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Equine Veteri narians AustraliaA Special Interest Group of the Australian Veterinary Association Ltd. ABN 63 008 522 852

VETERINARY REPORT ON BROODMARE FOR SALEThis examination is limited to an assessment of the reproductive matters below and should in no way be relied upon as a representation or expression of opinion as tobreeding soundness. It is beyond the scope of this examination to definitively deted if this mare has been treated with Equity@ Vaccine or any other medication.

Animal presented as: bHOcr: {4,€F t- *nw/DoB: aOO 6(If unnamed) Sire: Dam:

Breed: fila\oL,tG t1ffi(E D I colour: cH EbTNutT MicrochiP No' q?s t a{}o tog 3bu L{ E

Owner (if known) Address (if known)

Person requesting examination :

ff1 , {nicfiNNPlace of examination:Df\{4NDrnt€. 6fu D

Draw brands and/or markings:Mark whorls as X, scars 6s {

Head & muzzle

Rear aspecthind legsLR

Vaccination Y/NThis mare was examined (please tick)

Under Sedation

Not Sedated /Other Physical Restraint

The mare was (please tick)

Pregnant

Not Pregnant /

Repofted last serve date

Hendra (HeV) v t3l,0Lt.lqTetanus

Strangles

EHV- 1,4

Ovaries NL Ab NE NL Ab NE Total Ovarian Dimensions Largest Follicle Diameter Comments:

Manual Examinationper Rectum

Left / Right / "T t f co*t { mtn *5 rnrrv d LU/S Examination Left / Right / b ,< H L/r-n 15 nrrt

Uterus NL Ab NE

Manual Examinationper Rectum {

U/S Examination /Y N NE

Uterine Cysts? /Uterine Fluid? /

Comments:

Cervix NL Ab NE

Manual Examinationper Vagina J

U/S Examination /Visual Examination

per Speculum /Comments:

Vagina NL Ab NE

Manual Examinationper Vagina /

U/S Examination /Visual Examination

per Speculum /Comments:

Vulva Y N NE

Caslicked / repairs? /Comments:

Udder NL Ab NE

Visual Examination ,a/

Manual Examination /Comments:

Date:'rJ'"rLU' ?Lt . Ob , tq

Signed:

Name (please print)' s. Etlb TtA) L LL

nlacgffi;r: is here:

Dr B EastwellBvsc(Hans) ?LSA$The Flying Dutchman QtD I-

Eq Reproduction Medicine_q q{r-ggtr

contact Number: a tt gg 1'e1 1 bo

AVA No'a5 bqc I

ver ruo: 5 q bq95 bqo | 5 tl b'1 | Eq Reproductionl'ediclne & surg€fy

Wirwick Qld aszo - Ph; 0ilg8 7r7 750

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