INTERNATIONAL HEALTH CERTIFICATE

REPORT OF RABIES VACCINATION

By means of this I certify that on October 10, 2021, I examined a canine of the Shih Tzu
race, female neutered , 3 years old, which corresponds to the name of LOLA; brown,
gray and white color, identified with microchip number 900 217 000 290 775, property
of Mrs. JENNIFER GRANADA MONCADA identified with American Passport Number
512053564.The animal travels from Bogotá (Colombia) – to New York – John F. Kennedy
(United States). Airline Avianca; Flight AV20 and date 11/17/21

The animal previously reported did not present to the general physical examination any
symptoms of infectious or rabies disease. There is no presence of recent wounds or in
the process of healing. In the same way, the owner indicates the complete vaccination
including rabies according to her age, which is supported by the vaccination card.
Rabies Vaccination History: JUL/10/2021 – RABISIN/MERIAL/48355
Expiration date: SEP/09/2022

The animal reported presents the FAVN REPORT FORM (Rabies Antibody Titer for
Export Animals) of Kansas State Veterinary Diagnostic Laboratory R21-044710-1 of
08/19/2021 with RESULT ˃/= 4,56 IU/mL

In the area adjacent to the home of this pet, there have been no known or reported
cases of animals infected with rabies or other diseases of mandatory reporting in
recent months.

In record of the above signature,

Manuela Buritica Pineda

Médico Veterinario Zootecnista (MVZ)
MP:41250
CELPHONE 057 3142029769
E-Mail: manu.burip@hotmail.com