41 Rabies Exposure Notice 2009 •
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R-13-2009 05:44P FROM:
TO:5871221
Northampton Veterinary Clinic
227 South Street
Northampton, MA 01(160
(413) 584-6309
Notice of Possible Exposure To Rabies
P.1'1
The Following animal was seen at our practice and presented with wounds from:
1) A confirmed rabid animal (tested positive at State Lab)
2) A suspected rabid animal (raccoon, skunk, woodchuck, fox, bat, etc.)
X 3) An unknown source(likely to he another animal)
4)No wounds,but was in proximity to an animal that tested positive for
rabies at the State Lab
Date of Exposure(or date seen): Y I 13/O f
Owners Name: ..0 h M tit nI/I c1 y Phone: (d))CSY-4in
Address: Y1 Pitot byt #3? • Town: f44rsyM._ zip: O(O G0
Type of Animal: [Dog((Jj_l [Cat 1 [Other_Rspecify) Age: /6 )'tS
Name of Animal: �i f0 LL Breed: l04 Colors:_�a rzy
Date of last vaccination- t'l�ttAiti Duration: (lyr_[ [3yrr_) [unknown[
Date of booster vaccination (given to current vaccinates only): /tai .6j ifie!'�
Name of Veterinarian: f `ij dIne. bL4& Phone: SI? `36 1
DECcomE1
APR 142109 I
NORTHAMPTON BOARD OF HEALTH