BUCKEYE ANIMAL RESCUE & KENNEL PERMIT (K19-000054).PDF

Maricopa County — Formal (2019-02-27)

View PDF Item 28 Meeting page

Extracted text (via pymupdf_layout) 54742 characters
Maricopa County
Animal Care and Control
2500 South 27th Avenue
Phoenix, AZ 85009
(602) 506-7387 Tele.
(602) 506-2739 Fax
KENNEL PERMIT •
KFI-0000sk-‘
APPLICATION
0 New 'Renewal
Name: Lit M b(-/- Kennel Name:huekQfe 046 finhavai
Mailing Address: 19 ci Al. 20 otk av.e. Kennel Address: /q/q locotk.
City: Bite,40/1. State: AZ Zip: S639 (p City: ate.layiz Zip: 063'9 tp
County Supervisorial District: LA
Phone: (023- 2,45? .1/45 o26 Kennel Phone: N-10 ,349* ,5
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 for each additional visit at time of inspection. Failure of inspection may result in
denial of the kennel permit and require individual licensing of each dog under the provisions of AR. S. §11-
1008.
PLEASE ANSWER THE FOLLOWING QUESTIONS AND INITIAL EACH RESPONSE
IANe assume complete responsibility for the kennel at the premises for which I/we are making
a plication for a permit and understand that "kennel" means an enclosed, controlled area, inaccessible to

Maricopa County Animal Care and Control
25008 27th Avenue
Phoenix, AZ 85009-6797
(602) 506-7387
http://pets.maricopa.qov
Receipt Number: R19-669148 Receipt Date: 01/07/2019
Person ID: P2262784
Phone: 623 8263085
BUCKEYE ANIMAL RESCUE KENNELS 1/7/2019 1:58:50PM
1919 N 200TH AVE
BUCKEYE, AZ 85396
Item: Animal ID: Reference No: Price: Each: Amount:
KEN PERMIT A7777777 K20-000054 $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 276 Avenue
Phoenix, AZ 85009
Phone: (602) 506-7387
pets.maricopa,gov
KENNEL PERMIT K20-000054
PREMISE INSPECTION
Number of Dogs: 26
Name: LILIA MUTKA Kennel Name: BUCKEYE ANIMAL RESCUE KENNELS
Mailing Address: 1919 N 200TH AVENUE Kennel Address: SAME
City: BUCKEYE State: AZ Zip:85396 City: PHOENIX Zip: 85396
County Supervisorial District: 4
Phone: 623-826-3086 Kennel Phone: 623-826-3085
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.)
NONE
On January 22, 2019, Buckeye Animal Rescue Kennels was inspected and passed; 25
rabies certificates were matched with the 25 dogs residing on the property. All dogs are
kenneled in a controlled area on the property.
Deputy Enforcement Agent & Badge #: Lt. Amber Romero #4 Date: 1/22119
October 2015

2,(4,43
Mobile Clinic Animal Care Record
Date 1/08/2019
Patient Information
Species C_-- Sex 4— Age
Name
Color and Markings --- v fl Altered flintact
Breed
Weight (it- lbs
Microchip
Owner Information
Name Animal Advocates Rescue Fund Phone 602-405-0155
Address 2916 W. Pollack Street, Phoenix, AZ 85041
Services
Sterilization
izif this record hereby notifies that the animal identified here has been sterilized or determined sterilized
If sele ted,
re-scrotal neuter /scrotal neuter LI Already sterilized
Surgically sterilize
Rabies Vaccine
this record hereby notifies that the animal identified here has been vaccinated against rabies
If selected, /-71
Y3 year Rabies Tag Date of Next Vaccine
Errtabies vaccin Serial LI (C044 S-64
Manufacturer 0
Product Name
Other Medical Care
ZfPain medication CrA-r ff'49-66.1
VCore vaccine (FVRCP for ea 01-IPP r dogs) Date of Next Vaccine I /7/Z0
Fl Dewormer
Flea/tick treatment
Other
Other
Comments:
Attending Veterinarian
Ow( (vA+ License
Name
Midwestern University 5715 W. Utopia Road Glendale AZ 85308

VACCINATION CERTIFICATE ID #
• DR. JOY'S
• Official Proof of Vaccination
VETERINARY
Keep this record in a safe place. Duplicate request: $10
SERVICES, ILL.C.
Who? Me? Euclid Ave., Tucson, AZ 85705 • (520) 369-3922 • Dr..loys.Vet@grnall.com • DrJoys.Net
Pet Owner: New Client VExisting Client
Email: Phone: W-3 ` .g2(0' ell:
cou'_a
Address:
btate
Pet #1 Pet #2
Male YAltered a On Medication Olt Dog OCIVIale WAltered a On Medication
l'ofemalp Not Pregant o -Cat q Not Regent
pro IMO, Date of Birth: #25/10 Name: Date of Birth:ol
1110IM Color Plel- 0 Bites? Breed: —ef MN tiLAYi. Color: a Bites?
Previous ccination Reaction? Y / Previous Vaccination Reaction? Y /
Needs An al Vaccinations? Y/ Needs Annual Vaccinations? Y /
Exposure: Mosquitoes a Fleas o ks a Wildtife,Children Exposure: Oarlosquitoes Fleas o Ticks EilWildlife 66Dhildren
a Groome Boarding VTravelin Hiking a Out State Travel le Groomers o Boarding td3Traveling • yHiking Out State Travel
Monthly He orrn Prevenitive: Y Monthly Heartworm Prevenitive: Y
Monthly Fle ick Prevenitive: Y Monthly Flea/Tick Prevenitive: lj N
Microchip? a (buy one) Microchip? P/ .N a (buy one)
Allergies? Allergies? V /
Taa4 °F P R / We' t ''7Ib. Circ N / A Resp N / A Tjeje),q.F P/ / R 32 Weight6_ _s. Ciral/ A Reap& A
Lymptda A Gdit Apa/ A S Ida) A Eyes N & Ears N (29 Lymphe/ A Gen App N S kin N/A Eyes N / A Ears N/A
Mouth N / A Attitude N / A Muzzle OK to Vaccinate? Y / N Mouth N / A Attitude N / A a Muzzle OK to Vaccinate? Y / N
Notes: 6o, Notes: add Colo_ ceo k12, L
g -g° ,ta.kr Q pal) eet4ti- • flL
Rabies T pe: . / • CY r , -Price Next Boosters Rabies Ty e: ' in.' -- LISIara r ce Next Boosters
Lot #.: le 4#,MM1: Lot #: itiTIVENUNg (ExaticEng Boosiese)
("4913c"A" NM CIF11310 Tag#: I I 41 ti, riA 14
Mfg. Exp. Date: ilk lip Mfg. Exp. Date:1_/6_ 21 /...fieRli LH •
DHPP W MEM MEM W RH LH IIIIIIIMIII
DHPP
DHLPP W R LH DHLPP W RH LH rolwae rEEL HERE*
Bordetella — N 1 0 W RHIN _. _ _ RAW mama,. e 3 Bordetella — N I 0 W R IOWA.. wkly.a. loosen.*
fia • 1111osril ilt liatene rs: us. In 3 ano.cat:d.404 erirsty I i i
Lyme «...------• W RH rd < g, .- 8 • Lyme w RI altentoets.conseunaol.
/In 0 roe.* (2,0 find bolus only Store a,. at 2' I rie---- TC _ .,.... ,.-- •-• .
Rattle Snake W RH .. Rattle Snake W RI
(1) Cat 4 in i (Chtamydla :Distemper) tAVIFZ. ig - Cat 4 in 1 (Chtarnyclia /Distemper
---- FVRCP W R 9 FVRCP W RH LH
11)
FeLV (Feline Leuk I ) W RH LH FeLV (Feline Leukemia) W RH LH
.. FeLV -Test Result, Pos Neg FeLV -Test Result: Pos Neg
Heartworrn Test Result: Poe Nag Heartworm Test Result Poe Neg
lix Heartworm • Rx Heartworrn
Micro Chip Micro Chip
Dronclt ml Droncit ml
Stongid-T ml (50mg1m11) Stongld-T ml (60mg/m1)
Nall Trim Nail-Trim-
A.11
Veterinarian 1-54-1Jc.# 3, Date: / /3/ 1 (' Loc. M I A IL . 0 CHECK Cu Total 20,

VACCINATION CERTIFICATE ID #
DR. JOY'S
Official Proof of Vaccination
VETERINARY
Keep this record in a safe place. Duplicate request: $10
SERVICES, L.L.C.
2841 N. Euclid Ave., Tucson, AZ 85705 • (620) 369-3922 • Dr.Joys.Vet@gmail.com • DrJoys.Net
PAt owner: o New Client, *existin g Client
Ataticr : 4 , -t @ natt4 On Phone: fil4;111;5 ' • Ceff" •
Address:
CRY State
Pet #1
dbog )1V1ale cAltered n On Medication Dog o Male -0,Altered 0 On Medication
o Cat 0,FeA-nale ,,Not Pregant ci Cat ernale, q Not Pregant
Name: Ist UM/KU D te of Birth: / Name: Date of Birth:
Breed: j1 11 P4, lor: riq ',I _o Bites? Breed: ? rio Color: o Bites?
,d14
Previous Vaccination Reaction? Y / Previous V ination Reaction? Y /
Needs Annual Vaccinations? Y Needs Annu Vaccinations? Y / NO
Exposure: ID Mosquitoes u Fleas LTicks o Wildlife 0 Children Exposure: squitoes 0 Fleas El Ticks dWildlife0;, ',Children
'pi:Groomers VBoarding 0`)Traveling o Hiking o Out State Travel 0 Groomers o oarding u Traveling Li Hiking o Out State Travel
Monthly Heartworm Prevenitive: Y / tle) Monthly Heart m Prevenitive: Y /
Monthly Flea/Tick Prevenitive: y ri* Monthly FleafTickTrevenitive: Y r;,1
Microchip? / N o (buy one) Microchip? / N ri (buy one)
.Allergies? Y / Allergies? Y / N
P R 4 Weight j lbs. CircWA ResK,N,PA P R Weight ' lbs. Circ N4 A ResplItil A
Lymph(N,/ A Gen App N /()S kin N //sA) Eyes NiA Ears6/ A LympitN)/ A Gen App N A S frr NIA Eyes(Ny A Ears ,N)„/ A
Mouth:_N) A Attitude\J2A 0 . Muzzle OK to Vaccinate?(YY N Mouth N /6Attitude A O Muzzle
I I ,
Notes: (1,.. Notes: A) ck, (
(,,L);) • A& f)
Rabies Ty Next Boosters frice . Next Boosters
Lot #: (Excluding Boosters) 4Es:ducting Boosters)
Tag #:
Mfg. Exp. Date: WiRFI LH
DHPP W RH LH DHPP W RH LA
DHLPP W RH LH DHLPP W RH t H
Bordetella — N 0 W RH LH Bordetella — N 1/ 0 W RH LH
Lyme W RH LH Lyme W RH LH
Rattle Snake W RH LH Rattle Snake W RH LH
Cat 4 in I (Chlamydia / Distemper) Cat 4 In 1 (Chrydia / Distemper)
FVRCP W RH LH FVRCP W RH LH
FeLV (Feline Leukemia) W RH LH FeLV (FelineNeukemia) W RH LH
FeLV –Test Result: Pos Neg FeLV –Test Pos Nog
Heartworm Test Result: Pos Neg Heartworm Test Result: Pos Neg
Rx Heartworm Rx Heartworm
Micro Chip Micro Chip
Droncit ml Droncit ml
Stongid-T ml (50mg/m1) Stongld-T ml (50mg/m1)
Nall Trim // / Li 1I. Nail Trim
6:0511
Veterinarian Lic.# Date: CHOCK CIrCPRO Total

VACCINATION CERTIFICATE ID #
DR. JOY'S
Official Proof of Vaccination
VETERINARY
Keep this record in a safe place. Duplicate request: $10
SERVICES, L.L.C.
Who? Me? 2§{114i Euclid Ave., Tucson, AZ 85705 • (520) 369-3922 • Dr.Joys.Vet@gmail.com • DrJoys.Net
Pet Owner: kiffl i1t4-f o New Client 'le:Existing Client
Email: @ Phone: FC E 2 11. ,
Address: Ci---- F,159‘„
4., Z 6itty 6219C— 'tate Lip
CI
Pet #1 Pet #2
.
.. Dog )vale >PAltered o On Medication / Dog ' iale V>iltered o On Medication
o CatV aletuo t Pregant o Cat il i -191,spl iNgt Pregant
6., Name: Date of Birth: 12- /, 01 1 i ,i_rmi Name: itt„ `e tditic Dateof Birth: g
cw Breed: gal I 0 Color: ?rii PWAOILiNgs," Breed: h A i ,./ a A k ) Color: 0 Bites?
Previous Vaccination R-eaotion? Y /14 ) Previous-V-accin on-Reaction? Y /
0 Needs Annual Vaccinations? Y /10 Needs Annual Va inations? Y /
I102, Exposure: o Mosquitoes YFleas li'ricks yWildlife o Children Exposure:XMosq k oes &leas ticks )19Wildlife o Children
ct Groomers if'Boarding yi Traveling XHiking o Out State Travel a Groomers Oorroa ing ATravelin , iking 0 Out State Travel
Monthly Heartworm Prevenitive: Y / Monthly Heartworm revenitive: Y /
Monthly Flea/Tick Prevenitive: y A/ V Monthly Flea/Tick Prevenitive: V / 0)
Microchip? Y-I N 13 (buy one) Microchip? )k)/ N o (buy one)
Allergies? V /.99 Allergies? V
Tico,tyc 49 R..,22._ Weight6V‘e Circ@fA Resab / A i/42 T Piei 2 R,9.--4, Weigh& Circa/7A Resp& A
Lym N A Gen App N S kin N / A Eye A Ears0 A Lympha/ A Gen Ara / ik S kirakrAD Eye?/ A Ear G / A
Mout / A Attitud() A o Muzzle OK to Vaccinate / N MouthegjA , Attitude&A o Muzzle OK to Vaccinate? Cy N
E .
1,3 Notes: ca,, ciAtt, .L.,_ ._ Notes: Ct/1,46_ /41-61,e AW,-.5z4k
x
ILI
s A
Rabies Ty : AntafiriiffiG Price Dun Next Boosters Rabies Ty ;e . " ice Next Boosters
Lot #: ktiffiltifrifgre (Excluting BoDglers) gm Let #: frvaxwarra 11.xcl Whig Boosters) ' M 13
Mfg. Exp. Date: Li H/L1RHLH . II lin' Mfg. Exp. Date: • E& R LH a
DHPP W RH LH DHPP RH LH =II
In DHLPP W RH LH I DHLPP W RH LH
4:1) ,.. Bordetella — N I 0 W RH LH Rabne KU HERE 3 rilk Bordetella — W RELLEL
II V 5: RAtoesvardno 1 Dosen ra w Mies 1111k4141rus Vaccine cn int
Lyme MO Rabrae virus 3 ,i ?-1 7.z. Lyme AatNae3 and f9
ilw ft.. io dassoAs and mr_. °Mr R , `.,3 in w StCriarasu Fooaselndog3, 14=g"' cats Witt uoly. oc7
e Rattle Snake w =1.Prz.,{Tena.— Swear tart, .g. 'm §' -,,, 0 O . Rattle Snake Nom at r mIngerVelmtdic.J.C. torc . 0,
faersienvediojn, g isod,
(1) Cat 4 in 1 AChlamydia / Distemp Vs' Hum s' s;i Cat4 in I (Chi ydia / Distam = '140-124
----- FVRCP w FVRCP w
ti) FeLV (Feline Leukemia), W RH LH FeLV (Feline ukemia) W RH LH
i
I MO FeLV--Test Result: Pos Neg FeLV —Test R tilt: Pos Nag
0 Heartworm Test Result: Pos Neg Heartworm Te t Result: Pos Nag
U
El Rx Heartworm Rx Heariworm
10'
Micro Chip Micro Chip
Droncit ml Droncit ml
Stongld-T ml (50mg/m1) Stongid-T ml (50mg/m1)
Nail Trim Nail Trim
Veterinarian ,,, LiC.# :.-/j 2e---- Date: / ll 119 Loc. fit tASH ,00ll Total Zip

Month (...0.TE Other Cat Dog NO. PRINT Owner's
Month (Specify) SPECIES:
USCAHNON02066 VACCINATION U ID LAST Name
Day Day VACCINATED:. &
Altered Female Male SEX: STREET
Year EXPIRES: Year t Address
-- 4 9
t
3 yr. 1 yr. P" 0 ears Months AGE: FIRST
U PRODUCER:
LicNacc. RABIES
Lic/Vac9e‹i
Vacc. 12 (First l'• PRINT ADAPTED
, \C 3 WS* —
Serial I Letters) Over 20-50 Under SIZE: CITY use VACCINATION
(Lot) 't::,_--, : 50 20 ballpoint NASPI-11/
No. lbs.FX lbs. lbs. pen
...__......." U D or
FORM
NAME: . type CERTIFICATE
Address Signature Veteri.. Veterinarian's kilikth;4<( PREDOMINANT MI 51
- . STATE
io..4111 k - # HI-r\ BREED:
Air le License
(pie- CO ZIP Cert. Tag Tag
. : No. .0 TELEPHONE #: fee
print V.- Serial $:
#:
.

VACCINATION CERTIFICATE # 123
DR. JOY'S
Official Proof of Vaccination
VETERINARY
Keep this record in a safe place. Duplicate request: $10
SERVICES, L.L.C.
.Tuclid Ave., Tucson, AZ 85705 • (520) 369-3922 • Dr.Joys.Vet@gmail.com • DrJoys.Net
Pet Owner: o New Client :/..Existing Client
Email t(V fq 0 Pttq 01q1)0(11. efiii) Phone: 3. 3CelI:
Address: g IA 0-141z-y.t az.
GIW State
Pet #2
)2i:Dog *Wale KAltered o On Medication .6 Dog Male WAltered o On Medication
0 Cat .Fem, 0 I t le k Not Pregant o Cat )11;Fieg-ialg- /pi Not Pregant in
Name: , 1-1 ,.. I ' Al Date of Birth: /2-/ i b Name: XI/ , Date of Birth: /f
Breed: IP/0 A,../ Color: to A Pt, u Bites? Breed: ,riX Color:
Previous Vaccination Reaction? Y / Previous Vaccination Reaction? Y /
Needs Annual Vaccinations? Y /11,9 Needs Annual Vaccinations? Y /
Exposure: 0 Mosquitoes ro Fleas ArTicks o Wildlife KChildren Exposure: 0 IViosquitoes n Fleas VTicks letWildlifeX,Children
VGroomers 'a:Boarding Traveling A 64-liking o Out State Travel 'r Groomers /Boarding WTraveling XHiking o Out State Travel
Monthly Heartworm Prevenitive: Y Monthly Heartworm Prevenitive:
Monthly Flea/Tick Prevenitive: Monthly Flea/Tick Prevenitive:
Microchip? */ N o (buy one) Microchip? N o (buyone)
Allergies? Y/4) Allergies? Y /
TJflJ T Pe/01-(g R.24; WeightLO lbs. Ciriil / A Resp(0 / A P 1 /- R d WeightQJ A` 4 ibs, Ciro A Resp Nj A
'Lymph: / A ,Gen App( 0 / A S kii4j IA Eyesf14 / A Eara: / A Lymprtly/ A Gen App N S kin N (A Eyes/ A Ears 10)/ A
Mouth N AttitudeN IA IA Muzzle OK to Vaccinate?&)/ N Mouth// A Attitudel_th A o Muzzle OK to Vaccinate? tY)/ N
Notes: Notes: 3 1T
C,LA- 614- •
/ 0-4-Y cyfr'
" • i (.()
-
Rabies Typ Price Next Boosters Rabies Type: Price Next Boosters
ot #: (ExclucHng Boosters) kfl, 12. I a Lot #: (Exetuding Boosters)
Tag #: Tag #: arl I do
Mfg. Exp. Date: / /CV 1q1-41-- -1 Mfg. Exp. Date: t wIRH LH r-1
ION
DHPP W RH LH DHPP W RH LH
DHLPP W RH LH DHLPP W RH LH
Bordetella — N I 0 W RH LH Bordetella — N 1 0 W RH LH
Lyme W RH LH Lyme W RH LH
Rattle Snake W RH LH Rattle Snake W RH LH
Cat 4 in 'I (Chlamydia / Distemper) Cat 4 in I (Chlamydia I Distemper)
FVRCP W RH LH FVRCP W RH LH
FeLV (Feline Leukemia) W RH LH FeLV (Feline Leukemia) W RH LH
FeLV -Test Result: Pos Neg FeLV -Test Result: Pos Neg
Heartworm Test Result: Pos Neg Heartworm Test Result: Pos Neg
Rx Heartworra Rx Heartworm
Micro Chip Micro Chip
Droncit ml Droncit ml
Stongid-T ml (50mg/m1) Stongid-T ml (50mg/m1)
Nail Trim Nail Trim
VCASH
(42-15' Date: Oil //id / /1 Loc. o o CHECK OUR& Total C.)

VACCINATION CERTIFICATE ID #
DR. JOY'S
Official Proof of Vaccination
VETERINARY
Keep this record in a safe place. Duplicate request: $10
SERVICES, L.L.C.
Who? Me? 2841 N. Euclid Ave., Tucson, AZ 85705 • (520) 369-3922 • Dr.Joys.Vet@gmaiLcom • DrJoys.Net
Pet Owner: i0H ci New Client VI Existing Client
EmfJ hoc UM 01 WV, co-wi Phone: (fi)r) 3 404:deli:
Address: '5:59 1e
City zip
Pet #2
Dog WMale :itiAltered o On Medication 009 o Male 0 Altered ci On Medication
0 Cat Female 0 Not Pregant ik 0 Cat ogj %ale joi,Not Pregant
Name: (: qo Y- Date of Birth: :114- / Name: af Date of Birth: /
Breed: A. :" Color: CAA 0,4-04 o Bites? Breed: Color: C LIC //k/A/ o Bites?
Previous Vaccination Rection? Y rht? Previous Vaccination Reaction? Y
Needs Annual Vaccinations? Y / Needs Annual Vaccinations? Y /pi)
Exposure: o Mosquitoes WFleas )11 Ticks iwWildlife 67Children Exposure: 0 Mosquitoes o Fleas ci Ticks n Wildlife VChildren
Groomers tufBoarding scd-Traveling„. od-liking n Out State Travel ci Groomers ci Boarding )Traveling o Out State Travel
Monthly Heartworm Prevenitive: Y / Monthly .Heartworm Prevenitive: Y /*
Monthly FlealTick prevenitive: øJ N Monthly Flea/Tick Prevenitive: yo/
Microchip? / N o (buy one) microchip? Wit N 0 (buy one)
Allergies? Y/V. Allergies?. Y / Ni")
Tian T Pak, R 3 et Weight _lin. CirtNi/ A Resp:N IA T P • t*R Weight(e lbs CircfNI)A ResPNLY A
Lymph N IA )Gen AppN/ A S k31 IA EyeCNI/A Ear(y IA Lymph(N ) A Gen Ap M./ A S kin(0 A Eyes1)l A Ears(N)/ A
Mouth NO AttitudCN)/ A 0 Muzzle OK to Vaccinate? Y / N Mouth(N ((A)Attitudern) A in Muzzle OK to Vaccinate? (Y) N
Notes: 01 1 • : -6. /2(1 Notes:
<(')
r
Rabies Type' rice Next Boosters -779/9:ANO.Y! Liorice Next 13oosters
Lot #: " (Excluding Boosters) 2-4 (Excluding Boost!
Tag #: /1), Tag#: — 1. ,e I tfL .t
Mfg. Exp. Date: di" 1. I (LWRH LH Mfg. Exp. Date: Lib eV)R H LH ri
W RH LH
W RH LH W RH LH
Bordetella N I 0 W RH LH Bordetella — N I 0 W RH LH
Lyme W RH LH Lyme W RH LH
Rattle Snake W RH LH Rattle Snake W RH LH
Cat 4 in I (Chlamydia / Distemper) Cat 4 in I (Chlamydia I Distemper)
FVRCP W RH LH FVRCP W RH LH
FeLV (Feline Leukemia) W RH LH FeLV (Feline Leukemia) W RH LH
FeLV –Test Result: Pos Neg FeLV –Test Result: Pos Neg
Heartworm Test Result: Pos Neg Heartworm Test Result: Pos Neg
Rx Heartworm Rx Heartworm
Micro Chip Micro Chip
Droncit ml Droncit ml
Stongid-T 4711 (50mg/m1) Stongid-T ml (50mg/m1)
i);/ ic.# Date: 41CASH o CHECK Total <1 0
o =AHD

VACCINATION CERTIFICATE ID #
DR. JOY'S
Official Proof of Vaccination
VETERINARY
Keep this record in a safe place. Duplicate request: $10
SERVICES, L.L.C.
Who? Me? ) ,g841, N. Euclid Ave., Tucson, AZ 85705 • (520) 369-3922 • Dr.Joys.Vet@gmail.com • DrJoys.Net
Pet Owner: , C ..);.! , !-.. - , . _ ,„ o New Client ,-, 0` - Existing Client
. ,. ,.1 J , ,.. . / / .
Email ' ' .R1 l!l l''.!-1 .)I„' \ '4,' ',,!,..,10.i I. 4 Phone:/1.(0'.; ' r .t . ." ...' Cell: ,
to Address: .7 .' : q ii,:.: '. ,1 .(`. . (:.q. /.1 i .,1-:,1` ( I' 91..)'/ ((.':'
3 City i S ale Lip
0 Pet #1 Pet #2
LL o Dog lEi,Male..---- 4:Altered 0 On Medication .., ri Dog o Male '0-Altered o On Medication
)i'Cat pri.Female . o,NolPregant • .4., u Cat (Female /0 Not Pregant / p .-
Ill e 'Name: - ,.'..0, ...1.\,1W / R.:Date of Birth: i /if': 1- / ? " I ' r Name: (/1 0..",!--f Date of Birth: I / "- /
c Breed: 1, '.1',--3 In Color: ' --i. , ? ./ b i g.;.,. o Bites? Breed: i' k- T..,- .1- - \ 4 , i 0,1, Color: (":/..— ,i----r 0 Bites?
.Previous Vaccination Reaction? Y / tt: Previous Vaccination Reaction? Y / N ,.,,
0 Needs Annual Vaccinations? Y TN:: Needs Annual Vaccinations? Y /It
4•1 Exposure: o Mos quitoes o Fleas D Ticks o Wildli , o Children Exposure: n Mosquitoes n Fleas u Ticks o(Wildlife o'Children
Cli n Groomers n Boarding o Traveling o Hiking out State Travel o Groomers 0 Boarding 0 Traveling bi Hiking o Out State Travel
CL Monthly Heartworm Prevenitive: Y /It Monthly Heartworm Prevenitive: Y TN(
Monthly Flea/Tick Prevenitive: Y /1),I' Monthly Flea/Tick Prevenitive: Y
Microchip? Y / ilf, a (buy one) Microchip? V /It o (buy one)
Allergies? . Yri\f' Allergies?
.F P/ ..ii(f R."-,..V: ." Weight 1IL ),/ibs. IP rc N/A Respiti/ A T ,P'F P . R ,:: Wei ght ibs. Circ N/A Resp N IA
LymphNJA Gen App,N4 A S ki n. Nd A Eyes,N./ A Ears,NV A Lymph N. / A Gen App N / A S kin N. / A Eyes it/ A Ears N / A
Mouth NIA Attitude N/A o Muzzle OK to Vaccinate?Y../ N Mouth N/A Attitude N/A 0 Muzzle OK to Vaccinate?:./ , , N
Ca Notes: Notes: .
X
UJ ,.. .
Rabies T y pe Price Next Boosters Rabies Type Price Next Boosters
I-, , 11 '- D if., (Ent ding Boosters) ?,-4 1 4,2, at Tag Lot #: #: f - / ..., ',.• - .,, (t , (Em..ding it. Boosters) al 10 a A
Tag #: , . ,
Mfg. Exp. Date: ... ' /f i ' / imf.RH LH A Mfg. Exp. Date: ',. • / / L i 1 ? i • i W RH LH
DHPP W RH LH DI-1PP W RH LH
DHLPP W RH LH DHLPP W RH LH
g
Bordetella N 1 0 W RH LH Bordetella N I 0 W RH LH
0
3 Lyme W RH LH Lyme W RH LH
s I. Rattle Snake W RH LH Rattle Snake W RH LH
Cat 4 in 'I (Chiamye ia / Distemper) Cat 4 in 1 (ChIamydia 1 Distemper)
--- FVRCP W RH LH FVRCP W RH LH
(1) FeLV (Feline Le emia) W RH LH FeLV (Feline Leukemia) W RH LH
IIMII 1 FeLV —Test Re. ult: Pos Neg FeLV —Test Result: Pos Neg
0 U Heartworm T st Result: Pos Neg Heartworm Test Result: Pas Neg
11 ,:l Rx Heartwo m Rx Heartworm
Nlicro Chi I Micro Chip
Droncit ml Droncit ml
Stongld-T ml (50mg/m1) Stongid-T ml (50mg/m1)
Nail Trim Nail Trim
. . ..
Veterinarian Lic.# ' / ik. r ,if") . ., ,. Date:... It / 1 Loc. i i "k. 1 ' x- ' ''I 1/ D D CHECK CiCD Total 4.,'" L '

VACCINATION CERTIFICATE
DR. JOY'S
Official Proof of Vaccination
VETERINARY
Keep this record in a safe place. Duplicate request: $10
SERVICES, LUC.
2841 N. Euclid Ave., Tucson, AZ 85705 • (520) 369-3922 • Dr.Joys.Vet@gmail.com • Dr..loys.Net
a New Client XExisting Client
r0/11 e9g) Phone: WO ;251re) Or/ ell:
a- '35320
state ip
Pet #2
a Male '1,1A1tered a On Medication (Dog ti4Male ta'Altered a On Medication
,I fIri,ale a Not Pregant a Cat A F.,eroeil Not Pregant
CI Date of Birth: //0/ Name: MV Date of Birth:%/i1411
10415-SET ACV. color: II Bites? Breed: Color: , a Bites?
Previous Vaccination Reaction? Y / Previous Vaccination Reaction? Y / ?)1
Needs Annual Vaccinations? Y / Needs Annual Vaccinations? Y/
Exposure: a Mosquitoes ci Fleas a Ticks a Wildlife Children Exposure: a Mosquitoes Fleas yTicks 110/Vil ife %Children
VGroomers yBoarding WTraveling 13 Hiking ci Out StateTravel 0Groomers teBoarding )1Traveling ' Out State Travel
a. Monthly Heartworrn Prevenitive: a. / Monthly Heartworm Prevenitive: Y /
Monthly Flea/Tick Prevenitive: ,u1 N Monthly Flea/Tick Prevenitive:
Microchip? Y iiE1 a (buy one) Microchip? / a (buy one)
Allergies? Y Allergies? Y
F P / :',11Weight labs. Ci D1‘1 A Respe "7' /11 /742 R47721,\Weight 71L JIkk IT /A
Lym Htit A S ki N •A Eye0 A Ear6 Lympla A Gen App S kir A Eyea A Ears N / A
Mout I A Attitud(1 A o Muzzle OK to Vaccinate?A Moutia / A Attitude N /()Muzzj OK to Vaccinate/Y. ) N
Notes: Notes:
ILC
, . v #
Rabies Typg: VibleallIMI • rice Next Boosters Rabies Typ : milrridDivr rice Next Eleesters
Lot #: C^M• 10MM (ExctucBrig Boosteis) iit, 1 um Lot #: /lei I I ri FEWNIA (Excluding Boosters) 41( do a A
Tag #: ik Tag #: I ..., —
Mfg. Exp. Date: i / / re RH LH 10741 Mfg. Exp. Date: if / ff / We- H LH V
—
DHPP W RH LH DHPP W RH LH
gi DHLPP W RH LH -- - Pxo.BEFIXiie - DHLPP W RH LH
agrre3
Bordetelia —N 1 0 W RabksVateloe ,---- — i.fira. - Bordetelia — N 0 W RH LH
.5 0 Lyme W Rairra" Xlileavlau ....koop.ot,-0 onv, ' ti .4 .i. 5; '1.- if a " 17', F.. Lyme W RF1 LH
ji L. Rattle Snake _ vv 1“...-rzelvfirgo szukeria.2„0.0..w. - 1 -4- ° • Rattle Snake W RH LH
Vs-M-9...1v. g a Li-
Cat 4 in 'I (Chlamyclia 1 Disternp Cat 4 in 'I hiamydia / Distemper)
--- FVRCP W RH LH FVRCP W RH LH
tn FeLV (Feline Leukemia) W RH LH FeLV (F me Leukemia) W RH LH
E
I'M FeLV -Test Result: Pas Reg FeLV est Result: Pos Meg
0 Heartworm Test Result: Pos Nag Hea orm Test Result: Pos Neg •
0
g i Rx Fleartworin eartworm
r
Micro Chip 111.111111111111111 icro Chip
Droncit ml 1111.111111111111 Droncit mu
Stongld-T ml (50mg1m1) 11111 Stongid-T ml (50mgimi)
Nail Trim 4 II Nail Trim _
Veterinaria f ,. Lic. Date:Oi 0/0 / / Loc e pcmcs ri eicAnD Total 0
0

Account 6316 Animal: Natasha
Owner: Lila Mutka BARK Species: Canine
Address: 1919 N. 200th Ave Breed: Husky
Buckeye, AZ 85396 Color: WHT BLK
Gender: Female Spayed
Phone: (623)826-3085 Birthdate: 1/2/2017
(602)212-6700 Age: 2 years 30 days
Weight: 64.80
Chip it:
01/02/2019 Rabies-Rescue 1 year ZOE 274314A Killed 01/01/2020
(w/Surgery)
qs_44144. Dim I ) "D' I
01/02/2019

Mobile Clinic Animal Care Record
Date 1/08/2019
Patient Information
•••I•I•
Name ? YY\
n n
Breed Ck) CV" Color and Markings \ v-\ Altered intact
Microchip Weight c?-1 lbs
Owner information
Name Animal Advocates Rescue Fund Phone 602-405-0155
Address 2916 W. Pollack Street, Phoenix, AZ 85041
Services
Sterilization
If selected, this record hereby notifies that the animal identified here has been sterilized or determined sterilized
Surgically sterilized spay / pre-scrotal neuter/scrotal neuter n Already sterilized
Rabies Vaccine
If selected, this record hereby notifies that the animal identified here has been vaccinated aga'nst rabies
k Rabies vaccin 3 year Rabies Tag Date of Next Vaccine 20249
Product Name _ Te-ittiY- -3 Manufacturer 0 Serial 6/19.0 L(567 IF
Other Medical Care
iii Pain medication AlL RoCelj
E Core vaccine (FVRCP for cats, DHPP for dogs) Date of Next Vaccine
n
Dewormer
11 Flea/tick treatment
Other
Other
Comments:
Attending Veterinarian
Name License Coak0
Midwestern University I 5715 W. Utopia Road I Glendale AZ 85308

7/1312018 Clinic HO
Altered Tails Phoenix
602-943-7729
Animal Summary / Rabies Certificate
This is not an invoice.
Owner
B.A.R.K.
1919 North 200th Ave, Buckeye, AZ 85396
623-826-3085
Animal Details Animal's Name: Bubbles
Sex: Male
Species: Dog
Age:4 Years, 0.0 Months
Color:Grey / Grey
Breed:American Bulldog
Weight: 88.20 lbs
Spayed/Neutered:Yes
Visit Date: 7/13/2018
Animal Type: Shelter
Animal Number:18-5965
Microchip Number:
Rabies Vaccine Producer:Nobivac
Type: One Year
Vaccine Lot Number: 270782 (expires 6/12/2019)
Date Vaccinated: 7/13/2018
Expires: 7/13/2019
Veterinarian: Shannon Carey License # 3745
Signature: CS1----&--
Altered Tails Phoenix
Clinic Info: 950 West Hatcher Road, PHOENIX, AZ 85021
602-943-7729
All Products/Services Date Description
7/13/2018 Nail Trim
7/13/2018 Dog Neuter
7/13/2018 Rabies 1 year vaccine
7/13/2018 Bravecto 44 - 88 lbs Blue
This is not an invoice.
about:blank 1/1

VACCINATION CERTIFICATE ID #
DR. JOY'S
Official Proof of Vaccination
VETERINARY
Keep this record in a safe place. Duplicate request: $10
SERVICES, L.L.C,
Who? Me? 2841 N. Euclid Ave., Tucson, AZ 85705 • (520) 369-3922 Dr.Joys.Vet@gmail.com • DrJoys.Net
Pet 0Aner: I I<.V ci New Client XExisting Client
Emaft?"444/2 Wile OA% 011 iI 6.4001 Phone: (03' OZA:b3bg5 Cell;
Address: Al e ai—ST5T6
Pet #2
OtDog o Male wAltered ci On Medication Dog Wale Mitered o On Medication
o Cat`)il pi Not Pregant Q Cat _olemale ci N t Pregant
Nam aa.&//-4- Date of Birth: Li?Al Name: 1/4,-)7 1P)) l ate of Birth: 2 115
Breed: Color: o Bites? Breed: Color-7-0, rJ o Bites?
Previous \accination Reaction? Y 140 Previous Vaccination Reaction? Y 5(3
Anpal Vaccinations "O Needs Annual Vaccinations? Vi/ N
Exposure: 16 Mosquitoes Fleas 'tipTIcks Wild 0Children Exposure: a Mosquitoes o Fleas *Ticks tV.Wildlife E>=Children
161Groomers oarding /EiTraveling iking ut State Travel Groomers WBoarding OTraveling pig-liking a Out State Travel
Monthly Hee orm Prevenitive: Y/ Monthly Heartworm Prevenitive: Y / be
Monthly Flea 'ck Prevenitive: N Monthly Flea/Tick Prevenitive: ,90/ N
Microchip? o (buy one) Microchip? ),C/ N (buy one)
Allergies? "I Allergies? Y
T [Pol0F P 1111,1,.CI ire/ A Resod/ A Tt06,(70F PV Rico Weight 70 lbs. Cir / A Res/ A
Lymph JA Gen / iIkk !Err A Eyes& A Ears f41-)A Lympli9 A Gen App N /OS kir6.)'/N Eyese) A Ears/ A
Mouthe/ A Attitude ft// ' A o Muzzl OK to Vaccinate? @/ N Mout gPAttitud A a Muzzle OK to Vaccinate? if:AN
Notes: Notes:
s le 5
Rabies Type: , ot 4 • Price Next Boosters Rabies Type. eat- irh,.. 0 (7" Price Next Boosters
Lot #: . MI (Excludog Boosters) it 4 Al at Tag ot #: ik. c2-`i 2- --1 tExclurfing Boosters) wk 4 . .. .
Tag #: , ,
ivlfg. Exp. Date: • I R Mfg. Exp. Date:13 / 5? / ( 6"1)RH LH
_
DHPP W RH L DHPP W RH LH
u) DHLPP W RH LH DHLPP W RH LH
C,L,? Borc ,-,. . W RH LH Bordetella — N I 0 W RH LH
1.1 > Lyn. 1 v iii 12; , eti Rata „.., va curie 'Pt - — Lyme W RH LH
w Rat : .t. i p '".11,40.,,, ,.-; :__-- Rattle Snake W RH LH
W Cat 4 th • ;- `C'11-4--"''''''41 J75 ',..:?v-::.,%-'2.L I ..--' Cat 4 in 'I (Chlarnydia I Distemper)
---- FVRCP LI a FV - ---- - W RH LH
cu tn FeLV (Feline LZ::::MEZIIIIIkIIIIIIIIIIIII 03 I ' VS0 -03641 bareunp, --• I, ..... •,,•
C SUN: Poe Nag EMIIIIIIIII. Al.u1,-.191V44:57 Atuo *Li' 1-9A 1 -1 : ; '1 1 . a a
II= ILI "q,,:;-"' sIMA Pall,M ' - P
0 0 lieartworm est Result: Poe Nog Flea - at.i wi weA sayies .,,p, - Ivey •
11: Rx Heartworm Rx Heartworm
Micro Chip Micro Chip
Droncit ml Droncit ml
Stongid-T ml (50mg1m1) Stongid-T ml (50rnglml)
. .
Nail Trim Nail Trim
Veterinarian Lic.# 34.,6 Date: (1) I t 0 i 1,3 Loc.P4'16/42Y-a .1AI:i o CfCArto li Total P26 •
1 11

VACCINATION CERTIFICATE ID#
DR. JOY'S
Official Proof of Vaccination
VETERINARY
Keep this record in a safe place. Duplicate request: $10
SERVICES, L.L.C.
Who? Me? 2841 N. Euclid Ave., Tucson, AZ 85705 • (520) 369-3922 • Dr.Joys.Vet@gmail.com • DrJoys.Net
Pet Owner. ,,:' i 1:'-'4' 0 New Client .p.' Existing Client
Email . . Phone ' Cell:
i . I ,
ira Address: i e i.
= Lity ' state Lip
0
Pet #1 Pet #2
...
im" o Dog o Male a Altered o On Medication 0 Dog n Male (r Altered n On Medication
LI. 0 Cat pFernle p Not Pregant t... .., Cat o Female ,o Not Pregant
I'm Name . ' :,,i / hi e.)s=1 . Date of Birth: s.-) / -I / , 4(7 Name: ( 1 j ,:'• '.„',' Date of Birth: / /
c Breed: i 1 — is4_,/ i i s , / Color: P i . ;' 1 o Bites? Breed: I ) -) ' Color: i. ' • i (2 1 11( o Bites?
Previous Vaccination Reaction? Y / K Previous Vaccinatio Reaction? Y i ii,l.
0 Needs Annual Vaccinations? Y 1 W. Needs Annual Vaccin-tions? Y T,N1
442 Exposure: o Mosquitoes a Fleas 'o' Ticks o.Wildlife 7"Children Exposure: Li Mosquitoe 0 Fleas 0 Ticks D 'Idlife 6-Children
GI D Groomers 0 Boarding dTrayeling O:Hiking o Out State Travel ci Groomers 6 Boarding o Traveling 0 Hi ng 0 Oui State Travel
11- Monthly Heartworm Prevenitive: Y/ N'' Monthly Heartworm Prey - nitive: Y iN '
Monthly Flea/Tick Prevenitive: I N Monthly Flea/Tick Preventive: ,Y,/ 4.
Microchip? y/ N 0 (buy one) Microchip? ;se/ N LI (buy one)
Allergies? V / N ': Allergies? Y 1'4 ,s
T / 1 1 ? ,F P /,' , R , .: ; Weight / lbs. Ciro N /A Resp N/ A T f :I ,7,9E Ps "V. :' R ..-' ; Weight r lbs. Circ(N /A Resp N/A
Lymph' N4 A Gen App.,N / A S kin(N:i A Eyes . N/ A Ears ,N1,;/ A Lymph' N '/ A Gen App:N P 1 S kin I.A Eyes,N / A Ears N / A
Mouth NIA Attitude 4/ A 0 Muzzle OK to Vaccinate? Y ., / N Mouth N / A Attitude .N / A a Muzzle OK to Vaccinate? Y)/ N
E
cz Notes: Notes: • ,1 . , i •
f • s '
X
LLI
. .-,,'.2.::.. •
Rabies Type: f.,,.,, / /) ,, i ,.. , 0 ' ) , , .. „ Jr 1, . Next Boosters Rabies Type: di ',''' I) Viii ..'" :-; =1/- , Price Next Boosters
/Excluding 'ice Boosters) y H . At 0 Lot#: (Excludtng Boosters) g do a a
'-? . ''.,..4‘ i ' i / --2":1,
Mfg. Exp. Date: I .) ' I / , ! icV.:RH LH ''''' — Mfg. Exp. Date: ../ / , ,'' /I . W ..-. RH L /
.., -
DHPP W RH LH DHPP W RH LH
DHLPP W RH LH DHLPP W RH LH
/ u Bordetella — N I 0 W RH LH Bordetella — N I 0 W RH LH
I Lyme W RH LH Lyme W RH LH
ts
Rattle Snake W RH LH Rattle Snake W RH LH
, -
Cat 4 in 'I (Chlamydia / Distemper) Cat 4 in 'I (Chlamydi ; / Distemper)
--- FVRCP • W RH LH FVRCP W RH LH
ta 2 FeLV (Feline Leukemia) W RH LH FeLV (Feline Leuke a) W RH LH
• FeLV -Test Result: Pos Neg FeLV -Test Resul Pos Neg
U Heartworm Test Result: Pos Nag Heartworm Test Result: Pos Neg
U
g Rx Heartworm Rx Heartworm
Micro Chip Micro Chip
Droncit ml Droncit ml
Stongid-T ml (50m /m1) Stongid-T ml (50mg/m1)
Nail Trim Nail Trim
. , 'y BASH
Veterinarian . ' . 'Lic.#' .4 i' ' i ) Date: / ( ' /.1 /..1 : .Loc. /A.// g ,.. V ZACRK0 Total , , ,•.( ,r

VACCINATION CERTIFICATE ID #
DR. JOY'S
Official Proof of Vaccination
VETERINARY
Keep this record in a safe place. Duplicate request: $10
SERVICES, L.L.C.
, 2841 t N. Euclid Ave., Tucson, AZ 85706 • (620) 369-3922 • Dr.Joys.Vet@grnail.com • DrJoys.Net
Pet Owner: -0,7 ; New Client,. ,riExisting Client
Email: Phone: ,
Address; /
Uity Z p
Pet #2
Dog "o Male (1.Altered o On Medication Dog '0" Male WAltered o On Medication
o Cat o ,F9male o Not Pregant o Cat oyemale o Not Pregant /
Name: r; t Date of Birth: Name: f- Date of Birth:
Breed: `,4 „ Color: iz Bites? Breed: Color: 10 Bites?
Previous Vaccination Reaction? Y / Previous Vaccination Reaction? Y
Needs Annual Vaccinations? V / Needs Annual Vaccinations? Y /14
Exposure: 0 Mosquitoes (4-Fleas ;):.1 Ticks El Wildlife o Children Exposure: o Mosquitoes o Fleas f1:5 Ticks o Wildlife 'd Children
'0 Groomers El Boarding ffTraveling FT Hiking o Out State Travel IEI Groomers 0 Boarding O`Traveling o' Hiking o Out State Travel
Monthly Heartworm Prevenitive: Y / Monthly Heartworm Prevenitive: Y /4'
Monthly Flea/Tick Prevenitive: >l N Monthly Flea/Tick Prevenitive: VJ N
Microchip? 'Y/ N o (buy one) Microchip? `7/ / N o (buy one)
Allergies? Y / Allergies? Y /
TI,90 PF Weight .?( Circ;N / A ResRY/ A T P R Weight (.1bs Ciro N / A Resp N/A
4
Lympty.0 A Gen App NH A S kin N / A Eyes ,Y/ A Ears N / A LymplzN / A Gen App N / A S kin N / A Eyes N / A Ears N / A
Mouth N / A Attitude'N / A o Muzzle OK to Vaccinate? iy)/ N Mouth N / A Attitude'N / A o Muzzle OK to Vaccinate?. Y / N
Notes: Notes:
Rabies Type: 4_ 1v +' r Rabies Type: , i c' ...,/ „+. , ,, . Price Next Boosters
Lot #: ' Lot #: ' (Exctoding Boosters) i
Tag #: Tag #: I ati sfo Ma
Mfg. Exp. Date: .;W RH LH Mfg. Exp. Date: ..-..' / , / AN 01 LH
DHPP W RH LH DHPP W RH LH
DHLPP W RH LH DHLPP W RH LH
Bordetella — N 1 0 W RH LH Bordetella N I 0 W RH LH
Lyme W RH LH Lyme W RH LH
Rattle Snake W RH LH Rattle Snake W RH LH
Cat 4 in I (Chlamydia / Distemper) Cat 4 in I (Chlamydia / Distemper)
FVRCP W RH LH FVRCP W RH LH
FeLV (Feline Leukemia) W RH LH FeLV (Feline Leukemia) W RH LH
FeLV –Test Result: Pos Neg FeLV –Test Result: Pos Neg
Heartworm Test Result: Pos Neg Heartworm Test Result: Pos Neg
Rx Heartworrn Rx Heartworm
Micro Chip Micro Chip
Droncit P ml Droncit ml
Stongid-T ml (50mg/m1) Stongid-T ml (50mg/m1)
L./
Nail Trim Nail Trim
o CA311
Veterinarian Lic.# Loc. c 0 CHECX =ARO Total

VACCINATION CERTIFICATE ID #
DR. JOY'S
Official Proof of Vaccination
VETERINARY
Keep this record in a safe place. Duplicate request: $10
SERVICES, L.L.C.
2841 N. Euclid Ave., Tucson, AZ 85705 • (520) 369-3922 • Dr.Joys.Vet@gmail.com • DrJoys.Net
Pet Owner: o New Client OiExisting Client
e if Phone:^,1 •, ••, Cell:
Address:
City state Lip
Pet #1 Pet #2
o Dog o Male O,Altered 0 On Medicatl ti Dog o Male L(Altered n On Medication
FTrnale n Not Pregant El Cat OTernale • • , A o Not Pregant
Nam • Date of Birth: •'/ / Name: Date of Birth: 4 - /..)/
Breed . Color o Bites? Breed e :1- 4 " • / o Bites?
Previous Vaccination Reaction? Y / , Previous Vaccination Reaction? Y / N'
0 Needs An ual Vaccinations? "A( / Needs Annual Vaccinations? Y / 1..,SY
lien Exposure: a Mosquitoes El Fleas • Ticks 0 Wildlife 0 Children Exposure: o Mosquitoes 0 Fleas ca Ticks oMildlife o'Children
Y _Li Groomers p Boarding :I Tray in 0 Hiking o Out State Travel n Groomers o Boarding 0 Traveling o Hiking o Out State Travel
u. Monthly Hea worm Prevenitiv . y/ N Monthly Heartworm Prevenitive: Y /N 1
Monthly Flea/ 'ck Prevenitive . , Y1 N Monthly Flea/Tick Prevenitive: yi N
Microchip? X / N El (buy one) Microchip? ,Y / N a (buy one)
Allergies? Y / Is,Y Allergies? Y / IV/
Ty; ..; for FP' Weight) lbs. Ciro N [ / A Reg; 10 A T ' ' 'frF P .: ;, , ' Weight ' . lbs Ciro N IA Resp N / A
Lymph N4 A Gen Ap I/ A S kin KLA Eye N / A Ears N / A Lymph N / A Gen App N / A S kin N / A Eyes N / A ' Ears N / A
Mouth 114 A Attitude o Muzzle OK to Vaccinate? YV N Mouth N /A Attitude N4 A 0 Muzzle OK to Vaccinate? Y! N
E
411 Notes: Notes:
X
WI
Rabies T?pe I 4,t , • 1 price r . Next Boosters Rabies Type: ! . t . ' Price Next Boosters
Lot #: ' / I ' , (EXCIOding 13005terS) ris a Lot #: . T, (Excluding Boosters)
Tag #: . 24 mo 6 Tag #: LI ht. MsMo
Mfg. Exp. ate: , ' 'j.1w Rh1 LH LI Mfg. Exp. Date:, / e" / , , W RH LH
. III III
DHPP MIIMMICEIMM 1111 DHPP W RH LH 1111111111
0) DHLPP 1.0.111.1111.1 DHLPP W RH LH II
Borde ella — N I 0 W RH LH m is Bordetella — N I 0 W RH LH Milli
IS
3 13211 1=1111111011.1111 112 111111 .
t 011121111111111111MIZI M1 121011=11111111111= Ell
Cl) Er 4 in 1 (Chlarnydia / Distemper) milmil Cat 4 in 'I (Chlamydia / Distemper)
---- RCP W RH LH FVRCP W RH LH I
tan) LI . 71 Ill= I • 2 1 •••
111111 C fFeLV –Test Result: Pos Neg 11=111111 FeLV –Test Result: Pos Neg
U
(I) Heartworm Test Result: Pos Neg M. Heartworm Test Result: Pos Neg
g Rx Heartworm MIN Rx Heartworrn III
Micro Chip NNE Micro Chip
MEI. •
Droncit ml • 111111 Droricit ml 1111.1111 •
Stongid-T ml (50mg/m1) 1111 .1101111 111 Stongid-T ml (50mgiml) Emil i
Nail Trim • • Nail Trim • 111•111
o CASH
Veterinarian Lic.# ' r Date: 1 ' Loc. . 12 o C/CARD CHECK Total

VACCINATION CERTIFICATE
DR. JOY'S
Official Proof of Vaccination
VETERINARY
Keep this record in a safe place. Duplicate request: $10
SERVICES, L.L.C.
841 N.pia,clid Ave., Tucson, AZ 85705 • (520) 369-3922 • Dr.Joys.Vet@gmall.com • DrJoys.Net
Pet Owner: D New Client h•Existing Client
Email: Phone: /
Address: v
City State Lip
Pet #2
og i Male .Altered o On Medication Dog o Male d'Altered D On Medication
0 o Female ,o Not Pregant o Cat 4:Female o Not Pregant
Na :./ i .i/ (Date of Birth: - / Name: F Date of Birth: /
Bree 1 Color: o Bites? Breed: Color: ./ 0 Bites?
Previou Vaccination Reaction? Y Previous Vaccination Reaction? Y /
Needs A nual Vaccinations? Y Needs Annual Vaccinations? Y /%1I1
Exposure. D Mosquitoes o Fleas rih c cks r Wildlife 1:f Children Exposure: ci Mosquitoes o Fleas g Ticks p Wildlife clChildren
ci Groomer d Boarding 0.Traveling 'o/Hiking o Out State Travel ci Groomers cr Boarding 0:Traveling Hiking D Out State Travel
Monthly He worm Prevenitive: Y / N. Monthly Heartworm Prevenitive:
Monthly Flea Tick Prevenitive: `r Monthly Flea/Tick Prevenitive: N
Microchip? ,Y` N o (buy one) Microchip? ›Y / N n (buy one)
Allergies? itIji Allergies? Y/41
Tra fl °F P./W R ± WeighV:/-/ lbs Ciro 10 A ResP.Ni A T (Or P R Weigh Ibs. Circ IN / A Resp N . / A
Lymph N''/ A Gen pp N/A S NV A Eyes NV A EarS N / A Lymph N /A Gen App N /k S kintN ,/ A Eyes :N / A Ears N IA
Mouth,N ,/ A Attitude , / A o Muzzle OK to Vaccinate? N Mouth N /& Attitude N/A o Muzzle OK to Vaccinate?( Vi N
Notes: Notes:
Rabies Type: Price Rabies Type: .h=' Price
Lot #: (Excluding Boosters) I 41 ) 1 in% MO 36 Tag Lot #: #: 1 {Entering Boosters) I art I At
Jilljt e. / 10.,,,,F7F1,' N‘ Mfg. Exp. Date: ; / j. sly RH LH 1I.I••I
DHPP W RH LH DHPP W RH LH
DHLPP W RH LH DHLPP W RH LH
Bordetella — N I 0 W RH LH Bordetella N I 0 W RH LH
Lyme W RH LH Lyme W RH LH
Rattle Snake W RH LH Rattle Snake W RH LH
Cat 4 in I (Chlamydia / Distemper) Cat 4 in 'I (Chlamydia I Distemper)
FVRCP W RH LH FVRCP W RH LH
FeLV (Feline Leukemia) W RH LH FeLV (Feline Leukemia) W RH LH
FeLV -Test Result: Pos Nog FeLV -Test Result: Pos Neg
Heartworm Test Result: Pos Neg Heartworm Test Result: Pos Neg
Rx Heartworm Rx Heartworm
Micro Chip Micro Chip
Droncit ml Droncit ml
Stongid-T ml (50mg/m1) Stongid-T ml (50mg/m1)
Nail Trim Nail Trim
!trGASH
Veterinarian Lic.# , ) Date: o S CHECK =ARO Total

VACCINATION CERTIFICATE ID #
DR. JOY'S
Official Proof of Vaccination
VETERINARY
Keep this record in a safe place. Duplicate request: $10
SERVICES,
Who? Me? 2841 N. Euclid Ave., Tucson, AZ 85705 • (520) 369-3922 • Dr.Joys.Vet@gmail.corn • DrJoys.Net
Pet Owner: 0 New Client o Existing Client
Email: @ Phone: '' Cell:
Address:
City State Zip
Um 1 U Lniy id kindle u /-51lItC1 U ‘...II I IVIUUICidllUI I
CI Cat o Female , i , o,Not . Pregant o Cat p . , Female o Not Pregant .•
Name: , ; . Date of Birth: I, i Name: ; Date of !Birth: L.J. .
1 Breed: , • • Color: i . I] Bites? Breed: i )olor: / , o Bites?
Previous Vaccination Reaction? Y / N Previous Vaccination Reaction? Y / N
0 Needs Annual Vaccinations? Y / N Needs Annual Vaccinations? Y / N
to.. Exposure: 0 Mosquitoes o Fleas 0 Ticks o Wildlife n Children Exposure: 0 Mosquitoes o Fleas o Ticks o Wildlife ri Children
0, 44° 0 Groomers I] Boarding n Traveling ci Hiking o Out State Travel o Groomers 12 Boarding 0 Traveling, 41 Hiking o Out State Travel
"II Monthly Heartworm Prevenitive: Y I . Heartworrn Prevenitive: YIN N
Monthly Flea/Tick Prevenitive: ' y IN Monthly Flea/Tick Prevenitive: Y / N
Microchip? W / N LI (buy one) Microchip? Y / N 0 (buy one)
Allergies? Y /4 A lergies? YIN
T 1 i l oF P (:- R , 11 Weight' , lbs. Circ'N / A Rev. N IA Tr ' ' T P i , ,,-- R Weight . / (, lbs. Circ N / A Resp N IA
Lymph N / A Gen App NJ A S kin N /A Eyes N IA Ears N/A Lymp N IA Gen App N /A S kin,.N1 A Eyes N / A Ears N / A
Mouth N / A Attitude N / Acq Muzzle OK to Vaccinate? Y / N Mouth IA Attitude N,/ A o Muzzle OK to Vaccinate? Y / N
E . ,
vs Notes: Notes: Lt , i( /. ,
X ,
1.1.1
Rabies Type: . I , ' Price Rabies Type: . , ,,, : Price
Lot #: ,' (E-xd cling Boosters) ,3,1 do y„ 0 Lot #: ' (I ' (Excluding Boosters) ig a. a
Tag* Tag #: Mo
Mfg. Exp. Date: I / e W RH LFI ,, Mfg. Exp. Date: f ' / W RH LH
DHPP W RH LH DHPP W RH LH
DHLPP W RH LH DHLPP RH LH
g
0 Bordetella — N I 0 W RH LH Bordetella — N I 0 RH LH
.E. Lyme W RH LH Lyme W R LH
Rattle Snake W RH LH Rattle Snake W RH H
es
Cat 4 in '1 (Chlamydia / Distemper) Cat 4 in 1 (Chlamydia / Distemper)
---- FVRCP W RH LH FVRCP W RH LH
to
FeLV (Feline Leukemia) W RH LH FeLV (Feline Leukemia) W RH LH
1
BI FeLV -Test Result: Pos Nag FeLV -Test Result: Pos Nag
U U Heartworm Test Result: Pos Neg Heartworm Test Result: Pos Nag
,
g Rx Heartworm Rx Heartworm
Micro Chip Micro Chip
Droncit ml Droncit ml
Stongid-T ml (50mg/m1) Stongid-T ml (50mg/m1)
Nail Trim Nail Trim
,
o CA91-I
Lc.# i Date / Loc , CHOCK Total

VACCINATION CERTIFICATE 1D#
DR. JOY'S
Official Proof of Vaccination
VETERINARY
Keep this record in a safe place. Duplicate request: $10
SERVICES, L.L.C.
2841 N. Euclid Ave., Tucson, AZ 85705 . (520) 369-3922 • Dr.Joys.Vet@gmail.com • DrJoys.Net
Pet Owner: o New Client 0 Existing Client
Email: Phone: Cell:
Address:
State Lip
Pet #11 Pet #2
'o Dog El Male 6 Altered 12 On Medication 0 Dog ti Male [Mitered n On Medication
ci Cat ci Female El Not Pregant ci Cat D Female o Not Pregant
Name: Date of Birth: Name: Date of Birth:
Breed: i Color: El Bites? reed: El Bites?
1I1
Previous Vaccination Reaction? Y / N Pr vious Vaccination Reaction? Y / N
Needs Annual Vaccinations? Y/ N Ne s Annual Vaccinations? Y / N
Exposure: o Mosquitoes El Fleas p Ticks EaWildlife o Children Exp ure: o Mosquitoes o Fleas Erricks O Wildlife 6 Children
ID Groomers o Boarding El Traveling o Hiking D Out State Travel d Gro mers ri Boarding o Traveling o Hiking El Out State Travel
Monthly Heartworm Prevenitive: Y IN Monthl Heartworm Prevenitive: Y / N
Monthly Flea/Tick Prevenitive: N Monthly lea/Tick Prevenitive: Y / N
Microchip? Y / N D (buy one) Microchip / N o (buy one)
Allergies? Y / N Allergies? Y /
' °F P . 1 R 4 / Weight ) lbs. Circ N IA Resp N / A -17 °F P IL R Weight Abs Ciro N IA Resp N IA
LymplI,N1 / A GenAppN/A, S kin N / A Eyes,N / A Ears N / A Lymphj\t, / A en App N / A S kin N/ A Eyes N / A Ears NI / A
Mouth N /A Attitude N íA n Muzzle OK to Vaccinate? : N Mouth,N./ A Attit de N IA o Muzzle OK to Vaccinate? Y / N
Notes: Notes:
Rabies Type: Price Rabies Type: Next Boosters
Lot #: / 1 Hi (EXcluding Boosters) , Lot #: ,
Tag #: IH Nk Mo Tag #: 42.
Mfg. Exp. Date: W RH LH 1 Mfg. Exp. Date:
DHPP W RH LH DHPP
DHLPP W RH LH DHLPP
Bordetella — N I 0 W RH LH Bordetella — N I 0
Lyme W RH LH Lyme
Rattle Snake W RH LH Rattle Snake
Cat 4 in I (Chlamydla / Distemper) Cat 4 in I (Chlamydia I Distemper)
FVRCP W RH LH FVRCP W RH LH
FeLV (Feline Leukemia) W RH LH FeLV (Feline Leukemia) W RH LH
FeLV –Test Result: Pos Neg FeLV –Test Result:
Heartworrn Test Result: Poe Neg Heartworm Test Result: Poe Neg
Rx Heartworm Rx Heartworm
Micro Chip Micro Chip
Droncit ml Droncit ml
Stongid-T ml (50mg/m1) Stongid-T ml (50mg/rni)
Nail Trim Nall Trim
o CASH
Veterinarian Lic.# Date: Loc. o o CHECK MAKI Total

VACCINATION CERTIFICATE ID #
DR. JOY'S
Official Proof•of•Vaccination -
VETERINARY
Keep this record in a safe place. Duplicate request: $10
SERVICES, L.L.C.
Who? Me? 2841 N. Euclid Ave., Tucson, AZ 85705 • (520) 369-3q2 • Dr.Joys.Vetagmail.com • DrJoys.Net
Pet Owner: T' - iew Client 0 Existing Client
Email: oc-A0,--21 11I341- a *too .c.,A Phone: (07)-(pit-wq Cell: C -----
-401 Address: 4_,941,)_ _)L) . V)-frr--'114.0 531 i ...1" 6. hl og•--i'''
1 State LIP
0 Pet #1 Pet #2 -
o Dog i Mate o Altered o On Medication IDog o Male D Altered o On Medication y
Li. 0 Cat o Femqe 0 Not Pregant 0 Cat r.- - ale Pi. ot Pregant 5' do -1
6 Name: (2,00-1--.4 e Date of Birth: 0 i I 0 / ( . Name: t 1 Date of Birth:
62 Breed: -A-- itr4 r--cc&- WM. Color: ism IL Bites? Breed: roll,SIMPilk- __,_ 4 Color: D Bites?
Previous Vaccination Reaction? Y / ".-,. Previous Vaccination Reaction? Y 1)19 I.,
0 Needs Annual Vaccinations? Y / / Needs Annual Vaccinations? Y /V
le Exposure: a Mosquitoes Ef Fleas o Ticks a Wildlife hildren Exposure:VMosquitoes WFleas Wicks 10 Wildlife El Children
ct o Groomers 0 Boarding 0 Trave ing 0 Hiking 0 0 t State Travel 0 Groomers o Boarding o Travelinc a Hiking a Out State Travel
Monthly Heartworm Prevenitive / N Monthly Heartworm Prevenitive: Y /V
Monthly Flea/Tick Prevenitive: / Monthly Flea/Tick Prevenitive: )4/ fl
Microchip? Y / a (buy one) Microchip? Y / 3 o (buy one)
Allergies? Y / N Allergies? Y /
TAIS.F P/A5 , Rag. Weight . 4tbs. C of/ A Rest:CO / A T I P 1. toF P /03 R ?t,- Weight32Aihs. Cirq4 A Respeth A
LympCN IA Gen Apral IA S kinCl)4 / A yedl / A Ear) /A Lympt61 / A Gen Appt9/ A S kin A Eye a / A Ears d9 A
Mout IA Attitude N /ce, D Muzzle 1K to Vaccinate?C9 / N Mout / A Attitude N / A giVluzzle OK to Vaccinate?6/ N
E
(z Notes: AL-9-L i Notes:
X
LU
11A)AA1 -
.....
Rabies Type: : AMMAR Price 13 Next nal Boosters Rabies Type: arf r G ..t rice Next Boosters
1.0t#: (ExdusIng &pastas) . Lot #: 07- 1 (Exd.hpg soomem) 4,4, A
Tag #: iffak ... "Wikrffir .. Tag #:
Mfg. Exp. Date / 0/ a miprill Eli ivlfg. Exp. Date: _L/ / RH LH IIIIII IMI
DHPP W RH LH DHPP W RH LH II
OHLPP RH LH _ ,thmEReir DHLPP W RH LH OW pEa 3 HEREIr
in CD Bordetella — N 1 0 W RH LH -...y. ltab.12e 3 ,, Bordetella — N 1 '''' tit '-' % Davin mt. cl) g I 1111111
t) — --- PZIACSVaCCI 10;k4,,nn.
15: Lyme Algoesvbcdm. w, t .;,, 7.. '.1 Lyme • Rauv.4.3 ...0. ..r.dk.-....h. 1 11 % 7'4
6 0 Rattle Snake 'i otreS1,„...m...o....on.?* r.........gzgf..p. a t.4- 7,3 Rattle Snake airratom.con.w sraltert,,,,,,,,,_ I
aa 1 --- IA
0) Cat 4 in 1 (Chlamydia / isten ire..6 Cat 4 in 1 (Chlamydia 1 Di us
---- FVRCP V us FVRCP RH LH
U) FeLV (Feline Leuke a) W RH LH FeLV (Feline Leukemia) W RH LH
a
FeLV -Test Result: Pos Neg FeLV -Test Result: Pos Neg
0 0 Heartworm Test suit: Pos Neg U Heartworm Test Result: Pos Nag
CI Rx Heartworm Rx Heartworm
Micro Chip Micro Chip 111 III
Droncit 1111111:111111111111111111111 1111 Droncit ml 111111111.1
Stongid-T ml (50mg/m1) 111111111111111111 Stongid-T ml (50mg/m1) ion
CSIMM" . IIIIIIIIIIIII•NM 111111111111111111
J., --„, -- - AS/1
Veterinarian ...;Nrioni WOW A — t, _ i Date:01 / ) U/ /7 Loc. P - ta . CfCArto &tem TotalaeL,

VACCINATION CERTIFICATE ID # 1187
DR. JOYS
- Official Proof of VaccirtatiOn -
VETERINARY
Keep this record in a safe place. Duplicate request: $10
SERVICES, L.L.C.
2841 N. Euclid Ave., Tucson, AZ 85705 • (520) 369-3922 • Dr.Joys.Vet@ginail.com • DrJoys.Net
Email: 9 06410r 6t.1101/
Address: -14 N 6
btate
Pet #1 Pet #2
=ME
o Dog ..`'Male Altered o On Medication '0)°g o Male o Altered o On Medication
__Cat Female o Not Pregant Cat Fmaie Not Pregant
Name: Date of Birth: 1 / Name: irq.,0/70/— Date qf Birth: / / 10 /
Breed: -1:)S Colot ro Bites? Breed: tf ji-m4) /1,6}(Color: 260Bites?
Previous Vaccination Reaction? Y / Previous Vaccination Reaction? Y
Nieeds Annual Vaccinations? Y /WO Needs Annual Vaccinations? Y
Exposure: o Mosquitoes a Fleas o Ticks o Wildli bet hildren Exposure: 0 Mosquitoes )6 Fleas XPTicks o o Children
0 Groomers Boarding "tefj-Traveling o Hiking ut State Travel o Groomers o Boarding o Traveling o Hiking o Out State Travel
Monthly Heartworrn Prevenitive: Y Monthly Heartwomi Preventtive: y,/
Monthly Flea/Tick Prevenitive: Y / Monthly Flea/Tick Prevenitive: Au/ N
Microchip? Y o (buy one) Microchip? Y Cl (buy one)
Allergies? `Hy Allergies? Y /
Thia6.F P/72 R 6/ Weight it. 1 lbs. liAtii/ A Reset/ A -1/0 btv P.11-(/ R to/ WeighOZ6ibs. CirdNi/ A Respa /A
Lymph(u)/ A Gen AppC9 A 5 kin& A Eye&I A Ear& A Lympa / A Gen Apia/ A S king/ A Eyesg/ A Ears& A
MoutWRP A AttitudaN) A o Muzzle OK to Vaccinate? Maul Mouta / / A A Attitude Attitude A / A )6 )6 Muzzle Muzzle OK to Vaccinate? N
Notes: Notes:
6 V=-J
Rabies Type: 'Price Next Boosters Rabies Type El Price Next Boosters
Lot #: (Exclutfing Booslers) Ea u Lot #: (Exclulsrg Boosters) CIEILIC3
Tag #: " %-f - 17 Tag #:
Mfg. Exp. Date: P-4 1111111111111111111O: Mfg. Exp. Date: RH LH 11111=M11110 1
DHPP W RH LH Ribyae3 peo. Hem* DHPP W RFI LH 1111M11111111111
DHLPP W Wes Urine I. Dna! at DHLPP W RH LH
Bordetella Bordetella Bordetella — N N N 1 1 1 0 0 0 W W E F robleC111021, 17::,'',':,..2.1.2.7E41;- tals torsci only, . g ,i; o r, Bordetelia — N 10 W RH LH
- Irgil.5.1.00.1....1.- 1 I .7, 6 - ,,d3 mi 1
Lyme Lyme W W R R eusitttetr 0 ig Lyme — Kilkomu, Rabiesvacctne
Rattle Rattle Snake Snake W W R R Rattle Snake Clib"clIgs, oh a no tro rses wily
sT:tlt 0 P.UP "irar
Cat Cat 4 4 in in 1 1 (Chia (Chia dia dial / Distemper) Distemper) Cat 4 in 1 (Chlamydia aka%
FVRCP FVRCP W W RH RH LH LH FVRCP uslid-lk- 11
FeLV (Feline ukemia) W RH LH FeLV (Feline Leukemia) W RH LH III
FeLV -Test suit: Pos Neg FeLV -Test Result: Pos Neg .
,
Heartworm est Result: Pos Nag Heartworm Test Result: Pos Neg
Rx Hearty/arm Rx Heartworm
Micro Chip I
Droncit ml Droncit ml II
Stongid-T (50mgfml) Stongid-T ml (SOrngiml) II
Nail Trim AMAIMIMIIIIIIIMMMEIIE EITA IIII
Ae6 a 8 Loc.adoo
Veterinarian Date: o =An° Total

VACCINATION CERTIFICATE 10 #
DR. JOY'S
Official Proof of Vaccination
VETERINARY
Keep this record in a safe place. Duplicate request: $10
SERVICES, L.L.C.
Who? Me? 2841 N. Euclid Av e. Tucson, AZ 85705 • (520) 369-3922 • Dr...loys.Vet@gmail.corn • DrJoys.Net
J '
Pet Owner: „ ea,. ae, ri . ie.' a New Client o Existing Client
Email: i 1 ' , i @ Ttn.e'lat k -UPIA Phone: (.02-..:5 - 302-1Cell:
..., Address: /7 7_. -7 7e . / ba - $eapi Avigtve.:( Ci-t14-e tai AA il --F--, b. 0'613
z city State Lip
0 - Pet #1 Pet #2
XDog a Male o Altered 0 On Medication ,.: Dog Cl Male o Altered o On Medication
—. o Cat 0 Female a Not Pregant a Cat - -le r ot Pregant /- ) /--7
ame: To '5 t.. Date of Birth: i 0 / 24 Name: ii I. Date of Birth: /2 --/ /LILL I -
C Ill ed: _ Irma ,,, Color: ' ;1'4-- o Bites? Breed: IMMIIKI i Color: takitio 'OBites?
2 Pr "us Vaccination Reaction? Y / N Previous Vaccination Reaction? Y I -
Is Nee' Annual Vaccinations? `I I Needs Annual Vaccinations? Y / ,
*a Expo re: o Mosquitoes o Fleas o Ticks OW: life ticChildren Exposure: a Mosquitoes )0 Fleas kTicks a Wildlife 13 Children
IV A Gra • ers b)Boarding iTraveling WHikin • -, Out State Travel 0 Groomers a Boarding 0 Traveling _ a Hiking o Out State Travel
111 Monthi eartworm Prevenitive: Y / Monthly Heartworm Prevenitive' `t / pe
Monthly ea/Tick Prevenitive: yI l Monthly Flea/Tick Prevenitive: / N
Microchi Ye/ N o (buy one) Microchip? Y / V.) o (buy one)
Allergies? 1( I. . Allergies? Y /
T it7 0.7F ' R 1 yWeight 1 s , Circe" / A Respb11 / A T . FP R -',OWeight lbs. Cirird I A Res .10 / A
Lympt0 / A Gen Apr/ A S kin & A Eyeq:51 / A Ears,61/ A Lymph 0/ A Gen A-1;X A S king/ A Eye0 IA Earsg A
Mouth/ A Atkltudei / A 0 Muzzle OK to Vaccinate I N Mouth IA Attitude N I CIAVI.uzzle OK to Vaccinate? ("9, N
E
it Notes: b-.1., Notes: r
X
fa j Ibli ik`
,
LS _..
Rabies Type: trianniail , Price Next Boosters Rabies Type VIIIMM OM r/ ' rice
4 (Exclucficv Boosters) ig MPS % mi. ga Lot #: I lExciurfing Moslem) NeXt.B"sters i ono
. Tag #: iiiM •
Mfg. Exp. Date: 91 1 01 RI-1 LH Mfg, Exp. Date: J I IN i RHLH I V
DHPP W RH LH DHPP W RH LH liabrae Namur 3
0.1.1 LH I WW1 ra
DHLPP W . PEPLIAREIP DHLPP Ait,hsvacake 161Sed Virus , . ? 1
CD Bordeteila — N 1 0 W P'', y.cd. • Ratreac•3 - Bordetella — N 1 g ..-, u, ilabre F....,....ndhorses.IT 3 A d Uc•- u lzk 7,`t
- vim ‹ OD - .. ;., 111====3M' ,,,..„. 1 %.'i a -
I'm Lyme W s..,..ir real:ga ld* Lyme StSMatit $t D ,
r 6 Rattle Snake w R s. 9„6„vo„.dio,10,- -- ‘- v 0 ?.. Rattle Snake
us tio. lt4 n ,:4
Cat 4 in 1 (Chlamydra /1 DIsterepe g Cat 4 in 1 (Ctilamydia / Distemper)
FVRCP W RH L I FVRCP W RH LH
In FeLV (Feline L kemia) W RH LH FeLV (Feline Leukemia) W RH LH
FeLV -Test ult: Pea Nag FeLV -Test Result: Pos Nag
Heartworm t Result: Foos Nag Heartworrn Test Result: Pos Nag
Ca Rx Heartw Rx Heartworm
Micro Chi Micro Chip
. Droncit ml Droncit ml
•
Stongid-T ml (50IngIml) Stongid-T ml (50rngiml)
ai•ir ME•
Veterinarian _. k ,0 L.N. LIC.#306 Date: I i(1/ /9 Loc. n O CHECK =ARP Total