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Cesar Omar Mejía Reynoso
Patricia Cieza Samamé
Certified Translator CTP No. 0926
Page 1 of 2
Veterinary Medical College of Peru
Pedro Irigoyen 208 - Santa Rita Surco - Lima - Peru
VACCINATION CERTIFICATE
The undersigned veterinarian CERTIFIES, having vaccinated against:
PARVOVIRUS, DISTEMPER, HEPATITIS, PARAINFLUENZA, LEPTOSPIRA and RABIA
The animal that is mentioned below:
Species CANINE Breed ENGLISH BULLDOG Sex FAMALE Age 4 MONTHS
Name Yaccha Characteristics (color, tattoo, etc.) Brindle (color mix)
Owner CESAR OMAR MEJIA REYNOSO Address Mz D, Lt 16, 1° stage Pachacamac Urbanization. Villa El Salvador
Date: 31/01/2023
In the original document
Expiration Date: 31/01/2024
------------------------------------------------------------------------Names and surnames - Address and N° C.M.V.P. of the
responsible Veterinary Doctor PHONE:
Observation: DEWORMED WHIT PRASIQUANTEL,
FENBENDASOL Y PAMOATO DE PIRANTEL
In the original document
----------------------------------------------------------------Veterinary Doctor Signature
Colegio de Traductores del Perú
Fecha: 31/01/23 14:25 UTC-05:00
ID: 20376744940
Liliana Patricia Cieza Samamé
Fecha: 31/01/23 14:25 UTC-05:00
ID: IDCPE-71256903
Certified Translator CTP No. 0926
Page 2 of 2
Veterinary Medical College of Peru
Pedro Irigoyen 208 - Santa Rita Surco - Lima - Peru
HEALTH CERTIFICATE
The Veterinary doctor, who signs: CERTIFIES, having clinically examined the animal that is outlined
below:
Species CANINE Breed ENGLISH BULLDOG Sex FAMALE Age 4 MONTHS
Name YACCHA Characteristics (color, tattoo, etc.) Brindle (Color mix)
Having verified that at the time of the examination, the animal in question was found to be free of
infectious-contagious and parasitic diseases transmissible to men and others.
This is issued at the request of CESAR OMAR MEJIA REYNOSO
Addressed in Mz D, Lt 16, 1° stage Pachacamac Urbanization. Villa El Salvador for the purposes it deems
appropriate.
In LIMA on JANUARY 31 , 2023
Observations: THE CANINE IS IN GOOD HEALTH
In the original document
In the original document
------------------------------------------------------------------------Names and surnames - Address and N° C.M.V.P. of the
responsible Veterinary Doctor
Colegio de Traductores del Perú
Fecha: 31/01/23 14:25 UTC-05:00
ID: 20376744940
-----------------------------------------------------------------Veterinary Doctor Signature
Liliana Patricia Cieza Samamé
Fecha: 31/01/23 14:25 UTC-05:00
ID: IDCPE-71256903
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