HomeMy WebLinkAboutInspection �
` �_ The Commonwealth of Massachusetts x
- DEPARTMENT OF AGRiCULTURAL RE50URCE5
DIVISION OF ANIMAL HEALTH
INSPECTOR'S COPY
_ �
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:= 4�3wner� Name) � � � � ��(F �m ame � � � � � ��
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� �R dr�re animals are kept-street number and name) �,�
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, '(T�wn� (Zip code) (Phone number)
Dealer: Yes� No� ��
-: 1. Cattle(Adult=2 years&over) Adult Young
� Dairy T>
'Beef
�Steers/Oxen = � � � � �
�, 2. Goats(Adult=1'year&overj _
�3.Sheep(Adult=1 year&over)
` 4.`Svirine: Breeders
Feeders
5. ttamas/Aipacas
= 6. Equines: Horses/Ponies
Donkeys/Mules
X:Stdble use: Private_Boarding_Training_Rental_Lessons
— �-
- 7. Poultcy: Chickens 1� Turkeys
` Ratites(Ostrich,Emu) Waterfowl Gamebirds
.� �. Rabbits
•: .9.`Other
t�Q. Do animals listed appear to be free from contagious disease?�
� T 3. Are accommodations adequate with reference to situation,cleanliness,
light,ventilation 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 Inspe tor of Animals(sign ture)
Form 74 � � � �
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