Caring 4 Canines

TRANSFER INTO C4C


Shelter / Rescue Transfer

 

 

By signing this document, all parties acknowledge that the animal listed below will be transferred To CARING 4 CANINES from shelter/rescue below FROM:   for further treatment, care and placement.

 

 

Transferring Shelter/Rescue Name:   

Director Name:   

Shelter/Rescue Mailing Address:   

Shelter/Rescue Telephone:    

Shelter/Rescue License Number:   

Animal Name/Shelter ID:   

Breed/Type:   

AGE/SEX/COLOR:   

How Obtained:   

Additional Notes: 

 

Leave this empty:

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Signed by Megan Schmershal
Signed On: January 30, 2019

Signature Certificate
Document name: TRANSFER INTO C4C
lock iconUnique Document ID: 1e2a456ba9c2c9dc14f35349ce22e1fef7149a23
Timestamp Audit
January 30, 2019 12:07 PM CDTTRANSFER INTO C4C Uploaded by Megan Schmershal - info@caring4canines.org IP 96.35.222.18