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SAMPLE
REGULATED HUNTING DOG TRAINING AREA REPORT
Department of Environmental Protection, Wildlife Division,79 Elm St.,Hartford, CT 06106
Name of Permit Holder: WOODBURY SOUTHBURY ROD & GUN CLUB
For the Period: July 1, 2008 to June 30, 2008 Permit No: _________________________
Tag Numbers Issued: _______________ to __________________
WSRG: July 13, 2008
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DATE
PRINT PLEASE |
HUNTER’S FULL NAME
PRINT PLEASE |
HUNTING LICENSE NUMBER
PRINT PLEASE |
NUMBER AND NAME OF SPECIES LIBERATED
PRINT PLEASE |
NUMBER HARVESTED
PRINT PLEASE |
TAG
NUMBER USED
PRINT PLEASE |
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JULY 4, 2008 |
JOHN DOE |
776655 |
8 PHEASANTS |
3 |
84303-1 -2 -3 |
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JULY 4, 2008 |
JOHN DOE |
776655 |
3
CHUKARS |
2 |
84303-4 -5 |
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JULY 4, 2008 |
ED SMITH |
556677 |
3 PHEASANTS |
3 |
84303-6 -7 -8 |
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