DIAMONDS IN THE RUFF CORGIS KENNEL PERMIT.PDF
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Maricopa County Animal Care And Control 2500 South 27th Avenue Phoenix, AZ 85009 (602) 506-7387 Tele. (602) 506-2739 Fax KENNEL PERMIT APPLICATION 1.1 New 0 Renewal Permit # I 9 -000012 Name: Kim & Jereme Barnett Kennel Name' Diamonds In the Ruff Corgis Mailing Address: PO Box 505 Kennel Location: Morristown 25333 w 1%1,10.14:1/4mA tba. Morristown 85342 85' 3442.. Lk City ZIP County Supervisorial District Home Phone: (541) 408-0916 Kennel Phone: (541) 408-0916 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 I/We assume complete responsibility for the kennel at the premises for which I/we are making applic 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). I/VVe certify that I/VVe have I dogs and that the kennel meets the definition in statute. rANe certify that I/VVe have not been convicted of a violation of A.R.S. §§ 13-2910 (cruelty to animals) or 131E2910.01 (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 .14XVI/VVe ta certify that all dogs over the age of three (3) months that are kept, harbored or maintained on the Vdrrises 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. 511,24r1 /We 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. 7. )0134101/VVe 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. /We understand that a person who knowingly fails to obtain a kennel permit within thirty days after 'otification from the county enforcement agent is guilty of a class 2 misdemeanor.. 902/ he 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. INVe certify that all of the information IIINe have provided is true and accurate under penalty of law. 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://bets.maricoba.00v Receipt Number: R19-854542 Receipt Date: 07/25/2019 Person ID: P2826090 Phone: 541 4080916 DIAMONDS IN THE RUFF CORGIS KENNELS 25333 W MANANA RD 7/25/2019 10:53:25AM MORRISTOWN, AZ 85342 Item: Animal ID: Reference No: Price: Each: Amount: KEN PERMIT A7777777 K19-000072 $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 WBUS OFF Maricopa County Animal Care & Control 2500 South 27th Avenue Phoenix, AZ 85009 Phone: (602) 506-7387 pets.maricopa.gov KENNEL PERMIT K19-000072 PREMISE INSPECTION Number of Dogs: 13 Name: Kim/Jereme Barnett Kennel Name: Diamonds in the Ruff Corgis Kennels Mailing Address: PO Box 505 Kennel Address: 25333 W. Manana Road City: Morristown State: AZ Zip: 85342 County Supervisorial District: 4 Phone: 541-408-0916 Kennel Phone: 541-408-0916 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 NEW kennel application. The premises has been inspected and there are 13 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 CER IFICATE OF VACCINATION Date of Rabies Vaccination: 03-01-19 Next Rabies Vaccination: 02-28-22 VETERINARY CLINI OWNER OF ANIMAL Wickenburg Veterinay Clinic Kim Barnett 1127 W. Wickenburg ay PO Box 505 Wickenburg, AZ 853 0 Morristown , AZ 85342 (928) 684-7866 County: Maricopa This is to certify... THAT I HAVE VACCI4ATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information. . PATIENT: Mercedes TAG NO: 19-217 SPECIES: Canine WEIGHT: 44.70 SEX: S AGE: 3 years BREED: Poodle,Standard DOB: 08-23-15 MICROCHIP COLOR & MARKINGS: Black License: AZ1192 Vaccinations done. 03-01-19 JO Rpbies (3 years) 02-28-22 03-01-19 JO DI-ILP-CPV (3 year booster) 02-28-22 Rabies Vaccine Info mation... MFG BY: ZOETI SER.NO: 311624A LOT EXP: 05-22-19 ADM: CERTIFICATE OF VACCINATION Date of Rabies Vaccination: 03-01-19 Next Rabies Vaccination: 02-28-22 VETERINARY CLINIC OWNER OF ANIMAL Wickenburg Veterinary Clinic Kim Barnett 1127 W. Wickenburg ay PO Box 505 Wickenburg, AZ 8539 Morristown , AZ 85342 (928) 684-7866 County: Maricopa This is to certify... THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Hope TAG NO: 19-215 SPECIES: Canine WEIGHT: 50.00 SEX: S AGE: 8 years BREED: Queensland Fleeler Mix DOB: 08-23-10 MICROCHIP COLOR & MARKINGSi Blue Merle License: AZ1192 Vaccinations done... 03-01-19 JO Raiiies (3 years) 02-28-22 03-01-19 JO DFII_P-CPV (3 year booster) 02-28-22 Rabies Vaccine InforMation... MFG BY: ZOETI SER.NO: 311624A LOT EXP: 05-22-19 ADM: CERT FICATE OF VACCINATION Date of Rabies Vaccinati4n: 02-23-19 Next Rabies Vaccination On: 02-23-20 Certificate No: 3805 Previous Rabies Vaccination: VETERINARY CLINIC Hassayampa Veterinary S ices OWNER OF ANIMAL 51031 N. US HWY 60/89 Kim Barnett Wickenburg, AZ 85390 P.O. Box 505 928-684-3070 Morristown, AZ 85342 County: Maricopa This is to certify... THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Nala SPECIES: Canine TAG NO: 4520 SEX: F WEIGHT: 57.70 AGE: 5 months Color and markings... Red Breed: Rhodesian Ridgeback Signed Joanne Ruisi, DVM License: 4606 Vaccinations done... 02-23-19 JR Canine Rabies Vaccination 1 Year, #4520 02-23-19 JR Canine DHPP Annual 02-23-20 Rabies Vaccine Informationi... MFG BY: ZOETI SER.NO: 293130 LOT EXP: 20Nov19 ADM: SQ CERTIIFICATE OF VACCINATION Date of Rabies Vaccinati n: 02-23-19 Certificate No: 3806 Next Rabies Vaccination n: 02-23-20 Previous Rabies Vaccination: VETERINARY Hassayampa CLINIC Veterinary S ices OWNER OF ANIMAL 51031 N. US HWY 60/89 Kim Barnett Wickenburg, AZ 85390 P.O. Box 505 928-684-3070 Morristown, AZ 85342 County: Maricopa This is to certify... THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Asian SPECIES: Canine TAG NO: 4521 SEX: M WEIGHT: 86.80 AGE: 11 months Color and markings... Red Breed: Rhodesian Ridgeback Signed Joanne Ruisi, DVM License: 4606 Vaccinations done... 02-23-19 JR Canine Rabies Vaccination 1 Year, #4521 02-23-19 JR Canine DHPP Annual 02-23-20 06-12-18 le** Canine DHPP Series Rabies Vaccine Information... MFG BY: ZOETI SER.NO: 293130 LOT EXP: 20Nov19 ADM: SQ Date of Rabies Vaccinati n: 05-15-19 Certificate No: 3989 Next Rabies Vaccination n: 05-14-20 Previous Rabies Vaccination: VETERINARY CLINIC Hassayampa Veterinary Se ices OWNER OF ANIMAL 51031 N. US HWY 60/89 Kim Barnett Wickenburg, AZ 85390 P.O. Box 505 928-684-3070 Morristown, AZ 85342 County: Maricopa This is to certify... THAT I HAVE VACCINAT AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Trela SPECIES: Canine TAG NO: 4707 SEX: F WEIGHT: 17.10 AGE: 18 weeks Color and marking .. Tr (oor Breed: Welsh Corgi Signed Lara Shreve, DVM License: 6955 Vaccinations done... 05-15-19 LSM Canine Rabies Vaccination 1 Year, #4707 05-15-19 LSM Canine DHPP Annual 05-14-20 04-16-19 JR Canine DHPP Series Rabies Vaccine Information... MFG BY: ZOETI SER.NO: 321288 LOT EXP: 12May20 ADM: SQ CERTIFICATE OF VACCINATION Date of Rabies Vaccinati n: 05-23-19 Next Rabies Vaccination n: 05-22-20 Certificate No: 4007 Previous Rabies Vaccination: VETERINARY CLINIC Hassayampa Veterinary Services OWNER OF ANIMAL 51031 N. US HWY 60/89 Kim Barnett Wickenburg, AZ 85390 P.O. Box 505 928-684-3070 Morristown, AZ 85342 County: Maricopa This is to certify... THAT I HAVE VACCINAT ' AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Josie SPECIES: Canine TAG NO: 4723 SEX: F WEIGHT: 23.70 AGE: 18 months Color and markings... Tri ;olor Breed: Welsh p r orgi r c Signed Lara Shreve, DVM License: 6955 Vaccinations done... 05-23-19 LSM Canine Rabies Vaccination 1 Year, #4723 05-23-19 LSM Canitle DHPP Annual 05-22-20 Rabies Vaccine Informationl... MFG BY: ZOETI SER.NO: 321288 LOT EXP: 12May20 ADM: SQ CERTIFICATE OF VACCINATION Date of Rabies Vaccinati n: 02-19-19 Certificate Next Rabies Vaccination n: 02-19-20 No: 3792 Previous Rabies Vaccination: VETERINARY CLINIC Hassayampa Veterinary S rvices OWNER OF ANIMAL 51031 N. US HVVY 60/89 Kim Barnett Wickenburg, AZ 85390 P.O. Box 505 928-684-3070 Morristown, AZ 85342 County: Maricopa This is to certify... THAT I HAVE VACCINAT D AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Anna SPECIES: Canine TAG NO: 4507 SEX: F WEIGHT: 23.40 AGE: 14 months Color and markings... Re and White Breed: Welsh Corgi Joanne Ruisi, DVM License: 4606 Vaccinations done... 02-19-19 JR Cani e Rabies Vaccination 1 Year, #4507 02-19-19 JR Canine DHPP Series 03-12-19 Rabies Vaccine Information... MFG BY: ZOETI SER.NO: 293130 LOT EXP: 20Nov19 ADM: SQ CERT FICATE OF VACCINATION Date of Rabies Vaccinaticin: 03-01-19 Certificate No: 3819 Next Rabies Vaccination On: 02-29-20 Previous Rabies Vaccination: VETERINARY CLINIC OWNER OF ANIMAL Hassayampa Veterinary S rvices Kim Barnett 51031 N. US HVVY 60/89 P.O. Box 505 Wickenburg, AZ 85390 Morristown, AZ 85342 928-684-3070 County: Maricopa This is to certify... THAT I HAVE VACCINAT D AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Summer TAG NO: 4534 SPECIES: Canine WEIGHT: 25.20 SEX: F AGE: 2 years Color and markings... Tati Breed: Welsh Corgi Joanne Ruisi, DVM License: 4606 Vaccinations done... 03-01-19 JR C4nine Rabies Vaccination 1 Year, #4534 03-01-19 JR C4nine DHPP Annual 02-29-20 Rabies Vaccine Information... MFG BY: ZOETI SER.NO: 307509 LOT EXP: 31Dec19 ADM: SQ CERTIFICATE OF VACCINATION Date of Rabies Vaccination: 04-24-19 Certificate No: 3947 Next Rabies Vaccination Oh: 04-23-20 Previous Rabies Vaccination: VETERINARY CLINIC OWNER OF ANIMAL Hassayampa Veterinary Se ices Kim Barnett 51031 N. US HWY 60/89 P.O. Box 505 Wickenburg, AZ 85390 Morristown, AZ 85342 928-684-3070 County: Maricopa This is to certify... THAT I HAVE VACCINATE AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Raven TAG NO: 4666 SPECIES: Canine WEIGHT: 25.30 SEX: F AGE: 2 years Color and markings... Tri olor Breed: Welsh Corgi, Pembr ke Signed Lara Shteve, DVM License: 6955 Vaccinations done... 04-24-19 LSM Ca me Rabies Vaccination 1 Year, #4666 04-24-19 LSM Cartine DHPP Annual 04-23-20 Rabies Vaccine Informatioh... MFG BY: ZOETI SER.NO: 321288 LOT EXP: 12May20 ADM: SQ Date of Rabies Vaccinati+n: 06-17-19 Certificate No: 4051 Next Rabies Vaccination On: 06-16-20 Previous Rabies Vaccination: VETERINARY CLINIC OWNER OF ANIMAL Hassayampa Veterinary S rvices Kim Barnett 51031 N. US HVVY 60/89 P.O. Box 505 Wickenburg, AZ 85390 Morristown, AZ 85342 928-684-3070 County: Maricopa This is to certify... THAT I HAVE VACCINAT D AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Angus TAG NO: 4767 SPECIES: Canine WEIGHT: 14.90 SEX: M AGE: 17 weeks Color and markings... BI4ck Tri Breed: Welsh Corgi, Pembroke Signed Joanne Ruisi, DVM License: 4606 Vaccinations done... 06-17-19 JR Cahine Rabies Vaccination 1 Year, #4767 06-17-19 JR Ca me DHPP Annual 06-16-20 05-15-19 LSM Ca me DHPP Series Rabies Vaccine InformatiGn MFG BY: ZOETI SER.NO: 321288 LOT EXP: 12May20 ADM: SQ CERTIFICATE OF VACCINATION Date of Rabies Vaccinati n: 02-19-19 Certificate No: 3791 Next Rabies Vaccination On: 02-18-22 Previous Rabies Vaccination: VETERINARY CLINIC OWNER OF ANIMAL Hassayampa Veterinary S rvices Kim Barnett 51031 N. US HWY 60/89 P.O. Box 505 Wickenburg, AZ 85390 Morristown, AZ 85342 928-684-3070 County: Maricopa This is to certify... THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Gunnar SPECIES: Canine TAG NO: 4506 SEX: M WEIGHT: 31.80 AGE: 2 years Color and markings... Red and White Breed: Welsh Corgi Signed Joanne Ruisi, DVM License: 4606 Vaccinations done... 02-19-19 JR Canine Rabies Vaccination 3 Year, #4506 02-18-22 02-19-19 JR Can ne DHPP Annual 02-19-20 05-02-17 *** Canine Rabies Vaccination 1 Year Rabies Vaccine Informatio MFG BY: ZOETI SER.NO: 293130 LOT EXP: 20Nov19 ADM: SQ CERTIFICATE OF VACCINATION Date of Rabies Vaccinatiop: 02-19-19 Certificate No: 3793 Next Rabies Vaccination On: 02-19-20 Previous Rabies Vaccination: VETERINARY CLINIC OWNER OF ANIMAL Hassayampa Veterinary Serivices Kim Barnett 51031 N. US HWY 60/89 P.O. Box 505 Wickenburg, AZ 85390 Morristown, AZ 85342 928-684-3070 County: Maricopa This is to certify... THAT I HAVE VACCINATE") AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: DJ TAG NO: 4508 SPECIES: Canine SEX: M WEIGHT: 31.60 AGE: 2 years Color and markings... Red and White Breed: Welsh Corgi Joanne Ruisi, DVM License: 4606 Vaccinations done... 02-19-19 JR Canine Rabies Vaccination 1 Year, #4508 02-19-19 JR Canine DHPP Annual 02-19-20 Rabies Vaccine Information... MFG BY: ZOETI SER.NO: 293130 LOT EXP: 20Nov19 ADM: SQ FICATE OF VACCINATION Date of Rabies Vaccinatio : 08-02-19 Certificate No: 4133 Next Rabies Vaccination n: 08-01-20 Previous Rabies Vaccination: VETERINARY CLINIC OWNER OF ANIMAL Hassayampa Veterinary Se ices Kim Barnett 51031 N. US HWY 60/89 P.O. Box 505 Wickenburg, AZ 85390 Morristown, AZ 85342 928-684-3070 County: Maricopa This is to certify... THAT I HAVE VACCINATE AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Axel TAG NO: 4845 SPECIES: Canine WEIGHT: 18.10 SEX: M AGE: 17 weeks MICROCHIP: Color and markings... Blak Tri Breed: Welsh Corgi Signed Joanne Ruisi, DVM License: 4606 Vaccinations done... 08-02-19 JR Canine Rabies Vaccination 1 Year, #4845 08-02-19 JR Canine DHPP Annual 08-01-20 07-12-19 JR Caihine DHPP Series Rabies Vaccine Information... MFG BY: ZOETI SER.NO: 347471 LOT EXP: 28Jul20 ADM: SQ