KENNEL PERMIT FOR JUDY HAMEL DBA FOREVER FAITHFUL.PDF

Maricopa County
Animal Care & Control
2500 South 27" Avenue
Phoenix, AZ 85009
Phone: (602) 506-7387
pets.maricopa.gov
KENNEL PERMIT K18-000059
PREMISE INSPECTION
Number of Dogs: 33
Name: Judy Hamel Kennel Name: Forever Faithful
Mailing Address: PO Box 7753 Kennel Address: 12613 S 189'" Ave
City: Goodyear State: AZ Zip: 85338 City: Goodyear Zip: 85338
County Supervisorial District: 5
Phone: 623-810-1622 Kennel Phone: 623-810-1622
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 WN/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: 07/14/17
October 2015

Maricopa County Animal Care and Control
2500 S. 27th Avenue
Phoenix, AZ 85009-6797
(602) 506-7387
http://pets. maricopa.gov
Receipt Number: R17-178470 Receipt Date: 07/07/2017
Person ID: P2360063
Phone: 623 8101622
FOREVER FAITHFUL KENNELS
TI712017 10:11:44AM
PO BOX 7753
GOODYEAR, AZ 85338
ltem: Animal (D: Reference No: Price: Each: Amount:
KEN PERMIT A?777777 $328.00 1 $328.00
KEN PER LATE A7777777 25.00 6 $150.00
Total Fees Due: $478.00
Payments: Cash:
Check: $478.00
Credit Card:
Total Payments Received: $478.00
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	19	1	1	2	481	1835	59	31	95.911201	Us to email your comments for our review.
Animal Information:
A7777777 KENNEL PERM - BORN 9/14/1999, SPAYED, UNKNOWN/MIX, TRICOLOR DOG
luffmanm EBUSOFF

Maricopa County
Animal Care and Control
2500 South 27th Avenue
Phoenix, AZ 85009
(602) 506-7387 Tele.
(602) 506-2739 Fax
KENNEL PERMIT K |3-000059
APPLICATION
L] New xt Renewal
Name: Judy Hamel Kennel Name: Forever Faithful
Mailing Address: PO Box 7753 Kennel Address: 12613 S 189" Ave
City: Goodyear State: AZ Zip: 85338 City: Goodyear Zip: 85338
County Supervisorial District: #5
Phone: 623-810-1622 Kennel Phone: Same
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 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 fo, 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. §71-
1008.
PLEASE ANSWER THE FOLLOWING QUESTIONS AND INITIAL EACH RESPONSE
1. iAVe assume complete responsibility for the kennel at the premises for which I/we are making
he
pplication 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. lWe certify that I/We have Cyans AAS dogs and that the kennel meets the definition in statute.
3. We certify that /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.uf 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. Ae | We certify that iMVe are submitting a valid copy of the rabies vaccination certificate for each
dog with this application.
6. Ie understand that a dog remaining within the kennel is not required to be licensed individually under
A.R.S. § 11-1008. IAwe 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. Don. IWVe understand that a person who fails to obtain a kennel permit under A.R.S.§11-1009 is subject to a
peralty of twenty-five dollars in addition to the annual fee.
8. IWWe understand that a person who knowingly fails to obtain a kennel permit within thirty days after
(ee
wriften notification from the county enforcement agent is guilty of a class 2 misdemeanor..
9. The undersigned understand that that the kennel permit does not authorize the operation of any type
of business and is solely used for the purpose of licensing multiple dogs.
We certify that all of the information I/We have provided is true and accurate under penalty of law.
Applicant Signature Kime Date: Yalfs2
My
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

Coed
Tob
Date of Rabies Vaccination: 08-13-15 Next Rabies Vaccination On: 08-12-18 4
VETERINARY CLINIC OWNER OF ANIMAL
Bethany Animal Hospital 2015 Judy Hamel Forever Faithful An Sanct
2524 W Bethany Home Rd. PO BOX 7753
Phoenix, AZ 85017 Goodyear, AZ 85338
602-242-1657 810-1622
This is to certify...
THAT | HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW.
PATIENT: Toby SEX: Neutered Male
SPECIES: Canine WEIGHT: 80.00
BREED: Shepherd mix AGE: 3Y
Color and markings: Tan DOB: 08-13-12
Rustin Bodiker f License: 6605
Rabies Vaccine Information...
MFG BY: RABVA SER.NO: S516083B Name: Nobivac 3
TYPE: KIL ADM: SQ
SUBMIT WITH LICENSE APPLICATION
of Rabies Vaccination: 08-13-15 Next Rabies Vaccination On: 08-12-18
nil
VETERI CLINIC OWNER OF ANIMAL
Bethany Anim ospital 2015 Judy Hamel Forever Faithful An Sanct
2524 W Bethany e Rd. PO BOX 7753
Phoenix, AZ 85017 Goodyear, AZ 85338
602-242-1657 810-1622
This is to certify...
THAT | HAVE VACCINATED AGAINS BIES THE ANIMAL DESCRIBED BELOW.
PATIENT: Toby SEX: Neutered Male
SPECIES: Canine WEIGHT: 80.00
BREED: Shepherd mix E: 3Y
Color and markings: Tan DOB:
Rustin Bodiker License: 6605
Rabies Vaccine Information...
MFG BY: RABVA SER.NO: S516083B Name: Nobivac 3
TYPE: KIL ADM: SQ
OWNER COPY- KEEP IN A SAFE PLACE

veer ~
Date of Rabies Vaccination: 08-11-15 Next Rabies Vaccination Gn: 08-10-18
VETERINARY CLINIC OWNER OF ANIMAL
Bethany Animal Hospital 2015 Judy Hamel Forever Faithful An Sanct
2524 W Bethany Home Rd. PO BOX 7753
Phoenix, AZ 85017 Goodyear, AZ 85338
602-242-1657 810-1622
This is to certify...
THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW.
PATIENT: Queenie SEX: Spayed Female
SPECIES: Canine WEIGHT: 18.40
BREED: Chihuahua, Short-hair Mix AGE: 10Y
Color and markings: Tan DOB: 04-09-05
Signed Lbdesobese Mina
Dorie Anderssohn i License: 4007
Rabies Vaccine information...
MFG BY: RABVA SER.NO: S516083B Name: Nobivac 3
TYPE: KIL ADM: SQ
SUBMIT WITH LICENSE APPLICATION
ies Vaccination: 08-11-15 Next Rabies Vaccination On: 08-10-18
VETERINARY CL OWNER OF ANIMAL
Bethany Animal Hospi 2015 Judy Hamel Forever Faithful An Sanct
2524 W Bethany Home R& PO BOX 7753
Phoenix, AZ 85017 Goodyear, AZ 85338
602-242-1657 810-1622
This is to certify...
THAT | HAVE VACCINATED AGAINST RABI E ANIMAL DESCRIBED BELOW.
PATIENT: Queenie : Spayed Female
SPEGIES: Canine
BREED: Chihuahua, Short-hair Mix
Color and markings: Tan DOB: 04-09-05
deretsh
Me SW
Signed
‘ Dorie Anderssohn License: 4007
Rabies Vaccine information...
MFG BY: RABVA SER.NO: $516083B8 Name: Nobivac 3
TYPE: KIL ADM: SQ
OWNER COPY- KEEP IN A SAFE PLACE

Lvans
Preciou
RABIES VACCINATION CERTIFICATE Rabies Tag Number
NASPHV Form #50
Owner's Name & Address Print - use ball point pen or type
PRINT - Last ca VP a First AFA i i ML.
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No. av, . treet —; _., 3 City, 5 wy , =
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Specids: Sex: | Age: Size: * Pr Predominant Breed:
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Dog 1a” 3 mo, to 12 mo. | Under 20 tbs. O ai ey 4 SUL
Cat [LY |Femate CF | 12 mo. or oldér-¥"| - 20-50 lbs. = 4 yi VY onl} r PN
Name ie ve STO WOR iat Over 50 tbs.
a FAK O | c | Vacc. Serial (lot) No.
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Agency DATE VACCINATED:
na mite on ee Veterinarians: # _°7> ot i }
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Month Day Year s

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RABIES VACCINATION
CERTIFICATE
Owners Name & NASPHV Form #50 Rabies Tag Number
Address
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Species: Cr pRe te
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SPAY ANDRE ture
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Control No. Z. “ r 7342 W. ¢
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Month § Phoenix, AZ 85933
§23-846-3975

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RABIES VACCINATION CERTIFICATE Rabies Tag Number
NASPHYV Form #50
Owner's Name & Address Print - use ball point. gen or type
PRINT - Last M.t.
Coveey COVE . | Telephone,
Dep |
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Species" |Sex¥) (> [ Age: Size: () | Predominant Breed: SY
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cat Female [1 [12 mo. or older $2 | 20-50 Ibs. B= “
Name WY OVOP 7 Yj Over 50 (bs. ~ CY
| ZLO | YY . -_ - Serial (lot) No.
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For Licensing Agency Use DATE
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Year
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Signature
Other VACCINATION EXPIRES: q Say AND NEUTER
Change 1 ada O) CLINIC
Controt No. OP? - O2 IS i iW. tncian School Rd., Ste 108
3 Phoenix, AZ 85033
Month Day Year 299 es
42070

MDMO
Rabies Vaccination Certificate
Owner's Information
HAMEL JUDY P1090817 (623) 8101622
Last Name First Name Person ID Telephone Exiension
0 PO BOX 7753 GOODYEAR AZ 85338
Street Address Apartment/Unit City State Zip
Animal information
DOG Neutered 04/16/2015 MED AM PIT BULL TER MIX
Animal Type Animat Sex Animat Date of Birth Animal Size Primary Breed Secondary Breed
A3700773 MOMO 9851 12006929647 TAN WHITE
Animat ID Animal Name Microchip Number Primary Color Secondary Color
Vaccination Information
RABDOMUN SPEC 36 Months 06/02/2016 06/02/2019 06/02/2016
Vaccine Producer Vaccination Length Date Vaccinated Vaccination Expires Print Date
10
KILLED yl ah
Maricopa County
Vaccine Type Veterinarian Signature Animal Care and Control
$N117129 2500 S. 27th Ave, Phoenix, AZ 85009
Vaccination Serial Number Verterinarian's License Number (602) 506 - 7387

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_ RABIES VACCINATION CERTIFICATE Rabies Tag Number
NASPHV Form #50
Owner's Name & Address Print. use ball point pen or type
rar Ml. | Telephone,
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“PORE
103 ) 6 LyQCRN v2
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Species: Sexe < Size: Predominant Breed: Colors:
K ar 2) vATE |
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Cat 7C) Femat&é ) © | 12 mo. or alder 5A] 20-50 tbs.
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Serial (lot} No.
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RABIES VACCINATION
NASPHV Form #50
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Predominant Breed: Colors:
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DATE VACCINATED: | Veterinarian's: # F No.
Licensing ‘Agency Use _icense
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License { erm bth se =
Day Year
Month Signature
SPAY AND NEUTER CLINIC
VACCINATION EXPIRES: 3 School Rd., Ste 108
Other «LG 7842 W. Indian
1 Add SI y\ 46% 1 Is Phoenix, AZ 85033
change OL ue §
Control No. Day Year R46-
Month

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RABIES VACCINATION CERTIFICATE Rabies Tag Number
NASPHV Form #50
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PRINT - La Veo\ Ml. |eTe
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Speci Sex: ’ Age: Predominant Breed: Colors:
Dog x Male 3 mo. to 12 mo. L] Under 20 Ibs. UJ
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Cat Femail le 42 mo. or older 20-50 lbs. 9 0
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Name “(YO 7” *~TOver 50 lbs.
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For Licensing Agency Use DATE VACCINATED;
, Veterinarian’s: #
License No, Year Cy } 3 \lo \7J ioanse
No.
Month Day Year
Signature
Other VACCINATION ry:
EXPIRES: i ei
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Year 238.
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CERTIFICATE Rabies Tag Number
RABIES VACCINATION
NASPHV Form #50
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Owner's Name & Address
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5	1	50	1	2	2	634	927	155	129	43.499199	Roe
5	1	50	1	2	3	837	966	246	61	55.471630	M153
5	1	50	1	2	4	1120	943	365	112	0.000000	GAvtar
5	1	50	1	2	5	1528	936	86	70	83.947357	AZ
5	1	50	1	2	6	1848	925	237	65	29.171944	BAAS
4	1	50	1	3	0	456	997	1496	86	-1	
5	1	50	1	3	1	456	1043	120	36	50.793190	“Specias:
5	1	50	1	3	2	666	1039	57	38	96.627457	Sex:
5	1	50	1	3	3	732	1031	69	52	0.000000	Pe&
5	1	50	1	3	4	867	1031	57	38	96.345871	Age:
5	1	50	1	3	5	1141	1020	101	30	76.049118	Size.
5	1	50	1	3	6	1452	1012	164	28	96.794075	Predominant
5	1	50	1	3	7	1626	1009	83	25	96.854019	Breed:
5	1	50	1	3	8	1863	997	89	38	89.597260	Colors:
4	1	50	1	4	0	468	1016	1593	150	-1	
5	1	50	1	4	1	468	1096	51	70	61.253643	Pe
5	1	50	1	4	2	489	1053	144	111	41.240364	aN
5	1	50	1	4	3	667	1079	64	45	92.006470	Male
5	1	50	1	4	4	868	1083	14	23	77.654808	3
5	1	50	1	4	5	894	1083	45	23	77.654808	mo.
5	1	50	1	4	6	950	1082	24	21	96.533966	to
5	1	50	1	4	7	986	1079	30	22	95.632919	12
5	1	50	1	4	8	1026	1068	86	44	72.027580	mo.
5	1	50	1	4	9	1084	1064	19	52	15.031204	2
5	1	50	1	4	10	1123	1064	10	52	96.155731	|
5	1	50	1	4	11	1143	1071	78	26	96.603615	Under
5	1	50	1	4	12	1230	1071	32	21	96.088219	20
5	1	50	1	4	13	1272	1068	42	23	89.635406	Ibs.
5	1	50	1	4	14	1344	1016	36	73	32.331093	a
5	1	50	1	4	15	1440	1073	51	64	38.256855	5
5	1	50	1	4	16	1548	1068	80	32	25.059242	SY
5	1	50	1	4	17	1723	1027	38	92	52.603409	A
5	1	50	1	4	18	1775	1035	286	78	7.576504	-KRrewn
4	1	50	1	5	0	669	1067	1311	107	-1	
5	1	50	1	5	1	669	1129	96	45	95.956261	Female
5	1	50	1	5	2	872	1129	28	23	95.947891	12
5	1	50	1	5	3	910	1132	47	19	95.642250	mo.
5	1	50	1	5	4	967	1131	28	17	95.642250	or
5	1	50	1	5	5	1003	1123	65	23	86.918396	older
5	1	50	1	5	6	1144	1119	73	23	96.915642	20-50
5	1	50	1	5	7	1227	1116	44	24	83.665657	Ibs.
5	1	50	1	5	8	1630	1076	10	52	22.683077	\
5	1	50	1	5	9	1656	1067	65	68	7.060108	or,
5	1	50	1	5	10	1974	1102	6	10	25.715347	s
4	1	50	1	6	0	468	1098	1626	129	-1	
5	1	50	1	6	1	468	1142	78	67	58.906101	ame
5	1	50	1	6	2	556	1164	100	63	20.246815	Ch
5	1	50	1	6	3	673	1173	41	51	92.577499	a
5	1	50	1	6	4	720	1168	47	49	50.960762	Cc
5	1	50	1	6	5	1083	1161	9	29	89.009697	1
5	1	50	1	6	6	1144	1162	64	25	0.000000	over
5	1	50	1	6	7	1217	1161	31	23	94.372139	50
5	1	50	1	6	8	1258	1159	43	23	85.968094	Ibs.
5	1	50	1	6	9	1620	1122	76	64	28.335228	Ni
5	1	50	1	6	10	1777	1098	57	76	0.000000	a
5	1	50	1	6	11	1859	1098	235	76	0.000000	Wwnrc
4	1	50	1	7	0	1356	1195	602	31	-1	
5	1	50	1	7	1	1356	1206	6	12	0.000000	,
5	1	50	1	7	2	1692	1203	69	23	20.306864	Vacc.
5	1	50	1	7	3	1773	1198	72	25	88.199387	Seriat
5	1	50	1	7	4	1857	1197	47	29	66.282822	(lot)
5	1	50	1	7	5	1915	1195	43	23	93.695663	No.
4	1	50	1	8	0	472	1233	1423	80	-1	
5	1	50	1	8	1	472	1276	125	37	49.310261	Producer:
5	1	50	1	8	2	1063	1263	8	23	68.131996	4
5	1	50	1	8	3	1084	1267	31	23	90.449997	yr.
5	1	50	1	8	4	1126	1258	121	25	26.997671	Lic.Vace.
5	1	50	1	8	5	1660	1233	23	71	90.087769	\
5	1	50	1	8	6	1890	1243	5	4	0.000000	:
4	1	50	1	9	0	715	1237	1245	103	-1	
5	1	50	1	9	1	715	1312	83	28	96.949684	(First
5	1	50	1	9	2	784	1304	11	40	96.867531	3
5	1	50	1	9	3	807	1308	80	27	71.039131	letters)
5	1	50	1	9	4	1086	1305	30	24	50.129051	ye.
5	1	50	1	9	5	1127	1296	121	26	62.517490	Lic.Vace.
5	1	50	1	9	6	1381	1290	70	23	96.340065	Other
5	1	50	1	9	7	1636	1237	13	76	68.333252	|
5	1	50	1	9	8	1698	1287	24	20	10.509443	Q
5	1	50	1	9	9	1740	1247	18	64	7.377405	y
5	1	50	1	9	10	1772	1242	136	73	16.038027	1G)
5	1	50	1	9	11	1916	1242	44	64	81.273567	A
4	1	50	1	10	0	475	1326	1226	63	-1	
5	1	50	1	10	1	475	1366	43	23	96.337105	For
5	1	50	1	10	2	528	1362	121	27	96.228142	Licensing
5	1	50	1	10	3	657	1360	98	28	96.228142	Agency
5	1	50	1	10	4	765	1356	48	23	96.888649	Use
5	1	50	1	10	5	925	1349	56	28	90.882126	DATE,
5	1	50	1	10	6	996	1341	203	33	90.882126	VACCINATED:
5	1	50	1	10	7	1504	1350	52	6	0.000000	a
5	1	50	1	10	8	1697	1326	4	5	4.693708	.
4	1	50	1	11	0	492	1347	1152	60	-1	
5	1	50	1	11	1	492	1404	5	3	11.426468	.
5	1	50	1	11	2	940	1374	68	26	30.790339	Pe
5	1	50	1	11	3	1435	1348	182	29	89.971275	Veterinarian's:
5	1	50	1	11	4	1628	1347	16	24	92.127663	#
4	1	50	1	12	0	477	1348	1422	95	-1	
5	1	50	1	12	1	477	1404	99	23	86.023361	License
5	1	50	1	12	2	586	1400	43	22	93.456306	No,
5	1	50	1	12	3	766	1394	58	22	96.858261	Year
5	1	50	1	12	4	946	1348	91	95	55.482712	Bp
5	1	50	1	12	5	1758	1377	63	23	42.624649	Licenad
5	1	50	1	12	6	1879	1379	20	16	0.000000	hlo.
4	1	50	1	13	0	946	1410	877	85	-1	
5	1	50	1	13	1	946	1451	74	44	96.076614	Month
5	1	50	1	13	2	1180	1456	47	26	91.112587	Day
5	1	50	1	13	3	1305	1452	54	21	95.921051	Year
5	1	50	1	13	4	1670	1410	114	59	24.054314	Pe
5	1	50	1	13	5	1807	1414	16	43	6.251631	(
4	1	50	1	14	0	1465	1465	578	59	-1	
5	1	50	1	14	1	1465	1465	41	59	42.565987	VY
5	1	50	1	14	2	1569	1510	6	5	5.907574	.
5	1	50	1	14	3	1680	1474	123	29	95.966934	Signature
5	1	50	1	14	4	2040	1479	3	2	23.090763	:
4	1	50	1	15	0	480	1494	1523	142	-1	
5	1	50	1	15	1	480	1553	74	24	96.900032	Other
5	1	50	1	15	2	930	1533	194	47	85.210861	VAGGINATION
5	1	50	1	15	3	1134	1527	131	109	29.841175	ne
5	1	50	1	15	4	1291	1494	107	129	18.810081	dg
5	1	50	1	15	5	1444	1503	125	65	0.525789	qSFAY
5	1	50	1	15	6	1588	1511	88	36	90.593033	AND
5	1	50	1	15	7	1690	1512	167	38	95.937500	NEUTER
5	1	50	1	15	8	1869	1515	134	36	95.937500	CLINIC
4	1	50	1	16	0	481	1560	1520	66	-1	
5	1	50	1	16	1	481	1599	103	27	92.128502	Change
5	1	50	1	16	2	601	1587	31	32	63.384205	O
5	1	50	1	16	3	666	1593	51	23	43.675343	Add
5	1	50	1	16	4	1448	1560	87	50	61.721897	17342
5	1	50	1	16	5	1544	1561	39	29	73.502289	W.
5	1	50	1	16	6	1596	1563	93	29	94.295998	Indian
5	1	50	1	16	7	1702	1564	107	31	71.439667	Schoo!
5	1	50	1	16	8	1819	1566	59	35	83.394135	Rd.,
5	1	50	1	16	9	1889	1567	49	29	94.802979	Ste
5	1	50	1	16	10	1948	1569	53	29	89.404991	108
4	1	50	1	17	0	483	1605	1392	56	-1	
5	1	50	1	17	1	483	1635	93	26	87.936752	Controt
5	1	50	1	17	2	586	1634	43	22	94.156265	No.
5	1	50	1	17	3	1449	1614	14	38	0.000000	§
5	1	50	1	17	4	1588	1605	136	36	96.842903	Phoenix,
5	1	50	1	17	5	1734	1608	44	29	95.797913	AZ
5	1	50	1	17	6	1787	1609	88	29	95.797913	85033
4	1	50	1	18	0	952	1572	836	110	-1	
5	1	50	1	18	1	952	1638	74	44	96.517517	Month
5	1	50	1	18	2	1159	1572	74	107	52.588356	4
5	1	50	1	18	3	1311	1644	54	36	92.291527	Year
5	1	50	1	18	4	1632	1649	156	31	14.602976	823.846.3¢
2	1	51	0	0	0	907	1341	25	359	-1	
3	1	51	1	0	0	907	1341	25	359	-1	
4	1	51	1	1	0	907	1341	25	359	-1	
5	1	51	1	1	1	907	1341	25	359	95.000000	 
2	1	52	0	0	0	1418	1324	24	358	-1	
3	1	52	1	0	0	1418	1324	24	358	-1	
4	1	52	1	1	0	1418	1324	24	358	-1	
5	1	52	1	1	1	1418	1324	24	358	95.000000	 
2	1	53	0	0	0	475	1666	1224	47	-1	
3	1	53	1	0	0	475	1666	1224	47	-1	
4	1	53	1	1	0	475	1666	1224	47	-1	
5	1	53	1	1	1	475	1666	1224	47	95.000000	 
2	1	54	0	0	0	2151	36	153	75	-1	
3	1	54	1	0	0	2151	36	153	75	-1	
4	1	54	1	1	0	2151	36	153	75	-1	
5	1	54	1	1	1	2151	36	153	75	71.407516	Copy

Corey
Darsey
RABIES VACCINATION CERTIFICATE Rabies Tag Number
NASPHV Form #50
Owner's Name Print - use bail point pen or type
PRINT - Last ~ a Address my First Lh at ‘ | MI Tele Wiad Ow? x
if EN | ty ie Yen aaa fe
tate Zip
i irget ;
mate 4
5	1	35	1	4	4	1309	939	250	86	0.000000	Flooclugay
5	1	35	1	4	5	1783	950	25	43	38.200779	B
4	1	35	1	5	0	549	977	1488	98	-1	
5	1	35	1	5	1	549	1019	108	56	88.885071	Specigs:
5	1	35	1	5	2	678	1047	5	3	48.006973	.
5	1	35	1	5	3	949	1021	59	29	55.874298	Age:
5	1	35	1	5	4	1225	1015	62	23	96.937752	Size:
5	1	35	1	5	5	1469	1005	9	26	36.120838	4]
5	1	35	1	5	6	1517	999	15	42	58.083206	*
5	1	35	1	5	7	1536	1006	164	26	96.631653	Predominant
5	1	35	1	5	8	1710	977	83	61	38.930672	Bread:
5	1	35	1	5	9	1896	1021	12	19	58.413181	4
5	1	35	1	5	10	1947	999	90	24	40.168880	Colors:
4	1	35	1	6	0	549	1026	1448	78	-1	
5	1	35	1	6	1	549	1076	51	28	92.288170	Dog
5	1	35	1	6	2	671	1080	19	3	29.036360	EI-
5	1	35	1	6	3	748	1026	62	69	69.162453	Mate
5	1	35	1	6	4	858	1061	35	33	33.502708	4
5	1	35	1	6	5	950	1066	148	25	0.000000	|3mo.t012
5	1	35	1	6	6	1108	1054	86	34	0.000000	m0.
5	1	35	1	6	7	1205	1044	9	54	95.579834	|
5	1	35	1	6	8	1226	1060	78	25	90.698212	Under
5	1	35	1	6	9	1312	1060	32	22	59.667015	20
5	1	35	1	6	10	1354	1058	44	24	59.667015	bs.
5	1	35	1	6	11	1434	1048	30	31	34.828445	OF
5	1	35	1	6	12	1870	1036	127	40	1.583138	eT
4	1	35	1	7	0	896	1050	1068	71	-1	
5	1	35	1	7	1	896	1101	31	20	50.807423	“
5	1	35	1	7	2	1146	1091	62	12	59.544250	RY
5	1	35	1	7	3	1554	1050	104	71	62.468330	welt
5	1	35	1	7	4	1650	1059	39	53	7.043409	)
5	1	35	1	7	5	1726	1084	11	26	67.170456	f
5	1	35	1	7	6	1915	1074	49	27	54.707748	Vt
4	1	35	1	8	0	550	1095	1213	51	-1	
5	1	35	1	8	1	550	1121	44	24	91.778519	Cat
5	1	35	1	8	2	640	1111	41	32	36.538734	[I
5	1	35	1	8	3	730	1107	16	46	0.000000	|
5	1	35	1	8	4	750	1116	95	26	0.000000	Female
5	1	35	1	8	5	953	1114	30	22	83.276680	12
5	1	35	1	8	6	993	1117	47	19	94.140404	mo.
5	1	35	1	8	7	1050	1116	26	18	95.003769	or
5	1	35	1	8	8	1084	1110	77	36	6.083126	older
5	1	35	1	8	9	1205	1097	9	53	91.612259	|
5	1	35	1	8	10	1227	1107	72	23	91.612259	20-50
5	1	35	1	8	11	1309	1105	43	23	92.367485	Ibs.
5	1	35	1	8	12	1695	1102	9	13	0.000000	c
5	1	35	1	8	13	1736	1095	27	51	28.853331	ys
4	1	35	1	9	0	678	1125	813	37	-1	
5	1	35	1	9	1	678	1146	6	11	72.882851	4
5	1	35	1	9	2	731	1152	4	3	18.754530	~
5	1	35	1	9	3	766	1141	8	21	38.587044	cy
5	1	35	1	9	4	820	1159	4	2	7.567425	7
5	1	35	1	9	5	1203	1150	5	5	60.326611	~
5	1	35	1	9	6	1428	1141	3	7	82.535706	‘
5	1	35	1	9	7	1467	1125	24	25	18.957253	7)
4	1	35	1	10	0	551	1115	1216	84	-1	
5	1	35	1	10	1	551	1165	76	25	96.968117	Name
5	1	35	1	10	2	681	1142	48	57	52.039909	0
5	1	35	1	10	3	742	1158	115	40	22.825512	ARPA
5	1	35	1	10	4	1227	1151	62	24	79.423576	Over
5	1	35	1	10	5	1298	1149	85	24	0.000000	50lbs.
5	1	35	1	10	6	1418	1138	64	41	33.511070	EY
wie
Vacc. Serial (lot) No.
[° ~~ F JC = y Le an a yr, Lic.Vacc. ccT\ lie
Producer: i le b \ ») L\ uy ee
(First 3 {Z} 3 yr. Lic.Vace. Other
For Licensing Agency Use DATE VACCINATED: ingyipn's: # Se A A
License No. Year \ \ F \~|
wy
Month Day Year iA v=
Other VACCINATION EXPIRES: q
Change 1 add yy ( \ “f H
| iY t
Contral No. s
Month Day Year

EME
Rabies Vaccination Certificate
Owner's Information
Z HAMEL { ‘
JUDY
P1090817 (623) 8101622
| Last Name
First Name Person ID
Tatechone Extension
}0 PO BOX 7753 |
GOODYEAR
Street Address AZ 85338 |
ApanmenvUnit City
State Zip
Animal information
DOG
Spayed 11/16/2011
LARGE BELG MALINOIS
Animal Type Animal Sex MIX
Animal Date of Binh Animal Size
Primary Breed Secondary Sree
A3156112
EMELINE
RED WHITE
Animal ID
Animal Name
Microchip Number Primary Color
Secondary Ceizr
Vaccination Information
RABDOMUN SPEC 36 Months
06/02/2016 02/11/2019
Vaccine Praducer 06/02/2016
Vaccination Length Date Vaccinated
Vaccination Expires Pree Dee
ye
KILLED
Yolcu)
I Vaccine Type Maricopa County
Veterinarian Signature
Animal Care and Cenirol
SN117129 i
2500 S. 27th Ave, Phosnix, AZ 85069
Vaccination Seriat Number Verterinarian‘s
License Number
(692) S08 - 7387
a

Copy
Foxy’
RABIES VACCINATION CERTIFICATE
NASPHV FORM 51 (revised 2007)
RABIES TAG #
MICROCHIP # 94 1001001408543
Owner's Name & Address Print Clearly
LAST FIRST Ma. TELEPHONE #
Rescue Forever Faithful (623) 810-1622
NO. STREET CITY STATE ZIP
Goodyear AZ 85338
P.O. Box 7753
SPECIES AGE SIZE PREDOMINENT BREED |PREDOMINANT
Months ix] Under 20 Ibs. COLORS/MARKINGS
Dog
0
cat [] Years [_]}20 - 50 ibs. Terrier Mix
Beige
Ferret [| SEX. ]Male [Over 50 Ibs.
Other: X_| Female ANIMAL NAME
[]
(specify) [_X_] Neutered
F Oxy
Animal Control License |<|1 Yr | |3 Yr Other 0 months
DATE VACCINATED Product Name: Veterinarian's Name:
Nobivac 3-Rabies Sheri Harmon, DVM
06/07/17
Manufacturer:
Ziole License Number: 3897
Month / Day / Year (First 3 letters)
SL Abe Dt
[X]1 Yr USDA Licensed Vaccine
NEXT VACCINATION | __|3 Yr USDA Licensed Vaccine Veterinarian's Signature
DUE BY: [_]4 Yr USDA Licensed Vaccine Address: Spay Neuter Clinic - indian School
7342 W. Indian School Rd.
06/07/18 Initial dose | Booster dose Suite 108
Phaenix, AZ 85033
Month / Day / Year 188848A (623) 846-3979
Vaccine Serial (lot) Number

Copy
RABIES VACCINATION CERTIFICATE Rabies Tag Number
NASPHV Form #50
Owner's Name & Address Print - use bali point pen or type
PRINT - VR War LA 02 GMA “yh Fa are
“*DENENC ia) ee
MOD VSy “VSS oy Y Cae oa ao SK.
_ Sex: Age: Size: Breed:
Predominant
Dog f. - | Male 3 mo. to 12 mo. 2 | Under 20 Ibs. ‘QQ’ a wa [
a C \ vi
cat O Femate (3 | 42 mo. or older“Ga.] 20-50 ibs.
Name Ck Rema uh Over 50 lbs. O
Vace. Serial (lot) No.
Producer: [= | a Pr Le ~ ‘ YA yr. Lie Vace. ; Ves WA Lo oo iC
|
(First
5	1	42	1	7	2	851	1366	9	20	92.529160	3
5	1	42	1	7	3	874	1364	80	28	38.257580	leiters)
5	1	42	1	7	4	1080	1353	30	30	28.460760	LQ
5	1	42	1	7	5	1128	1348	8	45	66.796196	9
5	1	42	1	7	6	1129	1362	55	27	74.684029	yr.
5	1	42	1	7	7	1195	1359	121	24	34.793926	Lie.Vace.
5	1	42	1	7	8	1450	1357	68	23	96.788498	Other
5	1	42	1	7	9	1727	1349	48	31	13.448200	vee
5	1	42	1	7	10	1803	1349	35	16	34.026352	ae
5	1	42	1	7	11	1869	1350	35	26	10.342255	OG
4	1	42	1	8	0	610	1394	1312	28	-1	
5	1	42	1	8	1	610	1413	5	5	63.635773	i
5	1	42	1	8	2	1723	1394	41	28	16.017876	OS
5	1	42	1	8	3	1802	1396	120	22	34.388527	Chey
4	1	42	1	9	0	543	1392	1386	78	-1	
5	1	42	1	9	1	543	1413	44	24	96.954979	For
5	1	42	1	9	2	595	1412	121	28	96.885529	Licensing
5	1	42	1	9	3	724	1411	97	29	96.692650	Agency
5	1	42	1	9	4	831	1410	50	23	96.998329	Use
5	1	42	1	9	5	994	1395	80	64	86.058838	DATE,
5	1	42	1	9	6	1074	1405	192	65	0.506516	yACOINATED:
5	1	42	1	9	7	1503	1420	182	26	42.016006	Veterinarlan’s:
5	1	42	1	9	8	1694	1420	31	23	42.804733	#
5	1	42	1	9	9	1765	1392	52	51	34.873600	ay
5	1	42	1	9	10	1871	1405	58	36	29.936266	mT
4	1	42	1	10	0	544	1432	1373	72	-1	
5	1	42	1	10	1	544	1452	97	23	96.458328	License
5	1	42	1	10	2	652	1450	41	23	92.146568	No.
5	1	42	1	10	3	832	1448	59	22	95.805824	Year
5	1	42	1	10	4	1018	1440	14	26	68.845383	\
5	1	42	1	10	5	1135	1457	4	6	0.000000	,
5	1	42	1	10	6	1155	1432	93	72	37.345329	Via
5	1	42	1	10	7	1242	1461	21	6	0.987034	fo
5	1	42	1	10	8	1380	1437	66	63	16.173983	iP
5	1	42	1	10	9	1858	1458	59	17	0.000000	onse
4	1	42	1	11	0	1026	1449	341	96	-1	
5	1	42	1	11	1	1026	1455	78	50	20.114727	LL
5	1	42	1	11	2	1234	1466	57	79	59.478779	2
5	1	42	1	11	3	1347	1449	20	53	93.089806	\
4	1	42	1	12	0	1012	1518	624	38	-1	
5	1	42	1	12	1	1012	1518	74	36	83.822945	Month
5	1	42	1	12	2	1371	1518	54	21	96.561096	Year
5	1	42	1	12	3	1629	1539	7	17	60.831799	}
4	1	42	1	13	0	1531	1548	337	41	-1	
5	1	42	1	13	1	1531	1569	23	20	68.669769	@
5	1	42	1	13	2	1705	1569	19	14	33.536636	..
5	1	42	1	13	3	1744	1548	124	30	96.862228	Signature
4	1	42	1	14	0	544	1573	1009	64	-1	
5	1	42	1	14	1	544	1602	73	23	96.772667	Other
5	1	42	1	14	2	994	1594	193	25	96.803741	VACCINATION
5	1	42	1	14	3	1197	1593	132	23	96.738991	EXPIRES:
5	1	42	1	14	4	1509	1573	44	64	0.021563	q°
4	1	42	1	15	0	544	1623	1331	53	-1	
5	1	42	1	15	1	544	1647	100	29	96.474243	Change
5	1	42	1	15	2	663	1638	116	32	44.694687	[Add
5	1	42	1	15	3	798	1636	30	32	59.449619	O
5	1	42	1	15	4	1029	1629	101	44	37.681206	yp
5	1	42	1	15	5	1366	1638	7	3	30.579437	.
5	1	42	1	15	6	1514	1623	33	33	69.085648	a
5	1	42	1	15	7	1800	1629	75	20	20.240145	ae
4	1	42	1	16	0	544	1638	1399	71	-1	
5	1	42	1	16	1	544	1684	92	25	94.847771	Control
5	1	42	1	16	2	646	1683	43	24	96.969048	No.
5	1	42	1	16	3	1035	1657	9	44	65.849274	|
5	1	42	1	16	4	1060	1644	62	58	40.737133	fv
5	1	42	1	16	5	1164	1642	50	53	42.961006	L-
5	1	42	1	16	6	1228	1666	58	31	10.755587	—
5	1	42	1	16	7	1345	1638	76	57	0.000000	V\
5	1	42	1	16	8	1510	1662	14	36	64.552017	H
5	1	42	1	16	9	1656	1663	137	34	11.332388	Phoenix,
5	1	42	1	16	10	1801	1663	44	29	83.346619	AZ
5	1	42	1	16	11	1855	1663	88	29	54.484653	85ts0
4	1	42	1	17	0	1014	1704	887	44	-1	
5	1	42	1	17	1	1014	1707	72	41	95.781441	Month
5	1	42	1	17	2	1246	1704	47	42	96.966179	Day
5	1	42	1	17	3	1371	1713	56	23	93.637253	Year
5	1	42	1	17	4	1510	1704	14	15	90.136871	s
5	1	42	1	17	5	1700	1707	201	29	53.337166	623-846-3979
2	1	43	0	0	0	976	1399	14	358	-1	
3	1	43	1	0	0	976	1399	14	358	-1	
4	1	43	1	1	0	976	1399	14	358	-1	
5	1	43	1	1	1	976	1399	14	358	95.000000	 
2	1	44	0	0	0	1487	1392	14	359	-1	
3	1	44	1	0	0	1487	1392	14	359	-1	
4	1	44	1	1	0	1487	1392	14	359	-1	
5	1	44	1	1	1	1487	1392	14	359	95.000000	 
2	1	45	0	0	0	534	1735	1593	28	-1	
3	1	45	1	0	0	534	1735	1593	28	-1	
4	1	45	1	1	0	534	1735	1593	28	-1	
5	1	45	1	1	1	534	1735	1593	28	95.000000

Copy
“Nox
RABIES VACCINATION CERTIFICATE Rabies Tag Number
NASPHV Form #50
Owner’s Name & Address Print - use bal aint pen or type
mT Telephone
VENEY TOI [A TUL Weateiie: LoZs7
Crna
mos anes SSS
Species: Sex: Ie | Age: Size:
‘A* Care Sait ; :
Dog ‘KP Mate 3 mo. to 12 mo. 2 | Under 20 Ibs. OO
Cat Female [| 42 mo. or olderc_| 20-50 tbs.
Name mex XY Over 50 Ibs. AY
~~"_Vacc. Serial (lot) No.
| “L- Kk be | Lic. Wace.
Producer: “6 yr. SUG
1G
(First 3 lattars) 3 yr. Lic. Vace. Other
For Licensing Agency Use DATE VACCINATED: SPT
Veterinarian's: #
License No. Year DV . \ iW a | icenge No.
Month Day Year
: Signature
Other VACCINATION EXPIRES: q sos
Change (] Add CD 2 { Lp i> i
Control No. s PRG
Month Day Year s Phoenix, oe (.
Goo-Ga Bac

Copy
Yeas
RABIES VACCINATION CERTIFICATE
Rabies Tag Number
‘ NASPHV Form #50
Owner’ Name & Address Print - use ball point or
PRINT - Last pen type
Forever fi Cl ir$t MLE |
No. bobs BIO-MaR
t Ci
PO BS 7753 Chdyooe St Zi
“L. | BSBE
Species: Sex: Age: Size: U
Predominant Breed: Colors:
Dog yj Maile w 3 mo. to 12 mo. [3 | under 20 lbs. OQ
TaN)
Cat Female CY | 12 mo. or older Sl | 20-50 ths. Cy S hep. thr be
Name Sea ») Over 50 lbs. Ba
Producer: [% | (6) 1G | Vacc. Serial (lot) No.
Ci 1 yr. Lic/Vace.
(First 3 tetters) 3 yr. Lic. Vacc. Other YWZ0NGA
For Licensing Agency Use DATE VACCINATED:
License No. Year Vefeyingrian's: wae AGS TF
F 30 _ 2017
Lie
Month Day Year bade,
{e e
Other VACCINATION EXPIRES: WZ ; Signature
lO A’. Blac Canwr,
Change ada
Control No. s 3 D r Hyay
foZo 8
~
Month Day Year s 7) i Tilpa Az. na -; SoD q