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S LAB No. * * Official ** Results are reported on this form. Please complete on-line and print-out or use a typewriter. If FAVN handwritten, print clearly. If unclear, handwritten information is subject to interpretation by laboratory Report personnel. Once submitted, information cannot be altered**. Required fields are bolded. DESTINATION of animal being exported: **The submitting clinic is responsible for all fees incurred and is the recip.

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