BIG A KENNELS PERMIT RENEWAL.PDF
Extracted text (via tesseract_tsv)
34413 characters
Maricopa County
Animal Care and Control
2500 South 27th Avenue
Phoenix, AZ 85009
(602) 506-7387 Tele.
(602) 506-2739 Fax
KENNEL PERMIT Ki®~ 600027
APPLICATION
Li New W Renewal
Name: M/)/7 hee Kennel Name: [44g 4 kenpel §
Address: | | LOW -MohaveSt: ~ “Kennel Address: YO b/ wOfhaw-e SF
Mailing
City: JAK State: AZ Zip: 9200 7 City: 2A zip: £007 2
Supervisorial District: 5
County
Le ‘
602. od P¢ (°F v
Phone: GO.2 ~25C 256 / Kennel Phone:
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.
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 $4 per month for unaltered dog and $2 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
5 1 19 1 3 10 1356 2177 170 36 95.936966 enclosed,
5 1 19 1 3 11 1551 2175 174 33 95.827507 controlled
5 1 19 1 3 12 1750 2184 89 29 95.827507 area,
5 1 19 1 3 13 1866 2175 221 32 96.689659 inaccessible
5 1 19 1 3 14 2111 2177 31 30 96.674576 to
5 1 19 1 3 15 2165 2175 94 32 96.430107 other
4 1 19 1 4 0 232 2223 2021 42 -1
5 1 19 1 4 1 232 2226 148 38 95.988647 animals,
5 1 19 1 4 2 397 2226 29 32 96.002983 in
5 1 19 1 4 3 440 2226 105 32 95.827530 which
5 1 19 1 4 4 561 2235 21 23 95.827530 a
5 1 19 1 4 5 598 2234 122 31 96.142868 person
5 1 19 1 4 6 738 2226 116 39 96.482185 keeps,
5 1 19 1 4 7 871 2226 137 32 96.685959 harbors
5 1 19 1 4 8 1023 2234 36 22 96.149513 or
5 1 19 1 4 9 1073 2225 174 31 96.684586 maintains
5 1 19 1 4 10 1260 2225 63 31 95.945518 five
5 1 19 1 4 11 1336 2232 38 24 95.797531 or
5 1 19 1 4 12 1387 2232 91 24 95.797531 more
5 1 19 1 4 13 1492 2225 86 39 96.672943 dogs
5 1 19 1 4 14 1594 2225 104 31 96.232819 under
5 1 19 1 4 15 1711 2223 176 32 96.427803 controlled
5 1 19 1 4 16 1904 2223 208 32 93.060036 conditions.”
5 1 19 1 4 17 2139 2223 114 32 91.083961 A.R.S.
4 1 19 1 5 0 232 2274 241 41 -1
5 1 19 1 5 1 232 2276 19 39 90.762787 §
5 1 19 1 5 2 269 2274 204 41 88.537949 11-1001(8).
2 1 20 0 0 0 230 2367 2034 230 -1
3 1 20 1 0 0 230 2367 2034 230 -1
4 1 20 1 1 0 230 2367 2026 38 -1
5 1 20 1 1 1 230 2370 49 32 86.851868 An
5 1 20 1 1 2 298 2370 230 35 86.851868 appointment
5 1 20 1 1 3 546 2369 57 31 95.895599 will
5 1 20 1 1 4 621 2369 44 31 95.838371 be
5 1 20 1 1 5 684 2369 189 31 95.378105 scheduled
5 1 20 1 1 6 891 2369 50 31 95.097954 for
5 1 20 1 1 7 955 2369 184 34 96.124321 inspection
5 1 20 1 1 8 1159 2369 38 30 96.091232 of
5 1 20 1 1 9 1212 2369 54 30 71.645401 the
5 1 20 1 1 10 1285 2369 122 30 71.645401 kennel
5 1 20 1 1 11 1423 2367 167 36 95.331619 premises
5 1 20 1 1 12 1609 2367 44 35 29.114098 by
5 1 20 1 1 13 1670 2375 43 22 29.114098 an
5 1 20 1 1 14 1731 2367 129 30 85.357994 Animal
5 1 20 1 1 15 1880 2367 130 30 95.769997 Control
5 1 20 1 1 16 2030 2367 121 32 40.917210 Officer
5 1 20 1 1 17 2168 2375 88 27 40.917210 upon
4 1 20 1 2 0 231 2414 2025 39 -1
5 1 20 1 2 1 231 2418 123 35 74.991302 receipt
5 1 20 1 2 2 367 2417 39 33 96.783348 of
5 1 20 1 2 3 417 2417 62 33 95.906433 this
5 1 20 1 2 4 495 2417 125 33 86.464165 kennel
5 1 20 1 2 5 631 2417 118 34 96.247353 permit
5 1 20 1 2 6 760 2415 196 36 96.494881 application
5 1 20 1 2 7 972 2415 69 32 96.775772 and
5 1 20 1 2 8 1054 2415 64 32 70.719444 fee.
5 1 20 1 2 9 1155 2415 72 32 92.382950 This
5 1 20 1 2 10 1243 2415 121 32 96.398087 kennel
5 1 20 1 2 11 1377 2415 194 35 96.400810 application
5 1 20 1 2 12 1586 2414 151 36 96.406258 properly
5 1 20 1 2 13 1750 2414 170 31 96.193741 executed
5 1 20 1 2 14 1934 2414 67 31 30.887009 and
5 1 20 1 2 15 2015 2423 19 22 30.887009 _a
5 1 20 1 2 16 2052 2421 89 29 96.414627 copy
5 1 20 1 2 17 2153 2414 39 31 96.414627 of
5 1 20 1 2 18 2202 2414 54 31 96.059502 the
4 1 20 1 3 0 231 2462 2033 39 -1
5 1 20 1 3 1 231 2465 182 36 90.451561 inspection
5 1 20 1 3 2 439 2466 112 35 90.451561 report
5 1 20 1 3 3 576 2465 57 31 95.072212 will
5 1 20 1 3 4 657 2465 77 31 49.320713 then
5 1 20 1 3 5 761 2465 43 30 49.320713 be
5 1 20 1 3 6 831 2463 183 32 94.175026 forwarded
5 1 20 1 3 7 1039 2465 40 34 94.175026 to,
5 1 20 1 3 8 1110 2463 68 32 73.506538 and
5 1 20 1 3 9 1201 2463 90 32 73.506538 must
5 1 20 1 3 10 1314 2463 44 32 86.064644 be
5 1 20 1 3 11 1384 2462 172 36 59.412045 approved
5 1 20 1 3 12 1579 2462 50 36 59.412045 by,
5 1 20 1 3 13 1660 2462 54 31 96.304146 the
5 1 20 1 3 14 1740 2462 168 36 92.724960 Maricopa
5 1 20 1 3 15 1937 2462 129 36 92.724960 County
5 1 20 1 3 16 2090 2462 111 31 39.228245 Board
5 1 20 1 3 17 2225 2462 39 31 39.228245 of
4 1 20 1 4 0 232 2510 2024 39 -1
5 1 20 1 4 1 232 2514 221 35 94.023613 Supervisors.
5 1 20 1 4 2 490 2513 68 31 94.023613 The
5 1 20 1 4 3 574 2513 122 31 95.977402 kennel
5 1 20 1 4 4 709 2511 116 36 96.115784 permit
5 1 20 1 4 5 839 2511 81 32 94.528030 form
5 1 20 1 4 6 937 2511 55 32 95.348145 will
5 1 20 1 4 7 1006 2511 44 32 95.840515 be
5 1 20 1 4 8 1066 2513 79 30 95.840515 sent
5 1 20 1 4 9 1159 2513 32 30 93.222473 to
5 1 20 1 4 10 1207 2519 64 28 87.974968 you_
5 1 20 1 4 11 1286 2511 85 32 95.725456 after
5 1 20 1 4 12 1383 2511 156 36 95.725456 approval
5 1 20 1 4 13 1554 2511 69 32 96.207031 and
5 1 20 1 4 14 1638 2510 56 31 96.059227 will
5 1 20 1 4 15 1707 2510 44 31 96.453102 be
5 1 20 1 4 16 1768 2510 84 31 95.917801 valid
5 1 20 1 4 17 1866 2510 51 31 95.622803 for
5 1 20 1 4 18 1929 2519 65 22 95.818031 one
5 1 20 1 4 19 2012 2519 82 27 96.494644 year
5 1 20 1 4 20 2105 2510 79 31 14.068718 from
5 1 20 1 4 21 2202 2510 54 31 14.068718 _the
4 1 20 1 5 0 231 2561 525 36 -1
5 1 20 1 5 1 231 2562 77 32 95.674049 date
5 1 20 1 5 2 322 2562 38 30 96.809029 of
5 1 20 1 5 3 367 2561 56 33 93.276337 the
5 1 20 1 5 4 438 2561 140 31 86.480255 Board’s
5 1 20 1 5 5 591 2561 165 36 93.378166 approval.
2 1 21 0 0 0 229 2396 2029 16 -1
3 1 21 1 0 0 229 2396 2029 16 -1
4 1 21 1 1 0 229 2396 2029 16 -1
5 1 21 1 1 1 229 2396 2029 16 95.000000
2 1 22 0 0 0 229 2442 2029 18 -1
3 1 22 1 0 0 229 2442 2029 18 -1
4 1 22 1 1 0 229 2442 2029 18 -1
5 1 22 1 1 1 229 2442 2029 18 95.000000
2 1 23 0 0 0 229 2490 2029 18 -1
3 1 23 1 0 0 229 2490 2029 18 -1
4 1 23 1 1 0 229 2490 2029 18 -1
5 1 23 1 1 1 229 2490 2029 18 95.000000
2 1 24 0 0 0 228 2538 2030 19 -1
3 1 24 1 0 0 228 2538 2030 19 -1
4 1 24 1 1 0 228 2538 2030 19 -1
5 1 24 1 1 1 228 2538 2030 19 95.000000
2 1 25 0 0 0 228 2594 533 7 -1
3 1 25 1 0 0 228 2594 533 7 -1
4 1 25 1 1 0 228 2594 533 7 -1
5 1 25 1 1 1 228 2594 533 7 95.000000
2 1 26 0 0 0 231 2655 1980 177 -1
3 1 26 1 0 0 231 2655 1980 177 -1
4 1 26 1 1 0 231 2655 1907 41 -1
5 1 26 1 1 1 231 2658 122 32 96.590614 NOTE:
5 1 26 1 1 2 378 2658 126 30 96.264503 Failure
5 1 26 1 1 3 520 2658 31 30 96.301994 to
5 1 26 1 1 4 565 2657 98 31 95.976044 show
5 1 26 1 1 5 673 2657 52 31 95.913147 for
5 1 26 1 1 6 735 2664 20 24 96.547005 a
5 1 26 1 1 7 768 2657 189 30 96.324043 scheduled
5 1 26 1 1 8 968 2657 184 39 95.959023 inspection
5 1 26 1 1 9 1167 2655 119 32 96.682495 and/or
5 1 26 1 1 10 1296 2655 109 32 96.519005 failure
5 1 26 1 1 11 1420 2655 37 32 96.990990 of
5 1 26 1 1 12 1465 2655 182 39 96.865417 inspection
5 1 26 1 1 13 1663 2655 56 30 96.904984 will
5 1 26 1 1 14 1732 2655 138 30 96.174507 warrant
5 1 26 1 1 15 1893 2663 9 22 95.401794 a
5 1 26 1 1 16 1919 2655 219 39 95.401794 Subsequent
4 1 26 1 2 0 231 2702 1980 43 -1
5 1 26 1 2 1 231 2705 183 40 93.827782 Inspection
5 1 26 1 2 2 430 2705 122 31 95.860283 Return
5 1 26 1 2 3 568 2705 55 31 95.906967 fee
5 1 26 1 2 4 637 2705 38 30 95.906967 of
5 1 26 1 2 5 684 2703 66 36 96.807961 $49
5 1 26 1 2 6 765 2703 48 32 96.869446 for
5 1 26 1 2 7 823 2703 88 32 96.318756 each
5 1 26 1 2 8 925 2703 178 32 91.679939 additional
5 1 26 1 2 9 1116 2703 70 32 96.416489 visit
5 1 26 1 2 10 1197 2703 34 32 96.835777 at
5 1 26 1 2 11 1243 2703 76 32 96.510170 time
5 1 26 1 2 12 1332 2703 38 30 96.964439 of
5 1 26 1 2 13 1378 2703 191 39 96.482994 inspection.
5 1 26 1 2 14 1598 2702 124 31 96.578163 Failure
5 1 26 1 2 15 1735 2702 39 31 96.915108 of
5 1 26 1 2 16 1782 2702 183 40 96.584717 inspection
5 1 26 1 2 17 1980 2711 54 22 96.276146 may
5 1 26 1 2 18 2070 2702 101 31 94.136238 result
5 1 26 1 2 19 2183 2702 28 31 96.121605 in
4 1 26 1 3 0 231 2750 1946 42 -1
5 1 26 1 3 1 231 2753 108 31 96.703636 denial
5 1 26 1 3 2 351 2753 38 31 96.997314 of
5 1 26 1 3 3 397 2753 55 31 95.852226 the
5 1 26 1 3 4 466 2753 125 31 95.622787 kennel
5 1 26 1 3 5 600 2753 119 39 96.216415 permit
5 1 26 1 3 6 730 2751 68 32 96.002480 and
5 1 26 1 3 7 808 2751 128 41 96.002480 require
5 1 26 1 3 8 949 2751 175 32 96.360069 individual
5 1 26 1 3 9 1134 2751 161 39 96.682236 licensing
5 1 26 1 3 10 1306 2751 39 30 96.419975 of
5 1 26 1 3 11 1353 2750 86 31 96.886063 each
5 1 26 1 3 12 1455 2751 66 39 96.598473 dog
5 1 26 1 3 13 1534 2750 109 31 96.416420 under
5 1 26 1 3 14 1652 2750 55 31 96.744537 the
5 1 26 1 3 15 1719 2750 186 39 96.112556 provisions
5 1 26 1 3 16 1920 2750 36 31 93.300919 of
5 1 26 1 3 17 1964 2750 112 31 58.351807 A.R.S.
5 1 26 1 3 18 2096 2750 81 39 79.914574 §11-
4 1 26 1 4 0 234 2802 92 30 -1
5 1 26 1 4 1 234 2802 92 30 87.102837 1008.
2 1 27 0 0 0 462 2943 1562 35 -1
3 1 27 1 0 0 462 2943 1562 35 -1
4 1 27 1 1 0 462 2943 1562 35 -1
5 1 27 1 1 1 462 2945 161 31 96.237289 PLEASE
5 1 27 1 1 2 636 2945 177 31 95.927277 ANSWER
5 1 27 1 1 3 825 2945 81 31 96.381798 THE
5 1 27 1 1 4 921 2943 243 33 95.820679 FOLLOWING
5 1 27 1 1 5 1179 2943 233 35 96.366318 QUESTIONS
5 1 27 1 1 6 1425 2943 84 32 94.916023 AND
5 1 27 1 1 7 1525 2943 137 32 94.916023 INITIAL
5 1 27 1 1 8 1677 2943 108 32 96.118996 EACH
5 1 27 1 1 9 1801 2943 223 32 96.619667 RESPONSE
2 1 28 0 0 0 231 3021 2024 118 -1
3 1 28 1 0 0 231 3021 2024 114 -1
4 1 28 1 1 0 231 3021 2023 59 -1
5 1 28 1 1 1 231 3044 29 30 95.723633 1.
5 1 28 1 1 2 300 3021 99 53 94.983353 AR
5 1 28 1 1 3 439 3042 83 30 11.309500 \AVe
5 1 28 1 1 4 544 3048 143 24 95.421349 assume
5 1 28 1 1 5 709 3041 164 39 96.493172 complete
5 1 28 1 1 6 897 3039 236 41 96.379105 responsibility
5 1 28 1 1 7 1153 3039 50 32 96.384819 for
5 1 28 1 1 8 1222 3039 55 32 96.295013 the
5 1 28 1 1 9 1300 3039 118 32 95.768539 kennel
5 1 28 1 1 10 1440 3041 33 28 96.167168 at
5 1 28 1 1 11 1493 3039 54 30 96.208336 the
5 1 28 1 1 12 1570 3038 164 40 96.208336 premises
5 1 28 1 1 13 1756 3038 48 31 96.535736 for
5 1 28 1 1 14 1824 3038 102 31 96.595825 which
5 1 28 1 1 15 1952 3039 70 30 85.395683 I/we
5 1 28 1 1 16 2045 3047 58 22 96.735649 are
5 1 28 1 1 17 2126 3038 128 39 96.682610 making
4 1 28 1 2 0 303 3083 1952 56 -1
5 1 28 1 2 1 303 3089 194 40 96.795639 application
5 1 28 1 2 2 516 3089 48 30 96.814468 for
5 1 28 1 2 3 579 3096 20 23 95.991989 a
5 1 28 1 2 4 618 3087 113 41 96.331657 permit
5 1 28 1 2 5 745 3087 65 32 96.331657 and
5 1 28 1 2 6 829 3083 202 56 96.646416 understand
5 1 28 1 2 7 1048 3087 68 30 96.581757 that
5 1 28 1 2 8 1131 3086 146 31 4.241905 “kennel”
5 1 28 1 2 9 1294 3095 122 22 96.634773 means
5 1 28 1 2 10 1432 3095 43 22 94.901268 an
5 1 28 1 2 11 1492 3086 170 37 94.901268 enclosed,
5 1 28 1 2 12 1681 3086 176 31 93.149269 controlled
5 1 28 1 2 13 1875 3093 89 30 95.808983 area,
5 1 28 1 2 14 1985 3086 222 31 96.614609 inaccessible
5 1 28 1 2 15 2223 3087 32 30 96.885605 to
2 1 29 0 0 0 2535 28 15 3270 -1
3 1 29 1 0 0 2535 28 15 3270 -1
4 1 29 1 1 0 2535 28 15 3270 -1
5 1 29 1 1 1 2535 28 15 3270 95.000000
other animals, in which a person keeps, harbors or maintains five or more dogs under controlled
conditions (ARS 11-1001).
2. A hk We certify that /We have f (/ dogs and that the kennel meets the definition in statute.
3. 4/2 \We 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. AR. We 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.
5. Ale | We certify that We are submitting a valid copy of the rabies vaccination certificate for each
dog with this application.
6. Ade We understand that a dog remaining within the kennel is not required to be licensed individually under
ARS. § 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. Alde 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. Alt 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. fe 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.
We certify that all of the information I/We have provided is true and accurate under penalty of law.
signature Zec¢-2. KE 3 pee * pate - P mH ROL Z
Applicant
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
October 2015
Maricopa County Animal Care and Control
2500 S. 27th Avenue
Phoenix, AZ 85009-6797
(602) 506-7387
htto://pets.maricopa.gov
Receipt Number: R17-281333 Receipt Date: 11/03/2017
Person ID: P1158437
Phone: 602 2541994
BIG AKENNELS 11/3/2017 11:53:37AM
1110 W MOHAVE ST
PHOENIX, AZ 85007
Item: Animal {D: Reference No: Price: Each: Amount:
A3824094 U17-103395 $.00 1 $0.00
LINK
A3824087 U17-103396 00 1 $0.00
LINK
A3824089 U17-103397 .00 { $0.00
LINK
LINK A3824088 U17-103399 .00 1 $0.00
LINK A3824084 U17-103400 .00 1 $0.00
LINK A4015039 U17-103402 00 1 $0.00
3824094 T17-297862 34.00 4 $34.00
IMRAB 3
A3824087° T17-297864 34.00 4 $34.00
IMRAB 3
A3824089 T17-297874 34.00 1 $34.00
IMRAB 3
IMRAB 3 A3824088 T17-297882 34.00 1 $34.00
IMRAB 3 A3824084 T17-297884 34.00 1 $34.00
A4015039 T17-297886 34.00 4 $34.00
IMRAB 3
328.00 { $328.00
KEN PERMIT
Total Fees Due: $532.00
Payments: Cash: $532.00
Check:
Credit Card:
Total Payments Received: $532.00
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
5 1 23 1 23 2 538 2441 62 31 95.346825 Us to email your comments for our review.
Animal Information:
A3824084 QUEEN - BORN 6/16/2014, FEMALE, AM PIT BULL TER/MIX, BRINDLE DOG
A3824087 WICKED ~- BORN 9/16/2011, MALE, AM PIT BULL TER/MIX, BRINDLE DOG
A3824088 STITCH - BORN 9/16/2013, MALE, AM PIT BULL TER/MIX, BLACK DOG
3824089 HULK - BORN 9/16/2014, MALE, AM PIT BULL TER/MIX, RED DOG
A3824094 PLAYBOY .- BORN 9/16/2013, MALE, AM PIT BULL TER/MIX, RED DOG
4015039 BOOGIE - BORN 6/19/2017, MALE, AM PIT BULL TER, RED AND WHITE DOG
Treatment Information:
Medication: Treat # Date:
Type: Serial#: | Animal# Description:
{MRAB 3 SN221614 A3824084 QUEEN Tt7-297884 11/03/17
~ IMRAB 3 SN221614 A3824087 WICKED T17-297864 11/03/17
T17-297882 11/03/17
IMRAB 3 SN221614 A3824088 STITCH
schenone WBUSOFF
MRAB 3 SN221614 A3824089 HULK - 117-297874 11/03/17
IMRAB 3 SN221614 A3824094 PLAYBOY 117-297862 11/03/17
IMRAB 3 SN221614 A4015039 BOOGIE T17-297886 11/03/17
License Information:
Tag Number: License Expires: Animal# Vacc Date: Vacc Expires:
A3824094 11/03/17 41/03/20
A3824087 11/03/17 11/03/20
A3824089 11/03/17 41/03/20
A3824088: 11/03/17 11/03/20
4
A3824084 11/03/17 11/03/20
A4015039 11/03/17 11/03/18
Please retain this receipt with your pet's records
schenone WBUSOFF
Maricopa County
Animal Care & Control
2500 South 27" Avenue
Phoenix, AZ 85009
Phone: (602) 506-7387
pets. maricopa.gov
KENNEL PERMIT K 18-000027
PREMISE INSPECTION
Number of Dogs: 11
Kennels
Name: Alvin Reed Kennel Name: Big A
Mailing Address:1110 W Mohave St Kennel Address: Same
City: Phoenix State: AZ Zip: 85007
County Supervisorial District: 5
Phone: 602-290-2881 Kennel Phone: 602-254-1994
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
keeps, harbors or maintains five or more dogs under controlled conditions?
person
Yes
NOTE: of each rabies vaccination certificate must be attached to the Kennel Permit
Copies
Premise Inspection form.
CORRECTIVE ACTION NEEDED FOR COMPLIANCE AND DAYS GIVEN
BEFORE REINSPECTION. (Note: There will be $49 re-inspect fee payable to the
Inspector by check upon each return visit.)
No issues found with history check, No citizen complaints filed with MCACC. No site
inspection required due to being a renewal, All vaccinations are current and in order.
Deputy Enforcement Agent & Badge #: Lt. Chris Kunszt #10
Date: 12/5/17
October 2015
RABIES VACCINATION CERTIFICATE
OWNER'’S INFORMATION:
P1158437 (602) 2541994
KENNELS BIGA -
PERSON 1D JELEPHONE NUMBER =XxT:
FARST NAME
LAST NAME
PHOENIX AZ 85007
1110 W MOHAVE ST
STATE ZIP CODE
APT CITY
STREET AQDRESS
ANIMAL INFORMATION
AM PIT BULL TER MIX
DOG MALE 9/22/2013
PRIMARY BREED SECONDARY GREED
ANIMAL TYPE ANIMAL SEX ANIMAL DATE OF BIRTH SIZE
RED
A3663723 BROKE TAIL
PRIMARY GOLOR SEC G
ARIRAT TD ANIMAL NAME MICROCHIP NUMBER
VACCINATION INFORMATION
9/16/2019 9/16/16
RABDOMUN 36 Months 9/16/2016
DATE VACCINATED VACCINATION EXPIRES PRINT DATE
—"TRGGINE PRODUCER VAGG, LENGTH
Wf Re, EM
Jivilte~t 075 Maricopa County
KILLED
Animal Care & Control
VACCINE TYPE VETERINARIANS SIGNATURE 2300 $ 27th Avenue, Phoenix, AZ 85009
(602) 506-7387
$414181
VACG. SERIAL NO. VETERINARIANS LICENSE NUMBER
RABIES VACCINATION CERTIFICATE
OWNER'S INFORMATION:
P1158437 (602) 2541994
KENNELS BIGA
PERSON ID TELEPHONE NUMBER EXT:
LAST NAME. FIRST NAME
.
PHOENIX AZ 85007
1110 W MOHAVE ST
STATE ZiP CODE
APT ciTY
STREET ADDRESS
ANIMAL INFORMATION
3/21/2014 AM PIT BULL TER
DOG MALE
SIZE PRIMARY BREED SECONDARY BREED
ANIMAL TYPE ANIMAL SEX ANIMAL DATE OF BIRTH
BLACK
A3663539 PEE WEE
PRIMARY COLOR BECORDARY COLOR
NIRAL TS ANIMAL NAME MICROCHIP NUMBER
VACCINATION INFORMATION
9/16/2016 9/16/2019 9/16/16
RABDOMUN 36 Months
DATE VACCINATED VACCINATION EXPIRES PRINT GATE
VACCINE PRODUCER VACC. LENGTH
ee, VM
- £0
Jivihic
KILLED Maricopa County
x
: Animal Care & Control
wacom es VETERINARIANS SIGNATURE 2500 $ 27th Avenue, Phoenix, AZ 85009
(602) 506-7387
$414181
VACC, SERIAL NO. VETERINARIAN'S LICENSE NUMBER
RABIES VACCINATION CERTIFICATE
OWNER'S INFORMATION:
P1158437 (602) 2541994
KENNELS BIGA
PERGON ID TELEPHONE NUMBER &XT:
LAST NAME FIRST NAME
AZ 85007
4110 W MOHAVE: ST PHOENIX
STATE ZIP CODE
APT cry
STREET ADDRESS
ANIMAL INFORMATION
AM PIT BULL TER.
DOG MALE 6/19/2017
BREED
Se PRIMARY BREED SECONDARY
[ANTAL TYPE ANRAAL SEX FNINAL DATE OF BIRTH
RED WHITE
A4015039 BOOGIE
PRIMARY GOLOR SECONDARY COLOR
ARIAT TO ANIMAL NAME, MICROCHIP NUMBER
VACCINATION INFORMATION oot
41/3/17
IMRAB 3 42 Months 11/3/2017 11/3/2018
DATE VAGGINATED VACCINATION EXPIRES = - PRINT BATE
VACCINE PRODUGER YAGG, LENGTH
OA
Oe - Maricopa County
KILLED pein
» (G02) 506-7387
mo,
SN221614
SERIAL JETERINARIAN'S LICENSE NUIBER
ACC. NO.
RABIES VACCINATION CERTIFICATE
OWNER'S INFORMATION:
BIGA P4158437 (602) 2541994
KENNELS
FIRST NAME PERSON ID TELEPHONE NUMBER xi
LAST NAME ;
PHOENIX AZ 85007
1110 W MOHAVE ST
STATE ZIP CODE
STREET ADDRESS APT CITY
ANIMAL INFORMATION
AM PIT BULL TER MIX
DOG MALE 9/16/2011
Size PRIMARY BREED SECONDARY BREED
ANIMAL TYPE ANIMAL SEX ANIMAL DATE OF BAH
BRINDLE
A3824087 WICKED
PRIMARY GOLOR SECO LOR
ARIAIRCTO! ANIMAL NAME wengUe NuWEES
VACCINATION INFORMATION
36 Months {1/3/2017 41/3/2020 11/3/17
IMRAB 3
ROO LENGTIT DATS SACCINATED VACCINATION EXPIRES “PAINT DATE
VACCING PRODUCER
o~ -
KILLED ea Maricopa County
Animal Care & Control
VAGGINE TYPE VETERINARIANS SIGNATURE 2500 S 27th Avenue, Phoenix, AZ 85009
‘ (602) 506-7387
SN221614
VACC. SERIAL NO. VETERINARIANS LICENSE NUMBER
RABIES VACCINATION CERTIFICATE
OWNER'S INFORMATION:
KENNELS BIGA P1158437 (602) 2541994
LAST NAME FIRST NAME PERSON IO TELEPHONE
5 1 37 1 3 8 1839 867 80 15 95.390587 NUMBER
5 1 37 1 3 9 2240 853 43 38 80.147461 EXT:
4 1 37 1 4 0 306 926 2000 70 -1
5 1 37 1 4 1 306 948 80 33 78.565384 1110
5 1 37 1 4 2 436 947 50 49 78.565384 W
5 1 37 1 4 3 508 944 173 34 96.562607 MOHAVE
5 1 37 1 4 4 933 948 49 30 96.201622 ST
5 1 37 1 4 5 1248 932 180 53 96.628540 PHOENIX
5 1 37 1 4 6 1960 926 56 52 95.090546 AZ
5 1 37 1 4 7 2196 927 110 32 96.783699 85007
4 1 37 1 5 0 285 993 2012 42 -1
5 1 37 1 5 1 285 1017 72 18 87.743469 STREET
5 1 37 1 5 2 361 1015 91 19 87.743469 ADORESS
5 1 37 1 5 3 1104 1011 38 14 85.287537 APT
5 1 37 1 5 4 1245 1008 42 15 40.613213 ary
5 1 37 1 5 5 1964 996 55 18 96.388016 STATE
5 1 37 1 5 6 2205 994 27 17 48.432434 ZIP
5 1 37 1 5 7 2238 993 59 18 84.261551 CODE.
4 1 37 1 6 0 1169 1056 288 24 -1
5 1 37 1 6 1 1169 1059 100 21 95.914955 ANIMAL
5 1 37 1 6 2 1279 1056 178 24 96.066162 INFORMATION
4 1 37 1 7 0 360 1122 1811 50 -1
5 1 37 1 7 1 360 1140 90 32 96.361786 DOG
5 1 37 1 7 2 614 1132 109 37 96.724129 MALE
5 1 37 1 7 3 931 1137 178 33 88.278358 9/16/2013
5 1 37 1 7 4 1522 1128 59 30 95.096695 AM
5 1 37 1 7 5 1597 1128 61 30 95.096695 PIT
5 1 37 1 7 6 1672 1126 100 31 94.079300 BULL
5 1 37 1 7 7 1782 1125 81 30 94.079300 TER
5 1 37 1 7 8 2102 1122 69 30 90.816338 MIX
4 1 37 1 8 0 334 1189 1900 38 -1
5 1 37 1 8 1 334 1212 69 15 95.609344 ANIMAL
5 1 37 1 8 2 409 1210 49 16 95.728966 TYPE
5 1 37 1 8 3 599 1208 70 15 56.725731 ANIMAL
5 1 37 1 8 4 675 1207 36 16 96.526123 SEX
5 1 37 1 8 5 913 1209 69 15 93.302544 ANIMAL
5 1 37 1 8 6 988 1208 46 15 86.222359 DATE
5 1 37 1 8 7 1042 1207 23 16 87.311798 OF
5 1 37 1 8 8 1074 1207 53 16 0.000000 DES
5 1 37 1 8 9 1330 1200 40 15 34.520779 SIZE
5 1 37 1 8 10 1603 1195 82 16 93.268585 PRIMARY
5 1 37 1 8 11 1692 1194 62 15 80.213753 BREEO
5 1 37 1 8 12 2049 1191 116 15 94.030457 SECONDARY
5 1 37 1 8 13 2171 1189 63 16 51.666851 BREED
4 1 37 1 9 0 321 1252 1416 49 -1
5 1 37 1 9 1 321 1270 186 31 90.046837 A3824094
5 1 37 1 9 2 697 1264 185 34 96.638344 PLAYBOY
5 1 37 1 9 3 1656 1252 81 29 96.096970 RED
4 1 37 1 10 0 362 1305 1863 50 -1
5 1 37 1 10 1 362 1319 69 36 0.000000 SATA
5 1 37 1 10 2 443 1328 18 13 43.051445 TS
5 1 37 1 10 3 729 1336 71 14 34.809593 ANIMAL
5 1 37 1 10 4 805 1335 52 15 85.862503 NOMS
5 1 37 1 10 5 868 1338 2 3 22.344170 *
5 1 37 1 10 6 1149 1332 87 14 0.000000 WEROD.
5 1 37 1 10 7 1245 1330 93 14 0.000000 BULMEES
5 1 37 1 10 8 1601 1311 103 18 60.638451 PRIMARY
5 1 37 1 10 9 1710 1314 65 14 55.612759 COLOR
5 1 37 1 10 10 2037 1305 117 18 34.830864 SECONDANY
5 1 37 1 10 11 2160 1308 65 14 84.923462 COLON
4 1 37 1 11 0 1137 1371 363 21 -1
5 1 37 1 11 1 1137 1373 174 19 95.065964 VACCINATION
5 1 37 1 11 2 1322 1371 178 18 77.984795 INFORMATION
4 1 37 1 12 0 409 1422 1822 63 -1
5 1 37 1 12 1 409 1441 238 44 92.903244 RABDOMUN
5 1 37 1 12 2 925 1438 41 32 96.115417 36
5 1 37 1 12 3 994 1437 131 33 95.963615 Months
5 1 37 1 12 4 1299 1434 158 32 46.461693 11/3/2047
5 1 37 1 12 5 1704 1428 173 33 94.792816 11/3/2020
5 1 37 1 12 6 2103 1422 128 32 0.000000 VW3IN7
4 1 37 1 13 0 418 1495 1810 35 -1
5 1 37 1 13 1 418 1515 82 15 94.891785 VACCINE
5 1 37 1 13 2 507 1513 107 16 96.658913 PRODUCER
5 1 37 1 13 3 945 1509 52 15 33.930077 VAGC,
5 1 37 1 13 4 1005 1509 75 15 95.485146 LENGTH
5 1 37 1 13 5 1335 1505 46 15 90.428711 DATE
5 1 37 1 13 6 1392 1504 111 16 11.499977 ¢ASCINATED
5 1 37 1 13 7 1677 1500 123 15 95.436401 VACCINATION
5 1 37 1 13 8 1808 1500 79 15 96.756569 EXPIRES
5 1 37 1 13 9 2120 1495 54 16 95.546761 PRINT
5 1 37 1 13 10 2180 1495 48 16 94.254738 DATE
4 1 37 1 14 0 453 1583 1643 67 -1
5 1 37 1 14 1 453 1611 138 33 96.659958 KILLED
5 1 37 1 14 2 891 1613 117 37 24.927244 oe
5 1 37 1 14 3 1047 1599 101 24 42.495045 OS
5 1 37 1 14 4 1440 1583 35 66 1.287937 i.
5 1 37 1 14 5 1860 1602 131 32 96.781189 Maricopa
5 1 37 1 14 6 2000 1602 96 30 96.969925 County
4 1 37 1 15 0 1820 1639 316 28 -1
5 1 37 1 15 1 1820 1641 99 26 96.805763 Animal
5 1 37 1 15 2 1931 1641 61 24 93.276833 Care
5 1 37 1 15 3 2003 1641 24 24 93.276833 &
5 1 37 1 15 4 2037 1639 99 26 96.314056 Control
4 1 37 1 16 0 453 1678 1800 32 -1
5 1 37 1 16 1 453 1683 81 18 89.252274 VAGGINE
5 1 37 1 16 2 542 1682 48 18 96.476501 TYPE
5 1 37 1 16 3 1056 1680 153 15 72.501564 VETERINARIANS
5 1 37 1 16 4 1216 1678 107 16 93.873390 SIGNATURE
5 1 37 1 16 5 1703 1684 66 26 92.979782 2500
5 1 37 1 16 6 1779 1684 15 25 23.104029 S
5 1 37 1 16 7 1806 1684 59 25 96.498756 27th
5 1 37 1 16 8 1872 1684 108 25 86.633926 Avenue,
5 1 37 1 16 9 1991 1681 115 26 86.322029 Phoenix,
5 1 37 1 16 10 2118 1680 44 26 70.721115 AZ
5 1 37 1 16 11 2171 1680 82 24 75.082962 85009
4 1 37 1 17 0 1847 1719 237 33 -1
5 1 37 1 17 1 1847 1734 1 3 0.000000 »
5 1 37 1 17 2 1874 1721 72 31 93.985962 (602)
5 1 37 1 17 3 1956 1719 128 29 86.587814 506-7387
4 1 37 1 18 0 431 1766 1581 34 -1
5 1 37 1 18 1 431 1767 193 33 87.282593 SN120629
5 1 37 1 18 2 1997 1766 15 13 48.460312 7
4 1 37 1 19 0 439 1838 913 25 -1
5 1 37 1 19 1 439 1848 54 15 22.909317 VAGG,
5 1 37 1 19 2 501 1848 66 15 94.030975 SERIAL
5 1 37 1 19 3 574 1848 31 14 89.217278 NO.
5 1 37 1 19 4 1028 1839 154 17 86.064026 VETERINARIAN'S
5 1 37 1 19 5 1188 1839 79 15 88.706741 LICENSE
5 1 37 1 19 6 1273 1838 79 15 24.175793 NUMBER
2 1 38 0 0 0 256 1814 817 49 -1
3 1 38 1 0 0 256 1814 817 49 -1
4 1 38 1 1 0 256 1814 817 49 -1
5 1 38 1 1 1 256 1814 817 49 95.000000
2 1 39 0 0 0 227 715 62 1178 -1
3 1 39 1 0 0 227 715 62 1178 -1
4 1 39 1 1 0 227 715 62 1178 -1
5 1 39 1 1 1 227 715 62 1178 95.000000
2 1 40 0 0 0 784 1416 28 471 -1
3 1 40 1 0 0 784 1416 28 471 -1
4 1 40 1 1 0 784 1416 28 471 -1
5 1 40 1 1 1 784 1416 28 471 95.000000
2 1 41 0 0 0 1571 1407 29 473 -1
3 1 41 1 0 0 1571 1407 29 473 -1
4 1 41 1 1 0 1571 1407 29 473 -1
5 1 41 1 1 1 1571 1407 29 473 95.000000
2 1 42 0 0 0 256 1812 2123 126 -1
3 1 42 1 0 0 256 1812 2123 126 -1
4 1 42 1 1 0 256 1812 2123 126 -1
5 1 42 1 1 1 256 1812 2123 126 95.000000
2 1 43 0 0 0 2514 20 36 1390 -1
3 1 43 1 0 0 2514 20 36 1390 -1
4 1 43 1 1 0 2514 20 36 1390 -1
5 1 43 1 1 1 2514 20 36 1390 95.000000
2 1 44 0 0 0 2342 691 63 1179 -1
3 1 44 1 0 0 2342 691 63 1179 -1
4 1 44 1 1 0 2342 691 63 1179 -1
5 1 44 1 1 1 2342 691 63 1179 95.000000
RABIES VACCINATION CERTIFICATE
OWNER'S INFORMATION:
P1158437 | (602) 2541994
KENNELS BIGA ExT:
PERSON ID TELEPHONE NUMBER
[ UstTNAME FIRST NAME
AZ 85007
1110 W MOHAVE ST PHOENIX
STATE ZIP CODE
APT CITY
STREET ADDRESS
ANIMAL INFORMATION
AM PIT BULL TER, MIX
DOG MALE 9/22/2010
PRIMARY BREEO SECONDARY BREED
ANIMAL TYPE ANIMAL SEX ANIMAL DATE CF BIRTH sz
RED
A3663724 GAVLAN SECONDARY COLOR
PRIMARY COLOR
E ANIMAL NAME MICROCHIP NUMBER
’ VACCINATION INFORMATION
962017 9/16/16
36 Months 9/16/2016
RABDOMUN
DATE VACCINATED VAGGINATION EXPIRES ——“BRINT OATE
VACCINE PRODUCER YAGG, LENGTH
oo eee
Jiviki wie rs wieame ‘ Maricopa County
KILLED Animal Care & Control
VETERINARIAN'S SIGNATURE 2500 Ss 27th Avenue, Phoenix, AZ 85009
VACCINE TYPE
(602) 506-7387
$414181
VAGG. SERIAL NO.
Cert
wong.
show
Cecowos
gor
counted
(\A
CL scent
# BO
At mcacce
Qove_
as
iGHG anc!
On af
ltF
ExpueS A po
RABIES VACCINATION CERTIFICATE
OWNER'S INFORMATION:
P1158437 (602) 2541994
BIGA
KENNELS
TiIRST PERSON TO TELEPHONE NUMBER ear
NAME
TAST NAME
PHOENIX AZ 85007
1110 W MOHAVE ST
STATE ZIP CODE
APT civ
STREET ADDRESS
ANIMAL INFORMATION
SE PRIMARY BREED SECONDARY BREED
ANIMAL TYPE ANRAAL SEX SNINAL DATE OF BTN
BLACK
A3824088 STITCH
PRIMARY COLOR SECONDARY
5 1 49 1 8 10 2165 1296 66 15 96.505371 COLOR
4 1 49 1 9 0 1140 1356 365 23 -1
5 1 49 1 9 1 1140 1357 174 22 95.674759 VACCINATION
5 1 49 1 9 2 1324 1356 181 21 96.057228 INFORMATION
4 1 49 1 10 0 409 1411 1828 52 -1
5 1 49 1 10 1 409 1429 238 34 91.782898 RABDOMUN
5 1 49 1 10 2 927 1426 41 31 96.476456 36
5 1 49 1 10 3 996 1425 132 32 96.476456 Months
5 1 49 1 10 4 1305 1422 156 32 93.601219 11/3/2017
5 1 49 1 10 5 1710 1417 173 32 95.527161 41/3/2020
5 1 49 1 10 6 2108 1411 129 32 40.788750 11/3117
4 1 49 1 11 0 419 1486 1813 31 -1
5 1 49 1 11 1 419 1502 79 15 69.426567 VACCINE
5 1 49 1 11 2 507 1500 107 15 92.178688 PRODUCER
5 1 49 1 11 3 946 1497 47 15 38.048252 Vace
5 1 49 1 11 4 1006 1496 76 15 95.018257 LENGTH
5 1 49 1 11 5 1338 1492 47 16 91.234764 DATE
5 1 49 1 11 6 1391 1491 117 15 9.233770 VACCINATED
5 1 49 1 11 7 1683 1489 123 16 86.516777 VACCINATION
5 1 49 1 11 8 1814 1488 79 15 77.819000 EXPIRES
5 1 49 1 11 9 2124 1486 54 14 96.155632 PRINT
5 1 49 1 11 10 2186 1486 46 14 96.155632 DATE
4 1 49 1 12 0 451 1575 1649 53 -1
5 1 49 1 12 1 451 1596 140 32 96.610809 KILLED
5 1 49 1 12 2 963 1608 10 3 80.691277 -
5 1 49 1 12 3 1152 1575 152 20 25.983839 eee
5 1 49 1 12 4 1389 1569 117 27 19.767790 oe
5 1 49 1 12 5 1867 1591 127 32 96.394913 Maricopa
5 1 49 1 12 6 2003 1590 97 32 88.563881 County
2 1 50 0 0 0 1708 1629 551 111 -1
3 1 50 1 0 0 1708 1629 551 111 -1
4 1 50 1 1 0 1827 1629 314 27 -1
5 1 50 1 1 1 1827 1631 96 25 96.167831 Animal
5 1 50 1 1 2 1935 1631 60 24 93.144730 Care
5 1 50 1 1 3 2006 1630 24 25 93.144730 &
5 1 50 1 1 4 2042 1629 99 26 96.110222 Control
4 1 50 1 2 0 1708 1668 551 30 -1
5 1 50 1 2 1 1708 1671 67 24 93.203857 2500
5 1 50 1 2 2 1785 1671 17 24 92.747513 S
5 1 50 1 2 3 1812 1671 57 24 92.489845 27th
5 1 50 1 2 4 1880 1671 103 27 91.639389 Avenuc,
5 1 50 1 2 5 1997 1668 114 29 96.546684 Phoenix,
5 1 50 1 2 6 2123 1669 43 25 96.076256 AZ
5 1 50 1 2 7 2177 1668 82 26 96.575989 85009
4 1 50 1 3 0 1878 1709 210 31 -1
5 1 50 1 3 1 1878 1710 71 30 81.649605 (602)
5 1 50 1 3 2 1961 1709 127 25 95.832718 506-7387
2 1 51 0 0 0 258 1850 2124 23 -1
3 1 51 1 0 0 258 1850 2124 23 -1
4 1 51 1 1 0 258 1850 2124 23 -1
5 1 51 1 1 1 258 1850 2124 23 95.000000
2 1 52 0 0 0 2545 15 5 1273 -1
3 1 52 1 0 0 2545 15 5 1273 -1
4 1 52 1 1 0 2545 15 5 1273 -1
5 1 52 1 1 1 2545 15 5 1273 95.000000
2 1 53 0 0 0 2375 682 7 1177 -1
3 1 53 1 0 0 2375 682 7 1177 -1
4 1 53 1 1 0 2375 682 7 1177 -1
5 1 53 1 1 1 2375 682 7 1177 95.000000
SE Sa) ANIMAL NAME MICROCHIP NUMBER
VACCINE TYPE YETERINARIAN'S SIGNATURE
$SN120629
VACC SERIAL NO YETERINARIAN'S LICENSE NUMBER
RABIES VACCINATION CERTIFICATE
OWNER’S INFORMATION:
P1158437 (602) 2541994
KENNELS BIGA
PERSON ID TELEPHONE NUMBER ExT
LAST NAME FIRST NAME
PHOENIX AZ 85007
1110 W MOHAVE ST
STATE TP COOE
APT city
STREET ADDRESS
ANIMAL INFORMATION
AM PIT BULL TER MIX
DOG MALE 9/16/2014
Size PRIMARY GREED SECONDARY GREED
ANIVAAL TYPE ANIMAL SE ANIMAL DATE OF BIRTH
RED
A3824089 HULK
PRIMARY COLOR SECONDARY COLOR
ID ANIMAL NAME MICROCHIP NUMBER
VACCINATION INFORMATION
36 Months 1{/3/2017 11/3/2020 11/3/17
IMRAB 3
VAC. LENGTH DATE VACCINATED VACCINATION EXPIRES PRINT DATE
VACCINE PRODUCER
“4 “>?
KILLED Maricopa County
Animal Care & Control
VACCINE TYPE VETERINARIANS SIGNATURE 2500 S 27th Avenue, Phoenix, AZ 85009
(602) 506-7387
SN221614
VACC. SERIAL NO. VETERINARIANS LICENSE NUMBER
RABIES VACCINATION CERTIFICATE
OWNER'S INFORMATION:
BIGA P1158437 (602) 2541994
KENNELS
PERSON iD TELEPHONE NUMBER EXT
LAST NAME FIRST NAME
PHOENIX AZ 85007
1110 W MOHAVE ST
STATE ZIP CODE
APT CITY
STREET ADDRESS
ANIMAL INFORMATION
AM PIT BULL TER MIX
DOG FEMALE 6/16/2014
SIZE PRIMARY BREEO SECONDARY BREED
ANIMAL TYPE ANIAAL SEX SNIRAAL DATE OF BIRTH
BRINDLE
A3824084 QUEEN
PRIMARY COLOR SECONDARY COLOR
ARIAL TS ANIMAL NAME MICROCHIP NUMBER
VACCINATION INFORMATION
IMRAB 3 36 Months 11/3/2017 11/3/2020 11/3/47
VACC. LENGTH DATE VACCINATED VACCINATION EXPIRES PRINT DATE
VACCINE PROQUCER
eet POD
Pi ye ED
KILLED pete Maricopa County
Animal Care & Control
VACGINE TYPE VETERINARIANS SIGNATURE 2500 S 27th Avenue, Phoenix, AZ 85009
(602) 506-7387
SN221614
VACC SERIAL NO. VETERINARIAN'S LICENSE NUMBER
RABIES VACCINATION CERTIFICATE
OWNER'S INFORMATION:
BIGA P1158437 (602) 2541994
KENNELS
FIRST NAME PERSON 10 TELEPHONE NUMBER EXT
LAST NAME
1110 W MOHAVE ST PHOENIX AZ 85007
APT CITY STATE ZIP CODE
STREET ADDRESS
ANIMAL INFORMATION
DOG FEMALE 9/21/2014 AM PIT BULL TER
SIZE PRIMARY BREED SECONDARY @REEO
ANIMAL TYPE ANIMAL SEX ANIMAL DATE OF BIRTH
RED
A3663543 GIRL
ARTRAALTO PRIMARY COLOR SECONDARY COLOR
ANIMAL NAME MICROCHIP NUMBER
VACCINATION INFORMATION
RABDOMUN 36 Months 9/16/2016 9/16/2019 9/16/16
VACCINE PRODUGER VAGG. LENGTH DAVE VACCINATED VACCINATION EXPIRES PRINT DATE
Spice
ih ~ fa ~ — LO
ar Ln 1
KILLED Maricopa County
Animal Care & Control
VACCINE TYPE VETERINARIANS SIGNATURE 2500 S 27th Avenue, Phoenix, AZ 85009
(602) 506-7387
$414181
VAGG, SERIAL NO. VETERINARIAN'S LICENSE NUMBER
RABIES VACCINATION CERTIFICATE
OWNER'S INFORMATION:
KENNELS BIGA P1158437 (602) 2541994
TAST NAME FIRST NAME PERSON ID TELEPHONE NUMBER ExT
1110 W MOHAVE ST PHOENIX AZ 85007
APT cin STATE ZIP CODE
STREETADORESS
ANIMAL INFORMATION
DOG FEMALE 9/21/2008 AM PIT BULL TER
ANIMAL TYPE ANIMAL SEX ANIMAL DATE OF BIRTH SIZE PRIMARY BREED SECONDARY BREEO
A3663536 HELL CAT RED
PRIMARY COLOR SECONDARY COLOR
ARIAL TO ANIMAL NAME MICROCHIP NUMBER
VACCINATION INFORMATION
RABDOMUN 36 Months 9/16/2016 9/16/2019 9/16/16
VACGINE PROOUCER VACC. LENGTH DATE VACCINATED VACCINATION EXPIRES PRINT DATE
Se aM
ti £0
Aare
KILLED Maricopa County
Animal Care & Control
VACCINE TYPE VETERINARIAN'S SIGNATURE
2500 S 27th Avenue, Phoenix, AZ 85009
(602) 506-7387
$414181
VACG. SERIAL NO VETERINARIANS LICENSE NUMBER