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HomeMy WebLinkAboutAnimal Inspection Form 5 � .. .. . . .. _ f � � The Commonwealth of Massachusetts i � DEPARTMENT OF AGRINLTURAL RESOURCES j DIVISION OF ANIMAL HEALTH 1 � � � —��'�r��� (Owners a� (Farm Name) �'�t�����'� .. �:�- -� (A�c dress where animals ar�kept-street number and name) '� '1. , �`��'�''� �� ��t (Town) (Zip code) �'(Phone number) � Dealer: Yes� No�.Y 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 f Alpacas 6. Equines: Horses/Ponies ' Donkeys/Mules Stable use: Private_Boarding_Training_Rental_Lessons_ ; 7. Poultry: Chickens�� Turkeys ' Rati�es(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, - ; light,ventilation and water,supply?(explain brieflyh;�_.�., - � � . i - �-�:-���.� i � � 1 hereby certify that I have this day inspected these animals and the conditions under which they are ke t. � �t ,�- F�1� � >'`� -- ; Date ector of Animals(signature) � Form�a yyhiteCopy-State's / PinkCopy-Owner'sCopy / YellowCopy-Inspector'sCopy r �- /