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PLC:7998
Agency:Mclean County Animal Control Center
For:ANIMAL CONTROL
Phone:309-888-5060

Address:Morris Avenue
Bloomington, Illinois 61701

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*Required Fields
*Name First:
Name Middle:
*Name Last:
*Street:
Street 2:
*City:
*State:
*Zip:
*Year of Tag:
*Tag #:
*Name of Pet:
*Vaccination Date: (mm/dd/yyyy)
*Type: Altered Unaltered
*Under 7 months of age?: Yes No
Comments:
Please identify Breed of Animal, Color of Animal and Cat or Dog

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