Certificate of Sterilisation Brook Stro¢t Veterinary Clinic 31 Brook St Sunbuy Vie 3428 Phone 03 9740-2444 5807-2916.078 ecco AUN ‘Winnie, a Female, White & gold, Maltese X, Dog Belonging to: Ms Trish Burke 100 Dalrymple Rd SUNBURY Victoria 3429 Was surgically sterilised on 02/Jul/2010. A tattoo was placed in signify this procedure. AAU Dr Dan Mitchell (02-July-2010Dr Daniel Mitchell veterinary surgeon "3 gi 31 Brook Street, Sunbury, Victoria 3429, T: (03) 9740 2444 a c F: (03) 9740 2666 www.sunburyvet.com.au Brook Street Vet _>estcare@sunburyvet.com.au CLIENT DETAILS: Name:_“] Qi5i4 ne Addres a BR et CE Today the above animal was vaccinated with a Ne protean cs i (Batch number/s___ Sf resi mamas He/she is due for another vaccination on Signed, Ju Yat Dr Daniel Mitchell Veterinary Surgeon General Healthcare Medicine Surgery Depttistry Puppy School Behaviour Export _—_Alll HourgService ‘ABN 5897 3916 076,Retuaing Les Pats Home Dan ae tay Its vital that all informatipn on this form is completed. ‘You wilvesiecocumertaton For tp Rens once sata have Been ened Sper anmateucren un) PL “The lnomaton povided on iso's ved to eau tha he Bron 03) 6708287 Faramle 03) 97053198 ‘animal can be qucfiyretued tos owner. Era ogee som Waite: apf erconau terete ence ianeecienetres Centra seimal Records (ust) Py Li (Sa ee eee ee eee eed ‘OWNER DETAILS” Ones ame |(PEX Rescwe HAVEN ssn [loo (DAL RyYmPLe RD vm “SM N Bu gy i ened TC = = o4 17347065) Email mm t ie peepee Ue - Postal Address womansaeemnsous | | ‘Atrnate Contact Person ge sthag wn yoru aon re RRS “NONE PROVIDED ANIMAL DETAILS Implant Date pee ee ee eey Ts smn ii, Hea = Date Of Birth woman none YEARS... O10... CAR Tag Number ID Number of Other Permanent I Device Implanted vfs sx mae Afemale Desered Yes LK] no Ane at desea soeces (Atego Oca = Loner Specty poaveesatiter C] ves C1 no pres MALTESE x. colour... A. WHYTE Gove LIFETIME Subscription Applies Dangerous bog [_] Menacing Dog Restricted Breed APPROVED IMPLANTER INFORMATION Name ...... SRK. sas VET. CLANS AG85 BV BRO. SX. SU. UNBISEY. Postcose 3 ¢b.2.9... Telephorp 23.4 2A... 24 Ardp. pee ee eee ne eeraae ee pee serous eae par eter ea: For Non Veterinary Implanters Superising Voternarisn Name sen rt Autorisation Number Adress Important Notice to Owner: PRIVACY STATEMENT Tis hformaton ssi corel and ony infomation races to enable re rua of you mssha patorto 388% Couel pet gists, wl be supped io auttovisos scaring cates, seat ware Cate Anna Rocoas eee by ia posecs ange’ be foro ‘Stetses iniormaton may be supple io oe partes for pupesosascacaies wih anna wovara anor managemnerts! sfresie anole, In each cleanstoes Conta ‘Animal Record it prove ho ntrmation ol an assurance ft he feral wl sot be ves for correct perpen ‘have red, uncerstana and acopt these condtens a ata ee, and have sought and canes periacon fom te seme contact prove thle cots eta. The letoaton ode ont one tue and cost en the beon narod 3a om ofthe animal (Phase te that nears Saas of Ale,» orton under te ge of 17 er 8 cannot ba consaered eg! owner ofa pat & heefoecannct una Decent eeneriee (wel Agent owen inare OH SE/(01