VETERINARY EXAMINATION REPORT


I have examined the following puppy and have fount it to be in the condition indicated below:

Owner's Name__________________________________________ Pet Name_______________________

Breed: Cavalier King Charles Spaniel Weight________ Temperature_____________

Please place an X by the appropriate statement. Please choose only one of the following:



_____ The pet examined is in good health. I do not find any problems of significance.

Comments:______________________________________________________________



_____ The pet examined has the following minor health problem(s). These do not constitute a health risk and can be easily and inexpensively resolved. I do not recommend that the pet returned to the seller.

Comments:______________________________________________________________




_____ The pet examined has the following major health or genetic problems. I recommend that it be returned to the seller immediately.

Comments_______________________________________________________________




Signed________________________________________________________DMV

Date__________________________________________________________

PO Box 4, Mt Carroll, IL 61053
PH: 815-244-9742
Fax: 815-244-6286
Email: fulrathmillcavaliers@yahoo.com
Web: www.fulrathmillcavaliers.com

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