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TERT SRE Reming Pama a aS soutien eee erie Ws ea ee Shei Sins Ieaetin| —ronw OWNER/SHIPPER CERTIFICATE acie'@ Magee cise el tagar| APPROVED FITNESS TO TRAVEL TO ASLAUGHTER FACILITY |fiialuai'c.ttntesntin aif esrut stewed] caysorsa (Please type or print nik) ising dia needed, ard sorpltng ad ov re SE are BEE: DOTA Ga Ba Ep eR ow Oa NAME OF AUCTIONTUARKET CONSIENOROMMENSHPPERIMAME Bla S Feed Lot |POWSGE WESEvERDEETMATONORRZRY Expo rg =a —_—_—P.0.-Box 867_________ — — —ho- — aS Se ae arenes pee awe areeee 406} 494-7182, a) IY, STATE, 2 GCOOE (403) 553-4431 "AREA CODE & TELEPHONE NO. | AREA CODE & TELEPHONE NO. “GOR THE BOX Ti NOIEATES THE FOLLOWING 6 TRUE FOR ALL THE HORSES OVTHS CERTIRGATE 2 Pregnant mares snot ety oa gh ish aving etn. AT Horse al o boar weight cna nbs ate tr : indian ee, eroeatiyeti | tas | ta | ___covondescriPrion | a sek srawos. [penarns ince WINE r¥tix | 1S | ay [om] ax [es eosslane| we [| ont] row|ors|me| su [ooa) Teese |emocne }qgie 1 1 s—|—_ 31 | |~ Korrel 079 [ALIA a ey Soe! 183 | Sowel 0B oe oe | ote \A] — on | | _ (laa aa Yaoan OA * lusty Bal 7 TORSES Vek ADGESS TO FODD WATER, AIO REST FOR AMIUMOF@ CONSECUTIVE MOUSE AEATEGeronecoxoncro Sonvevance sronaTURE. THEREBY, IZE Wie GFA TO DISCLOSE THIS DOCUWENT AND THE INFORWATION INT AS] (COMPLETED By THE C7IA OR OGIF TO THE USDA. FALSIFICATION OF THIS FORM OF KNOWINGLY USING A FALSIFIED FORM IS A CRIMINAL OFFENSE AND NAY RESULT IVA FINE OF NOT WORE THAN| 100000 OF IMPRISONMENT FOR NOT MORE THAN 8 YEARS OR BOTH (18.S.C. SECTION 1000, SIGNATURE OF ONNEALSHIPPER| coy tal ho ilornatan conned nthe (ols wv and corec tha es! of my inowlocge) YSFORM IGS (AUG 2608) "Fc waar ae Calta PART 1-INSPECTOR Ua OSPARTAENT OF AGRICULTURE TAccortng ie he Paporyork Reduction Att 1008, no poreone swan AioPONT NOH MEDSSTON SERIES erent Besta es aletin eh omen ca OWNERISHIPPER CERTIFICATE a, riba amen eter eH Tete | APPROVED FITNESS TO TRAVEL TO ASLAUGHTER FACILITY |svtoge § mn per erons’ zing tne fe revening]_ CMBNO- (CONTINUATION SHEET) stating nigra caren hd roam | (Peasn ypecr aati) ssn onion ; aes ‘oLOR DESCRPTON BREEOMIPE = anus | MES wale PREF | NC. 15) Tor | 8k [rio [oman] Omer) 18 | GT [Oat | Pony [ote | ae | sat [ous | MOE | pernaton OQ as 003 ry Z| 1 073, Pa ze ~ [32 wl Ia Iz ze baylwht 083 ve Ra az | A Sorrel, O71 | 04D ae | hae [are me black] var} 144 ail | Z| Sorvel [wht 135 Al Al ook [A 7 na Ba Z We Ola3 I~ Fa ee pve aR © six 808317 Z| “| *3 wn a 2 = # % 38 | ] = | = . = # @ 2 a = HERESY AUTHORIZE THE CFA TO DISCLOSE THIS DOCUMENT AND THE INFORMATION IN TT AS COMPLETED BY TNE CFIA TOTHE USDA. FALSIFICATION ‘OF THIS FORM OR KNOWINGLY USING A FALSIFIED FORM IS A CRIMINAL OFFENSE AND MAY RESULT INA FINE OF NOT MORE THAN $10,000 OR. IMPRISONMENT FOR NOT MORE THAN S YEARS OR BOTH (18 USC. SECTION 1001) ‘SIGNATURE OF OWNERISHIPPER( cry hat the moratonConined is Tom Bue Grd COTO Ba Det Oy GNIS] LE a WS FORM 104 “US. Gevenman Ping Oe 200164557 (SEP 2002) ssa ao onshore mae rege eae ieerars on Si apenas OWNERSHIPPER CERTIFICAT| Saues Sees See eee ‘NB HO. FIIWESS TO TRAVEL TO A SLAUGHTER FACILITY = as aera Se # os7e-o160 ‘aes paar eh Sens HPS Oa ON SOMERS i Se sos se ve ACE PA et Ti Gusto SUA MEUAED es Fis Re Yaee Vitel QE Conon cen iF OATES TREFOLOHNG ‘Zeman mans a nt en oe _ Fyrsasar atu vans nonnsctage , |__ COLOR BESOIN Se [Se] oe [ra [enc] 1 Uspw\ a} Re 7 H (ecomecamnie (CANADIEN Bee JHSPEGTION AGENCY (OFIA) J oar ot/20 we__ghuo —————————————— ia DIRECGION GENERAL OE INSFEDGION EN SRONTERAS {OGIF) VsrORiios —(ALGaIOe re Rano: Teton e tT Pace Co T T 1 COMPLETED GY THE GRA TOTHE USDA. FALSIRGATION MAY RESULT INA FINE OF NOT MORE THAN St0.000 OF | ort | Pony i omeei ware | Sat j Gos til x ai x x rN TTA ‘OFFENSE AND, {oon Bis tos a a coecio a beat of my tnndadga) “AND THE [o=[ miler T L ‘SLAUGH ION SI ER CERTIFI TOA ator ‘ope or pit ina) Pease OWNERISHIPPE FITNESS TO TRAVEL (CONTINUATI ey Tow] oe [ra il | | Bal | i B Prax PA % Fl . 72 7 ou 2 aT art aly aly 7 2 = = af @ = * = 7 = = a @ = al @ eRe ‘US. DEPARTHENT OF AGRICULTURE 7 usMy | Paons de requis pond oa oaon et Nima #048. ANIMAL AND PLANT HEALTH INSPECTION SERVICE tee apoyo Gh erent els OH FORM OWNER/SHIPPER CERTIFICATE ‘elma aque iocompia a wma seicix's | APPROVED FITNESS TOTRAVELTO A SLAUGHTER FACILITY | Srrorevinghtsucsans sstcrng coin dkisseuces” | 9570-0160 2 98 Fp hong orang data he cmp aah Gores etek 60 | dnd reigning Un colostonotoenaton. pee 1104236 ON CONVERGE CITY ANO STATE WHERE HOFSES WERE LOADED ON CONVEYANCE Shippensbura, P. —— NAME OF AUGTONMAAKET Rotz’s Livestock __ TONSIGNEE (RECEIVERDESTINATION ANE Rotz;s Livestock, Bruce _| Vianée Richelieu Meat Inc. STREET ADORE ‘STREET ADORESS 457 Airport Rd. |_595 Rue Royale ity Ste, 2 CODE Tir, STATE, 2 CODE Shippensburg 17257 Massueville, QU. Canada AREACODE 8 TELEPHONE NO TAREA CODE & TELEPHONE NO. 717-532-5691 450-788-2490 {GAEOK THE SOK THAT NOIGATES THE FOLLOWING IS TRUE TOR AIL THE HORSES ON THS CERTIACATE (5) Pregnant mires ae til tl oe bit) nate ip, (Hse rable ober woh onal 4 bs. {Fos ar ier an marin te renee aa ot bein both ves ores arse toma nase tas | tay ‘COLOR DESCRIPTION REEDITYPE om, BRANDS | REMARKS ice | prerx| no. [aay [rey | wi. [Peto [oven] Oner| 3 | OT | rat | Pow [Omer] ware sta [ Geld | Tetbos, et | exstngcondions Hop | Py = 5, 8 su 7 pease | = 2 has | be tgosl ® pose \|| ~ ” bos? S -|| =| " boa) aN x = Fa 204) : | t 0%: i | los sa] $8 loo9 | se | "HORSES HAVE HAD AGOESS 10 FOOD, WATER, AND REST FOR A MINIUM OF 6 GONSECUTIWE HOURS IMMEDIATELY BEFORE LOADING INTO CONVENANCE, a gh THERERY ALTHORZE THE CFIA TO DISCLOSE THIS DOGLAIENT AND THE INFORMATION IN AS ‘COMPLETED BY THE CFIA OR OGIF 70 THE USDA. FALSIFICATION OF THIS FOAM OR KNOWINGLY USING A FALSIFIED FORM |S A CRIMINAL OFFENSE AND MAY RESULT IN AFINE OF NOT MORE THAN ‘$10,200 OR MMPRIGONVENT FOR NOT HORE THAN S YEARS OF 30TH (JAUS.C SECTION 1001). “SIGNATURE OF OWNERISHIPPER (csiy tat We ifonnoben contained He frm ea am cect thoboe of my now) Prue £1 VeroRVTO3s (RUG.2008) Provo cone are able PART 1 - INSPECTOR ‘CANADIAN FOQD INSPECTION AGENCY (CFIA) 2o\ DIRECCION GENERAL DE INSPECCION EN FRONTERAS (OGIF) Est Tp ees miry ote FITNESS TO TRAVEL TO A SLAUGHTER FACILITY Soe a ‘OMB NO. (CONTINUATION SHEET) Peery Renimeryteamicaranrece, | 5700169 (Please type or print in ink) Saterday to colectonel werner 1104236 uswy | oe] = {0.08 DeseruPnoN aheeDrvee ocx iagiess\|taaana rad PREFIX | NO. | ay | Grey | Bx. | Prio [Chesin] Orber| Te | OT | rat | Pony [Omer| Mare | Stal | Gala | Tattoos. cic. | existing condiions: *8 oo) dl Oe Th ** | 971 fn : * | 008 ed = 2 |p094 | | 21010 | OLE 2 | 23 = | 25 7 | 2 28 2 30 a1 =i | 33 ‘i om ~ L s ! a | | | 3 = | = | a x | : Po | # a THEREBY AUTHORIZE THE GFA TO OISGLOSE Tals DOCUMENT AND THE INFORMATION INT AS COMPLETED 8Y THe Cl ‘eS FORM OR KNOWINGLY USING A FALSIFIED FORM S.A CRIMINAL OFFENSE AND MAY RESULT INA FINE OF NOT MO FOR NOT MORE THAN: ‘SIGNATURE OF OWNERS! AN SYEARS OA BOTH (18 USC. SECTION 100"). SHIPPER (I cet hal he inermation contaned nts ln us andcrel lo ba Daal oy TS. DEBRETIENT OF AGACUCTURE azeang obo Paparork Region het WE ra 047 sons an somite Mee iog GeNGsGrreioeemncmcteeatsaa| coral OWNER/SHIPPER CERTIFICATE ‘eine emarediocompie ha omen aleciens | APPROVED FITNESS TO TRAVEL TO A SLAUGHTER FACILITY | reveury Senta cinema ai | Gove pian meneame) ammcameece mn | Trodzss “TE HORSES LORDED ON GONVEYANEE [are CITY AND STATE WHERE HORSES WERE LOADED ON CONVEYANCE Shipvensburt " THAME OF AUCTIONMARKET Rotz's Livestock CCONSIGNEE (AECEIVERVDESTINATION) NAME Rotz;s Livestock, Bruce Viande Richelieu Meat Inc. STREET ADDRESS ‘STREET ADDRESS Ra. 595 Rue Rovale ‘ity STATE, 2 CODE Shippensburg, Pa, Massueville, OU. Canada "AREA CODE & TELEPHONE NO. "AREA CODE & TELEPHONE WO. 717-532-5691 450-788-2490 (CHECIC THE BOX TAT INDICATES THE FOLLOWING IS TRUE FOR ALL THE HORSES ON THIS CERTIFICATE. (2) Prognant mares are nt eit foal (give beth) during rp. (RX). Horses wo abt bear wel onal 4 Bae ‘BRAD | SO, ©, S307, |_ $10} lb Be rea GO| | Sol. | [Cr— kos | | S0/0| Lip SOA | | ae Ro rete ce Sar [oman Bi HORSES WAVE HAD AGOEES TO FOOD, WATER, AND REST FORA NINIMUMOF 6 CONSECUTIVE "HOURS HiMEDIATELY GEFORE LOADING INTO CONVEYANCE mn Bah £78 THEREBY AUTHORIZE THE OFIA TO DISCLOSE THIS DOGUMENT ANB THE INFORMATION IIT AS ‘COMPLETED BY THE C7TA OR DOF TO THE USDA. FALSIFICATION OF THIS FORM OR KNOWINGI ‘510.050 OR IMPRISONMENT FOR NOT MORE THAN 8 YEARS OR BOTH (8 USC. SECTION 100 SISIATURE OF OUNEHESTPPERES omy owed VSFORW TOTS (AUG2D=) Fon ‘CANADIAN FOOD en ‘AGENCY (CFIA) sr. ° eB DDIREGCION GENERAL DE INSPECCION EN FRONTERAS (OGIF) PART 1- INSPECTOR ut ins Pot ALT SPECT EC cans +. OWNERISHIPPER CERTIFICATE FITNESS TO TRAVEL TO A SLAUGHTER FACILITY (CONTINUATION SHEET) Phase ‘poor print in iat) me | we cower escrern | PREF NS: [say [ry | 6% [Pint [own] ner] te | ar | owt | Pony [over] wave] Sar ) aa ® DSMERY 7 2 2 2 2% z Ey ele[elalelele ° “ © HERESY AUTHORIZE THE CFA TO DISCLOSE THIS DOCUMENT AND THE NFORMATION INT AS COMPLETED BY THE GRIATO THE USDA FALSIRGATION OF THIS FORM OR KNOWINGLY USING A FALSIFIED FORM IS/A CRIMINAL OFFENSE AND MAY RESULT IN A FINE OF NOT MORE THAN $10,000 OR IMPRISONMENT FOR NGILMORE THAN 5 YEARS OR BOTH (IS U.SC. SECTION f001), hal he Hfbanaon conned his for Wo 45d Cone He OO Oy ORES) e eau neresnON sce eee eat Bll) ea OWNERISHIPPER CERTIFICATE AperoveD FITNESS TO TRAVEL TO A SLAUGHTER FACILITY cere-i60 (Pee type or rnin) ot EWR SRDS GN COWETANCE OED ON CONVEYANCE AY BAvER FARO Sree GO pei on HARON KORO cory, STATE, 2 i AREA! ai Sere = ONlo 4335 2 2 3095 3095, (CHECK THE wild, ack aaa Se Pregrant aes a ot kayo ow (ve Bh) dung re tas. | tw PREF | NO : “pine 985 | Bey [ Gey] Bt | Pm [oan] GBSz! Ba 2 | Sse uf «| besy oa | C551 bo of Ree 9807 find 988 1 Omer [| Ben ‘CONSIGNEE STAG speeee REEDITYPE OF | Dat | Pony [Omer | Hare Cue ONO ER (RECENER) song ae (RVOE CHE LIED Sos mEkevace C.P/O1 ujtee {WERE ToS /ko sRaNOS | REMARKS ictus Goa) Tatoos ve. | Sestng cerdone Sal Prine ZO] SI iG warno $ 4 si ‘BRABOS Q oe | \ Sh bt he SOM | OPH * 98¢¢ NW | A | THORSES WAVE Hind ACCESS TO FOOD, WATER, AND RESTFORA HOURS INEDIATELY BEFORE LOADING INTO CONVEYANCE, ER CUDA 4- INSPECTOR ‘CANADIAN FOOD INSPECTION AGENCY (CFIA) sr a owe 26 hos DIRECCION GENERAL DE INSPECCION EN FRONTERAS (OGIF) a ‘ QD PLOT HEALTH DISPESTON SEMICE ere vogue to ean a calocon of iermatn ce OWNERISHPPER ceRTicare Shrew Semmsertcosem| fou FITNESS TO TRAVEL TO ASLAUGHTER FACILITY |rrne 5 nn eresoney tausng tm tog] OMBNO. > = (CONTINUATION SHEET) mashing be do nese 2 copictg ai vrei e (Phaze te oat inet). Sater somaton COLOR DESCRFTION BREEOTYPE = nas | 0 eraros | REMARKS x indus PREAK | NO. loa) T ceey | bik | Pato [ormin] Ober] 78 | at | own Pony [Oter| tae] Sut | Gaia | Tatoos et * [smenacc | Ao] 50 TY? | 7 R86) 50 Of LP el T pe68 bu [D Lo e eo al IRPP| 9870 Ol Vo [P= Lp a elejelolelele or a ac 5 a il rs " ={t gen] Io | =| herd 334 . 8 8 is iS. soae lar |S] Repo! laste sl#lelele 5 > RI r (O DISCLOSE 1E WFORMATION NT {0 THEUSDA. FALSFICATON pREBY AUTHORIZE THE CRA TO DISCLOSE THis DOCUMENT AND THE "AS COMPLETED BY THE CAT eta on Om evowIneAy USING A FALSIFIED FORMS A CRAINAL OFFENSE AN MAY RESULT I AINE OF NOT HORE THAN 512000 OF IMPRISONMENT FOR NSILMORE THAN 8 YEARS H (OR BOTH (13S. SECTION 10% ‘SIGNATURE OF OWN VSFORI TOA (SP 2002) ie tar wo en Cone a Bea oy MaaS) Ae FORM OWNER/SHIPPER CERTIFICATE ocuared to eamgleta tne or ‘s estmmated to] APPROVED FITNESS TO TRAVEL TO SLAUGHTER FaciLiTy |i ‘t pm mone, mince] GUE aniline cd oka Piet] | O57 Mena sren!, Eafe! (ANE OF AUCTONNGAPKET (Pease type or pin in Tak) SQUS/GNEE (RECEIVERIDESTINATION) NAME pele ase Peutey Cipacta 1325 WM Coldla Bel. Bee 2024 2E4OT2, Lush? BPA ‘iT STATE, zP CODE cory. Srate,z"CooE Ueigisions, MoCo) V78EF feet Toke hlbsvie, Cawnde ‘SEA CODE & TELEPHONE No, ‘AREA CODER TELEPHONE NO, Tae SZ SH -SE7-OIER AS SESS (CHECK THE BOX THAT INDEATES THE FOLLOWING 1S TALE FOR AIL THE HORSES ON THIS CERTIFICATE Ly rear mars 0! Woy fl iret) dog hee, gorse a ata bear weg on al be (Pai ee ler an Bont age e (eres ae nortan inson eyes 7 oe ay rate ie te COLOR DESORTION oneenavee sex eae: [paling ened PREF NO. OF | bar | Puy [Other Hare] sat [aa Tatoos | wing centers a FT Good * usmtazel 7, ° sam asca | ‘smiazsy, | | BHONG i Mies th Pace ® im HBSS. | neg * Usinttt A56, | © Bp sez ea fr por * smd as 4 AE TEP willie coed ° smd axe | | eh lA | A ee oe ce ‘besmnazer | ||| | | f ” smd 3G | ii oe re Se AMAT sib Coed 1 J | Hie ak ° smi axes | | | | Oe abet sid 2 | WB Ged “Usmuazey | ” Lema 2365|__| * Lemngaee 7 * emt 2367, * sm D562 l THORSES HAVE HAD ACCESS TO FOOD, WATER, ANO REST FOR A MINMaUM OF 6 CONSEOUTI HOURS RMEDIATELY BEFORE LOADING INTO CONVEYANCE. | LEMP t SS rarie stag. Cod ATi RE Coa “ lakint SIME SPE f ae 36 es {ve Vv eabeel Mane ‘CANADIAN FOOD INSPECTION "AGENCY (CFIA) senaTU ore ame (232 pe (COMPLETED BY THE CFIA 4 DIRECCION GENERAL DEINSPECCION EW SING A FALSIFED FORMS A CRIMINAL OFFENSE AND MAY RESULT INA FINE OF NOT MORE THAN £10,000 ORIWPASONNIENT FOR NOT MORE THAN S YEARS OR BOTH (TRUS SECTION 101) FRONTERAS (OGIF) SGHATURE OF ONNEASHPPER) cay tal bu hiorralerconianasn halom Biuwandcoreclio | Dock Padus VSFORTES_ MOR Fasano ao ae PART 1-INSPECTOR: Dl bo Ta ceanTie OF AGRE [acorn fe Fpepek Pocono 1, a pre sa SRNL aanecTONsEnAce een oe Caer ee cai eer Sere isariae emencis| SM, OWNERISHIPPER CERTIFICATE, rumter ir fis iverson cofactor 0573-0190, The tra FITNESS TO TRAVEL TO A SLAUGHTER FACILITY |iamon Sm pt sen cunt ne kas] ONBNO, (CONTINUATION SHEET) Parsing in cla Nedoa, ood coplng ahd tee In (Pease Specrsretinil esr an eae COLOR ESCRETON SREEOYPE cx as PREPK | NO. V5. | rey | atk. | Pinto | hes] rat | Pony | Otar! were | Stal | Gelg | "*P* oe 7 7H (smd ac a A 5 eal yes sme bs MAA sg? eo 2 mello a | VEE ep, E 2 ae ° hess my laze a CALL Bip aed hu 4] i VAG a al aul Z Tol eae 2 lyse 37" [ Mew 2 pes meh a37 ree > si ts Feal/_| ZE % bem B30] ne ar v eee 2 sma lawl | Nigel a eal ke A none * Lome asad i Eee = 2 | pe ran Wore * zr v v es a es 7 ¥ { =| { | =| | | ral t =| { 8 | | | | | | = | 7% I = HL Stk 50! 4 Sah 2 | | 2206 a e 4 T 1 THEREBY AUTHORIZE THE CFA TO DISCLOSE THIS DOCUMENT AND THE NFORMATION NIT AS COUPLETED BY THE CFIA TO THE USDA. FALSIRIGATION (OF THis PORN OR KNOWINGLY USING A FALSIFIED FOAM IS-A CRIMINAL OFFENGE AND MAY RESULT IN A FINE OF NOT MORE THAN 810,090 OR |MRISONNENT FOR NOT LORE THAN § VEARS OR BOTH (18US.C. SECTION 1001. “IGNATURE OF OWWNERSHIPPERG cary atte rlonspn corre Toms Wo an corel We Paley MRCS] E L L ake Eh, = ‘Us. OETARTNENT OF AGRIOULTURE aerrsag ePaper: Re OWNER/SHIPPER CERTIFICATE FITNESS TO TRAVEL TO A SLAUGHTER FACILITY (leese typo or plain ink) APPROVED ‘OMB NO, 057.0160 TE HORSES LOADED ON CONVEYANCE DATE 10:20 Be Gar OY AND STATE Si oro NAME OF AUCTIONS? AUER, RR Uae Aetereu [BGG (MARION Apo Roars ae Sue a (Adel Ve ie Ol ¥3382 ome SFeviece uence ToGiKo ‘AREA CODE 8 TEL 3U8"999 3995 Frccone eR EMON, ay 90 (CHECK THE BOX THAT INDIGATES THE FOLLOWING IS THUE FOR ALL THE HORSES ON THES CERTIFICATE sn mat Hose anon Ji roms rt et om pe i i oa ote nceorire | pranos REMARKS ietude st [ea Tete. | wing conaons aa ren] Oner| 18 | ar | Dra] Pony [Oner) wae] Sil] | wt Ad | ca val || “| | oie mn | | Pett Tt | el) | [BRN | | gas | [oP Fi LH | I | tw pol 7] | 98) | |e Ol | f ‘poy T ; r bo sey | 86 ete | | gee | | | | fou) | «| | 96a pee | D6 2 | Oem Ba) Sra) > | Bh | | Bey | Polo «| BOLL 9 | eres «| $8950) | || & Ab Wotan: TGRGES I a DOSES TO Toto. ATER ROTES] FORA NIRATOFONSECUTNE | CANADIAN FOQD INSPECTION AGENGT CRA) See er een a Qo - Saphire LA f ) EPS G30. one Wo]! z we ze THEREBY AUTHORIZE THE GFIA TO DISGLOSE THIS GSING-A FALSIFIED FORMS A CRIMINAL OFFENSE AND NAY RESULT IV A FINE OF NOT MORE THAN| DIRECCION GENERAL DE INSPECCION EN 10000 OF MPAISOAMENT FOR NOT HORE THAN 5 YEARS OF BOTH (IBUS.. SECTION 100), FRONTERAS (OGIF) the bes of my knowledge. oar a = See PART 1- INSPECTOR 03. DepaRTvenT oF noneULTORE accitng we Papevoik Reducion hd of 100, vo parora ome ‘itomaton snes sat 0 PAT HEAT NODES SEE sean need a cen q OWNERISHIPPER CERTIFICATE se ve neces am, eso cl| Font TFICAT sore ‘nt ae cnr a, a 5 B'S Sones To] APPROVE! FITNESS TO TRAVEL TOA SLAUGHTER FACILITY | meooa & mn pe respon hesing tne ertonecra| OMBNO. ~ (CONTINUATION SHEET) acl, eanchingentng dm Surce’ procire od] OSTOOTED -_.__PORmuUATION SHE Sere teagan ov erect | COLOR OES l ne | RPTON—|_—~_«CRBEDIYPE = Taawe ith = Bay [Gey] ee. [Pri [oes [ome| te | aT | Oat | Pony [omer P3 2 | ~ po evE lusme a ee bt by jee ane oe iz 4 aloe Set eat ia F tlelslzlelelels|slelelelele|#lele)slelulelelslefelssls \ el L | HEREBY AVTHORDZE THE GFA TO DISCLOSE Tras DOCUMENT AND THE WFORMATION IIT AS COMPLETED BY THE CRA TO THEUSDA, FALSIRCATION OF THiS FORM OR KNOWINGLY USING A FALSIFIED FORM IS A CRIMINAL OFFENSE AND MAY RESULT IN A FINE OF NOT MORE THAN $10,000 OR. IMPRISCHMENT FOR NSILMORE THAN S YEARS OR BOTH (10 U.8G. SECTION 1001) ‘SIGHATURE OF OWNERSSHPPER) arty ta to omnaoncotaned Bs fer & Bus 350 Coneel a DoS oa SSS) WERE LOADED ONCOWEVANGE = LEY AE Sreniseas’ Jaron Golt——- -—~ zs ssersamerepyg 302 Meldrura Road. E Fair Haven, Mi 48022 REARS acess ‘wing eordione ale TST IX Poe f abe Pa] oe] 4 r TS] i ‘SLAUGHTER Fi {CONTINUATION 1 (Pease yea print in DST OF MGROOTURE Nea Le HEAL OPECTON SESE T (COLORDESCRPTION {8 [or | em [Pin [soma i jm ne al a uxt PASEO { DISCLOSE THis COGUMENT ANG} LY USING A FALSIFIED FORE SA a HERESY AUTHORIZE THE GRA To (OF THis FoR af 2] ‘OF KNOWNGL' [MPRISONMENT FOR NOT MORE THAN S YEARS OR BOTH GELS ANMAL AND PANT HEALTH INSPECTION SERVICE OWNER/SHIPPER CERTIFICATE FITNESS TO TRAVEL TO A SLAUGHTER FACILITY (Pte0s0 type oF print nak) 1g ba Paperrk Reaain A of 1985 | "agian a clecoo 9 vormagyenese lar goa Solr ald SB concl mange!) Tho and Os FORM Ea os lormato e : oj am eee cana Liana] Sno 310.000 OF IMPRISONMENT FOR NOT MORE THAN 5 YEARS OR BOTH (18 U.S.C. SECTION 1001). FRONTERA? "SIGNATURE OF OWNERISHIPPER (I erty that the information contained in thes form is true nd correct 1 = Bente Fr > Borer KBD oe Fe c = 2. aE nian a ae BABT 4. INGBECTNR rr mts POT EAL PESTER SONIC Sen eoenarenemm anes ronu 7? OWNER/SHIPPER CERTIFICATE Sal manera oman cocionste72-0162. | APPROVED Geer ir Ceo ee stead eros ote po eepnse, aay ine OMB NO. onnaremapai Seacoast | ERR, usuy | 7 ] we COLOR DESCAPTON aREEDTVE comane | Tawae || mans nae prEri | NO [pay | Grey | ax | Pino ea | an | ai sg [cat | aes Jt) | teen Oe | eee Sloe Gy Vlou/7) re lo? Se 1019 2 lo/Jo aloval Ke 2 |o1ad 2310/23} 2 load [%e RS 51251 aa 25 |o1ze! * old? 28 10 128 : : Blom [%a 3 | /30| Se a 2 7 : 3 = 6 7 3 = ° a 2 3 « «6 {HEREBY AUTHORIZE THE CFA TO DISCLOSE THIS DOCUMENT ANO THE INFORMATION INT AS COMPLETED BY THE GRA TO THE SOA FALSIEIGATION OF “HBS FORM OR KNOWINGLY USING A FALSIFIED FORM IS A CRIMINAL OFFENSE AND MAY RESULT INA INE OF NOT MORE THAN $10,000 OR IMPRISONMENT? FOR NOT MORE THAN S YEARS OR BOTH (18 U.S.C. SECTION 1001. ‘SIGNATURE OF ;PPER (cert hate vbmaion corsiedin fis on so and comodo tho bat ot my iowadgo) 2)of 2 Bates nN aan AMAL AND PAM HEALTHNSPEDTION BERGE OWNERISHIPPER CERTIFICATE FITNESS TO TRAVEL TO A SLAUGHTER FACILITY (Piece® type or print iak) cor vat Mledacton Alo 185, vo pera] Be fected to vee te 4 Colocion st ornate ins Sele avald SHE coma ume” Tnovag GUS cona| FORM aba" for bus intorston eolncon ie o790"00. The wme| APPROVED. ecu completa the micmaoor colectan eased Beerage 8 ae poreopone sg We tne it fev ‘OMB NO. nsraBions satenna'anstog data foueampatnorng an8] 0579-0160 rartaning ine sia naodes, ana conploing sf ovary cohesion dt infrmaton = EO Te CONSISNON ONE HPPER ME Lot P.O. Box 867 Shelby, MT 59474 ‘STREET ADDRESS ‘ony, STATE, 2 CODE "AREA CODE & TELEPHONE NO. nae CECH THE BOX THAT WOIGATES THE FOLLOWS TRUE are "Zi Brer rae we yor ange Face tron sce us | tag coLca DESCRIPTION 1701) ~(@06) 434-7782 env. stare. a cone 7 SReh {ERE HORSES WERE LOADED ON CONVEYANCE, NANE OF AUCTION — yin ICONSGHEE (RECEVERDESTRATOROMEVRY EXPORTS BO Box 2028 + Fort MacLecd, AB TOLO70_ (403) 553-4431 [STREET ADDRESS [AREA GODE & TELEPHONE NO, THIS CERTIFICATE Frees ae shoo beat wagon al nbs Hares 0 nt in in bth ees BREEDTYPE rs a twas uns AY rans | REMARKS Ici! Gry] 8k | Fa [earn] Ger] TB [ar | Om] Pony [Omer Mave | Sal [Ga | Tatoos ee | exsing certions Eg re NN INN NINAR { a THORSES WAVE HAD AGOESS TO FOOD, WATER, AND REST FORA NINKAAOF 6 CONSECUTIVE HOURS NBIED TEL -OEFORI ORDING NTO CONVEYANCE: sinaTuRE THEREBe-AUTHORIZE THE ‘SGNATURE OF OWNERSAPPER| cory hat he wieaton contained fers wb a poe Ihe bost of my krawedge) UZ 7 b-b— rownio ease) ‘ATO DIGRLOSE THIS DOCUMENT AND THE NFOFWATION RTT AS] COMPLETED BY THE CFIA OR DGIr 70 THE USDA. FALSIFICATION CF THIS FORM OR KNOWINGLY USING A FALSIFIED FORM IS A CRININAL OFFENSE AND WAY FESULT IN FINE OF NOT MORE THAN 101000 OF IMPAISONVENT FOR NOT MORE THAN 5 YEARS OR BOTH (18 U.S.C, SECTION 100). PART 1- INSPECTOR DIRECCION GENERAL DEINSPECCION EN FRONTERAS (OGIF) eye atlan Foca inspect a Ga DePARTNENT OF GREE rong Wo Papeo Reacon Ff, pare nau AORTA aarectOeRICE and Sneek ce a nt er scas va onli” ne Sekt Gusreatel| FORM OWNERISHIPPER CERTIFICATE rua hs efoman coleton 0Te 210. The tre] pePROVED FITNESS TO TRAVEL TO ASLAUGHTER FACILITY |sfus: £m pev‘ennrss"niciss eine eetuinrea] OME NO (CONTINUATION SHEET) renaniy ve tan teiet cucmsengadmnmcy ts] (Pine Speer oti essen hesence COLOR DESCRIPTION EREEDIYPE ox manne Cel tao | rita | A 7 Teoma. | tele Bay | Grey | ai, [Pin [oreen] over] 73 | aT | Orst| Pony |omer| vere | Sta os * Uis-x BUSS, | Sj -S | sorvel 171 =) Rust | Sarre, «| | Pa | } 7° iz = Z ee Ey ZF = a 2 ny AN IN z AN NIN \ 7 | @ eSrcoe Duly, WAZ 8 TTS pECiOn Ageoy slals THERESY AUTHORIZE THE OFA TO DISGLOSE THis DOCUMENT AND THE INFORUATION INT AS COMPLETED BY THE CFIA TOTHEUSDA. FALSIPCATION ‘OF THis FORM OR KNOWINGLY USING & FALSIFIED FORM IS A CRIMINAL OFFENSE AND MAY RESULT IN A FINE OF NOT MORE THAN $10,000 OF IMPRISONMENT FORNOT MORE THAN 5 YEARS OR BOTH (18US.C. SECTION 1001) SS ST ae aS SST oT ST Zé i, VB FoRM “U8, Gover Pig Oo £080 BTE-SRUNTOD (se 2002) ASTHMSPEETON SERVICE «PER CERTIFICATE FITNESS TO TRAVEL TO A SLAUGHTER FACILITY (Please type or pit n ink) acorig ammaa Rectan P91 ro parry FORM APPROVED ‘ONE NO, 0579-0160, Tie HORGES LOADED On CONVEYANCE ou4s DATE OTN = RED £. [SAUER zen “1B. MARION Hakom) FORO TaRie ONIO _ ¥3382 GaSe aS" | Pragnert ars rer if al (iv i) cing te to. Fons aria than 6 mri a ag. (COLOR DESCRIPTION & wis INDICATES THE FOLLOW i ae OHS SA hake = = OTE EU esas, Rus Reve C.PIO1 PUSBCUILE (reece So6!Ko. [RSS 290 TRUE FOR ALL THE “i ‘ON THIS CERTIFGATE Hoses ave abl to boar weight on a 4 nbs Horas a ot birt nba yas SREEDTYPE Moree ve aloo wale nase, aranos | REVAAKS Incudo Tag vic | 6B. aay [ir [ek [mw ons [ona 8 [ar Tato, ote | exstageentiane (tor | Hare BR Be | 3 Sal | 505 ond Bn one WA S380 | all | fia a EI: {998 ore *} 4 Drat 1 WD leer ave bet Beg! HORSES HAVE HAO AGCESS TO FOOD, WATER. AND REST FOR A NININLN OF 6 CONSECUTIVE HOURS WiMGOIATELY BEFORE LOADING INTO CONVEYANCE. seuTune Th cs au THEREBY AUTHORWZE THE GFA TO DI! 'SGNATURE OF OWNERS inebest of my krawecge| 2 Pia a CANADIAN FOOD TEPER REEYET EAD pm eh i si a 12S. DIRECOION GENERAL DE INSPECGION EN FRONTERAS (OGIF) Trait nlomaioncowneanbslomibmeandeareste | esr +, = a cake Brace PART 1- INSPECTOR ame oF sam Reza te Papert 7 ‘Cant AL inappecroN sven rs roped reason 9 eatacSon of Sema tics azole 2 vat CM crcl numb The wd OMS contcl] FORM =t/SHIPPER CERTIFICATE recuoed Cie atammtion couecon is 0570-0160. The Gime! APPROVED Flincos TO TRAVEL TO A SLAUGHTER FACILITY |svcoss Sm pe reone neuitng tu ts tr ovieg| | OMBNO. , (CONTINUATION SHEET) raring aa soda scams an oa ° (Pree 0 at nd cio ssomaton 113 | tap |__COORDEScRIROW SREEDITYPE sex PEMA PRe™ | Ny [Gey ex [rats [emm]cner| ro | Gr [Ort] Fon[oner] mow] om [ows] THESE | part + [Lysmelqaed AP Do fio y a Sas [en PoP ns eer ev

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