It is vital that all informs ‘You wil racelve documentation trom “The information provided o Rewraing DAR Aredia Rogar Gera Animal Raced (Ast) Py Li 32 Fenaye Baten Keyorsogh IC 3173 hana C3) 308 2187 Faeemia ba) a7 2158 mal: wo@car com ay Wee: Rips cx com. 34 PLEASE PRINT Cl ‘animal can be auf re Microchip Subsc n this form is completed. istry once detals have been entere. frm is used to ensure thet the tuned tit owner. AND ACCURATELY "** Ieee er ee OWNER DETAILS oo Sa onesie || (ERD Re'sicwel 11 | Pest biaview svi [1016 DAL RYmeLe RD “SUNBURY : Li | ine. Email = ! a LLL Mt on isaoesl Primary Addrase Where Animale Kept [| r ny ‘Atemate Contact Parson pansy ont nnd oa oan “Won Pkoviweo | tt] ‘ANIMAL DETAILS Implant Date fi pomat name ... LRENOR.. Date OF ith ne men Finn MOORE. NE... 1S. 1 RAS. ma yg sx ae Creme Desexed Cl ves [Ete neat Dex speies [EtG Cen © Dloter——sieiy sees LObrackor.....¥ cater... Black, car Teg Number. ALHS IBZ. to Number of Other Permanent Device seer fra Produced a iter] Yes [1] no LIFETIME Subseziption Applies Dangerous Oeg [_] Menacing Dog |Resticted Brood APPROVED IMPLANTER INFORMATION Name SR OQ oT MET ene abe A SUNG 166088 Bde BRON. Sm. subut ... BUMBUE. Pest Code 3b. 4.... Toop tae tet rtm iho pitied cin ssproved implant Sgratre «Add BA LOM dC, Ahora ares Supervising Vetesnarn Name apt Autos Nufnber 00 ITB. ITA... 2A, met (ce slow) anupoer .. RLS LE. 2st Cotrel pet regains wil be supped to arse scanning cane, sient where Catal aimal Rees] ‘Statstea information maybe supe to oe prt for purposes asccated wih arimal ele andor mangement. ‘Animal Recor wl por he Pleraton ety onsteranen ta to tomatn wl ol be used corer Pu Ihave red, unerstae ore seca eae cancion of data ute, ard have sought ana obtained perissen fom Be a 'sfermaton proiced oni fom 6 tue ad crrect ane fe person ramed as fe curr the egal owner of te ania person undathn aps oF 47 Bee eee ene eae SIGNATURE Important Note to Owner. PROAGY STATEMENT - Tis oration et cone ad ony oman a (owner Ager or Guna pare. B[LOLZAO. sy fo enable th eu of your missing pat oo au love pede any ce oan” [tcc not natn rome Sten of Aurvats. 8 7Ie | Mer Dr Daniel Mitchell veterinary surgeon 31 Brook Street, Sunbury, Victoria 3429 7: (03) 9740 2444 F: (03) 9740 2666 www sunburyvet.com.au | Brook Street Vet stsreeanburwetcomay CLIENT DETAILS: PATIENT DETABS: Name: RAS Rie Address: Age (Date of Bird Sex: @b/ F wy VACCINATION CERTIFICATE fe eews “uu ate:__B-~ 1O -2oio Today the above animal was vaccinated with a cS = Res | wy Poreics [fy 34 ay (Batch number/s__§$—~@B—II/j), F 2 Be 1: He/she is due for another vaccination on Slulaoi Signed Dr Daniel Mitchell Veterinary Surgeon General Healthcare Medicine Surgery tentiftry Puppy Schoo! Behaviour Export. All Hors Sqrvice ‘ABN 5897 2916 076