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<br />J <br /> <br />" <br /> <br />EUTHANASIA CERTIFICATION <br /> <br />ArUmal ShelterlHumane Society <br /> <br />license number <br /> <br />address <br /> <br />. . <br />city, state, Zip <br /> <br />In accordance with the North Carolina Animal Welfare Act, Chapter 19A, Article 3, the <br />North Carolina Administrative Code Subchapter 52J, ArUmal Welfare Sections T02: <br />... --szfOTObflifougli;0304;-and as tlieVeterinarianofrecord; .. . ....mm... <br /> <br />. . <br /> <br />1, Dr. <br /> <br />have <br /> <br />witnessed the lay persotl(s) listed below using proper and humane techniques of <br />euthanasia on five different occasions.. <br /> <br />These procedures are consistent with the A VMA principles of Veterinary Medical Ethics <br />with regards to: intravenous, intraperitoneal injection, and inhalation techniques. <br /> <br />Veterinarian's Signature <br /> <br />License # <br /> <br />Date <br /> <br />APPROVED LAY PERSON(S) <br /> <br />TYPE(S) OF EUTHANASIA-OBSERVED <br /> <br />This certificate ~ust be maintained at the shelter listed above and be <br />available for review at any time. by NCDA&CS, 'Veterinary Division <br />. employees. <br /> <br />G-s <br />