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Lee County Animal Control and Shelter A Division of Lee County Public Health 1450 N. Horner Blvd. • Sanford, NC 27330 Phone= 919-776-7446 • Fax: 919-718-1426 Charles Hackney, Chief Dog Warden Email: chackney®leecountyne.com Dear Dr * wishes to adopt a pet from the Lee County Animal Shelter. Before this adoption can be fulfilled our policy requires an appointment for the following mandatory services Basic Health Exam Rabies DHLPP/FVRCP, and Spay/Neuter Surgery. We prefer that payment be made in advance, however, if this is an established client you may choose to waive prepayment. Description of the pet to be adopted= ❑ Canine ❑ Feline ❑ Male ❑ Female Approx, age / weight Primary Breed: Color Other identifying info= Once the appointment and payment arrangements have been made to your satisfaction; please fill out the bottom half of this page and have the prospective pet owner bring back to our office so we may release the pet to them**. Thank you for your cooperation in reducing unwanted animals in Lee County! Signature of Lee County AC / Shelter Staff Name of prospective pet owner* Date The person listed above has made the necessary arrangements with my office to satisfy the requirements of the Lee County Animal Shelter adoption policy. Name of Veterinari Date of appointment 1_I Payment Received ❑ Pre-payment Waived Signature of Veterinarian Date *The above named prospective pet ownerhas two working days to mab-e these arrangements and understands that failure to follow through with required procedures can result in reclaim ofanirnal. **In breeds (or in dogs with the predominate breed) ofRottweiler or Pitt Bull which can be ahused in illegal dog fighting operations, shelter staff will be required to transport them to the veterinarian office/service to assure that spay and neutering will occur.