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DBPR PMW-3300 Bleeder s Certificate STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION DIVISION OF PARI-MUTUEL WAGERING 1940 North Monroe Street Tallahassee Florida 32399-1038 www. 487. 1395. Bleeder s Certificate This is to certify that the horse Name Tattoo exhibited EIPH Exercise Induced Pulmonary Hemorrhage at Track or Farm and it is requested that the horse be placed on the Florida official on Date List. The above named horse was seen bleeding from the nostril s after a race. after a workout. An endoscopic examination was not necessary to diagnose EIPH. to confirm a diagnosis of EIPH. Witnessing Veterinarian State Veterinarian DBPR PMW-3300 adopted 3-4-07 at Rule 61D-10. MyFlorida*com/dbpr If you have any questions or need assistance in completing this form please contact the Department of Business and Professional Regulation Customer Contact Center at 850. 487. 1395. Bleeder s Certificate This is to certify that the horse Name Tattoo exhibited EIPH Exercise Induced Pulmonary Hemorrhage at Track or Farm and it is requested that the horse be placed on the Florida official on Date List. The above named horse was seen bleeding from the nostril s after a race. after a workout. An endoscopic examination was not necessary to diagnose EIPH. to confirm a diagnosis of EIPH. Witnessing Veterinarian State Veterinarian DBPR PMW-3300 adopted 3-4-07 at Rule 61D-10. MyFlorida*com/dbpr If you have any questions or need assistance in completing this form please contact the Department of Business and Professional Regulation Customer Contact Center at 850. 487. 1395. Bleeder s Certificate This is to certify that the horse Name Tattoo exhibited EIPH Exercise Induced Pulmonary Hemorrhage at Track or Farm and it is requested that the horse be placed on the Florida official on Date List. 487. 1395. Bleeder s Certificate This is to certify that the horse Name Tattoo exhibited EIPH Exercise Induced Pulmonary Hemorrhage at Track or Farm and it is requested that the horse be placed on the Florida official on Date List. The above named horse was seen bleeding from the nostril s after a race. after a workout. An endoscopic examination was not necessary to diagnose EIPH. The above named horse was seen bleeding from the nostril s after a race. after a workout. An endoscopic examination was not necessary to diagnose EIPH. to confirm a diagnosis of EIPH. Witnessing Veterinarian State Veterinarian DBPR PMW-3300 adopted 3-4-07 at Rule 61D-10. MyFlorida*com/dbpr If you have any questions or need assistance in completing this form please contact the Department of Business and Professional Regulation Customer Contact Center at 850. 487. 1395. Bleeder s Certificate This is to certify that the horse Name Tattoo exhibited EIPH Exercise Induced Pulmonary Hemorrhage at Track or Farm and it is requested that the horse be placed on the Florida official on Date List. The above named horse was seen bleeding from the nostril s after a race. after a workout. An endoscopic examination was not necessary to diagnose EIPH.

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