Extracted text (via pymupdf_layout)
16813 characters
Maricopa County Animal Care and Control 2500 S. 27th Avenue Phoenix, AZ 85009-6797 (602) 506-7387 http://pets.maricopa.gov Receipt Number: R17-052065 Receipt Date: 0212312017 Person ID: P2554156 Phone: 623 2183366 BRYANT KENNELS 2123/2017 12:29:56PM 22215 W BUCKHORN TRL WITTMANN, AZ 85361 Item: Animal ID: Reference No: Price: Each: Amount: KEN PERMIT A7777777 K18-000065 $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 johnsonk EBUSOFF Maricop a County Animal Care & Control 2500 South 27th Avenue Phoenix, AZ 85009 Phone: (602) 506-7387 pets.marieopa.gov KENNEL PERMIT K18-000065 PREMISE INSPECTION Number of Dogs: 17 Name: Willie Bryant Kennel Name: Bryant Kennels Mailing Address: 22215 W Buckhorn Trail Kennel Address: Same City: Wittmann State: AZ Zip:85361 City: Wittmann Zip: 85361 County Supervisorial District: 4 Phone: 623-218-3366 Kennel Phone: 623-218-3366 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: 02124/17 October 2015 Mpricopa County Animal Care and Control 2500 South 27th Avenue Phoenix, AZ 85009 (602) 506-7387 Tele. (602) 506-2739 Fax KENNEL PERMIT K tic - OOO O 5 APPLICATION New Renewal Name: Willie Bryant Kennel Name: 13 volni-- Kenie/5 Mailing Address:22215 W Buckhorn Trail Kennel Address: 22215 W Buckhorn Trail City: Wittmann State:AZ Zip:85361 City: Wittmann State:AZ Zip:85361 County Supervisorial District:4 Phone: 623-218-3366 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 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. 1/ j. INVe 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 CERTIFICATE OF VACCINATION Date of Vaccination: 11-04-16 Certificate No. 30 Next Vaccination on: 444eile.) I I / Previous Vaccination: VETERINARY CLINIC OWNER OF ANIMAL Urban Livestock and Equine Vt Services Willie Bryant 744 N. Center St 22215 W. Buckhom Tr Suite 102 Mesa, AZ 85201 Wiftmann, AZ 85361 480-436-4970 (480) 849-8752 This is to certify... THAT I HAVE VACCINATED THE ANIMAL DESCRIBED BELOW AGAINST RABIES. Patient information... PATIENT: Blondie TAG NO: 62631 SPECIES: Canine BREED: Labrador Retriever Mix SEX: Female AGE: 8 months WEIGHT: 35.00 lbs COLOR: Tan MICROCHIP: MFG BY: Al, SERIAL: 1215414B, EXPIRES: 16/03/17, ADMIN: SC Signed: \\r,r6.36t\L) Nvokk. VD`A-lio Helena Carner License: Other Vaccinations... CERTIFICATE OF VACCINATION Date of Vaccination: 11-04-16 Certificate No. 28 Next Vaccination on: ..(meae)- 111 I Previous Vaccination: VETERINARY CLINIC OWNER OF ANIMAL Urban Livestock and Equine Vt Services Willie Bryant 744 N. Center St 22215W. Suckhorn Tr Suite 102 Mesa, AZ 85201 Wittmann, AZ 85361 480-436-4970 (480) 849-8752 This is to certify... THAT I HAVE VACCINATED THE ANIMAL DESCRIBED BELOW AGAINST RABIES. Patient information... PATIENT: Rufus TAG NO: 62629 SPECIES: Canine BREED: Labrador Retriever Mix SEX: Male AGE: 8 months WEIGHT: 55.00 lbs COLOR: Black and Brown MICROCHIP: MFG BY: BI, SERIAL: 1215414B, EXPIRES: 16/03/17, ADMIN: SC Signed: \t'A \in-\ fl/ Helena Garner License: Other Vaccinations... CERTIFICATE OF VACCINATION Date of Vaccination: 11-04-16 Certificate No. 32 Next Vaccination on: -04erle)" j j Previous Vaccination: VETERINARY CLINIC OWNER OF ANIMAL Urban Livestock and Equine Vt Services Willie Bryant 744 N. Center St 22215 W. Buckhorn Tr Suite 102 Mesa, AZ 85201 Wittmann, AZ 85361 480-436-4970 (480) 849-8752 This is to certify... THAT I HAVE VACCINATED THE ANIMAL DESCRIBED BELOW AGAINST RABIES. Patient information... PATIENT: Rosco TAG NO: 62633 SPECIES: Canine BREED: Labrador Retriever Mix SEX: Male AGE: 8 months WEIGHT: 54.00 lbs COLOR: Tan, Black and White MICROCHIP: MFG Eficz,B1, SERIAL: 1215414B, EXPIRES: 16/03117, ADMIN: SC Signed: Helena Camer License: Other Vaccinations... CERTIFICATE OF VACCINATION Date of Vaccination: 11-04-16 I Certificate No. 31 Next Vaccination on: Mune) V Previous Vaccination: VETERINARY CLINIC OWNER OF ANIMAL Urban Livestock and Equine Vt Services Willie Bryant 744 N. Center St 97215 W. R , irle.horn Tr Suite 102 Mesa, AZ 85201 Wittmann, AZ 85361 480-436-4970 (480) 849-8752 This is to certify... THAT I HAVE VACCINATED THE ANIMAL DESCRIBED BELOW AGAINST RABIES. Patient information... PATIENT: Pudgy TAG NO: 62632 SPECIES: Canine BREED: Labrador Retriever SEX: Male AGE: 8 months WEIGHT: 50.00 lbs COLOR: Black MICROCHIP: MFG BY: BI, SERIAL: 1215414B, EXPIRES: 16/03/17, ADMIN: SC Signed: V-)1 Helena Gamer License: Other Vaccinations... CERTIFICATE OF VACCINATION Date of Vaccination: Next Vaccination 11-04-16 on:e51- I pl Certificate VETERINARY CLINIC Previous No. 33 Urban Livestock and Equine Vaccination: 744 N. Center St Vt Services OWNER OF Suite 102 Willie ANIMAL Mesa, AZ 85201 22215 Bryant W. 480436-4970 Buckhorn Tr This is to certify... (480) Wittmann, AZ 85361 THAT I HAVE VACCINATED 849-8752 Patient THE ANIMAL DESCRIBED BELOW information... AGAINST RABIES, PATIENT: Missy SPECIES: Canine SEX: Female TAG NO: WEIGHT: 40.00 lbs BREED: 62634 MICROCHIP: AGE: 8 Labrador Retriever Mix MFG BY: BI, SERIAL: COLOR: Black months and White 1215414B, EXPIRES: 16103/17, ADMIN: SC Signed: Helena Camer M\D\ License: Other Vaccinations... CERTIFICATE OF VACCINATION Date of Vaccination: 11-04-16 Certificate No. 26 Next Vaccination on: *erre,- Previous Vaccination: VETERINARY CLINIC OWNER OF ANIMAL Urban Livestock and Equine Vt Services Willie Bryant 744 N. Center St 22215W. Buckhom Tr Suite 102 Mesa, AZ 85201 Wittmann, AZ 85361 480-436-4970 (480) 849-8752 This is to certify... THAT I HAVE VACCINATED THE ANIMAL DESCRIBED BELOW AGAINST RABIES. Patient information... PATIENT: Growler TAG NO: 62627 SPECIES: Canine BREED: Labrador Retriever Mix SEX: Male AGE: 8 months WEIGHT: 45.00 lbs COLOR: Black MICROCHIP: MFG BY: BI, SERIAL: 1215414B, EXPIRES: 16103/17, ADMIN: SC Signed: \\,0,m, ipoic) Helena Carner License: Other Vaccinations... CERTIFICATE OF VACCINATION Date of Vaccination: 11-04-16 Certificate No. 29 Next Vaccination on:--(Refie) 1 Previous Vaccination: VETERINARY CLINIC OWNER OF ANIMAL Urban Livestock and Equine Vt Services Willie Bryant 744 N. Center St 22215 W. Buckhorn Tr Suite 102 Mesa, AZ 85201 Wittmann, AZ 85361 480-436-4970 (480) 849-8752 This is to certify... THAT I HAVE VACCINATED THE ANIMAL DESCRIBED BELOW AGAINST RABIES. Patient information... PATIENT: Diamond TAG NO: 62630 SPECIES: Canine BREED: Labrador Retriever Mix SEX: Female AGE: 8 months WEIGHT: 40.00 lbs COLOR: Black and White MICROCHIP: MFG BY: BI, SERIAL: 12154145, EXPIRES: 16/03/17, ADMIN: SC Signed: \-\iii_Vt4.. NANAN Helena Carner License: Other Vaccinations... CERTIFICATE OF VACCINATION Date of Vaccination: 11-04-16 Next Vaccination on: 4-rierte) i1 t-t- I t -- Certificate No. 25 Previous Vaccination: VETERINARY CLINIC Urban Livestock and Equine Vt Services OWNER OF ANIMAL 744 N. Center St Willie Bryant Suite 102 22215 W. Buckhorn Tr Mesa, AZ 85201 480-436-4970 Widmann, AZ 85361 (480) 849-8752 This is to certify... THAT I HAVE VACCINATED THE ANIMAL DESCRIBED BELOW AGAINST RABIES. Patient information... PATIENT: Bear SPECIES: Canine TAG NO: 62626 SEX: Male BREED: Labrador Retriever Mix WEIGHT: 56.00 lbs AGE: 12 months MICROCHIP: COLOR: Black MFG BY: Bl, SERIAL: 1215414B, EXPIRES: 16/03/17, ADMIN: SC k Signed: A: VA\ilit\ (1\--tk Helena Carner License: Other Vaccinations... CERTIFICATE OF VACCINATION Date of Vaccination: 11-04-16 Certificate No. 23 Next Vaccination on: (none). Lt Previous Vaccination: VETERINARY CLINIC OWNER OF ANIMAL Urban Livestock and Equine Vt Services Willie Bryant 744 N. Center St 22215 W. Buckhorn Tr Suite 102 Mesa, AZ 85201 Wiftmann, AZ 85361 480-436-4970 (480) 849-8752 This is to certify... THAT I HAVE VACCINATED THE ANIMAL DESCRIBED BELOW AGAINST RABIES. Patient information... PATIENT: Boots TAG NO: 62624 SPECIES: Canine BREED: Labrador Retriever Mix SEX: Male AGE: 12 months WEIGHT: 50.00 lbs COLOR: Black and White MICROCHIP: MFG BY: BI, SERIAL: 1215414B, EXPIRES: 16/03/17, ADM: SC Signed: Helena Camer License: Other Vaccinations... CERTIFICATE OF VACCINATION Date of Vaccination: 11-04-16 k Certificate No. 21 Next Vaccination am-1mm)— ‘k L. Previous Vaccination: VETERINARY CLINIC OWNER OF ANIMAL Urban Livestock and Equine Vt Services Willie Bryant 744 N. Center St 22215 W. Buckhom Tr Suite 102 Mesa, AZ 85201 Wittmann, AZ 85361 480-436-4970 (480) 849-8752 This is to certify... THAT I HAVE VACCINATED THE ANIMAL DESCRIBED BELOW AGAINST RABIES. Patient information... PATIENT: Brownie TAG NO: 62622 SPECIES: Canine BREED: Labrador Retriever Mix SEX: Female AGE: 12 months WEIGHT: 42.00 lbs COLOR: Brown MICROCHIP: MFG BY: BI, SERIAL: 1215414B, EXPIRES: 16103117, ADMIN: SC Signed: NSI\ qAtLC9. 1111.C.rnir License: Other Vaccinations... CERTIFICATE OF VACCINATION Date of Vaccination: 11-04-16 , i Certificate No. 20 Next Vaccination on: koone-)'j I,, I LI Previous Vaccination: VETERINARY CLINIC OWNER OF ANIMAL Urban Livestock and Equine Vt Services Willie Bryant 744 N. Center St 22215 W. Buckhorn Ti Suite 102 Mesa, AZ 85201 VVittrnann, AZ 85361 480-436-4970 (480) 849-8752 This is to certify... THAT I HAVE VACCINATED THE ANIMAL DESCRIBED BELOW AGAINST RABIES. Patient information... PATIENT: Little Bit TAG NO: 62621 SPECIES: Canine BREED: Labrador Retriever Mix SEX: AGE: 12 months WEIGHT: 45.00 lbs COLOR: Black and Gray MICROCHIP: MFG BY: 81, SERIAL: 1215414B, EXPIRES: 16/03/17, ADMIN: SC Signed: \\cPc‘,MAV \NLk UTh Helena Carner License: Other Vaccinations... CERTIFICATE OF VACCINATION Certificate No. 22 Date of Vaccination: 11-04-16 vi Previous Vaccination: Next Vaccination on;-(14049-Y" OWNER OF ANIMAL VETERINARY CLINIC Willie Bryant Urban Livestock and Equine Vt Services 92215 W. Buckhorn Tr 744 N. Center St Suite 102 Wittmann, AZ 85361 Mesa, AZ 85201 (480) 849-8752 480-436-4970 This is to certify... THE ANIMAL DESCRIBED BELOW AGAINST RABIES. THAT I HAVE VACCINATED Patient information... TAG NO: 62623 PATIENT: Feckles BREED: Labrador Retriever Mix SPECIES: Canine AGE: 12 months SEX: Female COLOR: Black WEIGHT: 0.00 lbs MICROCHIP: MFG BY: BI, SERIAL: 1215414B, EXPIRES: 16/03/17, ADMIN: SC %)I. \n-1% Signed: -*14 He ena arner License: Other Vaccinations... CERTIFICATE OF VACCINATION Date of Vaccination: 11-04-16 Certificate No. 19 Next Vaccination on: tient.) Ikk Previous Vaccination: VETERINARY CLINIC OWNER OF ANIMAL Urban Livestock and Equine Vt Services Willie Bryant 744 N. Center St 22215W. Buckhorn Tr Suite 102 Mesa, AZ 85201 Wittmann, AZ 85361 480-436-4970 (480) 849-8752 This is to certify... THAT I HAVE VACCINATED THE ANIMAL DESCRIBED BELOW AGAINST RABIES. Patient information... PATIENT: Samuel TAG NO: 62620 SPECIES: Canine BREED: Labrador Retriever Mix SEX: Male AGE: 12 months WEIGHT: 60.00 lbs COLOR: Black and White MICROCHIP: MFG BY: Bl, SERIAL: 1215414B, EXPIRES: 16103117, ADMIN: SC Nk.m. S"1) Signed: Helena Camer License: Other Vaccinations... CERTIFICATE OF VACCINATION Date of Vaccination: 11-04-16 if Certificate No. 18 Next Vaccination on: theme} t 4 1 t-1-- Previous Vaccination: VETERINARY CLINIC OWNER OF ANIMAL Urban Livestock and Equine Vt Services Willie Bryant 744 N. Center St 22215 W. Buckhorn Tr Suite 102 Mesa, AZ 85201 Wittmann, AZ 85361 480-436-4970 (480) 849-8752 This is to certify... THAT I HAVE VACCINATED THE ANIMAL DESCRIBED BELOW AGAINST RABIES. Patient information... PATIENT: Big Head TAG NO: 62619 SPECIES: Canine BREED: Labrador Retriever Mix SEX: Female AGE: 18 months WEIGHT: 50.00 lbs COLOR: Black MICROCHIP: MFG BY: BI, SERIAL: 1215414B, EXPIRES: 16103117, ADMIN: SC Signed: \--\k‘i &NNE), Helena Carner License: Other Vaccinations... Purrfurred Pets Veterinary Clinic LIC Client No. 45 15601 W. Bell Rd., Suite 204 Bryant, Willie 22215W. Bockhorn Trail Surprise, AZ 85374 Wittmann, AZ 85361 Phone: (623) 474-3877 Phone: (623) 2184366 Fax: (623) 328-5377 Rabies Vaccination Certificate NAME: Girlie SPECIES: Canine WEIGHT: 41.20 lbs Rabies Tag #: BREED: Mixed 10Th: GENDER: FS ID #2: COLOR: Black/White Last Visit: 31812016 BIRTHDAY: 3/712014 AGE: 2 yrs, 0 months Item Description Given Due Date Lot # Manufacturer Exp. Date 5101 Rabies Vaccination 1 Year 3/8/2016 3/8/2017 4150415A Boehringer Ingelhe 6/23/2017 I hereby certify that this animal has been vaccinated in accordance with the manufacturer's recommendation for the vaccine used on above date. Au& E &twit DtV, Date Issued 31812016 Dr. Ann Carvell CERTIFICATE OF VACCINATION Date of Vaccination: 11-04-16 i Certificate No. 34 Next Vaccination on: fnone) 141 -÷"" Previous Vaccination: VETERINARY CLINIC OWNER OF ANIMAL Urban Livestock and Equine Vt Services Willie Bryant 744 N. Center St 22215W. Buckhorn Tr Suite 102 Mesa, AZ 85201 Wittmann, AZ 85361 480-436-4970 (480) 849-8752 This is to certify... THAT I HAVE VACCINATED THE ANIMAL DESCRIBED BELOW AGAINST RABIES. Patient information... PATIENT: Bueford TAG NO: 62635 SPECIES: Canine BREED: Labrador Retriever Mix SEX: Male AGE: 4 years WEIGHT: 80.00 lbs COLOR: Black MICROCHIP: MFG BY: B1, SERIAL: 1215414B, EXPIRES: 16103/17, ADIVIIN: SC Signed: I\ Helena Carner License: Other Vaccinations... CERTIFICATE OF VACCINATION Date of Vaccination: 11-04-16 Certificate No. 27 Next Vaccination on: (none) it NI Previous Vaccination: VETERINARY CLINIC OWNER OF ANIMAL Urban Livestock and Equine Vt Services Willie Bryant 744 N. Center St 22215W. Buckhorn Tr Suite 102 Mesa, AZ 85201 WitImann, AZ 85361 480-436-4970 (480) 849-8752 This is to certify... THAT 1 HAVE VACCINATED THE ANIMAL DESCRIBED BELOW AGAINST RABIES. Patient information... PATIENT: Bernard TAG NO: 62628 SPECIES: Canine BREED: Labrador Retriever SEX: Male AGE: 8 months WEIGHT: 55.00 lbs COLOR: Tan, Black and White MICROCHIP: MFG BY: BI, SERIAL: 12154146, EXPIRES: 16103117, ADM: SC Signed: s iu Helena Carner License: Other Vaccinations...