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<br />Client <br />Ruby Christopherson <br />1971 Robin Lane g, 1971 Robin Lane g <br />Centerville, MN 55039 <br />Home Phone: (651)762-1467 <br /> <br />Certifici <br /> <br /> <br />~ <br /> <br />~!J!J/ <br /> <br />- <br /> <br />Zv};:) <br /> <br />Banfield <br /> <br /> <br />The Pet Hospital Since 1955 <br /> <br />1410 UnIVersity Ave West <br />5t. Paul, MN 55104-0000 <br />(851)641-1168 <br /> <br />Pet Information <br /> <br />Name: Sebastian <br /> <br />spec:ies: 0ul.ine <br />Breed: Shepherd, German <br /> <br />Sex: Male (Neutered) <br /> <br />Color: Blacl<, Brown <br /> <br />Age: 4y/6m <br />Weight: 63.40 Lbs <br /> <br /> <br />Rabies Tags <br />o <br />Benfield # <br />4214155 <br />County & Tag # <br />None <br /> <br /> <br />( <br /> <br /> <br />/ <br /> <br />:k 0121 l' ryJP~ <br /> <br />.6}JQ <br /> <br />Vaccine Information <br /> <br />Vaccine Name: Rabies Virus (Type: Killed) <br />Producer: Fort Dodge <br />Administered: 05/0712004 Subcutaneous <br />Due Date: 05/0712007 <br />Lot #: 121S237A <br />Lot Expires; <br /> <br />I hereby certify that I have vaccinated this Pet in accordance <br />with all stale and federal laws and regulations on this date. <br /> <br />Administered by: <br /> <br /> <br />.. R. ~/DVtn <br /> <br />(SOn <br /> <br />Rpt Id: RbVao_r2 <br /> <br />Hospital #0486 Sl P21ul, MN USA <br /> <br />Page. 1 <br />