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RESPONSIBLE PET OWNERS ALLIANCE
PROOF OF STERILIZATION
Veterinarian’s Statement
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I certify that I sterilized this animal on
Date: __________________________________
Breed/Species/Mixed Breed: ___________________________
Male ___ Female ___ Color _______________
Description/Markings ______________________________________________
________________________________________________________________
Microchip # _______________________ Tattoo # ______________________
Rescuer/Rescue Group _____________________________________________
__________________________
Veterinarian’s Signature
__________________________
Veterinary Clinic
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