MIME-Version: 1.0 Content-Type: multipart/related; boundary="----=_NextPart_01C7D65F.AE2D9AD0" This document is a Single File Web Page, also known as a Web Archive file. If you are seeing this message, your browser or editor doesn't support Web Archive files. Please download a browser that supports Web Archive, such as Microsoft Internet Explorer. ------=_NextPart_01C7D65F.AE2D9AD0 Content-Location: file:///C:/26F23234/barkingcomplaint.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" COUNTY OF LAKE

= COUNTY OF LAK= E

Department of Animal Care & Control

 

887 Lakeport Blvd.

Lakeport<= span style=3D'font-size:10.0pt'>, California 95453

Phone: (707) 263-0278

Fax: (707) 263-5067

Denise P. Johnson

Director

 

 

BARKING COMPLAINT

 

 

 

Owner of Barking K-9’s: _______________________        =           Date: __________________

 

Address of Ba= rking K-9’s: _______________________________________________________

 

Description of K-9’s: __________________________________________________________= _

______________________________________________________= ________________________

 

Dates/Times of Barking Disturbance: ___________________________= __________________

___________________________= ___________________________________________________

___________________________= ___________________________________________________________________________= ___________________________________________________________________________= ___________________________________________________________________________= ___________________________________________________________________________= ___________________________________________________________________________= __________________________________________________________________

 

Complaint = #1            =             &nb= sp;      Complaint #2        =             &nb= sp;            Complaint #3

 

_________________________    __________________________    ______________________= _

Print Name        =             &nb= sp;            =    Print Name        =             &nb= sp;            =      Print Name

 

_________________________    __________________________    ______________________= _

Physical Address        =             &nb= sp;      Physical Address        =             &nb= sp;        Physical Address

 

_________________________     __________________________ &nb= sp; _______________________

Mailing Address        =             &nb= sp;       Mailing Address                =             &nb= sp;Mailing Address

 

_________________________    __________________________    ______________________= _

Phone Number        =             &nb= sp;          Phone Number        =             &nb= sp;          Phone Number

 

_________________________    ______________________= ____    ______________________= _

Signature        =             &nb= sp;            =       Signature        =             &nb= sp;            =         Signature    

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