‘conditions whicn have been isved to tis cnc. [ATTACH MICROCHIP NUMBER BARCODE STICKER BELOW ii A224 “ Royal Agrcutural Society of New South Wales ABN 69.793 644 351 trading 2s AUSTRALASIAN ANIMAL REGISTRY Locked Bag 4317, Sydney Olympic Park NSW 2127, Phone: (02) 9704 1450 malt help@aarorg.auVieb: wiw.ae.orgau wor.2ar.rg.n2 APPLICATION FOR REGISTRATION By signing this application bath the Implanter and the Owner accept the AAR terms and Brook ‘plantersSignature 3k St Vet SAXON D2 he Lo im hr Any ir Po ‘baie inte Anat inv inna coma —— Iplolple] [pie lolv| ifoleld, folaleha | | | LI [ Ll eo L lalelela lolol al L] | es Omale ONeutered —YELFemale payed (eal l2ls}/ lols) / [ale [ib] sase Indicate i Your Animal Has Been Declared As: > Dangerous 1.00 NOT give permission for my contact details to be made available ‘to any authorised person for the purpose of recovery of my animal. © Menacing ° O ARestricted Breed (os/men yyy 1 dece the detail above ve ve 8 cet -Oumer/Agnt Signature Telephone Support Password “i asia ri lel b] _ PLEASE PRINT IN BLOCK LETTERS 36980Brook Street Veterinary Clinic ‘31 Brook St Sunbury Vie 3429 Phone 03 9740-2444 5807-3916-076 Cenc Certificate of Sterilisation 1s oct corsa ‘ian Belonging to: Ms Trish Burke 100 Dalrymple Ra SUNBURY Victoria 3429 Was surgically sterilised on 25/Novi2010. A tattoo was placed in his left ear to signify this procedure. Dr. Penny Hock 25-November20'0Dr Daniel Mitchell. veterinary Surgeon r3 ri 31 Brook Street, Sunbury, Victoria 3429 T: (03) 9740 2444 a ce F: (03) 9740 2666 ww sunburyvet.com.au | Brook Street Vet Pestcare@sunburwet.comau CLIENT DETAILS: PATIENT DETAILS: Name:_“[Qis8, Qe Name:_QACIC Address:, 7a A. Species:_ Convo? ALR Breed: Lo-pradkoe Colour:_ Grou ‘Age (Date of Birth): TS | Sexi) F Heated) N 7 iiiniitiignn VACCINATION CERTIFICATE. Date: _ 25 - l- Qo Today the above animal was vaccinated with a fet oiee < aoe ga Free momcves [Li 22 (Batch number/s =e | fpic i a. He/she is due for another vaccination on Signed__ 22% pro Zier | Dr Daniel Mitchell A Veterinary Surgeon General Healthcare Medicine Surgery _—_ Dentistry Puppy School Behaviour Export -—All Hours Service ‘an S097 2916076