Royal Agrcutural Society of New South Wales ABN 69 793 644 351 tracing as AUSTRALASIAN ANIMAL REGIST! Locka oy #317, Syney he Pat NSW 2127, Prone (02) 97 RY 04 1450 mali: help@aar.org.au Web: Wun.aar.or9.4U _wun.daror9.n2 APPLICATION FOR REGISTRATION ‘conditions which have been issued to IMPLAP By signing this application both the Implanter and the Owmer acc the AAR terms anc SAXON _ 3S ua p [19 xs 22 HSE on Nuri of Any Other Permanent ldentifieation Device Implanted inthe Animal Firs Name of Oumer oe Plelsisi [hlviel elelt WWelsiciulel | 1 ni Dulsog mbar Lolo) 0 AIRY nies Dire (Coun) Wher male Kape 7 Postal address resent Ni ie gis sialcl | 11 WIEILTPIET T=] imale — SXNeutered Female © Spayed myer 0 |F ab] 5] MALT IclollolulR! | Please Indicate i Your Animal Has Been Declared As: © Dangerous © Menacing 1 D0 NOT give permission for my contact details to be made available to any authorised person for the purpose of recovery of my animal. (O arestricted Breed ay >a “Telephone Support Password J 1 efit ‘{2jolt 6} B PLEASE PRINT IN BLOCK LETTERS sso aDr Daniel Mitchell veterinary surgeon 31 Brook Street, Sunbury, Victoria 3429 T: (03) 9740 2444 a c F: (03) 9740 2666 www.sunburyet.com.au Brook Street Vet _be:teare@sunburyvet.com.au ‘CLIENT DETAILS: PATIENT DETAILS: Name:_“{ Risis QUE Name:_T ssc.c Address: h A Species: (Ane aya Breed: = Colour: Age (Date of Birth): ol Sex:(My F Neutered MIO = -aa7057 2013 iin 43096 VACCINATION CERTIFICATE Date:__9- 1l- 2OIO Today the above animal was vaccinated with a CSS — aay Wom Protect 3 as ng (Batch number/s__¢—""e iid, Be des on ) He/she is due for another vaccination on - ja- QOLO Signed, Lic LLANE ( - Dr Daniel Mitchell Veterinary Surgeon General Healthcare Medicine Surgery Dentistry Puppy School Behaviour Export —_Alll Hours Service ‘ABN 5897 39160076Brook Street Veterinary Clinic ‘34 Brook St Sunbury Vie 2428 Phone 03 9740-2444 5897-3010-070 pened Certificate of Stet ion DEUO «aa7os7a01a fee iii ign Issac, a Male, Tri colour, Kelpie X, Dog Belonging to: Ms Trish Burke 100 Dalrymple Ra SUNBURY Victoria 3429 Was surgically sterilised on 08/Novi2010. A tattoo was placed in his left ear to signify this procedure. Dr Dan Mitchell (08-November-2010