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Animal Inspector Inspection
� The Commonwealth of Massachusetts Y - DEPARTMENT OF AGRICULTURAL RESOURCfS . __ ;. DIV1510N OF ANIMAL HEALTH � INSPECTOR'S COPY �_ ���7�� � •��-t�a�-� ,� �(awner's Name) (Farm Name) ��;.. ��� �:�,,� '�#-. : (Address where animals are kept-street number and name) x- vnw`ti—i�+�� 1�" .t-i'1 �r d�" i � �,� . � ��$— 3 �3-3� � ;- - (Town) (Zip code) (Phone number) - �° Dealer: Yes� No� - =�1. Cattle(Adult=2 years&over) Adult Young �: Dairy - Beef 'Steers/Oxen - '.2. Goats(Adult=1 year&ov�r) � ' 3< �heep(Adult=1 year&over) 4: �wine: Breeders _ Feeders � S.Llamas/Alpacas 6. Equines Horses/Ponies � Donkeys/Mules �Stable use: Private_Boarding_Training_Rental_Lessons �:=. 7. Poultry: Chickens f� Turkeys � {. Ratites(Ostrich,Emu) Waterfowl Game�irds � �. Rabbits � ��., . .9. Other ;- �0. Do animals listed appear to be#ree from contagious disease?� �, 11: Are accommodations adequate with reference to situation,cleanliness, � , light,ventilation and water supply?(explain briefly) `��*;, - _; 1 hereby certify that I have this day inspected these animals and the �; conditions under which they are kept �� f` i � '�� �.� --�'R �� �� s �' � ��.:; Dat Inspec r of Animals(signatur -� Farm 74� � � � � � . -� � � . . .: . . �� . . . . � . . .. - � _ . . ,�;;� �