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5.1. PCSR 08-11-2009
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5.1. PCSR 08-11-2009
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8/7/2009 8:57:34 AM
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8/7/2009 8:57:34 AM
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City Government
type
PCSR
date
8/11/2009
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ALL PETS VET HOSPITAL & EQUINE SERVICE <br />Zimmerman MN <br />(763) 856-8387 <br />Client :Deb Unruh <br />19119 Waco St. NW <br />Elk River, MN 55330 <br />Phone : (763) 221-6584 <br />Patient :Diablo <br />Species :Canine <br />Sex : FS <br />DOB :03/05/2008 <br />Acct No.: 2322 D <br />Breed Husky <br />Dolor White <br />RABIES VACCINATION INFORMATION <br />Rabies Rabvac 3 <br />Date Vaccinated 04/04/2009 Tag No. 2330 <br />Serial No. 1215315A Expires 04/03/2012 <br />Vaccine Type Killed Producer Fort Dodge <br />I hereby certify that I have vaccinated this animal in accordance with the company's <br />recommendation for the vaccine used on the above date. <br />Sign ure of licensed veterinarian administeri vaccine. <br />Jessi Ostenson <br />^I^1 i^!^ <br />
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