DIAMONDS IN THE RUFF CORGIS KENNEL PERMIT.PDF

Maricopa County — Formal (2019-09-04)

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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