KENNEL PERMIT FOR CARRIE HOBBS DBA EYE DOG FOUNDATION.PDF

Maricopa County — Formal (2017-07-26)

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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
_