<p class="MsoNormal" style="mso-margin-bottom-alt:auto;text-align:justify;
line-height:200%"><span lang="ES-TRAD" style="font-size: 13pt; line-height: 200%; font-family: Leelawadee, sans-serif;">Yo <b>___________________________________________</b>
tutor de <b>____________________ </b></span><span style="font-size: 13pt; line-height: 200%; font-family: Leelawadee, sans-serif;">de Especie <b>________</b>, de Raza <b>_______
</b>he decidido que le realicen la eutanasia a mi mascota siendo las </span><span style="font-size: 13pt; line-height: 200%; font-family: Leelawadee, sans-serif;"><b>__________________</b></span><span style="font-size: 13pt; line-height: 200%; font-family: Leelawadee, sans-serif;"><b style=""></b>
del día </span><span style="font-size: 13pt; line-height: 200%; font-family: Leelawadee, sans-serif;"><b>________</b>_____________________________</span><span style="font-size: 13pt; line-height: 200%; font-family: Leelawadee, sans-serif;"><b>.</b><o:p></o:p></span></p>

<p class="MsoNormal" style="margin-bottom:7.5pt;text-align:justify;line-height:
200%"><span lang="ES-TRAD" style="font-size:13.0pt;line-height:200%;font-family:
&quot;Leelawadee&quot;,sans-serif;mso-fareast-font-family:&quot;Times New Roman&quot;;mso-ansi-language:
ES-TRAD;mso-fareast-language:ES-MX"><br></span></p><p class="MsoNormal" style="margin-bottom:7.5pt;text-align:justify;line-height:
200%"><span lang="ES-TRAD" style="font-size:13.0pt;line-height:200%;font-family:
&quot;Leelawadee&quot;,sans-serif;mso-fareast-font-family:&quot;Times New Roman&quot;;mso-ansi-language:
ES-TRAD;mso-fareast-language:ES-MX">Por razones personales y </span><span style="font-size:13.0pt;line-height:200%;font-family:&quot;Leelawadee&quot;,sans-serif;
mso-fareast-font-family:&quot;Times New Roman&quot;;mso-fareast-language:ES-MX">liberando
de cualquier responsabilidad a _______________________________________________ y a sus trabajadores.<o:p></o:p></span></p>

<p class="MsoNormal" align="center" style="margin-bottom:7.5pt;text-align:center;
line-height:200%"><b><span style="font-size:13.0pt;line-height:200%;font-family:
&quot;Leelawadee&quot;,sans-serif;mso-fareast-font-family:&quot;Times New Roman&quot;;mso-fareast-language:
ES-MX">______________________________<br>
Nombre y Firma del Tutor</span></b><span style="font-size:13.0pt;line-height:
200%;font-family:&quot;Leelawadee&quot;,sans-serif;mso-fareast-font-family:&quot;Times New Roman&quot;;
mso-fareast-language:ES-MX"><o:p></o:p></span></p>

<p class="MsoNormal"><o:p>&nbsp;</o:p></p>