CLONE
GERMANY
Dr. Carola Möhrke
Dorneystrasse 65
44149 Dortmund
Germany
Phone: +4923196787910
CERTIFICATE OF COLLECTION OF DOG SEMEN
STUD DOG
breed
name
birth
chip
tattoo
reg.no.
OWNER
surname
first name
address
city
ZIP
country
Veterinary Certificate
Declaration by stud owner
I hereby certify that the dog described
above was presented for semen collection
on
At the time of semen collection the dog was
clinically examined and found to be free
from any signs of disease. The dog has had
two testicles, normally developed, in the
scrotum.
signature of veterinarian
I hereby certify that the dog described above,
from which semen has been collected, is the
alleged dog, which rightfully belongs to me.
date
signature of owner
SEMEN DETAILS
chilled semen
packaging: tube
type of extender: Clone Inc.
tube ID
microchip:
reg.-no.:
Motility
abnorm.
total number
sperms
of spermatozoa