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: Joie D’esprit

(If unnamed) Sire: Danasinga Dam: Joie De Vivre

Colour: Bay Breed: Thoroughbred Sex: Mare

Microchip No: 985100010953833 Age/DOB: 10 years

Owner (if known): Gary Hutchens

Person requesting examination: Gary Hutchens Place of examination: -38.4645 144.9995

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

04-06-2020 ✓ ✓ ✓ 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: 04-06-2020

Signed:

Name (please print): Dr Marcus Valmadre

Contact Number: 0419358683

Address: P. O. Box 325 Somerville. 3912 Victoria

AVA No: 2658 VPB No: 2906

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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