Page 2: Compliance with Spay/Neuter contract is verified on this page:

"Buyer is receiving this dog as a pet companion and will have the dog spayed or neutered during the first year of age as per veterinary recommendation for the health of the puppy." (Copy of receipt for altering must be provided to seller.)

Date:_______________________

Buyer Name:______________________________________________________________________

Address__________________________________________________________________________

City:_____________________________________ State: _______________ Zip:_________________

Phone: ____________________________Email:__________________________________________

Puppy's Name:_____________________________________________________________________

Puppy's date of birth:________________________________________________________________

Puppy was spayed or neutered on this date:_____________________________________________

Surgery was performed by:

Veterinarian Name:_________________________________________________________________

Address:__________________________________________________________________________

Telephone number:_________________________________________________________________

Mail to: Wendy Geertsen 625 Washington St. Boydton, VA 23917

Email to: maltese@datacareonline.net

As the purchaser of the above puppy I agree to verify to the seller this puppy was spayed or neutered.

signed:____________________________________________________________________