Equine Veterinarians AustraliaA Special Interest Group of the Australian Veterinary Association Ltd. ABN 63 008 522 852

CERTIFICATE OF EXAMINATION FOR PREGNANCY

Animal presented as: Crimson Ribbon (AUS)

(If unnamed) Sire: Encosta De Lago (AUS) Dam: Nevermore (USA)

Colour: Bay Breed: Thoroughbred Sex: Filly

Microchip No: 985100010919175 Age/DOB: 25/07/2007

Owner (if known):

Person requesting examination: Billie Sales Place of examination: -26.3385 152.8348

THE EXAMINATIONDate Manual Rectal Rectal Ultrasound Abdominal Ultrasound Positive Negative Was there evidence of twins?

21-08-2020 ✓ ✓ ✓ No

Comments:

Notes:

1) It is not possible to detect multiple pregnancies in all cases

2) To obtain insurance for the pregnancy, these tests must be completed 45 days or more from the last date of service.

This is to certify that I performed the described tests on the mare listed above

Date: 21-08-2020

Signed:

Name: Ben Poole BVSc MANZCVS

Contact Number: 07 5447 6733

Address: Cooroora Veterinary Clinic 12 Diamond St Cooroy 4563

AVA No: 2595 VPB No: 2417

Equine Veterinarians Australia - Certifcate Of Examination For Mortality Insurance Purposes. Disclosure of history is the responsibility of the ownernot the veterinarian. © This form may not be reproduced without permission of the Australian Veterinary Association Ltd. 2011

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