Newton Baker Insurance Services, Inc. |
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PO Box 247, LAKEVIEW, NC 28350 U.S. & CANADA TOLL FREE 1-800-334-7733 FAX 1-800-874-3565 www.newtonbaker.com We accept MasterCard, Visa, and American Express. |
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Fertility Examination Certificate #1 |
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| OWNER:_______________________________________________________ | |
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ANIMAL:________________________________________________________ |
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I HAVE EXAMINED THE GENITALIA OF THE ABOVE AND CONSIDER IT TO INDICATE SOUNDNESS FOR SERVICING AS A STALLION. I HAVE PALPATED THE TESTICLES AND FIND THEY ARE OF NORMAL DIMENSIONS AND CONSISTENCY AND FULLY DESCENDED INTO THE SCROTUM. |
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| VETERINARIAN'S NAME | VETERINARIAN'S SIGNATURE |
N.B. EXCEPTIONS TO ABOVE ARE AS FOLLOWS: |
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| LEFT TESTICLE SIZE | RIGHT TESTICLE SIZE |
| HEIGHT______ | HEIGHT______ |
| WIDTH______ | WIDTH______ |
| CIRCUMFERENCE____ | CIRCUMFERENCE____ |
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Professionally We Serve ~ Personally We Care |
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