Sex:
{Gender:51}
Breeder:
{This Dog Was Purchased From:59}
DOB:
{Date of Birth:49}
Owner:
{Name (First):38.3} {Name (Last):38.6}
{Mailing Address (Street Address):67.1}
{Mailing Address (City):67.3}, {Mailing Address (State / Province):67.4} {Mailing Address (ZIP / Postal Code):67.5}
Certificate Issued:
{date_mdy}