Extracted text (via tesseract_tsv)
39437 characters
Maricopa County Animal Care and Control
2500 S. 27th Avenue
Phoenix, AZ 85009-6797
(602) 506-7387
http://pets.maricopa.gov
Receipt Number: R17-273336 Receipt Date: 10/25/2017
Person ID: P1875830
Phone: 602 2953386
BURTNER KENNELS
10/25/2017 4:21:26Ph ne.
1509 N 194TH AVE
BUCKEYE, AZ 85396
item: Animal ID: Reference No: Price: Each: Amount:
KEN PERMIT AT7T77777 K18-000036 $328.00 1 $328.00
Total Fees Due: $328.00
Payments: Cash: $330.00
Check:
Credit Card:
Total Payments Received: $330.00
Thank You!
Would you like to share your experience with our service to you? Change: $2.00
Please visit our website at http://pets.maricopa.gov and click on Balance Due: $0.00
Contact
5 1 15 4 4 2 481 1755 62 30 96.582619 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
APODACAP EBUSOFF
Maricopa County
Animal Care and Control
2500 South 27th Avenue
Phoenix, AZ 85009
(602) 506-7387 Tele.
(602) 506-2739 Fax
KENNEL PERMIT K18- COC OSE
APPLICATION
C1 New Jer Renewal
Name: Ar Iu Bu cCitnee Kennel NameLJtr Ciner kemnedk
Mailing Address: [Oc ' | Gy eae Kennel Address: } Soa. | q poe
city: Pulclecexe state: AZ Zip: SO OS iy city: Bue key 2. Zip: C S27 Ww
County Supervisorial District:
Phone: (0. 2) YEG ~ a ZA y Kennel Phone: ZOR 4Y8b -SRS
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 unalfered 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 fo allow timely processing.
Pursuant to Arizona statute and county ordinance, a person must obtain a kennel permit issued by the Board
of Supervisors if the person operates a kennel in which there are five or more dogs which are not individually
licensed, A.R.S. §11-1009(A). A kennel is defined as “an enclosed, controlled area, inaccessible to other
animals, in which a person keeps, harbors or maintains five or more dogs under controlled conditions.” A.R.S._
§ 11-1001(8).
An appointment will be scheduled for inspection of the kennel premises by an Animal Control Officer upon
receipt of this kennel permit application and fee. This kennel application properly executed and a copy of the
inspection report will then be forwarded to, and must be approved by, the Maricopa County Board of
Supervisors. The kennel permit form will be sent to you after approval and will be valid for one year from the
date of the Board’s approval.
NOTE: Failure to show for a scheduled inspection and/or failure of inspection will warrant a Subsequent
Inspection Return fee of $49 for each additional visit at time of inspection. Failure of inspection may result in
denial of the kennel permit and require individual licensing of each dog under the provisions of A.R.S. §11-
1008.
PLEASE ANSWER THE FOLLOWING QUESTIONS AND INITIAL EACH RESPONSE
1. We assume complete responsibility for the kennel at the premises for which I/we are making
aplication for a permit and understand that “kennel” means an enclosed, controlled area, inaccessible to
other animals, in which a person keeps, harbors or maintains five or more dogs under controlled
conditions (ARS 11-1001).
2.or We certify that I/We have 4’ ) _ dogs and that the kennel meets the definition in statute.
3. iMWe certify that Ve have not been convicted of a violation of A.R.S. §§ 13-2910 (cruelty to animals)
SA.
or 18-2910.01 (dog fighting), or similar violations of any other state, county or municipal animal welfare law.
(Violations of license and leash laws DO NOT apply).
4. We certify that all dogs over the age of three (3) months that are kept, harbored or maintained on the
prerjises of the above named kennel have been properly vaccinated against rabies by a veterinarian licensed to
practice in the state of Arizona and that a current vaccination certificate signed by a licensed veterinarian is
maintained on the premises for each dog.
5, oy We certify that We are submitting a valid copy of the rabies vaccination certificate for each
dog With this application.
6. of I/We understand that a dog remaining within the kennel is not required to be licensed individually under
AR.$. § 11-1008. [Ave also understand that a dog leaving the controlled kennel conditions shail 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. Dae understand that a pérson 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. b We understand that a person who knowingly fails to obtain a kennel permit within thirty days after
writteh notification from the county enforcement agent is guilty of a class 2 misdemeanor..
9. We undersigned understand that that the kennel permit does not authorize the operation of any type
of buginess and is solely used for the purpose of licensing multiple dogs.
We certify that all of the information We have provided is true and accurate under penalty of law.
ea Ou AZ Date: | O B vA L / /
Applicant senate
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 Daie Term of Permit
October 2015
Maricopa County
Animal Care & Control
2500 South 27" Avenue
Phoenix, AZ 85009
Phone: (602) 506-7387
pets.maricopa.gov
KENNEL PERMIT K18-000036
PREMISE INSPECTION
Number of Dogs: 47
Name: Judy Burtner Kennel Name: Burtner Kennels
Mailing Address: 1509 North 194" Ave Kennel Address: Same
City: Buckeye State: AZ Zip:85326 City: Buckeye Zip: 85326
County Supervisorial District: 5
Phone: 602-486-2928 Kennel Phone: 602-486-2928
1. Are all dogs over the age of three months properly vaccinated for rabies and in
possession of a valid rabies vaccination certificate?
YES
2. Is the kennel an enclosed, controlled area, inaccessible to other animals, in which a
person keeps, harbors or maintains five or more dogs under controlled conditions?
YES
NOTE: Copies of each rabies vaccination certificate must be attached to the Kennel Permit
Premise Inspection form.
CORRECTIVE ACTION NEEDED FOR COMPLIANCE AND N/A DAYS GIVEN
BEFORE REINSPECTION. (Note: There will be $49 re-inspect fee payable to the
Inspector by check upon each return visit.)
NONE
Deputy Enforcement Agent & Badge #: Lt Timothy Rummel Date: 10/27/17
October 2015
Sun Valley Hope Animal! Hospital
7150 North 110th Avenue
Glendale, AZ 85307
(623) 512-4673
Rabies Certificate
Patient ID: 30583
Client 1D: 15205 Patient Name: Princess
Client . Name: Kennels Burtner Species: Canine
Address: 1509 N 194th ave Breed: Terrier+Mix
Sex: Female
Buckeye, AZ 85396 9 Color black
Markings:
Phone: (602)486-2928
Birthday: 06/01/2017
Weight:
Number: 00000000000000000000 Vaccination Date: 9/1/2017
Tag
Lot Number: 188842C Expiration Date: 9/1/2018
Rabies Canine 1 Year Booster Vaccination
Producer: Pfizer
K/MLV/R: Killed Virus
Busclt
Staff Name: Mary K. Burdick DVM Wa
License Number: 4660
IC\\- 0CO0SLo
Sun Valley Hope Animal Hospital
7150 North 110th Avenue
Glendale, AZ 85307
(623) 512-4673
Rabies Certificate
ID: 30584
Patient
Client ID: 15205 Patient Name: Cumor
Client : Name: Kennels Burtner Species: Canine
Address: 1509 N 194th ave Breed: Pug, Chinese Mixed
Sex: Male
Buckeye, AZ 85386 Color: brindle
Markings:
Phone: (602)486-2928
Birthday: 06/01/2017
Weight:
Number: 00000000000000000000 Vaccination Date: 9/1/2017
Tag
Lot Number: 188842C Expiration Date: 9/1/2018
Rabies Canine 1 Year Booster Vaccination
Producer: Pfizer
K/MLV/R: Killed Virus
Baoltd
Staff Name: Mary K. Burdick DVM Wyra
License Number: 4660
K\\-0Q002lb
Sun Valley Hope Animal Hospital
7150 North 110th Avenue
Glendale, AZ 85307
(623) 512-4673
Rabies Certificate
ie Name. mee
Client ID; 15205 ,
Caine
Client Name: Judy Burtner Species: pecs:
Address: 1509 N 194th ave Breed: Poodle
Sex: Male
Buckeye, AZ 85396
Color: >
bad
Markings:
Phone: (602)486-2928 04/27/2017 ;
Birthday:
Weight:
Vaccination Date: 6/29/2017
Tag Number: 00000000000000000000
Expiration Date: 6/29/2018
Lot Number: 193980B
Rabies Canine 1 Year Booster Vaccination
Producer: Pfizer
|
K/MLV/R: Killed Virus
Voy Fe. Brolsti
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
eee Ny man
Client ID: 15205 . ;
ouics ame: coring
Client Name: Judy Burtner 5 Pecies:
Address: 1509 N 194th ave Breed: Poodle
Sex. Female
Buckeye, AZ 85396 Color: oe
4 -
1 AAPA
Markings:
Phone: (602)486-2928
Birthday: 01/27/2017
_
Weight:
Vaccination Date: 6/29/2017
Tag Number: 00000000000000000000
Expiration Date: 6/29/2018
Lot Number: 193980B
Rabies Canine 1 Year Booster Vaccination
Producer: Pfizer
K/MLV/R: Killed Virus
bly Ste. Diusolitbie
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
Patient ID: 29680
Client ID: 15205 Patient Name: Gracie
Client . Name: . Judy Burtner Species: Canine
Address: 1509 N 194th ave Breed: Poodle
Sex: Female
Buckeye, AZ 85396 Color: Silver
Markings:
Phone: (602)486-2928 Birthday: 09/27/2016
Weight:
Vaccination Date: 6/29/2017
Tag Number: 00000000000000000000
Expiration Date: 6/29/2018
Lot Number: 193980B
Rabies Canine 1 Year Booster Vaccination
Producer: Pfizer
K/IMLV/R: _ Killed Virus
Bugllib
fly Ede.
Staff Name: Mary K. Burdick DVM
License Number: 4660
OWNER’S COPY RABIES VACCINATION CERTIFICATE
NASPHV Form #517 Rabies Tag Number
Owner’s Name and Address Print - use ball point pen or type
PRINT - Last First Ml. | Telephone
s Hal
___Buttnet Keene ltd 4B b
0. ree . j tate ip
Isqq 1441 ave. uckeye Az. $3.39,
f
Sex: Age: Size: Predominant Breed: Colors:
ae)
Dog Male [1 | 3 mo to 12 mo C1 | Under 20 tbs. “
Burlelog, My
Cat [| Female ©] 12 mo or older | 20-50 lbs. O
Other: [1] Neutered (J } Actual age Over 50 tbs, bY
(Specify} Actuat lo Name:
lbs.
Reba —————
DATE VACCINATED: | producer] Veterinarian’s: # Az Ug
7 |_|
dh elf
Ss Qu 1) (First 3 fatters) i) l/\ya Conk)»
Month Day Year (Signatures
(114 yr. Lic./Vace.
3 yr. Lic./Vacc,
VACCINATION EXPIRED: 3.05 15th sf
Other K
S 2 3020 188$ US |
Foret At, F528!
Month Day Year Vacc. Serial (lot) no.
OWNER'S COPY RABIES VACCINATION CERTIFICATE
NASPHV Form #51 Rabies Tag Number
Owner's Name and Address Print - use ball point pen or type
PRINT - Last First Ml. | Telephone
t _* Sb AIL
Buckie Keanels ood
: o. tree’ ity tate i
\SoqSS Ay ave OONeve . tp $534
Species: ] Sex: Age: Size: Predominant Breed: Colors:
of
Dog “M] Male 3 mo to 12 mo (1 | Under 20 Ibs. [1] R ! K
Cat [l} Female (| 12 moor older I} 20-50 lbs. O mol\ dos AC ;
Other: (7 | Neutered (J | Actual Age 3 Over 50 Ibs. [47 von re
Specify) Actual..2 © Ibs, | Name:
Set, Chapet————— q
42 ] l 8 4
DATE VACCINATED: Producer: Z 6 — Veterinarian’s: #
S Q7 (First 3 letters} by Lire boo
Month Day Year (Signature}
CO 1 yr. Lic./Vace.
Sr 3
Lic./ Vacc.
VACCINATION EXPIRED: SM et
Other 3a5 bc!
G QY 2020) 1 8BBySh
Month Day Year Vacc. Serial (lot) no.
ownensscor RABIES VACCINATION CERTIFICATE
Rabies Tag Number
NASPHY Form #51
Qwner’s Name and Address Print - use ball point pen or type
PRINT - Last First MLE. a elephone
Buciwer Kennels 1 Slo 242
az,
NV Goa ts \AUMe Buckeye AZ 539L
Species: | Sex: Age: Size: Predominant Breed: Colors:
Dog Male (| 3 moto 12 mo | Under 20 Ibs. 0 Idea While
Bu O
Cat (]|Femate [H412 mo or older 7 20-50 lbs. [1 a4
Bleak
Other: (J | Neutered C1 } Actual Age A seus Over 50 Ibs. [Hi
Name:
(Specify) Actual 20. Ibs,
Em nn
G
DATE VACOINATED: Veterinarian’s: # Z 1154
— | producst|ey | | 4 ;
oy at
Fond. Lbptf!
S pat \ l (First 3 letters) Us
Month Day Year mty Lie./ Vac.
Address:
(1 3 ¥ yr. Lic./Vaec. , +h
VACCINATION EXPIRED: 3 25 F I$ ot
Othe,
S OV vB |_se9guse
Month Day Year Vace. Serial (lot) no.
OWNER’S COPY RABIES VACCINATION CERTIFICATE
NASPHV Form #51 Rabies Tag Number
Owner’s Name and Address Print - use ball point pen or type
PRINFY Last , First M.l. | Telephone
~Burrtner Kennels be Yer 2920
lo re Stat 5 1 57 2 1 8 2072 1819 157 66 0.000000 Rb39L
4 1 57 2 2 0 583 1892 1565 45 -1
5 1 57 2 2 1 583 1892 125 42 96.450592 Species:
5 1 57 2 2 2 784 1903 41 20 72.988838 ex:
5 1 57 2 2 3 984 1899 66 32 96.896278 Age:
5 1 57 2 2 4 1285 1902 70 27 96.422836 Size:
5 1 57 2 2 5 1563 1906 186 28 96.385994 Predominant
5 1 57 2 2 6 1762 1908 94 26 96.464058 Breed:
5 1 57 2 2 7 2046 1911 102 26 96.814919 Colors:
4 1 57 2 3 0 585 1938 1553 45 -1
5 1 57 2 3 1 585 1945 57 32 96.817177 Dog
5 1 57 2 3 2 762 1938 70 45 96.541962 Male
5 1 57 2 3 3 918 1944 33 30 44.630882 (|
5 1 57 2 3 4 985 1950 17 24 90.589111 3
5 1 57 2 3 5 1014 1956 45 20 93.539604 mo
5 1 57 2 3 6 1071 1951 29 25 94.636887 to
5 1 57 2 3 7 1113 1950 33 26 95.329208 12
5 1 57 2 3 8 1159 1957 44 20 96.576370 mo
5 1 57 2 3 9 1217 1947 34 32 51.141857 (J
5 1 57 2 3 10 1262 1940 12 48 96.325066 |
5 1 57 2 3 11 1285 1953 91 26 96.650002 Under
5 1 57 2 3 12 1386 1954 36 25 95.850029 20
5 1 57 2 3 13 1434 1954 50 26 89.488670 Ibs.
5 1 57 2 3 14 1495 1951 34 31 0.000000 [
5 1 57 2 3 15 2136 1968 2 3 66.247986 ;
4 1 57 2 4 0 583 1949 1537 96 -1
5 1 57 2 4 1 583 1995 50 26 81.779457 Cat
5 1 57 2 4 2 694 1992 173 32 30.948452 (|Female
5 1 57 2 4 3 918 1993 33 32 7.899790 [4]
5 1 57 2 4 4 960 1980 16 58 23.357201 |
5 1 57 2 4 5 985 1999 34 25 83.005470 12
5 1 57 2 4 6 1032 2005 45 20 82.399704 mo
5 1 57 2 4 7 1089 2007 30 18 82.399704 or
5 1 57 2 4 8 1131 2001 72 26 95.411041 older
5 1 57 2 4 9 1216 1986 173 42 0.000000 [4720-50
5 1 57 2 4 10 1402 2004 50 26 77.764641 tbs.
5 1 57 2 4 11 1494 1989 47 42 31.730852 [a
5 1 57 2 4 12 1563 1949 242 96 0.306568 Bester
5 1 57 2 4 13 2112 2034 8 8 0.000000 .
4 1 57 2 5 0 582 2023 1589 91 -1
5 1 57 2 5 1 582 2032 93 77 95.933121 Other:
5 1 57 2 5 2 694 2042 34 31 0.000000 [1]
5 1 57 2 5 3 760 2046 133 27 96.694855 Neutered
5 1 57 2 5 4 916 2044 35 31 61.701050 [2
5 1 57 2 5 5 957 2035 14 51 81.929718 |
5 1 57 2 5 6 982 2049 94 27 94.777611 Actual
5 1 57 2 5 7 1086 2050 60 32 96.299103 Age
5 1 57 2 5 8 1284 2052 69 26 96.225220 Over
5 1 57 2 5 9 1365 2053 35 26 92.400909 50
5 1 57 2 5 10 1413 2053 48 26 90.347397 Ibs.
5 1 57 2 5 11 1494 2050 33 31 31.559986 1
5 1 57 2 5 12 1561 2088 20 26 43.477104 N
5 1 57 2 5 13 1949 2023 222 76 0.000000 White
4 1 57 2 6 0 604 2079 1180 56 -1
5 1 57 2 6 1 604 2079 46 52 68.695396 Peck
5 1 57 2 6 2 1009 2111 5 4 70.453018 .
5 1 57 2 6 3 1281 2091 125 38 9.502506 Actuat_ZY
5 1 57 2 6 4 1470 2105 48 25 75.533386 tbs,
5 1 57 2 6 5 1542 2087 14 53 89.510796 |
5 1 57 2 6 6 1584 2096 83 28 11.522722 Name:
3 1 57 3 0 0 1305 2109 513 71 -1
4 1 57 3 1 0 1305 2109 513 71 -1
5 1 57 3 1 1 1305 2109 63 20 93.015785 ctua
5 1 57 3 1 2 1496 2111 15 19 1.364822 S
5 1 57 3 1 3 1573 2123 89 57 61.618546 SQ
5 1 57 3 1 4 1681 2127 137 48 0.000000 Der
3 1 57 4 0 0 580 2199 1514 102 -1
4 1 57 4 1 0 580 2199 1513 102 -1
5 1 57 4 1 1 580 2220 79 26 96.821953 DATE
5 1 57 4 1 2 670 2220 208 27 92.654915 VACCINATED:
5 1 57 4 1 3 982 2237 140 27 42.579170 Producer:!
5 1 57 4 1 4 1190 2246 16 43 39.144714 |
5 1 57 4 1 5 1245 2243 39 48 60.288460 (>
5 1 57 4 1 6 1330 2240 49 61 33.846519 E
5 1 57 4 1 7 1557 2231 204 27 76.102089 Veterinarian’s:
5 1 57 4 1 8 1784 2232 7 26 72.097878 #
5 1 57 4 1 9 1834 2200 32 75 20.688992 —_
5 1 57 4 1 10 1872 2204 87 52 38.544426 AZ
5 1 57 4 1 11 1986 2199 107 59 0.000000 Ls
2 1 58 0 0 0 1129 2199 6 104 -1
3 1 58 1 0 0 1129 2199 6 104 -1
4 1 58 1 1 0 1129 2199 6 104 -1
5 1 58 1 1 1 1129 2199 6 104 95.000000
2 1 59 0 0 0 1218 2201 3 102 -1
3 1 59 1 0 0 1218 2201 3 102 -1
4 1 59 1 1 0 1218 2201 3 102 -1
5 1 59 1 1 1 1218 2201 3 102 95.000000
2 1 60 0 0 0 1309 2202 3 102 -1
3 1 60 1 0 0 1309 2202 3 102 -1
4 1 60 1 1 0 1309 2202 3 102 -1
5 1 60 1 1 1 1309 2202 3 102 95.000000
2 1 61 0 0 0 1399 2202 2 104 -1
3 1 61 1 0 0 1399 2202 2 104 -1
4 1 61 1 1 0 1399 2202 2 104 -1
5 1 61 1 1 1 1399 2202 2 104 95.000000
2 1 62 0 0 0 1129 2299 271 5 -1
3 1 62 1 0 0 1129 2299 271 5 -1
4 1 62 1 1 0 1129 2299 271 5 -1
5 1 62 1 1 1 1129 2299 271 5 95.000000
2 1 63 0 0 0 1182 2313 158 26 -1
3 1 63 1 0 0 1182 2313 158 26 -1
4 1 63 1 1 0 1182 2313 158 26 -1
5 1 63 1 1 1 1182 2313 54 24 91.678383 (First
5 1 63 1 1 2 1243 2315 14 18 92.867477 3
5 1 63 1 1 3 1266 2315 74 24 15.307169 ietters)
2 1 64 0 0 0 1026 2378 267 132 -1
3 1 64 1 0 0 1026 2378 267 132 -1
4 1 64 1 1 0 1026 2378 267 43 -1
5 1 64 1 1 1 1026 2378 35 30 49.930225 Li
5 1 64 1 1 2 1074 2382 11 26 49.930225 1
5 1 64 1 1 3 1101 2388 32 33 89.637199 yr.
5 1 64 1 1 4 1147 2382 146 27 75.886719 Lic./Vace.
4 1 64 1 2 0 1101 2433 192 32 -1
5 1 64 1 2 1 1101 2439 32 26 84.710442 yr.
5 1 64 1 2 2 1147 2433 146 27 64.591827 Lic./Vace,
4 1 64 1 3 0 1206 2483 84 27 -1
5 1 64 1 3 1 1206 2483 84 27 96.186707 Other
2 1 65 0 0 0 1039 2519 244 78 -1
3 1 65 1 0 0 1039 2519 244 78 -1
4 1 65 1 1 0 1039 2519 244 78 -1
5 1 65 1 1 1 1039 2519 244 78 12.217522 |6884.5L
2 1 66 0 0 0 975 2600 294 34 -1
3 1 66 1 0 0 975 2600 294 34 -1
4 1 66 1 1 0 975 2600 294 34 -1
5 1 66 1 1 1 975 2600 80 27 92.287605 Vacc.
5 1 66 1 1 2 1069 2601 80 27 96.736702 Serial
5 1 66 1 1 3 1162 2601 51 33 78.076721 (lot)
5 1 66 1 1 4 1225 2609 44 19 96.730919 no.
2 1 67 0 0 0 1026 2503 165 6 -1
3 1 67 1 0 0 1026 2503 165 6 -1
4 1 67 1 1 0 1026 2503 165 6 -1
5 1 67 1 1 1 1026 2503 165 6 95.000000
2 1 68 0 0 0 975 2586 452 8 -1
3 1 68 1 0 0 975 2586 452 8 -1
4 1 68 1 1 0 975 2586 452 8 -1
5 1 68 1 1 1 975 2586 452 8 95.000000
2 1 69 0 0 0 960 1873 14 815 -1
3 1 69 1 0 0 960 1873 14 815 -1
4 1 69 1 1 0 960 1873 14 815 -1
5 1 69 1 1 1 960 1873 14 815 95.000000
2 1 70 0 0 0 1824 2255 411 6 -1
3 1 70 1 0 0 1824 2255 411 6 -1
4 1 70 1 1 0 1824 2255 411 6 -1
5 1 70 1 1 1 1824 2255 411 6 95.000000
2 1 71 0 0 0 1606 2274 116 89 -1
3 1 71 1 0 0 1606 2274 116 89 -1
4 1 71 1 1 0 1606 2274 116 89 -1
5 1 71 1 1 1 1606 2274 116 89 21.381512 a
2 1 72 0 0 0 1555 2369 118 25 -1
3 1 72 1 0 0 1555 2369 118 25 -1
4 1 72 1 1 0 1555 2369 118 25 -1
5 1 72 1 1 1 1555 2369 118 25 81.198418 (Signature)
2 1 73 0 0 0 1554 2258 650 181 -1
3 1 73 1 0 0 1554 2258 650 181 -1
4 1 73 1 1 0 1742 2258 462 112 -1
5 1 73 1 1 1 1742 2264 181 99 48.872372 Bay
5 1 73 1 1 2 1781 2258 120 110 0.000000 ZO
5 1 73 1 1 3 1936 2258 102 110 0.000000 LL.
5 1 73 1 1 4 2116 2260 88 110 17.239494 MY
4 1 73 1 2 0 1554 2420 98 19 -1
5 1 73 1 2 1 1554 2420 98 19 95.329811 Address:
2 1 74 0 0 0 1546 2439 574 198 -1
3 1 74 1 0 0 1546 2439 574 198 -1
4 1 74 1 1 0 1582 2439 538 92 -1
5 1 74 1 1 1 1582 2460 143 68 66.714340 325
5 1 74 1 1 2 1773 2457 56 71 64.682281 E
5 1 74 1 1 3 1867 2439 253 92 14.005737 ists}
4 1 74 1 2 0 1546 2537 559 100 -1
5 1 74 1 2 1 1546 2558 208 79 0.000000 engfe
5 1 74 1 2 2 1788 2550 96 62 33.440815 M2;
5 1 74 1 2 3 1929 2537 138 60 0.000000 SHE
5 1 74 1 2 4 2087 2538 18 59 0.000000 |
2 1 75 0 0 0 1555 2360 680 8 -1
3 1 75 1 0 0 1555 2360 680 8 -1
4 1 75 1 1 0 1555 2360 680 8 -1
5 1 75 1 1 1 1555 2360 680 8 95.000000
2 1 76 0 0 0 2245 1563 19 1137 -1
3 1 76 1 0 0 2245 1563 19 1137 -1
4 1 76 1 1 0 2245 1563 19 1137 -1
5 1 76 1 1 1 2245 1563 19 1137 95.000000
2 1 77 0 0 0 1536 1879 15 815 -1
3 1 77 1 0 0 1536 1879 15 815 -1
4 1 77 1 1 0 1536 1879 15 815 -1
5 1 77 1 1 1 1536 1879 15 815 95.000000
2 1 78 0 0 0 558 2680 1689 20 -1
3 1 78 1 0 0 558 2680 1689 20 -1
4 1 78 1 1 0 558 2680 1689 20 -1
5 1 78 1 1 1 558 2680 1689 20 95.000000
| Sex \Ad_ pve, Buckeye AZ.
Sal dol
Month Day Year
VACCINATION EXPIRED:
©
Month Day ‘Year
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|
OWNER’S COPY RABIES VACCINATION CERTIFICATE
Rabies Tag Number
NASPHV Form #57
Owner’s Name and Address Print - use bail point pen or type
PRINT - Last First M.l. | Telephone
PBuctner Kennels
No. Street City, State j
1309 9S _ 194 pre Bpckefe 5 256
fe__f2.
Species: j Sex: Age: Size: Predominant Breed: Colors:
Dog Male [47'3 mo to 12 mo [J | Under 20 Ibs. [4 p. ] te.
5 a
Cat [| Female O1| 12 mo or older [| 20-50tbs. O
Other: [1] | Neutered [7] | Actual Age Over 50 Jbs. [3
(Specify) Actual bs, | Name:
Hurseyf__|—————
DATE VACCINATED: Veterinarian’s: # fiZpleq
Producer:| Z| © EE
wom | Oy, Sony lolbaicll
53412
Month Day Year (Signature)
(4 yr. Lic./ Vace. 305 EIS # st
Address:
{5 yr, Lic./Vacc.
VACCINATION EXPIRED: CSAE|
—_____... Other tt.
Feryse
S_ a4 2000 199945 L
Month Day Year Vacc. Serial ‘(ot) no.
OWNER’S COPY RABIES VACCINATION CERTIFICATE
NASPHV Form #51 Rabies Tag Number
Owner’s Name and Address Print - use ball point pen or type
PRINT - Last Firs, M.i. | Telephone
Buon ;
Kennels Mab
cabo
ooh Wikre tate S20,
Borkove At
2
Sex: Age: Size: Predominant Breed: Colors:
Dog Male [2/3 moto 12 mo [| Under 20 Ibs. 1’
e AW. White
Cat [1|Female [©4112 mo or older 1} 20-50 Ibs. BOW
Other: (1 | Neutered D | Actual Age A| €arpOver 50 Ibs. 1
{Specify} Actual Name:
ibs.
None peat’
i} .
DATE VACCINATED: Producer: Veterinarian’s: # tt 4
Z. 6 E
vy Led
SS. ANY \] (First 3 letters) 0) Foe Le
LA ao
Month Day Year (Signature) *
C14 yr. Lic./Vace. i"
Syn Lic./Vace. Address:
VACCINATION EXPIRED: th
Other a Ad im / Ss
7 2)
S24 9030) 1388845 /. . . ,
Ferype / 2, 9528|
Month Day Year Vacc. Serial (tot) no.
OWNER’S COPY RABIES VACCINATION CERTIFICATE
Owner’s Name and Address Print - use ball point pen or type
PRINT - First
Ro, M.I. | Telephone
B optiver Ki ewe ls
as 48L ATLL
No. /509°"%) Street _ Ave State
194
Buckeye fz. 5H
Species: } Sex: Age: Size: Predominant Breed:
Colors:
Dog Male (1/3 mo to 12 mo [1 } Under 20 tbs. 57
8 \A oh
Cat DC] Femate [% 12 mo or older [7] 20-50 Ibs. (| SOF Kie. Leavy
Other: CJ} Neutered [7]! Actual Age.2M Over 50 ibs. (J _ Yan _
Specify)
Actual Ibs, Name:
SV MOR i
DATE VACCINATED: Producer: CZ. re) Veterinarian’s: # a z \A%
Ee
(License No}
5 ay WV) (First 3 letters) «Lan Litnel
Month Day Year aki Signature)”
r. Lic./Vace,
yr Lic./ Vace. wien 345 F [51D
VACCINATION EXPIRED: op
Other
Ligge
S 244 % [688 3 U. 42, 85881
Month Day Year Vacc. Serial (lot) no.
OWNER'S COPY RABIES VACCINATION CERTIFICATE
NASPHV Form #57 Rabies Tag Number
Owner's Name and Address Print - use ball point pen or type
PRINT - First M.L | Telephone
Kennels WOR Bo 84AL
oftniec
*
1504" 194 Ane fuckeye rz Bh
Species: eX: Age: Size: Predominant Breed: Colors:
Dog Male [4] 3 mo to 12 mo [| Under 20 Ibs. [41
f
Cat []|Female [| 12 mo or older 1] 20-50 tbs. O Or”)
Other: [J] | Neutered (1) | Actual Age Over 50 Ibs.
Specity) Actual lO _ tbs. Name:
Missy —___..
7
DATE VACCINATED: Producer: Z A) FF Veterinarian’s: # afl Z. / / fa
3)
First 3 letters) Lt). Tori Lb,
a4 ff IA) o
(o. Day (Signature}
£11 yr. Lic./Vace.
Address:
4 yr. Lic./Vace.
VACCINATION EXPIRED:
——__..... Other BA5 E 19thst
S 24 90D 188343 L
Month Day Year Vacc. Serial (lot) no. Fempe tr, 8528!
OWNER'S COPY RABIES VACCINATION CERTIFICATE
NASPHV Form #51 Rabies Tag Number
Owner's Name and Address Print - use ball point pen or type
PRINT - Last First MI.
Buctwer Kennels od Blo Kalo
se
1509 Sues 24 tre Bucktltye AZ 394
Species: | Sex: Age: Size: Predominant Breed: Colors:
Dog Male 1] 3 mo to 12 mo 1 | Under 20 Ibs. (4
O
Cat [1}Femate [112 mo or older M47 20-50 tbs. C1) Om)
Other: C) | Neutered C1 | Actual Age 4 | Over 5g Ibs.
Specify) Actual Ibs.
mn
ATE VACCINATED Producer: 2. 6) Veterinarian’s: #
3
Soha NO) LaF
Ss Qy \ y) (First 3 letters) /), Ln. je
.
Month Day Year (Gignaturey
(7) 1 yr. Lic./Vace.
(3 yr. Lic./ Vace. Address:
VACCINATION EXPIRED: 329 F 19 sr
Other
S ay 3000 [oes 4s \
Month Day Year Vacc. Serial (lot} no.
|
OWNER’S COPY RABIES VACCINATION CERTIFICATE
oe ables lag Number
NASPHV Form #51
Owner's Name and Address Print - use ball point pen or type
PRINT - Last First MLE cf
baa
Utlnver Kewdels b Hab
Ne treet it at ate F534
1G05" N\A Buckeye AL lo
Species: eX: Age: Size: Predominant Breed: Colors:
Dog Male 13 moto 12 mo 11 | Under 20 Ibs. A\e nt cown
f OO ™
Cat (1|Female [4712 moor older KY] 20-50 lbs. OO
Other: (J | Neutered 1 | Actual Age_>_ | Over 50 Ibs. [1
Specify) Actual ibs, | Name:
Rogg . |_____
Kz \\s) C
DATE VACCINATED: Producer: Veterinarian's: nar #
wa © t ey
5 ay {First 3 letters) Lh lems VLG Led
oy
Month Day Year (Signattre)
(3 tyr. Lic./Vace.
4 ee L
Lic./Vacc. thes
30S E ; S
VACCINATION EXPIRED:
Other
S 2 xgo $8345 pe, 6528
Rrype
Month Day Year Vacc. Serial (lot) no.
OWNER'S COPY RABIES VACCINATION CERTIFICATE
Owner's Name and Address Print - use ball point pen or type
PRINT - Last First Ml. . | Telephone
(2 Bo AFG |
Bucloec Keone!
: Oo. treet State Zi
1S09 1A Ae Bue cReye Az KO39L.
Species: ex: Age: Size: Predominant Breed: Colors:
Dog Male £1] 3 mo to 12 mo C1 | Under 20 tbs»
Rosle Bleek 2
Cat [| Female [1 12 moor older 1] 20-50ibs. FI
Other: [1 | Neutered (1 j Actual Age ba Over 50 ibs, (3 Whrie
(Specify) Actual 40 Ibs, | Name:
Boss re oo
ce!
DATE VACCINATED: Producer: . Veterinarian’s: i # Az Weg
Wa re) E
{lseres Ne)
5 at) {First 3 letters} (bb,
Le Tee (xan)
Month Day Year
CO 14 yr. Lic./Vacc. Th
Address: Gy E /, iS gt
yr. Lic./Vacc. 32
VACCINATION EXPIRED:
Other
Ats 85 38|
S ay 20380 1 §33 45 [ evga
Month Day Year Vacc. Serial (lot) no.
OWNER’S GOPY RABIES VACCINATION CERTIFICATE
NASPHV Form #51 Rables Tag Number
Owner's Name and Address Print ~ use ball point pen or type
Last First M.I.
ae | Telephone
Bu Kennels
ayer bbd-
= ree! Wo Alb
509 del ae Biebere f Az. [786341
Species: | Sex: Age: Size: Predominant Breed:
Colors:
Dog Male (141 3 mo to 12 mo 1 | Under 20 Ibs. [J
Cat (1/Female £1] 12 mo or older [47 20 - 50 Ibs, Bb I / Og yf i a
Other: C1} Neutered [7 | Actuat AgeL Year Over 50 a
Specify) GOs
Actual Orns Name:
Fire CL4 che
DATE VACCINATED: Producer: Veterinarian’s: # / [ $7
Z d EB z
Wis
5 a uo} } 7 (First 3 letters) f
1, Fett. bbl (hb.
Month Day Year :
ery r, Lic./Vace. {Signatdre)
(1 3 yr. Lic./Vace. Adcress:
VACCINATION EXPIRED:
Other 3 y, 5, E / oth st
|
5 24 18
|_psey5/
Month Day Year Vac. Serial (lot) no’ Mz KOA g/
fey /
OWNER'S COPY RABIES VACCINATION CERTIFICATE
NASPHV Form #51 Rabies Tag Number
Owner's Name and Address Print - use ball point pen or type
PRINT - Last First ML.
Telephone
Burner Ke ndels
b69, 2926
Whe
No. Street ; State j
15.00 \94 ave BULK AZ. 3529/0
eye
Species: | Sex: Age: Size: ‘Predomina it Breed: Colors:
Dog Male [1 | 3 mo to 12 mo Under 20 tbs. 0 lo
Cat [|Femate [41 12 or QB VINGLO }|
mo or olde; cy 20-50 lbs. Cl
Other: (1 | Neutered [7] | Actual Age 1. Over 50 Ibs, [4% wWh/te_
Specify} Actual Ibs, | Name:
Ralls
/
DATE VACGINATED: | producer] Z| | E Veterinarian’s: # Az..\ IgG
¢
5 Oy i (First 3 ietters)
ca awd
Month Day Year (Signature)
[7 1 yr. Lie./Vacc.
Address:
VACCINATION EXPIRED: Meg. vedic.
325 FE sth of
5 AY 900) ) B84 L.
Month Day Year Vacc. Serial (lot) no.
OWNER’S COPY RABIES VACCINATION CERTIFICATE
Rabies Tag Number
NASPHV Form #57
Owner’s Name and Address Print - use ball point pen or type
PRIN - Last First ML.
Loo Ib l- Sap
OUmxoet Yoone\s
No. Street AU Re 8c ity feo" 296 84h)
So Ay We
Species: [,Sex: Age: Size: Predominant Breed: Colors:
Dog Male ia 3 mo to 12 mo [1] | Under 20 Ibs, 0] Rage h/ R LA / i
Cat (C|Female (| 12 mo or older DY] 20-50 tbs.
A US whe n
Other: [-] | Neutered LD | Actual poe Over 50 ibs. C1] He.
(Spectty Actual_2V ibs, | Name:
Wo \ \ley
AZ L g4
DATE VACCINATED: 1 Veterinarian’s: #
: Producer: 7. >) E No)
a,
5 O40) Fons Dn TocnsslebdarAf
Month Day Year [4 Lie/Vace. Sane
yr.
SS?
MS yr. Lic./Vace. 5m +}
VACCINATION EXPIRED: < 2 3 E | 4
Other
S Qty sc90 | 38345
Month Day Year Vacc. Serial (lot) no.
OWNER'S COPY RABIES VACCINATION CERTIFICATE
NASPHV Form #5 1 Rabies Tag Number
Owner’s Name and Addre SS Print - use bail point pen or type
PRINT - La First ML Telepho
Bochoes Kennels bee) (Bb S90
~ ar
1 go0 treet
N AGH ive Buckere Az 8 H4b
Sex:
Species: Age: Size: Predominant Breed: Colors:
of
Dog ale £1} 3 mo to 12 mo (J | Under 20 ibs.
Cand \e
Cat ([1|Female [| 12 mo or older | 20-50ibs. OF
[-] | Neutered (1 | Actual Age_~2__ Over 50 Ibs. 1
Other:
speci N Jamey
Actual Ibs. Co Co
DATE VACCINATED: Producer:| “Z| — Veterinarian’s: # ne \X84
a icense No.
S_ BY dey) (First 3 letters} On. WAGE
Month Day Year {Signature)
C) 4 yr. Lic./Vacc.
SS yr. Lic./Vacc. wanes BI5 FE SY sh
VACCINATION EXPIRED:
Other
8528 |
QU dEHO \ 3 4ou Bempe Ae,
Month Day Year Vacc. Seria f (tot) no.
OWNER’S COPY RABIES VACCINATION CERTIFICATE
Rabies . Tag Number Nu
NASPHV Form #51
Owner's Name and Address Print - use ball point pen or type
First = A. — el lephon
PRINT - Last i $l 9979 L
aa)
nes Woonels
But
No. treet, ~ Ra.
\SRQ, WN VAY Ave Bodvase NZ
Size: Predominant Breed: Colors: :
Species: | Sex: Age:
Male O 3 mo to 42 mo (1 | Under 20 Ibs. 4 Co ; Blnek
Dog | p U cn
Cat C|Female (47112 moor older [4] 20-50 tbs.
Other: (| Neutered C1 | Actual Age Over 50 Ibs. [1
Name: ©3*
(Spectty) Actual.22_ Ibs. |
Ba
AZ\1\69
Veterinarian’s: #
DATE VACCINATED: Producer: ZO’ (License —_ No.)
(First 3 tetters)
5_ ay 20)
Month Day Year (Signature)
C1 1 yr. Lic./Vace.
worn james 305 E \G St
Lic./Vacc.
VACCINATION EXPIRED: Other
ft. $506\
S WW 9000 | BGYSL Fempe.
Month Day Year Vacc. Serial {lot) no.
OWNER'S COPY RABIES VACCINATION CERTIFICATE
NASPHV Form #51 Rabies Tag Number
Owner's Name and Address Print - use bail point pen or type
PRINT - Last First M.I, | Telephone
Nine oer Reonel : LCQYSb OI ab
: 0. wn r j . s me j
)5cm “Rak Ave QucBeye Az. R599),
,
Species: | Sex: Age: Size: Predominant Breed: Colors:
Dog Male [7] | 3 mo to 12 mo (1 | Under 20 Ibs. C1
PUG
Cat ([]|Female 4712 mo or older [7 20-50tbs, 1 rane
[7] | Neutered (1 | Actual Age Over 50 Ips. 1
other:
pec Actual) ibs, | Name:
Lit lor |-——_—___
DATE VACCINATED: Veterinarians: # it Zz S94
Producer:
7 0 FE
: (First 3 letters} Dp Tere G8
S_ 242017
Month Day Year (Signature) 7
(11 yr. Lic./Vace.
RS Lic./Vace. Address:
yr.
VACCINATION EXPIRED: BIS E 1S s+
Other
| 8384 5b
Jernge Ae, & SA8)
Month Day Year Vacc, Serial (lot) no,
OWNER'S COPY RABIES VACCINATION CERTIFICATE
NASPHV Form #57 Rabies Tag Number
Owner's Name and Address Print - use ball point pen or type
Last irst MLL.
ras, roan
__‘nennels KL
_—oworrner Wa 22
0. reet City State PAI
ISoQhhy AA we Bower Az. ; BS,
Species; | Sex: Age: Size: Predominant Breed: Colors:
Dog Male [1] 3 mo to 12 mo 4 Under 20 Ibs, [J
| BR 4¢ 4
Cat []|Femaie [8] 12 moor older Mf[ 20-50 lbs, [a] &
Other: [| Neutered L1 | Actual Age Over 60 Ibs. Whe
(Specify Actual 30. Ibs, | Name:
Dre
DATE VACCINATED: ; . ‘ Veterinarian’: inarian’s: # ANS
Producer:"7 | Cy ¥ Tei
S a L} fA 0} )
(First 3 letters) 1@ iA ey
e
Month Day Year (Signature)
(1) 4 yr. Lic./Vace.
{YS Lic./Vace. Address:
yr.
VACCINATION EXPIRED: 345 E15
Other
4
S94 spo 166345 IASI
= Bnfo. #2, 6
Month Day Year Serial (lot) no.
OWNER'S COPY RABIES VACCINATION CERTIFICATE
NASPHV Form #51 Rabies Tag Number
Owner’s Name and Address Print - use ball point pen or type
rst M.l. 1 Telephone
eS OM wer Leorel Lor Uglesaald
C
No., Street State
Soo TN ATY me Bilokeye B5FAle
hz
Br
Species: | Sex: Age: Size: Predominant Breed: Colors:
Dog Male C1] 3 mo to 12 mo (| Under 20 Ibs. 1
Cat C|Female 412 mo or older 1] 20-50tbs. O Dosis!
Other: [9 | Neutered [7] | Actual Age Over 50 Ibs. bY” Tis
(Specify) , Actual ibs, | Name:
Vrkilo
DATE VACCINATED: Producer: 7. © E! Veterinarian’s: #
(License No.)
Pwecy) {First 3 letters)
onth Day Year (Signattré)
OO 1 yr. Lic./Vace.
3 yr. Lic./Vacc,
VACCINATION EXPIRED: “395 E (SM 3
—__...... Other
S Ai 9606 (683 49 2. 9598)
Tenpe
Month Day Year Vacc. Serial (lot) no.
OWNER’S COPY RABIES VACCINATION CERTIFICATE
Rabies Tag Number
NASPHY Form #57
Owner’s Name and Address Print - use ball point pen or type
First MJ. | Telephone
PRINT - Last
Kenwels (vik 4 8b 9
orgs
State
85396
NO MR (AY aye Bocweyve Kz
oq
Size: Predominant Breed: Colors:
Species: OX: Age:
Mate £1} 3 mo to 12 mo [1] | Under 20 Ibs. wy ~ wy i Ria Kv |
Dog Of i
(ll Female {112 mo or older [44 20 - 50 Ibs. im “ Net,
Cat P U3 Ute,
[1] | Neutered C1 | Actual Age Over 50 Ibs. C1] _
Other: Name:
(Specify) Actual 4 Ibs. |
SWhomme C_ iL/_= = —
A Z| ! 89
Veterinarian’s: #
DATE VACCINATED: Producer:| “| (} EB | (License No.
7) wel
S MY (First 3 tetters} Oy Torx
é
{Signature} “
Month Day Year C1 t yr. Lic./Vace.
Address:
yt. Lic./Vacc. t
EXPIRED: 335 E16 sr
VACCINATION Other
5 ah Q0d0 $6645 U
Month Day Year Vacc. Serial (lot) no.
OWNER'S COPY RABIES VACCINATION CERTIFICATE
Rabies Tag Number
NASPHV Form #57
Owner’s Name and Address Print - use ball point pen or type
PRINT -
_B
5 1 96 1 1 4 890 1638 37 77 89.469025 {
5 1 96 1 1 5 1336 1621 53 26 90.435516 Firs
5 1 96 1 1 6 1771 1615 52 26 77.972328 M.l.
5 1 96 1 1 7 1861 1609 18 42 33.737534 |
5 1 96 1 1 8 1888 1614 151 32 95.848618 Telephone
3 1 96 2 0 0 777 1624 1437 168 -1
4 1 96 2 1 0 777 1624 1436 168 -1
5 1 96 2 1 1 777 1668 140 124 28.826786 tt
5 1 96 2 1 2 913 1638 127 98 27.004728 (Mer
5 1 96 2 1 3 1188 1645 188 141 29.212313 Hear
5 1 96 2 1 4 1883 1624 83 99 46.268116 (2
5 1 96 2 1 5 1990 1624 82 99 0.000000 46le
5 1 96 2 1 6 2114 1628 99 74 56.419159 HAL
3 1 96 3 0 0 577 1713 1658 495 -1
4 1 96 3 1 0 807 1714 1116 72 -1
5 1 96 3 1 1 807 1724 56 44 58.200508 tree’
5 1 96 3 1 2 1366 1720 58 66 42.083961 Ge
5 1 96 3 1 3 1743 1747 6 4 24.480734 .
5 1 96 3 1 4 1846 1714 77 26 96.438782 State
4 1 96 3 2 0 661 1712 1556 100 -1
5 1 96 3 2 1 661 1740 140 55 24.024963 Hoe
5 1 96 3 2 2 993 1733 98 58 20.725666 Qu
5 1 96 3 2 3 1131 1750 66 39 42.667126 Are
5 1 96 3 2 4 1401 1729 110 83 28.106108 Che
5 1 96 3 2 5 1544 1749 40 35 54.084801 ye
5 1 96 3 2 6 1702 1733 104 58 43.993294 Nw
5 1 96 3 2 7 2046 1712 171 65 39.654839 $2396
4 1 96 3 3 0 577 1740 1565 119 -1
5 1 96 3 3 1 577 1817 125 42 96.611450 Species:
5 1 96 3 3 2 778 1825 41 20 59.221062 ex:
5 1 96 3 3 3 979 1816 65 32 96.005051 Age:
5 1 96 3 3 4 1278 1740 80 99 63.763336 =
5 1 96 3 3 5 1555 1808 188 27 96.663071 Predominant
5 1 96 3 3 6 1755 1806 95 27 96.737076 Breed:
5 1 96 3 3 7 2038 1799 104 41 94.917458 Colors:
4 1 96 3 4 0 579 1848 1583 59 -1
5 1 96 3 4 1 579 1873 59 31 96.843315 Dog
5 1 96 3 4 2 757 1869 71 27 89.009598 Male
5 1 96 3 4 3 913 1863 35 32 40.364586 (1
5 1 96 3 4 4 964 1844 11 59 40.364586 |
5 1 96 3 4 5 989 1867 9 25 58.789108 3
5 1 96 3 4 6 1009 1872 46 20 58.789108 mo
5 1 96 3 4 7 1067 1867 28 25 90.149284 to
5 1 96 3 4 8 1111 1865 31 25 93.797478 12
5 1 96 3 4 9 1153 1870 44 20 94.343155 mo
5 1 96 3 4 10 1212 1860 33 30 54.775642 Lj
5 1 96 3 4 11 1278 1861 137 28 92.447075 Under
5 1 96 3 4 12 1377 1844 30 59 96.890167 20
5 1 96 3 4 13 1427 1844 49 59 77.692482 tbs.
5 1 96 3 4 14 1495 1844 42 59 26.480112 [1
5 1 96 3 4 15 1963 1855 100 52 46.436066 wry
5 1 96 3 4 16 2079 1848 83 57 5.725832 We
4 1 96 3 5 0 577 1875 1170 114 -1
5 1 96 3 5 1 577 1923 53 24 72.247528 Cat
5 1 96 3 5 2 691 1917 173 30 0.000000 Ci|Female
5 1 96 3 5 3 913 1899 103 45 38.586159 [1/12
5 1 96 3 5 4 1029 1921 87 20 63.220993 moor
5 1 96 3 5 5 1126 1914 72 75 57.040054 oe
5 1 96 3 5 6 1212 1893 49 47 42.708393 |
5 1 96 3 5 7 1278 1911 167 27 14.134951 20-s50bbs.
5 1 96 3 5 8 1601 1875 146 70 9.787674 ‘ania’
4 1 96 3 6 0 579 1956 999 77 -1
5 1 96 3 6 1 579 1971 95 62 84.167747 Other:
5 1 96 3 6 2 691 1966 35 31 65.367584 C1]
5 1 96 3 6 3 759 1968 132 27 95.481827 Neutered
5 1 96 3 6 4 915 1962 33 32 47.556297 C1
5 1 96 3 6 5 955 1958 12 46 95.992142 |
5 1 96 3 6 6 981 1965 92 27 94.948128 Actual
5 1 96 3 6 7 1084 1965 59 32 94.224731 Age
5 1 96 3 6 8 1279 1962 71 26 96.593109 Over
5 1 96 3 6 9 1360 1962 35 26 41.965515 80
5 1 96 3 6 10 1408 1960 49 28 42.899670 Ibs.
5 1 96 3 6 11 1489 1956 34 30 56.228519 OO
5 1 96 3 6 12 1557 1992 21 26 76.013489 N
4 1 96 3 7 0 601 1992 1049 46 -1
5 1 96 3 7 1 601 1992 67 46 66.401199 pecity
5 1 96 3 7 2 1581 1998 69 20 93.105637 ame:
4 1 96 3 8 0 1278 2007 237 41 -1
5 1 96 3 8 1 1278 2007 93 41 96.743614 Actual
5 1 96 3 8 2 1465 2010 50 26 72.203186 Ibs.
4 1 96 3 9 0 1575 2011 660 70 -1
5 1 96 3 9 1 1575 2011 247 70 0.000000 WRAONG
5 1 96 3 9 2 1885 2007 77 92 52.338379 |
5 1 96 3 9 3 1951 2050 284 7 0.000000 -——-—
4 1 96 3 10 0 582 2088 1496 84 -1
5 1 96 3 10 1 582 2147 78 25 96.842163 DATE
5 1 96 3 10 2 670 2144 209 27 96.640663 VACCINATED:
5 1 96 3 10 3 1119 2159 5 6 0.000000 ;
5 1 96 3 10 4 1633 2132 128 12 50.327908 inatian's:
5 1 96 3 10 5 1888 2088 190 63 0.000000 Azi6
4 1 96 3 11 0 736 2132 1228 76 -1
5 1 96 3 11 1 736 2144 53 27 72.033669 CIN
5 1 96 3 11 2 984 2154 140 26 9.503603 Producer:
5 1 96 3 11 3 1161 2150 46 45 15.489302 “2.]
5 1 96 3 11 4 1243 2153 40 42 78.643784 >
5 1 96 3 11 5 1321 2145 41 63 62.631565 E
5 1 96 3 11 6 1557 2135 204 25 62.471462 Veterinarian’s:
5 1 96 3 11 7 1774 2132 17 25 93.259552 #
5 1 96 3 11 8 1827 2162 92 24 13.698568 Glass
5 1 96 3 11 9 1927 2160 37 20 52.229118 Ne
2 1 97 0 0 0 1607 2183 109 76 -1
3 1 97 1 0 0 1607 2183 109 76 -1
4 1 97 1 1 0 1607 2183 109 76 -1
5 1 97 1 1 1 1607 2183 109 76 82.495758 On.
2 1 98 0 0 0 1558 2271 118 72 -1
3 1 98 1 0 0 1558 2271 118 72 -1
4 1 98 1 1 0 1558 2271 118 27 -1
5 1 98 1 1 1 1558 2271 118 27 81.499886 (Signature)
4 1 98 1 2 0 1558 2322 97 21 -1
5 1 98 1 2 1 1558 2322 97 21 89.432281 Address:
2 1 99 0 0 0 1588 2342 536 196 -1
3 1 99 1 0 0 1588 2342 536 196 -1
4 1 99 1 1 0 1623 2342 491 99 -1
5 1 99 1 1 1 1623 2373 134 68 75.763817 295
5 1 99 1 1 2 1801 2372 46 57 89.306892 E
5 1 99 1 1 3 1873 2342 241 87 24.662771 15?
5 1 99 1 1 4 2045 2338 74 109 91.212326 st
4 1 99 1 2 0 1588 2435 536 103 -1
5 1 99 1 2 1 1588 2463 184 75 27.474127 Fine
5 1 99 1 2 2 1819 2450 175 69 78.948547 AL,
5 1 99 1 2 3 1943 2444 50 98 41.713531 &
5 1 99 1 2 4 1953 2435 171 90 0.000000 8EA8/
2 1 100 0 0 0 1529 1747 29 853 -1
3 1 100 1 0 0 1529 1747 29 853 -1
4 1 100 1 1 0 1529 1747 29 853 -1
5 1 100 1 1 1 1529 1747 29 853 95.000000
2 1 101 0 0 0 567 2577 1689 43 -1
3 1 101 1 0 0 567 2577 1689 43 -1
4 1 101 1 1 0 567 2577 1689 43 -1
5 1 101 1 1 1 567 2577 1689 43 95.000000
2 1 102 0 0 0 2234 1452 34 1139 -1
3 1 102 1 0 0 2234 1452 34 1139 -1
4 1 102 1 1 0 2234 1452 34 1139 -1
5 1 102 1 1 1 2234 1452 34 1139 95.000000
{First 3 letters)
S
A
Month Day Year (11 Lic/ Vacc.
yr.
(W4"yr. Lic./Vacc.
VACCINATION EXPIRED:
Other
2090 LE889 SL
S_ AX
Month Day Year Vacc. Serial (lot) no.