TE_F__Stray_Animal_Cage_Card.docx
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- Attached to
- Animal Control Services Federal contract opportunity
- Solicitation number
- W91151-17-R-0004
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Technical Exhibit F - Stray Animal Cage Card
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Text version
ROVR DATABASE
FINAL
DHP
NAF
INITIAL
DHP
NAF
FINAL
INITIAL
)Public Health Command Fort Hood Stray Animal Facility 80th and Engineer Dr. Bldg. 4902 254-287-4675
Stray #:_________
| Date |
| Time |
| Brought in by |
| Location Found |
Remarks
Contact AC prior to release? Y / N INT: Date:
| Need Vet Check? |
| Y |
| N |
Vaccinated prior to intake? □ Registered? □ In-processed □ Animal Information
| Species |
| Breed |
| Color |
| Sex |
| Spayed/ |
Neutered?
Age
YES NO
Date:
| Pet Name |
| Collar |
| Information on tags: |
| Rabies Tag: |
| Y |
| N |
AVAILABLE FOR
ADOPTION ON:
Microchip scanned Date:
Tech:
MICROCHIP NUMBER
OWNER INFORMATION
Sponsor Name: __________________________________________________________________________ Last First MI Rank Unit:____________________________________________________________________________________ Company Battalion Brigade/Division Deployed?
SSN:_______________ DOB:_____________Spouse:______________ Spouse SSN:_______________
Home Address:____________________________________________________________________________ Street City State Zip Phone Number(s):____________________ ____________________ ____________________ Home Cell Work Email: _______________________________________________
| Owner Signature |
| X |
| Date: |
| Pet sitter: Print and Signature |
| X |
| X |
| Date: |
| Disposition: |
| RTO Adopted PetSmart Rescue PTS |
| Date: |
New Owner’s Name:
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