Newton Baker Insurance Services, Inc.

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.
Fertility Examination Certificate #1

OWNER:_______________________________________________________
ANIMAL:________________________________________________________

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.



VETERINARIAN'S NAME VETERINARIAN'S SIGNATURE


N.B. EXCEPTIONS TO ABOVE ARE AS FOLLOWS:









LEFT TESTICLE SIZE RIGHT TESTICLE SIZE
HEIGHT______ HEIGHT______
WIDTH______ WIDTH______
CIRCUMFERENCE____ CIRCUMFERENCE____


Professionally We Serve ~ Personally We Care
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