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PD Bill of Sale of Canine Ares; Phillip MelodiaPURCHASE AND HOLD HARMLESS AGREEMENT THIS AGREEMENT is executed this 7`h day of February, 2019, by the CITY OF SAN RAFAEL, as SELLER, and Phillip Melodia, as BUYER. RECITALS WHEREAS, SELLER is the owner of that certain retired police dog described as follows: Name: Ares; Breed: German Shepherd; Sex: Male; Birthdate: 07,110/11; and all the terms of this Bill of Sale refer to such dog. WHEREAS, BUYER is a San Rafael Police Officer who has acted as the handler for the dog in connection with the dog's work for the San Rafael Police Department; and WHEREAS, due to BUYER's intimate and long-standing relationship with the dog, BUYER desires to acquire the dog from SELLER, and is uniquely qualified to do so; NOW, THEREFORE, SELLER hereby sells the dog to BUYER, on the terms and with the representations set forth below: AGREEMENT 1. Purchase Price: The full purchase price for the dog, including the dog's kennel, is One Dollar ($1.00), receipt of which is hereby acknowledged by SELLER. 2. SELLER obtained the dog from Golden Gate K9 in June 2013. 3. The dog has been specially trained as a police dog, including the following specific training: Handler protection, Criminal apprehension, and Narcotics detection. 4. SELLER is the legal owner of the dog, and believes that the dog is healthy and in good condition, except for any conditions listed hereafter: None 5. The dog has had the following vaccinations: 3RiGIAp Vaccination Date Veterinarian See Attached 6. The dog will need the following vaccinations next: Vaccination Date Unknown 7. BUYER agrees to take possession of the dog immediately upon execution of this Agreement, and. 8. Upon BUYER taking possession of the dog pursuant to this Agreement, BUYER shall indemnify, defend, and hold harmless SELLER from and against any and all claims or suits for damages, injury or wrongful death caused by or arising from any action or conduct of the dog. BUYER shall further indemnify, defend, and hold harmless SELLER from and against all costs, attorney's fees, expenses, and liabilities related to any claim or any action or proceeding brought within the scope of this indemnification. 9. Except as specifically stated herein, SELLER makes no representations or warranties to BUYER concerning the dog or this sale, and from and after the date of taking possession of the dog, BUYER releases SELLER from any and all expenses attributable to the dog, or liability for loss, injury or damages to the dog or to BUYER or BUYER's real or personal property or to any other person or proper, caused by, arising from, connected with or attributable, in whole or in part, to the dog. 10. If the BUYER decides for whatever reason he no longer wants to own or possess the dog, BUYER shall provide the SELLER with the first right to re -acquire the dog from the BUYER for One dollar ($1.00). BUYER shall provide SELLER with written notice of BUYER'S intention to transfer ownership of the dog. Upon the receipt of such written notice, SELLER shall have ten (10) calendar days to provide BUYER with an unequivocal, irrevocable, written commitment to purchase the dog. If SELLER fails to provide BUYER with such notice within the 10 -day period, BUYER shall be free to transfer the dog to a third party. WHEREFORE, the parties have executed this Purchase and Hold Harmless Agreement on the date first set forth above. SELLER, THE CITY OF SAN RAFAEL By: � V -- — C�r� M CHUTZ, Ci Manager BUYER Santa Rosa, East San Rafael Veterinary Clinic, Inc. 820 D Street San Rafael, CA 94901 415-456-4463 Exam Date: FEB 12 15 - 1:31 pm Record No: 142009 Provider: ANA APOSTOL DVM Problem: No Entry Location: No Entry Species: CANINE Breed: GERMAN SHEP Gender: M Color: BLACK AND TAN Current Identifications Type Identification L(� Medical Records Report Patient: ARES SAN RAFAEL POLICE DEPT 1400 FIFTH AVE SAN RAFAEL, CA 94901 415-485-3000 Provider: AA - Record: 142009 - Date: FEB 12 15 - Page: 1 DOB: JAN 12 12 Age: 3 Yrs 1.1 Mns Weight: 0 lbs 0.00 kgs Active Rx Items RxNo Rxltem RxDesc RxDate RxExpire 289582 2100003 TRAMADOL 50MG TABLETS JUL 16 18 JAN 16 19 Give 1 Tablet Orally Three Times A Day Until Gone- For Pain Reminder Items RmItem RmDesc RmDate RmDue 50061 LEPTOSPIROSIS VACCINE- BOOSTER MAR 2 18 MAR 2 19 5007 BORDETELLA SC MAR 2 18 MAR 2 19 50091 CANINE INFLUENZA VACCINE BOOST MAR 22 18 MAR 22 19 5011 RABIES 3 YR (KV) AUG 11 16 AUG 11 19 5003 DA22P VACCINE- 3 YEAR MAR 2 18 MAR 2 21 Presenting Problem(s) Presenting Complaint: Presents for wellness exam and vaccines. Doing great! No concerns. Systems Review: No C/S/V/D/PU/PD. Good appetite and energy. Environment: Only pet Current medications: Frontline, Heartgard Current diet: Limited Ingredient kibble SID Immunizations: Due for bord, Lepto, DA2PP Exam Detail BODY SYSTEM STATUS FINDINGS Vitals Normal BARH, P-90 ,R -pant , mm pink, moist. CRT <1.5 sec, T- F, Wt -102.0 #, BCS -5 /9 Integumentary Normal Clean, full coat, no evidence of ectoparasites Oral/Nasal/Thr Normal No nasal discharge. Oral- calculus0 /4, gingivitis0 /3. Eyes Normal OU- Conjunctiva, sclera,cornea, anterior chamber, iris, and lens are clear and there is no discharge. Fundic exam not performed. Ears Normal AU- Auricular canal is clean, clear and there is no discharge. There were no foreign bodies seen and the tympanic membrane was intact. Musculoskeleta Normal Ambulatory x4, no lameness noted. Neurological Normal Appropriate mentation, full cranial nerve exam not performed. No CP deficits noted. Respiratory Normal Eupneic, no adventitious lung sounds Cardiovascular Normal No murmur or arrhythmia auscultated, strong, synchronous femoral pulse quality. Abdomen/GI/UG Normal No pain on palpation. No obvious distention or organomegaly. Patient: ARES Species: CANINE Breed: GERMAN SHEP Provider: AA - Record: 142009 - Date: FEB 12 15 - Page: 2 Gender: M Color: BLACK AND TAN DOB: JAN 12 12 Age: 3 Yrs 1.1 Mns Weight: 0 lbs 0.00 kgs Exam Detail continued --- Lymph Nodes No=3: No peripheral lymphadenopathy Notes Treatment/Diagnostics: Immunizations: Bord, 1 yr, LTL, Pfeizer Lepto, lyr, LPL, Pfeizer DA2PP, 3yr, RTL, Zoetis HWT (Antech): pending Assessment: Heathly adult Plan/ Client education: Discussed vaccine reactions, oral care Recheck: PRN Provider: Ana Apostol, DVM Addendum 2.13.15: HWT neg Charges ITEM DESCRIPTION QTY DATE STATUS 1000WE12 WELLNESS EXAM ADULT 1.00 FEB 12 15 Accepted 5005 BORDETELLA INTRANASAL -BOOSTER 1.00 FEB 12 15 Accepted 710036 HEARTWORM TEST (ANTIGEN) 1.00 FEB 12 15 Accepted 5006 LEPTOSPIROSIS VACCINE INITIAL 1.00 FEB 12 15 Accepted 5003 DA2PP VACCINE- 3 YEAR 1.00 FEB 12 15 Accepted 600235 NEXGARD 60.1 - 121 LB 6PK 1.00 FEB 12 15 Accepted East San Rafael Veterinary Clinic, Inc. 820 D Street San Rafael, CA 94901 415-456-4463 Exam Date: MAR 11 16 - 6:28pm Record No: 164875 Provider: DEBORAH THOMSON, DVM Problem: No Entry Location: No Entry Medical Records Report Patient: ARES SAN RAFAEL POLICE DEPT 1400 FIFTH AVE SAN RAFAEL, CA 94901 415-485-3000 Patient: ARES Species: CANINE Breed: GERMAN SHEP Provider: DT - Record: 164875 - Date: MAR 11 16 - Page: 3 Gender: M Color: BLACK AND TAN DOB: JAN 12 12 Age: 3 Yrs 1.1 Mns Weight: 72.6 lbs 32.92 kgs Presenting Problem(s) Presenting complaint- Annual exam due and Bordetella and Leto due. New handler started with P last week. This is the first police dog of the.handler however the handler has had pet dogs in the past. No known c/s/v/d/PU/PD. Only dog in house. Past medical hx- see previous medical history. Current meds- Frontline and Heartgard Current diet-unkonwn Environment/Travel hx - police dog (attack and sniffing?) Immunizations- UTD on rabies, DA2PP. Due for BV and Lepto Exam Summary Abbreviated exam due to P's fractious nature Exam Detail BODY SYSTEM STATUS FINDINGS Vitals Normal BARH, P- -100, R- pant, mm pink, T -UTA, Wt- 32.9 kg, BCS- 6/9 Integumentary Normal Clean full coat, no evidence of ectoparasites Oral/Nasal/Thr Normal Nasal- no nasal discharge Oral- UTA Throat- UTA Eyes Normal OU- Conjunctiva, sclera,cornea, anterior chamber, iris, and lens are clear and there is no discharge. Fundic exam not performed. Ears Normal Unable to evaluate Musculoskeleta Normal Ambulatory x4, no lameness noted. Neurological Normal Appropriate mentation, full cranial nerve exam not performed. No clear CP deficits noted. Respiratory Normal Eupneic, no abnormal lung sounds Cardiovascular Normal No murmurs/arrhyhtmia auscultated, good femoral pulse quality. Abdomen/GI/UG Normal Very tense Could not visualize nor evaluate testicles Lymph Nodes Normal No peripheral lymphadenopathy Patient: ARES Species: CANINE Breed: GERMAN SHEP Provider: DT - Record: 164875 - Date: MAR 11 16 - Page: 4 Gender: M Color: BLACK AND TAN DOB: JAN 12 12 Age: 3 Yrs 1.1 Mns Weight: 72.6 lbs 32.92 kgs Notes Assessment: Seemingly healthy adult dog Diagnostics + Therapeutics: Diagnostic tests - none Immunizations - Leptospirosis 1yr SC RHL, Zoetis Vanguard L4, Serial No 118114A, Exp 14 Mar 17 Bordetella 1yr SC LHL, Zoetis Bronchicine CAe, A413084A, Exp 22 Nov 17 Procedure - 2 vaccines Plan -CE: Reviewed signs of vaccine reaction Recommended Nexgard instead of Frontline Plan -Tx: none Provider: Deborah Thomson, DVM East San Rafael Veterinary Clinic, Inc. 820 D Street San Rafael, CA 94901 415-456-4463 Exam Date: MAY 12 16 - 1:13pm Record No: 168898 Provider: DOUG EVANS Problem: No Entry Location: No Entry Medical Records Report Patient: ARES SAN RAFAEL POLICE DEPT 1400 FIFTH AVE SAN RAFAEL, CA 94901 415-485-3000 Patient: ARES Species: CANINE Breed: GERMAN SHEP Provider: DE - Record: 168898 - Date: MAY 12 16 - Page: 5 Gender: M Color: BLACK AND TAN DOB: JAN 12 12 Age: 3 Yrs 1.1 Mns Weight: 72.6 lbs 32.92 kgs Presenting Problem(s) not putting weight on right rear leg Last night was first night back on patrol Had spent weeks completing narco and other training In car then spins and last night would have been first night spinning; surface is mildly abrasive Exam Summary Dog did well with exam and Phil the new handler toe touching RPL, subjectively acts as if it is a lower leg injury: touching toe, though if excited will put significant weight on foot. extensive palption, manipulation shows no defects no pain Exam Detail BODY SYSTEM STATUS FINDINGS Gen. Appearanc Normal BARH. T=NE. Wt=est 70 #s Integumentary Normal Normal coat, no ectoparasites noted Oral -Dental Normal nice teeth, no visible trauma, minmal tartar MM's Normal Pink, CRT < 1.5 seconds Eyes Normal Normal Ears Normal Clean Musculo/Skelet Abnormal Body Condition Score=4/9 RPL toe touching, careful exam hip to toes is unrevealing, no effusion in stifle, no pain to lower leg (no response) no appreciable swelling, Pads not damaged by "spinnning" Respiratory Normal RR=12) Eupneic, no abnormal lung sounds Cardiovascular Normal HR=94/min, no murmurs ausculted Abdomen Normal No pain or masses on palpation. Genito/Urinary Normal Normal, Lymph Nodes Normal Normal Neurological Normal Normal Patient: ARES Species: CANINE Breed: GERMAN SHEP Provider: DE - Record: 168898 - Date: MAY 12 16 - Page: 6 Gender: M Color: BLACK AND TAN DOB: JAN 12 12 Age: 3 Yrs 1.1 Mns Weight: 72.6 lbs 32.92 kgs Notes Assessment: A1- Lameness RPL 5.12.16 level of lameness is concerning to me, dog at times barely toe touching, yet no abnormalities are noted Plan: RX:Rimadyl 100 mg #10 SIG 1/2 BID REST until lameness gone, if not improving each day then return for sedation and rads Client Education: soft tissue vs orthopaedic injuries Recheck: PRN Provider: Douglas Evans, DVM East San Rafael Veterinary Clinic, Inc. 820 D Street San Rafael, CA 94901 415-456-4463 Exam Date: MAY 16 16 - 1:52pm Record No: 169143 Provider: DOUG EVANS Problem: No Entry Location: No Entry (� r Medical Records Report Patient: ARES SAN RAFAEL POLICE DEPT 1400 FIFTH AVE SAN RAFAEL, CA 94901 415-485-3000 Patient: ARES Species: CANINE Breed: GERMAN SHEP Provider: DE - Record: 169143 - Date: MAY 16 16 - Page: 7 Gender: M Color: BLACK AND TAN DOB: JAN 12 12 Age: 3 Yrs 1.1 Mns Weight: 72.6 lbs 32.92 kgs Presenting Problem(s) FOOT ISSUE Presents for Exam Detail BODY SYSTEM STATUS FINDINGS Gen. Appearanc Normal Integumentary Normal Oral -Dental Normal MM's Normal Eyes Normal Ears Normal Musculo/Skelet Normal Respiratory Normal Cardiovascular Normal Abdomen Normal Genito/Urinary Normal Lymph Nodes Normal Neurological Normal Notes Assessment: Plan: Client Education: Recheck: Provider: BARH()/QARH(). T=101.5. Wt=# Pink, CRT < 1.5 seconds Body Condition Score=5/9 No lameness RR=wnl(x)/panting()/abnormal rate() Eupneic, no abnormal lung sounds HR=120/min, no murmurs ausculted No pain or masses on palpation. East San Rafael Veterinary Clinic, Inc. 820 D Street San Rafael, CA 94901 415-456-4463 Exam Date: AUG 11 16 - 4:17pm Record No: 174942 Provider: DOUG EVANS Problem: No Entry Location: No Entry Medical Records Report Patient: ARES SAN RAFAEL POLICE DEPT 1400 FIFTH AVE SAN RAFAEL, CA 94901 415-485-3000 Patient: ARES Species: CANINE Breed: GERMAN SHEP Provider: DE - Record: 174942 - Date: AUG 11 16 - Page: 8 Gender: M Color: BLACK AND TAN DOB: JAN 12 12 Age: 3 Yrs 1.1 Mns Weight: 66.6 lbs 30.20 kgs Presenting Problem(s) Presenting Complaint: Annual exam and vaccinations: needs heartworm, roundworm, flea, tick treatment Previous history: See previous medical records. previous strain: resolved with changes in the patrol car Systems Review: No C/S/V/D/PU/PD. Normal appetite and energy. Environment: working, household, Vaccination Status: see records Travel history: Diet: Exam Summary Dog did great today, seems comfortable here now. thin but healthy thin complete exam: no ortho issues, eyes to fundus normal, teeth look great, no damaged teeth Exam Detail BODY SYSTEM STATUS Vitals Normal Integumentary Normal Oral/Nasal/Thr Normal Eyes Normal Ears Normal Musculoskeleta Normal Neurological Normal Respiratory Normal Cardiovascular Normal Abdomen/GI/UG Normal Lymph Nodes Normal FINDINGS BARH, P- 84,R -Pant , mm pink, moist. CRT <1.5 sec, T -NE F, Wt - 66(+)#, BCS- 4/9 Clean, full coat, no evidence of ectoparasites No nasal discharge. Oral- calculus 0/4, gingivitis 0/3. OU- Conjunctiva, sclera,cornea, anterior chamber, iris, and lens are clear and there is no discharge. Fundic exam is normal OU, but need to do slowly, makes dog nervous. AU- Auricular canal is clean, clear and there is no discharge. There were no foreign bodies seen and the tympanic membrane was intact. Ambulatory x4, no lameness noted. Appropriate mentation, full cranial nerve exam not performed. No CP deficits noted. Eupneic, no adventitious lung sounds No murmur or arrhythmia auscultated, strong, synchronous femoral pulse quality. No pain on palpation. No obvious distention or organomegaly. No peripheral lymphadenopathy Patient: ARES Species: CANINE Breed: GERMAN SHEP Provider: DE - Record: 174942 - Date: AUG 11 16 - Page: 9 Gender: M Color: BLACK AND TAN DOB: JAN 12 12 Age: 3 Yrs 1.1 Mns Weight: 66.6 lbs 30.20 kgs Notes Treatment/Diagnostics: RABIES RH with officer holding: 3 yr Assessment: Healthy exam today Plan/ Client education: Owner asks about microchip: given dog's duties suggest a GPS collar and tracking app might be more useful RX: Nexgard 60-120# 6 chews RX: Heartgard 50-100# 6 chews Recheck: PRN Provider: Douglas Evans, DVM East San Rafael Veterinary Clinic, Inc. 820 D Street San Rafael, CA 94901 415-456-4463 Exam Date: JAN 30 17 - 4:00pm Record No: 185387 Provider: DOUG EVANS Problem: RX REFILL Location: No Entry Medical Records Report Patient: ARES SAN RAFAEL POLICE DEPT 1400 FIFTH AVE SAN RAFAEL, CA 94901 415-485-3000 Patient: ARES Species: CANINE Breed: GERMAN SHEP Provider: DE - Record: 185387 - Date: JAN 30 17 - Page: 10 Gender: M Color: BLACK AND TAN DOB: JAN 12 12 Age: 3 Yrs 1.1 Mns Weight: 0 lbs 0.00 kgs Presenting Problem(s) CODE DESCRIPTION RXREF=_.:. RX REFILL Diagnosis / (Rule Out) CODE DESCRIPTION RXREFILL RX REFILL Charges LOCATION STATUS Confirmed ITEM DESCRIPTION QTY DATE STATUS 600228 HEARTGARD PLUS 50-100 BROWN/6 1.00 JAN 30 17 Accepted 600235 NEXGARD 60.1 - 121 LB 6PK 1.00 JAN 30 17 Accepted GIVE 1 TABLET ORALLY ONCE A MONTH FOR PREVENTION OF FLEAS AND TICKS East San Rafael Veterinary Clinic, Inc. 820 D Street San Rafael, CA 94901 415-456-4463 Exam Date: MAR 11 17 - 10:31 am Record No: 187680 Provider: TECHNICIAN Problem: No Entry Location: No Entry Medical Records Report Patient: ARES SAN RAFAEL POLICE DEPT 1400 FIFTH AVE SAN RAFAEL, CA 94901 415-485-3000 Patient: ARES Species: CANINE Breed: GERMAN SHEP Provider: ZEC - Record: 187680 - Date: MAR 11 17 - Page: 11 Gender: M Color: BLACK AND TAN DOB: JAN 12 12 Age: 3 Yrs 1.1 Mns Weight: 77.8 lbs 35.28 kgs Presenting Problem(s) BORDETELLA SC- BOOSTER LEPTOSPIROSIS VACCINE- BOOSTER. RS East San Rafael Veterinary Clinic, Inc. 820 D Street San Rafael, CA 94901 415-456-4463 Exam Date: JUL 11 17 - 11:53am Record No: 195400 Provider: DOUG EVANS Problem: RX REFILL Location: No Entry Species: CANINE Breed: GERMAN SHEP Gender: M Color: BLACK AND TAN Presenting Problem(s) CODE DESCRIPTION RXREFILL RX RE ---T.7 Diagnosis / (Rule Out) Medical Records Report Patient: ARES SAN RAFAEL POLICE DEPT 1400 FIFTH AVE SAN RAFAEL, CA 94901 415-485-3000 Patient: ARES Provider: DE - Record: 195400 - Date: JUL 11 17 - Page: 12 DOB: JAN 12 12 Age: 3 Yrs 1.1 Mns Weight: 0 lbs 0.00 kgs LOCATION CODE DESCRIPTION STATUS RXREFILL RX REFILL Confirmed Charges ITEM DESCRIPTION QTY DATE STATUS 600235 NEXGARD 60.1 - 121 LB 6PK 2.00 JUL 11 17 Accepted GIVE 1 TABLET ORALLY ONCE A MONTH FOR PREVENTION OF FLEAS AND TICKS East San Rafael Veterinary Clinic, Inc. 820 D Street San Rafael, CA 94901 415-456-4463 Exam Date: SEP 13 17 - 10:17am Record No: 199396 Provider: JERRY MOORE, DVM Problem: No Entry Location: No Entry (� r Medical Records Report Patient: ARES SAN RAFAEL POLICE DEPT 1400 FIFTH AVE SAN RAFAEL, CA 94901 415-485-3000 Patient: ARES Species: CANINE Breed: GERMAN SHEP Provider: JM - Record: 199396 - Date: SEP 13 17 - Page: 13 Gender: M Color: BLACK AND TAN DOB: JAN 12 12 Age: 3 Yrs 1.1 Mns Weight: 70 lbs 31.75 kgs Presenting Problem(s) PHYSICAL EXAM ANNUAL. -has been well; monthly Hgard/Nexgard Exam Detail BODY SYSTEM STATUS FINDINGS Gen. Appearanc Normal Integumentary Normal Oral -Dental Normal Mm's Normal Eyes Normal Ears Normal Musculo/Skelet Normal Respiratory Normal Cardiovascular Normal Abdomen Normal Genito/Urinary Normal Lymph Nodes Normal Neurological Normal Notes Assessment: healthy Plan: N/A Client Education: Recheck: Provider: JM BARH(X)/QARH(). T=101.5. Wt -#70 mild periodontal Ds, a few small cusp Fxes-no pulp exposure Pink, CRT < 1.5 seconds Body Condition Score=5/9 No lameness RR=wnl(x)/panting()/abnormal rate() Eupneic, no abnormal lung sounds HR=120/min, no murmurs ausculted No pain or masses on palpation. East San Rafael Veterinary Clinic, Inc. 820 D Street San Rafael, CA 94901 415-456-4463 Exam Date: MAR 2 18 - 12:30pm Record No: 209652 Provider: ANA APOSTOL DVM Problem: No Entry Location: No Entry Medical Records Report Patient: ARES SAN RAFAEL POLICE DEPT 1400 FIFTH AVE SAN RAFAEL, CA 94901 415-485-3000 Patient: ARES Species: CANINE Breed: GERMAN SHEP Provider: AA - Record: 209652 - Date: MAR 2 18 - Page: 14 Gender: M Color: BLACK AND TAN DOB: JAN 12 12 Age: 3 Yrs 1.1 Mns Weight: 76.5 lbs 34.69 kgs Presenting Problem(s) Presenting Complaint: Patient presents for wellness exam and vaccines. Clients report no issues at home. Medical history: See previous medical records Systems Review: No C/S/V/D/PU/PD. Good appetite and energy. Environment: one other dog Current medications: Nexgard, Heartgard Current diet: Natural Balance limited ingredient Travel history: CA Immunizations: Due for DA2PP, Bord, Lepto, CIV Exam Detail BODY SYSTEM STATUS FINDINGS Vitals Normal BARH P- SO R-20 mm pink, moist. CRT <1.5 sec T- F Wt- 76 # BCS- 5/9 Integumentary Normal Clean, full coat, no evidence of ectoparasites Oral/Nasal/Thr Normal No nasal discharge. Oral- calculus 1/4, gingivitis 1/3. Eyes Normal OU- Conjunctiva, sclera,cornea, anterior chamber, iris, and lens are clear and there is no discharge. Fundic exam not performed. Ears Normal AU- Auricular canal is clean, clear and there is no discharge. There were no foreign bodies seen and the tympanic membrane was intact. Musculoskeleta Normal Ambulatory x4, no lameness noted. Neurological Normal Appropriate mentation, full cranial nerve exam not performed. No CP deficits noted. Respiratory Normal Eupneic, no adventitious lung sounds Cardiovascular Normal No murmur or arrhythmia auscultated, strong, synchronous femoral pulse quality. Abdomen/GI/UG Normal No pain on palpation. No obvious distention or organomegaly. Lymph Nodes Normal No peripheral lymphadenopathy Patient: ARES Species: CANINE Breed: GERMAN SHEP Provider: AA - Record: 209652 - Date: MAR 2 18 - Page: 15 Gender: M Color: BLACK AND TAN DOB: JAN 12 12 Age: 3 Yrs 1.1 Mns Weight: 76.5 lbs 34.69 kgs Notes Treatment/Diagnostics: Immunization - CIV, initial, LPL DA2PP 1/3yr SC RTL Leptospirosis IyrSC LPL Bordetella, l yr SC Assessment: Healthy Plan/ Client education: Looks great! Recheck: PRN Provider: Ana Apostol, DVM Charges ITEM DESCRIPTION QTY DATE STATUS 1007 PHYSICAL EXAM - COURTESY 1.00 MAR 2 18 Accepted 50061 LEPTOSPIROSIS VACCINE- BOOSTER 1.00 MAR 2 18 Accepted 5007 BORDETELLA SC 1.00 MAR 2 18 Accepted 5009 CANINE INFLUENZA VACCINE INITIAL 1.00 MAR 2 18 Accepted 5003 DA2PP VACCINE- 3 YEAR 1.00 MAR 2 18 Accepted East San Rafael Veterinary Clinic, Inc. � Medical Records Report 820 D Street ^ .7 San Rafael, CA 94901 Patient: ARES 415-456-4463 \ SAN RAFAEL POLICE DEPT 1400 FIFTH AVE Exam Date: MAR 22 18 - 11:02am ( SAN RAFAEL, CA 94901 Record No: 210978 415-485-3000 Provider: TECHNICIAN Problem: No Entry Location: No Entry Patient: ARES Species: CANINE Breed: GERMAN SHEP Provider: ZEC - Record: 210978 - Date: MAR 22 18 - Page: 16 Gender: M Color: BLACK AND TAN DOB: JAN 12 12 Age: 3 Yrs 1.1 Mns Weight: 76.5 lbs 34.69 kgs Presenting Problem(s) CANINE INFLUENZA VACCINE BOOST (KB) East San Rafael Veterinary Clinic, Inc 820 D Street San Rafael, CA 94901 415-456-4463 Exam Date: JUL 10 18 - 11:27am Record No: 218204 Provider: CORINNE ANDERSON, DVM Problem: No Entry Location: No Entry Medical Records Report Patient: ARES SAN RAFAEL POLICE DEPT 1400 FIFTH AVE SAN RAFAEL, CA 94901 415-485-3000 Patient: ARES Species: CANINE Breed: GERMAN SHEP Provider: CA - Record: 218204 - Date: JUL 10 18 - Page: 17 Gender: M Color: BLACK AND TAN DOB: JAN 12 12 Age: 3 Yrs 1.1 Mns Weight: 70 lbs 31.75 kgs Presenting Problem(s) PRESENTING COMPLAINT broken tooth, ? check mouth jd PAST PERTINENT HISTORY Healthy MEDICATIONS Heartgard Nexgard DIET OTC Exam Detail BODY SYSTEM STATUS FINDINGS GEN APPEARANCE Normal Wt:70 lbs T:101.5F P:100 R:pant MM:pink,moist CRT:1.5 sec BEHAVIOR:BAR NEURO Normal Normal mentation. Menace and palpebral intact. No neuro deficits noted. EYES / NARES Normal Cornea, anterior chamber, conjunctiva clear OU. No ocular discharge OU. No nasal discharge, smooth cobblestone appearance ORAL Abnormal No oral masses or ulcerations observed. Properly aligned bite. Mod dental calculus, plaque, esp at PM4s and molars 304 full crown fracture, complicated with pulp exposure EARS Normal Otic epithelium smooth and non -erythematous AU. No otic discharge AU. LYMPH NODES Normal Superficial cervical, mandibular, and popliteal LN are soft and measure <lcm. RESP Normal Eupneic. Clear lung sounds in all fields. No crackles/wheezes. No stertor/stridor. CARDIO Normal No murmurs or arrhythmias ausculted. Femoral pulses strong, synchronous, and symmetric. GI / GU Normal Smooth, non-painful, no organomegaly. MUSCULOSKELETA Normal Facial symmetry, no muscle atrophy. BCS: 3/5 Patient: ARES Species: CANINE Breed: GERMAN SHEP Provider: CA - Record: 218204 - Date: JUL 10 18 - Page: 18 Gender: M Color: BLACK AND TAN DOB: JAN 12 12 Age: 3 Yrs 1.1 Mns Weight: 70 lbs 31.75 kgs Exam Detail continued --- Adequate and symmetrical muscling, ambulatory x 4, no obvious joint effusion, no pain on spinal palpation. INTEG Normal Kempt hair coat. Adequate skin turgor. No alopecia noted. No overt evidence ectoparasites. Notes ASSESSMENT: P1)304 fracture, complicated Discuss Aggie dental- O would like extraction here. PLAN/CLIENT EDUCATION: 1. Exam Scheduled prophy and extraction 7 16`18 PROVIDER: CA East San Rafael Veterinary Clinic, Inc 820 D Street San Rafael, CA 94901 415-456-4463 Exam Date: JUL 16 18 - 7:56am Record No: 218590 Provider: CORINNE ANDERSON, DVM Problem: No Entry Location: No Entry Medical Records Report Patient: ARES SAN RAFAEL POLICE DEPT 1400 FIFTH AVE SAN RAFAEL, CA 94901 415-485-3000 Patient: ARES Species: CANINE Breed: GERMAN SHEP Provider: CA - Record: 218590 - Date: JUL 16 18 - Page: 19 Gender: M Color: BLACK AND TAN DOB: JAN 12 12 Age: 3 Yrs 1.1 Mns Weight: 70 lbs 31.75 kgs Presenting Problem(s) ***lmom (kc) Extraction 304 and prophy DENTAL PROPHY AND ASSESSMENT Patient was fasted overnight. No C/S/V/D. Exam Detail BODY SYSTEM STATUS FINDINGS Pre -Anes Exam Abnormal Wt:70lbs T:101.5F P:95 R:pant Gen:BAR CAUTION- tried to attack when taking temperature Cardio/Resp Normal Clear H/L sounds. No murmurs or arrhythmias appreciated. Strong and symmetric pulses. No crackles or wheezes. Eupneic. Oral -Dental Abnormal Dental calculus:1/4 Gingivitis:0/4 Pathologic disease observed:Fractured crown 304, complicated- root exposure Notes TREATMENT: Dental Prophy and extractions where indicated PRE -MEDICATION: Butorphaol 1 mg (total)IM Dexdomitor 10 mcg/kg IM Buprenorphine at 0.03 mg/kg IM INDUCTION: Alfaxan at 1mg/kg IV Midazolam at 0.3mg/kg IV IV LRS at 5mg/kg/hr ORAL EXAM: Patient: ARES Species: CANINE Breed: GERMAN SHEP Provider: CA - Record: 218590 - Date: JUL 16 18 - Page: 20 Gender: M Color: BLACK AND TAN DOB: JAN 12 12 Age: 3 Yrs 1.1 Mns Weight: 70 lbs 31.75 kgs Notes continued --- See Dental sheet DENTAL RADIOGRAPHS:2 LOCAL BLOCKS:see dental sheet ORAL SURGERY NOTES: EXTRACTIONS:304 Teeth scaled ultrasonically. Polished w fluoridated paste. Clindamycin 22 mg/kg IV Normal recovery. Rx Tramadol 50 mg- 1 tab po TID #15 Rx Previcox 227mg- 1 tab po SID #7 Rx Previcox 227 mg- PLAN/CE: Routine post anesthesia care. Advised on home dental care. RECHECK:as needed PROVIDER: CA Diagnosis / (Rule Out) CODE DESCRIPTION STATUS CALCUL DENTAL CALCULUS Unconfirmed Treatments ITEM NO DESCRIPTION DATE TIME INI 71000T760 URINALYSIS urinalysis- complete- cysto Charges ITEM DESCRIPTION QTY DATE STATUS 1011 PHYSICAL EXAM PRE -ANESTHETIC 1.00 JUL 16 18 Accepted 1100596 INJECTION PREANESTHETIC 1.00 JUL 16 18 Accepted item: 850071 qty: 0.16 mfg: ' lot: A582991A discard: SEP 28 12 - 80008 ADMIN: IV FLUIDS/CATHETER 1.00 JUL 16 18 Accepted 8000010 MEDICAL WASTE FEE 1.00 JUL 16 18 Accepted 30003 IV ALFAXAN ANESTHESIA/INDUCT 1.00 JUL 16 18 Accepted 1100571 INJECTION ANTIBIOTICS 1.00 JUL 16 18 Accepted 300013 PATIENT MON- EKG, NIBP, SP02 1.00 JUL 16 18 Accepted 30009 GAS ANESTHESIA -LG. CANINE 1.00 JUL 16 18 Accepted 25001 DENTAL PROPHY CANINE 1.00 JUL 16 18 Accepted 2500001 DENTAL X -RAY -MULTIPLE 2.00 JUL 16 18 Accepted 0p,� RAFI 1 -4 2 <C1 �o �/Ty WITH CONTRACT ROUTING FORM INSTRUCTIONS: Use this cover sheet to circulate all contracts for review and approval in the order shown below. TO BE COMPLETED BY INITIATING DEPARTMENT PROJECT MANAGER: Contracting Department: Police Project Manager: David Starnes Extension: 485-3471 Contractor Name: Phil Melodia Contractor's Contact: 485-3000 Contact's Email: 500@srpd.org ❑ FPPC: Check if Contractor/Consultant must file Form 700 Step T RESPONSIBLE DESCRIPTION COMPLETED REVIEWER DEPARTMENT , Project Manager DATE Check/Initial 1 a. Email PINS Introductory Notice to Contractor Click here tc ❑ enter a date, b. Email contract (in Word) and attachments to City 1/16/2019 Attorney c/o Laraine.Gittens@cityofsanrafael.org ❑ 2 City Attorney a. Review, revise, and comment on draft agreement C. I* .lJ;��ct and return to Project Manager c gel a , ate.9 b. Confirm insurance requirements, create Job on Click here to Q / PINS, send PINS insurance notice to contractor enter a date. to Nd 3 Department Director Approval of final agreement form to send to Click or tap ❑ contractor to enter a date. 4 Project Manager Forward three (3) originals of final agreement to Click here to ❑ contractor for their signature enter a date. 5 Project Manager When necessary, contractor -signed agreement ❑ N/A agendized for City Council approval * *City Council approval required for Professional Services ❑ Agreements and purchases of goods and services that exceed Or $75,000; and for Public Works Contracts that exceed $175,000 Click here to Date of City Council approval enter a date. _ PRINT Project Manager CONTINUE ROUTING PROCESS WITH HARD COPY 6 Forward signed original agreements to City City Attorney Attorney with printed copy of this routing form 7 Review and approve hard copy of signed agreement / y 8 City Attorney Review and approve insurance in PINS, and bonds �1sl�Q Al/ for Public Works Contracts 9 City Manager/ Mayor Agreement executed by City Council authorized �} official 10 City Clerk Attest signatures, retains original agreement and forwards copies to Project Manager L 1 q