Equine Veterinarians AustraliaA Special Interest Group of the Australian Veterinary Association Ltd. ABN 63 008 522 852

CERTIFICATE OF EXAMINATION FOR PREGNANCY

Animal presented as: The Quick One (AUS)

(If unnamed) Sire: Fastnet Rock (AUS) Dam: Il Quello Veloce (NZ)

Colour: Bay Breed: Thoroughbred Sex: Mare

Microchip No: 985100012010454 Age/DOB: 8 years

Owner (if known):

Person requesting examination: Manager Place of examination: Lime Country

THE EXAMINATIONDate Manual Rectal Rectal Ultrasound Abdominal Ultrasound Positive Negative Was there evidence of twins?

05-05-2020 ✓ ✓ No

Comments:

N/A

Notes:

1) It is not possible to detect multiple pregnancies in all cases

2) To obtain insurance for the pregnancy, these tests must be completed 45 days or more from the last date of service.

This is to certify that I performed the described tests on the mare listed above

Date: 05-05-2020

Signed:

Name (please print): Karim Kooros

Contact Number: 02 48611166

Address: PO Box 308 Bowral NSW 2576

AVA No: 5207 VPB No: N5630

Equine Veterinarians Australia - Certifcate Of Examination For Mortality Insurance Purposes. Disclosure of history is the responsibility of the ownernot the veterinarian. © This form may not be reproduced without permission of the Australian Veterinary Association Ltd. 2011

Certificate N563020200505115013 Page 1