TEXAS BOARD OF VETERINARY MEDICAL EXAMINERS

04/29/2011 FRI 15.21 FA" 5123057574 TBVMB
D.V.M.
Agreed Order 2011-16
Page 4
STATE OF TEXAS
COUNTYOF ________ _
BEFORE ME, on this day, personally appeared D.V.M., known to me to
be the person whose name is subscribed to the foregoing Agreed Order, and
acknowledged to me that he executed the same for the purposes stated therein.
Given under the hand and seal of office this __ day of _____ > 20_.
Notary Public
SIGNED AND ENTERED by the TEXAS STATE BOARD OF VETERINARY
MEDICAL EXAMINERS on this the_day of ,2010.
Bud E. Alldredge, Jr., D.V.M.
President of the Board
Ii1J006/006