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National Kennel Club
APPLICATION TO REGISTER A PUREBRED DOG
(PLEASE PRINT NEATLY)

NAME OF DOG
SMK  Invincible
BREED    American Bulldog SEX   Male
DATE OF BIRTH         December  17,  1997 COLOR AND MARKING   White / Black Brindle
OWNER OF SIRE        Tim Phaneuf OWNER OF DAM          Paul Pappalardo
WAS THE DOG PREVIOUSLY REGISTERED?  Yes IF YES, WHICH REGISTTY?  ABA
INSPECTED BY DATE   
    SIRE   Crimson's Elrod
  SIRE Blackwell's Rolex  
    DAM  Blackwell's Blackeyed Susan
SIRE  GWK Landshark    
    SIRE    JDJ Dick The Bruiser 2
  DAM   Carr's  Lady Meghan  
    DAM  Blackwell's Blackeyed Susan
    SIRE   MGK Bam-Bam
  SIRE   Reda's Krunch  
    DAM   MGK Proud Mary
DAM 
Pappalardo's Whole Lot of Pudding
   
    SIRE   Johnson's Elrod 2
  DAM  Pappalardo's Daize  
    DAM  Malda's Sassie Sallie

I CERTIFY THAT I AM THE OWNER OF ABOVE DOG AND THAT THIS INFORMATION IS TRUE.

OWNER   John C. Lewis SIGNATURE
ADDRESS   3059 Brandau Road  /  Hermitage, Tennessee     37076-3502
TELEPHONE: (AREA CODE)        (615)    885 - 7736
WITNESS  WITNESS 

FEE: THREE GENERATION PEDIGREE: $13.00

ADD $5.00 FOR OUT OF COUNTRY CHECK OR MONEY ORDER (BANK REGULATION)

FOR RUSH SERVICE: ADD $5.00. IF DESIRED, CHECK HERE ________

OPTIONAL ENTRY ENTRY CARD $5.00

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