EYE DOG FOUNDATION FOR THE BLIND KENNEL PERMIT RENEWAL (K20-000020).PDF

Maricopa County
Animal Care And Control
2600 South 27th Avenue
Phoenix, AZ 86009
(602) 506-7387 Tale.
(602) 506-2739 Fax
KENNEL PERMIT APPLICATION
New 2<tenewal Permit # K2O - O000zo
C C-c-XxIn6Cuk(41 kVLQA,vixal
Name: zy. - iJtf Kennel Name: 1314-64
MaNng Address: (1(21F-i-Z- --) V5- \-'4\_. ("N•P_. KnneILoon: <6Z52. 40 I Vt.() RrP
ZIP \isn County Supervisodal Oistricl
Home Phone: CWAAQI- COAL— Kennel Phone: tosl
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.
Pursuant to Arizona statute an county ordinance, a person must obtain a kennel permit issued by the Board of
Supervisors if the person opeates 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 keps, 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 •nPlication 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 Maricdpa County Board of
Supervisors. The kennel per t 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 fc - each additional visit. Failure of inspection may result in denial of the kennel
permit and require individual lic9nsing of each dog under the provisions of A.R.S. §11-1008.
PLEASE ANSWE _ THE FOLLOWING QUESTIONS AND INITIAL EACH RESPONSE
1.471-- I/We assume comp eta responsibility for the kennel at the premises for which I/we are making
application for a permit and un -13rstand that "kennel" means an enclosed, controlled area, inaccessible to other
animals, in which a person kee. ,s, harbors or maintains five or more dogs under controlled conditions (ARS 11-
1001).
l/We certify that I/WCAve - dogs and that the kennel meets the definition in statute.
3. 9friiwe certify that I/We have not been convicted of a violation of A.R.S. §§ 13-2910 (cruelty to animals)
or 13-2910.01 (dog fighting), c r similar violations of any other state, counts or municipal animal welfare law.
. (Violations of license and leashkiaws DO NOT apply).
IMie certify that all dcjs over the age of three (3) months that are kept, harbored or maintained on the
ises of the above named :Inn& have been properly vaccinated against rabies by a veterinarian licensed to
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Aug 28 2019 11:50AM HP FaxEye Dog Training 6022761046 page 2
practice in the state of Arizorh and that a current vaccination certificate signed by a licensed veterinarian is
maintained on the premises for each dog.
5. I fWe certify that IM'e are submitting a valid copy of the rabies vaccination certificate for each
dog with this application.
6. Cfi IANe understand that) dog remaining within the kennel is not required to be licensed individually under
A R.S. § 11-1008. Uwe alas -understand that a dog leaving the controlled kennel conditions shall be licensed
under A.R.S. § 11-1008 excel,: if the dog is only being transported to another•kennel which has a permit issued
under_this section.
7• )V IANe understand that ;I: person who fails to obtain a kennel permit under A.R.S.§11-1009 is subject to a
penalty of twenty-five dollars In Nddition to the annual fee.
8:77 'INVe understand tha";:a person who knowingly fails to obtain a kennel permit within thirty days after
written notification from the' cou4yenforcement agent is guilty of a class 2 misdemeanor..
9. LT The undersigned undtrstand that that the kennel permit does not authorize the operation of any type
of business and is solely used ;:e;.r the purpose of licensing multiple dogs.
INVe certify that all of the infe5rmation IlWe have provided is true and accurate under penalty of law.
Date c,2o, 9
For Official Use Only: •
Copies of Valid Rabies Vaccinaiia0ertificates for each dog attached
Copy of .Person's.yalid identifiCatt! AttaChed.
Type of Identification outwitted 4.
BOS Approval -Oate Term of Permit
t •
2 of 2

Maricopa County Animal Care and Control
2500 S. 27th Avenue
Phoenix, AZ 85009-6797
(602) 506-7387
http://pets.maricopa.dov
Receipt Number: R19-904057 Receipt Date: 09/17/2019
Person ID: P0310051
Phone: 602 2760051
EYE DOG FOUNDATION KENNELS 9/17/2019 10:12:01AM
8252 S 15TH AVE
PHOENIX, AZ 85041
Item: Animal ID: Reference No: Price: Each: Amount:
KEN PERMIT A7777777 K20-000020 $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
alexray WBUSOFF

Maricopa County
Animal Care & Control
2500 South 27th Avenue
Phoenix, AZ 85009
Phone: (602) 506-7387
pets.maricopa.gov
KENNEL PERMIT K20-000020
PREMISE INSPECTION
Number of Dogs: 12
Name: Susan Kunz-executive director Kennel Name: Eye Dog Foundation For
For the Blind Kennels
Mailing Address: 8252 South 15th Ave Kennel Address: SAME AS MAIL
City: Phoenix State: AZ Zip: 85041
County Supervisorial District: 5
Phone: 909-610-0442 Kennel Phone: 602-276-0051
1. Are all dogs over the age of three months properly vaccinated for rabies and in
possession of a va:id 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.)
The kennel property was inspected 9/19/20;- there are 12 dogs on the property and all dogs
are currently vaccinated fx rabies and contained to suitable enclosures on the property.
This is a RENEWAL and There is no history at the address, beyond the kennel license.
Deputy Enforcement Agent & Badge #: Lt. Romero #4 Date: 9/20/19
October 2015

Laveen Veterinary Center
3536 W Baseline Rd #128
Laveen, Arizona 85339
(602)559-9600 - office©laveenvetcenter.com
III
Rabies Certificate
26-Jul 2019
Client ID: 4510 Patient ID: 9679
Client Name: Eye Dog Foundation For the Blind-LVC Patient Name: Rowan
Address: 8252 S. 15th Avenue Species: Canine
Breed: German Shepherd
Phoenix, AZ 85041 Sex: Male Desexed: Y
Color: Black/Tan
Phone: 602-276-0051 / 800-393-3641 / 602-518-5209 Birthday: 2017-12-01
Microchip: *104*273*845 Weight: 95.600 lb
Tag Number: Vaccination Date: 26-Jul 2019
Batch Number: 347471 Vaccination Expiration Date: 26-Jul 2022
Rabies Vaccination Vaccination Rabies Canine 3 Year Duration: ( ) 1 year
Manufacturer: Zoetis Duration: ( X ) 3 year
K/MLV/R: KILLED
..III
Veterinarian: Dr Amber Naig License Number: 4582 Signature

Laveen Veterinary Center
3536W Baseline Rd #128
Laveen, Arizona 85339
(602)559-9600 - office©laveenvetcenter.com
Rabies Certificate
10-Oct 2018
Client ID: 4510 Patient ID: 9444
Client Name: Eye Dog Foundation For the Blind-LVC Patient Name: Maisy
Address: 8252 S. 15th Avenue Species: Canine
Breed: German Shepherd
Phoenix, AZ 85041 Sex: Female Desexed: N
Color: Black/Red
Phone: 602-276-0051 / 800-393-3641 / 602-518-5209 Birthday: 2018-06-29
Microchip: Avid*104*293*839 Weight: 25.200 lb
Tag Number: Vaccination Date: 10-Oct 2018
Batch Number: 262259A Vaccination Expiration Date: 10-Oct 2019
Rabies Vaccination Vaccination Rabies Canine 1 Year Duration: ( X ) 1 year
Manufacturer: Zoetis Duration: ( ) 3 year
K / MLV / R: KILLED
Veterinarian: Dr Amber Naig License Number: 4582 Signature arrasie4 Licbt:4-e\, INkt

Laveen Veterinary Center
3536W Baseline Rd #128
Laveen, Arizona 85339
(602)559-9600 - offiee©laveenvetcentencom
Rabies Certificate
5-Jun 2019
Client ID: 4510 Patient ID: 8454
Client Name: Eye Dog Foundation For the Blind-LVC Patient Name: Frankie Sue
Address: 8252 S. 15th Avenue Species: Canine
Breed: German Shepherd
Phoenix, AZ 85041 Sex: Female Desexed: Y
Color: Black/Red
Phone: 602-276-0051 / 800-393-3641 1602-518-5209 Birthday: 2018-01-26
Microchip: 104*079*887 Weight: 72.200 lb
Tag Number: Vaccination Date: 05-Jun 2019
Batch Number: 347471 Vaccination Expiration Date: 05-Jun 2022
Rabies Vaccination Vaccination Rabies Canine 3 Year Duration: ( ) 1 year
Manufacturer: Z,oetis Duration: ( X ) 3 year
K / MLV / R: KILLED
Veterinarian: Dr Amber Naig License Number: 4582 Signature &Vitt 143/%1- VArt

Laveen Veterinary Center
3536W Baseline Rd #128
Laveen, Arizona 85339
(602)559-9600 - office@laveenvetcenter.com
Rabies Certificate
7-May 2019
Client ID: 4510 Patient ID: 10627
Client Name: Eye Dog Foundation For the Blind-LVC Patient Name: Eyevan
Address: 8252 S. 15th Avenue Species: Canine
Breed: German Shepherd
Phoenix, AZ 85041 Sex: Male Desexed: N
Color: Black/Brown
Phone: 602-276-0051 / 800-393-3641 / 602-518-5209 Birthday: 2019-01-21
Microchip: 985113001788950 Weight: 28.200 lb
Tag Number: Vaccination Date: 07-May 2019
Batch Number: 288179 Vaccination Expiration Date: 07-May 2020
Rabies Vaccination Vaccination Rabies Canine 1 Year Duration: ( X ) 1 year
Manufacturer: Zoetis Duration: ( ) 3 year
K / MLV / R: KILLED
aoterti 412,15, ovm
Veterinarian: Dr Amber Naig License Number: 4582 Signature

Laveen Veterinary Center
3536W Baseline Rd #128
Laveen, Arizona 85339
(602)559-9600 - office@laveenvetcenter.com
Rabies Certificate
14-May 2019
Client ID: 4510
Patient ID: 10404
Client Name: Eye Dog Foundation For the Blind-LVC Patient Name: Poppy
Address: 8252 S. 15th Avenue
Species: Canine
Breed: German Shepherd
Phoenix, AZ 85041
Sex: Female Desexed: N
Color: Black/Red
Phone: 602-276-0051 / 800-393-3641 / 602-518-5209 Birthday: 2019-01-17
Microchip: 985113001790335
Weight: 38.700 lb
Tag Number: Vaccination Date: 14-May 2019
Batch Number: 288179 Vaccination Expiration Date: 14-May 2020
Rabies Vaccination Vaccination Rabies Canine 1 Year Duration: ( X ) 1 year
Manufacturer: Zoetis Duration: ( ) 3 year
K/MLV/R: KILLED
Veterinarian: Dr Amber Naig License Number: 4582 Signature

CERTIFICAL
Date of Rabies Vaccination 10-11-18 Certificate No; 0
Next Rabies Vaccination On 10-11-19 Previous Rabies Vaccination:
VETERINARY CLINIC OWNER OF ANIMAL
Country Club Animal Clinic Helene Konen
36869 Cook Street Suite 10 36951 Tool Box Springs Rd
Palm Desert, CA 92211 Mountain Center, CA 92561
760-776-7555 County; Riverside
This is to oertify,..
THAT I HAVE VACCINATED AGA,It AL DESCRIBED BELOW.
Patient information...
PATIENT: Joy C332
SPECIES: Canine
SEX: Female
Breed: German Shepherd
Color and'markings... Black &
Vaccinabort
10-11 -16
SER_NO: 18378
ADM: S.Q.

Laveen Veterinary Center
3536W Baseline Rd #128
1,tiveert, Arizona 85339
(602)559-9500 - laveenvetcennalcorn
Rabies Certificate
1-Sep 2018
Client ID: 4510
Patient ID: 7032
Client Name: Eye Dog Foundation For the Bli -WC Patient Name: Eboni
Address: 8252 S. 15th Avenue
Species: Canine
Breed: German Shepherd
Phoenix, AZ 85041
Sex: Female Desexed: Y
Color: Black
Phone: 602-276-0051 / 800-393-3641 / 602-518-5209
Birthday: 2017-05-14
Microchip: *104*122*100
Weight: 58.600 lb
Tag Nurnbert
Vaccination Date: 01-Sep 2018
Batch Number: 262259A
Vaccination Expiration Date: 01-Sep 2021
Rabies Vaccination Vaccination Rabies Canine 3 Year Duration: ( 1 year
Manufacturer:
Duation: ( X ) 3 year
I MIN R:
Veterinarian; Dr Evan Ware License Number: 4712 Signature.

La een Veterinary Center
Rabies Certificate
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Rabies Vaccination Certificate
Laveen Veterinary Center
3536 W Baseline Rd #128
Laveen, Arizona 85339
Ph: (602)559-9600 Email: office@laveenvetcenter.com
• For the Blind-LVC Eye Dog Foundation
• 602-276-0051
• 8252 S. 15th Avenue
•
• Phoenix AZ 85041
Pet Name Cisco. Species Canine. Sex Male. Age 1.5. Neutered/Spayed:
Y.
Size 85.700 lb Predominant Breed German Shepherd Predominate Color Black/Tan
Microchip *104*100*799
Animal Control License 1 Year 3 Year X Other
Date Vaccinated JUL - 16 2019 Next Vaccine Due July 16,2022
Product Name Defensor
Manufacturer First 3 Letters Vaccine Serial/Lot Number:
iE
Veterinarian: Dr. Amber Naig
3 Yr USDA Licensed Vaccine: 347471 _
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Veterinarian's Signature

Laveen Veterinary Center
3536 W BaseNne Rd 4128
:Laire6n. Anzona 8339
(632)559-9606 - ofticee4laveenvetcentce.corn
Rabies Certificate
1.8-Apr 2819
Client ID; 4510
Client Name: Eye Dog Foundation For the lind-LVC Patient ID: 8958
Patient Name:
Address: 8252 S. 15th Avenue
•Species: Canine
Breed: German Shepherd
Phoenix, AZ 85041
Sex: Female Desexed: N
Color: Black
Phone: 602-276-0051 1800-393-364 •802-518-5209
Microchip: AVI1*104*036*016 Birthday: 2017-12-04
Weight; 56,900 II,
Dog Number:
Vaccination Date: 18-A 2014
Batcb Number: : 288179
Vaccination Expiradon Date: 18-Apr 2022
Rabies Vaccination Vaccination Rabies Canine 3 I'm
Duration: ( ) I year
Manufacturer: Zuetis
Duration: { X ) 3 year
/ R: KILLED
Veterinarian: Dr Amber Naig License N txt : 4582 Signature
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Laveen Veterinary Center
3536 W Basetale Rd #128
,Laveen. Arizona 85339
(8O2)559-9600 - office@laveenvemehtet.com
Rabies Certificate
2-Aug 2018
Client ID: 5181
Client Name: Carrie Hobbs Patient ID: 8065
Address: 8252 S. 15th Avenue Patient Name: Sugar
• Species: Canine
Phoenix, AZ 85041 • Breed: Australian Shepherd
Sex: Female Desexed: Y
Phone: / / 602-518-5209 • Color: Red/White
•
Micr *034*34-4*881 Birthday: 2006-08-02
Weight: 67.300 lb
Tag Number:
Vaccination Date:
02-Aue 2018
. ROO Nu-a bet: 254977C
Vaccination Expiration Date:
02-Aug 2021
Rabies Vaccination Vaccination Rubies Canine 3 Year
M nu facturer: &alit
K./ MLV I R: :KILLED
Veterinarian: Dr Amber Naig License Nu ber: 4582 Signature MVPI,

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Rabies Certificate
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Address: 9022 E Moon Beam Ave Species PatientNarne: ' • i
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Flagstaff, AZ 86004 Fen:isle ,
Phone- (928)4562884 Color : Slack; . : i 4 . .
Markings.
, Sirttida4: 1212112018 . . . .
' Weight . . ' 2480 pounds on . 41. 15/269
MicrochiP lia 070276317
Tag Numbor: 117451
Lot Number: 18408 Vac4ination Date: 411912019
MARA13 31-1; IVIERIAL Expiretion Bete'. 411912020
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