44
. . . . : . ~'- .· Interstate: Shipment ;s~ · ;, Exhtbitfon ·.D STATE u~· IOWA .DEPARTMENT.OF AGRICULTURE ANDLANDSTEWARDSJllP ,- ·. . - · Bureau of Animal Irrc;lustry - ·. · . _ . . - Certificate of:.Vt1te.li21.a,'fv1nspection for Cats/Dogs. ' .... •.. :.. .. .. . SHIP VIA: Air D Rail D .. . . ·•6· .... ,. ··,w·- . ):>w~eror't_~risignor V({~'Yl trLsn:if-''\ - ·-. ·:Co_~~ignee' xkv1 ki.fl :nn-nJ · : ··. ·--l~dr~ss~x1f)1 ·Aflrif.h+-.}~~:; '~---~ .1~::~L~qd~:~~.,9'5?/~~_·:(~A .. ~i~vrt1tJU;J()I}~~ . \..! Auto · ·,l!J .. I' Ship ·o· - ._, .' . : - . ... .... '•-· ,. ...... ~-- . . . - .. . - . -- i .•. . . u 'cityJDi'r-B, State "IA- Zi~ Q6de:5JLJLHb--'-9ityJ}1ck"tJi /If.state f\}Y: Zi~ Code:-.,...· -- .Tele~hone Nu~b~r attkL )Cr1D · 030~ -. Tele~~o·n~·N-um~e~'( ) - - - - /,,,1.J.1-. i;:;..,r..An-- JOQI,., · -.DESCRIPTION BREED/ COLOR • I SEX ' ,J. 'f-" TATTOO AGE/ - DOB MICROCHIP NUMBER - rf ---·w· - . . .. ·l hf:'i![r o Fie\·· _. ",,·!·1' .: . -- 'I ., \! } - .,r~, -. ,h.-'\ · · .._,vl_Gv-ut• '.:_._. r. 1 ': cc.:_ ·j 11 1 ::7-N1"''1, · :, H ) "JI -j ,,.... p - A- ..... ........... ,. f ti /..J ... I RABIES. TAG NUMBER RABIES VACCINE TYPE Live I 1year Killed 3 year ), ... -~ MANUFAC'r~~~~-:• SERIAL - : NUMBER "~~.,. ./f"jj ·_ c ·~-·-fi~ ·rv1'.V\UVVl 'I •. ~;;;e .... · --: .. _:--·:-<Jit " . .... ·- ·_ .i -~··-- ... ~·~, 'f». - ~-···~, ·~:- "-~-{ -, '. :. ~-- -.:--_:_ - - ·--. _' .; - ' - .. ..- ,_-. __ ·. - --·-- .. · . . ,REMARKS: -----------------------~-------------------- ! hereby certifythatthe animals listed above have been examined by me and found to be free from contagious and infectious diseases to the best ofmy · . knowledge.' To my knowledge, the animals list~Jve no~/,exposed to rabies and have not originated from a rabies quarantine area. Sig!]ature of Licensed Veterinarian ;,~,.__.- ~!/ - Iowa Vet License# _L-;(C\_- ......_\ ~'-"--'"~---------- Typed_~r Printed Name (4f ,l{W t\tVl D. \/:. c~J. . Date Issued S<-· -;. )~,-·~_,'l_---,-c---------- Name of Veterinary Hospital/Clinic '\>ti\( f<::J e .. (t\.\. \) f ..... +e,.r \ 1'1'1 (<A r (\ri it.Telephone Number d§Lf l i' i:s c:_)__: d ,Q 1) ·.:-',=- Address-SfSLh V. \~[)--\'\-".\A--\ 'tf. _) City ~{)t p(,r ·-r-1~,,1 State Itt Zip Code fS()L,.J-'"1(/J . -- . - I Original (Pi11k) copy to acco111pa11y ship111e11t. Mail ~o copies (White & Ca11ary) to State Veteri11aria11.'-Rftai11 last ~opy (Gree11) u,iless required for air ship111e11t. , 009-0127 (Rev. 03/15) -- . - -- _. ·- - --- --~ - ----- - ------- ·- - . -- ---- -

o c ,. ti 1 I ~;;;e · --: .. :--·:

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Page 1: o c ,. ti 1 I ~;;;e · --: .. :--·:

. . . . : . ~'­

. · Interstate: Shipment ;s~ · ;, -· Exhtbitfon ·.D

STATE u~· IOWA .DEPARTMENT.OF AGRICULTURE

ANDLANDSTEWARDSJllP ,-·. . - · Bureau of Animal Irrc;lustry -·. · . _· _ . . -Certificate of:.Vt1te.li21.a,'fv1nspection for Cats/Dogs.

' ....•.. :.. .. .. .

SHIP VIA: Air D

Rail D .. . . ·•6· .... ,. ··,w·- .

):>w~eror't_~risignor V({~'Yl trLsn:if-''\ - ·-. ·:Co_~~ignee' xkv1 ki.fl :nn-nJ · : ··. ·--l~dr~ss~x1f)1 ·Aflrif.h+-.}~~:; '~---~ .1~::~L~qd~:~~.,9'5?/~~_·:(~A .. ~i~vrt1tJU;J()I}~~

. \..! Auto · ·,l!J .. I'

Ship ·o·

- ._, .' . : - . ... .... '•-· ,. ...... ~-- . . . - .. . - . -- i .•. . . u 'cityJDi'r-B, State "IA- Zi~ Q6de:5JLJLHb--'-9ityJ}1ck"tJi /If.state f\}Y: Zi~ Code:-.,...· --.Tele~hone Nu~b~r attkL )Cr1D · 030~ - . Tele~~o·n~·N-um~e~'( ) - - -

- /,,,1.J.1-. i;:;..,r..An-- JOQI,.,

· -.DESCRIPTION BREED/ COLOR

• I

SEX ' ~ ,J. 'f-" TATTOO

AGE/ - DOB MICROCHIP

NUMBER -

rf ---·w· - . . .. ·l hf:'i![r o Fie\·· _. ",,·!·1' .: . -- 'I ., \! } -.,r~, - . ,h.-'\ · · .._,vl_Gv-ut• '.:_._. r. 1': cc.:_ ·j 111::7-N1"''1, · :, H ) "JI -j ,,.... p - A- ..... ........... ,. f ~ ti /..J ~ ... I

RABIES. TAG

NUMBER

RABIES VACCINE TYPE

Live I 1year Killed 3 year

),

... -~

MANUFAC'r~~~~-:• SERIAL - : NUMBER

"~~.,. ./f"jj ·_ c ·~-·-fi~ ·rv1'.V\UVVl 'I •. ~;;;e .... · --: .. _:--·:-<Jit "

. .... ·- ·_ .i -~··-- ... ~·~, 'f».

- ~-···~, ·~:- "-~-{ -,

'. :. ~-- -.:--_:_ -- ·--. _' .; - ' -.. ~ ..- ,_-. __ ·. - --·--

.. · .

. ,REMARKS: -----------------------~--------------------

! hereby certifythatthe animals listed above have been examined by me and found to be free from contagious and infectious diseases to the best ofmy · . knowledge.' To my knowledge, the animals list~Jve no~/,exposed to rabies and have not originated from a rabies quarantine area.

Sig!]ature of Licensed Veterinarian ;,~,.__.-~!/ -Iowa Vet License# _L-;(C\_-......_\ ~'-"--'"~----------

Typed_~r Printed Name (4f ,l{W t\tVl D. \/:. c~J. . Date Issued S<-· -;. )~,-·~_,'l_---,-c----------Name of Veterinary Hospital/Clinic '\>ti\( f<::J e .. (t\.\. \) f ..... +e,.r \ 1'1'1 (<A r (\ri it.Telephone Number d§Lf l i' i:s ~ c:_)__: d ,Q 1)

·.:-',=-

Address-SfSLh V. \~[)--\'\-".\A--\ 'tf. _) City ~{)t p(,r ·-r-1~,,1 State Itt Zip Code fS()L,.J-'"1(/J . -- . - I

Original (Pi11k) copy to acco111pa11y ship111e11t. Mail ~o copies (White & Ca11ary) to State Veteri11aria11.'-Rftai11 last ~opy (Gree11) u,iless required for air ship111e11t. , 009-0127 (Rev. 03/15) .· -- . - -- _. ·- - --- --~ - ----- - ------- ·- - . -- ---- -

Page 2: o c ,. ti 1 I ~;;;e · --: .. :--·:

- . 1

Interstate Shipment·;~ -

Exhibition- D

STAT.I!~ Uff.lU:WA DEPARTMENT OF AGRICULTURE

AND LAND STEWARDSHIP - - _ · · ,Bureau of A~imal Industry · _ _

~p:, -· -Certificate of:'bEw/,t;Jnspection fot Cats /Dogs ••• ~- & .

~ale_

--oc SHIP VIA: Air O

Rail· D

5E:22G3 ,/

Auto/~ ..

Ship _ D

. . .. : . --~· .. ·- ...... . . . \>:~~ne.rorCon~ignor_-J~in\ n,~(W1 :_. .Corisig~ee-Sh1 l~f Q Da l.1.) - •

- - . · "'? ()'r-_-, - ;/t ~ ~ I' - I . 0~1 : :~~-- •f_ '*: .• ~- •:: . r'\ 05'" 0 ~~ h. v,D, . a r9 ( . , '\ . . -~dd_ress ,':)c,cJ , 1--f'\JV"l 1 _iy·r·~·(.;~ ~ .• !.. .• !~ _ ~-~~dtess 0\ D · _ ~--Y )-._ h, t • t 1 JJf1./t{-; city ... ~ID\'f o, State .:1:P, _Zip Gode r::'::l")~~Ll{~t Cit;Jd:jc,~~ \Ji-1.lf_stat~ NY - Zip Cod~--'--._

Tel~phone Number (( oy\ )~C:{)~ 030'd-. Telephone Number-'( __ _.;...)--'----..;__.:__ __ . - - J _,,/ 11 C:ZCU'\ _ . /':;?'Q,f.,.

DESCRIPTION

·i, .. ,V II ._,,!jV i'J'"'-" TATTOO ·

BREED/ COLOR

SEX AGE/. DOB

MICROCHIP NUMBER

RABIES TAG

NUMBER

--_,,;. }l

RABIES VACCINE TYPE . _:. • t f-.

Live/ Killed

-,

1 year 3year

MANUFA(;L1l):L=r

,~.-.. ::.' 1-------+-------+----+-----+--------+-------+------+-----+---~·-1, - . ---

~·~ .... _-.:. -·-·-, __

SERIAL NU~BER __ ·--~~-··A: . . -~··-~·-. ... .. ~--- .. -----~-·~~I .. . -::;.;::1 .-e· .. -.-

-.• , _ii:·.

REMARKS:~-----=----:--:--:-:-----:--:-----:--,------:----,-,,------,--,--~--,----,-----,----,------------1 hereby.certify that the animals listed above have been examined by me and found to be free from contagious and infectious diseases to the best of my knowledge. To my knowledge, the animals listed have no_t.been exposed to rabies an·d have not originated from a rabies quarantine area.

S. fL .. dV . . ~~ ~fl - I . # u'·t/i)~ -1gnature o 1cense etermar1an 6-K,~_... }tJ?/1 · · owa Vet License -=--;!U=-c-+--,-..;1_7· '"'"------------

Typed or Printed Name .f "'ri' 1.r"lh C,; f A . f){jj 1f'f1 .· -- Date Issued 2$ · \ 1 '- \=:'f - ·

Name of Veterinary Hosptial/Ciin'th'"'l\J-->-?~ ~ ·:'('Cf \ Je Jt>Jt1'.(l{J vu ~ i J, Yl I(.... Telephone N:mber(WLO )1

h..VF,. - 6d I l _ ~ddress ::2;v,(){;j ~ I ><f1-l1-<?-h )'f'. _.1 Cityf"(w,.,:.d- i\ -\-'7 1 State--rA- - - Zi; Code f-SOU)'\b

- - • . ~ ~- • .._.. - [ \ - • 't - • -

. Origi11a~ (~~~~) c~~y !o ~c:~"'_Pll"_: ~1ip111e11t. Maii two copies (White & Ca11ary)to s_t~_te Veteri11~ria11. _ Re~ai11 last ~opy_(?~ee11)_~1-11/ess_requiredfor air ship111e11t. 00~-01~-(~~~ 03:~s! _ ___ _

Page 3: o c ,. ti 1 I ~;;;e · --: .. :--·:

.. · .'.'HAI.I!.., UJ:1 IUWA · . . .

DEPARTMENT'OF AGRICULTURE AND LAND.STEWARDSHIP

Interstate·Shipment ·. D · ' ··s2° 0 "1l 2· DC . _· vO~ ....

'f :_ . Exhibition... .. D . . . SHIP VIA· . >:·,.:· - _ J. _ • _ Bureau ofAnhnalliulustfy . . . Air ·o' · ' Aufo,:;tc;i·, :.".·. ·,,

~~"t::::/~-~.a~~ ·: :··':-,{\~.: .\ ;;1tf .. ·.- . ·_Certificate ofV:elel:imar1llnspedion for Cats !Dogs:_·._· .. .... __ .: .·;· .• ~::·· ~.:.· ,., : <~: ·. ';

/ ··_ : ... City· - &r~etl e_ State . ) A ZiR Code . 5Dlo:)( 0 ::" ;btvFra.t\~.Wn ~(i=_sta~e k) ~ ' Zip Code' -ircbr6 < ·:.J . ~I . - ·. . v· · __ . . . . ·.· .

Telephone Number ( ~ ) _: '8 23 _, 5"2io L Telephone Number ( SI 5 ') i ~lo - !.oOL/ 3

DESCRIPTION• BREED/ COLOR

SEX AGE/ DOB

RABIES VACCINE TYPE

.¥ ·.;

: ---._.~~- ~-:~ t,-:-c-':'"'!""'"--:--:-:=c-;-,-.,,,-~---,--~-;-....,...---::-t-::--:----t--'--':"'.'"'."',----,--,-;--':-,-,,-----,-,.,-,-.,..,-,,.,..,--:+-,,,:-':,,.,-'-...,.--,+.-,-.,--.:-..,..;-,~+,---,-~~,.;--,,~t-::-:,:.,.,..,..-:'-~-'f -;,os;J:

~~i~11~~~~t f~~0~f~~~i~~i~ft~1~~~~~1s~~}~"~TJ;f %;1i~f',~~0:t,'"~~f~f.~:~~;IJ P~Y: I 'fie"reby't~~ify.thilt ihe aniinalsilsted above have•been·examine'd·by me and foundfo be ·rree freiin contagious and infectious. diseases fo the besfof my . . ,: :ys~,·. ~--~··:. :knmyledge. To my knowfedge,.-the 311imals listed: have not.been exposed to rabies and have not originated from ·a rabies quarantine area. . . . . : ·

,,,, Sign~tureofLicensedVeterinarian~·'\)J'i QL~~ (?J,{,:)_ . IowaVetLicense#. 7("1~ ·~-Typed or Printed.Name V) r (,Jn,i,;\--;:;e n... "1),e,,eJ:-e.n Date !~sued · 8 - z. () _: I ] · .· ··~ . " . NarrieofVeterinaryHospital/Clinic A\n . .sao Yt"_f :5PrV,.(~ · T~lephoneN~mbe~-< ?>\Cj-) · '2.fo 1- 2:.7,,&:'/~~' Add;eis : 3 \ ~ ~ . M ~' ;.:. -~ £ . City . . . A·\\ i'~ 0 n State I R Zip Code . 6'0&. 0 z. ·,\

· , Original (P.i11k) copy to accompa11y shipment. Mail two copies (White & Canary) to){tai~Y~teri11aria,1.-. Retain last copy (Gree11) 1111/ess required/or air shipment. .· 00.9-01~7..(~~!i.~p~/15}<: .. ::~: !-:-· :·: :..:· ·-- ::: __ -_ ... _ -~·: ..• ~ - _-_ ..:_·_ --- -~_:__ ~-- - - • _:: - -- ~ -~~ .• ~1: --~ -... :- - --__ :->. -. -~- -·"":·.:' ·:/?.-._.:\\:~ t~---. -~-·-f_~; ._./~:. -".:: ._ .. ~-:;. _:_., ___ :<~~:~ =·---: _-:·~- .. ,- T-··--:<·. _---~-: - ~- ~ -· ... L - ~~-t--. --_ -··--·- - " ---- --- ... _ . .:

Page 4: o c ,. ti 1 I ~;;;e · --: .. :--·:

· .. 1.~::::-·_--.-.-7 .... ':"'"'.~···;····~·

. :::.-. -

·.·. ·.- .:> ... : :.#. -lnterstate'Sh1pment~[I · oc:- 545500 Exhibition D

Auto D

· Telephone Num.ber c7f"-'A

. DESCRIPTION BREED/ COLOR

SEX - AGE/ DOB

TATTOO MICROCHIP

NUMBER

RABIES TAG.

~~= NUMBER

Ship

RABIES VACCINE TYPE 1-----~~------l MANUFACTURER - SERIAL

Live/ Killed .

1 year · 3 year

- . lii:::'t. NUM~ER

D

-~· ---:._.;~. t-----'--"----'-+-'-----.----+--~+-----+----'----_ +-_-.-'.·-':·.-_;-__ -_. ---------+-'------+----:~;-~-:·~.c..j"'"'J,f-c;---'----"'--. ~-

'.,. : .... ,-.. -.... -- ·-··

REMARKS: -~flrj \NVi•~or\ \f)+<L~~- L-LSt1 ~ lff)0: . . . . . . .

1 hereby cert_ify that the animals Iisted'aliove have b'een examiil'eaby me and foundto be free from contagious and infectious diseases to th~ best ofmy knowledge. To my knowledge, the animals !Isted have not been· exposed to rabies and have not originated from a rabies quarantine area.

-·SignatureofLicen~edVeteriri~ian ,~~- --~. 0 v/"' IowaVetLicense# _i.,4/.947 Typeg_or-l!rintedN~et},:'£ 1J..,Z~;.Je,i1fim;;i;,,.,.i;~,, ; __ · . 1

. ~ate Issued 9/~3i/l/7 - • Nam~ofVeteri_n!IIY. Ho;p}:t_a_IitH~i;;- ··\_'.(} -::} J!A:fJ;_/(l __ --__. _ . TelephoneNu~beJ7 /z;) -~d'Jl-2':r:ZS-22_-

/l J (/1 t fl A • r •• -,,, ' \ - , - · t._ I • ·1 . . • -~ Adaress· l~+ ,(:iv,1/Ai ; ;rr:e - City <;..>alNY -P4'~,f:cr State...-,;;7k Zip Code r;S:id);S...I, -I

:-\ . -,::--. ~. •{_·.":"- .,: -- . .. ,•. ,, . ·-·., .;;,·:.: .-._;· - .. ·- yt . . . ; Origi11al (Pi11k) copy to acco111pa11y ship111e11t. Mail two copies (White <\t' Ca11ary). to State Veteri11arian. · Re(ain last_ copy .(Green) unless reqi,ireilfoi- air s/iip111e11t. 009-0127 (Rev. 03/15) ·-·- ·-· .. _-_ --- ~··:·.- ...... ·- ·~--~-.-... -.. ~:~._:_.:.7".''_~~:>·.··:.-~--~---·;~>·.~:.~·.2-. ···=--··~-:..:-~--~---- ::~: \.·~~-·-,:.~~····_.: ~:... ·-_:._ .. · - .

Page 5: o c ,. ti 1 I ~;;;e · --: .. :--·:

Interstate Shipment ./,0~ . . - "' Exhibition D

_Sale:

STAT~-Ulf IUWA DEPARTMENT OF AGRICULTURE

ANi> LAND STEWARDSHIP· . -· .:- . Bureau ofAnimallndustry: · · .

DC SHIP VIA: Air D

Certificate o4fi;tt1ii2iti1w lnspectio_n for Cats ID_ ogs · - G - - - - - ·· Raf, · o :~·- ·:· ·: .. :~- . - . . . .

-~:'--o~~e{ar:co~~ignor}<)rn :n\shn e, <9 ,o :. ~on~~~eSh!X"h"f~ ll PcuA J _. · ·

· Auto "D,.. · / ....

Ship· D. ·

' Addres~ 3x6~ . A-n\rl-{1 1r,~~-Y~.i(;; ·i '~; t/idd[e:s-Sl. is ·. So' hYn(Jd lAl!lfJr ..... ' .... _.- ------ ..... -."-·· ..... .. . ' . . ' - ' - '. . (} . · ..

City:"\~{)\(-£)~· State Ti\ : Zip ,Code 5('\U,q.~3 C_ity-H~ Ck' S VJ f \ \.~ State i\\~ . Zip Code UY]'.(J !_ Telephone Number aoq l.) is~n~ fj:~tYi . Telephone Number ( 6! lo l138-· ,~-7<;;

DESCRIPTION

· fill • 1 c:.r::i .,...,._ I Ov 17l .

BREED/ COLOR

SEX AGE/ DOB

TATTOO MICROCHIP

NUMBER

RABIES TAG

NUMBER

RABIES VACCINE TYPE

I._ •. ••·~- I I. •· ·T · ~ •• - _'·~t•••·· .. ~·'·"'·'~ 4-i~i~

·---:..:...: ....

.. REMARKS: -,-.....,-~-:--:--::---:--:----::---:-~~---,~,-,--~~--,--:~-,--,--,----,-,,-~~~~--,-,-,-,~---,-~~~~~~~~~~~~

I hereby certify that the animals listed above have been examined by me and found to be free from contagious and infectious diseases to the:best ofmy knowledge. To my knowledge, the animals.listecLhave not been exposed to rabies and have not originated from a rabies quarantine area. < r#i /! ' . . .f:% (.Al 1;?£ ~ / elf Signature of Licensed Veterinarian .,,,,-~ tit:,,,;, ,";'..;;;;'!, - . Iowa Vet License# _ __,_7-+'-+-=c=7~----------

Typt:d or Printed Name rrriP. r\P \rJ.' . ().'(C(Y'\ . Date Issueci-s:S<'~-l;--'S<-"----+-1,--1':-'--_-_· ---,------Name ofVet~rinary Hospital/Clini~ f-'"rYrestf ~-J.=-t .i \IP ~l~ A~! (1(1-Vl) (~,(, ~:'.. r ~ Telephone N~b~r efpt:p.) r-;x-£S . .,;};) j { Address 7...,y[';'Y)"c:;( ). Q()r<" /J..,t-.~. ._I City \-{) Vt:<+- (\ ,(_-:.\1 J State T)~\ Zip Code5/)!).,~(. ri - - -. - - . - . . . . . . - . - - ...... -, . . . . ~~-'--~~~----

Original (Pink) copy to accompany shipment. M_ail two copies (White & Canary) to·State Vete'ri11arian •. R"aain last copy (Gree11) 1111/ess requiredfor air slzip111e11t. . /J.09-0127 (Rev. 03/15)

Page 6: o c ,. ti 1 I ~;;;e · --: .. :--·:

\

~lAI.r., Ul' 'lVl'l'A ·

Interstate Shipment \..,..\ . (~

DEPARTMENT OF AGRICULTURE AND LAND STEWARDSHIP

DC 5381.1_2 Exhibition D Bureau of A. nimal Industry. SHIP VIA: Air D

S~le' '°t _' -Certificate of~fef!:<hr~nspection for Cats /Dogs Rail D

-Auto X .Ship D

Owner or Consignor -L4f\(U\. ~ ···consignee ~-°'-.VlL\i\SL.( ~-«a \ -~ddress 2c.5YZJ)'. -c.c_? A~• •i •! ::~;·_A~~r;;~. _\<tL\C::, NJ LJ ~e-S-PtJ-Q._.

r\ \ 0 • • e " .· - e ~ ~ G L ~T\ ~l . Cityfi)\ o~-s\a~ m-zip Cod=~~5J';~-'.:ct\~~\.V'11AS~,st~.t~ ~i\¥iij Code \)lLf(p Telephone Number ( lo<-) I ) 7 ?!;;>-3%7 Telephone Number_( ___ ) _______ _

DESCRIPTION BREED/ COLOR

SEX AGE/ DOB

TATIOO MICROCHIP

NUMBER

RABIES TAG

NUMBER

RABIES VACCINE TYPE 1------,,------1 MANUFACifWrilGR

Live I Killed

1 year 3 year •

0 • .....

•:•-•. •••• ...... ...

0 ...... •

e -• ...

'SERIAL NUMBER

·-~ .... - ·• .

---. ·····-. .....

.. 0 ..• -~· ... • ••••• • 0

.t'a-.. - . e,: e - • ti .. •:·· ..

Origi11al (Pi11k) copy to accompa11y.shipme11t. Mail two copies (White & Ca11ary) to_ Stat~· l-'.eteri11q~yz;i/ifi!ain last copy (Green) ll11less reqlliredfor air shipme11t. .· '---- .-. ·. ~- '-~·-..• ';/};-!.- -

009-0127 (Rev._03/15)

Page 7: o c ,. ti 1 I ~;;;e · --: .. :--·:

Interstate. Shipment 'J!I :STATE UJ:f JUWA

DEPARTMENT OF AGRICULTURE AND LAND STEWARDSHIP

DC 538115 Bureau of Animal Industry

Certificate of:Ye.te,rl:um1tinspection for Cats /Dogs ••••••

Exhibition D

.. _ Sale

SHIP VIA: Air D

Rail D

Auto \[B /-

Ship D . . - . . . . . ..

-O~nerorc6nsignor\)(){,on \~J\(AY1iv1. .. ..... Consignee S~c:i1 k .e A c:a LL)

Address'/ J.p1C)~ \\W\\Qf ~.~ru• •i .•i •:~d:;;s \ - A--\-). C{/v\,"D-c. ~)-12_-- - ....... .,,:a .. , ..•.•

City '\)\J)n~K\ State \'A Zip Co~: t52.%Lr . ··t7t~L'-J "\Jmo\c State /\J\./ Zip Code\ \~-=s Telephone Number (t;t(o) 1>7-S--rbrn

' . I

Telephone Number--'-( lo_L,l'-'-\ _)'-"tJJr;fa'-"'-"-"..:..;a.....-..:...11..:...2.=-4_.__ __

DESCRIPTION BREED/ COLOR

SEX AGE/ DOB

TATTOO MICROCHIP

NUMBER

RABIES TAG

NUMBER

RABIES VACCINE TYPE

Live I 1 year Killed 3 year

~ . I -··

MANUFA0T~ER " . •••• ~~-ct. ...... •••• .., . .. ••••

SERIAL NUMBER . ....... . . ......

·• -· ... .; . ....... o .• .......

1--~~~~--+~~~~~1--~--1~~~--1-~~~,-~--1-~~~~~~~~~~--1-~~~---l-~~~--'---'--•;--+-~--'-~---I ; .....

.. ,,,'

REMARKS:

.. ,· .. <:>. . 0 -- ....... ..

·" c ··~

• •••••• • .... • 6'

<5 fl> 0 ..••. it

-:----:-~-:---:-:c--:-:c--:-~.,--~~-,---:-:-~~--,-:-c-,---,---:---:,~~~-,-~---,--,-~~~~~~~~~~~~~~ I hereby certify that the animals listed above have been examined by me and found to be free from contagious and infectious diseases to the best of my knowledge. To my knowledge, the animals listed have not.been ()posed to rabies and have not originated from a rabies quarantine area.

Signature of Licensed Veterinarian ~rYl.R.__D.__1/'f'.Of)?:Q & --~ Iowa Vet License# _5~\,__,\_,\'--------------Typed or Printed NameDrAl'Y\P.,\ (l <;f~ ~ \O{) ~. l) \/M Date Issued _-J~~=-l,._,n_,_-__,\'--1+---,---------,----Name of Veterinary Ho~pital/Clinic ,\~\ \lOO' \J .P+ r hv\\ t Telephone Number l~lU \ ) \ ol oLI- \ ?i lS Address q Q~ S · \!\] f £.t t.\- . -City 'B,Lf)\\)ftpl_ d State \ \fr. Zip ~ode ~'J=lf6~. 3=iJ-+-.---

Origi11al (Pi11k) copy to accompa11y shipme11t. Mail two copies :(WJ1_ife.&·Ca11ary) to 'state._Veteri11aria11. Retai11 last copy (Green) unless required for air shipmeut. 009-0127 (Rev. 03/15)

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Interstate Shipment 'll:I~ . . . I"

:STAIE U.li lU~A

DEPARTMENT.OF AGRICULTURE AND LAND STEWARDSHIP

DC 536975 · Exhibition D SHIP VIA:

Air D . Bureau of Animal Industry · -rfi... Certificate of'YeJ~inanllnspection for Cats /Dogs

_ • • ••• • Rail D

Owner or Consignor frc\ynle--e Ma·¥ .:.Consignee 8,.-f/\f'~ \1 1J A:~ ··sale

Auto'-£ ../"'-,

Ship D

Address IL\,;lp M~~1 ·i _•;idr:i; \~-/:t+\Wvv'\-i~c-,J+t~ ~') O~~.-e__~ta~e -Y.0-.r- Zip ~0;~4•,,::,-::~;t:-tV\~\c State f\..J '1 Zip Cod~ \'SG.~ -

I

Telephone Number ( loL.J l ) GltJY-::::>-Ci,°JCj Telephone Number b \ lo ) 9-., 1" S-;9-JJ TATIOO RABIES

RABIES VACCINE TYPE DESCRIPTION BREED/ SEX AGE/ MICROCHIP TAG MANUFAC,Tl!JRGR SERIAL

COLOR DOB Live/ 1 year e • NUMBER NUMBER NUMBER ••••

I Killed 3 year

-'~12xt ,

\mli\ld)l 1rf) fJ)l3/r ~-. -t-~

)i C}~j(J):)'" o- 0 ·• ···-· __Q ~~· -. .c;; . , ir •••• '. ... _, -- -·,. .;_ c ... .......... \1~)2>~ + - I

, --•' ·,··!!" - ·• -. '1-"Q-, )'-+ .......

•••• - ... . ........ ....• " ·e· • ·····-· -~ .... !. . ........ .., - . . . ...

• .. • ·• • <:i. '· e •• • ·····-,, •-

" ...;. ,,.. __ --

. -.=:-~:)-·, -. 0 • •• - - -

REMARKS: --,----,-~-,----,---,-,----,-,-----,-~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ I hereby certify that the animals listed above have been examined by me and found to be free from contagious and infectious diseases to the best of my knowledge. To my knowledge, the animals listed have not been exposed to rabies and have not originated from a rabies quarantine area.

Signature of Licensed Veterinari~.k2{p _U ~!){)11)t..-.~UV\ Iowa Vet License# ~~=-~)_\~I __________ _ Typed or Printed ~l\Vl\-e \..vi ~;--,,.~\(.)')-~ {'){ )!Y\ ' Date Issued J ~) ~ - 1-j . NameofVeterinaryHospital/Clinic $:e.<b,~')(~

1)L c-nt\k _ h TelephoneN11mberl.olJ\.> {.o[oL/-l<i<IC::::-_

Address 9f)3 '_::- ~,( )~9t1 C~ I .• 1

Q n'.it State\'A Zip Code ,.,C,'")_.,~~· Original (Pink) copy to accompany shipment. Mail two copies (White & Canary) to State Veterinarian._ Retain last copy (Green) unless required for air shipment. r -009-0127 (Rev. 03/15) :

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Interstate Shipment~ ....

~lAl.l!./UJ lUWA

DEPARTMENT OF AGRICULTURE AND LAND STEWARDSHIP

DC :53811.3 Exhibition Bureau of Animal Industry SHIP VIA: Air D

D Auto'(

· Sale · ,~ . . Certificate of=!,~te!!~@rlnspection for Cats /Dogs Rail _ 0

Owner or C~nsignor l£t ~ \ )\ tko -~ • ~ ! . : .:. Consignee\ ~ )f:O \ ~ {~ ol ,t__D-,Du\

Ship D

. AddressL-O==t?b ~fi A .·:·.'·: ·: .• :~dr;;=s~<S\S 9n1Y1Lo St-.0

.

~D~~ta\J ~ Zi;~··-'·::~ftX.::W-4k\()~ State w~ ZipCode\\\Stf . ~ .

Telephone Number ( le,'-\_ l) ~ 2)c>- ~":;> Telephone Number~(_·_.;_---=-) _______ _

DESCRIPTION BREED/ COLOR

SEX AGE/ DOB

TATIOO MICROCHIP

NUMBER·

RABIES TAG

NUMBER

RABIES VACCINE TYPE

Live I 1 year Killed 3 year

MANUFACTURER SERIAL -NUIIIIBER

~~:"!' -1--~~~~-+~~~~~t--~--+~~~-+-~~~~~-+~~~~~~-1-~~~-+-~~~--+~~~~~----1-·_;_· -t-~··t ..... ~

,...... !4lN>Wi - I~

. . - . ·.

Original (Pink) copy to accompany shipment. Mail two copies (White & Canary) to Stak__Vete!i!1arian. Retain last copy (Green) unless requirtdfor_air shipmellt. 009-0127 {Rfi!ll. 03!15)

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· Interstate Shipment D

Exhibition D

STATE OF IOWA · DEPARTMENT OF AGRICULTURE

AND LAND STEWARDSHIP Bureau of Animal Industry

. 1~~~ · Certificate o~~t!~~llfi' Inspection for Cats /Dogs e • @ e

Sale

Owner or Consignor 1ZDtrA .S:~{"f)1D;f'.~~· • • • Consignee S\'IIJ Y t' A 'Pau)

SHIP VIA: Air D

Rail D.

- · co@ e••• \ ~ I I .L C \! o •• ao u • 2 Q- 11 ---;--, I Address . ~ ~ ,LP!\ ( n \-, s, - .. QT' .. ~ • : : • Addfess oS --:: . . ~~ 'bn-~rH ,( --f'l· \/

1/

Auto /0 \ .

Ship D

• 0 v .v o o I

Cit/)ne.,n0a\J State ~A Zip c~~eS2·s(._tcr --~~y~\,d:S\)l \ \(.__ State k) Y Zip Code\ I~, .. Telephone Number (lo4 I· ) 8"15 - -J i ?;-1 Telephon.e Number (5/ Lo ) q 33' - lg'l I

TATIOO RABIES DESCRIPTION BREED/ SEX AGE/ I\IIICROCHIP TAG

COLOR DOB NUMBER NUMBER

tr2s1i1-b\ Rottr M r;/3/11 W1{)r n-1LJ '

\

T

RABIES VACCINE TYPE

Live I ·1 year Killed 3 year

.,

MANUFACTURER

~ ... fl * ---·

:fb. ... :t--~~.:.-:__y_ ••••••• .... J!t,

<?' • l=r•-i'

2 ...... ~-•. ~ ~ ..... ~ ..

REMARKS: • ..,®• : I ·hereby certify that the animals listed above have been examined by me and found to be free from contagious and infectious diseases to the best of mf" knowledge. To my knowledge, the animals listed have not been exposed to rabies an"dh;h'.:~riginated from a rabies quarantine area. . --~

. . ...

' SERIAL NUMBER

--4..M-.t·i:-""!--~·6. .~j -..... tilUtr~ ... ~. ',j.--~!""-lll" • ~- ·4il>

·t Signature of Licensed Veterinarian /1,,ds::,,· ~ :.i. Iowa Vet License# ~-1,..,._,.)(-'--'-:S--"-"-'] _________ _

Dr. Anthony White · · X / 2 / / 7 Typed or Printed Name ___ ~~-~------------'---. 1 Date Issued_~~~·~·~-----------

Name of Veterinary Hospital/Clinic Vn v\~-~ r\ ("' \ '('(\(.) \-\ri:--_\'J\+o \' Telephone Numbed J-l I >[s-1S- -lo I 14 Address .. L/(~2 {.,, \ i~i')_1;)f" ;<Y:- City Cf'_n+ 'i, l 1e. State -:S..A- ZipCode S254y

' Original (Pink) copy to· accompany shipme11t. Mail hvo i:opies (White & Ca11ary) to State Veterinaria11. Retain last copy (Green) 1111/ess required for air ship111e11t. 009-0127 (Rev. 03/15)

----------- --- ---·-- - - - -------- ----------·--------------~·- --·------ - ---·--- --------------~----------·- -----------.

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Interstate Shipment 'q r

STATE U.lf IOWA DEPARTMENT OF AGRICULTURE

AND LAND STEWARDSHIP B~rcau Qf At\ipial Industry ·.

-. DC· ·_· 5 tf G 7 iS .Q -Exltibition D SHIP VIA:

Air D Auto 't:i Sale_ Certificate of V&terih,mrv ;f nspection for Cats !Dogs

. ·. I .a-&-'~.& . . - D Ship· D

I•

Rail •• -· ....

Telephone Number_( ___________ _ Telephone Number_( ____________ _

- DESCRIPTION BREED/ COLOR

SEX AGE/ DOB

TATTOO MICROCHIP

NUMBER

.RABIES­. TAG NUMBER

RABIES VACCINE TYPE •~•6 >-----~-------< MANUFit.w~~

Live/ Killed

1 year 3 year

SERIAL NUMBER

,;.w:. 1ti:-:1

• •• • 181 \ j t,

1-------+,-'-----1----+-.,,.---+-------,,.,.,---+--------+--------1-----+-------1----('.!~:!-,1:~~-\., ___ -----·- -- ·,,"'' ,("~- -·-,\ fvo~w •~ c}

;,,-·-·1 I

·-/ l

- -_,..-.._ / \

f :1 ,.. !',,

REMARKS: ()<...._ f / cJ 1\/) _

wso O 0 (J

I hereby certify that the animals-listed abov~;have b~eii examined by me and found to be free from contagio~s and infectious diseases·to the best ofmy knowledge. To my knowledge, the ani~als listed have not been exposed to rabies and haye-hot originated from a rabies quarantine area.

! j \ {, ~ (/• !/ ;/'i, / ,I ·.; . -

I f 1\ {l I. ' ;1 ;· 0\ I I ·11' II I ;t ! /1 /I - -- ·-· ,.,. , '.., -Signature of Licensed Veterinarian \;_,/ \11 u\,\ ci' r_J i i V/.,·;,-., i--11/ I~ !- _ Iowa VetLicense# _:../_,~1'"';-_-_, --'-;· __________ _

· Typed or Printed Name ID,. r.,, \r\ \, e \L n \ \"V \ 1·,.,) '.\!1 Date issued_·_:;~'· ---'~)~_ l_(_7 --~j~/·~------------

Name of Veterinary Hospital/Clinic ('l':',nc:,<' °'JP~'. C\, 1'~1,.~ Telep\ioi\eNumber(\..o-111 J --:i.-,':j~)-.,, 7~([;'-;:: '.

._, City--":-':'-:c___,\_,_(:"-, ,"'"r.'"', '!"--_____ : -'----· _ State_ 1 r:1 - Zip Cpde _r._::1_·.{~')_(.-'-\ ~i ~r.,-'-\ ____ _ ,, Address \ I atr7 _ t·--'\ o: 1 ·r,. a.A . .

Original (Pink) copy to accompany shipment. Mail two copies (White & Canary) to State Veterinarian, .Retain last copy (Green) unless required for air ship,nent. . - - ,., - - '• ~- ____ _:.._ ___ -___ - - -'

009-0127 (Rev. 03115) _

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Interstate Shipment . D

Exhibition D

Sale

:STAT~ Ulf lUW A DEPARTMENT OF AGRICULTURE

AND LAND STEWARDSHIP Bureau of Animal Industry •• • •••••

Certificate of J,itdrmtitv 1nspection for Cats /Dogs • • • • •

DC SHIP VIA:

·:Air· D.

Rail· D . . . . .. . . ... . . . . . .

Ownetor·Consignorftla1v1)(l /V(ws;i,,.)a.11tit t;-· ... COQ.SiQ'1.e,.e::rs\~)6rt~Md~ • ;~1/h1 / . •. ·• • • (J •• • •• • .• p ·, . . . • . . Io c:o ,r. . . J) o " • • • • •· • • ~i:::' <"" 1 . ( I .. /#A,r'! .

Address · I cJ 1 (J e:.f M . zJL •:• ~~~·.: A'1<!~eis I. J · . 1cnu 7-Z · /(__?:

Auto .,. 0·

· Ship. D

CityB·(fa (jJfu State 1J} Zip Code,'-SIY/)~ City/vfulllJ(lt/& State/.1/// Zip.Code /l9Sfr! Telephone Number_( ___ ) ________ _ Telephone Number_( ___ )_,-----'------

RABIES VACCINE TYPE •••• TATTOO . RABIES

. ., "$

· DESCRIPTION BREED/ SEX AGE/ MICROCHIP TAG MANUFA<!rti~!:R SERIAL COLOR DOB Live I 1 year @,· •• NUMBER

NUMBER NUMBER Killed 3 year 0 0 • ~01'99 ··-·

,555, . S, ~11i°.1. U U/ /\ll . _CLif11 f \/?'. h1 .flf: : - . foo c.. '(j7 //'l.Jq . ..... "' . . . . · ·<ll.iiHl

~6& - (, ...... •, -·, ti ··- ' .·_y· )• ......

~-v- (,'J{,f1 I J i) .• '

':>r,,r1.111U,· 11'/ l.,.... ···~ - 0 •

L/O<l C°'-(fCt cha tl ~- ·"'y(/1 . ! :·•· •• 8 -~~·---]',---/V1 ,,J. ./ '#:;'..._@:f ~ .....

I;'!

LJ l ?, . (' fi_ u&.c?~n r;:: ,; .. 77(- i. I ~ • <§

" o~

,so ~h' hf1() /Y\ t;-~11 ,\.If/ v u '"'"' "' ....... ,.J { " . ·,

~ ••& '8

A 0.0 •• ( \_ ./ \ / "- I c. ) / \ ~ ~ -- / --t--'"---.., \,

------ --~ ,.....___ --- -

REMARKS: ~ ()I } /) ()) f/J .. I hereby certify--,th-at-th:-e-an---:.::imc:7a-:--ls-:-:li:-st-,-;e.i:f7 a-=-btov,.c..e-="fi"av-te~b_,ee-n~ex~am---,-in-e...,.d-by-,-· m_e_an_d_fo_u-nd_t_o_b_e fr-e-e-,fr_o_m_c_on-ta-g-io_u_s an-d-in_fe_c...,.tio-u-s.-di-se_as_e_s t_o_th_e_b-es-t-of_m_y ____ _

knowledge. To my.knowledge, the animals liJted hav:e not been exposed to rabies arid have not originated from a rabies quarantine area. ·. . . .

· 11) Li{, (/ (/ ~I /)U'1.A. 7 Signatu~eofLicensed Veterinariant_,U r LU ~ {'.-o .!2f.J}r--;. 1 r I Iowa Vet License#_-=· --'-y;y,'--'-_,,_7-!-----------. . . . II<:'" f{ A {/ If//( I\ /&-1 • -7 (Q '1' - _Typed or Printed Name ,ILl~VI , l' K fl I . iJ,."'t- . i{/ I Date Issued ~ - -1 I Name ofVeterinruy HoJpi~~I/Cli~ic (>'Sr?u,. () - (lll N">.11; l Telephone N-um~be--;/"<1;;..--t;-:-c(f-{i-, -) ,-,-t, =1--=:z=-1---~-l}-7-.(---,-----P.dd~ess \ ( d> °'- (V\o)'i\__ <:; L O "'

1

Ci~ r) C.c.9. 2. . State "'UA~ Zip-Code 'i:::i(Y--! f.1 { .\, ..... •lf" j (' - •

. ·~--~ ,'r

:.' ·· Original (Pink) copy·to accompany shipment. Mail two copies (White & Canary)Jo State yeterinarian. Retain last copy (Green) unless req1!iredfor air shipment. · ·- _ • .: •. -. -~ .,_·-··- -~-'- --- • -~-- - ,,__,,. __ ....:.... ~ --'-0----.- ----- ------~---·--·-· -~~,: •• - ------- "·-----'- _· •. ~ ___ -___ -·- ·-·~--- -· - - • •

, 009-01?7 (Rev. 03/15)

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Interstate Shipment D ·

~lAlE UJ< lUWA

DEPARTMENT OF AGRICULTURE AND LAND STEWARDSHIP

DC fr29816 Bureau of Animal Industry

·. Certificate of V8te:inWllispection · for Cats /Dogs . . . ... . . ..

• • • • . &

Exhibition D

Sale·

SHIP VIA: Air D Auto .,.Ef

Rail D Ship D

C •• • • ••• - . -

. Owner or Consignor cdA I ll".l.4en J:S,?nncl Consignee<::, ·:riV'"\ e · J ,.:,. ++- -:Prxt 1"" • 8 ••• -.. . I!> <»•• ,. > . --

Address. ILh·f.R . ro:roo Gq.JAi+ ·; o·;Addies~·· lJ1\ Jer,rh.0, TP'l,.,S. . . . - .. ... . .... . .

City l;:,fl""-PYle. State ·! A Zip Code .50itislo City N.ow ~h,d'° ~ik.state NL? Zip Code .:IJ hl..JO

Telephone Number ( (oLJ I ) '32,3-5?3(oz_ Telephone Number_( ____________ _

DESCRIPTION BREED/ SEX AGE/ COLOR DOB

~tli~ tu~ ;.\.,.a 1f, ..de-\,, 12x,,a.{ ts\ 1/i It"?

TATTOO MICROCHIP

NUMBER

RABIES TAG

NUMBER

RABIES VACCINE TYPE

Live I 1 year Killed . 3 year ......

e o ··•· ••••

SERIAL. NUMBER

I ;-: .. ;•

1t·, ''Si. ·r··-· 1--~----+--------,1----4-..;._---1-------+---·a_c'_, __ ,_.j--___ -1---·-'_~·-·----1----4'.~~~~··-•,-.._•_._~_i .. _,_;__,

···p""W'~s: 0-re..o:.CL11fV10.Jed +o ~6>'h~ercJ-we5 _qeke:e(1:. J~.0 0:-ne;i_ 85° : .. · REMARKS: ·, \.\eo..~ \- Jr. \ u..na <, a fiDd : ' . . '' 'i;: ,: :

.. ... ···"· ··~ ,-"ii,~~·

.... . -· ......... • •

I hereby ce.rtify that .the animals listed above· have-been ex1unined by me and found .to be free from contagious and infectious dis.eases to the best of my knowledge. To my knowledge, the animals listed have not been exposed to rabies and· have not originated ·from· a rabies quarantine area, .

Signature of Licensed Veterinarian 't>n dA\0 a b,O .Ob~ 1 0 q AA..~ . Iowa Vet License# __ - _7_,_· ~w~il~3=c----------Typed or Printed Name \)( ('\')r' \sec ~)~I) ... . Datelssued __ Cj-+· ---+-J _·-_._J l_,___· --~-----Name of Veterinary Hospital/Clinic - -i;:\\ I sn~ - \fp )(- <;p [\11( .e Tel~phone Numbe; ( 31q ) Zlo7-z 7-42 7 Address ~\"3 h'\ N\,c, '11•\ City f\\\, <,r::-,C\ State (-Pr Zip Code !50lob7-

,: Original (Pink) copy to accompany shipmellt. Maif.hvo copies (White & Canary) to State Veteri11aria11. Retail! last. copy ((;reen) 1111/ess required/or air shipment. 009-0127 (Rev, 03/15)

.-; .. _ _:_';~ '·

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SMALL ANIMAL

HEALTH CERTIFICATE

~274796 STATE OF ALABAMA Department of Agriculture and Industries ·

Animal Industry Division · Date · al ?a I . · 1445 Federal Drive Issued o} 2:J l tl

CONSIGNOR OR.SHIPPER. Sam· \:"oy c\ · ·0R1G1N focttn Tau\Ov Ctfb'5lr1GA ·

' ' ' " ' i

Montgomery, Alaba!l"13610/ ,. •i• . . . · I I ·

,CONSIGNEE o~~ceAiER :''hq~,.\-v \Jf\ P)v l l C\OQ) · DESTINATION. \\fr\ tYtU}f... \r .. :r, en.1tr 1

COMPLFJ!jHY~t:ALJt:)D~E~~FOl'lq)NSIGNEE .

7!(v ~E~\ \'1()' t· Wit:. PflOd)~ ci N 'I I \-1 l.03 DESCRIPTION ·aF ANl~ALs.lcG r·i1 S · · lo SQ 5

COMPLETE PHYSICAL ADDRESS FOR CONSIGNeJR \ ' '11,. . om+rtll{ · ri- 1 ,JUI 11 1

_ . Species Sex Age Color or Markings Rabies Tag No.

-.~(X{ \f\C

VACCINATION DAT A t· . "',tf t."" : :;-.:11,

TYPE (Circle One) Date APPROVED BY: . f 'PJ .· f . . ;,~\i)

Rabies M~K , . ,: , SEP - 5 2017 , "ii ! .. i;::c'E.\\ft.U ~ DHLP ~~JK BL r~v ffdlY 8 rr~h 1 · : l~ . ,~,~ue 20~1 ., ~

' FVRCP MLV- K I I J ·---- - ' - " -- --- _ ... - --~"'1 ' ti.: - ,,.;i:\JT,;;'. (),) , f,,. ~ ('):'~vV-1.,, ' - i:.\ -ea"''\ r-·,,. ,, .,,,:'(\-~{ Co i

H . . . _ ·

0 ,;._ , .. er _. 1, 1;ir.1.,, · :,,.,

OT ER - ~'\ ' I, ,,;> ·- • ., ,, " ~ ' ' ~ ,.-~, r •i,'r";";,.~, I • '\./',,}

I hereby certify that I h~examined the above animal s) and find it to be free of any symptoms of comrriunfcable'di~efs@;;; To my'knowledg~1s animal(s) has not been.,expo_~ to rabies-. ~ ~ 7 <.::'.:"'··---- .. . 11~ -:z ~ -<L 9l S!:'17\. £(")/ Accredited Veterinariaf.i? 4 '~ C C:..".A::. _ ~ -.. --.,, VeterinaryAccreditatlO,(I No. Cfr ,. J 'Z ')-..........::::~ · PrintedSign~ture t:::,\'l.\U''..\ \:::) f:'.\' \,J\H\. Address122.0 !!\'\l\r·l')YI -t' 5 Pt\l C1h .ffi: . TelephoneNo. '.i-()::,·f,Rt\~"11\'L .· . . -~,-;12a

- Foreign Shipm~r]ts; · J J t ,,.. U 'Interstate $hipments: original, c~~ry and pink to: l}SDA-APHIS Veterinary Services, 1445 Federal.Drive,

ortginaJ-acC?mPany shipment, canary-~tate Veterinarian, pink-State Veterinarian, goldenrod-i~suing veterinarian Mon!GDrl)E:ry, ;AL 3611;)7-·1123, goldenrod-issuing veteri~arian 1

~~~~·~~~~~~--~'----~~--~~~~~----"-·'·~·~· J

Page 15: o c ,. ti 1 I ~;;;e · --: .. :--·:
Page 16: o c ,. ti 1 I ~;;;e · --: .. :--·:
Page 17: o c ,. ti 1 I ~;;;e · --: .. :--·:

1· ,.

VACCI.NATION DATA. . ·

TYPE (Cir9I~ One). Date ·, . ;:,.·' 1-------+-,.;....--'-:'· ~.,....,.....,.. -· :..· __,..;.a .. ..,..,.. __ .;..__--l_='-_....;,..--,--'1;:

, , ·1--R~.~~bi_es __ -+-__ ,_M_L~~~t~K-··~)'-· __ ..,.,.,..,,_----~+:~.,;'?..~--~--~:~···=r~7'.~·11 ·.· ·DHLP. . : ML\/;~·· . .'_·. . . ,

. ;' ~ ·-FVRCR . . 'MLV-[C·, .. :''.-;, '·

{ .. ~~···••·>'f"" <' ';''"·~ '"'' --·~ \. '

·(

· .: \ .· t'. :APPROVED BY: . ··. r.>SEP .:.. 8° 2017

1: ., .• •.· . . 'i.

.:·,.

Page 18: o c ,. ti 1 I ~;;;e · --: .. :--·:

, .. j t AL-S '0008959

; SMALL ANIMAL · . · ., . .- • . ' ,..;,,r"_·,: · ..

Page 19: o c ,. ti 1 I ~;;;e · --: .. :--·:

SMALL ANIMAL

HEALTH CERTIFICATE.

STATE OF ALABAMA Department of Agriculture and Industries

Animal Industry Division Date 144~liederal,Drivi • •• Issued

,() / ' Montgomtiy,2\1,a~a 3107 ,,1/ ~ . ,I I

CONSIGNOR OR SHIPPER . KU..5 CON~~E1:>~u.ieli!ASER /-;/cY,<,4/0..-,c.;,(e,,,:,, ,{

ORIGIN t..u e..c,-'b c_..., "'-L · A{_..?,{:, 7€DESTINATION G:r. ', .. , h ~,d/ V .. • • • • ••• ·f:"

COMPLETE PHYS4c LADDRESS FOR CONSIGNOR ,,,, • ,: 00f'.4Pt!~ ~SliA~iDDR~~S FOR CONSIGNEE , 1 . ( c/ //,,.- f...J1•:• •: .··u ;, ,.,...,..,.: :. o / cY tO ( , ,-, Le/ ~ ' \.C.· • fr '-Op • • ••• e:i!' • •:.·o \,,,'.*'•• •' V Cc_._,..-·,:,; tf

9-S"--·I?

DESCRIPTION OF ANIMALS ,-----"--~--------.----'-------r----,------r------,--------------'-,---------,··.,, .... .;;i ..

Color or Markirigs · 1

· • I -- •

Age· Rabies Tag No. Species Breed Sex

/YI

,' . '

.- ~ .. ,:· .... ', -·-,·-·::· ... ·.: ~ ... ": ' , . ' .

,,:j

~;J ,--.1

. ··.1 J 1 l ,, J

' j

' i ,, ·,j

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· VACCINATION DATA

.' APPROVED BY: · . ,.

TYP,E (Circle One) Date '. •.

' "i·/~:\.'Vt · <fd' .• · :·'1

Yet ' ~~, ·1 ([i'<,, ~\

:---\! {~f; \O' z \ ' I hereby certify that I have examined the above animal(s) and find it to be free 61 any sympt~msof co~m~nicabl~:dise~S~;·TeAy knowledge this ;(~~,' ;

animal(s) has not been exposed to rabjes,, ----~:r_,,,.._.. · ~~'v ' · . . · · ,(} · ·· Accredited Veterinarian /_t/,.., _ . .,c:~;,~~·- · Veterinary Accreditation No. f"'}.3 of!). V - , _,1_,til. '/ Printed Signature t:..J! ~ ~ .C.t'tf,'.!.::"''°~ - rz, f, / Address t;,c;-':l'?. <'/ :..··"'! ('. . ~ 11£:'5'-:, 'i!. ,..,.cr;Ji'ifJ;.J7 Telephone No. n <f 2f\ ""?. r- <./- \7"1 < "') ~._, ·-- V 1

•· I ,;·· Foreign Shipments:

original, canaiy and pink for USDAAPHIS Veterinary Services 1445 Federal Dove, Montgomery, AL 36107-1123 goldenrod-issu.iiig veterinarian ·

SEP i 5 2017 Rabies MLV-K . '{;;:4,:; .s:. . ' 'l/ : "'7

DHLP MLV:._K :··(~···

FVRCP MLV-K ·.:

OTHER '

Interstate Shipments: original-accompany sh(pment, canary-State Veterinarian, pink,-State Veterinarian, goldenrod-issufn~ veterinariari · ·

,· •;.,

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' ' ' 'SMALL ANIM.A.L': :. ,:'':, '.'.,., ,

; ' : . ' ·. ., • • 't''•').,':. I'

. HE~LtH CERTIFICAT~'.::;:{\' ,' •, ..

' .... .'AL.-<S ·

· Date Issued 9. :1'.2 ~ \ "2

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.. ,· ,, .

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SMALL ANIMAL

HEALTH CERTIFICATE

STATE OF ALABAMA Department of Agriculture and Industries

Animal Industry Division 1445 Fede~~Drive., .:• •·

l . , Montgomery, Alatai,1a<§61f7 : • .,-

CONSI.GNOR OR SHIPPER I fl_(< { C JI f) A'{?! !coNSIGNEE!~k~q~A~,. {\:\i \ 1_:-:(Y'1 ( t 0R1G1N <--.:: CJ '-Ytrr +--.,,-·C\r\ : H c_ DEsT1NAT10N r /;y I r1-H1 t-.1 \J

, I I •-, .r• .• · ,;11' '••.-: • COMPLETE PHYSICALADDRESS FOR'GONSIGNOR (;O~L\lT!i,Pi!lfSl~A1AOO~S FQi1{ CONSIGNEE c,, -7 7 I .\ r0 i 1· l/.--'11·'·11 1)c··.\ •::tJ i~t::::;,, --;.::_ f:1,.r·-:; ·1~.r::~ (? 'I. \ (' ,,., " 1· ,--1--r' ,t·-)

_.,. 1 .1. k....- !:!: ··•·t·e•e:/··t·-=.·•"'r"·e·. \°",,· f,1i,.

c"" ( .. , -- 1 - 1 ·• ,,., r"' · 1 ·1. · · 7 · • - ·

c.:, ('·._ T( { CX~'t .. \ v I..,. -· L .. "':(i:/(r,1DESCRIPTION OF ANIMALS

Species Breed Sex Age

.f'C\ \ X F-Y\J\·

· T(',. 1-·\ 1 r\o 17 IA,~

VACCINATION DATA

TYPE (Circle One) Date

Rabies MLV-K

DHLP MLV-K --,-.........

Color or Markings

;---.2.:i ~, r I ,, ·1 ·· '-..,, ·I·,-: te . .J- )I(,, t .L.,-1,~.-·,e\-7·,,'l:c--,

Rabies Tag No.

------

. :'' ·:, ,.,· ... ·-:.· . )f '2>' ,- ! d: 3 ~ ·,,., ,,' ' ..... '..·< ... ~' C). ·__ - s-6' .• -APPROVED BY:, ' .. , . . >

\[ ' l~ ·.<,~ . O'c.9

SEP - 5 2017 ! fv\ · <:.'\"\v- :1. ~ : ~ i , . .-'(Y' n'0\ ,. -' N\. ~'. v ,(?l~,..;

FVRCP MLV - K -~ \ ..... ----···c-1, 'A \: ~'<> ,-"'',:;?\-'· N OTHER -------··-···--- . --- " ... ·- . ,, - ;- . ~· ,,.,:/' 1:<):_': j?

.1 hereby certify that I have examine~ the above animal(s) and find it to be free of any sy~ptoins of commur.~~~~le 9i~~a~~ my<k~~witciglihis ,:,,4 arnmal(s) has not been expoeyed.Jo rabies. \-' ,,... ( ! ! . : '. .. .. · , · --- - i<--1. 1 'Z'{.c-6 __ g;" 1

Accredited Veterinarian \~i{ . I l (\C \<' ( 1 I 1(0 \ rel i Veterinary Accreditation No. I n I () l"C.f-'\9,?,:1F.1. S\. !...'-' / . - )--f ,, -, ' ') _., ~·1 C: l, "\ _,.; ...,-· ~.- • · ~

_Printed Signature ,.-, .. ·~·__:.," 1.-,,v~-,- /.:!.1' __ 1"' - . :1'':'::~iiVI()Address .:.· ~ , 1 { 1,_ rt ir'i(~·11 fl1 .:..,'' , ;_

Telephone No. Ii\(',~ rlr -", -cl?,,·-:s! \ .ForeignShipmen!s: l \.(\ (c I(\ i f)c ,"'::<':;cc( le ln!ers!a!e Shipments: original, canary.and pink for USDAAPHIS-Ve!erinary Services 1445 Federal Drive,

original-accompany shipment, canary-State Veterinarian, pink-State Veterinarian, goldenrod-issuing veterinarian Montgomery, AL 36107-1123 goldenrod-issuing veterinarian

·,

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_·:. SMAl,.L ANiMAL, . . I

. .'•·.:· ... '

', HEALTH;CERTIFICATE ....

j

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.--........ ----.--' .. -: .. --, '"-:;-.,.-) .... Y, .... P_E_(_C .... ir-cl_e_O_n_e) ...... -.-_ --.....--_-D-~-:e ..... ,; .... f-.:-. .\:'.~~'.~:0i'.Ji::0lJpwiJ(gt;~·~"::, ... . _,·'MLV(K'), ,1q·:1.,9f-i~ .,~;'.);·'i-,V

,<'' J .\- /:' I·-· •

SEP ~ 5 2017

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.. :SM!\LL ANIMAL' .

HEALTH GERTiFICATE

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...... . ' !·

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SMAl:.L.ANIMAL -

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,sM~LL ANIMAL 00112s5··· . '

.:; .,

HEALTH CERTIFICATE

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SMALL ANIMAL

. HEALTH CERTIFICATE

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·::s, . i,' ,

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t·•

.. :SMALL ANIMAL .

i': "

Rabies DHLf: ..

;

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·• HEALTH CERTIFICATE

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. 1'.,

. '. '~ . . . .

. SMALL ANIMAL

_'HEALTH CERTIFICATE .

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:, ... ~reed

. \110;<{".~ .

,'· ' ·· . VACCINATION DATA '• .. TYPE :(Circle ·one) ,, .

'• . - . ''

Rabies. . '.MLV~ I' ., \ q··t,q·\ ,<.... DHLP ., · tv1tv)1r -FVRCP . MLV-K

OTHER f ., N .,. . ,.

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Date

9,'"d)<."\''i 'X·'a. ,S-:·j'":\

;?. --APPROVEOBY~:~·~·- ·"-$tfJ'_~; i; .. ,~ ~--· · ,r ·.\.

SEP - 5 2017 ~ · ·" 't::::~';:=;_.','·::: .,

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SMALL ANIMAL' ' ' . ·1

' .,

· HEALTH CERTIFICATE .'J ·'i

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Sfv'IALL ANIMAL

HEALTH CERTIFICATE, · · . · .

,, ' 1· ~1,rOP.V. ,_) ... IC .... , ' ,,_ 1,

- .-J )YPE (Circle One), Date .. Rabies . , MLV {R:"')' . ii,;; '."l."1'\~ (_ . ~",'.)~1'""\ DHLP fV!E.V•rK • \ , ... 1-{ .. -f,

'FVRCP MTII-K "

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OTHER / /I ,' .,

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•;-,

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-: SMJ\[L ANIMAL:,

HEALTH CERTIFICATE ' ',·'

11lterS·t~1e ~hipments:

~~i-~~~·:~:; ~~j~ · • •, 7.,..;.,_.;,.; -~ '{;,.~?·:· -',,:· ~.~J~. ~F·:3,r,:,~: ·~~i :··,,;1:/X1

AL-S . '

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. '~:'

Manufacture.r \)~_f\SO'\' ... O [Vluririe· · 0 Caprine.

· . Vaccination Date---=-· c>'_I 3'-"----;1 · lb-=-·:\J~·i ·. ----,------- By · .\< r \~ tie I . I .. ,

STATE VETERINARIAN ·

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FORM M-119 Revised 9/01

Illinois Department of Agriculture Bureau of Animal Health · Bureau of Animal Welfare

State Fairgrounds- P.O. Box 19281 Springfield, lllinois62794-9281

Original - Owner Canary - Division Office Pink - Division Office Goldenrod - Veterinarian ·

. i OFFICIAL HEALTH CERTIFICATE FOR COMPANION ANIMALS OWNER / .. ·.'./ , · /' , 1 t:>:./: / /, ,h.J CONSIGNEE A :'l , , .. r: ,., , , . , (L. · / ; / r / /T

! I ---'C...:....:.--'--'"'c.......c.--,,,--'-,'-'---~-',-~,~----'-,--'-'-'-'='-~-'--------/ I' '/ ADDRESS .1-;? .t/ ,:;: e /-' :':r·l' ,c STREET ADDRESS _.,./"".!// \"F:, .· l-/i /l1,, ·,. , 1 r (g /,

-"-"----'-!----'--"'"'"-'--'--'------'--'--'--~~-~---'-~--

.. ., (~ .... _ J / ,1 ,/,'.· __ ,-/ I / "- ') /

CITY AND STATE :i !,'.' .: ·:· .«! i 1< r1' ,v r) 1, ,:.,_ , /t:// CITY AND STATE--'-_.~('~' '~:,;-~-,--,---'-f ~-.;,."""l_·r~-1_.~·,,_: -~-·"""', ,~'--~i~r_' 1~,,~~,,~1 __ _

Registry name and number, or description BREED AND/OR SPECIES SEX AGE WEIGHT .

,1:) , ... .,.-,/ '-/ / I./}) , /-) •• "',.> • I , I' ll. '/./

,, ~~~. · .... c.~;;.~,t~~;<l,;.-.,-1_7· •.~,·· )r.f,<'7-;;£_, · • ,;::. .'.-= -"'~ }.- 0;.,,~ •. ~ -· i-.,•-- )· ~~" .,--·s--r-··- -- ; -• ; ---~ _...;..._. _ ·. --~ ··- -.----~- -·----~ "--;::,..;~ ____ ::;:;. __ , __ __._ .. --..--.~ ---· _ _..____ -:_ ·· ..__, "" " - ·-~·-=- ,- ··

THE ABOVE ANIMALS RECEIVED ------ CC SINGLE INJECTION OF----------------,.-

: •:• NAJ1E A~;lfv1ANY)il4CTUfER MBIES~CCINE,SE~ALN0.~~~~~-~~:~-~7~Q-"--~·~l,~·,_~~•~1-'=•~~=·--------------------

• tt• •. • ~ :.:- ti ........... .... . . ~· . MBIES VACC. CERT. NO.------------------ VACC. DATE---------I HEREBY CERTIFY THAT I HAVE EXAMINED THE ABOVE DESCH.Sf~ A~IM,L(S) l,~D_FIND THE SAME TO BE FREE FROM SIGNS OF CONTAGIOUS OR INFECTIOUS DISEASE, AND TO THE BEST OF MY KNOWLEDGE IS HEAL THY.• • • ,. •• ··' • ii<..,. ii ·, .. -- ./}

r···; ;'' ,.. • ... e ~ ·tl .,,,t~r-"'01~ ,;!" ~,.::..,.. ~"' ...... <!i c , ~ .•i• ,. • • • Signed /'J ,-;, .. ,",-'"-.. -~..... ,,-_:-v"''" t:___ :--.

,,,., 1,,)'( ii- .. .i~/i<:1 v,. ~!Jji~--;,.~~--Approved "'~~All(.

~- . }

Place Issued -,:-., ·,, r ·./"/ "J( ( ',· .- , , + , , · ( !.~-~-r-,-: ·., {,.: l:r,.1.-(t~·-/~,,_~;,~--~;·r·· :'f

Date Issued 'f

IL406-0448 (Rev. 9-01)

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FORM M-119. Revised 9/01

' . Illinois Department of Agricuiture Bureau of Animal Health :

.::·eureai!'.Qf Animal Welfare - State Fairgrouni!l~, P.O.i!ox 1~~8( . . Springfield, 1mnol6.t7ll(928~ < ·

' ' . . . .. . ': ·, Original - Owner · Canary - . Division Office · Pink - Division Office . Goldenrod -· Veterinarian

J ,. OFFICIAL HEALTH CERTIFIC1',-E R>R'CCJffll'ANtpJ~ ANl~ALS , ;:J

~ , ,.,pp CONSIGNEE .. c; u} le /~ ·J n Io { .. . ·• . . ... () £ • • • • 11,,;,,- •• I •A I -L • A J I" I) r, r) (') ~ .:. ·~fRt:ET~D-"lFoo : • •tt .;,,, r1 , 1 c '1,, r:, . .. • ii • • • .• • j J .}

CITY AND STATE /l/lcL P . .ru1.f: 1,or/') Tl t,_1tS 1?9~1TYAM1Sl1ffE •t.•1.f,1 )/'l'l/7/{ ;1/~· !IC:,~-~ / r •

Registry name and number, or description BREED AND/OR SPECIES SEX AGE WEIGHT

.. J lr.r / I- ; 1:)!'0 ,>f~t1,1k· . jl .,;

. t: .. • t. :·

. .:.- - '

THE ABOVE ANIMALS RECEIVED ------ CC SINGLE INJECTION OF---------------711 /'J Y(i<J1AtF

RABIESVACCINE,SERIALNO. -----------,----~-------------­

RABIES VACC. CERT. NO. ---"--------'-------''---- VACC. DATE ---------I HEREBY CERTIFY THAT I HAVE EXAMINED THE ABOVE DESCRIBED ANIMAL(S) AND FIND THE 'sAME TO BE FREE FROM SIGNS OF CONTAGIOUS OR INFECTIOUS . DISEASE, AND TO THE BEST OF MY KNOWLEDGE IS HEALTHY.·. . . . · . .&.. . , . : . . ~-~ ·_ . . . . . ' Placelssued Tn1:.un*f l'Nff'l··n:v · !/!7-1. I'_J/;,1;'t .. ,- . Signed:,,)~~ .... ,~-~··<":...~

. .. • .., ,,, t.U I I 1- -,.: · 1r~- 1 ... · · r . ..; I./ - ·

·oatelssued ';;_,;; ._, >~7/i,Yr; 1jr,. ,.,·;t . ,:,.,<.,Yr)iG"'i::>.-·,··c IL ~t:.,,·1.::5"9'. Approved'· .... ~.· . :"-~.~~~

IL406-0448 (Rev. 9-01) f '~,·: ., ,, .·/!. ·r ,- ·,~- .... ,:~.~.~"~·-; '=' ~ .. , , ~ ' '.- ;Y .. , _.'~{~:/.~:,.,, •-· ... ,,._._. ~.-.• ~-·~'. I .. ·•

· .. )

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FORM M0119 Revised 9/01 .

' ">,'

,, .. , , Illinois D~partlT\ent of Agriculture ::,:. \ Bureau.,of Animal Health

. . . Bureau "ofA~irnal W~lfare . . . Original - Owner.. rJ '7 ©J "1;, 6 9 · .... State Fa[rgroun~s?~Q. ~fl92~1•• Canary - Division Office I i fl ""'' Springfield, lllin0,;s6i794-i3131 ! . . . Pink - Division Office

. . . • • • • • . · ·.·· Goldenrod , Veterinarian

) I I . . OFFICIAL HEALTH CERTIFICA~FO!fCOMJIM~ION ANIMALS /J . /~/ I OWNER e): ;p f l1u-iJ1> . · CO~SIGNEE . A.rnet>:,:--~/'.?,1 f nc. I .. L.1r, TT.

. . ' "-" • , . • • .• : • •• .• ••• , I .J ·-ADDRESS 5 7 t.f.s' c fl PJJ!) f .:.st.itc,-Ai=DAe$ • .ii"" 1.,-i .S' 11,, + t1 llc11; Pn N~:-./.1

I ' l ... • .• ; .. •,_• ,.:. : , .. ,, J/) Ji '7A I CITY AND STATE ,1;·11':,L P./.'l,')";"i,..IJ(n T i,;,;,1f'..C:1 CITYAND::;1ATt: 1. •. i<1·/f'r;, ("Yll'nt.h? J./ ·c , /',,,, ·

Registry name and number, or description BREED ANDtOR SPECIES SEX AGE WEIGHT ..

r.l .. ) f ., "':' {Li /-I .. ·.' ; t \'>

THE ABOVE ANIMALS RECEIVED ------ CC SINGLE INJECTION OF---------------

NAME AND MANUFAClTURER RA~ES~C~NE,SE~ALN0.~~~~~~1~6~'~,~~'·~/=4~~-~~n-'~,~~~~~~~~~~~~~~~~~~-

/ v RABIES VACC. CERT. NO.---------------,--------'-- VACC. DATE---------I HEREBY CERTIFY THAT I HAVE EXAMINED THE ABOVE DESCRIBED ANIMAL(S) AND F'IN,D THE ~AME TO BE FREE FROM SIGNS. OF, CON"FAGIOUS OR INFECTIOUS · ' DISEASE, AND TO THE BEST OF MY KNOWLEDGE IS HEALTHY,. . . . . . . .a· , ·, , : :· . · : . ,:· · . · :.~ ··,.\\, . , . \ . . · .

Place Issued TO;~,; rl ~ c. 1•n ui'T I Y' ik ~ .· . t J ,1)1,. C· :::.: ~ Signed . '•':.·~·L.-.\,_,.,~~ . ~"-~~~ l:Jt-~(t t(.J li'1:11'11..l .... .;,::.::i t T ,; 1,-.1 (''~.Ir .. ,-/,_\ ~:,;I'·~ li. L,._ .:~i'~ .y:;· ' -:--.~,H ~-" : . ·.

. .,._ ~ .... -~ l./! .... , "l>,• }

Date Issued 1- J .. I 7 · Approved :..3~,-~ .... ~~s~~~~~l!!f~~~"'f~-\ \

IL406-0448(Rev. 9-01) . . -~'··-·, ...... ·' ..'...i.....----.-.....~_&···.:.....:. "' ·~-·-· ..... ·-·~~. ·. '(,. ". L.

.~._.

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FORM M-119 Revised 9/01'

. Illinois Oepartment of Agriculture , ; ,·: .. Bureau of'Anillial Health

Bureau of Animal Welfare State Fairgrounds• P.O. liox 1!i24H,

Springfield, lllfo(62~~281: •• • • • •

OFFICIAL HEALTH CERTIFICA1E FOR ~OMPANION ANIMALS - , . I , r , . :! , ,.--, OWNER {..Jr,-;, If!;} ,,1u;:J,£) CONSIGNEE /!.::.,,c, •r',1,'\ } )-·-,·,

It .•. •i ~·~ .: .,••: -j ADDRESS . ·~ 7 'Is' c ;,;, s-/'.hJ .,r:; .. :. ~ljll!ET i'D~lil~s~ • / ,, • I _ \ ;_ //i - , ,: ,-.. . . . . . . . ' ."{.)' CITY AND STATE ,,,1,,J.,.-L,c-c,11 d,/.t'./'r7 7/ l,),~~:;·q •c,ITYA~~"ST~TE f·~:,~ ·. ·~ i-,J;''," .,,. !/ ,

Re,gistry name and number, or description BREED ANDtOR SPECIES SEX

/ r- : . ; .. . (,,, f''' v. '(

Tt:.,-:, " . '"NAME AND MANUFACTURER

Original - Owner Canary - Division Office Pink - Division Office Goldenrod - Veterinarian

.' J !.f ~',~>)

.AGE WEIGHT

RABIESVACCINE,SERIALNO. -----------------------------­

RABIES VACC. CERT. NO.------------------ VACC. DATE---------I HEREBY CERTIFY THAT I HAVE EXAMINED THE ABOVE DESCRIBED ANIMAL(S) AND FIND THE SAME TO BE FREE FROM SIGNS OF CONTAGIOUS OR INFECTIOUS DISEASE, AND TO THE BEST OF MY KNOWLEDGE IS HEALTHY. .

Date Issued ! ......

,( ,_. ) .. / ;' Approved

Signed ,,~:1:.~ ->/!:: .- .... · · " ... -~-··-.::>.:~~ '~"- ·::<::,, .. S: ~ ··~-"--·; · (,·· /j Licensed-Veterinarian '·· .

-nr~~'1 i./~;"),~' ~ ,/>"}, /II !~:•7 l 1("')

. ,.,.- Ir--<: .. ,:; L·,.:·>.;· /,~- (:- 1,.;· ?.:.:(-;~~

IL406-0448(Rev. 9-01)

...:_~_........,__._.....__ -·-~------1.... _____ _.____ ·_ --~--·-~~-·.~' -·~~.>....a...-..., .. 1:: - J.'L~_ ......... ,. __ , _:__;: __ ··.·,~· .. , , __ ._ ·--·'· ........ ,~--·, ~~··----r-, -.......·. .__,_..........__·-~~--_;:___,,__-,,,'~-· ~'~