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ALAMEDA COUNTY AN~-MAL C~iNTTR__O~OOGS <br /> SpAY/NEUTER DE~T AGREEMEN <br /> .0 ~u{res all dogs over six ~ths.~f.age be ~pa~ oc.~eut~ed. <br />Al~a ~un~ O~. ~ · ......... /~=,,~r oe~sJt tot all O~S unaer s~x mon~ns or age. <br />AiWa Coun~ Ord; ~. 1 ~ulrea a a..~ ..... <br /> <br />Male Oogs: ~35.00 Female Dogs: $35.00 uP tO 50 lbs. <br /> $4E,.00 over 50 lbs. or pregnant <br /> <br />As adopting owner, [ hereby agree to the following conditions: <br /> <br />2. A, deO= u,dor , ,chtno months of <br /> ~n~ved or tterFId wltmn ~o oly~ .... -'- ~----~us to the dog's health, the <br /> -~---- ._-~---;~..--~-~ the spay/neuter surgery ,= ,,=... ¥. <br />3. if the ve~-=, ,~-, ~- ...... and a spay/neuter oepO~tt ~,,u=, ~ · <br /> .... /..,~- sureerY shall be re~chedule? ...... ~ ..... 1-'- extended by the <br />4. The ~ui~ surg~ mu=~ ~--..- <br /> vete~na~an for ~ ~u~. .~ .. <br />5. ~te shall be d~ fo~ tr surge~ ~s not pe~or/as presc~ above and the <br /> d~ may be re~- <br />6. ~t ~e ag~ that At~a ~un~ shat! not ~ res~n~ble for any vete~na~an fees. <br /> <br />Date ofAdop~on <br /> <br />Nm <br /> <br />City <br /> <br />Hon~ Telephone <br /> <br />Amount Deposited: $35.00 (~.) <br /> <br />Description of Dog: Male (__) <br />Master Sheet No. , <br /> <br />$45.00 ( <br /> <br /> Zip Code <br /> <br /> Work Telephone <br /> <br />) Pay Vet: ~.~.00 ( <br /> <br />) $45.00( ) <br /> <br />Female ( .) License No. <br /> <br /> Co!or/Markings <br /> <br /> Receipt No. <br /> <br />Owner's Signature <br /> <br />Issuing Shelter pemonne, -- <br />...... ' .... D F p PER RE~~ Y DE ES <br /> AFT <br /> Field Services, Attn: _Records .Secti~o? 94578 <br />To Be Completed _BY.T_he. 2700 Fairmont Drive, 5an Leanc]ro, <br />VETEI~NAR]AN Ano aen; To: <br /> of perjury that the above dog has been surgically spayed or neutered and <br /> I ce~-tify under penalty offspring. <br /> can no longer proauce Date of Surgery <br /> <br />Veterinarian Signature " <br /> <br />Veterinarian Hoapitel ~ <br /> <br />Hospital Add ress ~ ~ <br />[F THERE ARE ANY QUEST[ONS, CALL 670-5803 SNAGREFO, AC (12, 94) <br /> <br /> <br />