ANIMAL HEALTH AND SHIPPING CERTIFICATE
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DATE
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Health
Certification:
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The animals described hereon have been examined and found to be free of evidence of disease except as may be stated below. This certification is based on visual observation. Unless otherwise stated, no laboratory tests have been performed.
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Certification of Air
Temperatures:
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I hereby certify that the animals in this shipment are not, to the best of my knowledge, acclimated to air temperatures lower than 7.20C (450F) or greater than 29.40C (850F).
Examining Veterinarian
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Shipper’s
Statement:
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The animals described hereon:
have not been inoculated with live microorganisms.
have been inoculated with live ,
microorganisms, which are not known to be infectious to man or other animals except
under experimental conditions.
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Certification
For Animal
Enclosure:
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I hereby certify that the (number) primary enclosure(s) which are used to transport the animal(s) in this shipment complies (comply) with USDA standards for primary enclosures.
Consignor
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Shipment Contains:
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NUMBER
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SPECIES
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STRAIN
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SEX
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COLOR
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From:
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Name
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Laboratory
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Institute/Center
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NATIONAL INSTITUTES OF HEALTH (provide specific address)
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To:
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