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Georgia Department of Agriculture - Rescue Group - Record Keeping Form
4
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01/01/1976 to 01/01/2030
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Georgia Department of Agriculture - Rescue Group - Record Keeping Form
Entry ID: 60
application_is_aproved
Application is rejected
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Incoming Date
04/01/2018
Pet I.D. Number
Comet
Pet Type
dog
Pet Description
Name of Establishment or Person
Anne L. Collins
Phone Number
312-718-9477
GDA License Number
Physical Address
239 University Drive
City
Hickory Hills
State
GA
Zip
60457
Select the category that explains how the pet was acquired
Outgoing Date
04/07/2018
Name of Establishment or Person
Scott Lang
Phone Number
202-555-0193
GDA License Number
Physical Address
City
State
Zip
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Custodial Care
Comments
Form Version: 34
Georgia Department of Agriculture - Rescue Group - Record Keeping Form
Entry ID: 53
application_is_aproved
Application is rejected
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Incoming Date
03/06/2018
Pet I.D. Number
Comet
Pet Type
dog
Pet Description
Name of Establishment or Person
Scott Lang
Phone Number
202-555-0193
GDA License Number
Physical Address
City
State
Zip
Select the category that explains how the pet was acquired
Outgoing Date
04/01/2018
Name of Establishment or Person
Anne L. Collins
Phone Number
312-718-9477
GDA License Number
Physical Address
239 University Drive
City
Hickory Hills
State
GA
Zip
60457
Select the category that explains the final disposition of the pet
Adoption
Comments
Form Version: 34
Georgia Department of Agriculture - Rescue Group - Record Keeping Form
Entry ID: 18
application_is_aproved
Application is rejected
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Incoming Date
10/29/2017
Pet I.D. Number
Zelda
Pet Type
cat
Pet Description
Name of Establishment or Person
Athens-Clarke County Animal Control
Phone Number
GDA License Number
Physical Address
City
State
Zip
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Outgoing Date
Name of Establishment or Person
Phone Number
GDA License Number
Physical Address
City
State
Zip
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Comments
Form Version: 34
Georgia Department of Agriculture - Rescue Group - Record Keeping Form
Entry ID: 11
application_is_aproved
Application is rejected
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Incoming Date
02/27/2018
Pet I.D. Number
Comet
Pet Type
dog
Pet Description
Name of Establishment or Person
Whitfield County Animal Shelter
Phone Number
GDA License Number
Physical Address
City
State
Zip
Select the category that explains how the pet was acquired
Outgoing Date
03/06/2018
Name of Establishment or Person
Scott Lang
Phone Number
202-555-0193
GDA License Number
Physical Address
City
State
Zip
Select the category that explains the final disposition of the pet
Custodial care
Comments
Form Version: 34