dog rev9 88 form

DEPARTMENT OF HEALTH AND HUMAN SERVICES PUBLIC HEALTH SERVICE CENTERS FOR DISEASE CONTROL ATLANTA, GEORGIA 30333 NOTICE TO OWNERS AND IMPORTERS OF DOGS (Please print) POINT OF ENTRY - CITY DATE (mm/dd/yyy) OWNER'S NAME PASSPORT No. DRIVER'S LICENSE No. STATE ISSUED OWNER'S COMPLETE ADDRESS &, TELEPHONE No. ADDRESS WHERE DOG(S) WILL BE CONFINED The following dog(s) (number, type, age,and description): which arrived on (Kind of conveyance - Name of Ship; Flight No. of plane; Tag No. of Vehicle) from , is/are admitted to the United States, subject to restrictions of section 71
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dog rev9 88
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