pear_program

 

 


RESPONSIBLE PET OWNERS ALLIANCE
PROOF OF STERILIZATION

Veterinarian’s Statement

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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