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06/15/2015 15:00 7637840082 CENTENNIALLAKES PD PAGE 19/19 <br /> Centennial Lakes Police Department <br /> NO'T'ICE OF ANIMAL QUARANTINE <br /> Centennial Lakes Police Department <br /> 54 North Road <br /> Circle Pines,W 55014 <br /> (763)7842501 <br /> case# l 1 oo t G1 <br /> Date/Time ofBite• 0511OL11ir ( �_(o 3 �eof Complaint: y��ql� l� <br /> Address/Location of•Bit®: b�2 I.a s— L: V;A e MO <br /> MUM' You are to qua m ine the involved animal at the agreed location below for 10_ Lp S• <br /> During this paiod 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 physicelly restrained by the owner on the property of the <br /> quarantine location. The animal shall not leave the quarandne location without HFUM perniis,�ion of the <br /> Centennial.LaiFef Police Departniant 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 owRees residence, or the owner cannot provide proof of current rabies vaccination, <br /> the animal will be taken to Ottear Lake,A,nfimal Care Center and the owner will be responsible for any and <br /> all costa The animal must have current rabies vacckation and a current City Rceztse by the end of the <br /> quarantine period. <br /> owner's Signatare:X <br /> Location of Quarantine:I�S(L ulaxdEl� �,r � <br /> Dates of Quarantine: From 4Lq <br /> 45-- To .� (5.... <br /> Animal Quarantined: Dog Cat Other <br /> color.•&wt ad• g _ <br /> Nemo: . <br /> I have Inspected the animal at the end of the quarantine period and find as follows: <br /> Condition ofAWmal: <br /> City/License# Year Expo: <br /> Potentially Dangerous Dog: _Yes No <br /> cso: <br /> Date: <br /> 22 <br />