42	1	21	6	1021	1247	44	22	94.983856	No.
5	1	42	1	21	7	1550	1239	147	57	0.000000	 &v
5	1	42	1	21	8	1753	1252	8	29	0.000000	;
5	1	42	1	21	9	1788	1243	54	43	66.200562	>
4	1	42	1	22	0	160	1346	167	25	-1	
5	1	42	1	22	1	160	1346	167	25	77.984703	VAC0410001
2	1	43	0	0	0	139	1714	1765	20	-1	
3	1	43	1	0	0	139	1714	1765	20	-1	
4	1	43	1	1	0	139	1714	1765	20	-1	
5	1	43	1	1	1	139	1714	1765	20	95.000000	 
2	1	44	0	0	0	135	1897	1765	20	-1	
3	1	44	1	0	0	135	1897	1765	20	-1	
4	1	44	1	1	0	135	1897	1765	20	-1	
5	1	44	1	1	1	135	1897	1765	20	95.000000	 
2	1	45	0	0	0	133	1998	1766	19	-1	
3	1	45	1	0	0	133	1998	1766	19	-1	
4	1	45	1	1	0	133	1998	1766	19	-1	
5	1	45	1	1	1	133	1998	1766	19	95.000000	 
2	1	46	0	0	0	130	2099	1768	17	-1	
3	1	46	1	0	0	130	2099	1768	17	-1	
4	1	46	1	1	0	130	2099	1768	17	-1	
5	1	46	1	1	1	130	2099	1768	17	95.000000	 
2	1	47	0	0	0	352	2094	6	218	-1	
3	1	47	1	0	0	352	2094	6	218	-1	
4	1	47	1	1	0	352	2094	6	218	-1	
5	1	47	1	1	1	352	2094	6	218	95.000000	 
2	1	48	0	0	0	575	2104	7	208	-1	
3	1	48	1	0	0	575	2104	7	208	-1	
4	1	48	1	1	0	575	2104	7	208	-1	
5	1	48	1	1	1	575	2104	7	208	95.000000	 
2	1	49	0	0	0	1513	2222	353	8	-1	
3	1	49	1	0	0	1513	2222	353	8	-1	
4	1	49	1	1	0	1513	2222	353	8	-1	
5	1	49	1	1	1	1513	2222	353	8	95.000000	 
2	1	50	0	0	0	1156	2241	344	8	-1	
3	1	50	1	0	0	1156	2241	344	8	-1	
4	1	50	1	1	0	1156	2241	344	8	-1	
5	1	50	1	1	1	1156	2241	344	8	95.000000	 
2	1	51	0	0	0	896	2106	8	207	-1	
3	1	51	1	0	0	896	2106	8	207	-1	
4	1	51	1	1	0	896	2106	8	207	-1	
5	1	51	1	1	1	896	2106	8	207	95.000000	 
2	1	52	0	0	0	351	2307	807	8	-1	
3	1	52	1	0	0	351	2307	807	8	-1	
4	1	52	1	1	0	351	2307	807	8	-1	
5	1	52	1	1	1	351	2307	807	8	95.000000	 
2	1	53	0	0	0	1512	2333	353	8	-1	
3	1	53	1	0	0	1512	2333	353	8	-1	
4	1	53	1	1	0	1512	2333	353	8	-1	
5	1	53	1	1	1	1512	2333	353	8	95.000000	 
2	1	54	0	0	0	1495	1911	12	485	-1	
3	1	54	1	0	0	1495	1911	12	485	-1	
4	1	54	1	1	0	1495	1911	12	485	-1	
5	1	54	1	1	1	1495	1911	12	485	95.000000	 
2	1	55	0	0	0	126	2380	1766	19	-1	
3	1	55	1	0	0	126	2380	1766	19	-1	
4	1	55	1	1	0	126	2380	1766	19	-1	
5	1	55	1	1	1	126	2380	1766	19	95.000000	 
2	1	56	0	0	0	123	2500	380	8	-1	
3	1	56	1	0	0	123	2500	380	8	-1	
4	1	56	1	1	0	123	2500	380	8	-1	
5	1	56	1	1	1	123	2500	380	8	95.000000	 
2	1	57	0	0	0	129	2707	369	10	-1	
3	1	57	1	0	0	129	2707	369	10	-1	
4	1	57	1	1	0	129	2707	369	10	-1	
5	1	57	1	1	1	129	2707	369	10	95.000000	 
2	1	58	0	0	0	118	1716	29	1109	-1	
3	1	58	1	0	0	118	1716	29	1109	-1	
4	1	58	1	1	0	118	1716	29	1109	-1	
5	1	58	1	1	1	118	1716	29	1109	95.000000	 
2	1	59	0	0	0	495	2385	10	443	-1	
3	1	59	1	0	0	495	2385	10	443	-1	
4	1	59	1	1	0	495	2385	10	443	-1	
5	1	59	1	1	1	495	2385	10	443	95.000000	 
2	1	60	0	0	0	771	2436	173	4	-1	
3	1	60	1	0	0	771	2436	173	4	-1	
4	1	60	1	1	0	771	2436	173	4	-1	
5	1	60	1	1	1	771	2436	173	4	95.000000	 
2	1	61	0	0	0	771	2436	2	80	-1	
3	1	61	1	0	0	771	2436	2	80	-1	
4	1	61	1	1	0	771	2436	2	80	-1	
5	1	61	1	1	1	771	2436	2	80	95.000000	 
2	1	62	0	0	0	823	2436	2	80	-1	
3	1	62	1	0	0	823	2436	2	80	-1	
4	1	62	1	1	0	823	2436	2	80	-1	
5	1	62	1	1	1	823	2436	2	80	95.000000	 
2	1	63	0	0	0	942	2437	2	80	-1	
3	1	63	1	0	0	942	2437	2	80	-1	
4	1	63	1	1	0	942	2437	2	80	-1	
5	1	63	1	1	1	942	2437	2	80	95.000000	 
2	1	64	0	0	0	883	2437	3	79	-1	
3	1	64	1	0	0	883	2437	3	79	-1	
4	1	64	1	1	0	883	2437	3	79	-1	
5	1	64	1	1	1	883	2437	3	79	95.000000	 
2	1	65	0	0	0	769	2513	175	4	-1	
3	1	65	1	0	0	769	2513	175	4	-1	
4	1	65	1	1	0	769	2513	175	4	-1	
5	1	65	1	1	1	769	2513	175	4	95.000000	 
2	1	66	0	0	0	1377	2453	485	7	-1	
3	1	66	1	0	0	1377	2453	485	7	-1	
4	1	66	1	1	0	1377	2453	485	7	-1	
5	1	66	1	1	1	1377	2453	485	7	95.000000	 
2	1	67	0	0	0	1150	2526	739	11	-1	
3	1	67	1	0	0	1150	2526	739	11	-1	
4	1	67	1	1	0	1150	2526	739	11	-1	
5	1	67	1	1	1	1150	2526	739	11	95.000000	 
2	1	68	0	0	0	1576	2602	344	16	-1	
3	1	68	1	0	0	1576	2602	344	16	-1	
4	1	68	1	1	0	1576	2602	344	16	-1	
5	1	68	1	1	1	1576	2602	344	16	95.000000	 
2	1	69	0	0	0	1308	2632	552	9	-1	
3	1	69	1	0	0	1308	2632	552	9	-1	
4	1	69	1	1	0	1308	2632	552	9	-1	
5	1	69	1	1	1	1308	2632	552	9	95.000000	 
2	1	70	0	0	0	1281	2694	583	8	-1	
3	1	70	1	0	0	1281	2694	583	8	-1	
4	1	70	1	1	0	1281	2694	583	8	-1	
5	1	70	1	1	1	1281	2694	583	8	95.000000	 
2	1	71	0	0	0	753	2738	339	6	-1	
3	1	71	1	0	0	753	2738	339	6	-1	
4	1	71	1	1	0	753	2738	339	6	-1	
5	1	71	1	1	1	753	2738	339	6	95.000000	 
2	1	72	0	0	0	1278	2756	576	9	-1	
3	1	72	1	0	0	1278	2756	576	9	-1	
4	1	72	1	1	0	1278	2756	576	9	-1	
5	1	72	1	1	1	1278	2756	576	9	95.000000	 
2	1	73	0	0	0	1147	2109	15	725	-1	
3	1	73	1	0	0	1147	2109	15	725	-1	
4	1	73	1	1	0	1147	2109	15	725	-1	
5	1	73	1	1	1	1147	2109	15	725	95.000000	 
2	1	74	0	0	0	137	1750	1747	1082	-1	
3	1	74	1	0	0	137	1750	1747	1082	-1	
4	1	74	1	1	0	639	1750	1013	43	-1	
5	1	74	1	1	1	639	1750	155	32	96.338890	RABIES
5	1	74	1	1	2	806	1750	286	35	66.609520	VACCINATION
5	1	74	1	1	3	1108	1753	278	35	76.155548	CERTIFICATE
5	1	74	1	1	4	1524	1764	47	29	91.599548	Tag
5	1	74	1	1	5	1580	1764	40	24	93.263031	fee
5	1	74	1	1	6	1629	1763	23	28	90.496941	$:
4	1	74	1	2	0	751	1809	851	33	-1	
5	1	74	1	2	1	751	1809	175	29	92.586433	ADAPTED
5	1	74	1	2	2	938	1810	156	31	90.682693	NASPHV
5	1	74	1	2	3	1101	1812	111	30	95.896164	FORM
5	1	74	1	2	4	1222	1813	37	29	95.898392	51
5	1	74	1	2	5	1523	1810	46	29	92.632828	Tag
5	1	74	1	2	6	1579	1812	23	23	60.229527	#:
4	1	74	1	3	0	156	1857	1545	32	-1	
5	1	74	1	3	1	156	1861	107	25	89.896400	Owner’s
5	1	74	1	3	2	273	1863	75	24	93.269096	Name
5	1	74	1	3	3	358	1863	17	24	93.015854	&
5	1	74	1	3	4	382	1864	109	23	89.247849	Address
5	1	74	1	3	5	805	1861	77	20	93.072472	PRINT
5	1	74	1	3	6	889	1871	8	4	85.514343	-
5	1	74	1	3	7	907	1866	41	15	96.948654	use
5	1	74	1	3	8	957	1863	42	18	96.288803	ball
5	1	74	1	3	9	1008	1863	60	24	96.744659	point
5	1	74	1	3	10	1075	1869	44	18	96.925941	pen
5	1	74	1	3	11	1128	1869	26	15	96.158333	or
5	1	74	1	3	12	1159	1866	52	23	20.259676	type
5	1	74	1	3	13	1524	1857	62	23	95.148232	Cert.
5	1	74	1	3	14	1597	1858	71	23	93.301483	Serial
5	1	74	1	3	15	1679	1859	22	22	93.202644	#:
4	1	74	1	4	0	156	1919	1536	36	-1	
5	1	74	1	4	1	156	1919	45	24	72.358780	PAINT
5	1	74	1	4	2	223	1920	97	24	95.398735	LAST
5	1	74	1	4	3	1558	1931	134	24	88.749168	LEPHONE
4	1	74	1	5	0	187	1919	1697	133	-1	
5	1	74	1	5	1	187	1951	207	51	37.845261	OLD
5	1	74	1	5	2	550	1919	351	133	0.000000	LiMiBicf
5	1	74	1	5	3	1221	1919	119	102	49.309837	AL
5	1	74	1	5	4	1506	1930	101	80	0.000000	Bee
5	1	74	1	5	5	1619	1954	265	59	0.000000	S200
4	1	74	1	6	0	345	2013	620	90	-1	
5	1	74	1	6	1	345	2022	179	81	11.610355	rary
5	1	74	1	6	2	925	2013	40	47	85.655998	TY
4	1	74	1	7	0	137	2007	1678	120	-1	
5	1	74	1	7	1	137	2019	243	95	39.428757	VEO
5	1	74	1	7	2	547	2014	121	90	10.186977	WA
5	1	74	1	7	3	664	2023	125	82	45.310135	bec
5	1	74	1	7	4	862	2007	148	120	34.701077	XS
5	1	74	1	7	5	951	2022	269	103	10.414972	Lief
5	1	74	1	7	6	1298	2029	22	89	29.426765	}
5	1	74	1	7	7	1294	2010	177	114	11.826916	Vz,
5	1	74	1	7	8	1519	2031	170	80	6.169634	SIP VIRUS
Py 3 yr. Lic. ac | Address
____
Boehringer
(il)
ingetheim
VACCINATION RECORD
Name
oes
COLVME DISEASE
CICANINE DISTEMPER
CCANINE PARAINFLUENZA
LE CICANINE ADENOVIRUS 2
“a
SPEGIES: AGE: SIZE: PREDOMINANT BREED: | COLORS: CI CANINE PARVOVIRUS
Dog e Male LJ] 3 Mo. to 12 Mo, [| Under 20 Ibs. x . Buel UD [I
CANINE CORONAVIRUS
Che
Cat Female ‘ze 42 Mo, or older 20-50lbs
i COCANINE BORDETELLA
Other -C] Altered ‘El Over 50 ibs. (| NAME:
COLEPTOSPIROSIS
(Specify) «4
ky CU FELINE LEUKEMIA VIRUS
D, ATE VACCINATED: TEP): PRODUCER: . Py 2 Ss! wa (FELINE PANLEUKOPENIA
Veterinarian's #
ro) {v Dp — i License No. (J FELINE RHINOTRACHEITIS
[> }
“Dd ay Ye ear c. . OFELINE CALICIVIRUS
{First 3 Letiers)
Veterinar}
1%" “e/Waee 0 Sate io OCFELINE CHLAMYDIA
VACCINATION Expires: |
C1 FELINE IMMUNODEFICIENCY
I> \o iP 3 yr. ewe S Address 34g KI Sua, idee
VIRUS
Month Day Year Uae tenth é AQ J
tar
. Vacc. Serial (Loi) No. —
g ¥33> 2 Boeh
Gi); se
VACO4i000i ingelis tf

VACCINATION RECORD
RABIES VACCINATION CERTIFICATE Tag fee $:
Name
ADAPTED NASPHV FORM 57 land : an ABIES
Owner's Name & Address PRINT a - use bal! point ; pen or iype A ert. lal#e
CLYME DISEASE
PRIPT LAS ELEP HONE os COCANINE DISTEMPER
(ae URib A. 2B IZSO
Wa taf. a
CI CANINE PARAINFLUENZA
STREET, a l
(5 AL yh. a GA A ya Oss LY (1 CANINE ADENOVIRUS 2
PAY Uy At) fee SY f 4
‘
SPECI SEX: AGE: SIZE: PREDOMINANT BREED: | COLORS: CCANINE PARVOVIRUS
Dog a Male [J] 3 Mo. to 12 Mo. Cj Under 20 tbs. Oy), Dark (J CANINE CORONAVIRUS
wa ‘
cat O Female 12 Mo. or older pa 20 - 50 Ibs xt CICANINE BORDETELLA
other | Aitered Over 50 tbs. (| NAME:
CLEPTOSPIROSIS
(Specify) Ce. bb QFELINE LEUKEMIA VIRUS
& ‘|
—— (C1 FELINE PANLEUKOPENIA
DATE VACCINATED; PRODUCER: Veterinarian’? 3 3 c _
i - {oO ws . . License No. OEELINE RHINGTRACHENTIS
f a i
: — COFELINE CALICIVIRUS
Month Pay Year (First 3 Letters) Neterinarjan
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