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Billing Party: Owner

FOR LAB USE ONLY. Section(s): C B M N P S T V. Case Coordinator: Deliveries: 1490 Bull Lea Rd., Lexington, KY 40511 Carrier: M B D U F O V Other US Mail: PO Box 14125, Lexington, KY 40512-4125. Phone: (859) 257-8283 Fax: (859) 255-1624 Rec'd By / Ship Date: Comments: Billing Party: Veterinarian Owner Other: Owner : Veterinarian: Name: Clinic: Business: Address: Address: City: State: Zip: City: State: Zip: Phone: Fax: Phone: Fax: Email: Email: If additional copies of report are needed, please include E-mails or fax numbers here: General Information (Please provide as much information as possible): Field Necropsy (Submitted samples RABIES SUSPECT Diagnostic Necropsy Cremation Neurologic (Spinal Cord Removal).)

Bluetongue Virus Bovine Leukemia Virus: Leptospira (MAT) Screen Neospora caninum: Johne's (Mycobacterium paratuberculosis) Brucella abortus (S) (S) (S) (S) (S) Leptospira (MAT) Screen: B. burgdorferi (Lyme Disease) Other: (S) (S) Ovine Progressive Pneumonia (CAE / OPP) Caprine Arthritis and Encephalitis /

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