Dog impound record Existing Scar and Injuries Date _______________ Case __________________ Officer _________________________________ Dog #: __________________ Intake #: ________________ Breed _________________________ Color: ___________________________________________ Gender: Male _____ Female ____ Distinguishing Marks __________________________________________________________________ Owner/Caretaker ______________________________________________________________________ Full Address ___________________________________________________________________________ _______________________________________________________________________________________ Notes/Comments ______________________________________________________________________ _______________________________________________________________________________________ LEFT VIEW FRONT VIEW TOP VIEW BOTTOM VIEW RIGHT VIEW Appendix IV
20028HS
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