Get FL FDACS-09085 2014

Florida Department of Agriculture and Consumer Services Division of Animal Industry Bureau of Animal Disease Control ADAM H. PUTNAM COMMISSIONER EXPIRES 30 DAYS FROM DATE OF ISSUANCE OFFICIAL CERTIFICATE OF VETERINARY INSPECTION FOR INTRASTATE SALE OF A DOG OR CAT Pursuant to Section 828. 29 F.S. Rule 5C-27 and Rule 5C-28 F.A. C. Section 828. 29 Florida Statutes provides that each dog or cat offered for sale within the state must be accompanied by a current Official Certificate of Veterinary Inspection OCVI issued by a veterinarian licensed by the state and accredited by the United States Department of Agriculture. Florida Department of Agriculture and Consumer Services Division of Animal Industry Bureau of Animal Disease Control ADAM H. PUTNAM COMMISSIONER EXPIRES 30 DAYS FROM DATE OF ISSUANCE OFFICIAL CERTIFICATE OF VETERINARY INSPECTION FOR INTRASTATE SALE OF A DOG OR CAT Pursuant to Section 828. SELLER PURCHASER Name Address City State Zip Code Purchase Date ANIMAL IDENTIFICATION Species Dog Cat Sex Male Female Age or Birth Date Optional Breed s Color s Tattoo Microchip HEALTH RECORD INFORMATION IMMUNIZATIONS VACCINE MANUF TYPE LOT EXP DATE DATE OF ADMIN Canine Distemper Bordetella Hepatitis Rabies Parainfluenza Panleukopenia Feline Viral Leptospirosis Canine Parvo DIAGNOSTIC TEST Calicivirus TEST TYPE MANUFACTURER DATE OF NEGATIVE TEST DATE ADMINISTERED Canine Heartworm Feline Leukemia Fecal Test Other Test ANTHELMINTIC Broad Spectrum Other Anthelmintic OTHER INFORMATION/COMMENTS ISSUING VETERINARIAN S CERTIFICATION I hereby certify that the described animal was examined by me on the date shown that the vaccines anthelmintics and diagnostic tests indicated herein were administered by me or under my direction said animal is found to be healthy in that to the best of my knowledge it exhibits no sign of contagious or infectious diseases and has no evidence of internal or external parasites including coccidiosis and ear mites but excluding fleas and ticks and to the best of my knowledge the animal has not been exposed to rabies nor did the animal originate from an area under a quarantine for rabies. SIGNATURE Exam Date Hospital/Clinic National Accreditation FL Lic* Printed Name Telephone Questions State Veterinarian s Office Division of Animal Industry 407 S* Calhoun Street Tallahassee FL 32399-0800 Phone 850-410-0900 Web www. FreshFromFlorida*com/ai Distribution Original Purchaser One Copy Seller One Copy Examining Veterinarian Retention The examining veterinarian must retain one copy of the official certificate of veterinary inspection on file for at least 1 year after the date of examination* The seller must retain one copy of the official certificate of veterinary inspection on record for at least 1 year after the date of sale. SELLER PURCHASER Name Address City State Zip Code Purchase Date ANIMAL IDENTIFICATION Species Dog Cat Sex Male Female Age or Birth Date Optional Breed s Color s Tattoo Microchip HEALTH RECORD INFORMATION IMMUNIZATIONS VACCINE MANUF TYPE LOT EXP DATE DATE OF ADMIN Canine Distemper Bordetella Hepatitis Rabies Parainfluenza Panleukopenia Feline Viral Leptospirosis Canine Parvo DIAGNOSTIC TEST Calicivirus TEST TYPE MANUFACTURER DATE OF NEGATIVE TEST DATE ADMINISTERED Canine Heartworm Feline Leukemia Fecal Test Other Test ANTHELMINTIC Broad Spectrum Other Anthelmintic OTHER INFORMATION/COMMENTS ISSUING VETERINARIAN S CERTIFICATION I hereby certify that the described animal was examined by me on the date shown that the vaccines anthelmintics and diagnostic tests indicated herein were administered by me or under my direction said animal is found to be healthy in that to the best of my knowledge it exhibits no sign of contagious or infectious diseases and has no evidence of internal or external parasites including coccidiosis and ear mites but excluding fleas and ticks and to the best of my knowledge the animal has not been exposed to rabies nor did the animal originate from an area under a quarantine for rabies. SIGNATURE Exam Date Hospital/Clinic National Accreditation FL Lic* Printed Name Telephone Questions State Veterinarian s Office Division of Animal Industry 407 S* Calhoun Street Tallahassee FL 32399-0800 Phone 850-410-0900 Web www. .