YERBRIER KENNEL PERMIT RENEWAL (K19-000005).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 klci-Ooo005
III New V Renewal
/ /
Name:,,g627,7!. rit et745 74G)/9 Kennel Name: Ail d„rie ,--
Mailing Address: ,:5) 6/-1 ,7v-oleel Kennel Address: 5 V-"--/7,25, 4_:-/ /%/"`'se
City.01S/1 State: AZ Zip: , 2,3 City. 77 Zip: -5---- .--
County Supervisorial District: 5
Phone: 4,gg-- COSI' /a667 Kennel Phone:
eto,j
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 Marlowe 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 A.R.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
l[dation 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. ' /4INVe certify that I/We have lel dogs and that the kennel meets the definition in statute.
3.1 1 I/VVe certify that I/We have not been convicted of a violation of A.R.S. §§ 13-2910 (cruelty to animals)
or '110.01 (dog fighting), or similar violations of any other state, county or municipal animal welfare law.
iolation of license and leash laws DO NOT apply).
y INVe certify that all dogs over the age of three (3) months that are kept, harbored or maintained on the
pre s 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.
I /We certify that INVe are submitting a valid copy of the rabies vaccination certificate for each
h this application.
6. /AIM I/We understand that a dog remaining within the kennel is not required to be licensed individually under
A.K 1.• 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. ' / I/We understand that a person who fails to obtain a kennel permit under A.R.S.§11-1009 is subject to a
penal f twenty-five dollars in addition to the annual fee.
INVe 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..
9.4„,4 1i7rhe undersigned understand that that the kennel permit does not authorize the operation of any type
of buih'ess 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: /7----.Z/—
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
SOS Approval Date Term of Permit
October 2015

Maricopa County Animal Care and Control
2500 S. 27th Avenue
Phoenix, AZ 85009-6797
(602) 506-7387
http://pets.maricopa.qov
Receipt Number: R18-634631 • Receipt Date: 11/27/2018
Person ID: P0999105
Phone: 623 5337269
YERBRIER KENNELS - 11/27/2018 11:08:02AP
5447 S EL MIRAGE RD
TOLLESON, AZ 85353
item: Animal ID: Reference No: Price: Each: Amount:
KEN PERMIT A7777777 K19-000005 $350.00 1 $350.00
Total Fees Due: $360.00
Payments: Cash:
Check: $350.00
Credit Card:
Total Payments Received: $360.00
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 K19-000005
PREMISE INSPECTION
Number of Dogs: 18
Name: Betty Yerington Kennel Name: Yerbrier Kennels
Mailing Address: 5447 S. El Mirage Rd Kennel Address: Same
City: Tolleson State: AZ Zip:85353 City: Tolleson Zip: 85353
County Supetvisorial District: 5
Phone: 623-680-5597 Kennel Phone: 623-925-1350
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
18 Rabies certificates were presented and matched with the 18 dogs residing on the
property. Said property is enclosed and all dogs are secure.
Deputy Enforcement Agent & Badge #: Lt Amber Romero #4 Date: 12119118
October 2015

Sundance Hospital Client No 6908
8360 W. Lower Buckeye Rd, Ste. 101 Yerbrier Kennel, K-15-005 & YerIngton, Betty
1 6447 S. El Mirage Rd.
Toller:in, AZ 86353 • Tolleson, AZ 86363
SOMME Phone: (623) 478-9295 Phone: (623) 6804697
Fax: (623) 478-9294
Rabies Vaccination Certificate
NAME: Trixie
SPECIES: Canine WEIGHT: lbs Rabies Tag #:
BREED: Toy Poodle ID #1:
GENDER: Fl ID #2:
COLOR: White Last Visit: 10/1012016
BIRTHDAY: 611012008
AGE: 8 yrs, 3 months
Item Description Given Due Date Lot # ManufaCturer Exp. Date
10331 Rabies Vaccine - 3 Year 10/10/2016 10/10/2019 5300570B Nobivac 12/5/2017
2016 Rabies Vaccine - 3 Year 9/10/2013 9/9/2016 52045630 'Nobivac 9/3/2012
I hereby certify that this animal has been vaccinated in accordance with the manufacturers recommendation for the vaccine used on above date.
Date Issued 1011012016
Lod D. Coles, DVM License: 6276

Sundance Animal Hospital Client No. 5908
8350 W. Lower Buckeye Rd, Ste. 101 Yerbrier Kennel, K-16-005 & Yerington, Betty
Tolleson, AZ 86353 5447 S. El Mirage Rd.
Tolleson, AZ 86363
SUNWINCE Phone: (623) 478-9295 Phone: (623) 680-5597
Fax: (623) 478-9294
Rabies Vaccination Certificate
NAME: Cash
SPECIES: Canine WEIGHT: lbs Rabies Tag #:
BREED: Toy Poodle ID #1:
GENDER: MI ID #2:
COLOR: White Last Visit: 1011012016
BIRTHDAY: 6116/2008
AGE: 8 yrs, 3 months
Item Description Given Due Date Lot Manufacturer Exp. Date
10331 Rabies Vaccine - 3 Year 10/10/2016 10/10/2019 S30057013. Nobivac 12/5/2017
2016 Rabies Vaccine - 3 Year 9/10/2013 9/9/2016 52845630 140bivac 9/2/2013
I hereby certify that this animal has been vaccinated In accordance with the manufacturer's recommendation for the vaccine used on above date.
(7..sece-GL II Date issued 10/10/2016
Lori D. Coles, IDVM License: 6276

RABIES VACCINATION CERTIFICATE
OWNER'S INFORMATION:
KENNELS YERBRIER P0999105 (623) 5337269 CELL
LAST NAME FIRST NAME PERSON ID TELEPHONE NUMBER EXT:
5447 S EL MIRAGE RD TOLLESON AZ 85353
STREET ADDREss APT CITY STATE ziP CODE
ANIMAL INFORMATION
DOG FEMALE 12/10/2015 POODLE STND
ANIMAL TYPE ANIMAL sEx ANIMAL CAFE OF BIRTH SIZE PRIMARY BREED SECONDARY BREED
A3861435 SPRING WHITE
ANIMAL ID PRIMARY COLOR SECONMY COLog
ANIMAL NAME MICROCHIP NUMBER
VACCINATION INFORMATION
ZOETIS 12 Months 11/20/2018 ' 11/20/2019 11/20/18
VACCINE PRODUCER VACC. LENGTH DATE VACCINATED VACCINATION EXPIRES PRINT DATE
1
9IA.Aio, k.
KILLED 1-, M. Marieopa County
Animal Care & Control
VACCINE TYPE VETERINARIANS SIGNATURE 2500 S 27th Avenue, Phoenix, AZ 85009
(602) 506-7387
SN293135 AZ3538
vACC. AERIAL NO. VETERINARIANS LICENSE NumBER

Sundance Animal Hospital Client No. 5908
8350 W. Lower Buckeye Rd, Ste. 101 Yerbrier Kennel, K-15-005 & Yerington, Betty
Tolleson, AZ 85353 5447 S. El Mirage Rd.
Tolleson, AZ 86353
511NOMICE Phone: (623) 478-9295 Phone: (623) 680-5597
Fax: (623) 478-9294
Rabies Vaccination Certificate
NAME: Schnott
SPECIES: Canine WEIGHT: lbs Rabies Tag*
BREED: Poodle, toy ID #1:
GENDER: MI ID #2:
COLOR: Black Last Visit: 10/10/2016
BIRTFIDAY: 12/112005
AGE: 10 yrs, 10 months
tern Description Given Due Date Lot it Manufacturer Srp. Date
0331 Rabiee Vaccine - 3 Year 10/10/2016 10/10/2019 9300570B Nobivac 12/5/2017
016 Rabies Vaccine - 3 Year 9/10/2013 9/9/2016 52845630 Nobivac 9/3/2013
hereby certify that this animal has been vaccinated in accordance with the manufadurees recommendation for the vaccine used on above date,
Date Issued 1011012016
Lori D. Coles, DVM License: 6276

RABIES VACCINATION CERTIFICATE
OWNERS INFORMATION:
YERBRIER P0999105 (623) 5337269 CELL
KENNELS ExT:
FIRST NAME PM ID TELEPHONE NUMBER
LAST NAME
5447 S EL MIRAGE RD TOLLESON AZ 85353
APT CITY STATE SIP CODE
STREET ADDRESS
ANIMAL INFORMATION
DOG FEMALE 7/23/2009 POODLE STND
PRIMARY BREF-D SECONCLARY ofteED
. ANIMAL. TYPE ANIMAL SEX ANIMAL DATE OF BIRTH
BLACK
A4016913 CONNIE
ARY C040H
ANIMAL ANPAAL NAME MICROCHIP NUMBER
VACCINATION INFORMATION
IMRAB 3 36 Months 11/7/2017 110/2020 11/7/17
VACC. LENGTH DATE VACCINATED VACCINATION EXPIRES PRINT DATE
VACCINE PRODUCER
Maricopa County
KILLED Animal Care & Control
VACCINE TYPE VETERINARIANS SIGNATURE 2500 827th Avenue, Phoenix, AZ 85009
(602) 506-7387
SN221614
VETERINARIANS UCENSE NUMBER

RABIES VACCINATION CERTIFICATE
0I71=¢0IIM(1.104
OWNER'S INFORMATION:
KENNELS YERBRIER P0999105 (623) 5337269 CELL
LAST NAME FIRST NAME PERSON fp TELEPHONE MIEJHER EXT:
5447 S EL MIRAGE RD TOLLESON AZ 85353
sTReErpooRs.9 CITY STATE ZIP CODE
ANIMAL INFORMATION
DOG FEMALE 12/12/2005 POODLE TOY
ANIMAL TYPE ANIWY. SEX ANIMAL DATE OF BIRTH SIZE PRIMARY IMBED SECONDARY BREED
A2808253 LARK WHITE
ARITA/ZIG ANIMAL. FLAME MICROCHIP PRIMARY COLOR IXDONDARTUOCTAT
VACCINATION INFORMATION
IMRAB 3 36 Months 11/7/2017 11/7/2020 11/7/17
VACCINE PRODUCER VACC. LENGTH DATE VACCINATED VACCINATION EXPIRES P bATE
KILLED Maricopa County
Animal Care & Control
VACCINE TYPE VETERINARIANA BIGNATIIRE 2500 S 27th Avenue, Phoenix, AZ 85009
(602) 506-7387
SN221614
VACC. SERIAL NO: VETERINARIANS IJCP.NSE NUMBER

RABIES VACCINATION CERTIFICATE
i
OWNER'S INFORMATION:
KENNELS YERBRIER P0999105 (623) 5337269 CELL
LAST NAME FIRST NAME PERSON ID TELEPHONE NUMBER OCT:
5447 S EL MIRAGE RD TOLLESON AZ • 86353
STREETADDRESS APT CITY • STATE ZIP CODE
. ANIMAL INFORMATION
. ,
DOG FEMALE 12116/2007 POODLE TOY .
ANIMAL TYPE ANIMAL SEX ANIMAL DATE OF BIRTH SIZE . PRIMARY BREED SECONDARY BREED
A3242781 SELLA - WHITE
ANIMAL D ANIMAL NAME MICROCHIP NUMBER . PRIMARY COLOR SECONDARY COLOR
VACCINATION INFORMATION
ZOETIS 36 Months 11/20/2018 11/20/2021 11/20/18
VACCINE PRODUCER VACC, LENGTH DATE VACCINATED . VACCINATION EXPIRES PRINT DATE
. g. nu-6,2400)vo‘k Madcap County
KILLED
Animal Care & Control
VACCINE TYPE VETERINARIANS SIGNATURE 2500 S 27th Avenue, Phoenix, AZ 85009
(602) 506-7387
SN293135 AZ3538
VACC. SERIAL Na VETERINARIAN'S LICENSE NUMBER

RABIES VACCINATION CERTIFICATE
OWNER'S INFORNIATION:
KENNELS YERBRIER P0999105 (623) 5337269 CELL
PERSON ID TELEPHONE NUMBER
5447 S EL MIRAGE RD TOLLESON AZ 85363
STREET ADDR.5.t ZIP CODE
ANIMAL INFORMATION
DOG •FEMALE 6/17/2007 POODLE TOY
ANNA. DITIL 14FF EVIR11111 sVE PRIPMRY BREED SECONDARY BREED
A3103251 BROOK WHITE
MICROCHIP NUMBER
VACCINATION INFORMATION
IMRAB 3 36 Months 11/7/2017 11/7/2020 11/7/17
VACCINE PRODUCER VACCINKRON EXPRES PRINT DATE
KILLED Maricopa County
Animal Care & Control
VETERINARMN SIONATURE 2500 S 27th Avenue, Phoenix, AZ 85009
(602) 506-7387
SN221614
VACC. SERIAL NO. VEIF_RINARIAMS LICENSE NUMBER

RABIES VACCINATION CERTIFICATE
OWNER'S INFORMATION:
KENNELS - YERBRIER P0999105 . (623) 5337269 CELL
LAST NAME FIRST NAME PERSON ID TELEPHONE NUMBER EXT:
5447 S EL MIRAGE • RD TOLLESON AZ • 85353
STREET ADDRESS APT CITY STATE ZIP CODE
ANIMAL INFORMATION
DOG MALE 3/24/2011 POODLE TOY • MIX
ANIMAL TYPE ANIMAL SEX - ANIMAL DATE OF BIRTH SIZE PRIMARY BREED • SECONDARY BREED
A4017990 FRANK)/ • WHITE
VT AL ID ANIMAL NAME MICROCHIP M NUMBER PRIMARY COLOR . SECONDARY COLOR
VACCINATION INFORMATION
ZOETIS 36 Months 11/20/2018 11/20/2021 11/20/18
VACCINE PRODUCER VACS. LENGTH DATE VACCINATED VACCINATION EXPIRES PRINT DATE
KILLED 02-64eate0 1 DV • AA '. x Marieopa County
Animal Care & Control
VACCINE TYPE VETERINAR/ANS SIGNATURE 2500 S 27th Avenue, Phoenix, AZ 85009
• (602) 506-7387
SN293135 AZ3538
VACC_ SERIAL NO. VETERINARIAN'S LICENSE NUMBER

RABIES VACCINATION CERTIFICATE
OWNER'S INFORMATION:
KENNELS YERBRIER P0999105 .(623) 5337269 CELL
LAST NAME FIRST NAME PERSON ID TELEPHONE NUMBER EXT:
5447 S EL MIRAGE RD TOLLESON . • AZ 85353
STREETADDRESS APT ci-r,, STATE ZIP CODE
ANIMAL INFORMATION
DOG MALE • 6/1712009 POODLE MIN -
ANIMAL TYPE ANIMAL SEX ANIMAL DATE OF BIRTH SIZE PRIMARY BREED SECONDARY BREED
A4019931 • • SIDNEY WHITE
ANIMAL IL) ANIMAL NAME MICROCHIP NUMBER PRIMARY COLOR SECONDARY COLOR
VACCINATION INFORMATION
ZOETIS - 36 Months 11/20/2018 11/20/2021 11/20/18
VACCINE PRODUCER TACO. LENGTH CATE VACCINATED VACCINATION EXPIRES . PRINT DATE
..I
KILLED () LI-1i°' • r"4"-tettO DvAA ; Marieopa County
Animal Care & Control
VACCINE TYPE VETERINARIAN'S SIGNATURE 2500 S 27th Avenue, Phoenix, AZ 85009 .
(602) 506-7387
SN293135 AZ3538
TACO, SERIAL NO, VETERINARIAN'S LICENSE NUMBER

RABIES VACCINATION CERTIFICATE
OWNER'S INFORMATION:
KENNELS :YERBRIER . - P0999105 (623) 6337269 CELL
LAST N.AME FRST NAME PERSON ID TELEPHONE NUMBER EXT:
6447 S EL MIRAGE .RD TOLLESON AZ 85353
STREET ADDRESS APT - CITY . STATE ZIP CODE
ANIMAL INFORMATION
DOG. MALE 9/5/2010 - POODLE TOY. MIX
ANIMAL TYPE ANIMALDEX ANIMAL DATE OF BIRTH SIZE PRIMARY BREED SECONDARY BREED
A4017994 WILLIE WHITE
ANIMAL IL) ANIMAL NAME MICROCHIP NUMBER PRIMARY COLOR SECONDARY COLOR
VACCINATION INFORMATION
_
- ZOETIS 36 Months 1 11/20/2018 11/20/2021 11/20/18
VACCINE PRODUCER VACC, LENGTH DATE VACCINATED VACCINATION EXPIRES PRINT DATE
nu...+504
9LI.Ait,, k. DVAA,
KILLED .1 - - -. Maricopa County
Animal Care & Control .
VACCINE TYPE VETERINARIANS SIGNATURE 2500 S 27th Avenue, Phoenix, AZ 85009
(602) 506-7387
SN293135 AZ3538
VACC. SERIAL NO. VETERINARIANS LICENSE NUMBER

RABIES VACCINATION CERTIFICATE
OWNER'S INFORMATION:
KENNELS YERBRIER P0999105 (623) 5337269 CELL
LAST NAME FIRST NAME PERSON ID TELEPHONE NUMBER EXT:
5447 S EL MIRAGE RD. TOLLESON 85353
STREET ADDRESS APT CITY STATE ZIP CODE
ANIMAL INFORMATION
DOG FEMALE 6116/2007 POODLE TOY
ANIMAL TYPE ANIMAL SEX ANIMAL DATE OF BIRTH SIZE PRIMARY BREED SECONDARY BREED
A3242782 BRIDGET WHITE
ANIMAL ID PRIMARY COLOR SECONDARY COLOR
ANIMAL NAME MICROCHIP NUMBER
VACCINATION INFORMATION
ZOETIS 36 Months 11/20/2018 11/20/2021 11/20/18
VACCINE PRODUCER VACC. LENGR1 DATE VACCINATED VACCINATION EXPIRES PRINT DATE
k
KILLED 914-4-ii‘' "Dv Alk Maricopa County
)
Animal Care & Control
VACCINE TYPE VETERINARIANS SIGNATURE 2500 S 27th Avenue, Phoenix, AZ 85009
(602) 506-7387
SN293135 AZ3538
VACC. SERIAL NO. VETERINARIAN'S LICENSE NUMBER

RABIES VACCINATION CERTIFICATE
OWNER'S INFORMATION:
KENNELS YERBRIER P0999105 (623) 5337269 CELL
LAST NAME FIRST NAME PERSON ID TELEPHONE NUMBER EXT:
5447 S • EL MIRAGE RD TOLLESON AZ 85353 •
STREET ADDRESS APT CITY STATE ZIP CODE
-
ANIMAL INFORMATION
DOG MALE 10/15/2010 FOX TERR SMOOTH MIX
ANIMAL TYPE ANIMAL SEX ANIMAL DATE OF BIRTH SIZE PRIMARY BREED SECONDARY BREED
• A4017992 SUNNY TRICOLOR
ANIMAL ID ANIMAL AN umAr MICROCHIP NUMBER PRIMARY COLOR SECONDARY COLOR
VACCINATION INFORMATION
ZOETIS 36 Months 11/20/2018 11/20/2021 11/20/18
VACCINE PRODUCER VACO LENGTH DATE VACCINATED VACCINATION EXPIRES PRINT DATE
(likAip, k. 1)t.45,240
KILLED ) All Maricopa County
Animal Care & Control
VACCINE TYPE VETERINARIANS SIGNATURE 2500 S 27th Avenue, Phoenix, AZ 85009
(602) 506-7387
5N293135 AZ3538
VACC. SERIAL NO, VETERINARIANS LICENSE NUMBER

• . OWNER'S INFORMATION:
KENNELS YERBRIER P0999105.: •::(623) 5337269 . CELL .
LAST NAME FIRST NAME PERSON ID TELEPHONE NUMBER EXT:
'
5447 S EL MIRAGE RD TOLLESON • . AZ 85353
STREET ADDRESS APT CITY STATE ZIP CODE
- - - ANIMAL INFORMATION
DOG MALE 2/14/2010 . •CHIHUAHUASH
ANIMAL TYPE ANIMAL SEX ANIMAL DATE OF BIRTH SIZE PRIMARY BREW SECONDARY BREED
A4017987 . DENZEL :- BLACK • WHITE
ANIMAL ID PRIMARY COLOR SECONDARY COLOR
AN ANIMAL NAME MICROCHIP NUMBER
VACCINATION INFORMATION
ZOETIS 36 Months 11/20/2018 11/20/2021 11/20/18
VACCINE PRODUCER VACC. LENGTH PATE VACCINATED . VACCINATION EXPIRES FEINT DATE
KILLED • 9tutos_Kr42-b-0441-1:) Marieopa County
.
Animal Care & Control
VACCINE TYPE VET ERN MANS SIGNATURE 2500 S 27th Avenue, Phoenix, AZ 85009
(602) 506-7387
SN293135 AZ3538
VACC_ SERIAL NO. VETERINARIAN'S LICENSE NUMBER

vargvamito -m-rzwo
SLINMINCE Phone: (622j 478-9295 623) 6804597
Fax: (623)478-9294
Rabies Vaccination Certificate
NAME: P. Diddy
SPECIES: Canine WEIGHT: lbs Rabies Tag #:
BREED: Chihuahua ID *1:
GENDER: MN ID #2:
COLOR: Tan/White Last Visit: 1011012016
BIRTHDAY: 12/16/2007
AGE: 8 yrs, 9 months
Item Description Given Due Date Lot # Manufacturer Exp. Date
10331 Rabies Vaccine - 3 Year 10/10/2016 10/10/2019 S300570B Nobivae 12/5/2017
2016 Rabies Vaccine - 3 Year 9/10/2013 9/9/2016 S2845630 Nobivae 9/3/2013
I hereby certify that this animal has been vaccinated in accordance with the manufacturer's recommendation for the vaccine used on above date.
,8.(rt, 40\i
Date Issued 10110/2016
Lou D. Coles, DVM License: 6276

RABIES VACCINATION CERTIFICATE
OWNER'S INFORMARON:
P0999105 (623) 5337269 CELL
KENNELS YERBRIER PERSoN TELEPHONE NVIIRBER EXT:
LAST N.A.IME FIRST laMB
ANIMAL INFORMATION
POODLE TOY
DOG MALE 9/1/2015
SITE paimAay BREVE SECONDARY BREED
ANIMAL TYPE ANIMAL SEX ANIMAL DAM OF BIRTH
WHITE
A3862097 HENRY SE CEMINZIMAY-C=19
MIPIXETEI ANIMA-NAM MICROCHIP NUMBER
VACCINATION INFORMATION
36 Months 11/7/2017 11/7/2020 11/7/17
IMRAB 3
vACC. LENGTH GATE VACCINATED VACCINATION EXPIRES PRINT DATE
VACCINE PRODUCER
Marioopa County
KILLED Animal Care & Control
VACCINE TYPE VEIERINASIANS SIGNATURE 2500 S 27th Avenue, Phoenix, AZ 85009
(602) 506-7387
SN221614
vACC. seat4. NO. VETERNARIPHS LSGENSE Numagi

RABIES VACCINATION CERTIFICATE
OWNER'S INFORMATION:
KENNELS YERBRIER P0999105 (623) 5337269 CELL
LAST NAME FIRST NAME PERSON ID TELEPHONE NUMBER EAT:
5447 S EL MIRAGE RD TOLLESON AZ 85353
.
STREETADDRESS APT CITY STATE ZIP CODE
ANIMAL INFORMATION
DOG MALE 4/11/2017 POODLE STND
At/N .M. TYPE ANIMAL SEX ANIMAL DATE OF BIRTH SIZE PRIMARY BREED SECONDARY BREED
' A4177664 CHASE WHITE
ANIMAL IU PRIMARY COLOR SECONDARY COLOR
AN ANIMAL NAME MICROCHIP NUMBER
VACCINATION INFORMATION
ZOETIS 12 Months I. 11/2012018 11/20/2019 11/20/18
VACCINE PRODUCER VACC. LENGTH DATE VACCINATED VACCINATION EXPIRES PRINT DATE
KILLED 112-643etell 1 DvivI Maricopa County
- - .
Animal Care & Control
VACCINE TYPE VETERINARIANS SIGNATURE • 2500 S 27th Avenue, Phoenix, AZ 85009
(602) 506-7387
SN293135 AZ3538
VACC, SERIAL Ha. VETERINARIAN'S LICENSE NUMBER

RABIES VACCINATION CERTIFICATE
OWNER'S INFORMATION:
KENNELS YERBRIER P0999105 (623) 5337269 CELL
LAST NAME REST NAME PERSON ID TELEPHONE NUMBER EXT:
5447 S EL MIRAGE RD TOLLESON AZ 85353
STREETADORESS APT TW E . ZIP CODE
ANIMAL INFORMATION
DOG MALE 8/17/2013 POODLE TOY
ANIMAL TYPE ANIMAL SEX ANIMAL DATE OP BIRTH SIZE PRIMARY BREED .SECONIDARY BREED
A4016912 BUBBLES WHITE
XRIMXIL-111 ANIMIkl. NAME MICROCHIP NUMBER PRIMARY COLOR tECONDARY COLOR
VACCINATION INFORMATION
IMRAB 3 36 Months 11/7/2017 11/7/2020 11/7/17
VAcciNa PRODUCER tt:GG LEN LEWITHH 11..AATT '',/"IICC.NN./1E113 VACCINATION EXPIRES PRINT DATE
KILLED lvlaricopa County
Animal Care & Control
VACCINE TYPE VETERINARIANS SIONATURE
2500 S 27th Avenue, Phoenix, AZ 85009
(602) 506-7387
SN221614
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