Royal Agricultural Society of New South Wales ABN 69 793 644 351 trding as a AUSTRALASIAN ANIMAL REGISTRY Lack 8054317, Syeney Ohmic ark NSW 2127, Phone: (02) 9704 3450 mal heptaararg.au Web! win.aararg.ou wrnn.saorg2 APPLICATION FOR REGISTRATION 'By signing this application both the Implanter and the Owner accent the AAR terms and 7 ntons which have been ised ths ING, SAXON [ATTACH MICROCHIP NUMBER BARCODE STICKER BELOW | IM ADDRESS ‘ipa HU | sive MSEF Device implanted in the Animal lol! I LI \ReratePhone ‘ikernsteMble ‘imal sNanie YIGIs MINT TTT TT LU | pet T T T (WleleTeh lel & [ T Omale © Neutered wale Zi Spayed piclalchl TT Twlth bh lel U LTT LE Please Indicate if Your Animal Has Been Declared As: © Dangerous © © Menacing -- ARestricted Breed 1 00 NOT give permision for my contact detaisto be made avaiable to any authorised person forthe porpose of recovery of my animal cir es beg etn tages Tetresuportasves _-_-_ pts man | ] fie L } LI | fle} 7 (2}o] re} PLEASE PRINT IN BLOCK LETTERS S200 a ce |ae ae | Brook Street Vet CLIENT DETAILS: Dr Daniel Mitchell veterinarysurgeon 31 Brook Street, Sunbury, Victoria 3429 T: (03) 9740 2444 F: (03) 9740 2666 wwwsunburyvet.com.au bestcare@sunburyvet.com.au PATIENT DETAILS: Name:_“{ 215) Name: YASMIN) Address: Species: DOG: é Breeds Ret Pie > ___ Colour BiAch « CSHwe ‘Age (Date of Birth) jars CL Sex:M/F) —Neutered/ YPN ee REUO. 26756/2013 az imi VACCINATION CERTIFICAIE Date: /O- I - Dore Today the above animal was vaccinated with a__C “5 aera ee aor (Batch number/s$—"“exy i, @ 2 dv “Om _ ams : He/she is due for another vaccination on Signed Dr Daniel Mitchell Veterinary Surgeon General Healthcare Puppy Schoo! lo- |2-Qo0/d Medicine Behaviour Surgery Dentistry Export All Hours Service AGN 5897 3916076Brook Street Veterinary Clinic ‘31 Brock St Sunbury Vic 3428 Phone 03 9740-2444 5897-3916-076, Certificate of Sterilisation recamcnnee —_ iii Yasmin, a Female, Black & white, Kelpie X, Dog Belonging to: Ms Trish Burke 100 Dalrymple Rd ‘SUNBURY Victoria 3429 Was surgically sterilised on 10/Nov/2010. A tattoo was placed in her left ear to signify this procedure. A Dr Dan Mitchell 10-November-2010