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Centennial Lakes Police Department <br /> NOTICE OF ANIMAL QUARANTINE <br /> Centennial Lakes Police Department <br /> 54 North Road <br /> Circle Pines,MN 55014 <br /> (763) 784-2501 <br /> Case# <br /> Date/Time of Bite. -1;14— @ [/2 S Date of Complaint: C� ` ►� <br /> Address/Location of Bite: K`t9`l ('0 (pct <br /> NOTICE. You are to quarantine the involved animal at the agreed location below for 10 DAYS. <br /> During this period the animal should have no contact with any other animals. The animal may only be outside <br /> the location for short periods of time and must be physically restrained by the owner on the property of the <br /> quarantine location. The animal shall not leave the quarantine location without written permission of the <br /> Centennial Lakes Police Department You are to contact the Police Department immediately if there is any <br /> change in the animal's behavior during this period. If the Officer believes the animal cannot be effectively <br /> quarantined at the owner's residence, or the owner cannot provide proof of current rabies vaccination, <br /> the animal will be taken to Otter Lake Animal Care Center and the owner will be responsible for any and <br /> all costs. The animal must have current rabies vaccination and a current City license by the end of the <br /> quarantine period. <br /> Owner's Signature: X <br /> Location of Quarantine: q C J ro" .� <br /> Dates of Quarantine: From C To <br /> Animal Quarantined: Dog Cat Other <br /> Color: �` &-- Breed:.._jewl- Sex:Name: !s, <br /> !s, <br /> / r <br /> it tv <br /> I have inspected the animal at the end of the quarantine period and find as follows: <br /> Condition ofAnimal: �14 b,r <br /> City/License# Year Expired: <br /> Potentially Dangerous Dog: Yes No <br /> CSO: - L '7 <br /> Date: - <br />