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<br />.~ Cent"ral.Minnesota's independent, oon-prQfltanimal shelter
<br />f 73~ 8tp'$freiet NE, P.O. Box '70'1;, 'Sl.Clouc(.M.N 563Q2:Q701
<br />. : ~ '.i ..}. Voice'{(20) 252:089Q - FaX, (~20):252~1325 '.::.:' ".
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<br />Adoption
<br />Contract
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<br />Pet's Nam~:
<br />Pet Specie$:
<br />Pet Breed 1 :
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<br />Pet Breed 2:
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<br />Pet Breed 3:
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<br />"1 Gender",.
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<br />ITf.ptte'[': '.' ,,>.: .t.,. 0'::.1',.'.'., ;: :'<.;.;:i.. [)ate.':::"lt0/19/20.07. I
<br />IQbg....~<.<.~;.L :.':.:~;~'~.: . ~::~::~r~;.::,',:~;~~::~;:L:~;:'~;~~et ~~~;J~:~,~60."'~'....: '1
<br />'IG~kn Terrier~. ;.' .:-,... .....J.. "'~"':"A6.:~:"':[~i~::ears:' I
<br />..< ..... .~:... .',;,,::.,: ",:,:)":.'~'~ r ;'..,.:; C<?ldr:t; j~I'ack.
<br />We$t Hrghland:'WIi itEL' ::~~~;:2t. ;~f;:~~.i;~;:~ Z;~;i;~~':::I":~'~;:"':"'~::" :"'~ .....
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<br />'.: '" ,.:.... ':""'.,',' "....r"~.. ..~ ',':.r t:r.~alth Record
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<br />. ~A}t~red:,t,L;;'~.iL;;;: , ~~;~...';;.;:.::~~.',~,.
<br />1"'" . , . '. .' D Declawed
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<br />Transaction ID
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<br />66228
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<br />.. 8i~RC-'~~-;;~":' OEar-Mite treatment r-i
<br /> b?DHPPt'~sF,'~~;r~v~~ d Pyrethrin Flea Bath I I
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<br />, 'Q,p'HPPAde: :<l'::r'r(~l:..' 0 .Pyrethrin Flea Dip I I
<br /> ti 'S'gT ::".;';f:LS~:. e' D Yeast Treatment I I
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<br /> tJ Droncif ~.. .: ~.:':' ..: (~:. 0 FELVTest
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<br />I.~~;qt~s r~tI~.&Q:7;Wt1.Q;.>4're.mp" 101~O DHPP-B, SgT.AL
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<br />Transaction Notes .' '. '.:.:' ""
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<br />STATEMENT oF, ADOPtioN....' i,:.i';;"'''':'~:i:,:.',..,:r'''':lj.:.;.:. '.;....:;:~, . ~
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<br />,; ,,}/ .~ hl"lere~X~~~~d..ll?\rl:i;igd~;~~;9.jiP~!~?~~J~!:.~S~~t~We a~~,~I~~~~~},e~?:.~b~V~:~, I.~c~ept .the animal with the .
<br />.. I' .0 oWing un ersLc;ln In::!. , . '. .",:~ ,.-."_"~ (' \., .... ..-,. ..,. .. ..:.... " . ~'. '.
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<br />~~~;Tlie T.G.H$ 993S Oqt prqv.iqe ~!.1jrrlaIs fqr bteedi~Q 'purp:Ol~5 or te~~I~':"lfthe iimimal adopted is pregnant at
<br />'" . . ;"; the tim~:Qtado'ptioi1r ai)ly.offsRring,js,the:PtQ~~rtti.bf Te~S..anQ,:musfbe teturned between 6 and 7 weeks
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<br />. . .' In ..-adoR,~g~ this ~1'\imal,I agre.~ tq c:are fqr~:f~1j.ous~~tr.~~\!.UR. ~th~!l1ane m~nner.
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<br />, . .-..-,' . T~e TeH,$J~tt!rti:pplj~~:PO.d tje?jthJ;!j9.t9~.&b.,~~U~as ~~~t!~f?xRl~inecf.tO'i:i1e and I understand its contents.
<br />I,f I decig~ ~~tt9 ((e~p thi~ pet at;any .tirj1~IJ 'will return t~~o:trpHS: ..~: :. .f .
<br />_,.c'~ ,.i-._/"j l:mderst~~'~.,t~a(th.~ ~~i~,~1 ~~~~Id b~ see~ '7by'~:'~eteri'~~H$'n for a check-up and required vaccinations as
<br />~"\ . s~bn as.;:~.:~'6~~!~i~.;i~.~~?r;1t.,JC[I,SisnQI,r:",P9~Si~~ for~lIn","s afthe animal., .'
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<br />__..:..=:::~ I ff.illy~n(fer~tan!:ftii'atCthls-is iriegaran({l5liidifirl:bontract.~My~fairiJre'to-abid~ by these terms can result in
<br />TCHSreposses.sing th~ animal with 9rwitho~t legal pr99.~~s.:(... '.' f .
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