USA PUREBRED LABS, LLC KENNEL PERMIT RENEWAL.PDF

Maricopa County
Animal Care And Control
2500 South 27th Avenue
Phoenix, AZ 85009
(602) 506-7387 Tele.
(602) 506-2739 Fax
KENNEL PERMIT APPLICATION
El New Renewal Permit # A-20- °<->"
Name: _S Kennel Na e Lck P ure_rt.,A 1_6-6s c
Mailing Address: 27 JO. c5t ennel Location: c "PA e•-_, ')i & 461—Cir
City -C Aoree 172— ZIP County Supervisorial District 2.
Home Phone: e-iiP se-P Kennel Phone: tt41. —'if
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 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 for each additional visit. Failure of inspection may result in denial of the kennel
permit and require individual licensing of each dog under the provisions of A.R.S. §11-1008.
PLEASE ANSWER THE FOLLOWING QUESTIONS AND INITIAL EACH RESPONSE
1. YAJ I/We assume complete responsibility for the kennel at the premises for which I/we are making
appli ton 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.(0 I/We certify that I/We have dogs and that the kennel meets the definition in statute.
3. I/We 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), or similar violations of any other state, county or municipal animal welfare law.
(Violations of license and leash laws DO NOT apply).
4. I/We certify that all dogs over the age of three (3) months that are kept, harbored or maintained on the
premises 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
maintajned on the premises for each dog.
5. I /VVe certify that I/We are submitting a valid copy of the rabies vaccination certificate for each
dog with this application.
6. 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
penalty of twenty-five dollars in addition to the annual fee.
8. I/VVe understand that a person who knowingly fails to obtain a kennel permit within thirty days after
written notification from the county enforcement agent is guilty of a class 2 misdemeanor..
9. (p.--The undersigned understand that that the kennel permit does not authorize the operation of any type
of business and is solely used for the purpose of licensing multiple dogs.
I/We certify that all of the information I/We have provided is true and accurate under penalty of law.
Applicant Signature Date:
Applicant Signature Date:
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
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: R19-854538 Receipt Date: 07/25/2019
Person ID: P2263346
Phone: 480 5849315
USA PUREBRED LABS LLC KENNELS
27828 N 143RD ST 7/25/2019 10:50:59AM
SCOTTSDALE, AZ 85262
Item: Animal ID: Reference No: Price: Each: Amount:
KEN PERMIT A7777777 K20-000055 $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
aguayot WBUSOFF

Maricopa County
Animal Care & Control
2500 South 27th Avenue
Phoenix, AZ 85009
Phone: (602) 506-7387
pets.maricopa.gov
KENNEL PERMIT K20-000055
PREMISE INSPECTION
Number of Dogs: 25
Name: Tracy Thomas Kennel Name: USA Purebred Labs Kennels
Mailing Address: 27828 N. 143rd Street Kennel Address: 27828 N. 143rd Street
City: Scottsdale, AZ Zip: 85262
County Supervisorial District: 2
Phone: 480-584-9315 Kennel Phone: 480-584-9315
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. The premises has been inspected and there are 25 dogs
on the property, all of which have current rabies vaccination certificates. The property is well
kept and secured, keeping all dogs confined; there have been no reports for service at the
property address.
Deputy Enforcement Agent & Badge #: Lt. Romero #4 Date: 8/12/19
October 2015

CERTIFICATE OF VACCINATION
Date of Vaccination: 06-21-18 Certificate No. 0
Next Vaccination on: 06-20-21 Previous Vaccination:
VETERINARY CLINIC OWNER OF ANIMAL
Sunburst Animal Hospital Tracy Thomas
5032 W. Thunderbird Road 27828 N. 143rd Street
Glendale, AZ 85306 Scottsdale, AZ 85262
602-938-1860 (480) 584-9315
This is to certify...
THAT I HAVE VACCINATED THE ANIMAL DESCRIBED BELOW AGAINST RABIES.
Patient information...
PATIENT: Smokey TAG NO:
SPECIES: Canine BREED: Labrador Retriever
SEX: Female AGE: 4 years
WEIGHT: 74.00 lbs COLOR: Black
MICROCHIP:
MFG BY: ZOE, SERIAL: 282272, EXPIRES: 06/30/19, ADMIN: SQ
Signed:
Other Vaccinations...
Vaccinated By Vaccination Next due
06-21-18 MAS Rabies Vaccination & Exam (none)

Labrador
23825 Ashley Canine Retriever, Female Chocolate 5/16/2013 3/16/2018 3/16/2021
83
PLC Date: Date:
107 ID: Name:
Hospital, Ste. Patient Patient Species: Breed: Sex: Color: Markings: Birthday: Weight: Vaccination Expiration
85331
Highway, AZ 595-5731 Certificate
Animal Creek,
Carefree (480)
Valley E. Cave Rabies DVM
4815 85262
Dove St, AZ Kiedrowski
Thomas 143rd N 584-9315 3 Mike
16319 Tracy 27828 Scottsdale, (480) 2018 254971 Defensor Killed Dr. 1912/256
Name: Address: Number: Number: Number:
ID: Client Client Client Phone: Tag Serial Producer: type: Virus Staff: License

Labrador
23826 Bailey Canine Retriever, Female Yellow 5/16/2013 94.2 3/16/2018 311612021
PLC Date: Date:
107 ID: Name:
Hospital, Ste. Patient Patient Species: Breed: Sex: Color: Markings: Birthday: Weight: Vaccination Expiration
85331
Highway, AZ 595-5731 Certificate
Animal Creek,
Carefree (480)
Valley E. Cave Rabies DVM
4815 85262
Dove St, AZ Kiedrowski
Thomas N 143rd 584-9315 3 Mike
16319 Tracy 27828 Scottsdale, (480) 2018 254971 Defensor Killed Dr. 1912/256
Name: Address: Number: Number: Number:
ID: type:
Client Client Client Phone: Tag Serial Producer: Virus Staff: License

Dr. Kelly's Mobile Surgical Unit
602-909-5383
Certificate of Rabies Vaccination
Date* Li 1 16 /U?' Pet Name: __MA2
Owner: 1-roCel- TrAnet "S
Address . ql-t2 g A/ 1g3r44 Shut,4-
&.eilsolai,&, A7- fita,C0
Phone: 4 b - &84— q 51S-
/ Cat Breed: A4rat/0k Colors: I-RA(6-4A)
Weight . q 5 t?
Producer: 2-1 le- I Lot Number: "We 69 9 to
1 Year
Date Vaccinated . 1.,P8 Date Expires . t4 /1 8, /
Veterinarian's: # AZ-3463
Veterinarian's Signature: ,.„ZaLuot, byte.,
Dr. Kelly's Mobile Surgical Unit, 602-909-5383
Veterinarian: Dr. Kelly Patriquin. DVM License Number 3463

Retriever
0 Street 85262 Labrador years
Vaccination: ANIMAL Thomas 143rd AZ 584-9315 2 White
No. OF N. Scottsdale, RABIES.
Certificate Previous OWNER Tracy 27828 (480) AGAINST NO: TAG BREED: AGE: COLOR: due
SQ Next (none)
BELOW ADMIN:
DESCRIBED 12118/18, AZ1246 Exam &
ANIMAL EXPIRES: License: Vaccination
THE - Vaccination Rabies
236503B, DVM
04-03-18 04-02-21 Hospital Road VACCINATED By MAS
on: CLINIC Animal Thunderbird 85306 Charlotte Canine Female lbs 61.00 SERIAL: Stevens, A. Vaccinated
Vaccination: Vaccination AZ certify... HAVE information... ZOE, Mark Vaccinations... 04-03-18
of VETERINARY Sunburst W. 5032 Glendale, 602-938-1860 to is I THAT PATIENT: SPECIES: WEIGHT: MICROCHIP: BY:
Date Next This Patient SEX: MFG Signed: Other

Retriever
0 Street 85262 Labrador years Yellow
No. Vaccination: ANIMAL Thomas 143rd AZ 584-9315 2
OF N. Scottsdale, RABIES.
Certificate Previous OWNER Tracy 27828 (480) NO: TAG BREED: AGE: COLOR: due
AGAINST SQ Next (none)
BELOW ADMIN:
DESCRIBED 01/30/19, AZ1246 Exam &
ANIMAL EXPIRES: License: Vaccination
THE Vaccination Rabies
242100B, DVM
04-05-18 04-04-21 Hospital Road VACCINATED Stevens, By MAS
on: CLINIC Animal Thunderbird 85306 AZ information... Nugget Canine Female lbs 60.10 SERIAL: A. Vaccinated 04-05-18
Vaccination: Vaccination W. 602-938-1860 certify... HAVE I ZOE, Mark Vaccinations...
of VETERINARY Sunburst 5032 Glendale, to is THAT Patient PATIENT: SPECIES: WEIGHT: MICROCHIP: BY: Signed:
Date Next This SEX: MFG Other

Retriever
0 Street 85262 Labrador years Chocolate
No. Vaccination: ANIMAL Thomas 143rd AZ 584-9315 4
OF N. Scottsdale, RABIES.
Certificate Previous OWNER Tracy 27828 (480) NO: TAG BREED: AGE: COLOR: due
AGAINST SQ Next (none)
BELOW ADMIN
Exam
DESCRIBED 01/30/19, AZ1246 &
ANIMAL License: Vaccination
THE 242100B,AWES: Vaccination Rabies
04-10-18 04-09-21 Hospital Road VACCINATED DVM By MAS
on: CLINIC Thunderbird 85306 lbs SERIAL: Stevens,
Vaccination: Animal AZ certify... HAVE information... Ceasar Canine Male 88.00 ZOE, A. Mark Vaccinations... Vaccinated 04-10-18
of Vaccination VETERINARY Sunburst W. 5032 Glendale, 602-938-1860 to is I THAT PATIENT: SPECIES: WEIGHT: MICROCHIP: BY
Date Next This Patient SEX: MFG Signed: Other

CERTIFICATE OF VACCINATION
Date of Vaccination: 06-21-18 Certificate No. 0
Next Vaccination on: 06-20-21 Previous Vaccination:
VETERINARY CLINIC OWNER OF ANIMAL
Sunburst Animal Hospital Tracy Thomas
5032 W. Thunderbird Road 27828 N. 143rd Street
Glendale, AZ 85306 Scottsdale, AZ 85262
602-938-1860 (480) 584-9315
This is to certify...
THAT I HAVE VACCINATED THE ANIMAL DESCRIBED BELOW AGAINST RABIES.
Patient information...
PATIENT: Biscuit TAG NO:
SPECIES: Canine BREED: Labrador Retriever
SEX: Female AGE: 2 years
WEIGHT: 85.60 lbs COLOR: Yellow
MICROCHIP:
MFG BY: ZOE, SERIAL: 282272, EXPIRES: 06/30/19, ADMIN: SQ
Signed:
Mark A. Stevens, DVM License: AZ1246
Other Vaccinations...
Vaccinated By Vaccination Next due
06-21-18 MAS Rabies Vaccination & Exam (none)

CERTIFICATE OF VACCINATION
Date of Vaccination: 06-21-18 Certificate No. 0
Next Vaccination on: 06-20-21 Previous Vaccination:
VETERINARY CLINIC OWNER OF ANIMAL
Sunburst Animal Hospital Tracy Thomas
5032 W. Thunderbird Road 27828 N. 143rd Street
Glendale, AZ 85306 Scottsdale, AZ 85262
602-938-1860 (480) 584-9315
This is to certify...
THAT I HAVE VACCINATED THE ANIMAL DESCRIBED BELOW AGAINST RABIES.
Patient information...
PATIENT: Y TAG NO:
SPECIES: Canine BREED: Labrador Retriever
SEX: Female AGE: 4 years
WEIGHT: 76.40 lbs COLOR: Yellow
MICROCHIP:
MFG BY: ZOE, SERIAL: 282272, EXPIRES: 06/30/19, ADMIN: SQ
Signed:
Mark A. tevens, DVM License: AZ1246
Other Vaccinations...
Vaccinated By Vaccination Next due
06-21-18 MAS Rabies Vaccination & Exam (none)

CERTIFICATE OF VACCINATION
Date of Rabies Vaccination . 02-05-19 Certificate No: 0
Next Rabies Vaccination On: 02-05-20 Previous Rabies Vaccination:
VETERINARY CLINIC OWNER OF ANIMAL
Sunburst Animal Hospital Tracy Thomas
5032 W. Thunderbird Road 27828 N. 143rd Street
Glendale, AZ 85306 Scottsdale, AZ 85262
602-938-1860 County:
This is to certify...
THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW.
Patient information...
PATIENT: Mara TAG NO:
SPECIES: Canine WEIGHT: 65.70
SEX: F AGE: 5 months
Color and markings... White
Rabies Vaccine Information...
MFG BY: ZOE SER.NO: 282273 LOT EXP: 08/06/19 ADM: SQ
Signed
Mark A. Stevens, DV AZ1246

CERTIFICATE OF VACCINATION
Date of Rabies Vaccination: 02-05-19 Certificate No: 0
Next Rabies Vaccination On: 02-04-22 Previous Rabies Vaccination:
VETERINARY CLINIC OWNER OF ANIMAL
Sunburst Animal Hospital Tracy Thomas
5032 W. Thunderbird Road 27828 N. 143rd Street
Glendale, AZ 85306 Scottsdale, AZ 85262
602-938-1860 County:
This is to certify...
THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW.
Patient information...
PATIENT: Belle TAG NO:
SPECIES: Canine WEIGHT: 11.25
SEX: F AGE: 2 years
Color and markings... White
Rabies Vaccine Information...
MFG BY: ZOE SER.NO: 282273 LOT EXP: 08/06/19 ADM: SQ
License: AZ1246

CERTIFICATE OF VACCINATION
Date of Rabies Vaccination: 11-08-18 Certificate No: 0
Next Rabies Vaccination On: 11-08-19 Previous Rabies Vaccination:
VETERINARY CLINIC OWNER OF ANIMAL
Sunburst Animal Hospital Tracy Thomas
5032 W. Thunderbird Road 27828 N. 143rd Street
Glendale, AZ 85306 Scottsdale, AZ 85262
602-938-1860 County:
This is to certify...
THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW.
Patient information...
PATIENT: Rena TAG NO:
SPECIES: Canine WEIGHT: 49,40
SEX: F AGE: 7 months
Color and markings... Yellow
Rabies Vaccine Information...
MFG BY: ZOE SER.NO: 282273 LOT EXP: 8-6-19 ADM: SQ
Signed
Mark A. Stevens, DVM License: AZ1246

3/5/2019 Clinic HQ
Dr. Kelly's Mobile Unit - West
602-909-5383
Animal Summary / Rabies Certificate
This is not an invoice.
Owner
USA Pure Breed Labs
27828 North 143rd Street, Scottsdale, AZ 85262
480-584-9315
Animal Details Animal's Name: Hunter
Sex: Male
Species: Dog
Age:1 Years, 0.0 Months
Color: Yellow
Breed: Labrador Retriever
Weight: 90.00 lbs
Spayed/Neutered:
Visit Date: 3/5/2019
Animal Type: Owned
Animal Number: 19-725
Microchip Number:
Already Altered: No
Rabies Vaccine Producer: Nobivac
Type:Three Year
Vaccine Lot Number: 321086 (expires 4/21/2020)
Date Vaccinated: 3/5/2019
Expires: 3/5/2022
Veterinarian:Kelly Patriquin License # 3463
Signature:
Dr. Kelly's Mobile Unit - West
Clinic Info: 6405 E Thomas Rd, Scottsdale, AZ 85251
602-909-5383
All Products/Services Date Description
3/5/2019 Rabies 3 year vaccine
This is not an invoice.
about:blank 2/6

3/5/2019 Clinic HQ
Dr. Kelly's Mobile Unit - West
602-909-5383
Animal Summary / Rabies Certificate
This is not an invoice.
Owner
USA Pure Breed Labs
27828 North 143rd Street, Scottsdale, AZ 85262
480-584-9315
Animal Details Animal's Name: Ginger
Sex: Female
Species: Dog
Age:2 Years, 0.0 Months
Color: Apricot
Breed:Goldendoodle
Weight: 45.00 lbs
Spayed/Neutered:
Visit Date: 3/5/2019
Animal Type: Owned
Animal Number: 19-720
Microchip Number:
Already Altered: No
Rabies Vaccine Producer: Nobivac
Type:Three Year
Vaccine Lot Number: 321086 (expires 4/21/2020)
Date Vaccinated: 3/5/2019
Expires: 3/5/2022
Veterinarian: Kelly Patriquin License # 3463
Signature:
Dr. Kelly's Mobile Unit - West
Clinic Info: 6405 E Thomas Rd, Scottsdale, AZ 85251
602-909-5383
All Products/Services Date Description
3/5/2019 Rabies 3 year vaccine
This is not an invoice.
about:blank 1/6

3/5/2019 Clinic HQ
Dr. Kelly's Mobile Unit - West
602-909-5383
Animal Summary / Rabies Certificate
This is not an invoice.
Owner
USA Pure Breed Labs
27828 North 143rd Street, Scottsdale, AZ 85262
480-584-9315
Animal Details Animal's Name: Marshy
Sex: Female
Species: Dog
Age:4 Years, 0.0 Months
Color: Yellow
Breed: Labrador Retriever
Weight: 100.00 lbs
Spayed/Neutered:
Visit Date: 315/2019
Animal Type: Owned
Animal Number: 19-724
Microchip Number:
Already Altered: No
IYI
Rabies Vaccine Producer: Nobivac
Type:Three Year
Vaccine Lot Number: 321086 (expires 4/21/2020)
Date Vaccinated: 3/5/2019
Expires: 3/5/2022
Veterinarian: Kelly Patriquin License # 3463
Signature:
Dr. Kelly's Mobile Unit - West
Clinic Info: 6405 E Thomas Rd, Scottsdale, AZ 85251
602-909-5383
All Products/Services Date Description
3/5/2019 Rabies 3 year vaccine
This is not an invoice.
about:blank 3/6

3/5/2019 Clinic HQ
Dr. Kelly's Mobile Unit - West
602-909-5383
Animal Summary / Rabies Certificate
This is not an invoice.
Owner
USA Pure Breed Labs
27828 North 143rd Street, Scottsdale, AZ 85262
480-584-9315
Animal Details Animal's Name: Summer
Sex: Female
Species: Dog
Age:4 Years, 0.0 Months
Color: Yellow
Breed: Labrador Retriever
Weight:100.00 lbs
Spayed/Neutered:
Visit Date: 3/5/2019
Animal Type: Owned
Animal Number: 19-723
Microchip Number:
Already Altered: No
Rabies Vaccine Producer: Nobivac
Type:Three Year
Vaccine Lot Number: 321086 (expires 4/21/2020)
Date Vaccinated: 3/5/2019
Expires: 3/5/2022
Veterinarian: Kelly Patriquin License # 3463
Signature: 44-7Y6.
Dr. Kelly's Mobile Unit - West
Clinic Info: 6405 E Thomas Rd, Scottsdale, AZ 85251
602-909-5383
All Products/Services Date Description
3/5/2019 Rabies 3 year vaccine
This is not an invoice.
about:blank 5/6

3/5/2019 Clinic I-1Q
Dr. Kelly's Mobile Unit - West
602-909-5383
Animal Summary / Rabies Certificate
This is not an invoice.
Owner
USA Pure Breed Labs
27828 North 143rd Street, Scottsdale, AZ 85262
480-584-9315
Animal Details Animal's Name: Posh
Sex: Female
Species: Dog
Age:4 Years, 0.0 Months
Color: Yellow
Breed: Labrador Retriever
Weight: 85.00 lbs
Spayed/Neutered:
Visit Date: 3/5/2019
Animal Type: Owned
Animal Number: 19-722
Microchip Number:
Already Altered: No
Rabies Vaccine Producer: Nobivac
Type:Three Year
Vaccine Lot Number: 321086 (expires 4/21/2020)
Date Vaccinated: 3/5/2019
Expires: 3/5/2022
Veterinarian:Kelly Patriquin License #3463
Signature:
Dr. Kelly's Mobile Unit - West
Clinic Info: 6405 E Thomas Rd, Scottsdale, AZ 85251
602-909-5383
All Products/Services Date Description
3/5/2019 Rabies 3 year vaccine
This is not an invoice.
about:blank 4/6

3/5/2019 Clinic HQ
Dr. Kelly's Mobile Unit - West
602-909-5383
Animal Summary / Rabies Certificate
This is not an invoice.
Owner
USA Pure Breed Labs
27828 North 143rd Street, Scottsdale, AZ 85262
480-584-9315
Animal Details Animal's Name: Winter
Sex: Female
Species: Dog
Age:3 Years, 0.0 Months
Color: Yellow
Breed: Labrador Retriever
Weight: 60.00 lbs
Spayed/Neutered:
Visit Date: 3/5/2019
Animal Type: Owned
Animal Number: 19-721
Microchip Number:
Already Altered: No
Rabies Vaccine Producer: Nobivac
Type: Three Year
Vaccine Lot Number: 321086 (expires 4/21/2020)
Date Vaccinated: 3/5/2019
Expires: 3/5/2022
Veterinarian: Kelly Patriquin License # 3463
Signature:
Dr. Kelly's Mobile Unit - West
Clinic Info: 6405 E Thomas Rd, Scottsdale, AZ 85251
602-909-5383
All Products/Services Date Description
3/5/2019 Rabies 3 year vaccine
This is not an invoice.
about:blank 6/6

CERTIFICATE OF VACCINATION
Date of Rabies Vaccination: 03-07-19 Certificate No: 0
Next Rabies Vaccination On: 03-06-20 Previous Rabies Vaccination:
VETERINARY CLINIC OWNER OF ANIMAL
Sunburst Animal Hospital Tracy Thomas
5032 W. Thunderbird Road 27828 N. 143rd Street
Glendale, AZ 85306 Scottsdale, AZ 85262
602-938-1860 County:
This is to certify...
THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW.
Patient information...
PATIENT: Blue TAG NO:
SPECIES: Canine WEIGHT: 38.10
SEX: M AGE: 6 months
Color and markings... Chocolate MICROCHIP:
Rabies Vaccine Information...
MFG BY: ZOE SER.NO: 293126 LOT EXP: 11/06/19 ADM: SQ
License: AZ1246

CERTIFICATE OF VACCINATION
Date of Rabies Vaccination: 03-07-19 Certificate No: 0
Next Rabies Vaccination On: 03-06-20 Previous Rabies Vaccination:
VETERINARY CLINIC OWNER OF ANIMAL
Sunburst Animal Hospital Tracy Thomas
5032 W. Thunderbird Road 27828 N. 143rd Street
Glendale, AZ 85306 Scottsdale, AZ 85262
602-938-1860 County:
This is to certify...
THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW.
Patient information...
PATIENT: Echo TAG NO:
SPECIES: Canine WEIGHT: 33.50
SEX: M AGE: 6 months
Color and markings... Chocolate MICROCHIP:
Rabies Vaccine Information...
MFG BY: ZOE SER.NO: 293126 LOT EXP: 11/06/19 ADM: SQ
License: AZ1246

CERTIFICATE OF VACCINATION
Date of Rabies Vaccination: 03-19-19 Certificate No: 0
Next Rabies Vaccination On: 03-18-22 Previous Rabies Vaccination:
VETERINARY CLINIC OWNER OF ANIMAL
Sunburst Animal Hospital Tracy Thomas
5032 W. Thunderbird Road 27828 N. 143rd Street
Glendale, AZ 85306 Scottsdale, AZ 85262
602-938-1860 County:
This is to certify...
THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW.
Patient information...
PATIENT: Ashley2 TAG NO:
SPECIES: Canine WEIGHT: 60.00
SEX: F AGE: 9 months
Color and markings... Chocolate MICROCHIP:
Rabies Vaccine Information...
MFG BY: ZOE SER.NO: 293126 LOT EXP: 11/06/19 ADM: SQ
License: AZ1246

CERTIFICATE OF VACCINATION
Date of Rabies Vaccination: 03-19-19 Certificate No: 0
Next Rabies Vaccination On: 03-18-22 Previous Rabies Vaccination:
VETERINARY CLINIC OWNER OF ANIMAL
Sunburst Animal Hospital Tracy Thomas
5032 W. Thunderbird Road 27828 N. 143rd Street
Glendale, AZ 85306 Scottsdale, AZ 85262
602-938-1860 County:
This is to certify...
THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW.
Patient information...
PATIENT: Coco TAG NO:
SPECIES: Canine WEIGHT: 52.10
SEX: F AGE: 6 months
Color and markings... Chocolate MICROCHIP:
Rabies Vaccine Information...
MFG BY: ZOE SER.NO: 293126 LOT EXP: 11/06/19 ADM: SQ
Signed
Mark A. Stevens, DVM License: AZ1246

Dr. Kelly's Mobile Unit - West Ng' Dr. Kell s
MUILt 51161011 JN1T
6405 E Thomas Rd, Scottsdale, AZ 85251 I Phone: 602-909-5383
Animal Summary / Rabies Certificate
USA Pure Breed Labs
27828 North 143rd Street, Scottsdale, AZ 85262
Cell: 480-584-9315
Leo (19-2212)
Species Dog Visit Date 6/18/2019
Sex Male Animal Type Owned
Age 0 Years, 4.0 Months Microchip Number
Breed Labrador Retriever Spayed/Neutered
Color Yellow / Yellow Weight 38.00 lbs
Already Altered No
Rabies Vaccine
Producer Nobivac Date Vaccinated 6/18/2019
Type One Year Expires 6/18/2020
Vaccine Lot Number 327208 (expires 5/12/2020) Veterinarian Kelly Patriquin License # 3463
Signature
All Products / Services
Date Description
6/18/2019 Rabies 1 year vaccine
This is not an invoice.

Other Signed: MFG BY: MICROCHIP: WEIGHT: SEX: SPECIES: PATIENT: Patient THAT This is 5032 VETERINARY Next Date of
ZOE, I to 602-938-1860 Glendale, W. Sunburst Vaccination
04-10-18 Vaccinated Vaccinations... Mark A. 99.00 Male Canine Percy information... HAVE certify... AZ Thunderbird Animal CLINIC Vaccination:
Stevens, SERIAL: lbs 85306 Hospital on:
MAS By VACCINATED Road 04-09-21 04-10-18
D—V-M 242100B,_
Rabies THE
Vaccination
Vaccination License: EVIRES: ANIMAL
& AZ1246 01/30119, DESCRIBED
Exam
ADMIN: BELOW
(none) Next due SQ COLOR: AGE: BREED: TAG AGAINST OWNER Previous Certificate
NO: (480) Scottsdale, 27828 Tracy
RABIES. 584-9315 N. Thomas OF No.
Yellow 4 AZ 143rd ANIMAL Vaccination:
years Labrador 85262 Street
0
Retriever

CERTIFICATE OF VACCINATION
Date of Vaccination: 06-21-18 Certificate No. 0
Next Vaccination on: 06-20-21 Previous Vaccination:
VETERINARY CLINIC OWNER OF ANIMAL
Sunburst Animal Hospital Tracy Thomas
5032 W. Thunderbird Road 27828 N. 143rd Street
Glendale, AZ 85306 Scottsdale, AZ 85262
602-938-1860 (480) 584-9315
This is to certify...
THAT I HAVE VACCINATED THE ANIMAL DESCRIBED BELOW AGAINST RABIES.
Patient information...
PATIENT: Posh TAG NO:
SPECIES: Canine r D ( 1 BREED: Labrador Retriever
SEX: Female AGE: 3 years
WEIGHT: 80.30 lbs COLOR: Yellow
MICROCHIP:
MFG BY: ZOE, SERIAL: 282272, EXPIRES: 06/30/19, ADMIN: SQ
Signed: e fte 42
Mark A. S evens, License: AZ1246
Other Vaccinations...
Vaccinated By Vaccination Next due
06-21-18 MAS Rabies Vaccination & Exam (none)