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Animal Inspector Inspection
`_ -� � . . .h�,. - .�-`The C�arnonwealth of Massachusetts DEPARTMENT OF AGRICULTURAL RESOURCES ` DIV(SION OF ANIMAL HEALTH WSPECTOR'S COPY . .�1{�+L`L�'�. f�a t�+C: e_. �bwner's Name) (Farm Name) �:. :,�� C�Jc� ��t�r, �f =,(Address where animals are kept-street number and name) ,.�"�_ ��r-,�.�z4.�� ��G/� �: _�Tr�wn) � (Zip code) (Phonen�mber} Dealer: Yes� No�"` �: Cattle(Adult=2 years&over) Adult Young _ �:� Dairy Beef - ;� Steers/Oxen -�, Goats(Adwlt=1 year&over) �_ �: �heep(Adult=1�year&over) � � � � � ,�; 5wine: Breeders ' Feeders :5. tJamas/Alpacas �b`�;€quines: Norses/Ponies "°� Donkeys/Mules �iable use:,Pr'rvate_Boardirig_Training_Rental_Lessons_ �7: Poultry: Chickens 1,� Turkeys ;Ratites(Ostrich,Emu) Waterfowl Gamebirds - ,�:`#tabbits - �=�. �ther #�:�o animals listed appear to be free frQm contagious disease?�s ���. Are accommodations adequate with reference to situation,deanliness, =;�- ; ltght,ventilation and water supply?(explain briefly) �r�����. . �-.. .; ' 1 hereby certify that I have this day inspected these animals and the � conditions under which they are kept. .����� y�. ����.��, ' ��`��.��. Date Inspect ofAnimats(signat re) . frorm 74 - � � � � . � � � . � .