USA PUREBRED LABS, LLC KENNEL PERMIT RENEWAL.PDF

Maricopa County
Animal Care Ancit Control
2500 South 27th Avenue
Phoenix, AZ 85009
(602) 506-7387 Tele.
(602) 506-2739 Fax
KENNEL PERMIT APPLICATION
El New 1! Renewal Permit 00" CC
Name: —7—;- A . 7L Kennel Name: 4. 6 r ,/t A /- 2"..r.)2 44r..._te, r
Mailing Address: ;2 i .'" '')- '-'-' A.), i 112,-- 01 ft Kennel Location: S—it 0? -rc " ,f‘ /Plzi.,- , iii,,,j I exd
City S Left ce4exie IP A,2-4-, :7-- County Supervisorial District
Home Phone: I/ F- C) (i? / Kennel Phone: 4.9-c, — 5— S' Y —
Please complete and sign this application and return it to the above address with payment in the amount of three
hundred twenty eight dollars ($328.00) 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 liwe are making
application 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. INVe certify that INVe have _g10 dogs and that the kennel meets the definition in statute.
3. Alff../ INVe certify that I/We have not been convicted of a violation of A.R.S. §§ 13-2910 (cruelty to animals)
or 13-2910.01 (dog fighting), or similar violations of any other state, county or municipal animal welfare law.
(Violations of license and leash laws DO NOT apply).
4. NV e certify that all dogs over the age of three (3) months that are kept, harbored or maintained on the
preW 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
maintAned on the premises for each dog.
5. I /We certify that INVe are submitting a valid copy of the rabies vaccination certificate for each
dog1th this application.
6. X V1 INVe understand that a dog remaining within the kennel is not required to be licensed individually under
A.R. . § 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. Air 1NVe 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.
8JL1,,,,,-1/We understand that a person who knowingly fails to obtain a kennel permit within thirty days after
written notification from the county enforcement agent is guilty of a class 2 misdemeanor..
9. The undersigned understand that that the kennel permit does not authorize the operation of any type
of business and is solely used for the purpose of licensing multiple dogs.
I/We certify that all ofiheAnformation I/We have provided Is true and accurate under penalty of law.
Applicant Signature Date: 7 --..2C-19
Applicant Signature Date:
For Official Use Only:
Copies of Valid Rabies Vaccination Certificates for each dog attached
Copy of Person's Valid Identification Attached
Type of Identification submitted
BOS Approval Date Term of Permit
2 of 2

Maricopa County Animal Care and Control
2500 S. 27th Avenue
Phoenix, AZ 85009-6797
(602) 506-7387
http://pets.maricopa.cov
Receipt Number: R18-520647 Receipt Date: 07127/2018
Person ID: P2263346
Phone: 480 5849315
USA PUREBRED LABS LLC KENNELS 7/27/2018 12:33:06PM
27828 N 143RD ST
SCOTTSDALE, AZ 85262
Item: Animal ID: Reference No: Price: Each: Amount:
KEN PERMIT A7777777 K19-000055 $350.00 1 $350.00
KEN PERMIT A7777777 K15-000055 .00 1 $0.00
Total Fees Due: $350.00
Payments: Cash: $350.00
Check:
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
woodd WBUSOFF

Maricop a County
Animal Care & Control
2500 South 27th Avenue
Phoenix, AZ 85009
Phone: (602) 506-7387
pets.maricopa.gov
KENNEL PERMIT K 19-000055
PREMISE INSPECTION
Number of Dogs: 20
Name: Tracy Thomas Kennel Name: USA Purebred Labs LLC
Mailing Address: 27828 N. 143rd St. Kennel Address: Same as mailing
City: Scottsdale State: AZ Zip:85262 City: Scottsdale Zip: 85262
County Supervisorial District: 2
Phone: 480-584-9315 Kennel Phone: 480-584-9315
1. Are all dogs over the age of three months properly vaccinated for rabies and in
possession of a valid rabies vaccination certificate?
YES
2. Is the kennel an enclosed, controlled area, inaccessible to other animals, in which a
person keeps, harbors or maintains five or more dogs under controlled conditions?
YES
NOTE: Copies of each rabies vaccination certificate must be attached to the Kennel Permit
Premise Inspection form.
CORRECTIVE ACTION NEEDED FOR COMPLIANCE AND NA DAYS GIVEN
BEFORE REINSPECTION. (Note: There will be $49 re-inspect fee payable to the
Inspector by check upon each return visit.)
Kennel property was inspected on July 26, 2018. All dogs on the property, over 3 months of
age were verified, with matching rabies vaccination certificates. Property was enclosed and
all dogs were secure at this location.
Deputy Enforcement Agent & Badge #: LT. A. ROMERO #4
Date: 7/31/18
October 2015

CERTIFICATE OF VACCINATION
Date of Vaccination: 04-05-18 Certificate No. 0
Next Vaccination on: 04-05-19 Previous Vaccination:
VETERINARY CLINIC OWNER OF ANIMAL
Sunburst Animal Hospital Tracy Thomas
5032 W. Thunderbird Road 27828 N. 143rd Street
Glendale, AZ 85306 Scottsdale, AZ 85262
602-938-1860 (480) 584-9315
This is to certify...
THAT I HAVE VACCINATED THE ANIMAL DESCRIBED BELOW AGAINST RABIES.
Patient information...
PATIENT: Ginger TAG NO:
SPECIES: Canine BREED: Poodle Dog Standard
SEX: Female AGE: 12 months
WEIGHT: 46.20 lbs COLOR: Red
MICROCHIP:
MFG BY: ZOE, SERIAL: 2421005, EXPIRES: 01/30/19, ADMIN: SQ
Signed:
Mark A. SteVans, DVM License: AZ1246
Other Vaccinations...
Vaccinated By Vaccination Next due
04-05-18 MAS Rabies Vaccination & Exam (none)

Dr. Kelly's Mobile Surgical Unit
602-909-5383
Certificate of Rabies Vaccination
Date: (1 1 160- Pet Name: itil&X
Owner: I-MI -7110111.
Address: 1V i q3rei
Eario
Phone: 4 tb 4 3)S-
/ Cat Breed: fetbrAdok Colors:
Weight:
Producer: 2- 1 b18- Lot Number: /71, 60 91.o 13,
1 Year
Date Vaccmated . 41/18 Date Expires: (4 / J / P-ro
Veterinarian's: # AZ-3463
Veterinarian's Signature:
Dr. Kelly's Mobile Surgical Unit, 602-909-5383
Veterinarian: Dr, Kelly Patriquin. DVM License Number 3463

CERTIFICATE OF VACCINATION
Date of Vaccination: 04-10-18 Certificate No. 0
Next Vaccination on: 04-10-19 Previous Vaccination:
VETERINARY CLINIC OWNER OF ANIMAL
Sunburst Animal Hospital Tracy Thomas
5032 W. Thunderbird Road 27828 N. 143rd Street
Glendale, AZ 85306 Scottsdale, AZ 85262
602-938-1860 (480) 584-9315
This is to certify...
THAT I HAVE VACCINATED THE ANIMAL DESCRIBED BELOW AGAINST RABIES.
Patient information...
PATIENT: Olympia TAG NO:
SPECIES: Canine BREED: Labrador Retriever
SEX: Female AGE: 5 months
WEIGHT: 44.00 lbs COLOR: Yellow
MICROCHIP:
MEG BY: ZOE, SERIAL: 242100B, EXPIRES: 01/30/19, ADMIN: SQ
Signed:
Mark A. Stevens, DVM License: AZ1246
Other Vaccinations...
Vaccinated By Vaccination Next due
04-10-18 MAS Rabies Vaccination & Exam (none)

CERTIFICATE OF VACCINATION
Date of Vaccination: 04-10-18 Certificate No. 0
Next Vaccination on: 04-10-19 Previous Vaccination:
VETERINARY CLINIC OWNER OF ANIMAL
Sunburst Animal Hospital Tracy Thomas
5032 W. Thunderbird Road 27828 N. 143rd Street
Glendale, AZ 85306 Scottsdale, AZ 85262
602-938-1860 (480) 584-9315
This is to certify...
THAT I HAVE VACCINATED THE ANIMAL DESCRIBED BELOW AGAINST RABIES.
Patient information...
PATIENT: Hunter TAG NO:
SPECIES: Canine BREED: Labrador Retriever
SEX: Male AGE: 5 months
WEIGHT: 47.50 lbs COLOR: Yellow
MICROCHIP:
MFG BY: ZOE, SERIAL: 242100B, EXPIRES: 01/30/19, ADMIN: SQ
r tfl."
Signed: • .
Mark A. Ste ens, DVM License: AZ1246
Other Vaccinations...
Vaccinated By Vaccination Next due
04-10-18 MAS Rabies Vaccination & Exam (none)

Date of Vaccination: 06-21-18 Certificate No. 0
Next Vaccination on: 06-20-21 Previous Vaccination:
VETERINARY CLINIC OWNER OF ANIMAL
Sunburst Animal Hospital Tracy Thomas
5032 W. Thunderbird Road 27828 N. 143rd Street
Glendale, AZ 85306 Scottsdale, AZ 85262
602-938-1860 (480) 684-9315
This is to certify...
THAT I HAVE VACCINATED THE ANIMAL DESCRIBED BELOW AGAINST RABIES.
Patient information...
PATIENT: Smokey TAG NO:
SPECIES: Canine BREED: Labrador Retriever
SEX: Female AGE: 4 years
WEIGHT: 74.00 lbs COLOR: Black
MICROCHIP:
MFG BY: ZOE, SERIAL: 282272, EXPIRES: 06130/19, ADMIN: SQ
Signed:
Mark A. Stevens, DVM License: AZ1246
Other Vaccinations...
Vaccinated By Vaccination Next due
06-21-18 MAS Rabies Vaccination & Exam (none)

Dove Valley Animal Hospital, PLC
4815 E. Carefree Highway, Ste. 107
Cave Creek, AZ 85331
(480) 595-5731
Rabies Certificate
Client ID: 16319 Patient ID: 23826
Client Name: Tracy Thomas Patient Name: Bailey
Client Address: 27828 N 143rd St, Species: Canine
Scottsdale, AZ 85262 Breed: Retriever, Labrador
Sex: Female
Phone: (480) 584-9315 Color: Yellow
Markings:
Birthday: 5/16/2013
Weight: 94.2
Tag Number: 2018 Vaccination Date: 3/16/2018
Serial Number: 254971
Expiration Date: 3/16/2021
Producer: Defensor 3
Virus type: Killed
Staff: Dr. Mike Kiedrowski DVM
License Number: 1912/256

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

CERT F CATE OF VACCINATION
Date of Vaccination: 04-10-18 Certificate No. 0
Next Vaccination on: 04-09-21 Previous Vaccination:
VETERINARY CLINIC OWNER OF ANIMAL
Sunburst Animal Hospital Tracy Thomas
5032 W. Thunderbird Road 27828 N. 143rd Street
Glendale, AZ 85306 Scottsdale, AZ 85262
602-938-1860 (480) 584-9315
This is to certify...
THAT I HAVE VACCINATED THE ANIMAL DESCRIBED BELOW AGAINST RABIES.
Patient information...
PATIENT: Percy TAG NO:
SPECIES: Canine BREED: Labrador Retriever
SEX: Male AGE: 4 years
WEIGHT: 99.00 lbs COLOR: Yellow
MICROCHIP:
MFG BY: ZOE, SERIAL: 242100B,_. EXPIRES: 01/30/19, ADMIN: SQ
Signed:
Mark A. Stevens, DVM
Other Vaccinations...
Vaccinated By Vaccination Next due
04-10-18 MAS Rabies Vaccination & Exam (none)

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

Date of Vaccination: 04-10-18 Certificate No. 0
Next Vaccination on: 04-09-21 Previous Vaccination:
VETERINARY CLINIC OWNER OF ANIMAL
Sunburst Animal Hospital Tracy Thomas
5032 W. Thunderbird Road 27828 N. 143rd Street
Glendale, AZ 85306 Scottsdale, AZ 85262
602-938-1860 (480) 584-9315
This is to certify...
THAT 1 HAVE VACCINATED THE ANIMAL DESCRIBED BELOW AGAINST RABIES.
Patient information...
PATIENT: Ceasar TAG NO:
SPECIES: Canine BREED: Labrador Retriever
SEX: Male AGE: 4 years
WEIGHT: 88.00 lbs COLOR: Chocolate
MICROCHIP:
MFG BY: ZOE, SERIAL: 242100B,,RWWES: 01/30/19, ADMIN: SO
Signed:
Mark A. Stevens, IDVM License: AZ1246
Other Vaccinations...
Vaccinated By Vaccination Next due
04-10-18 MAS Rabies Vaccination & Exam (none)

Dove Valley Animal Hospital, PLC
4815 E. Carefree Highway, Ste. 107
Cave Creek, AZ 85331
(480) 595-5731
Rabies Certificate
Client ID: 16319 Patient ID: 23825
Client Name: Tracy Thomas Patient Name: Ashley
Client Address: 27828 N 143rd St, Species: Canine
Scottsdale, AZ 85262 Breed: Retriever, Labrador
Sex: Female
Phone: (480) 684-9315 Color: Chocolate
Markings:
Birthday: 5/16/2013
Weight: 83
Tag Number: 2018 Vaccination Date: 3/16/2018
Serial Number: 254971
Expiration Date: 3/1612021
Producer: Defensor 3
Virus type: Killed
Staff: Dr. Mike Kiedrowski DVM
License Number: 1912/266

Dove Valley Animal Hospital, PLC
4815 E. Carefree Highway, Ste. 107
Cave Creek, AZ 85331
(480) 595-5731
Rabies Certificate
Client ID: 16319 Patient ID: 23827
Client Name: Tracy Thomas Patient Name: Winter
Client Address: 27828 N 143rd St, Species: Canine
Scottsdale, AZ 85262 Breed: Retriever
Sex: Female
Phone: (480) 584-9315 Color: Yellow
Markings:
Birthday: 5/16/2013
Weight: 65
Tag Number: 2018 Vaccination Date: 3/16/2018
Serial Number: 254971
Expiration Date: 3/16/2019
Producer: Defensor 3
Virus type: Killed
Staff: Dr. Mike Kiedrowski DVM
License Number: 1912/256

Dr. Kit's Mobile Surgical Unit
10645 N. Tatum Blvd., Ste. 200-477
Phoenix, Arizona 85028
602-909-5383
Certificate of Rabies Vaccination
Date: 5/ Pet Name: .1(46`kr 5/1,44 e_.1
Owner:
Address
&01k A 7- 86
Phone : get) 5E31 - q31,5
Cat Breed: LL Colors: Lie //acid
Age: iv Weight: 73, S Altered: Yes /(Nc
j Lot Number : /6454
Date Vaccinated: Date Expires: '3/
Veterinarian's : #
Veterinarian's Signature: Lealwt (711 :Voeizz.,,q /..)

Dr. Kit's Mobile Surgical Unit
10645 N. Tatum Blvd., Ste. 200-477
Phoenix, Arizona 85028
602-909-5383
Certificate of Rabies Vaccination
Date: Pet Name: (5t) peo
Owner: cci II o/314x._f5
Address: 27 2 r
Phone :
7-Th Dog / Cat Breed: ta Colors: el/o4,3
Age: /9r Weight: Altered: Yes A
Producer: Lot Number : /1 3 8 54
1 Year 3 Years„)
Date Vaccinated: Date Expires:
Veterinarian's : # 3 3 /6
Veterinarian's Signature: tiath-L-A(7)1 §(-0eVi_AL)1/11

CERTIFICATE OF VACCINATION
Date of Vaccination: 04-05-18 Certificate No.
Next Vaccination on: 04-05-19 Previous Vaccination:
VETERINARY CLINIC OWNER OF ANIMAL
Sunburst Animal Hospital Tracy Thomas
5032 W. Thunderbird Road 27828 N, 143rd Street
Glendale, AZ 85306 Scottsdale, AZ 85262
602-938-1860 (480) 584-9315
This is to certify...
THAT I HAVE VACCINATED THE ANIMAL DESCRIBED BELOW AGAINST RABIES.
Patient information...
PATIENT: Missy TAG NO:
SPECIES: Canine BREED: Labrador Retriever
SEX: Female AGE: 12 months
WEIGHT: 70.40 lbs COLOR: Black
MICROCHIP:
MFG BY: ZOE, SERIAL: 242100B, EXPIRES: 01/30/19, ADMIN: SQ
Signed:
Mark A. Stevens, DVM License: AZ1246
Other Vaccinations...
Vaccinated By Vaccination Next due
04-05-18 MAS Rabies Vaccination 8, Exam (none)

CERTIFICATE OF VACCINATION
Date of Vaccination: 04-03-18 Certificate No. 0
Next Vaccination on: 04-02-21 Previous Vaccination:
VETERINARY CLINIC OWNER OF ANIMAL
Sunburst Animal Hospital Tracy Thomas
5032 W. Thunderbird Road 27828 N. 143rd Street
Glendale, AZ 85306 Scottsdale, AZ 85262
602-938-1860 (480) 584-9315
This is to certify...
THAT 1 HAVE VACCINATED THE ANIMAL DESCRIBED BELOW AGAINST RABIES.
Patient information...
PATIENT: Duke TAG NO:
SPECIES: Canine BREED: Labrador Retriever
SEX: Male AGE: 6 years
WEIGHT: 61.20 lbs COLOR: Yellow
MICROCHIP:
MFG BY: ZOE, SERIAL: 2365036, EXPIRES: 12/18/18, ADMIN: SO
Signed: 01-
Mark A. Stevens, DVM License: AZ1246
Other Vaccinations...
Vaccinated By Vaccination Next due
04-03-18 MAS Rabies Vaccination & Exam (none)

Date of Vaccination: 04-03-18 Certificate No. 0
Next Vaccination on: 04-02-21 Previous Vaccination:
VETERINARY CLINIC OWNER OF ANIMAL
Sunburst Animal Hospital Tracy Thomas
5032 W. Thunderbird Road 27828 N. 143rd Street
Glendale, AZ 85306 Scottsdale, AZ 85262
602-938-1860 (480) 584-9315
This is to certify...
THAT I HAVE VACCINATED THE ANIMAL DESCRIBED BELOW AGAINST RABIES.
Patient information...
PATIENT: Charlotte TAG NO:
SPECIES: Canine BREED: Labrador Retriever
SEX: Female AGE: 2 years
WEIGHT: 61.00 lbs COLOR: White
MICROCHIP:
MFG BY: ZOE, SERIAL: 236503B, EXPIRES: 12/18/18, ADMIN: SQ
Signed:
Mark A. Stevens, DVM License: AZ1246
Other Vaccinations...
Vaccinated By Vaccination Next due
04-03-18 MAS Rabies Vaccination & Exam (none)

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

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

CERTIFICATE OF VACCINATION
Date of Vaccination: 04-10-18 Certificate No. 0
Next Vaccination on: 04-09-21 Previous Vaccination:
VETERINARY CLINIC OWNER OF ANIMAL
Sunburst Animal Hospital Tracy Thomas
5032 W. Thunderbird Road 27828 N. 143rd Street
Glendale, AZ 85306 Scottsdale, AZ 85262
602-938-1860 (480) 584-9315
This is to certify...
THAT I HAVE VACCINATED THE ANIMAL DESCRIBED BELOW AGAINST RABIES.
Patient information...
PATIENT: Judo TAG NO:
SPECIES: Canine BREED: Poodle Dog Standard
SEX: Male AGE: 24 months
WEIGHT: 67.50 lbs COLOR: White
MICROCHIP:
MFG BY: ZOE, SERIAL: 24210013, EXPIRES: 01/30/19, ADMIN: SQ
Signed:
Mark A. Steven , iceifse: A 1246
Other Vaccinations...
Vaccinated By Vaccination Next due
04-10-18 MAS Rabies Vaccination & Exam (none)