Laserfiche WebLink
06/15/2015 15:00 7637840082 CENTENNIALLAKES PD PAGE 15/19 <br /> Avid <br /> 3185 Hamner Ave., Norco CA 92860 Tel 800/336-2843 Fax 9511737-8967 <br /> www.AvidID.com PETtraa@AvidlD.com <br /> etet� <br /> Hennessey, Mary P ETtrac Data <br /> 1682 Lakeland Circle <br /> Centerville,MN 55038 Verification <br /> tes� <br /> Keeping your information updated allows us to contact you as soon as your lost pet is found. Your pet s <br /> has been registered in PETtrac,the 24/7 pet recovery service,since we received your initial information. <br /> In order to provide this protection for your pet,it's our policy to have your initial information scanned into <br /> our system within 24 hours of receipt. <br /> We realize that families move to new homes so we are following up with this verification to make sure <br /> your records are correct and up to daze. Please verify your information and if corrections are necessary <br /> please return it by mail or fax. Keep this form for your records if no changes are required. <br /> Please contact Avid as soon as possible should your current information change. A processing fee of <br /> $6.00 is required for change of information. 0 your pet has a change in ownership,a new registration is <br /> required for the new pet parent which costs$19.95. There is no fee for correcting typographical errors. <br /> Registration Membership# 4315851 L Member Since Dec 2010 <br /> Owner Name Mary Hennessey <br /> Address 1682 Lakeland Circle Home <br /> Centerville,MN 55036 Work 951947 4792 <br /> FCellax 692940 0047 <br /> Email mcmhannes <br /> SeyogmaN.com Fax <br /> Alternate Name Mary MINer <br /> Contact Address 1677 Lakeland Circle Home 651407 6976 <br /> Centerville, MN 55036 Work - <br /> Emall cmzrnhChuno.com FCax 651 206 0278 <br /> Vet/lmplanter Name Dr.Heldl Johnson <br /> Facility PAWS Pat Hospital Phone 8514001160 <br /> Address 4644 Victor Path Fax <br /> Hugo, MN 55038 <br /> Email <br /> Pet Microehip 028610610 Spades Dog Gender M <br /> Name 7y Breed Beaglelltellan Greyhound <br /> Markings Color black,brown,white <br /> Medication Vectra 3D,Interceptor <br /> Other Data <br /> May U.2015 (date 0"W) <br /> 18 <br />