Royal Agrcural Society of New South Wales ABN 69 793 644 351 trading as a AUSTRALASIAN ANIMAL REGISTRY Locked Bag 4317, Sytney Oly Park NSW 2127. Phone: (02) 9704 3450 mail help@aar.og.au Web: www.ca.orgau_w.sar.rG.n2 APPLICATION FOR REGISTRATION ‘By signing this application both the Implanter and the Owner accept the AAR terms and { nations wih nave been sued os cn SAXON |__IMPLANTER NUMBER OR I (P NUMBER BARCODE STICKER BELOW. piwe : 3970373095 inant INL oon Breck Vet Sao inpigt leno) imbiowiotne ais} (ile) (2leh fo [ Pete blow J ‘amon 7h ne De a nO : a ‘First Name of Owner : . om ommonmowsie ler is) lalaW els lca I ] (e |él+] -Jalels|clole I | Pte oa saloon = [ II velo] (DlaleetyimPiclel_ [elo lalo [ i oa 2 in (slowleP Tay LI livid 314219) Feri Dp (Cuma) where nasa. ly | me | | LL ] Pot et ee rh 5 jhere Animal is Kept (If different from residential address hove E 7 : DayPhone L ‘After Hours = 7 — Email Address sas : ‘Name of Alternate ! : wlowlel elo lel LT] | | fertaane kat z L] | I L Y | = cla STi [le] a) ol@lerelaTclel TT Veale) liea a] Tel ele 2 JRimate YE neutered — Oremale © spayed aisiilols : pi als} / lola) je Qefo. FL IERIE LI LI [ UO ] Please Indicate if Your Animal Has Been Declared As: (> Dangerous © Menacing (© ARestricted Breed 1 DO NOT give permission for my contact details to be made aval to any authorised person for the purpose of recovery of my animal. eae dts sayfa oe crc - nme guns Telephone Suppor Password ate (44/ eer | 1 LE ETT) ls} 21 l2foh fo} 35960 J PLEASE PRINT IN BLOCK LETTERS te a eSram EET) _ Dr Daniel Mitchell veterinary surgeon ry Fi 31 Brook Street, Sunbury, Victoria 3429 ae www.sunburyvet.com.au | Brook Street Vet _bsst=re@sunbuvetcomau CLIENT DETAILS: Name:_“{ RiSis 6 Hao! Address ido OArRYMPLE ROAD PATIENT DETAILS: Species: breed Pictechack x Colour: lock Age (gate of sith 12 peel ote sex(My F Neutered “ivi VACCINATION CERTIFICAs Date: QS -\1- 10 Today the above animal was vaccinated with 2 ee sea minavaa He/she is due for another vaccination on Signed. Pte blot im Dr Daniel Mitchell Veterinary Surgeon General Healthcare — =e QS - 12-2010 Medicine Surgery Dentistry Puppy School Behaviour Export All Hours Service ‘ABN 5897 39150075,Brook Street Veterinary Clinic 1 Brook St sano Vie 3428 Phone 03 9740-2444 aid Pia Seen 5897-3916-076 Certificate of Sterilisation ‘Tica gn This document certifies that 45094 Dempsey, a Male, Red, ridgeback x, Dog Belonging to: Ms Trish Burke 100 Dalrymple Rd SUNBURY Victoria 3429 Was surgically sterilised on 25/Nov/2010. A tattoo was placed in his left ear to signify this procedure. De bn Vos Dr. Penny Hocking 25-November-2010