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State Veterinarian's Office, Division of Animal Industry, 407 South Calhoun Street, Tallahassee, Florida 32399-0800 • 850-410-0900 • www.FreshFromFlorida.com/ai/ <br />Distribution: White: State Veterinarian Pin : Shipment Goldenrod: DVM TO ACCOMPANY SHIPMENT <br />FDACS-09002 Rev. 11/16 <br />No: <br />Florida Department of Agriculture and Consumer Services <br />EqF <br />. ; <br />Division of Animal Industry <br />Purpose of Movement <br />;," <br />Bureau of Animal Disease Control <br />---- <br />❑Racing Ll Show <br />OFFICIAL <br />EQUINE CERTIFICATE OF VETERINARY INSPECTION <br />❑Training❑Other <br />ADAM H. PUTNAM <br />585.08(2), F.S., 5C-4.0016 & 5C-24.003, F.A.C. <br />❑ Breeding <br />COMMISSIONER <br />cdNSiGN& <br />CONSIGNEE OR DESTINATION <br />DATE OF EXAMINATION' <br />ADDRESS <br />ADDRESS <br />NUMBER OF HORSES EXAMINED <br />CITY/STAT ./ZIP CODE <br />ITY/STATE/ZlP CODE <br />LOCATION O F.. `AM <br />SUBSEQUENT DESCRIPTION: NEGATI'V'E EIA TEST INFORMATION <br />MICROCHIP, MARKINGS, <br />NAME AGF. <br />BREED <br />SEX TEMP <br />COLOR <br />BRANDS, TATTOO NUMBER DATE <br />LAB ACCESSION # NA51E STATE <br />1. <br />( <br />2' <br />c <br />21 (lRi7 <br />13. <br />4. <br />f <br />5. <br />6. <br />7. <br />8. <br />9. <br />10. 1 <br />i <br />ISSUING I'ETERINARIAN`S CERTIFICATION: I certify, as a FLORIDA accredited veterinarian, that the above described animals have been inspected be we personally and shat they are not showing signs ofinrectioas, contagious and.ur communicable diseases <br />(except where tinted). The saccinatlons and results of tests are as indicated on this certificate. To (be best of my knowledge, the anhnais listed on this certif.cate meet the state of desOnatinn and federal interstate requirements. No further warranty is made nr implied. <br />PRINTED ADDRESS OF VETERINARIAN MUST INCLUDE <br />GN?T•iiiiE O <br />FL License Number <br />DATE <br />NAME <br />CLINIC NAM4<s;^ <br />O-WNFWAGENTSTATEMENT.- (When Applicable) The Animals in this <br />i <br />- <br />shipment are those certified to and listed on this certificate. <br />ADDRESS <br />`Z� <br />VA1JD FOR 30 DAYS <br />i 011,0 INGG E XA TINATION <br />CITY, STATE, ZIP <br />PRONE #. FAX: <br />SIGNATURE OF ONVNEWAGENT <br />State Veterinarian's Office, Division of Animal Industry, 407 South Calhoun Street, Tallahassee, Florida 32399-0800 • 850-410-0900 • www.FreshFromFlorida.com/ai/ <br />Distribution: White: State Veterinarian Pin : Shipment Goldenrod: DVM TO ACCOMPANY SHIPMENT <br />FDACS-09002 Rev. 11/16 <br />