PDF-4H POULTRY RABBIT OR CAVY HEALTH FORM This form is to be completed

Name of Owner Address Telephone numberType of Animal Number of animals on pr. Use additional paper if needed Childs Name Address City State ip Date of Birth Age School Grade Troop Number PARENTGUARDIAN INFORMATION Child is i n the custodial care of Both Parents Mother Only Father Only Other ParentGuardian Address if different ca ELIGIBILITY FOR CASINO LICENCE 50 Corriveau Avenue Phone 7804478600 TollFree 18002728876 St Albert Alberta T8N 3T5 Fax 7804478911 or 4478912 Website aglcca BEFORE FILLING OUT THIS APPLICATION READ ATTACHED INFORMATION AN ACTIVE RECORD OF PROGRAM D Send completed form along with Master TapeDVDCD via school division courier to Media Production Services Attn Duplication Duplicated tapesDVDsCDs and master will be returned to you via courier An invoice will be sent to the individual reques ting th To Cooperstown All Star Village PO Box 670 Cooperstown NY 13326 This side to be completed by parent Name Birth Date Sex Age Last First Initial Team Name Coach Paren Return the completed form to the desk duty officer 1 st floor at the Police Department 450 Pecan or h and deliver Complaints will not be investigated until a Police Supervisor has contacted the Complaining Party Involved OfficerEmployees Information Please complete this form in full if a part does not apply enter NA Part 1 Details of the crematorium Name of crematorium where cremation will take place Name of funeral director Telephone number Part 2 Your details the applicant Your full name Addr This form is only to be used to register a person who is a collection agent for a nonresident landlord for income tax Complete all parts of this form as required in BLOCK LETTERS sign the declaration below and return it to your Revenue District Offi Note Banting Postdoctoral Fellowship Applicant Surname: Given Names: If the ationed applicas already ful reqirements of the degree, the Dean of Graduate or other authorized must complete Section 1, Return completed and signed form by February 1, 2016 to: Evergreen Oce, 755 Commonwealth Avenue, Suite B18, Boston, MA 02215 Date of Birth Have you attended BU before? Yes No If yes, rst COMPLETED FORM SHOULD BE MAILED TO THE AWARDING FEDERAL AGENCY GRANTS MANAGEMENT OFFICE NAMED IN THE NOTICE OF AWARD. THIS AGREEMENT IS A REQUIRED CONDITION OF AWARD. a payback obligation; Under t 85-0405E (1208-08) This form complies with the appropriate requirements of Part 3 of the TP 13430 and is to be used for the tonnage measurement of monohull vessels of not more than 15 metres in Tonnag Phone: Spring Summer ARBA American Rabbit Breeders Association Boar A male cavy Cavy Correct term for Guinea Pig Cavy – Intermediate A cavy up to 6 months old and weighing between 22 ounces through 32 ounces Cavy A rabbit that has died from myxomatosis may have: lumps and swelling around the head and genitals, discharge from the eyes and nose, and possible blindness. . Using a scalpel blade or surgical scissors, cut off an upper eyelid from the deceased rabbit..