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I NVI '� . <br />VICTIM of BITE: Name <br />RDSEVI1=1 ANIMAL <br />QUARANTINE FORM <br />Breed <br />Height <br />City License# <br />Veterinarian's name <br />Weight <br />Sex <br />Long Hair <br />amft <br />� <br />r Is animal a <br />TOlephone Nu er <br />Vaccination certificate Number <br />Location of bite <br />Any further information <br />Acie Address <br />OWNER of NI L : Nam Address <br />Age <br />ANIMAL IMPOUNDED AT <br />IN ACCORDANCE WITH LAW,, this animal wi l l be iupounded at the lccat ion specified above, at the <br />expense of the owner, for period of ten days f rcm the tiim of the bite. If, durin <br />the initial ten day quarantine period x the animal shams any signs or sympt s of rabies, the <br />quarantine gill be indefinitely extended. The ani <br />