NO PAWS LEFT BEHIND KENNEL PERMIT RENEWAL.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
'0-coo°
/
Renewal Permit #
Name: Kennel Name:
Mailin Kennel Location:
Cit CA 1 t_zlp (Le- County Supervisorial District 2/
Home Phone: Y zs-o Kennel Phone: 6:7 d 3 '73V 7 a -re)
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. INVe assume complete responsibility for the kennel at the premises for which I/we 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)
I/We certify that I/We have dogs and that the kennel meets the definition in statute.
3. jJ I/We certify that I/We have not been convicted of a violation of A.R.S. §§ 13-2910 (cruelty to animals)
or 3-2910.01 (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. 11-' INVe certify that all dogs over the age of three (3) months that are kept, harbored or maintained on the
premises 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.
• /g2 I Me certify that INVe are submitting a valid copy of the rabies vaccination certificate for each
dog with this application.
6. INVe understand that a dog remaining within the kennel is not required to be licensed individually under
A.R.S. § 11-1008. I/we also understand that a dog leaving the controlled kennel conditions shall be licensed
under A.R.S. § 11-1008 except if the dog is only being transported to another kennel which has a permit issued
under this section.
7. I/We 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.
8. INVe 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. iel(rhe 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 of the infotmation I/We have provided is true and accurate under penalty of law.
Applicant Signature Date:
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.dov
Receipt Number: R18-374425 Receipt Date: 02/2012018
Person ID: P1233846
Phone: 623 7347250
NO PAWS LEFT BEHIND RESCUE 2/20/2018 3:31:28PM
19926W COLTER ST
LITCHFIELD PARK, AZ 85340
Item: Animal ID: Reference No: Price: Each: Amount:
KEN PERMIT A7777777 K19-000061 $328.00 1 $328.00
Total Fees Due: $328.00
Payments: Cash:
Check: $328.00
Credit Card:
Total Payments Received: $328.00
Thank Youi
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
schenone WBUS OFF

M aric op a County
Animal Care & Control
2500 South 27th Avenue
Phoenix, AZ 85009
Phone: (602) 506-7387
pets.marieopa,guv
KENNEL PERMIT K19-000061
PREMISE INSPECTION
Number of Dogs: 49
Name: Kimberly Porter Kennel Name: No Paws Left Behind
Mailing Address: 19926 W. Colter St. Kennel Address: 19926 W. Colter St.
City: Litchfield Park State: AZ Zip:85340 City: Phoenix Zip: 85340
County Supervisorial District: 4
Phone: 623-734-7250 Kennel Phone: 623-734-7250
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.)
On March 27, 2018 I, Lieutenant Romero, along with Lieutenant Kunszt, met with Kimberly
Porter at 19926 West Colter Street where she resides and houses the dogs listed under the
kennel permit she holds with Maricopa County. I had all vaccination records present, along
with dog descriptions and was able to verify all dogs on the property are currently
vaccinated for rabies. The property was completely enclosed, with several different areas
where dogs are kept contained, including a couple of dog runs, a large fenced backyard,
indoor dog kennels, and other rooms throughout the home. All dogs appeared to be in good
health and conditions at the time of my visit.

1V1aricopa Lounty
Animal Care & Control
2500 South 270' Avenue
Phoenix, Arizona 85009
Phone: (602) 506-7387
Fax: (602) 506-2739
pcts.mmicopa.gov
Maricopa County Animal Control has not received any complaints regarding this address
regarding any dog at large violations.
The following Barking Dog complaints have been reported to Maricopa County Animal Care
and Control:
• March 7, 2018 A18-36974 Barking Dog Complaint- Complainant was advised by
phone and a letter was sent to the kennel/ dog owner, Kimberly Porter.
The following complaints were reported to Maricopa County Sheriff's Department:
• April 27, 2017 Barking Dog Complaint/ Animal Noise Problem- MCSO spoke with
complainant and dog owner regarding issue and no dogs were heard barking at the
time of their visit.
• May 1, 2017 Barking Dog Complaint/ Animal Noise Problem- MCSO visited
residence and reported not hearing any barking dogs at the time of their visit.
• November 9, 2017 Barking Dog Complaint/ Animal Noise Problem- MCSO drove by
dog owner/ kennel address and did not hear any dogs barking. Contact was made
with complainant and they were advised; no contact was made with owner of dogs/
kennel.
• November 30, 2018 Barking Dog Complaint/ Animal Noise Problem- MCSO drove by
dog owner/ kennel address and did not hear any dogs barking. Contact was made
with complainant advising them as such.
• December 2, 2017 Barking dog Complaint/ Animal Noise Problem- MCSO visited
dog owner/ kennel address and reported not hearing any barking.
• March 6, 2018 Barking Dog/ Animal Noise Problem- MCSO visited complainant who
was advised to collect video/ audio evidence of the noise complaint
Deputy Enforcement Agent & Badge #: Lt. Amber Romero #4 Date: 3/27/18

VACCINATION RECORD
RABIES VACCINATION CERTIFICATE Tag fee $:
Name
ADAPTED NASPHV FORM 51 Tag #:
Owner's Name & Address PRINT - use ball point pen or type Cert. Serial #: A :IES
111 L E DISEASE
ppor LAST RST „),MI TTLEPHONE
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SPEC IES SEX: AGE: SIZE: PREDOMINANT BREED: COLORS: El CANINE PARVOVIRUS
Dog Male ID 3 Mo. to 12 Mo. 0 Under 20 lbs. X " "17iiive-N 0 CANINE CORONAVIRUS
Cat El Female 12 Mo. or older 20 - 50 lbs El 0 CANINE BORDETELLA
Other D Altered Over 50 lbs. til NAME:
E LEPTOSPIROSIS
(Specify)
D FELINE LEUKEMIA VIRUS
DATE VACCINATED: PRODUCER: 3.4 s-7s 0 FELINE PANLEUKOPENIA
Veterinarian's #
to II— P --1 License o. El FELINE RHINOTRACHEITIS
71on Day Year (First 3 Letters) CI FELINE CALICI VIRUS
Veterinarian
1 yr. Lic.Nacc. 0 73-FELINE CHLAMYDIA
VACCINATION I 0 EXPIRES: 16 Signature IA FELINE IMMUNODEFICIENCY
3 yr. Lic.Nacc. Address i is‘.) . VIRUS
Month Day Year A _ •
Vacc. Serial (Lot) No. Boehringer
VAC0410001 4HW Ingelheim
VACCINATION RECORD
RABIES VACCINATION CERTIFICATE Tagfee $:
Naie
ADAPTED NASPHV FORM 51 Tag #:
Owner's Name & Address PRINT - use bail point pen or type Cert. Serial #: RABIES
TT TELEPHONE D L ME DISEASE
LAST MIST 41
6 4-14t_ ,/141,i3 6,2_3 ‘7.? 72S0 Li CANINE DISTEMPER
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STREET ITY4 ZIPss_.?
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SPECIES SEX: AGE: SIZE: PREDOM NANT BREED: COLORS: CANINE PAR VOVIRUS
Dog Male CI 3 Mo. to 12 Mo. n Under 20 fbs. ` Li CANINE CORONAVIRUS
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Other CD Altered 1.1_ Over 50 lbs. LE NAME:
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DATE VACCINATED: PRODUCER: D S-S--- D FELINE PANLEUKOPENIA
Veterinarian's #
Ira 1 1Year P E License No. FELINE RHINOTRACHEITIS
Day (First 3 Letters) D FELINE CALICIVIRUS
VeterInari., .
El FELINE CHLAMYD/A
1 yr. Lic.Nacc. 0 Signature - --
VACCINATION i EXPIRES: D FELINE IMMUNODEFICIENCY
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Month Day Your Lnd..4"..--...— A4-.....,
Vacc. Serial (Lot) No. .- a- )-5--- ("37 Boehringer
Ingelheim
AC0410001

VACCINATION RECORD
RABIES VACCINATION CERTIFICATE Tag fee $: Nair:
ADAPTED NASPHV FORM 51 Tag #: H.S
Cert. Serial #:
Owner's r Name 8, Address PRINT - use bell point pen or type 0 LYME' DISEASE
LAST VRST TkLEPHONE yy-22,s1 D CANINE DISTEMPER
CLAIV e)13 '2 0 CANINE PARAINFLUENZA
7..,...„_. STREET do AIT / STA ZIP D CANINE ADENOVIRUS 2
49 SIZE: PREDOMINANT BREED: COLCilL_ S: 0 CANINE PARVOVIRUS
SPECIES: SEX: AGE: yl...._ , O CANINE CORONAVIRUS
Dog Male 3 Mo. to 12 Mo. 0 Under 20 lbs. — I A"(
Cat Female 0 12 Mo. or older yL 20 - 50 lbs E 1. CANINE BORDETELLA
Other El Altered k Over 50 lbs. LI NAME: E LEPTOSPIROSIS
(Specify) o FELINE LEUKEMIA VIRUS
S—'S----- 0 FELINE PANLEUKOPENIA
DATE VACCINATED: PRODUCER: Veterinarian's # 7)3 EJ FELINE RHINOTRACHEITIS
1 D- t\-- p F-1 License N.
t,D D FELINE CALICIVIRUS
Month Day Year (First 3 Letters) Veterinaria CI. FELINE CHLAMYDIA
1 yr. Lic.Nacc. o Signature 0 FELINE IMMUNODEFICIENCY
VACCINATION I)._ EXPIRES:
0 lb 3 yr. Lic.Naco. I Address VIRUS
Month Day Year AA ..4l ,t A -.4 4 Ilene -
Vacc. Serial (Lot) No. Boehringer
5-D-.)--S--. \eV Ingelheim
VAC0410001
RABIES VACCINATION CERTIFICATE Tag fee $: VACCINATION RECORD
)Nxarz
ADAPTED NASPHV FORM 51 Tag #:
Owner's Name 8, Address PRINT use ball point pen or type Cert. Serial 4: ABIES
P TOL ii7o-er5 0 LYME DISEASE
TELEPHONE
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SPECIk._ SEX: AGE: SIZE: PREDOMINANT BREED: COLORS: CANINE PARVOVIRUS
Dog Male El 3 Mo. to 12 Mo, LI Under 20 lbs. LI D
Cat LI Female 2 Mo. or older 20 - 50 flas CANINE CORONAVIRUS
Other El Altered Over 50 lbs. 0 'NAME: :7 CANINE BORDETELLA
(Specify) O LEPTOSPIROSIS
0 FELINE LEUKEMIA VIRUS
DATE VACCINATED: PRODUCER: El FELINE PANLEUKOPENIA
FELINE RHINOTRACHEITIS
(First 3 Letters) Veterina El FELINE CALICIVIRUS
1 yr. Lic.Nacc. El E3 FELINE CHLAMYDIA
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S4.4 VIRUS
Month Day Year 0 eS/tig-./
Boehringer
VAC0410001 Ingelheim

VACCINATION RECORD
RABIES VACCINATION CERTIFICATE Tag fee $: Name
ADAPTED NASPHV FORM 51 Tag t
„tlItIm3IES
Owner's Name & Address PRINT - use ball point pen or type Cert. Serial #:
E L E DISEASE
T ST FIRST e'ELy20:3Nex E 7zse
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Cat CI Female I Mo. or older A 20 - 50 lbs CI E CANINE BORDETELLA
Other 0 Altered e ver 50 lbs. K,NA ' E LEPTOSPIROSIS
(Specify) E FELINE LEUKEMIA VIRUS
DATE VACCINATED: PRODUCER: E FELINE PANLEUKOPENIA
Veterinarian's',
i I t2 I P F! License .). E FELINE RHINOTRACHEITIS
Month Day Day Year (First 3 Letters) E FELINE CALICIVIRUS
Veterinen '41 E FELINE CHLAMYDIA
1 yr. Lic./Vacc. E Signature
VACCINATION EXPIRES: E FELINE IMMUNODEFICIENCY
-.. o te LiciVacc. Address 3 `-r 1 ,4 rI--) VIRUS
L [ 1-15
tit ill'
onth Day Year Cv-t--,)-4---i---4.--
Vacc. Serial (Lot) No, Boehringer
6'3.- -1-)-7.
Ingelheim
JAC0410001
VACCINATION RECORD
RABIES VACCINATION CERTIFICATE Tag fee $:
Name
ADAPTED NASPHV FORM 51 Tag It:
Owner's Name & Address PRINT - usa ball point pen or type Cert. Serial #: RABIES
ENME DISEASE
MANI. JLAST fi Sho TELEPHONE
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Month Day Year (First 3 Letters) LI FELINE CALICIVIRUS
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RABIES VACCINATION CERTIFICATE Tag fee $: VACCINATION RECORD
#: Name
ADAPTED NASPHV FORM 51 Tag
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PR p LAST__ D L ME DISEASE
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Month Day Year
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VAC0410001 Ingelheim
RABIES VACCINATION CERTIFICATE Tag fee $: VACCINATION RECORD
• ADAPTED NASPHV FORM 51 Tag #: N5rie
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Month Day Year
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RABIES VACCINATION CERTIFICATE Tag fee $: VACCINATION RECORD
Name
ADAPTED NASPHV FORM 51 Tag #:
Owners Name &Address PRINT - use ball point pen or type Cert. Serial It )4. 1% \r LABIES
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VIRUS
Month Day Year A-1-7--S-Ss-
Vacc. Serial (Lot) No. ---k---.. ...---" (n u
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RABIES VACCINATION CERTIFICATE Tag fee $: VACCINATION RECORD
Name
ADAPTED NASPHV FORM 51 Tag #:
Owner's Name &Address PRINT - use ball point pen or type Cert. Serial It: RABIES
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1 0 Li I t_mcfs- Addre VIRUS
lvtonK i Day Year
Vann. Serial (Lot) No.
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403410001 IIJi Ingelheim

VACCINATION RECORD
RABIES VACCINATION CERTIFICATE Tag tees:
)IZme
ADAPTED NASPHV FORM 51 Tag II:
Owner's Name &Address PRINT - use ball point pan or type Cert. Serial Ii: RABIES
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SPECIES: SEX: AGE: SIZE: PREDOMINANT BREED: COLORS: E CANINE PARVOVIRUS
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(Specify)
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DATE VACCINATED: PRODUCER: 3 3 s--- - E FELINE PANLEUKOPENIA
Veterinar Ian's #
1 (7 ( 7 P F- 1 License No. D FELINE RHINOTRACHEITIS
tlo Day Year (First 3 Letters) 0 FELINE CALICIVIRUS
Veterinari n'
1 yr. Lic.Nacc. E El FELINE CHLAMYDIA
VACCINATION EXPIRES: i i5 Signatur 0 FELINE IMMUNODEFICIENCY
0 3 yr. Lic.Nacc. i _.. q Lif -r- Address :3.-1 t ,-/ k.).S Lt. a"
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Month Day Year 5 I4 e-,-- J'k.. --
Vacc. Serial (Lot) No. ("Th in Boehringer
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VAC0410001 ‘11111W Inge'helm
V CINATION RECORD
RABIES VACCINATION CERTIFICATE Tag fee S:
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Month Day Year
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VAC0410001

VACCINATION RECORD
RABIES VACCINATION CERTIFICATE Tag fee $: N e
ADAPTED NASPHV FORM 51 Tag #:
RABIES
Owner's Name &Address PRINT - use ball point pen or type Cert. Serial # :
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RABIES VACCINATION CERTIFICATE Tag fee $: VACCINATION RECORD
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ADAPTED NASPHV FORM 51 Tag #:
Owner's Name & Address PRINT - use bail point pen or type Cert. Serial #: RABIES
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VAC0410001 \IOW Ingelheim

VACCINATION RECORD
RABIES VACCINATION CERTIFICATE Tag fee $:
Name
ADAPTED NASPHV FORM 51 Tag it:
Owner's Name & Address PRINT - use ball point pen or type Cert. Serial 41: XABIES
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RABIES VACCINATION CERTIFICATE Tag fee $: VACCINATION RECORD
ADAPTED NASPHV FORM 51 Name
Owner's Name &Address PRINT - use ball point pen or type Cert. Serial it IC;AilIES
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Month Day Year r-,- ,..)-e VIRUS
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Ingelheim

VACCINATION RECORD
RABIES VACCINATION CERTIFICATE Tag fee $ - Nate
ADAPTED NASPHV FORM 51 Tag #:
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Owner's Name & Address PRINT - use ball point pen or type Cert. Serial #:
LI LYME DISEASE
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VACCINATION RECORD
RABIES VACCINATION CERTIFICATE Tag fee $: Name
ADAPTED NASPHV FORM 51 Tag #:
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Owner's Name 8. Address PRINT - use ball point pen or type Cert. Serial #:
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Month Day Year
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VAC04-100m

VACCINATION RECORD
• RABIES VACCINATION CERTIFICATE Tag fee $:
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ADAPTED NASPHV FORM 51 Tag #:
Owner's Name &Address PRINT - use ball point pen or type Cert. Serial #: RABIES
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Mo th Day Year 4. _ _ . ..,....,
Vane. Arial (Lot) No.
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IngeIheim
VACCINATION RECORD
RABIES VACCINATION CERTIFICATE Tag fee $: Name
ADAPTED NASPHV FORM 51 Tag It'
Owner's Name &Address PRINT - use ball point pen or type Cert. Serial It: AgIES
El LY E DISEASE
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Month Day Year Li 14-1---qr ......t.
Vacc. Serial (Lot) No. Boehringer
Ingelheim
VAC0410001

VACCINATION RECORD
RABIES VACCINATION CERTIFICATE Tag fee $: Name
ADAPTED NASPHV FORM 51 Tag #: U RABIES
PRINT-use ballpoint pen or type Cert. Serial #:
Owner's Name & Address ID LYME DISEASE
PRINT LAST FIRST MI TELEPHONE D CANINE DISTEMPER
D CANINE PARAINFLUENZA
NO. STREET CITY STATE ZIP D CANINE ADENOVIRUS 2
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Signature -
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Addr-;
Month Day Year
Vacc, Serial (Lot) No, 3-75
USCAHNON02066
VACCINATION RECORD
RABIES VACCINATION CERTIFICATE Tag fee $: Name
ADAPTED NASPHV FORM 51 Tag #: RABIES
PRINT- use ballpoint pen or type Cert. Serial #:
Owner's Name & Address D LYME DISEASE
PRINT LAST FIRST MI TELEPHONE ID CANINE DISTEMPER
CANINE PARAINFLUENZA
NO. STREET CITY STATE ZIP U CANINE ADENOVIRUS 2
U CANINE PARVOVIRUS
SPECIES: SEX: AGE: SIZE: PREDOMINANT BREED: COLORS: CANINE CORONAVIRUS
Dog gy. Male U Months 0 Under 20 lbse: .--------- \ cc Pi ID CANINE BORDETELLA
Cat U Female 4 20-50 lbs, ID at 4 Wiklikik LEPTOSPIROSIS
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(First 3 Letters) ID FELINE CHLAMYDOPHILA
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PRODUCT NA : Veterinarian 's Name
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VACCINATION EXPIRES: 1 yr. LicNacc. g.
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LH 5044574-- Adclr- /
Month Day Year IR 1 r
Vacc, Serial (Lot) No.
/
USCAHNON02066

VACCINATION RECORD
RABIES VACCINATION CERTIFICATE Tag fee $: Name
ADAPTED NASPHV FORM 51 Tag #: CI RABIES
PRINT - use ballpoint pen or type Cert. Serial #:
Owner's Name & Address 0 LYME DISEASE
PRINT LAST FIRST MI TELEPHONE U CANINE DISTEMPER
Li CANINE PARAINFLUENZA
NO. STREET CITY STATE ZIP CANINE ADENOVIRUS 2
0 CANINE PARVOVIRUS
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Dog N Male li Months iD Under 20 lbs. K ir Ns t . I ' (k. C-J4\ CANINE BORDETELLA
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Month Day Year
Vacc. Serial (Lot) No.
USCAHNON02066
VACCINATION RECORD
Tag fee $: Name
RABIES VACCINATION CERTIFICATE
ADAPTED NASPHV FORM 51 Tag #: 0 RABIES
PRINT - use ballpoint pen or type Cert. Serial #: LYIVIE DISEASE
Owner's Name & Address U CANINE DISTEMPER
MI TELEPHONE
PRINT LAST FIRST U CANINE PARAINFLUENZA
U CANINE ADENOVIRUS 2
CITY STATE ZIP
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SIZE: PREDOMINANT BREED; COLORS:
SPECIES: SEX: AGE: U CANINE BORDETELLA
Dog F4 Male Months ij Under 20 lbs. O. Me-1ft CCAr 11
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DATE DATE VACCINATED: PRODUCER: rjAms minim Veterinarian's # .3G35 FELINE CALICIVIRUS
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Month Day Year PRODUCT Nr: Veterinarian's Name leas A - Pri %
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VACCINATION EXPIRES: 1 yr. LicNacc. Signature . ..0,
10 ' I 7— - t l'' 3 yr. LicNacc. 10 Address
Month Day Year L' 1150)417F r'° Q-01-eC) • -1 >*-
Vacc. Serial (Lot) No.
USCAHNON02066

RABIES VACCINATION CERTIFICATE
OWNER'S INFORMATION:
RESCUE NO PAWS LEFT BEHINI P1233846 (623) 7347250
LAST NAME FIRST NAME PERSON ID TELEPHONE NUMBER EAT:
19926 W COLTER ST LITCHFIELD PARK AZ 85340
STREET ADDRESS APT CITY STATE ZIP CODE
ANIMAL- INFORMATION
DOG SPAYED 1/2/2010 LARGE CHIHUAHUA SH
ANIMAL TYPE ANIMAL SEX ANIMAL DATE OF BIRTH SIZE PRIMARY BREED SECONDARY BREED
A4030834 CHUNK TAN
ANIMAL ID PRIMARY COLOR SECONDARY COLOR
ANIMAL NAME MICROCHIP R NUMBER
VACCINATION INFORMATION
ZOETIS 12 Months 1/12/2018 1/12/2019 2/20/18
VACCINE PRODUCER VACC. LENGTH DATE VACCINATED VACCINATION EXPIRES PRINT DATE
KILLED Maricopa County
Animal Care ez Control
VACCINE TYPE VETERINARIANS SIGNATURE 2500 S 27th Avenue, Phoenix, AZ 85009
(602) 506-7387
SN221615 AZ4096
VACC SERIAL NO, VETERINARIAN'S LICENSE NUMBER

VACCINATION CERTIFICATE
Account #: 30000 Animal: Daisy
Owner: Porter, Kim No Paws Left Behind Species: Canine
Address: 19926 W. Colter St. Breed: Chihuahua
Litchfield Park, AZ 85340 Color: BROWN
Gender: Female Spayed
Phone: (623)734-7250 Birthdate: 2/8/2008
(623)910-6671 Age: 9 years 3 days
Weight: 7.80
Chip #:
f tit rer., • Serial # Type aS # Due on
ZOE 120622 Killed 02/05/2020
Mobile Animal Surgical Hospital, Inc.
9716 E. Cholla Street LY,110y .1
Scottsdale, AZ 85260 ( 11
(480) 656-4479 Julia Neufeld, DVM 02/08/2017
mashappts@aol.com www.mashvetnet 3538
Sun Valley Hope Animal Hospital
7150 North 110th Avenue
Glendale, AZ 85307
(623) 512-4673
Rabies Certificate
Patient ID: 29844
Client ID: 6930
Patient Name: little
Client Name: Rescue No Paws Left Behind
Species: Canine
Address: 19926 W. Colter
Breed: Chihuahua
Sex: Spayed Female
Litchfield Park, AZ 85340
Color: tan
Phone: (623)734-7250 Markings:
Birthday: 07/07/2012
Weight:
Tag Number: 00000000000000000000 Vaccination Date: 7/17/2017
Lot Number: 193980B Expiration Date: 7/17/2018
Rabies Canine 1 Year Booster Vaccination
Producer: Pfizer
K / MLV / IR: Killed Virus
Staff Name: Mary K. Burdick DVM
License Number: 4660

VACCINATION CERTIFICATE
AccountTh 30000 Animal: Gabe
Owner: Porter, Kim No Paws Left Behind Species: Canine
Address: 19926 W. Colter St. Breed: Chihuahua X
Litchfield Park, AZ 85340 Color: BROWN
Gender: Male Neutered
Phone: (623)734-7250 Birthdate: 218/2009
(623)910-6671 Age: 8 years 2 days
Weight: 19.05
Chip #:
Mobile Animal Surgical Hospital, Inc.
9716 E. Cholla Street
Scottsdale, AZ 85260
(480) 656-4479
mashappts(a)toLcom • www.mashvet.net
VACCINATION CERTIFICATE
Account #: 30000 Animal: Mika
Owner: Porter, Kim No Paws Left Behind Species: Canine
Address: 19926 W. Colter St. Breed: Terrier
Litchfield Park, AZ 85340 Color: TAN
Gender: Female Spayed
Phone: (623)734-7250 Birthdate: 2/8/2013
(623)910-6671 Age: 4 years 1 day
Weight: 16.15
Chip #:
Mobile Animal Surgical Hospital, Inc.
9716 E. Cholla Street
Scottsdale, AZ 85260 )t.k k's
(480) 656-4479 Liulia Neufeld, DVM 02/08/ 017
mashappts@aol.com • www.mashvet.net 3538

RABIES VACCINATION CERTIFICATE
OWNER'S INFORMATION:
KENNELS NO PAWS LEFT BEHINI P1233846 (623) 7347250
LAST NAME FIRST NAME PERSON ID TELEPHONE NUMBER EXT
19926 W COLTER ST LITCHFIELD PARK AZ 85340
- STREETADDRESS APT CITY STATE ZIP CODE
ANIMAL INFORMATION
DOG SPAYED 10/2812004 MED CHIHUAHUA SH
ANIMAL TYPE ANIMAL SEX ANIMAL DATE OF BIRTH SIZE PRIMARY BREED • SECONDARY BREED
A4009148 HENESSEY BLACK TAN
ANIMAL ID ANIMAL NAME MICROCHIP NUMBER PRIMARY COLoR SECONDARY COLOR
._...
VACCINATION INFORMATION
IMRAB 3 36 Months 12/21/2017 12/21/2020 12/21/17
VACCINE PRODUCER TAM LENGTH DATE VACCINATED VACCINATION EXPIRES PRINT DATE
L
KILLED ,..,.•:-.•-,-,..f.:.:--
- Maricopa County
VACCINE TYPE Animal Care ee Control
VETERINARIANS SIGNATURE
2500 S 27th Avenue, Phoenix, AZ 85009
(602) 506-7387
SN221614 AZ4096
VAcc_ SERIAL No, VETERINARIAN'S LICENSE NUMBER

Sun Valley Hope Animal Hospital
7150 North 110th Avenue
Glendale, AZ 85307
(623) 512-4673
Rabies Certificate
Client ID: 6930 Patient ID: 29843
Client Name: Rescue No Paws Left Behind Patient Name: Kissie
Address: 19926 W. Colter Species: Canine
Breed: Chihuahua
Sex: Spayed Female
Litchfield Park, AZ 85340
Color: tan
Phone: (623)734-7250 Markings:
Birthday: 07/07/2015
Weight: 4.70 pounds on 7/17/2017
Tag Number: 00000000000000000000 Vaccination Date: 7/17/2017
Lot Number: 193980B Expiration Date: 7/17/2020
Rabies Canine 3 Year Booster Vaccination
Producer: Pfizer
K / MLV / R: Killed Virus
,==E.0,aeieZ
Staff Name: Mary K. Burdick DVM
License Number: 4660

Sun Valley Hope Animal Hospital
7150 North 110th Avenue
Glendale, AZ 85307
(623) 512-4673
Rabies Certificate
Client ID: 6930 Patient ID: 29842
Client Name: Rescue No Paws Left Behind Patient Name: gramps
Address: 19926 W. Colter Species: Canine
Breed: Chihuahua
Litchfield Park, AZ 85340 Sex: Neutered Male
Color: tan
Phone: (623)734-7250 Markings:
Birthday: 07/07/2007
Weight: 4.60 pounds on 7/17/2017
Tag Number: 00000000000000000000 Vaccination Date: 7/17/2017
Lot Number: 193980B Expiration Date: 7/17/2020
Rabies Canine 3 Year Booster Vaccination
Producer: Pfizer
K / MLV / R: Killed Virus
Staff Name: Mary K. Burdick DVM
License Number: 4660

RABIES VACCINATION CERTIFICATE
OWNER: Rebecca Burks
7431 W. St CharIes Avenue
Laveen, AZ 85330 TELEPHONE: f,602) 579-3880
PET : Butters
SPECIES SEX DOB WEIGHT COLOR
Canine MN a8/01/2016 7.4Ibs. Chihuahua Black & Tan
RABIES TAG NUMBER DATE VACCINATED VACCINATION EXPIRES
08/01/2017 08/01/2018
PRODUCER : Zoetis PRODUCT: Noblvac3 SERIAL. #: 188848A
MANUFACTURER'S EXP DUE 5/8/18
I hereby certify that] have wic.c'nated this animal in
accordance with the cornpony's recommendation for the
vaccine used on the above data.
Arizona Hurnaoc Society - Spay/Neuter
osru 'DV Margaret McAllister Brock Veterinary Clinic
Phoenix, A.! R5041
Signature of licensed veteftarian administering vaccine.
Lisa Lannen, D,V.M Licen9e 4 4039

VACCINATION CERTIFICATE
Account #: 30000 Animal: Lilly
Owner: Porter, Kim No Paws Left Behind Species: Canine
Address: 19926 W. Colter St. Breed: Chihuahua
Litchfield Park, AZ 85340 Color: WHITE
Gender: Female Spayed
Phone: (623)734-7250 Birthdate:
(623)910-6671 Age:
Weight: 6.12
Chip #:
ate - Vce Mantaçurer Serial # Type Tg Due on
12/07/2016 Rabies - 3 year ZOE 120622 Killed 12/04/2019
Mobile Animal Surgical Hospital, Inc.
9716 E. Cholla Street
Scottsdale, AZ 85260 (11.4.-tagt, D\h , 711h
(480) 656-4479 JuIh Nenfeld, DVM 12/07/2 16
mashapptscaf) iol.com www.mashvet.net 3538
VACCINATION CERTIFICATE
Account #: 30000 Animal: Sunshine
Owner: Porter, Kim No Paws Left Behind Species: Canine
Address: 19926 W. Colter St. Breed: Chihuahua
Litchfield Park, AZ 85340 Color: TAN
Gender: Female Spayed
Phone: (623)734-7250 Birthdate:
(623)910-6671 Age:
Weight: 7.04
Chip #:
Mobile Animal Surgical Hospital, Inc.
9716 E. Cholla Street
Scottsdale, AZ 85260
(480) 656-4479
mashappts@aoLcom www.mashvetnet
4,2-NealEnagE15019114.6%Se

VACCINATION CERTIFICATE
Account #: 30000 Animal: Mama
Owner: Porter, Kim No Paws Left Behind Species: Canine
Address: 19926 W. Colter St. Breed: Chihuahua
Litchfield Park, AZ 85340 Color: TAN
Gender: Female Spayed
Phone: (623)734-7250 Birthdate:
(623)910-6671 Age:
Weight: 9.13
Chip #:
' ate Vaccine a nufac Pre
12/07/2016 Rabies - 3 year ZOE 120622 Killed 12/04/2019
Mobile Animal Surgical Hospital, Inc.
9716 E. Cholla Street fittlAjeA ovvv-) 7)ik7
Scottsdale, AZ 85260
(480) 656-4479 Juli4 Neufeld, DVM 1 /07/2016
mashappts@aol.com • www.mashvetnet 3538
.sameaaMszakm
VACCINATION CERTIFICATE
Account #: 30000 Animal: Bacardi
Owner: Porter, Kim No Paws Left Behind Species: Canine
Address: 19926 W. Colter St. Breed: Chihuahua
Litchfield Park, AZ 85340 Color: TAN
Gender: Male Neutered
Phone: (623)734-7250 Birthdate: 4/6/2011
(623)910-6671 Age: 5 years 9 months
Weight: 3.12
Chip #: 911001001402543
El=
01/04/2017 Rabies -3 year ZOE 120622 Killed 01/01/2020
Mobile Animal Surgical Hospital, Inc.
9716 E. Cholla Street e. ovy.v)
Scottsdale, AZ 85260 Lt4
I (480) 656-4479 Julia Neufeld, DVM
mashappts@jaol.com www.mashvetnet 3538

VACCINATION CERTIFICATE
Account #: 30000 Animal: Mia
Owner: Porter, Kim No Paws Left Behind Species: Canine
Address: 19926 W. Colter St. Breed: Chihuahua
Litchfield Park, AZ 85340 Color: TAN
Gender: Female Spayed
Phone: (623)734-7250 Birthdate:
(623)910-6671 Age:
Weight: 12.00
Chip #:
Mobile Animal Surgical Hospital, Inc.
9716 E. Cholla Street
Scottsdale, AZ 85260
(480) 656-4479 Julyi Neufeld, DVM
mashappts@aolcom • www.mashvetnet 3538
VACCINATION CERTIFICATE
Account #: 30000 Animal: Paige
Owner: Porter, Kim No Paws Left Behind Species: Canine
Address: 19926 W. Colter St. Breed: Chihuahua
Litchfield Park, AZ 85340 Color: TAN
Gender: Female Spayed
Phone: (623)734-7250 Birthdate:
(623)910-6671 Age:
Weight: 13.04
Chip #:
er`al
12/07/2016 Rabies - 3 year ZOE 120622 Killed 12/04/2019
Mobile Animal Surgical Hospital, Inc.
9716 E. Cholla Street
Scottsdale, AZ 85260
(480) 656-4479
mashappts(ajD 'acorn • www.mashvetnet

VACCINATION CERTIFICATE
Account 4: 30000 Animal: Bear
Owner: Porter, Kim No Paws Left Behind Species: Canine
Address: 19926 W. Colter St. Breed: Chihuahua
Litchfield Park, AZ 85340 Color: TAN
Gender: Male Neutered
Phone: (623)734-7250 Birthdate:
(623)910-6671 Age:
Weight: 8.01
Chip 4:
come- Due. on'
12/07/2016 Rabies - 3 year
Mobile Animal Surgical Hospital, Inc.
9716 E. Cholla Street
Scottsdale, AZ 85260 qi-wkao- Env _11it6,
(480) 656-4479 111Viield, DVM 12/07/2016
mashappts@itol. corn • www.mashvetnet 3538
VACCINATION CERTIFICATE
Account 4: 30000 Animal: BoBo
Owner: Porter, Kim No Paws Left Behind Species: Canine
Address: 19926 W. Colter St. Breed: Chihuahua
Litchfield Park, AZ 85340 Color: TAN/W1IT
Gender: Male Neutered
Phone: (623)734-7250 Birthdate:
(623)910-6671 Age:
Weight: 11.00
Chip 4:
4-0 gl ) Cue..
12/07/2016 Rabies - 3 year ZOE 120622 Killed 12/04/2019
Mobile Animal Surgical Hospital, Inc.
9716 E. Cho 11(1 Street cuia.A.4
Scottsdale, AZ 85260 I -I- •
Neufeld, DVM 2/0 /2016
(480) 656-4479
tnashappts@aol.com • www.mashvet.net 3538

VACCINATION CERTIFICATE
Account #: 30000 Animal: Ziggy
Owner: Porter, Kim No Paws Left Behind Species: Canine
Address: 19926 W. Colter St. Breed: Chihuahua
Litchfield Park, AZ 85340 Color: BLK TAN
Gender: Male Neutered
Phone: (623)734-7250 Birthdate:
(623)910-6671 Age:
Weight: 9.01
Chip #:
biito .agoirter: anufacturer EMI U0 0
12107/2016 Rabies -3 year 120622 Killed 12/04/2019
Mobile Animal Surgical Hospital, Inc.
9716 E. Cholla Street i
Scottsdale, AZ 85260 PVIY) 7 ilk
(480) 656-4479 Ju in Neufeld, 1 /07/ 016
mashappts@aol.coin www.mash»etnet 3538
VACCINATION CERTIFICATE
Account #: 30000 Paris
Owner: Porter, Kim No Paws Left Behind Species: Canine
Address: 19926 W. Colter St. Breed: Miniature Poodle
Litchfield Park, AZ 85340 Color: WHITE
Gender: Female Spayed
Phone: (623)734-7250 Birthdate: 3/4/2011
(623)910-6671 Age: 5 years 9 months 5 days
Weight: 9.00
Chip #: 911001001343582
Dait _acing ante etueo U0 0
12/07/2016 Rabies -3 year ZOE 120622 Killed 12/04/2019
03/04/2015 Rabies-Rescue 1 year PF1 S406597 Killed 03/02/2016
(w/Surgery)
Mobile Animal Surgical Hospital, Inc.
9716 E. Cholla Street
Scottsdale, AZ 85260 fri4444),A4, Ovvy )
(480) 656-4479 Julia Neufeld, DVM 12/07016
mashappts@aol.com • www.mashvetnet 3538

VACCINATION CERTIFICATE
Account #: 30000 Animal: Dio
Owner: Porter, Kim No Paws Left Behind Species: Canine
Address: 19926 W. Colter St. Breed: Chihuahua
Litchfield Park, AZ 85340 Color: TAN
Gender: Male Neutered
Phone: (623)734-7250 Birthdate: 2/812013
(623)910-6671 Age: 4 years 1 day
Weight: 16.07
Chip #:
Mobile Animal Surgical Hospital, Inc.
9716 E. Cholla Street
Scottsdale, AZ 85260 K. 811
(480) 656-4479 Alija Neufeld, DVM 02/08/2017
mashappts@aoLeom • www.mashvetnet 3538
VACCINATION CERTIFICATE
Account #: 30000 Animal: Lefty
Owner: Porter, Kim No Paws Left Behind Species: Canine
Address: 19926 W. Colter St. Breed: Chihuahua
Litchfield Park, AZ 85340 Color: WHITE
Gender: Male Neutered
Phone: (623)734-7250 Birthdate: 1/4/2014
(623)910-6671 Age: 3 years 1 day
Weight: 13.15
Chip #:
Mobile Animal Surgical Hospital, Inca
9716 E. Cholla Street
Scottsdale, AZ 85260
(480) 656-4479
mashappts@aol.com • www.mashvetnet

1/29/2018 Clinic HQ
Dr. Kelly's Mobile Unit - West
602-909-5383
Animal Summary / Rabies Certificate
This is not an invoice.
Owner
Kim Porter
19926 West Colter Street, Litchfield Park, AZ 85340
623-734-7250
Animal Details Animal's Name: Pretty Girl
Sex: Female
Species: Dog
Age:7 Years, 0.0 Months
Color: White / White
Breed: Chihuahua
Weight: 7,50 lbs
Visit Date: 1129/2018
Animal Type: Owned
Animal Number: 0
Microchip Number:
Already Altered: Yes
Rabies Vaccine Producer: Nobivac
Type: Three Year
Vaccine Lot Number: 230338B (expires 8/7/2018)
Date Vaccinated: 1/29/2018
Expires: 1/29/2021
Veterinarian: Kelly Patriquin License # 3463
Signature:
Dr. Kelly's Mobile Unit - West
Clinic Info:4008 North 87th St, Scottsdale, AZ 85251
602-909-5383
All Products/Services Date Description
1/29/2018 Rabies 3 year vaccine
This is not an invoice.
about:blank 111

1/29/2018 Clinic HQ
Dr. Kelly's Mobile Unit - West
602-909-5383
Animal Summary / Rabies Certificate
This is not an invoice.
Owner
Kim Porter
19926 West Colter Street, Litchfield Park, AZ 85340
623-734-7250
Animal Details Animal's Name; Sasha
Sex: Female
Species; Dog
Age: 11 Years, 0.0 Months
Color: Black / Tan
Breed: Chihuahua
Weight: 4.00 lbs
Visit Date:1/29/2018
Animal Type: Owned
Animal Number: 0
Microchip Number:
Already Altered: No
Rabies Vaccine Producer: Nobivac
Type:Three Year
Vaccine Lot Number: 230338B (expires 8/7/2018)
Date Vaccinated:1/29/2018
Expires:1/29/2021
Veterinarian: Kelly Patriquin License # 3463
Signature:
Dr. Kelly's Mobile Unit - West
Clinic Info; 4008 North 87th St, Scottsdale, AZ 85251
602-909-5383
All Products/Services Date Description
1/29/2018 Rabies 3 year vaccine
This is not an invoice.
about:blank 1/1

1/29/2018 Clinic HQ
Dr, Kelly's Mobile Unit West
6024309-5383
Animal Summary / Rabies Certificate
This is not an invoice.
Owner
Kim Porter
19926 West Colter Street, Litchfield Park, AZ 85340
623-734-7250
Animal Details Animal's Name: Princess
Sex: Female
Species: Dog
Age: 10 Years, 0.0 Months
Color: Black / Black
Breed: Chihuahua
Weight:8.60 lbs
Visit Date:1/29/2018
Animal Type: Owned
Animal Number: 0
Microchip Number:
Already Altered: Yes
Rabies Vaccine Producer: Nobivac
Type: Three Year
Vaccine Lot Number: 230338B (expires 8/7/2018)
Date Vaccinated: 1/29/2018
Expires: 1/29/2021
Veterinarian: Kelly Patriquin License # 3463
Signature:
Dr. Kelly's Mobile Unit - West
Clinic Info: 4008 North 87th St, Scottsdale, AZ 85251
602-909-5383
All Products/Services Date Description
1/29/2018 Rabies 3 year vaccine
This is not an invoice.
about:blank 111

1/29/2018 Clinic HQ
Dr. Kelly's Mobile Unit - West
602-909-5383
Animal Summary / Rabies Certificate
This is not an invoice.
Owner
Kim Porter
19926 West Colter Street, Litchfield Park, AZ 85340
623-734-7250
Animal Details Animal's Name:Tiny Timmy
Sex: Male
Species: Dog
Age:0 Years, 6.0 Months
Color: Tan / White
Breed:Chihuahua mixed
Weight:5.00 lbs
Visit Date: 1/29/2018
Animal Type: Owned
Animal Number: 18-361
Microchip Number: 982000411878485
Already Altered: No
Rabies Vaccine Producer:Nebivac
Type: One Year
Vaccine Lot Number: 230338B (expires 8/7/2018)
Date Vaccinated: 1/29/2018
Expires:1/29/2019
Veterinarian: Kelly Patriquin License # 3463
Signature:
Dr. Kelly's Mobile Unit West
Clinic Info:4008 North 87th St, Scottsdale, AZ 85251
602-909-5383
All Products/Services Date Description
1/29/2018 Dog Neuter
1/29/2018 Rabies 1 year vaccine
1/29/2018 DA2PP - 1 year
1/29/2018 Microchip
1/29/2018 Meloxicam liquid oral 1.5mg/m1
This is not an invoice.
abciabiank 111

8/2812017 Clinic HO
Dr. Kelly's Mobile Unit West
602-909-5383
Animal Summary / Rabies Certificate
This is not an invoice.
Owner
Kim Porter
19926 West Colter Street, Litchfield Park, AZ 85340
623-734-7250
Animal Details Animal's Name: Frenchie
Sex: Female
Species: Dog
Age:5 Years, 0.0 Months
Color: White / Tan
Breed:French Bulldog
Weight: 22.80 lbs
Visit Date: 8/28/2017
Animal Type: Owned
Animal Number:17-1014
Microchip Number:
Rabies Vaccine Producer: Nobivac
Type:One Year
Vaccine Lot Number:188848A (expires 5/8/2018)
Date Vaccinated: 8/28/2017
Expires:8/28/2018
Veterinarian: Kelly Patriquin License # 3463
Signature:
Dr. Kelly's Mobile Unit - West
Clinic Info:4008 North 87th St, Scottsdale, AZ 85251
602-909-5383
All Products/Services Date Description
8/28/2017 Dog Spay
8/28/2017 Rabies 1 year vaccine
8/28/2017 DA2PP - 1 year
8/28/2017 Microchip
8/28/2017 Carprofen Caps 25mg
8/28/2017 Weight: 21-40
This is not an invoice.
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