CHARLES E SHABAZZ.PDF

Maricopa County
Animal Care and Control
2500 South 27th Avenue
Phoenix, AZ 85009
(602) 506-7387 Tele.
(602) 506-2739 Fax
KENNEL PERMIT 18 -coo° 6
APPLICATION
D New IN Renewal
Name: Charles "E" Shabazz Kennel Name: Charels "E" Shabazz
Mailing Address: 2529 East Culver Street Kennel Address: Same
City: Phoenix State: AZ Zip: 85008 City: Phoenix Zip: 85008
County Supervisorial District: 5
Phone: 602-220-9523 Kennel Phone: 602-220-9523
Piease 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 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 AR. S. §11-
1008.
PLEASE ANSWER THE FOLLOWING QUESTIONS AND INITIAL EACH RESPONSE
1. VI I/We assume complete responsibility for the kennel at the premises for which I/we 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. c'iS) 1NVe certify that 1/We have 30 dogs and that the kennel meets the definition in statute.
3. 24--11/We certify that INVe have not been convicted of a violation of A.R.S. §§ 13-2910 (cruelty to animals)
or 13-2910.01 (dog fighting), or similar violations of any other state, county or municipal animal welfare law.
(Violations of license and leash laws DO NOT apply).
4. 1/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. (rI_A-i I /We certify that I/We are submitting a valid copy of the rabies vaccination certificate for each
dog with this application.
6. 9-41 I/We understand that a dog remaining within the kennel is not required to be licensed individually under
A.R.S. § 11-1008. 1/we also understand that a dog leaving the controlled kennel conditions shall be licensed
under A.R.S. § 11-1008 except if the dog is only being transported to another kennel which has a permit issued
under this section.
7. V/i) 1/We understand that a person who fails to obtain a kennel permit under A.R.S.§11-1009 is subject to a
penalty of twenty-five dollars in addition to the annual fee.
8. 4) 1/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. 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.
1/1/Ve certify that all of the information 1/11Ve have provided is true and accurate under penalty of law.
Applicant Signature Date: 84) - 1 4-
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.dov
Receipt Number: R17-074216 Receipt Date: 03/17/2017
Person ID: P2054053
Phone: 602 2209523
CHARLES SHABAZZ 3/17/2017 12:29:11PM
2529 E CULVER ST
PHOENIX, AZ 85008
Item: Animal ID: Reference No: Price: Each: Amount:
KEN PERMIT A7777777 K18-000062 $328,00 1 $328.00
Total Fees Due: $328.00
Payments: Cash:
Check: $328.00
Credit 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
fohnsonk EBUSOFF

Maricopa County
Animal Care & Control
2500 South 27 th Avenue
Phoenix, AZ 85009
Phone: (602) 506-7387
pets.maricopa.gov
KENNEL PERMIT K18-000062
PREMISE INSPECTION
Number of Dogs: 30
Name: Charles "E" Shabazz Kennel Name: Charles "E" Shabazz
Mailing Address: 2529 E Culver Street Kennel Address: Same
City: Phoenix State: AZ Zip:85008 City: Phoenix Zip: 85008
County Supervisorial District:
Phone: 602-220-9523 Kennel Phone: 602-220-9523
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: 04/15/17
October 2015

RABIES VACCINATION CERTIFICATE FOR MARICOPA COUNTY, ARIZONA
DATE VACCINATED VACCINATION EXPIRES RABIES TAG NUMBER
03/20/2017 03/19/2020
NAME: E Shabazz PET: Bru
2529 E Culver St
Phoenix, AZ 86008 TELEPHONE: 220-9523 (602)
SPECIES SEX AGE WEIGHT
Canine 02/01/2009 5 lbs 0 ozs
BREED COLOR
Mix, Pomeranian White
Producer: Nobivac
Serial Number: 170031A
Vaccine Type: Killed
Duration: 1096
I hereby certify that I have vaccinated this animal in accordance with the company's recommendation
for the vaccine used ih the above date.
yraturroffflen ed veterinariatybitnihfftfringIvacVne.
NeilFarringtOn, V.M.
Hospital #165
Catalina Animal Hospital
9023 N 36th Ave
Phoenix, AZ 85051

RABIES VACCINATION CERTIFICATE FOR IVARICOPA COUNTY, ARIZONA
DATE VACCINATED VACCINATION EXPIRES RABIES TAG NUMBER
03/20/2017 03/19/2020
NAME: E Shabazz PET: Dot
2529 E Culver St
Phoenix, AZ 85008 TELEPHONE: 220-9523 (602)
SPECIES SEX AGE WEIGHT
Canine 02/01/2006 5 lbs 0 ozs
BREED COLOR
Mix, Pomeranian White
Producer: Nobivac
Serial Number: 170031A
Vaccine Type: Killed
Duration: 1095
hereby certify that I hRe vaccinated this animal in accordance with the company's recommendation
for the vaccine used drithe above date
7
Sine ure of sed veterin dminis vaccine.
NeilFarrington .V.M.
Hospital #16
Catalina Animal Hospital
9023 N 35th Ave
Phoenix, AZ 85051

RABIES VACCINATION CERTIFICATE FOR IVIARICOPA COUNTY, ARIZONA
DATE VACCINATED VACCINATION EXPIRES RABIES TAG NUMBER
03/20/2017 03/19/2020
NAME: E Shabazz PET: Velvet
2529 E Culver St
Phoenix, AZ 85008 TELEPHONE: 220-9523 (602)
SPECIES SEX AGE WEIGHT
Canine 02/01/2013 3 lbs 0 ozs '
BREED COLOR
Mix, Pomeranian Red
Producer: Nobivac
Serial Number: 170031A
Vaccine Type: Killed
Duration: 1095
I hereby certify that I have vaccinated this animal in accordance with the company's recommendation
for the vaccine used on the above date.
I •
Signature of insed veterinariat)i_Amil g vaccine.
NeilFarringti D.V.M.
Hospital # 7456
Catalina Animal Hospital
9023 N 35th Ave
Phoenix, AZ 85051

RABIES VACCINATION CERTIFICATE FOR MARICOPA COUNTY, ARIZONA
DATE VACCINATED VACCINATION EXPIRES RABIES TAG NUMBER
03/20/2017 03/19/2020
NAME: E Shabazz PET: Curly
2529 E Culver St
Phoenix, AZ 85008 TELEPHONE: 220-9523 (602)
SPECIES SEX AGE WEIGHT
Canine 02/01/2013 5 lbs 0 ozs
BREED COLOR
Chinese Crested Black
Producer: Nobivac
Serial Number: 170031A
Vaccine Type: Killed
Duration: 1095
I hereby certify that I hqve vaccinated thi§ animal in accordance with the company's recommendation
for the vaccine used colithe above date
7 .Aidedie
—igrigture of 1 Am./- d veterin spring vaccine.
.M
Hospital #165f
Catalina Animal Hospital
9023 N 35th Ave
Phoenix, AZ 85051

RABIES VACCINATION CERTIFICATE FOR MARICOPA COUNTY, ARIZONA
DATE VACCINATED VACCINATION EXPIRES RABIES TAG NUMBER
03/20/2017 03/19/2020
NAME: E Shabazz PET: June Bug
2529 E Culver St
Phoenix, AZ 85008 TELEPHONE: 220-9523 (602)
SPECIES SEX AGE WEIGHT
Canine 02/01/2013 0 lbs 0 ozs
BREED COLOR
Chinese Crested Black
Producer: Nobivac
Serial Number: 170031A
Vaccine Type: Killed
Duration: 1095
I hereby certify that I have vaccinated this animal in accordance with the company's recommendation
for the vaccine used on the above
Catalina Animal Hospital
9023 N 35th Ave
Phoenix, AZ 85051

RABIES VACCINATION CERTIFICATE FOR IVIARICOPA COUNTY, ARIZONA
DATE VACCINATED VACCINATION EXPIRES RABIES TAG NUMBER
03/20/2017 03/19/2020
NAME: E Shabazz PET: Cream
2529 E Culver St
Phoenix, AZ 86008 TELEPHONE: 220-9523 (602)
SPECIES SEX AGE WEIGHT
Canine 0 lbs 0 ozs
BREED COLOR
Chinese Crested Black
Producer: Nob ivac
Serial Number: 170031A
Vaccine Type: Killed
Duration: 1095
hereby certify that I have vaccinated thisAnimal in accordance with the company's recommendation
for the vaccine used on the above date
ricensed veterina ering vaccine.
on, D.V.M.
656
Catalina Animal Hospital
9023 N 36th Ave
Phoenix, AZ 85051

RABIES VACCINATION CERTIFICATE FOR IVIARICOPA COUNTY, ARIZONA
DATE VACCINATED VACCINATION EXPIRES RABIES TAG NUMBER
03/20/2017 03/19/2020
NAME: E Shabazz PET: Slick
2529 E Culver St
Phoenix, AZ 85008 TELEPHONE: 220-9523 (602)
SPECIES SEX AGE WEIGHT
Canine 02/01/2011 5 lbs 0 ozs
BREED COLOR
Chinese Crested No Hair
Producer: Nobivac
Serial Number: 170031A
Vaccine Type: Killed
Duration: 1095
I hereby certify that I have vaccinated117is animal in accordance with the company's recommendation
for the vaccine usi on the above d
AdiegiA‘l_
Signature nsed veten istering vaccine.
NeilFarri oty , D.V.M.
Hospital #,A56
Catalina Animal Hospital
9023 N 36th Ave
Phoenix, AZ 85051

RABIES VACCINATION CERTIFICATE FOR MARICOPA COUNTY, ARIZONA
DATE VACCINATED VACCINATION EXPIRES RABIES TAG NUMBER
03/20/2017 03/19/2020
NAME: E Shabazz PET: Fuzzy
2529 E Culver St
Phoenix, AZ 85008 TELEPHONE: 220-9523 (602)
SPECIES SEX AGE WEIGHT
Canine 02/01/2014 3 lbs 0 ozs
BREED COLOR
Mix, Pomeranian White
Producer: Nobivac
Serial Number: 170031A
Vaccine Type: Killed
Duration: 1095
I hereby certify that I have vaccinated thip animal in accordance with the company's recommendation
for the vaccine used o'h the above date
nature "of ii ed veterinar, vaccine.
NeilFarringto V.M.
Hospital #16
Catalina Animal Hospital
9023 N 35th Ave
Phoenix, AZ 85051

RABIES VACCINATION CERTIFICATE FOR MARICOPA COUNTY, ARIZONA
DATE VACCINATED VACCINATION EXPIRES RABIES TAG NUMBER
03/20/2017 03/19/2020
NAME E Shabazz PET: Solo
2529 E Culver St
Phoenix, AZ 85008 TELEPHONE: 220-9523 (602)
SPECIES SEX AGE WEIGHT
Canine 02/01/2011 4 lbs 0 ozs
BREED COLOR
Mix, Pomeranian White
Producer: Nobivac
Serial Number: 170031A
Vaccine Type: Killed
Duration: 1095
hereby certify that I have vaccinated this animal in accordance with the company's recommendation
-"`-7 7/77(C777 T....1177111 DT '``77 int"777 lairt.T
At
Sign- ure r y ', need vetennar • ring accine.
NeilFarringt D.V.M.
Hospital #1 56
Catalina Animal Hospital
9023 N 35th Ave
Phoenix, AZ 85051

RABIES VACCINATION CERTIFICATE FOR MARICOPA COUNTY, ARIZONA
DATE VACCINATED VACCINATION EXPIRES RABIES TAG NUMBER
03/20/2017 03/19/2020
NAME: E Shabazz PET: Smash
2529 E Culver St
Phoenix, AZ 85008 TELEPHONE: 220-9523 (602)
SPECIES SEX AGE WEIGHT
Canine 02/01/2012 5 lbs 0 ozs
BREED COLOR
Mix, Pomeranian White
Producer: Nobivac
Serial Number: 170031A
Vaccine Type: Killed
Duration: 1095
I hereby certify that I have vaccinated this animal in accordance with the company's recommendation
for the vaccine used on the above date.
Sion ture orlic nsed vetq istering vaccine.
Neil Farringto D.V.M.
Hospital #1 6
Catalina Animal Hospital
9023 N 35th Ave
Phoenix, AZ 85051

RABIES VACCINATION CERTIFICATE FOR MARICOPA COUNTY, ARIZONA
DATE VACCINATED VACCINATION EXPIRES RABIES TAG NUMBER
03/20/2017 03/19/2020
NAME: E Shabazz PET: Satan
2529 E Culver St
Phoenix, AZ 85008 TELEPHONE: 220-9523 (602)
SPECIES SEX AGE WEIGHT
Canine F 02/01/2009 7 ibs 0 ozs
BREED COLOR
Powder Puff Sable
Producer: Nobivac
Serial Number: 170031A
Vaccine Type: Killed
Duration: 1095
I hereby certify that I have vaccinated this animal in accordance with the company's recommendation
for the vaccine used on the above date.
Sign-ature of censed vete, raring vaccine.
NeilFarrin on, D.V.M.
Hospital 656
Catalina Animal Hospital
9023 N 35th Ave
Phoenix, AZ 85051

RABIES VACCINATION CERTIFICATE FOR MARICOPA COUNTY, ARIZONA
DATE VACCINATED VACCINATION EXPIRES RABIES TAG NUMBER
03/20/2017 03/20/2018
NAME: E Shabazz PET: Zolo
2529 E Culver St
Phoenix, AZ 85008 TELEPHONE: 220-9523 (602)
SPECIES SEX AGE WEIGHT
Canine M 0 lbs 0 ozs
BREED COLOR
Mix, Pomeranian Hairless
Producer: PR
Serial Number: 170031A
Vaccine Type: Killed
Duration: 1-Year
I hereby certify that I have vaccinated this animal in accordance with the company's recommendation
for the vaccine used on the above date.
Signature oili eifsed veterinariarnminfhtffrip vaccine.
NeilFarringt , D.V.M.
Hospital # 56
Catalina Animal Hospital
9023 N 35th Ave
Phoenix, AZ 85051

RABIES VACCINATION CERTIFICATE FOR MARICOPA COUNTY, ARIZONA
DATE VACCINATED VACCINATION EXPIRES RABIES TAG NUMBER
03/20/2017 03/19/2020
NAME: E Shabazz PET: April
2529 E Culver St
Phoenix, AZ 85008 TELEPHONE: 220-9523 (602)
SPECIES SEX AGE WEIGHT
Canine 02/01/2012 6 lbs 0 ozs
BREED COLOR
Mix, Pomeranian
Producer: Nobivac
Serial Number: 170031A
Vaccine Type: Killed
Duration: 1095
I hereby certify that I Ova vaccinated this animal in accordance with the company's recommendation
for the vaccine usedAn the above date.
ii F
Si nature of Ii nsed ve inanan ad pring vaccine.
NeilFarring D.V.M.
Hospital # 56
Catalina Animal Hospital
9023 N 35th Ave
Phoenix, AZ 85051

RABIES VACCINATION CERTIFICATE FOR NIARICOPA COUNTY, ARIZONA
DATE VACCINATED VACCINATION EXPIRES RABIES TAG NUMBER
03/20/2017 03/19/2020
NAME: E Shabazz PET: Meilow Yellow
2529 E Culver St
Phoenix, AZ 85008 TELEPHONE: 220-9523 (602)
SPECIES SEX AGE WEIGHT
Canine 02/01/2012 3 lbs 0 ozs
BREED COLOR
Mix, Pomeranian Yellow
Producer: Nobivac
Serial Number: 170031A
Vaccine Type: Killed
Duration: 1095
I hereby certify that I have vaccinated this animal in accordance with the company's recommendation
for the vaccine usedlon the above dat
Signature f vaccine.
NeilFarringto
Hospital #1j356
Catalina Animal Hospital
9023 N 35th Ave
Phoenix, AZ 85051

RABIES VACCINATION CERTIFICATE FOR IVIARICOPA COUNTY, ARIZONA
DATE VACCINATED VACCINATION EXPIRES RABIES TAG NUMBER
03/20/2017 03/19/2020
NAME: E Shabazz PET: Ugly Betty
2529 E Culver St
Phoenix, AZ 85008 TELEPHONE: 220-9523 (602)
SPECIES SEX AGE WEIGHT
Canine 02/01/2012 7 lbs 0 ozs
BREED COLOR
Mix, Pomeranian White
Producer: Nobivac
Serial Number: 170031A
Vaccine Type: Killed
Duration: 1095
I hereby certify that I have vaccinated this animal in accordance with the company's recommendation
for the vaccine used on the above date.
Signatre of lc sedv eterin any fadm , ring vaccine.
NeilFarringto D.V.M.
Hospital #1r/ 6 / '
Catalina Animal Hospital
9023 N 35th Ave
Phoenix, AZ 85051

RABIES VACCINATION CERTIFICATE FOR MARICOPA COUNTY, ARIZONA
DATE VACCINATED VACCINATION EXPIRES RABIES TAG NUMBER
03/20/2017 03/19/2020
NAME: E Shabazz PET: Baldy
2529 E Culver St
Phoenix, AZ 85008 TELEPHONE: 220-9523 (602)
SPECIES SEX AGE WEIGHT
Canine M 02/01/2014 5 lbs 0 ozs
BREED COLOR
Chinese Crested No Hair
Producer: Nobivac
Serial Number: 170031A
Vaccine Type: Killed
Duration: 1095
I hereby certify that I have vaccinated this animal in accordance with the company's recommendation
for the vaccine used on the above date.
Signarui-Vo elf:s'ed veterinari vaccine.
NeiFarrin on, D.V.M.
Hospita 1656
Catalina Animal Hospital
9023 N 35th Ave
Phoenix, AZ 85051

RABIES VACCINATION CERTIFICATE FOR MARICOPA COUNTY, ARIZONA
DATE VACCINATED VACCINATION EXPIRES RABIES TAG NUMBER
03/20/2017 03/19/2020
NAME: E Shabazz PET: Kookie
2529 E Culver St
Phoenix, AZ 85008 TELEPHONE: 220-9523 (602)
SPECIES SEX AGE WEIGHT
Canine F 02/01/2011 0 lbs 0 ozs
BREED COLOR
Chinese Crested Black
Producer: Nobivac
Serial Number: 170031A
Vaccine Type: Killed
Duration: 1095
I hereby certify that I have vaccinated this animal in accordance with the company's recommendation
for the vaccine used on the above date.
Signature orli nsed veterinarianqjrninisteriRg vaccine.
NeilFarringt , D.V.M. c
Hospital #1 56
Catalina Animal Hospital
9023 N 35th Ave
Phoenix, AZ 85051

RABIES VACCINATION CERTIFICATE FOR MARICOPA COUNTY, ARIZONA
DATE VACCINATED VACCINATION EXPIRES RABIES TAG NUMBER
03/20/2017 03/19/2020
NAME: E Shabazz PET: Flopsi
2529 E Culver St
Phoenix, AZ 85008 TELEPHONE: 220-9523 (602)
SPECIES SEX AGE WEIGHT
Canine 02/01/2013 6 lbs 0 ozs
BREED COLOR
Chinese Crested Black
Producer: Nobivac
Serial Number: 170031A
Vaccine Type: Killed
Duration: 1095
I hereby certify that I have vaccinated this anima) in accordance with the company's recommendation
for the vaccine used on the above date.
Signature of lice ed veterinarian dap t-ing vaccine.
NeilFarrington, .V.M.
Hospital #16 /7
Catalina Animal Hospital
9023 N 35th Ave
Phoenix, AZ 85051

RABIES VACCINATION CERTIFICATE FOR MARICOPA COUNTY, ARIZONA
DATE VACCINATED VACCINATION EXPIRES RABIES TAG NUMBER
03/20/2017 03/20/2018
NAME: E Shabazz PET: Jack
2529 E Culver St
Phoenix, AZ 85008 TELEPHONE: 220-9523 (602)
SPECIES SEX AGE WEIGHT
Canine 01/09/2016 lbs 0 ozs
BREED COLOR
Mix, Pomeranian
Producer: PH
Serial Number: 170031A
Vaccine Type: Killed
Duration: 1-Year
I hereby certify that I have vaccinated this animal in accordance with the company's recommendation
for the vaccine used Q11 the above dat
7 1 ,1
—ignature o / 1 , insed .. Aidigi veterina/ . n c (i nn
NeilFarringto,et D.V.M. / rf -
Hospital #1;56
Catalina Animal Hospital
9023 N 35th Ave
Phoenix, AZ 85051

RABIES VACCINATION CERTIFICATE FOR MARICOPA COUNTY, ARIZONA
DATE VACCINATED VACCINATION EXPIRES RABIES TAG NUMBER
03/20/2017 03/19/2020
NAME: E Shabazz PET: Diamond
2529 E Culver St
Phoenix, AZ 85008 TELEPHONE: 220-9523 (602)
SPECIES SEX AGE WEIGHT
Canine 02/01/2011 6 Hos 0 ozs
BREED COLOR
Mix, Pomeranian White
Producer: Nobivac
Serial Number: 170031A
Vaccine Type: Killed
Duration: 1095
I hereby certify that I have vaccinated this animal in accordance with the company's recommendation
for the vaccine used on the above date.
Signe are of sed veterinan rng vaccine.
NeilFarringto D.V.M.
Hospital #1p 6
Catalina Animal Hospital
9023 N 35th Ave
Phoenix, AZ 85051

RABIES VACCINATION CERTIFICATE FOR MARICOPA COUNTY, ARIZONA
DATE VACCINATED VACCINATION EXPIRES RABIES TAG NUMBER
03/20/2017 03/19/2020
NAME: E Shabazz PET: Jitter Bug
2529 E Culver St
Phoenix, AZ 85008 TELEPHONE: 220-9523 (602)
SPECIES SEX AGE WEIGHT
Canine M 02/01/2013 4 lbs 0 ozs
BREED COLOR
Chinese Crested No Hair
Producer: Nobivac
Serial Number: 170031A
Vaccine Type: Killed
Duration: 1095
I hereby certify that I have vaccinated this animal in accordance with the company's recommendation
for the vaccine used on the above date.
Sig-nature cff 1' ng vaccine.
NeilFarringt
Hospital #
Catalina Animal Hospital
9023 N 35th Ave
Phoenix, AZ 85051

RABIES VACCINATION CERTIFICATE FOR MARICOPA COUNTY, ARIZONA
DATE VACCINATED VACCINATION EXPIRES RABIES TAG NUMBER
03/20/2017 03/19/2020
NAME: E Shabazz PET: Blue
2529 E Culver St
Phoenix, AZ 85008 TELEPHONE: 220-9523 (602)
SPECIES SEX AGE, WEIGHT
Canine M 02/01/2011 5 lbs 0 ozs
BREED COLOR
Mix, Pomeranian White
Producer: Nobivac
Serial Number: 170031A
Vaccine Type: Killed
Duration: 1096
I hereby certify that I have vaccinated this animal in accordance with the company's recommendation
' for the vaccine used ion the above date.
Signature of ii nsed veterinarian a
NeilFarringto , D.V.M.
Hospital Hospital #1 #16"
Catalina Animal Hospital
9023 N 35th Ave
Phoenix, AZ 85051

RABIES VACCINATION CERTIFICATE FOR MARICOPA COUNTY, ARIZONA
DATE VACCINATED VACCINATION EXPIRES RABIES TAG NUMBER
03/20/2017 03/19/2020
NAME: E Shabazz PET: Suga
2529 E Culver St
Phoenix, AZ 85008 TELEPHONE: 220-9523 (602)
SPECIES SEX AGE WEIGHT
Canine 02/01/2008 6 lbs 0 ozs
BREED COLOR
Chinese Crested Black
Producer: Nobivac
Serial Number: 170031A
Vaccine Type: Killed
Duration: 1095
I hereby certify that I have vaccinated this animal in accordance with the company's recommendation
for the vaccine useddibn the above da
_Aidei I
Signa f sed veterin vaccine.
NeilFarrin 1 D.V.M. 1
Hospital 79 6 6
Catalina Animal Hospital
9023 N 35th Ave
Phoenix, AZ 85051

RABIES VACCINATION CERTIFICATE FOR MARICOPA COUNTY, ARIZONA
DATE VACCINATED VACCINATION EXPIRES RABIES TAG NUMBER
03/20/2017 03/19/2020
NAME: E Shabazz PET: Blk Top Male
2529 E Culver St
Phoenix, AZ 85008 TELEPHONE: 220-9523 (602)
SPECIES SEX AGE WEIGHT
Canine 02/01/2013 6 lbs 0 ozs
BREED COLOR
Chinese Crested Black
Producer: Nobivac
Serial Number: 170031A
Vaccine Type: Killed
Duration: 1095
I hereby certify that I have vaccinated this wimal in accordance with the company's recommendation
for the vaccine used on the above date.
Signu - 4". of -ns-ed veterinar; dminighting vaccine.
NeilFarringto D.V.M.
Hospital #1/ 6
Catalina Animal Hospital
9023 N 35th Ave
Phoenix, AZ 85051

RABIES VACCINATION CERTIFICATE FOR MARICOPA COUNTY, ARIZONA
DATE VACCINATED VACCINATION EXPIRES RABIES TAG NUMBER
03/20/2017 03/19/2020
NAME: E Shabazz PET: Quick
2529 E Culver St
Phoenix, AZ 85008 TELEPHONE: 220-9523 (602)
SPECIES SEX AGE WEIGHT
Canine 02/01/2011 5 lbs 0 ozs
BREED COLOR
Mix, Pomeranian
Producer: Nobivac
Serial Number: 170031A
Vaccine Type: Killed
Duration: 1095
I hereby certify that I have vaccinated this animal in accordance with the company's recommendation
for"' "..frirsC;777 1114777" Itit7:777 114:17
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Cig rnsed voter/n . ring vaccine.
D.V.M.
Hospital #1 ,'; 56
Catalina Animal Hospital
9023 N 35th Ave
Phoenix, AZ 85051

RABIES VACCINATION CERTIFICATE FOR MARICOPA COUNTY, ARIZONA
DATE VACCINATED VACCINATION EXPIRES RABIES TAG NUMBER
03/20/2017 03/19/2020
NAME: E Shabazz PET: Cotton
2529 E Culver St
Phoenix, AZ 85008 TELEPHONE: 220-9523 (602)
SPECIES SEX AGE WEIGHT
Canine 02/01/2014 6 lbs 0 ozs
BREED COLOR
Mix, Pomeranian White
Producer: Nobivac
Serial Number: 170031A
Vaccine Type: Killed
Duration: 1095
hereby certify that I have vaccinated this apimal in accordance with the company's recommendation
for the vaccine used or the above date.
Sigdature of
NeilFarringto
Hospital #16
Catalina Animal Hospital
9023 N 35th Ave
Phoenix, AZ 85051

RABIES VACCINATION CERTIFICATE FOR MARICOPA COUNTY, ARIZONA
DATE VACCINATED VACCINATION EXPIRES RABIES TAG NUMBER
03/20/2017 03/19/2020
NAME: E Shabazz PET: Spike
2529 E Culver St
Phoenix, AZ 85008 TELEPHONE: 220-9523 (602)
SPECIES SEX AGE WEIGHT
Canine 02/01/2014 4 lbs 0 ozs
BREED COLOR
Mix, Pomeranian White
Producer: Nobivac
Serial Number: 170031A
Vaccine Type: Killed
Duration: 1095
I hereby certify that I have vaccinated this animal_ in accordance with the company's recommendation
for the vaccine used on the above date.
z
Signature of lic sod veterinarianirm rg vaccine.
NeilFarringto D.V.M.
Hospital #1 6
Catalina Animal Hospital
9023 N 35th Ave
Phoenix, AZ 85051

RABIES VACCINATION CERTIFICATE FOR MARICOPA COUNTY, ARIZONA
DATE VACCINATED VACCINATION EXPIRES RABIES TAG NUMBER
03/20/2017 03/19/2020
NAME: E Shabazz PET: Sally
2529 E Culver St
Phoenix, AZ 85008 TELEPHONE: 220-9523 (602)
SPECIES SEX AGE WEIGHT
Canine 02/01/2011 5 lbs 0 ozs
BREED COLOR
Chinese Crested White
Producer: Noblvac
Serial Number: 170031A
Vaccine Type: Killed
Duration: 1095
I hereby certify that I have vaccinated this animai in accordance with the company's recommendation
for the vaccine usedithn the above date.
Sign-eh-ire office sod veterinarian airpfiniegkid vaccine.
NeilFarringto .V.M.
Hospital #1
Catalina Animal Hospital
9023 N 35th Ave
Phoenix, AZ 85051

RABIES VACCINATION CERTIFICATE FOR IVIARICOPA COUNTY, ARIZONA
DATE VACCINATED VACCINATION EXPIRES RABIES TAG NUMBER
03/20/2017 03/19/2020
NAME: E Shabazz PET: Hanna
2529 E Culver St
Phoenix, AZ 85008 TELEPHONE: 220-9623 (602)
SPECIES SEX AGE WEIGHT
Canine lbs 0 ozs
BREED COLOR ,
Mix, Pomeranian White
Producer: Nobivac
Serial Number: 170031A
Vaccine Type: Killed
Duration: 1096
I hereby certify that I have vaccinated this animal in accordance with the company's recommendation
for the vaccine used on the above date.
Signgture of lie& 6d veterinarian astininispring vaccine.
NeilFarrington, V.M.
Hospital #165
Catalina Animal Hospital
9023 N 35th Ave
Phoenix, AZ 85051

RABIES VACCINATION CERTIFICATE FOR MARICOPA COUNTY, ARIZONA
DATE VACCINATED VACCINATION EXPIRES RABIES TAG NUMBER
03/20/2017 . 03/20/2018
NAME: E Shabazz PET: Candy
2529 E Culver St
Phoenix, AZ 85008 TELEPHONE: 220-9523 (602)
SPECIES SEX AGE WEIGHT
Canine 0 ibs 0 ozs
BREED COLOR
Mix, Pomeranian Red-White
Producer: PFI
Serial Number: 170031A
Vaccine Type: Killed
Duration: 1-Year
I hereby certify that I have vaccinated this animal in accordance with the company's recommendation
for the vaccine usied on the above date.
Signature ofjjiOensed vet;
NeilFarrin n, D.V.M.
Hospital #1 656
Catalina Animal Hospital
9023 N 35th Ave
Phoenix, AZ 85051