Fillable St. Regis Mohawk Tribe (St Regis Mohawk Tribe)

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St. Regis Mohawk Tribe (St Regis Mohawk Tribe)

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St. Regis Mohawk Tribe
Animal Control
412 State Route 37 Akwesasne NY 13655
Ph. (518)-358-2272 ext. 287 Fax (518)-358-3179
Animal ID Tag Application
(owner information) PLEASE PRINT
name
street address
phone number
(animal information)
dog cat other
name species
male female
breed sex
color(s)
spayed/neutered yes no 1yr 3yr
date of last rabies shot
rabies tag # vet name
tag # issuer date of issue
shaded area for SRMT use only type of tag
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St. Regis Mohawk Tribe (St Regis Mohawk Tribe)

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Completed 20 July 2020

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