58 Notice of Possible Rabis Exposure 2004 009 11:47P FROM:
TO:14135071PP1 P.1/1
Northampton Veterinary Clinic
227 South Street
Northampton, MA 01060 ��
(413) 584-6309
Notice of Possible Exposure To Rabies
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.)
,-y-
7( 3) An unknown source(likely to be another animal)
4)No wounds,but was in proximity to an animal that tested positive for
rabies at the State Lb
Date of Exposure (or date seen):
Owners Name:E./Pt1Y(3lnfolk US Phone: (4j2 )` %L1- [0.31Q7
Address:a CflUA kit [ .kit, Town: W is ijll'6Yt Zip: %Ma()
Type of Animal: [Dog_) [Cat [ lOther_l(specify) Age:A.1,[)'s
Name of Animal:ILla { v
Breed: t)F,FI Colors: ariirx t t r%P
Date of last vaccination: 5IIQ10(1 Duration: [1yrkl 1113yr_l [unknown_]
Date of booster vaccination (given to current vaccinates only): �iQ10�
Name of Veterinarian: LIU— 94\Lkicit flits Phone: C4e5SLI-Loam