BURTNER KENNEL PERMIT RENEWAL (K20-000036).PDF

Maricopa County
Animal Care and Control
2500 South 27th Avenue
Phoenix, AZ 85009
(602) 506-7387 Tele.
(602) 506-2739 Fax
KENNEL PERMIT 1J n 0000
APPLICATION
LI New Renewal
()Gle Kennel Name: ki,ei-loz
Mailing Address: (ga___j_9__(_L_/ Kennel Address: /60q/)
City: 13()C, State: AZ Zip: '353(:& City: 10(1(-_,Ko_ P j (2 Zip:
County Supervisorial District: 4
phone:6N /IF& .079e27 Kennel Phone:6209N inth ;9a E
Please complete and sign this application and return it to the above address with payment in the amount of three
hundred fifty dollars ($350.00) within ten (10) days of receipt.
NOTE: Failure to renew the kennel permit by the expiration date of the previous year kennel permit will result in
penalty fees for each dog being assessed at $6 per month for unaltered dog and $3 per month for altered dog in
addition to the permit fee. It is suggested the renewal application be submitted 4 — 6 weeks in advance of the
expiration date to allow timely processing.
Pursuant to Arizona statute and county ordinance, a person must obtain a kennel permit issued by the Board
of Supervisors if the person operates a kennel in which there are five or more dogs which are not individually
licensed. A.R.S. §11-1009(A). A kennel is defined as "an enclosed, controlled area, inaccessible to other
animals, in which a person keeps, harbors or maintains five or more dogs under controlled conditions." A.R.S.
§ 11-1001(8).
An appointment will be scheduled for inspection of the kennel premises by an Animal Control Officer upon
receipt of this kennel permit application and fee. This kennel application properly executed and a copy of the
inspection report will then be forwarded to, and must be approved by, the Maricopa County Board of
Supervisors. The kennel permit form will be sent to you after approval and will be valid for one year from the
date of the Board's approval.
NOTE: Failure to show for a scheduled inspection and/or failure of inspection will warrant a Subsequent
Inspection Return fee of $49 fcr each additional visit at time of inspection. Failure of inspection may result in
denial of the kennel permit ant..: require individual licensing of each dog under the provisions of A.R.S. §11-
1008.
PLEASE ANSWER THE FOLLOWING QUESTIONS AND INITIAL EACH RESPONSE
Me assume complete responsibility for the kennel at the premises for which I/we are making
tion for a permit and understand that "kennel" means an enclosed, controlled area, inaccessible to

other animals, in which a person keeps, harbors or maintains five or more dogs under controlled
conditions (ARS 11-1001).
2. I/We certify that I/We have dogs and that the kennel meets the definition in statute.
3. (...p41/VVe certify that I/We have not been convicted of a violation of A.R.S. §§ 13-2910 (cruelty to animals)
or 13w-2910.01 (dog fighting), or similar violations of any other state, county or municipal animal welfare law.
(Violations of license and leash laws DO NOT apply).
4. 1p I/VVe certify that all dogs over the age of three (3) months that are kept, harbored or maintained on the
pre ises of the above named kennel have been properly vaccinated against rabies by a veterinarian licensed to
practice in the state of Arizona and that a current vaccination certificate signed by a licensed veterinarian is
maintained on the premises for each dog.
5.1{ 1k5" I /VVe certify that I/VVe are submitting a valid copy of the rabies vaccination certificate for each
with this application.
I/We understand that a dog remaining within the kennel is not required to be licensed individually under
A. r. .S. § 11-1008. I/we also understand that a dog leaving the controlled kennel conditions shall be licensed
under A.R.S. § 11-1008 except if the dog is only being transported to another kennel which has a permit issued
under this section.
I/We understand that a person who fails to obtain a kennel permit under A.R.S.§11-1009 is subject to a
of twenty-five dollars in addition to the annual fee.
8.% LI I/VVe understand that a person who knowingly fails to obtain a kennel permit within thirty days after
wr en notification from the county enforcement agent is guilty of a class 2 misdemeanor..
9. The undersigned understand that that the kennel permit does not authorize the operation of any type
of iiness arid is solely used lor the purpose of licensing multiple dogs.
INVe certify that all of the information INVe have provided is true and accurate under penalty of law.
/
Applicant Signatur
Applicant Signatur
For Official Use Only:
Copies of Valid Rabies Vaccination Certificates for each dog attached
Copy of Person's Valid Identification Attached
Type of Identification submitted
BOS Approval Date Term of Permit
October 2015

Maricopa County Animal Care and Control
2500 S. 27th Avenue
Phoenix, AZ 85009-6797
(602) 506-7387
http://pets.maricopa.bov
Receipt Number: R19-001134 Receipt Date: 11/13/2019
Person ID: P1875830
Phone: 602 4862928
BURTNER KENNELS
1509 N 194TH AVE 11/13/2019 11:04:05Aft
BUCKEYE, AZ 85396
Item: Animal ID: Reference No: Price: Each: Amount:
KEN PERMIT A7777777 K20-000036 $350.00 1 $350.00
Total Fees Due: $350.00
Payments: Cash:
Check: $350.00
Credit Card:
Total Payments Received: $350.00
Thank You!
Would you like to share your experience with our service to you? Change: $0.00
Please visit our website at http://pets.maricopa.gov and click on Balance Due: $0.00
"Contact Us" to email your comments for our review.
Animal Information:
A7777777 KENNEL PERM - BORN 9/14/1999, SPAYED, UNKNOWN/MIX, TRICOLOR DOG
License Information:
Tag Number: License Expires: Animal# Vacc Date: Vacc Expires:
Please retain this receipt with your pet's records
johnsonk WBUSOFF

Maricopa County
Animal Care & Control
2500 South 27th Avenue
Phoenix, AZ 85009
Phone: (602) 506-7387
pets.maricopa.gov
KENNEL PERMIT K20-000036
PREMISE INSPECTION
Number of Dogs: 50
Name: JUDY BURTNER Kennel Name: BURTNER KENNELS
Mailing Address:1509 N 194TH AVE Kennel Address: 1509 N 194TH AVE
City: BUCKEYE State: AZ Zip:85396 City: Buckeye Zip: 85396
County Supervisorial District: 4
Phone:602-486-2928 Kennel Phone: 602-486-2928
1. Are all dogs over the age of three months properly vaccinated for rabies and in
possession of a valid rabies vaccination certificate?
YES
2. Is the kennel an enclosed, controlled area, inaccessible to other animals, in which a
person keeps, harbors or maintains five or more dogs under controlled conditions?
YES
NOTE: Copies of each rabies vaccination certificate must be attached to the Kennel Permit
Premise Inspection form.
CORRECTIVE ACTION NEEDED FOR COMPLIANCE AND N/A DAYS GIVEN
BEFORE REINSPECTION. (Note: There will be $49 re-inspect fee payable to the
Inspector by check upon each return visit.)
This is a RENEWAL application.
All 50 dogs on the kennel premises are properly vaccinated and secure on the property.
There have been no complaints to MCACC regarding this address.
Deputy Enforcement Agent & Badge: Romero #4 Date: 11/13/19
October 2015

RABIES VACCINATION CERTIFICATE
NASPHV FORM 51 (Revised 2007)
RABIES TAG # 00000000000000000000
MICROCHIP #
Owner's Name & Address TELEPHONE #
Burtner Kennels License # K19 -000036 (602) 486 -2928
Address: City, State Zip:
1509 N 194th Ave Buckeye, AZ 85396
Animal Name: Weight: Predominant Breed:
Baby 7 Poodle
Species: Age: Color:
Canine 2 Yrs. 0 Mos. Black
Sex: Female
DATE VACCINATED: Product Name: Veterinarian's Name:
10/28/2019 Rabies Vaccination Mary Kate Burdick, DVM
Manufacturer:
Rabvac 3 License Number: 4660
NEXT VACCINATION
DUE BY: USDA LICENSED VACC
10/28/2022 3 ./11r7
C975375A Veterinarian's Signature
Vaccine Serial (Lot) No.
Address:
HARMONY VETERINARY HOSPITAL
1745 W. GLENDALE AVE
PHOENIX, AZ 85021
Phone: (602) 249-1900

RABIES VACCINATION CERTIFICATE
NASPHV FORM 51 (Revised 2007)
RABIES TAG # 00000000000000000000
MICROCHIP #
Owner's Name & Address TELEPHONE #
Burtner Kennels License # K19 -000036 (602) 486 -2928
Address: City, State Zip:
1509 N 194th Ave Buckeye, AZ 85396
Animal Name: Weight: Predominant Breed:
Balzer 3 Pomeranian
Species: Age: Color:
Canine 4 Yrs. 0 Mos. White
Sex: Male
DATE VACCINATED: Product Name: Veterinarian's Name:
10/28/2019 Rabies Vaccination Mary Kate Burdick, DVM
Manufacturer:
Rabvac 3 License Number: 4660
NEXT VACCINATION
DUE BY: USDA LICENSED VACC
10/28/2022 3 .
01: .
C975375A Veterinarian's Signature
Vaccine Serial (Lot) No.
Address:
HARMONY VETERINARY HOSPITAL
1745 W. GLENDALE AVE
PHOENIX, AZ 85021
Phone: (602) 249-1900

RABIES VACCINATION CERTIFICATE
NASPHV FORM 51 (Revised 2007)
RABIES TAG # 00000000000000000000
MICROCHIP #
Owner's Name & Address TELEPHONE #
Burtner Kennels License # K19 -000036 (602) 486 -2928
Address: City, State Zip:
1509 N 194th Ave Buckeye, AZ 85396
Animal Name: Weight: Predominant Breed:
Barbra Jean 4 Poodle Mix
Species: Age: Color:
Canine 3 Yrs. 0 Mos. Cream
Sex: Female
DATE VACCINATED: Product Name: Veterinarian's Name:
10/28/2019 Rabies Vaccination Mary Kate Burdick, DVM
Manufacturer:
Rabvac 3 License Number: 4660
NEXT VACCINATION
DUE BY: USDA LICENSED VACC
10/28/2022 3 .
/ .
C975375A Veterinarian's Signature
Vaccine Serial (Lot) No.
Address:
HARMONY VETERINARY HOSPITAL
1745 W. GLENDALE AVE
PHOENIX, AZ 85021
Phone: (602) 249-1900

RABIES VACCINATION CERTIFICATE
NASPHV FORM 51 (Revised 2007)
RABIES TAG # 00000000000000000000
MICROCHIP #
Owner's Name & Address TELEPHONE #
Burtner Kennels License # K19 -000036 (602) 486 -2928
Address: City, State Zip:
1509 N 194th Ave Buckeye, AZ 85396
Animal Name: Weight: Predominant Breed:
Bart 20 Pug, Chinese Mixed
Species: Age: Color:
Canine 4 Yrs. 0 Mos. Black
Sex: Female
DATE VACCINATED: Product Name: Veterinarian's Name:
10/28/2019 Rabies Vaccination Mary Kate Burdick, DVM
Manufacturer:
Rabvac 3 License Number: 4660
NEXT VACCINATION
DUE BY: USDA LICENSED VACC
10/28/2022 3 ,_..e .
/ .
C975375A Veterinarian's Signature
Vaccine Serial (Lot) No.
Address:
HARMONY VETERINARY HOSPITAL
1745W. GLENDALE AVE
PHOENIX, AZ 85021
Phone: (602) 249-1900

RABIES VACCINATION CERTIFICATE
NASPHV FORM 51 (Revised 2007)
RABIES TAG # 00000000000000000000
MICROCHIP #
Owner's Name & Address TELEPHONE #
Burtner Kennels License # K19 -000036 (602) 486 -2928
Address: City, State Zip:
1509 N 194th Ave Buckeye, AZ 85396
Animal Name: Weight: Predominant Breed:
Basil 15 Pug, Chinese Mixed
Species: Age: Color:
Canine 4 Yrs. 0 Mos. Black
Sex: Male
DATE VACCINATED: Product Name: Veterinarian's Name:
10/28/2019 Rabies Vaccination Mary Kate Burdick, DVM
Manufacturer:
Rabvac 3 License Number: 4660
NEXT VACCINATION
DUE BY: USDA LICENSED VACC
10/28/2022 3
.6 AOP
C975375A Veterinarian's Signature
Vaccine Serial (Lot) No.
Address:
HARMONY VETERINARY HOSPITAL
1745 W. GLENDALE AVE
PHOENIX, AZ 85021
Phone: (602) 249-1900

RABIES VACCINATION CERTIFICATE
NASPHV FORM 51 (Revised 2007)
t RABIES TAG # 00000000000000000000
c%il.VCROCHIP #
Owner's Name & Address TELEPHONE #
Burtner Kennels License # K19 -000.036 (602) 486-2928
Address: City, State Zip:
1509 N 194th Ave Buckeye, AZ 85396
Animal Name: Weight: Predominant Breed:
Bear 3 Poodle
Ag -13
Species: rs. 0 Mos. Color:
Canirie ex: Male Black
DATE VACCINATED: Product Name: Veterinarian's Name:
10/28/2019 Rabies Vaccination Mary Kate Burdick, DVM
Manufacturer:
Rabvac 3 License Number: 4660
NEXT VACCINATION
DUE BY: USDA LICENSED VAC6 .
10/23/2022 3
C975375A i Niterinarian's Sign.:ilre
Vaccine Serial (Lot) No.
s:
. , MONY VIETERIN NRY HOSPITAL
I 1 -45 W. GLENDALE 'AVE
I P 10ENIX, AZ 85021;
13-lone: (602) 249. :TAO

RABIES VACCINATION CERTIFICATE
NASPHV FORM 51 (Revised 2007)
RABIES TAG # 00000000000000000000
MICROCHIP #
Owner's Name & Address TELEPHONE #
Burtner Kennels License # K19 -000036 (602) 486 -2928
Address: City, State Zip:
1509 N 194th Ave Buckeye, AZ 85396
Animal Name: Weight: Predominant Breed:
Bella 4 _ Terrier, Yorkshire
Species: Age: Color:
4 Yrs. 0 Mos. Black and Brown
Canine Sex: Female
DATE VACCINATED: Product Name: Veterinarian's Name:
10/28/2019 Rabies Vaccination Mary Kate Burdick, DVM
Manufacturer:
Rabvac 3 License Number: 4660
NEXT VACCINATION
DUE BY: USDA LICENSED VACC .11IPO,I.
10/28/2022 3
C975375A Veterinarian's Signature
Vaccine Serial (Lot) No.
Address:
HARMONY VETERINARY HOSPITAL
1745W. GLENDALE AVE
PHOENIX, AZ 85021
Phone: (602) 249-1900

RABIES VACCINATION CERTIFICATE
NASPHV FORM 51 (Revised 2007)
RABIES TAG # 00000000000000000000
MICROCHIP #
Owner's Name & Address TELEPHONE #
Burtner Kennels License # K19 -000036 (602) 486 -2928
Address: City, State Zip:
1509 N 194th Ave Buckeye, AZ 85396
Animal Name: Weight: Predominant Breed:
Bo 7 Pomeranian
Species: Age: Color:
Canine 4 Yrs. 0 Mos. Tan
Sex: Female
DATE VACCINATED: Product Name: Veterinarian's Name:
10/28/2019 Rabies Vaccination Mary Kate Burdick, DVM
Manufacturer:
Rabvac 3 License Number: 4660
NEXT VACCINATION
DUE BY: USDA LICENSED VACC
10/28/2022 3
C975375A Veterinarian's Signature
Vaccine Serial (Lot) No.
Address:
HARMONY VETERINARY HOSPITAL
1745 W. GLENDALE AVE
PHOENIX, AZ 85021
Phone: (602) 249-1900

RABIES VACCINATION CERTIFICATE
NASPHV FORM 51 (Revised 2007)
RABIES TAG # 00000000000000000000
MICROCHIP #
Owner's Name & Address TELEPHONE #
Burtner Kennels License # K19 -000036 (602) 486 -2928
Address: City, State Zip:
1509 N 194th Ave Buckeye, AZ 85396
Animal Name: Weight: Predominant Breed:
Bugges 4 Terrier, Yorkshire
Species: Age: Color:
Canine 4 Yrs. 0 Mos. Black and Brown
Sex: Female
DATE VACCINATED: Product Name: Veterinarian's Name:
10/28/2019 Rabies Vaccination Mary Kate Burdick, DVM
Manufacturer:
Rabvac 3 License Number: 4660
NEXT VACCINATION
DUE BY: USDA LICENSED VACC
10/28/2022 3 OW*.
C975375A Veterinarian's Signature
Vaccine Serial (Lot) No.
Address:
HARMONY VETERINARY HOSPITAL
1745 W. GLENDALE AVE
PHOENIX, AZ 85021
' Phone: (602) 249-1900

RABIES VACCINATION CERTIFICATE
NASPHV FORM 51 (Revised 2007)
RABIES TAG # 00000000000000000000
MICROCHIP #
Owner's Name & Address TELEPHONE #
Burtner Kennels License # K19 -000036 (602) 486 -2928
Address: City, State Zip:
1509 N 194th Ave Buckeye, AZ 85396
Animal Name: Weight: Predominant Breed:
Burzer 5 Terrier, Yorkshire
Species: Age: Color:
Canine 4 Yrs. 0 Mos. Black and Brown
Sex: Male
DATE VACCINATED: Product Name: Veterinarian's Name:
10/28/2019 Rabies Vaccination Mary Kate Burdick, DVM
Manufacturer:
Rabvac 3 License Number: 4660
NEXT VACCINATION
DUE BY: USDA LICENSED VACC .
10/28/2022 3 _
4/
C975375A Veterinarian's Signature
Vaccine Serial (Lot) No.
Address:
HARMONY VETERINARY HOSPITAL
1745 W. GLENDALE AVE
PHOENIX, AZ 85021
Phone: (602) 249-1900

RABIES VACCINATION CERTIFICATE
NASPHV FORM 51 (Revised 2007)
RABIES TAG # 00000000000000000000
MICROCHIP #
Owners Name & Address TELEPHONE #
Burtner Kennels License # K19 -000036 (602) 486 -2928
Address: City, State Zip:
1509 N 194th Ave Buckeye, AZ 85396
Animal Name: Weight: Predominant Breed:
CC 7 Poodle
Species: Age: Color:
Canine 4 Yrs. 0 Mos. White
Sex: Female
DATE VACCINATED: Product Name: Veterinarian's Name:
10/28/2019 Rabies Vaccination Mary Kate Burdick, DVM
Manufacturer:
Rabvac 3 License Number: 4660
NEXT VACCINATION
DUE BY: USDA LICENSED VACC
10/28/2022 3
I.'.
C975375A Veterinarian's Signature
Vaccine Serial (Lot) No.
Address:
HARMONY VETERINARY HOSPITAL
1745W. GLENDALE AVE
PHOENIX, AZ 85021
Phone: (602) 249-1900

RABIES VACCINATION CERTIFICATE
NASPHV FORM 51 (Revised 2007)
RABIES TAG # 00000000000000000000
MICROCHIP #
Owner's Name & Address TELEPHONE #
Burtner Kennels License # K19 -000036 (602) 486 -2928
Address: City, State Zip:
1509 N 194th Ave Buckeye, AZ 85396
Animal Name: Weight: Predominant Breed:
Chopper 80 Bulldog, English
Species: Age: Color:
Canine 5 Yrs. 0 Mos. Black and White
Sex: Male
DATE VACCINATED: Product Name: Veterinarian's Name:
10/28/2019 Rabies Vaccination Mary Kate Burdick, DVM
Manufacturer:
Rabvac 3 License Number: 4660
NEXT VACCINATION
DUE BY: USDA LICENSED VACC
10/28/2022 3
C975375A Veterinarian's Signature
Vaccine Serial (Lot) No.
Address:
HARMONY VETERINARY HOSPITAL
1745W. GLENDALE AVE
PHOENIX, AZ 85021
Phone: (602) 249-1900

RABIES VACCINATION CERTIFICAT
NASPHV FORM 51 (Revised 2007)
RABIES TAG # 0000000000000 0 I 00000
MICROCHIP # I
Owner's Name & Address TELEPHONE #
Burtner Kennels License # K19 -000036 (602) 486 -2928
Address: City, State Zip:
1509 N 194th Ave Buckeye, AZ 85396
Animal Name: Weight: Predominant Breed:
Cinnema 12 Pug, Chines • Mixed
Species: Age: Color:
Canine 2 Yrs. 0 Mos. Brown
Sex: Female
DATE VACCINATED: Product Name: Veterinarian's Name:
10/28/2019 Rabies Vaccination Mary Kate Burdick, DVM
Manufacturer:
Rabvac 3 License Number: 4660
NEXT VACCINATION
DUE BY: USDA LICENSED VACC
10/28/2022 3 ..0 Oil r,7.
C975375A Veterinarian's Signature
Vaccine Serial (Lot) No.
Address:
HARMONY VETERINARY HOSPITA
1745 W. GLENDALE AVE
PHOENIX, AZ 85021
Phone: (602) 249-1900

RABIES VACCINATION CERTIFICATE
NASPHV FORM 51 (Revised 2007)
RABIES TAG # 00000000000000000000
MICROCHIP #
Owner's Name & Address TELEPHONE #
Burtner Kennels License # K19 -000036 (602) 486 -2928
Address: City, State Zip:
1509 N 194th Ave Buckeye, AZ 85396
Animal Name: Weight: Predominant Breed:
COCO 7 Poodle
Species: Age: Color:
Canine 4 Yrs. 0 Mos. Brown
Sex: Female
DATE VACCINATED: Product Name: Veterinarian's Name:
10/28/2019 Rabies Vaccination Mary Kate Burdick, DVM
Manufacturer:
Rabvac 3 License Number: 4660
NEXT VACCINATION
DUE BY: USDA LICENSED VACC
10/28/2022 3 .
/ .
C975375A Veterinarian's Signature
Vaccine Serial (Lot) No.
Address:
HARMONY VETERINARY HOSPITAL
1745 W. GLENDALE AVE
PHOENIX, AZ 85021
Phone: (602) 249-1900

RABIES VACCINATION CERTIFICATE
NASPHV FORM 51 (Revised 2007)
RABIES TAG # 00000000000000000000
MICROCHIP #
Owner's Name & Address TELEPHONE #
Burtner Kennels License # K19 -000036 (602) 486 -2928
Address: City, State Zip:
1509 N 194th Ave Buckeye, AZ 85396
Animal Name: Weight: Predominant Breed:
Curley 6 Poodle
Species: Age: Color:
Canine 12 Mos. 0 Wks. 0 Days Black
Sex: Male
DATE VACCINATED: Product Name: Veterinarian's Name:
10/28/2019 Rabies Vaccination Mary Kate Burdick, DVM
Manufacturer:
Rabvac 3 License Number: 4660
NEXT VACCINATION
DUE BY: USDA LICENSED VACC
10/28/2020 1 .5111r dif d7
C975375A Veterinarian's Signature
Vaccine Serial (Lot) No.
Address:
HARMONY VETERINARY HOSPITAL
1745 W. GLENDALE AVE
PHOENIX, AZ 85021
Phone: (602) 249-1900

RABIES VACCINATION CERTIFICATE
NASPHV FORM 51 (Revised 2007)
RABIES TAG # 00000000000000000000
MICROCHIP #
Owner's Name & Address TELEPHONE #
Burtner Kennels License # K19 -000036 (602) 486 -2928
Address: City, State Zip:
1509 N 194th Ave Buckeye, AZ 85396
Animal Name: Weight: Predominant Breed:
Delilah 33.4 Terrier, Boston
Species: Age: Color:
Canine 4 Yrs. 9 Mos. Black and White
Sex: Female
DATE VACCINATED: Product Name: Veterinarian's Name:
10/28/2019 Rabies Vaccination Mary Kate Burdick, DVM
Manufacturer:
Rabvac 3 License Number: 4660
NEXT VACCINATION
DUE BY: USDA LICENSED VACC
10/28/2022 3 '4
,.._.d .
C975375A Veterinarian's Signature
Vaccine Serial (Lot) No.
Address:
HARMONY VETERINARY HOSPITAL
1745W. GLENDALE AVE
PHOENIX, AZ 85021
Phone: (602) 249-1900

RABIES VACCINATION CERTIFICATE
NASPHV FORM 51 (Revised 2007)
RABIES TAG # 00000000000000000000
MICROCHIP #
Owner's Name & Address TELEPHONE #
Burtner Kennels License # K19 -000036 (602) 486 -2928
Address: City, State Zip:
1509 N 194th Ave Buckeye, AZ 85396
Animal Name: Weight: Predominant Breed:
Dofties 20 Terrier, Boston
Species: Age: Color:
Canine 4 Yrs. 0 Mos. Black and White
Sex: Female
DATE VACCINATED: Product Name: Veterinarian's Name:
10/28/2019 Rabies Vaccination Mary Kate Burdick, DVM
Manufacturer:
Rabvac 3 License Number: 4660
NEXT VACCINATION
DUE BY: USDA LICENSED VACC
10/28/2022 3 .;.._1 _. 04Iri
C975375A Veterinarian's Signature
Vaccine Serial (Lot) No.
Address:
HARMONY VETERINARY HOSPITAL
1745 W. GLENDALE AVE
PHOENIX, AZ 85021
Phone: (602) 249-1900

RABIES VACCINATION CERTIFICATE
NASPHV FORM 51 (Revised 2007)
RABIES TAG # 00000000000000000000
MICROCHIP #
Owner's Name & Address TELEPHONE #
Burtner Kennels License # K19 -000036 (602) 486 -2928
Address: City, State Zip:
1509 N 194th Ave Buckeye, AZ 85396
Animal Name: Weight: Predominant Breed:
Emma 50 Bulldog, English
Species: Age: Color:
Canine 5 Yrs. 0 Mos. Black and White
Sex: Female
DATE VACCINATED: Product Name: Veterinarian's Name:
10/28/2019 Rabies Vaccination Mary Kate Burdick, DVM
Manufacturer:
Rabvac 3 License Number: 4660
NEXT VACCINATION
DUE BY: USDA LICENSED VACC
10/28/2022 3
/ .
C975375A Veterinarian's Signature
Vaccine Serial (Lot) No.
Address:
HARMONY VETERINARY HOSPITAL
1745 W. GLENDALE AVE
PHOENIX, AZ 85021
Phone: (602) 249-1900

RABIES VACCINATION CERTIFICATE
NASPHV FORM 51 (Revised 2007)
RABIES TAG # 00000000000000000000
MICROCHIP #
Owners Name & Address TELEPHONE #
Burtner Kennels License # K19 -000036 (602) 486 -2928
Address: City, State Zip:
1509 N 194th Ave Buckeye, AZ 85396
Animal Name: Weight: Predominant Breed:
Falcon 7 Poodle Mix
Species: Age: Color:
Canine 2 Yrs. 0 Mos. White
Sex: Male
DATE VACCINATED: Product Name: Veterinarian's Name:
10/28/2019 Rabies Vaccination Mary Kate Burdick, DVM
Manufacturer:
Rabvac 3 License Number: 4660
NEXT VACCINATION
DUE BY: USDA LICENSED VACC
10/28/2022 3 .,
C975375A Veterinarian's Signature
Vaccine Serial (Lot) No.
Address:
HARMONY VETERINARY HOSPITAL
1745W. GLENDALE AVE
PHOENIX, AZ 85021
Phone: (602) 249-1900

RABIES VACCINATION CERTIFICATE
NASPHV FORM 51 (Revised 2007)
RABIES TAG # 00000000000000000000
MICROCHIP #
Owner's Name & Address TELEPHONE #
Burtner Kennels License # K19 -000036 (602) 486 -2928
Address: City, State Zip:
1509 N 194th Ave Buckeye, AZ 85396
Animal Name: Weight: Predominant Breed:
Fire Cracker 50 Bulldog, English
Species: Age: Color:
Canine 4 Yrs. 0 Mos. White
Sex: Male
DATE VACCINATED: Product Name: Veterinarian's Name:
10/28/2019 Rabies Vaccination Mary Kate Burdick, DVM
Manufacturer:
Rabvac 3 License Number: 4660
NEXT VACCINATION
DUE BY: USDA LICENSED VACC
10/28/2022 3 41111., d7.
C975375A Veterinarian's Signature
Vaccine Serial (Lot) No.
Address:
HARMONY VETERINARY HOSPITAL
1745 W. GLENDALE AVE
PHOENIX, AZ 85021
Phone: (602) 249-1900

RABIES VACCINATION CERTIFICATE
NASPHV FORM 51 (Revised 2007)
RABIES TAG # 00000000000000000000
MICROCHIP #
Owner's Name & Address TELEPHONE #
Burtner Kennels License # K19 -000036 (602) 486 -2928
Address: City, State Zip:
1509 N 194th Ave Buckeye, AZ 85396
Animal Name: Weight: Predominant Breed:
Foxie 3 Pomeranian
Species: Age: Color:
Canine 3 Yrs. 0 Mos. Red
Sex: Female
DATE VACCINATED: Product Name: Veterinarian's Name:
10/28/2019 Rabies Vaccination Mary Kate Burdick, DVM
Manufacturer:
Rabvac 3 License Number: 4660
NEXT VACCINATION
DUE BY: USDA LICENSED VACC
10/28/2022 3 •
4
C975375A Veterinarian's Signature
Vaccine Serial (Lot) No.
Address:
HARMONY VETERINARY HOSPITAL
1745W. GLENDALE AVE
PHOENIX, AZ 85021
- ---
Phone: (602) 249-1900

RABIES VACCINATION CERTIFICATE
NASPHV FORM 51 (Revised 2007)
RABIES TAG # 00000000000000000000
MICROCHIP #
Owner's Name & Address TELEPHONE #
Burtner Kennels License # K19 -000036 (602) 486 -2928
Address: City, State Zip:
1509 N 194th Ave Buckeye, AZ 85396
Animal Name: Weight: Predominant Breed:
Gizmo 9 Terrier, Boston
Species: ' Age: Color:
Canine 2 Yrs. 0 Mos. Black and White
Sex: Male
DATE VACCINATED: Product Name: Veterinarian's Name:
10/28/2019 Rabies Vaccination Mary Kate Burdick, DVM
Manufacturer:
Rabvac 3 License Number: 4660
NEXT VACCINATION
DUE BY: USDA LICENSED VACC
10/28/2022 3
C975375A Veterinarian's Signature
Vaccine Serial (Lot) No.
• Address:
HARMONY VETERINARY HOSPITAL
1745 W. GLENDALE AVE
PHOENIX, AZ 85021
Phone: (602) 249-1900

RABIES VACCINATION CERTIFICATE
NASPHV FORM 51 (Revised 2007)
RABIES TAG # 00000000000000000000
MICROCHIP #
Owners Name & Address TELEPHONE #
Burtner Kennels License # K19 -000036 (602) 486 -2928
Address: City, State Zip:
1509 N 194th Ave Buckeye, AZ 85396
Animal Name: Weight: Predominant Breed:
Grace 4 Poodle
Species: Age. Color:
Canine 4 Yrs. 0 Mos. Gray
Sex: Female
DATE VACCINATED: Product Name: Veterinarian's Name:
10/28/2019 Rabies Vaccination Mary Kate Burdick, DVM
Manufacturer:
Rabvac 3 License Number: 4660
NEXT VACCINATION
DUE BY: USDA LICENSED VACC
10/28/2022 3
C975375A Veterinarian's Signature
Vaccine Serial (Lot) No.
Address:
HARMONY VETERINARY HOSPITAL
1745 W. GLENDALE AVE
PHOENIX, AZ 85021
Phone: (602) 249-1900

RABIES VACCINATION CERTIFICATE
NASPHV FORM 51 (Revised 2007)
RABIES TAG # 00000000000000000000
MICROCHIP #
Owner's Name & Address TELEPHONE #
Burtner Kennels License # K19 -000036 (602) 486 -2928
Address: City, State Zip:
1509 N 194th Ave Buckeye, AZ 85396
Animal Name: Weight: Predominant Breed:
Hersey 6 Poodle
Species: Age: Color:
Canine 2 Yrs. 0 Mos. Brown
Sex: Male
DATE VACCINATED: Product Name: Veterinarian's Name:
10/28/2019 Rabies Vaccination Mary Kate Burdick, DVM
Manufacturer:
Rabvac 3 License Number: 4660
NEXT VACCINATION
DUE BY: USDA LICENSED VACC
10/28/2022 3 ,
/ .
C975375A Veterinarian's Signature
Vaccine Serial (Lot) No.
Address:
HARMONY VETERINARY HOSPITAL
1745 W. GLENDALE AVE
PHOENIX, AZ 85021
Phone: (602) 249-1900

RABIES VACCINATION CERTIFICATE
NASPHV FORM 51 (Revised 2007)
RABIES TAG # 00000000000000000000
MICROCHIP #
Owner's Name & Address TELEPHONE #
Burtner Kennels License # K19 -000036 (602) 486 -2928
Address: City, State Zip:
1509 N 194th Ave Buckeye, AZ 85396
Animal Name: Weight: Predominant Breed:
Honeybear 5 Poodle
Species: Age: Color:
Canine 7 Yrs. 0 Mos. White
Sex: Female
DATE VACCINATED: Product Name: Veterinarian's Name:
10/28/2019 Rabies Vaccination Mary Kate Burdick, DVM
Manufacturer:
Rabvac 3 License Number: 4660
NEXT VACCINATION
DUE BY: USDA LICENSED VACC
10/28/2022 3 ,_Ar
/
C975375A Veterinarian's Signature
Vaccine Serial (Lot) No.
Address:
HARMONY VETERINARY HOSPITAL
1745 W. GLENDALE AVE
PHOENIX, AZ 85021
Phone: (602) 249-1900

RABIES VACCINATION CERTIFICATE
NASPHV FORM 51 (Revised 2007)
RABIES TAG # 00000000000000 000000
MICROCHIP #
Owner's Name & Address TELEPHONE #
Burtner Kennels License # K19 -000036 (602) 486 -2928
Address: City, State Zip:
1509 N 194th Ave Buckeye, AZ 85396
Animal Name: Weight: Predominant Breed:
Jack 15 Pug, Chinese
Species: Age: Color:
Canine 4 Yrs. 0 Mos. Fawn
Sex: Male
DATE VACCINATED: Product Name: Veterinarian's Name:
10/28/2019 Rabies Vaccination Mary Kate Burdick, DVM
Manufacturer:
Rabvac 3 License Number: 4660
NEXT VACCINATION
DUE BY: USDA LICENSED VACC
10/28/2022 3 411 .
C975375A Veterinarian's Signature
Vaccine Serial (Lot) No.
Address:
HARMONY VETERINARY HOSPITAL
1745 W. GLENDALE AVE
PHOENIX, AZ 85021
Phone: (602) 249-1900

RABIES VACCINATION CERTIFICAT :
NASPHV FORM 51 (Revised 2007)
RABIES TAG # 0000000000000 11 00000
MICROCHIP #
Owner's Name & Address TELEPHONE #
Burtner Kennels License # K19 -000036 (602) 486 -2928
Address: City, State Zip:
1509 N 194th Ave Buckeye, AZ 85396
Animal Name: Weight: Predominant Breed:
Jill 12 Pug, Chines-
Species: Age: Color:
Canine 4 Yrs. 0 Mos. Fawn
Sex: Female
DATE VACCINATED: Product Name: Veterinarian's Name:
10/28/2019 Rabies Vaccination Mary Kate Burdick, DVM
Manufacturer:
Rabvac 3 License Number: 4660
NEXT VACCINATION
DUE BY: USDA LICENSED VACC
10/28/2022 3 • - Oil 01 7'.
C975375A Veterinarian's Signature
Vaccine Serial (Lot) No.
Address:
HARMONY VETERINARY HOSPITA
1745 W. GLENDALE AVE
PHOENIX, AZ 85021
Phone: (602) 249-1900

RABIES VACCINATION CERTIFICATE
NASPHV FORM 51 (Revised 2007)
RABIES TAG # 00000000000000000000
MICROCHIP #
Owner's Name & Address TELEPHONE #
Burtner Kennels License # K19 -000036 (602) 486 -2928
Address: City, State Zip:
1509 N 194th Ave Buckeye, AZ 85396
Animal Name: Weight: Predominant Breed:
J_apper .. AA..(1. v 3 Poodle
Species: Age: Color:
Canine 4 Yrs. 0 Mos. Black
Sex: Male
DATE VACCINATED: Product Name: Veterinarian's Name:
10/28/2019 Rabies Vaccination Mary Kate Burdick, DVM
Manufacturer:
Rabvac 3 License Number: 4660
NEXT VACCINATION
DUE BY: USDA LICENSED VACC
10/28/2022 3 AI
/
C975375A Veterinarian's Signature
Vaccine Serial (Lot) No.
Address:
HARMONY VETERINARY HOSPITAL
1745W. GLENDALE AVE
PHOENIX, AZ 85021
Phone: (602) 249-1900

RABIES VACCINATION CERTIFICATE
NASPHV FORM 51 (Revised 2007)
RABIES TAG # 00000000000000000000
MICROCHIP #
Owners Name & Address TELEPHONE #
Burtner Kennels License # K19 -000036 (602) 486 -2928
Address: City, State Zip:
1509 N 194th Ave Buckeye, AZ 85396
Animal Name: Weight: Predominant Breed:
Leo 30 Bulldog, French
Species: Age: Color:
Canine 2 Yrs. 0 Mos. Black and White
Sex: Male
DATE VACCINATED: Product Name: Veterinarian's Name:
10/28/2019 Rabies Vaccination Mary Kate Burdick, DVM
Manufacturer:
Rabvac 3 License Number: 4660
NEXT VACCINATION
DUE BY: USDA LICENSED VACC
10/28/2022 3
/
C975375A Veterinarian's Signature
Vaccine Serial (Lot) No.
Address:
HARMONY VETERINARY HOSPITAL
1745 W. GLENDALE AVE
PHOENIX, AZ 85021
Phone: (602) 249-1900

RABIES VACCINATION CERTIFICATE
NASPHV FORM 51 (Revised 2007)
RABIES TAG # 00000000000000000000
MICROCHIP #
Owners Name & Address TELEPHONE #
Burtner Kennels License # K19 -000036 (602) 486 -2928
Address: City, State Zip:
1509 N 194th Ave Buckeye, AZ 85396
Animal Name: Weight: Predominant Breed:
Lil Bit 9 Pug, Chinese Mixed
Species: Age: Color:
Canine 4 Yrs. 0 Mos. Black
Sex: Female
DATE VACCINATED: Product Name: Veterinarian's Name:
10/28/2019 Rabies Vaccination Mary Kate Burdick, DVM
Manufacturer:
Rabvac 3 License Number: 4660
NEXT VACCINATION
DUE BY: USDA LICENSED VACC
10/28/2022 3 .1111K7.
-40
C975375A Veterinarian's Signature
Vaccine Serial (Lot) No.
Address:
HARMONY VETERINARY HOSPITAL
1745 W. GLENDALE AVE
PHOENIX, AZ 85021
Phone: (602) 249-1900

RABIES VACCINATION CERTIFICATE
NASPHV FORM 51 (Revised 2007)
RABIES TAG # 00000000000000000000
MICROCHIP #
Owner's Name & Address TELEPHONE #
Butner Kennels License # K19 -000036 (602) 486 -2928
Address: City, State Zip:
1509 N 194th Ave Buckeye, AZ 85396
Animal Name: Weight: Predominant Breed:
Liz 20 Pug, Chinese Mixed
Species: Age: Color:
Canine 2 Yrs. 0 Mos. Black
Sex: Female
DATE VACCINATED: Product Name: Veterinarian's Name:
10/28/2019 Rabies Vaccination Mary Kate Burdick, DVM
Manufacturer:
Rabvac 3 License Number: 4660
NEXT VACCINATION
DUE BY: USDA LICENSED VACC
10/28/2022 3
,
C975375A Veterinarian's Signature
Vaccine Serial (Lot) No.
Address:
HARMONY VETERINARY HOSPITAL
1745 W. GLENDALE AVE
PHOENIX, AZ 85021
Phone: (602) 249-1900

RABIES VACCINATION CERTIFICATE
NASPHV FORM 51 (Revised 2007)
RABIES TAG # 00000000000000000000
MICROCHIP #
Owners Name & Address TELEPHONE #
Burtner Kennels License # K19 -000036 (602) 486 -2928
Address: City, State Zip:
1509 N 194th Ave Buckeye, AZ 85396
Animal Name: Weight: Predominant Breed:
Lizard 9 Terrier, Boston
Species: Age: Color:
Canine 4 Yrs. 0 Mos. Silver and White
Sex: Male
DATE VACCINATED: Product Name: Veterinarian's Name:
10/28/2019 Rabies Vaccination Mary Kate Burdick, DVM
Manufacturer:
Rabvac 3 License Number: 4660
NEXT VACCINATION
DUE BY: USDA LICENSED VACC
10/28/2022 3
/
C975375A Veterinarian's Signature
Vaccine Serial (Lot) No.
Address:
HARMONY VETERINARY HOSPITAL
1745 W. GLENDALE AVE
PHOENIX, AZ 85021
Phone: (602) 249-1900

RABIES VACCINATION CERTIFICATE
NASPHV FORM 51 (Revised 2007)
RABIES TAG # 00000000000000000000
MICROCHIP #
Owner's Name & Address TELEPHONE #
Burtner Kennels License # K19 -000036 (602) 486 -2928
Address: City, State Zip:
1509 N 194th Ave Buckeye, AZ 85396
Animal Name: Weight: Predominant Breed:
Pepa 90 Bulldog, English
Species: Age. Color:
Canine 8 Yrs. 0 Mos. White
Sex: Female
DATE VACCINATED: Product Name: Veterinarian's Name:
10/28/2019 Rabies Vaccination Mary Kate Burdick, DVM
Manufacturer:
Rabvac 3 License Number: 4660
NEXT VACCINATION
DUE BY: USDA LICENSED VACC
10/28/2022 3
C975375A Veterinarian's Signature
Vaccine Serial (Lot) No.
Address:
HARMONY VETERINARY HOSPITAL
1745 W. GLENDALE AVE
PHOENIX, AZ 85021
Phone: (602) 249-1900

RABIES VACCINATION CERTIFICATE
NASPHV FORM 51 (Revised 2007)
RABIES TAG # 00000000000000000000
MICROCHIP #
Owner's Name & Address TELEPHONE #
Burtner Kennels License # K19 -000036 (602) 486 -2928
Address: City, State Zip:
1509 N 194th Ave Buckeye, AZ 85396
Animal Name: Weight: Predominant Breed:
Prunices 4 Poodle Mix
Species: Age: Color:
Canine 2 Yrs. 0 Mos. Black and White
Sex: Female
DATE VACCINATED: Product Name: Veterinarian's Name:
10/28/2019 Rabies Vaccination Mary Kate Burdick, DVM
Manufacturer:
Rabvac 3 License Number: 4660
NEXT VACCINATION
DUE BY: USDA LICENSED VACC
10/28/2022 3 .
./.. .
C975375A Veterinarian's Signature
Vaccine Serial (Lot) No.
Address:
HARMONY VETERINARY HOSPITAL
1745 W. GLENDALE AVE
PHOENIX, AZ 85021
Phone: (602) 249-1900

RABIES VACCINATION CERTIFICATE
NASPHV FORM 51 (Revised 2007)
RABIES TAG # 00000000000000000000
MICROCHIP #
Owner's Name & Address TELEPHONE #
Burtner Kennels License # K19 -000036 (602) 486 -2928
Address: City, State Zip:
1509 N 194th Ave Buckeye, AZ 85396
Animal Name: Weight: Predominant Breed:
Raggs 7 Poodle Mix
Species: Age: Color:
Canine 4 Yrs. 0 Mos. Brown
Sex: Female
DATE VACCINATED: Product Name: Veterinarian's Name:
10/28/2019 Rabies Vaccination Mary Kate Burdick, DVM
Manufacturer:
Rabvac 3 License Number: 4660
NEXT VACCINATION
DUE BY: USDA LICENSED VACC
10/28/2022 3
.._.d /
C975375A Veterinarian's Signature
Vaccine Serial (Lot) No.
Address:
HARMONY VETERINARY HOSPITAL
1745W. GLENDALE AVE
PHOENIX, AZ 85021
Phone: (602) 249-1900

RABIES VACCINATION CERTIFICATE
NASPHV FORM 51 (Revised 2007)
RABIES TAG # 00000000000000000000
MICROCHIP #
Owner's Name & Address TELEPHONE #
Burtner Kennels License # K19 -000036 (602) 486 -2928
Address: City, State Zip:
1509 N 194th Ave Buckeye, AZ 85396
Animal Name: Weight: Predominant Breed:
Reba 4 Poodle Mix
Species: Age: Color:
Canine 3 Yrs. 0 Mos. Red
Sex: Female
DATE VACCINATED: Product Name: Veterinarian's Name:
10/28/2019 Rabies Vaccination Mary Kate Burdick, DVM
Manufacturer:
Rabvac 3 License Number: 4660
NEXT VACCINATION
DUE BY: USDA LICENSED VACC
10/28/2022 3 . 4
C975375A Veterinarian's Signature
Vaccine Serial (Lot) No.
Address:
HARMONY VETERINARY HOSPITAL
1745W. GLENDALE AVE
PHOENIX, AZ 85021
Phone: (602) 249-1900

RABIES VACCINATION CERTIFICAT!
NASPHV FORM 51 (Revised 2007)
RABIES TAG # 00000000000001000000
NIICROCHIP #
Owner's Name & Address TELEPHONE #
Burtner Kennels License # K19 -000036 (602) 486-2928
Address: City, State Zip:
1509 N 194th Ave Buckeye, AZ 85396
Animal Name: Weight: Predominantl Breed:
Roxy 4 Poodle
Sp des: Age: Color:
cam() 2 Yrs. 0 ribs. Black
5: I1flee
DATE VACCINATED: Product Narb.e: Veterinarian's Name:
10/28/2019 Rabies Vaccination Mary Kate Burdick, DVM
1 Manufacturer:
Rabvac 3 Liuense Number: 4660
NEXT VACkl];IN
I DUE BY: USDA' LICENSED VACC
1 0/28/2022 3
C975375-I -tVeternari-l's Signature
Vaccine Serial (Lot) No. Adc
HARMONY VETERINARY HOSPITA
1745 W. GLENDALE AVE
-)i-l0ENIX, AZ 85021
Phone: (602) 249-1900

RABIES VACCINATION CERTIFICATE
NASPHV FORM 51 (Revised 2007)
RABIES TAG # 00000000000000000000
MICROCHIP #
Owner's Name & Address TELEPHONE #
Burtner Kennels License # K19 -000036 (602) 486 -2928
Address: City, State Zip:
1509 N 194th Ave Buckeye, AZ 85396
Animal Name: Weight: Predominant Breed:
Sara Lee 47 Bulldog
Species: Age: Color:
Canine 3 Yrs. 9 Mos. white and brown
Sex: Female
DATE VACCINATED: Product Name: Veterinarian's Name:
10/28/2019 Rabies Vaccination Mary Kate Burdick, DVM
Manufacturer:
Rabvac 3 License Number: 4660
NEXT VACCINATION
DUE BY: USDA LICENSED VACC
10/28/2022 3 ,
/
C975375A Veterinarian's Signature
Vaccine Serial (Lot) No.
Address:
HARMONY VETERINARY HOSPITAL
1745 W. GLENDALE AVE
PHOENIX, AZ 85021
Phone: (602) 249-1900

RABIES VACCINATION CERTIFICATE
NASPHV FORM 51 (Revised 2007)
RABIES TAG # 00000000000000000000
MICROCHIP #
Owner's Name & Address TELEPHONE #
Burtner Kennels License # K19 -000036 (602) 486 -2928
Address: City, State Zip:
1509 N 194th Ave Buckeye, AZ 85396
Animal Name: Weight: Predominant Breed:
Sofie 0 Terrier, Boston
Species: Age: Color:
Canine 2 Yrs. 0 Mos. Brown and White
Sex: Female
DATE VACCINATED: Product Name: Veterinarian's Name:
10/28/2019 Rabies Vaccination Mary Kate Burdick, DVM
Manufacturer:
Rabvac 3 License Number: 4660
NEXT VACCINATION
DUE BY: USDA LICENSED VACC
10/28/2022 3 AI
C975375A Veterinarian's Signature
Vaccine Serial (Lot) No.
Address:
HARMONY VETERINARY HOSPITAL
1745 W. GLENDALE AVE
PHOENIX, AZ 85021
Phone: (602) 249-1900

RABIES VACCINATION CERTIFICATE
NASPHV FORM 51 (Revised 2007)
RABIES TAG # 00000000000000000000
MICROCHIP #
Owners Name & Address TELEPHONE #
Burtner Kennels License # K19 -000036 (602) 486 -2928
Address: City, State Zip:
1509 N 194th Ave Buckeye, AZ 85396
Animal Name: Weight: Predominant Breed:
Sownie 10 Poodle Mix
Species: Age: Color:
Canine 2 Yrs. 0 Mos. White
Sex: Male
DATE VACCINATED: Product Name: Veterinarian's Name:
10/28/2019 Rabies Vaccination Mary Kate Burdick, DVM
Manufacturer:
Rabvac 3 License Number: 4660
NEXT VACCINATION
DUE BY: USDA LICENSED VACC
10/28/2022 3
C975375A Veterinarian's Signature
Vaccine Serial (Lot) No.
Address:
HARMONY VETERINARY HOSPITAL
1745 W. GLENDALE AVE
PHOENIX, AZ 85021
Phone: (602) 249-1900

RABIES VACCINATION CERTIFICATE
NASPHV FORM 51 (Revised 2007)
RABIES TAG # 00000000000000000000
MICROCHIP #
Owner's Name & Address TELEPHONE #
Burtner Kennels License # K19 -000036 (602) 486 -2928
Address: City, State Zip:
1509 N 194th Ave Buckeye, AZ 85396
Animal Name: Weight: Predominant Breed:
Spizer 12 Pug, Chinese
Species: Age: Color:
Canine 3 Yrs. 0 Mos. Black
Sex: Female
DATE VACCINATED: Product Name: Veterinarian's Name:
10/28/2019 Rabies Vaccination Mary Kate Burdick, DVM
Manufacturer:
Rabvac 3 License Number: 4660
NEXT VACCINATION
DUE BY: USDA LICENSED VACC
10/28/2022 3
C975375A Veterinarian's Signature
Vaccine Serial (Lot) No.
Address:
HARMONY VETERINARY HOSPITAL
1745 W. GLENDALE AVE
PHOENIX, AZ 85021
Phone: (602) 249-1900

RABIES VACCINATION CERTIFICATE
NASPHV FORM 51 (Revised 2007)
RABIES TAG # 00000000000000000000
MICROCHIP #
Owner's Name & Address TELEPHONE #
Burtner Kennels License # K19-000036 (602) 486 -2928
Address: City, State Zip:
1509 N 194th Ave Buckeye, AZ 85396
Animal Name: Weight: Predominant Breed:
Sugar 20 Bulldog, English
Species: Age: Color:
Canine 12 Mos. 0 Wks. 0 Days White
Sex: Female
DATE VACCINATED: Product Name: Veterinarian's Name:
10/28/2019 Rabies Vaccination Mary Kate Burdick, DVM
Manufacturer:
Rabvac 3 License Number: 4660
NEXT VACCINATION
DUE BY: USDA LICENSED VACC l'
10/28/2020 1 lillir t,
C975375A Veterinarian's Signature
Vaccine Serial (Lot) No.
Address:
HARMONY VETERINARY HOSPITAL
1745 W. GLENDALE AVE
PHOENIX, AZ 85021
Phone: (602) 249-1900

RABIES VACCINATION CERTIFICATE
NASPHV FORM 51 (Revised 2007)
RABIES TAG # 00000000000000000000
MICROCHIP #
Owner's Name & Address TELEPHONE #
Burtner Kennels License # K19 -000036 (602) 486 -2928
Address: City, State Zip:
1509 N 194th Ave Buckeye, AZ 85396
Animal Name: Weight: Predominant Breed:
Teddy Bear 2 Poodle
Species: Age: Color:
Canine 17 Wks. 3 Days Brown
Sex: Male
DATE VACCINATED: Product Name: Veterinarian's Name:
10/28/2019 Rabies Vaccination Mary Kate Burdick, DVM
Manufacturer:
Rabvac 3 License Number: 4660
NEXT VACCINATION
DUE BY: USDA LICENSED VACC
10/28/2020 1
415,vij ..
C975375A Veterinarian's Signature
Vaccine Serial (Lot) No.
Address:
HARMONY VETERINARY HOSPITAL
1745 W. GLENDALE AVE
PHOENIX, AZ 85021
Phone: (602) 249-1900

RABIES VACCINATION CERTIFICATE
NASPHV FORM 51 (Revised 2007)
RABIES TAG # 00000000000000000000
MICROCHIP #
Owner's Name & Address TELEPHONE #
Burtner Kennels License # K19 -000036 (602) 486 -2928
Address: City, State Zip:
1509 N 194th Ave Buckeye, AZ 85396
Animal Name: Weight: Predominant Breed:
Tiny 4 Terrier, Yorkshire
Age:
Species: Color:
Canine 4 Yrs. 0 Mos. Black and Brown
Sex: Female
DATE VACCINATED: Product Name: Veterinarian's Name:
10/28/2019 Rabies Vaccination Mary Kate Burdick, DVM
Manufacturer:
Rabvac 3 License Number: 4660
NEXT VACCINATION
DUE BY: USDA LICENSED VACC
10/28/2022 3 ; - lillird7
C975375A Veterinarian's Signature
Vaccine Serial (Lot) No.
Address:
HARMONY VETERINARY HOSPITAL
1745 W. GLENDALE AVE
PHOENIX, AZ 85021
Phone: (602) 249-1900

RABIES VACCINATION CERTIFICATE
NASPHV FORM 51 (Revised 2007)
RABIES TAG # 00000000000000000000
MICROCHIP #
Owner's Name & Address TELEPHONE #
Burtner Kennels License # K19 -000036 (602) 486 -2928
Address: City, State Zip:
1509 N 194th Ave Buckeye, AZ 85396
Animal Name: Weight: Predominant Breed:
Tixie 5 Papillon
Species: Age: Ag Color:
Canine 6 Yrs. 0 Mos. White and Black
Sex: Female
DATE VACCINATED: Product Name: Veterinarian's Name:
10/28/2019 Rabies Vaccination Mary Kate Burdick, DVM
Manufacturer:
Rabvac 3 License Number: 4660
NEXT VACCINATION
DUE BY: USDA LICENSED VACC
10/28/2022 3 4/11r17.
C975375A Veterinarian's Signature
Vaccine Serial (Lot) No.
Address:
HARMONY VETERINARY HOSPITAL
1745 W. GLENDALE AVE
PHOENIX, AZ 85021
Phone: (602) 249-1900

RABIES VACCINATION CERTIFICATE
NASPHV FORM 51 (Revised 2007)
RABIES TAG # 00000000000000000000
MICROCHIP #
Owner's Name & Address TELEPHONE #
Burtner Kennels License # K19 -000036 (602) 486 -2928
Address: City, State Zip:
1509 N 194th Ave Buckeye, AZ 85396
Animal Name: Weight: Predominant Breed:
Walley 20 Terrier, Boston
Species: Age: Color:
Canine 2 Yrs. 0 Mos. Black and White
Sex: Male
DATE VACCINATED: Product Name: Veterinarian's Name:
10/28/2019 Rabies Vaccination Mary Kate Burdick, DVM
Manufacturer:
Rabvac 3 License Number: 4660
NEXT VACCINATION
DUE BY: USDA LICENSED VACC
10/28/2022 3 AI
/
C975375A Veterinarian's Signature
Vaccine Serial (Lot) No.
Address:
HARMONY VETERINARY HOSPITAL
1745 W. GLENDALE AVE
PHOENIX, AZ 85021
Phone: (602) 249-1900

RABIES VACCINATION CERTIFICATE
NASPHV FORM 51 (Revised 2007)
RABIES TAG # 00000000000000000000
MICROCHIP #
Owner's Name & Address TELEPHONE #
Burtner Kennels License # K19 -000036 (602) 486 -2928
Address: City, State Zip:
1509 N 194th Ave Buckeye, AZ 85396
Animal Name: Weight: Predominant Breed:
Wiggles 20 Terrier, Boston
Species: Age: Color:
Canine 3 Yrs. 6 Mos. Black and White
Sex: Female
DATE VACCINATED: Product Name: Veterinarian's Name:
10/28/2019 Rabies Vaccination Mary Kate Burdick, DVM
Manufacturer:
Rabvac 3 License Number: 4660
NEXT VACCINATION
DUE BY: USDA LICENSED VACC
10/28/2022 3
C975375A Veterinarian's Signature
Vaccine Serial (Lot) No.
Address:
HARMONY VETERINARY HOSPITAL
1745W. GLENDALE AVE
PHOENIX, AZ 85021
Phone: (602) 249-1900

RABIES VACCINATION CERTIFICATE
NASPHV FORM 51 (Revised 2007)
I RAPES TAG # 0000000L3o0000000000
'MICROCHIP*
Owner's Name & Address TELEPHONE #
Burtner Kennels License # K19 -000036 (602) 486-2928
Address: City, State Zip:
1509 N 194th Ave Buckeye, AZ 85396
Animal Name: Weight: Predominant Breed:
Wicthp. 3 Pomeranian Mix
Species: Age: Color:
Canine 5 Yrs. 0 Mos.
Sex: Female, White
DATE VACCINATED: Product Name: Veterinarian's Name:
10/2Ei/2019 Rabies Vaccination Mary/Kate Burdick, DVM
Manufacturer:
Rabvac 3 License t,:urnb53r: 4660
NEXT" VACCINATION
DUE BY: USDA LICENSED VACC
10/20/2022 3
C975,F75A Veterinalan's Sign
Vaccne Serial (Lot) I4o.
;4:dress:
_________1 d;1!IMONY VffERINARY HOSPITAL
1745 W. GLENDALE WE
PHOENIX, Ai: 8502 -f
11:I:I11,

RABIES VACCINATION CERTIFICATE
NASPHV FORM 51 (Revised 2007)
RABIES TAG # 00000000000000000000
MICROCHIP #
Owner's Name & Address TELEPHONE #
Burtner Kennels License # K19-000036 (602) 486 -2928
Address: City, State Zip:
1509 N 194th Ave Buckeye, AZ 85396
Animal Name: Weight: Predominant Breed:
Woree 3 Chihuahua
Species: Age: Color:
Canine 3 Yrs. 0 Mos. Brown
Sex: Female
DATE VACCINATED: Product Name: Veterinarian's Name:
10/28/2019 Rabies Vaccination Mary Kate Burdick, DVM
Manufacturer:
Rabvac 3 License Number: 4660
NEXT VACCINATION
DUE BY: USDA LICENSED VACC
10/28/2022 3 AI.
/47 '
C975375A Veterinarian's Signature
Vaccine Serial (Lot) No.
Address:
HARMONY VETERINARY HOSPITAL
1745 W. GLENDALE AVE
PHOENIX, AZ 85021
Phone: (602) 249-1900

RABIES VACCINATION CERTIFICATE
NASPHV FORM 51 (Revised 2007)
RABIES TAG # 00000000000000000000
MICROCHIP #
Owner's Name & Address TELEPHONE #
Burtner Kennels License # K19 -000036 (602) 486 -2928
Address: City, State Zip:
1509 N 194th Ave Buckeye, AZ 85396
Animal Name: Weight: Predominant Breed:
Zozie 40 Bulldog, English
Species: Age: Color:
Canine 5 Yrs. 0 Mos. Tan
Sex: Female
DATE VACCINATED: Product Name: Veterinarian's Name:
10/28/2019 Rabies Vaccination Mary Kate Burdick, DVM
Manufacturer:
Rabvac 3 License Number: 4660
NEXT VACCINATION
DUE BY: USDA LICENSED VACC
10/28/2022 3
I Y:
C975375A Veterinarian's Signature
Vaccine Serial (Lot) No.
Address:
HARMONY VETERINARY HOSPITAL
1745 W. GLENDALE AVE
PHOENIX, AZ 85021
Phone: (602) 249-1900