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Dog License California  Form

Dog License California Form

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Application Microchip #: BELOW TO BE COMPLETED BY ANIMAL SERVICES OR VETERINARIAN (or attach Rabies Certificate) CERTIFICATE OF RABIES VACCINATION Hospital: Vacc Date: Phone: Vacc Exp: Manufacturer: Veterinarian’s Signature Lot No. Vet License No. LICENSE FEES 3 Year Altered Unaltered $ 40.00 $ 85.00 Rabies Vacc Microchip 2 Year Altered Unaltered $ 30.00 $ 60.00 Total $ Donation $ Altered Unaltered PDA-New PDA-Renewal $ 15.00 $ 30.00 $200.00 $100.00 Cash Check No. Late...
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