HomeMy WebLinkAboutAnimal Inspector Inspections � � ����.� ������
DEPARTMENT OF AGRfC'ULTURAL RESOURCES
BUREAU OF ANIMAL HEALTH
INSPECTOR'S COPY
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(Owner's Na�e) �,£ (Farm Name)
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(Addre���,�ma s are kept-street number and name)
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(Town) Zip code) (Phone number)
Dealer: Yes� No�
1. Cattle(Adult=2 years&ove�) A,�ult Young
Dair� �'`
Beef
� Steers/Oxen
't�2. Goats(Adult= 1 y,ear&over)
.�3. Sheep(t�ciult= 1 year&overJ
�4. Swine: Breeders
� Feeders
L�.5. Ilamas/Alpacas ,
t16. Equines: Horses/Ponies
� Donkeys/Mules
_ Stable use: Private Boarc�ng_1l�aining_Rental Lessons_
7. Poultry: Chickens � 'Ilirkeys
Ratites(Ostrich,Emu) Waterfowl Gamebirds
8. Rabbits
9. Other
. 10. Do animals lisfied appear to be free from contagious disease?
11. Are accommodations adequate with reference to situation,cle ess,
light,ventilation and water supply?(eacplain briefly)�,5
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I hereby certify that I have this day inspected these animals and the
conditions under which they are kept.
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_ Date � ' Inspe, r of Animals(s' ej"""`-
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DEPARTMENT OF AGRItULTURAL RESOURCES
BUREAU OF ANIMAL HEALTH
INSPECTOR'S COPY
� .��.���G� S
(Owner's Name) (Farm Name)
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(Address where animals are kept-street number and narne)
�v, l,�t�.r���� �Z�,C-� 5��£�-3�8`-35`�/ ,
(To (Zip code) (P one number)
Dealer: Yes� No� k
1. Cattle(Adult=2 years&over) Adult Young
Dairy .
Beef
Steers/Oxen
2. Goats(Adult= 1 year&over) �
3. Sheep(Adult= 1 year&over)
4: Swine: Breeders
Feeders
5. Llamas/Alpacas
6. Equines: Horses/Pbnies
Donkeys/1Vlules
' Stable use: Private_Boarding_1i�aining�Rental Lessons_
7. Poultry: Chickens �`� Ttukeys
Ratites(Ostrich,Emu) Waterfowl Gamebirds
8. Rabbits � �,.
4. Other
10. Do animaLs listed appear to be free from contagious disease?�
11. Are accommodations adeguate with reference to situation,cleanliness,
light,ventilation and water supply7(explain briefly)�"``�,�
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I� I hereby certify that I have this day inspected these animals and khe
I''�� conditions under which they are kept.
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Date . . . Inspecto of Anunals signa efur ):::
:rorm ia o soo eKs-o�ro3-a�eseai"
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DEPARTMENT OF AGRiCUtTURAL RESOURCES
BUREAU OF ANIMAL HEALTH
�� �,,�\, INSPECTOR'S COPY
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(Owner's Name) (Farm Name)
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(Address where animals are kept-street number and name)
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(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&over) ��
3. Sheep(Adult = 1 year&over)
4. Swine: Breeders
Feeders
5. Llamas/Alpacas
6. Equines: Horses/Ponies
Donlceys/Mules
Stable use: Private_Boarding_llraining_Rental Lessons_
7. Poultry: Chickens 'Ilirkeys
Ratites(Ostrich,Emu) Waterfowl Gamebirds
8. Rabbits
9. Other
10. Do animals listed appear to be free from contagious disease?
11. Are accommodations adequate with reference to situation,cleanliness,
li ht,ventilation and water su�ply?(explain b 'efly)
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I.hereby certify that I ve this day ins e�thes ' als and the
conditio under which ey are kep i� �
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te Inspect r of (signature)
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DEPARTMENT OF AGRICULTURAL RESOURCES
BUREAU�w�OyI�F ApN'y�IMyAL HpE^?A�LTH
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(Owner's Name) (Farm Name) ,
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� (Address where animaLs are kept=str et number and name)
� .�', �%�t"4*c?�,� ���,���'-.e���"-..��''��j'
(Town) (Zip code) (Phone number)
Dealer: Yes� -�Vo,�`
' 1. Cattle(Adult= 2 years&over) � Adult Young
Dairy
Beef
_ �
Steers/Oxen •
2. Goats(Adult= 1 year&over)
3. Sheep(Adult= 1 year&over)
4. Swine: Breeders �x''�— '
Feeders '
5. Llamas/Alpacas
6. Equines: Horses/Ponies
Donkeys/Mules
Stable use: Private Boar 'Il�aining_Rental Lessons
7. Poultry: Chickens � '�rkeys
; Ratites(Ostrich,Emu) Waterfowl Gamebirds
' 8. Rabbits
9. Other
10. Do animals listed appear to be free from contagious disease? �
,
11. Are accommodations adequate with reference to situation,cle ' ess,
light,venti�ation and water supply?(explain briefly)
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I hereby certify that I have this day inspected these animals and the
conditions under which they are kept.
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Dat Inspector of Animals(signature)
Porm 74 A 500 BK$-07/03-4D85861
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� DEPARTMENT OF AGRINLTURAL RESOURCES (
BUREAU OF ANIMAL HEALTH �
I INSPECTOR'S COPY
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� � (Owner's Name) (Farm Name) �
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; (Address where animaLs are kept-street number and name)
I .S, t-��I l�/�`�'CJ 1f7`l� �`�c�''` ..3-`���
� � (�bwn) ; (Zip code) (Phone number)
Dealer: Yes�' No�r I �
! l. Cattle(Adult =2 years&over) Adult Young � �
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! Steers/Oxen �
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i 2. Goats(Adult= 1 year&over) f.
� 3. Sheep(Adtilt= 1 year&over) i �
4. Swine: Breeders I '
! Feeders ; ��
� I
� 5. Ilamas/Alpacas � j
� 6. Equines: Horses/Ponies I
�
; Donkeys/f Mules �
; Stable use: Private 1�Boarding_1�aining_Rental Lessons ` �
— — I I
� 7. Poultry: Chickens liirkeys j ,
� Ratites(Ostrich,Emu) Waterfowl Gamebirds � �
� 8. Rabbits + '
� 9. Other �
� 10. Do animaLs listed appear to be free from contagious disease? �
j11. Are accommodations adequate with reference to situation,cle ess, I
! light,ventilation and w�ter supply?(explain briefly� ,. �
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I I hereby certify that I have this day inspected these animals and the �
conditions under which they are kept.
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I, ♦ Datt Inspector of Animals(signature) � �
i Form 74 p S008K5-07Po3-4DBSBBI �
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