KENNEL PERMIT FOR CARRIE HOBBS DBA EYE DOG FOUNDATION.PDF
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Maricopa County Animal Care & Control 2500 South 27" Avenue Phoenix, AZ 85009 Phone: (602) 506-7387 pets.maricopa.gov KENNEL PERMIT K18-000020 PREMISE INSPECTION Number of Dogs: 7 Name: Carrie Hobbs Kennel Name: Eye Dog Foundation Mailing Address: 8252 South 15"" Ave Kennel Address: Same City: Phoenix State: AZ Zip: 85041 City: Phoenix Zip: 85041 County Supervisorial District: 5 Phone: 602-276-0051 Kennel Phone: 602-276-0051 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: 06/23/17 October 2015 Maricopa County Animal Care and Control 2500 South 27th Avenue Phoenix, AZ 85009 (602) 506-7387 Tele. (602) 506-2739 Fax KENNEL PERMIT APPLICATION C1 New’ [& Renewal KE VAq OOSOSO Name: Cue oa Foundalion Sur the Swack Kennel Name: ay é Dog Noundation Sur the Bund) Mailing Address: $257. 3 |S Wn Ave Kennel Address: 6352 5 1S th Ape. City: Pyocuyn State: AZ Zip: S04 city: Ohoenix Zip: _ SOY! County Supervisorial District: Maricogc. Couudg Phone: (WO2-aATlo- oes | Kennel Phone: (06 -27lo Qos! 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 dag 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 er 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. A iMWe assume complete responsibility for the kennel at the premises for which IAve are making application for a permit and understand that “kennel” means an enclosed; controlled area, inaccessible to ~~~ other animals, in which a person keeps, harbors or maintains five or more dogs under controlled conditions (ARS 11-1001). 2. AL We certify that I/We have iu dogs and that the kennel] meets the definition in statute. 3. Be iWe 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 Jeash jaws DO NOT apply). 4. _flime 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. je | We certify that iAWVe are submitting a valid copy of the rabies vaccination certificate for each dog with this application. 6 ie We understand that a dog remaining within the kennel is not required to be licensed individually under A.R.S. § 11-1008. IAve also understand that a dog leaving the controlled kenne! 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. 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. 7. 8. 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. Hb 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. a Applicant Signatur Kk ~Ekelitchiw Dik Date. -22 -(7J 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 http://pets. maricopa.gov Receipt Number: R17-158568 Receipt Date: 06/16/2017 Person ID: P0310051 Phone: 602 2760051 EYE DOG FOUNDA KENNELS 6/16/2017 10:15:54AM 8252 S 15TH AVE PHOENIX, AZ 85041 Item: Animal ID: Reference No: Price: Each: Amount: KEN PERMIT AT7° 7777 K18-000020 $328.00 4 $328.00 Total Fees Due: $328.00 Payments: Cash: Check: $328.00 Gredit Card: Total Payments Received: $328.00 Thank You! Would you like to share your experience with our service to you? Change: $0.00 Please visit our website at http://pets.maricopa.gov and click on Balance Due: $0.00 “Contact Us" to email your comments for our review. Animal Information: A7777777 KENNEL PERM - BORN 9/14/1999, SPAYED, UNKNOWN/MIX, TRICOLOR DOG License information: Tag Number: License Expires: Animal# Vacc Date: Vacc Expires: Please retain this receipt with your pet's records shawcrof EBUSOFF SOUTHSIDE ANIMAL HOSPITAL DR. TASCON & DR. EVANS 6045 S. Central Phoenix, AZ 85042 (602) 276-5505 Rabies Certificate Patient ID: 9260-905 Client ID: 9260 Patient Name: DAISY MAE Client Name: Eye Dog Foundation Species: CANINE Address: P.O. Box 519 Breed: GERMAN SHEPHERD Attention Sue Kunz Sex: Female Claremont, CA 91711-0519 Color: SABLE : \ . Markings: Phone: (909)626-8131 Birthday: 10/15/2016 Weight: 33.60 pounds on 2/11/2017 Microchip ID: 104375055 Tag Number: 0 Lot Number: Canine Rabies Producer: St K/MLV/R: _ Killed Virus Staff Name: Benjamin Evans DVM License Num SOUTHSIDE ANIMAL HOSPITAL DR. TASCON & DR. EVANS 6045 S. Central Phoenix, AZ 85042 (602) 276-5505 Rabies Certificate Patient ID: 9260-705 Client 5 1 5 2 1 2 447 697 44 32 96.633583 26 5 1 5 2 1 3 747 753 5 5 23.209949 7 5 1 5 2 1 4 1585 705 126 33 95.411568 Patient 5 1 5 2 1 5 1725 703 117 33 96.658760 Name: 5 1 5 2 1 6 1869 699 145 33 96.358978 CHAMP 3 1 5 3 0 0 156 753 1528 45 -1 4 1 5 3 1 0 156 753 1528 45 -1 5 1 5 3 1 1 156 761 103 33 96.037903 Client 5 1 5 3 1 2 272 760 117 32 96.470009 Name: 5 1 5 3 1 3 427 758 65 40 96.448929 Eye 5 1 5 3 1 4 508 757 72 38 96.447823 Dog 5 1 5 3 1 5 597 753 201 34 96.298096 Foundation 5 1 5 3 1 6 1679 765 5 5 45.312920 i 3 1 5 4 0 0 309 758 1713 72 -1 4 1 5 4 1 0 309 758 1713 72 -1 5 1 5 4 1 1 309 825 5 5 22.426773 . 5 1 5 4 1 2 1585 761 154 49 96.836472 Species: 5 1 5 4 1 3 1870 758 152 34 96.434364 CANINE 3 1 5 5 0 0 154 812 2132 106 -1 4 1 5 5 1 0 154 812 511 51 -1 5 1 5 5 1 1 154 815 160 48 96.237030 Address: 5 1 5 5 1 2 428 815 70 33 94.165359 P.O. 5 1 5 5 1 3 516 814 70 32 96.229370 Box 5 1 5 5 1 4 599 812 66 33 96.398979 519 4 1 5 5 2 0 1587 813 699 57 -1 5 1 5 5 2 1 1587 820 115 50 96.834061 Breed: 5 1 5 5 2 2 1870 817 177 35 96.547768 GERMAN 5 1 5 5 2 3 2062 813 224 35 96.380203 SHEPHERD 4 1 5 5 3 0 1587 876 550 54 -1 5 1 5 5 3 1 1587 881 76 49 96.977699 Sex: 5 1 5 5 3 2 1872 877 165 36 96.810699 Neutered 5 1 5 5 3 3 2052 876 85 33 96.740685 Male 3 1 5 6 0 0 428 908 1573 71 -1 4 1 5 6 1 0 428 908 1573 71 -1 5 1 5 6 1 1 428 933 199 37 96.516403 Claremont, 5 1 5 6 1 2 643 931 58 32 91.140121 CA 5 1 5 6 1 3 710 927 214 35 91.140121 91711-0519 5 1 5 6 1 4 1587 908 105 71 92.285164 Color: 5 1 5 6 1 5 1872 936 129 33 96.227226 SABLE 3 1 5 7 0 0 157 998 2236 220 -1 4 1 5 7 1 0 157 998 1606 85 -1 5 1 5 7 1 1 157 1033 124 50 96.404716 Phone: 5 1 5 7 1 2 432 1030 264 44 91.509033 (909)626-8131 5 1 5 7 1 3 1589 998 174 57 96.721230 Markings: 4 1 5 7 2 0 1590 1054 486 52 -1 5 1 5 7 2 1 1590 1057 156 49 96.401978 Birthday: 5 1 5 7 2 2 1873 1054 203 35 96.874557 07/04/2014 4 1 5 7 3 0 1588 1107 805 59 -1 5 1 5 7 3 1 1588 1117 139 49 96.567520 Weight: 5 1 5 7 3 2 1874 1116 99 33 96.144577 71.80 5 1 5 7 3 3 1989 1113 131 42 96.577126 pounds 5 1 5 7 3 4 2134 1119 43 24 96.118599 on 5 1 5 7 3 5 2193 1107 200 35 96.069519 10/23/2015 4 1 5 7 4 0 1591 1171 512 47 -1 5 1 5 7 4 1 1591 1177 174 41 96.557266 Microchip 5 1 5 7 4 2 1780 1177 47 32 93.489082 ID: 5 1 5 7 4 3 1875 1171 228 36 93.489082 038-549-769 2 1 6 0 0 0 129 1236 2297 48 -1 3 1 6 1 0 0 129 1236 2297 48 -1 4 1 6 1 1 0 129 1236 2297 48 -1 5 1 6 1 1 1 129 1236 2297 48 95.000000 2 1 7 0 0 0 115 124 31 1799 -1 3 1 7 1 0 0 115 124 31 1799 -1 4 1 7 1 1 0 115 124 31 1799 -1 5 1 7 1 1 1 115 124 31 1799 95.000000 2 1 8 0 0 0 140 1376 614 266 -1 3 1 8 1 0 0 140 1376 614 266 -1 4 1 8 1 1 0 140 1376 614 266 -1 5 1 8 1 1 1 140 1376 614 266 95.000000 5 1 8 1 1 2 391 1376 363 90 95.000000 2 1 9 0 0 0 156 1339 235 42 -1 3 1 9 1 0 0 156 1339 235 42 -1 4 1 9 1 1 0 156 1339 235 42 -1 5 1 9 1 1 1 156 1342 66 39 96.844902 Tag 5 1 9 1 1 2 238 1339 153 34 96.177109 Number: 2 1 10 0 0 0 434 1338 19 32 -1 3 1 10 1 0 0 434 1338 19 32 -1 4 1 10 1 1 0 434 1338 19 32 -1 5 1 10 1 1 1 434 1338 19 32 95.162231 0 2 1 11 0 0 0 737 1713 214 74 -1 3 1 11 1 0 0 737 1694 214 93 -1 4 1 11 1 1 0 771 1713 10 27 -1 5 1 11 1 1 1 771 1694 15 46 0.000000 / 4 1 11 1 2 0 737 1753 214 34 -1 5 1 11 1 2 1 737 1754 85 33 96.748795 Staff 5 1 11 1 2 2 835 1753 116 32 96.658112 Name: 2 1 12 0 0 0 1372 1280 744 147 -1 3 1 12 1 0 0 1372 1280 744 147 -1 4 1 12 1 1 0 1372 1280 744 147 -1 5 1 12 1 1 1 1372 1280 744 147 95.000000 2 1 13 0 0 0 760 1450 805 256 -1 3 1 13 1 0 0 760 1450 805 256 -1 4 1 13 1 1 0 760 1450 805 256 -1 5 1 13 1 1 1 760 1450 805 256 95.000000 2 1 14 0 0 0 1104 1742 354 39 -1 3 1 14 1 0 0 1104 1742 354 39 -1 4 1 14 1 1 0 1104 1742 354 39 -1 5 1 14 1 1 1 1104 1747 98 34 93.190170 Mario 5 1 14 1 1 2 1214 1747 130 31 89.624840 Tascon 5 1 14 1 1 3 1372 1742 86 33 96.768555 DVM 2 1 15 0 0 0 739 1810 305 37 -1 3 1 15 1 0 0 739 1810 305 37 -1 4 1 15 1 1 0 739 1810 305 37 -1 5 1 15 1 1 1 739 1815 139 32 96.649826 License 5 1 15 1 1 2 893 1810 151 34 96.676338 Number: 2 1 16 0 0 0 138 1871 2294 51 -1 3 1 16 1 0 0 138 1871 2294 51 -1 4 1 16 1 1 0 138 1871 2294 51 -1 5 1 16 1 1 1 138 1871 2294 51 95.000000 2 1 17 0 0 0 2406 78 30 1800 -1 3 1 17 1 0 0 2406 78 30 1800 -1 4 1 17 1 1 0 2406 78 30 1800 -1 5 1 17 1 1 1 2406 78 30 1800 95.000000 ID: 9260 SOUTHSIDE ANIMAL HOSPITAL DR. TASCON & DR. EVANS 6045 S. Central Phoenix, AZ 85042 (602) 276-5505 Rabies Certificate ID: 9260-902 Patient Client ID: 9260 Patient Name: PIPER Client . Name: Eye Dog Foundation . Bueniew paces CANINE Address: P.O. Box 519 Breed: GERMAN SHEPHERD Attention . Sue Kunz ap Female : Claremont, CA 4741- 91711-0519 Color: SABLE Markings: Phone: (909)626-8131 06/15/2016 Birthday: Weight: 27.60 pounds on 9/26/2016 geeiiaton Date: Tag Number: 0 on™. \ Staff Name: - Benjamin Evans DVM License Number: 6624 AZ SOUTHSIDE ANIMAL HOSPITAL DR. TASCON & DR. EVANS 6045 S. Central Phoenix, AZ 85042 (602) 276-5505 Rabies Certificate Patient ID: 9260-903 Client ID: 9260 Patient Name: PERSEUS Client Name: Eye Dog Foundation — Species: CANINE Address: P.O. Box 519 Breed: GERMAN SHEPHERD Attention Sue Kunz Sex: Male Claremont, CA 91711-0519 Color: DARK SABLE Markings: Phone: (909)626-8131 Birthday: 06/15/2016 Weight: 32.80 pounds on 9/26/2016 Staff Name: License Number: AZ 6624 — SOUTHSIDE ANIMAL HOSPITAL DR. TASCON & DR. EVANS 6045 S. Central Phoenix, AZ 85042 (602) 276-5505 Rabies Certificate ID: 9260-909 Patient Client ID: 9260 Patient Name: DAREK Client . Name: Eye Dog Foundation . Species: Boe: CANINE Address: P.O. Box 519 Breed: GERMAN SHEPHERD Attention . Sue Kunz Sex ; Mal ale ; C laremont, CA 91711-0519 | ela SABLE Phone: (909)626-8131 Markings: Birthday: 10/15/2016 Weight: 33.60 pounds on 2/11/2017 Microchip ID: 104005311 Tag Number: 0 Staff Name: Benjamin Evans DVM License Number: AZ 6524 SOUTHSIDE ANIMAL HOSPITAL DR. TASCON & DR. EVANS 6045 S. Central Phoenix, AZ 85042 . , ( (602) 276-5505 Rabies Certificate Patient ID: 9260-904 aon —_ eat Patient Name: SAMANTHA - eyelag Foundation Species: CANINE Address: P.O. Box 519 Breed: GERMAN SHEPHERD Attention ; Sue Kunz a ae Claremont, CA 91711-0519 Sion SABLE Phone: (909)626-8131 Markings: Birthday: 06/15/2016 Weight: 29.00 pounds on 9/26/2016 Tag Number: 0 SOUTHSIDE ANIMAL HOSPITAL DR. TASCON & DR. EVANS 6045 S. Central Phoenix, AZ 85042 ey (602) 276-5505 Rabies Certificate Patient ID: 9260-803 Client ID: 9260 Client Name: Eye Dog Foundation pecies: CANINE Address: P.O. Box 519 Breed: GERMAN SHEPHERD Attention Sue Kunz Sex: Female Claremont, CA 91711-0519 Color: SABLE Markings: Phone: (909)626-8131 Birthday: 00/00/0000 Weight: 51.00 pounds on 5/5/2016 Tag Number: 0 Vaccination Date: 5/5/2016 Lot Number: 113866B Canine Rabies 1 yr. Producer: ZOETIS K/MLV/R: _ Killed Virus Staff Name: Mario Tascon DVM License Number: AZ 4676 . 10/12/2811 23:11 6622768098 DR PAGE 61/81 Dr. r. M Mario Tascon, DVM Dr, ; Benjamin Evans, DVM 6045 South Central Avenue s Phone 602-276-5505 To Rabies Animal Control, Due to current health status (pregnant), we do not recommend vaccinating Naomi from the Eye Dog Foundation for rabies at this time. Please contact with any further concerns/questions. Brie aye th. Southside Animal Hospital a (602)276-5505 6045 South Centraj Ave. Phoenix, AZ 85042 _