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Maricopa County Animal Care & Control 2500 South 27 th Avenue Phoenix, AZ 85009 Phone: (602) 506-7387 pets.maricopa.gov KENNEL PERMIT K17-000047 PREMISE INSPECTION Number of Dogs: 26 Name: Mary Johnson Kennel Name: Johnson Kennel Mailing Address: 2527 E Tonto Lane Kennel Address: Same City: Phoenix State: AZ Zip:85050 City: Phoenix Zip: 85050 County Supervisorial District: 3 Phone: 602-620-4067 Kennel Phone: 602-620-4067 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 #: Sgt Chris Kunszt Date: 12/22/16 October 201 5 \\vo'Oe Maricopa County Animal Care and Control 2500 S. 27th Avenue Phoenix, AZ 85009-6797 (602) 506-7387 http://pets.maricopa.gov Receipt Number: R16-261987 Receipt Date: 10/28/2016 Person ID: P1970707 Phone: 602 6204067 JOHNSON MARY KENNELS 10/28/2016 10:32:47A1 2527 E TONTO LN PHOENIX, AZ 85050 Item: Animal ID: Reference No: Price: Each: Amount: KEN PERMIT A7777777 K17-000047 $328.00 1 $328.00 Total Fees Due: $328.00 Payments: Cash: $0.00 Check: $328.00 Credit Card: $0.00 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 and Control 2500 South 27th Avenue Phoenix, AZ 85009 (602) 506-7387 Tele. (602) 506-2739 Fax KENNEL PERMIT 7- 6:3400 APPLICATION D New SRenewal Name: Mary Johnson Kennel Name: Johnson Kennels Mailing Address: 2527 E Tonto Lane Kennel Address: Same City: Phoenix State: AZ Zip: 85050 City: Phoenix Zip: 85050 County Supervisorial District: 3 Phone: 602-620-4067 Kennel Phone: 602-620-4067 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 perm'' for— • 411 he 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. l/We assume complete responsibility for the kennel at the premises for which I/we are making PP 'cation 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 INVe certify that I/We have dogs and that the kennel meets the definition in-statute. 3. INVe certify that 1/1Ne have not been convicted of a violation of A.R.S. §§ 13-2910 (cruelty to animals) or 13- '910.01 (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. fY1(i. INVe 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. N. , 1 /We certify that IANe are submitting a valid copy of the rabies vaccination certificate for each dog with this application. 6. 1/We understand that a dog remaining within the kennel is not required to be licensed individually under A.R.S. 11-1008. l/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. INVe understand that a person who fails to obtain a kennel permit under A.R.S.§11-1009 is subject to a pe alt of twenty-five dollars in addition to the annual fee. 8. INVe understand that a person who knowingly fails to obtain a kennel permit within thirty days after written hotification from the county enforcement agent is guilty of class 2 misdemeanor.. 9. Pi 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. INVe certify that alt of the information 1/11Ve have provided is true and accurate under penalty of law. Applicant Signature Date: 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 CERTIFICATE OF VACC NAT ON Date of Vaccination: 10-12-16 Certificate No. 0 Next Vaccination on: 10-12-19 Previous Vaccination: VETERINARY CLINIC OWNER OF ANIMAL Indian Bend Animal Hospital Mary Johnson 3923 E. Thunderbird Road 2527 E.Tonto Ln. Phoenix, AZ 85032 Phoenix, AZ 85050 602-867-2992 (602) 569-3373 This is to certify... THAT I HAVE VACCINATED THE ANIMAL DESCRIBED BELOW AGAINST RABIES. Patient information-. PATIENT: Princess TAG NO: SPECIES: Canine BREED: West Highland Terrier SEX: Spayed Female AGE: 9 years WEIGHT: 18.00 lbs COLOR: White MICROCHIP MEG BY: BI, SERIAL: A150421A, EXPIRES: 12/20/17, ADMMI: Sq Signed: F. lsorriXVM License: 3307 Other Vaccinations... Vaccinated By Vaccination Next due . 12-17-07 KJA Rabies-Canine 1 yr, #MAIL (none) CERTIFICATE OF LOi. Date of Vaccination: 10-12-16 Certificate No. 0 Next Vaccination on: 10-12-19 Previous Vaccination: 6 VETERINARY CLINIC OWNER OF ANIMAL Indian Bend Animal Hospital Mary Johnson 3923 E. Thunderbird Road 2527 E.Tonto Ln. Phoenix, AZ 85032 Phoenix, AZ 85050 (602) 569-3373 602-867-2992 This is to certify._ VACCINATED THE ANIMAL DESCRIBED BELOW AGAINST RABIES. THAT I HAVE Patient information... PATIENT: Tamarah TAG NO: Labrador Retriever Mix SPECIES: Canine BREED: SEX: Spayed Female AGE: 6 years COLOR: Black and White WEIGHT: 41.80. lbs MICROCHIP MFG BY: BI, ERIAL: 4150421A, EXPIRES: 12/20117, ADMIN: Sq Signed: License: 3307 Otlier .VacthiriationS... VaCCinated By Vaccination Next due KJA Rabies-Canine lyr (none) CERTIFICATE OF VACCINATION Date of Vaccination: 10-12-16 Certificate No. 0 Next Vaccination on: 10-12-19 Previous Vaccination: 6 VETERINARY CLINIC OWNER OF ANIMAL Indian Bend Animal Hospital Mary Johnson 3923 E. Thunderbird Road 2527 E.Tonto Ln. Phoenix, AZ 85050 Phoenix, AZ 85032 (602) 569-3373 602-867-2992 This is to certify... VACCINATED THE ANIMAL DESCRIBED BELOW AGAINST RABIES. THAT I HAVE Patient information... PATIENT: Tiger TAG NO: BREED: Dachshund SPECIES: Canine AGE: 6 years SEX: Male COLOR: Red Brindle WEIGHT: 13.00 lbs MICROCHIP MFG BY: BI, 4g0421A, EXPIRES: 12/20/17, ADM1N: Sq Signed: F. Isom, DVM \._-'-ticense: -- 3307 Other VaeCinatiOns... Vaccinated By Vaccination Next due 05-27,11 MA Rabies-Canine lyr (none) CERTIFICATE OF VACCINATION Certificate No. 0 Date of Vaccination: 10-12-16 Previous Vaccination: 7 Next Vaccination on: 10-12-19 OWNER OF ANIMAL VETERINARY CLINIC Mary Johnson Indian Bend Animal Hospital 2527 E.Tonto Ln. 3923 E. Thunderbird Road Phoenix, AZ 85050 Phoenix, AZ 86032 (602) 569-3373 602-867-2992 This is to certify... VACCINATED THE ANIMAL DESCRIBED BELOW AGAINST RABIES. THAT I HAVE Patient information... TAG NO: PATIENT: Dimples BREED: Dachshund SPECIES: Canine AGE: 7 years SEX: Female COLOR: Dapple WEIGHT: 14.00 lbs MICROCHIP MEG BY: BI, SERIA • 415421A, EXPIRES: 12/20/17, ADMIN: Sq Signed: Valk F Isom, DIVrrii Wicense: 3307 Other Vaccinations... Vaccinated By Vaccination Next due 05-27-11 KJA Rabies-Canine 1yr, #1 (none) CERTIFICATE OF VACCINATION Date of Vaccination: 10-12-16 Certificate No. 0 Next Vaccination on: 10-12-19 Previous Vaccination: 9 OWNER OF ANIMAL VETERINARY CLINIC Mary Johnson Indian Bend Animal Hospital 2527 E.Tonto Ln. 3923 E. Thunderbird Road Phoenix, AZ 85060 Phoenix, AZ 85032 (602) 569-3373 602-867-2992 This is to certify... VACCINATED THE ANIMAL DESCRIBED BELOW AGAINST RABIES. THAT I HAVE Patient information... PATIENT: Bubbles TAG NO: BREED: Dachshund SPECIES: Canine AGE: 6 years SEX: Female COLOR: Blue and Tan WEIGHT: 13.00 lbs MICROCHIP . MFG BY: BI, SE/L: 41 .5,0421A; EXPIRES: 12/20/17, ADM1N: Sq Signed: F. License: 3307 Othr-Va6airikions.:. Vaccinated By Vaccination Next due 05-27-11 • KJA Rabies-Canine 1yr, A (none) CERTIFICATE OF VACCINATION Date of Vaccination: 10-12-16 Certificate No. 0 Next Vaccination on: 10-12-19 Previous Vaccination; 9 OWNER OF ANIMAL VETERINARY CLINIC Mary Johnson Indian Bend Animal Hospital 2527 E.Tonto Ln. 3923 E. Thunderbird Road Phoenix, AZ 85050 Phoenix, AZ 85032 (602) 569-3373 602-867-2992 This THAT is to certify... I HAVE VACCINATED THE ANIMAL DESCRIBED BELOW AGAINST RABIES. Patient information... PATIENT; Sterna TAG NO: BREED: West Highland Terrier SPECIES: Canine AGE: 7 years SEX: Female COLOR: White WEIGHT: 17.00 lbs MICROCHIP MFG BY: BI, SERIAL: 4150421A, EXPIRES: 12/20/17, AMIN: Sq Signed: _ F. Isorn, ri,VMLicense: 3307 Other Vaccinations... Vaccinated By Vaccination Next due 06:27-11 Ic.IA Rabies-Canine lyr (none) CERTIFICATE OF VACCINATION Date of Vaccination: 10-12-16 Certificate No. 0 Next Vaccination on: 10-12-19 Previous Vaccination: 2 VETERINARY CLINIC OWNER OF ANIMAL Indian Bend Animal Hospital Mary Johnson 3923 E. Thunderbird Road 2527 E.Tonto Ln. Phoenix, AZ 85032 Phoenix, AZ 86050 (602) 569-3373 602-867-2992 This is to certify... VACCINATED THE ANIMAL DESCRIBED BELOW AGAINST RABIES. THAT I HAVE Patient information... PATIENT: Skipper TAG NO: BREED: West Highland Terrier SPECIES: Canine AGE: 6 years SEX: Male COLOR: White WEIGHT: 17.00 lbs MICROCHIP MEG BY: BI, SERIA1A-4150421A, EXPIRES: 12120/17, ADMIN: Sq Signed: F., Isom, DVM - License: 3307 Other Vccinatiàns... Vaccinate.d By Vaccination Next due . 05-27-11 KJA Rabies-Canine 1yr (none) CERTIFICATE OF VACCINATION Date of Vaccination: 10-12-16 Certificate No. 0 Next Vaccination on: 10-12-19 Previous Vaccination: 102 VETERINARY CLINIC OWNER OF ANIMAL Indian Bend Animal Hospital Mary Johnson 3923 E. Thunderbird Road 2527 E.Tonto Ln. Phoenix, AZ 85032 Phoenix, AZ 85050 (602) 569-3373 602-867-2992 This is to certify... VACCINATED THE ANIMAL DESCRIBED BELOW AGAINST RABIES. THAT 1 HAVE Patient information... PATIENT: Trixie TAG NO: SPECIES: Canine BREED: Dachshund SEX: Female . AGE: 6 years COLOR: Black and Tan WEIGHT: 11.00 ibs MICROCHIP - MFG BY: BI; SERIAL: 4150421A, - EXPIRES: 12/20/17, ADMIN: Sq Signed: F. Isom, DI/M icense: 3307 Other Vaceinafione... Vaccinated By Vaccination Next due " 06-'12-12 RV Rabies-Canine 1yr, #3 (none) CERTIFICATE OF VACCINATION Date of Vaccination: 1 0-1 2-16 Certificate No. 0 Next Vaccination on: 10-12-19 Previous Vaccination: 104 VETERINARY CLINIC OWNER OF ANIMAL Indian Bend Animal Hospital Mary Johnson 3923 E. Thunderbird Road 2527 E.Tonto Ln. Phoenix, AZ 85032 Phoenix, AZ 85050 602-867-2992 (602) 569-3373 This is to certify.. THAT I HAVE VACCINATED THE ANIMAL DESCRIBED BELOW AGAINST RABIES. Patient information... PATIENT: Sandy's Westie TAG NO: SPECIES: Canine BREED: West Highland Terrier SEX: Female AGE: 8 years WEIGHT: 17.50 lbs COLOR: White MICROCHIP MFG BY: BI, S.RfAtIL: 4,1 150421A, EXPIRES: 12/20/17, ADMEN: Sq Signed: F. Isorri,IVIk-k, License: 3307 bilierVaCCinatiOns... Vaccinated By Vaccination Next due 06-12-12 RV Rabies-Canine 1yr, #8 (none) CERTIFICATE OF VACCINATION Date of Vaccination: 10-12.-16 Certificate No. 0 Next Vaccination on: 10-12-19 Previous Vaccination: 103 VETERINARY CLINIC OWNER OF ANIMAL Indian Bend Animal Hospital Mary Johnson 3923 E. Thunderbird Road 2527 E.Tonto Ln. Phoenix, AZ 86032 Phoenix, AZ 85050 602-867-2992 (602) 569-3373 This THAT is to certify... I HAVE VACCINATED THE ANIMAL DESCRIBED BELOW AGAINST RABIES. Patient information... PATIENT: Jasmine TAG NO: SPECIES: Canine BREED: West Highland Terrier SEX: Female AGE: 8 years WEIGHT: 17.00 lbs COLOR: White MICROCHIP • MFG BY BI, 41_50421A, EXPIRES: 12/20/17, ADMIN: Sq Signed: F. Isom,'DVM \--)License: 3307 OtherVaceinations... . . Vaccinated By Vaccination Next due .0 .0-.1 .2-1 RV Rabies-Canine lyr, #9 (none) CERT1F CATE OF VA CC NATION Date of Vaccination: 10-12-16 Certificate No. 0 Next Vaccination on: 10-12-19 Previous Vaccination: 101 VETERINARY CLINIC OWNER OF ANIMAL Indian Bend Animal Hospital Mary Johnson 3923 E. Thunderbird Road 2527 E.Tonto Ln. Phoenix, AZ 85032 . Phoenix, AZ 85050 602-867-2992 (602) 569-3373 This THAT is to certify... I HAVE VACCINATED THE ANIMAL DESCRIBED BELOW AGAINST RABIES. Patient information... PATIENT: Molly TAG NO: BREED: West Highland Terrier SPECIES: Canine AGE: 8 years SEX: Female COLOR: White WEIGHT: 17.00 lbs MICROCHIP MFG BY: BI, SERIAL: 4,15-9421,AA EXPIRES: 12120/17, ADMIN: Sq Signed: F. Isom, DVM LiceMe: 3307 Other Vaccinations._ • Vaccinated By Vaccination Next thie 08712-12 RV Rabies-Canine lyr, #0 (none) CERTIFICATE OF VACCINATION Date of Vaccination: 10-12-16 Certificate No. 0 Next Vaccination on: 10-12-19 Previous Vaccination: VETERINARY CLINIC OWNER OF ANIMAL Indian Bend Animal Hospital Mary Johnson 3923 E. Thunderbird Road 2527 E.Tonto Ln. Phoenix, AZ 85032 Phoenix, AZ 85050 (602) 569-3373 602-867-2992 This is to certify... HAVE VACCINATED THE ANIMAL DESCRIBED BELOW AGAINST RABIES. THAT! Patient information... PATIENT: Cleo #1 TAG NO: BREED: Dachshund SPECIES: Canine AGE: 3 years SEX: Female COLOR: Blk &-Tan WEIGHT: 14.50 ibs MICROCHIP MFG BY: BI, SERIAL: 4150421A, EXPIRES: 12120117, AMAIN: Sq Signed: F..lsom;0/M-- License: 3307 tither Vacainations... CERTIFICATE OF VACCINATION Date of Vaccination: 10-12-16 Certificate No. 0 Next Vaccination on: 10-12-19 Previous Vaccination: VETERINARY CLINIC OWNER OF ANIMAL Indian Bend Animal Hospital Mary Johnson 3923 E. Thunderbird Road 2527 E.Tonto Ln. Phoenix, AZ 85032 Phoenix, AZ 85050 602-867-2992 (602) 569-3373 This is to certify... THAT I HAVE VACCINATED THE ANIMAL DESCRIBED BELOW AGAINST RABIES. Patient information... PATIENT: Cooper TAG NO: SPECIES: Canine BREED: Dachshund SEX: Male AGE: 3 years WEIGHT: 8.00 lbs COLOR: Red MICROCHIP MFGBY: BI, ,Sf RIAL: 4150421A, EXPIRES: 12/20/17, ADMIN: Sq Signed: F. Isom, License: 3307 Other. Vaccinations._ CERTIFICATE OF VACCINATION Date of Vaccination: 10-12-16 Certificate No. 0 Next Vaccination on: 10-12-19 Previous Vaccination: VETERINARY CLINIC OWNER OF ANIMAL Indian Bend Animal Hospital Mary Johnson 3923 E. Thunderbird Road 2527 E.Tonto Ln. Phoenix, AZ 85032 Phoenix, AZ 85050 (602) 569-3373 602-867-2992 This is to certify... VACCINATED THE ANIMAL DESCRIBED BELOW AGAINST RABIES. THAT I HAVE Patient information... PATIENT: Minnie TAG NO: BREED: Dachshund SPECIES: Canine AGE: 3 years SEX: Female COLOR: Red WEIGHT: 13.00 lbs MICROCHIP MFG BY:-B1; SERIAL: 4150421A, EXPIRES: 12/20117, ADM: Sq Signed: F. isoriV DV License: 3307 Other Vaccinations... CERTIFICATE OF VACCINATION Date of Vaccination: 10-12-16 Certificate No. Next Vaccination on: 10-12-19 Previous Vaccination: VETERINARY CLINIC OWNER OF ANIMAL Indian Bend Animal Hospital Mary Johnson 3923 E. Thunderbird Road 2527 E.Tonto Ln. Phoenix, AZ 85032 Phoenix, AZ 85050 602-867-2992 (602) 569-3373 This is to certify... THAT I HAVE VACCINATED THE ANIMAL DESCRIBED BELOW AGAINST RABIES. Patient information... PATIENT: Mouse TAG NO: SPECIES: Canine BREED: Dachshund SEX: Female AGE: 3 years WEIGHT: 12.50 lbs COLOR: Red MICROCHIP MFG BY: BI, SEPJ4L: 4150421A, EXPIRES: 12/20/17, ADM: Sq Signed: F, License: 3307 Other Vaccinations... CERTIFICATE OF VACCINATION Certificate No. 0 Date of Vaccination: 10-12-16 Previous Vaccination: Next Vaccination on: 10-12-19 OWNER OF ANIMAL VETERINARY CLINIC Mary Johnson Indian Bend Animal Hospital 2527 E.Tonto Ln. 3923 E. Thunderbird Road Phoenix, AZ 85050 Phoenix, AZ 85032 (602) 569-3373 602-867-2992 This is to certify... VACCINATED THE ANIMAL DESCRIBED BELOW AGAINST RABIES. THAT I HAVE Patient information... TAG NO: PATIENT: Roxie 1 BREED: Dachshund SPECIES: Canine AGE: 3 years SEX: Female COLOR: Red WEIGHT: 14.20 lbs MICROCHIP MFG BY: BI, SERIAL: 4150421A, EXPIRES: 12/20/17, ADM: Sq Signed: F, Isom, V License: 3307 'OtherVacCinatione... CERTIFICATE OF VACCINAT ON Certificate No. 0 Date of Vaccination: 10-12-16 Previous Vaccination: Next Vaccination on 10-12-19 OWNER OF ANIMAL VETERINARY CLINIC Mary Johnson Indian Bend Animal Hospital 2527 E.Tonto Ln. 3923 E. Thunderbird Road Phoenix, AZ 85050 Phoenix, AZ 85032 (602) 569-3373 602-867-2992 This is to certify... VACCINATED THE ANIMAL DESCRIBED BELOW AGAINST RABIES. THAT I HAVE Patient information... TAG NO: PATIENT: Wilson BREED: West Highland Terrier SPECIES: Canine AGE: 3 years SEX: Male COLOR: White WEIGHT: 18.50 lbs MICROCHIP - MFG BY: BI,• SERIAL: 4150421A, EXPIRES: 12/20/17, ADMIN: Sq Signed: F. Ise DVM cense: 3307 Other Vaccinations... Date of Vaccination: 10-12-16 Certificate No. 0 Next Vaccination on: 10-12-17 Previous Vaccination: VETERINARY CLINIC OWNER OF ANIMAL Indian Bend Animal Hospital Mary Johnson 3923 E. Thunderbird Road 2527 E.Tonto Ln. Phoenix, AZ 85032 Phoenix, AZ 85050 602-867-2992 (602) 569-3373 This is to certify... THAT I HAVE VACCINATED THE ANIMAL DESCRIBED BELOW AGAINST RABIES. Patient information... PATIENT: Dottie TAG NO: SPECIES: Canine BREED: Dachshund SEX: Female AGE: 20 months WEIGHT: 11.00 lbs COLOR: Black and Tan MICROCHIP MEG BY: BI, SERIAL: 4150421A, EXPIRES: 12/20/17, AMIN: Sq Signed: F. Isom,tVM License: 3307 Other Vaccinations... CERTIFICATE OF VACCINATION Date of Vaccination: 10-12-16 Certificate No. 0 Next Vaccination on: 10-12-17 Previous Vaccination: VETERINARY CLINIC OWNER OF ANIMAL Indian Bend Animal Hospital Mary Johnson 3923 E. Thunderbird Road 2527 E.Tonto Ln. Phoenix, AZ 85032 Phoenix, AZ 85050 602-867-2992 (602) 569-3373 This is to certify... THAT I HAVE VACCINATED THE ANIMAL DESCRIBED BELOW AGAINST RABIES‘ Patient information_ PATIENT: Lit Bambaki TAG NO: SPECIES: Canine BREED; Dachshund SEX: Male AGE: 18 months WEIGHT: 11.50 lbs COLOR: Cream MICROCHIP - MFG BY: BI, SERIAL: 4150421A, EXPIRES: 12120/17, ADMIN: Sq Signed: .F.. Isom; License: 3307 other- vacei nations... CERTIFICATE OF VACCINATION Date of Vaccination: 10-12-15 Certificate No. 0 Next Vaccination on: 10-12-17 Previous Vaccination: VETERINARY CLINIC OWNER OF ANIMAL Indian Bend Animal Hospital Mary Johnson 3923 E. Thunderbird Road 2527 E.Tonto Ln. Phoenix, AZ 85032 Phoenix, AZ 85050 (602) 569-3373 602-867-2992 This THAT is to certify... I HAVE VACCINATED THE ANIMAL DESCRIBED BELOW AGAINST RABIES. Patient information... PATIENT: Mia TAG NO: BREED: West Highland Terrier SPECIES: Canine AGE: 6 months SEX: Female COLOR: White WEIGHT: 13.50 lbs MICROCHIP - MFG BY: BI, SERIAL: 4150421A, EXPIRES: 12/20/17, ADMIN: Sq Signed: F. Isom, DIM License: 3307 Other"VacCinationS... Date of Vaccination: 10-12-16 Certificate No. 0 Next Vaccination on: 10-12-17 Previous Vaccination: OWNER OF ANIMAL VETERINARY CLINIC Mary Johnson Indian Bend Animal Hospital 2527 E.Tonto Ln. 3923 E. Thunderbird Road Phoenix, AZ 85050 Phoenix, AZ 85032 (602) 569-3373 602-867-2992 This is to certify... VACCINATED THE ANIMAL DESCRIBED BELOW AGAINST RABIES. THAT I HAVE Patient information... TAG NO: PATIENT: Mya BREED: West Highland Terrier SPECIES: Canine AGE: 6 months SEX: Female COLOR: White WEIGHT: 11 50 Ihs MICROCHIP MFG BY: BI, A150421A, EXPIRES: 12/20/17, ADNIIN: Sq Signed: F. Isom, DVM License: 3307 Other Vaecinations... Date of Vaccination: 10-12-16 Certificate No. 0 Next Vaccination on: 10-12-17 Previous Vaccination: VETERINARY CLINIC OWNER OF ANIMAL Indian Bend Animal Hospital Mary Johnson 3923 E. Thunderbird Road 2527 E.Tonto Ln. Phoenix, AZ 85032 Phoenix, AZ 85050 602-867-2992 (602) 569-3373 This is to certify... THAT I HAVE VACCINATED THE ANIMAL DESCRIBED BELOW AGAINST RABIES. Patient information... PATIENT: Sadie TAG NO: SPECIES: Canine BREED: Dachshund SEX: Female AGE: 12 months WEIGHT: 1 .1.50 lbs COLOR: Black & Tan MICROCHIP -MFG BY:. el; 4 0421A, EXPIRES: 12120117, Sq Signed: F. Isom, OVM License: 3307 difier'VadcinatiOns... CERTIFICATE OF VACCINATION Date of Vaccination: 10-12-16 Certificate No. Next Vaccination on: 10-12-17 Previous Vaccination: VETERINARY CLINIC OWNER OF ANIMAL Indian Bend Animal Hospital Mary Johnson 3923 E. Thunderbird Road 2527 E.Tonto Ln. Phoenix, AZ 85032 Phoenix, AZ 85050 602-867-2992 (602) 569-3373 This is to certify... THAT I HAVE VACCINATED THE ANIMAL DESCRIBED BELOW AGAINST RABIES. Patient information... PATIENT: Still° TAG NO: SPECIES: Canine BREED: Dachshund SEX: Male AGE: 12 months WEIGHT: 10.00 lbs COLOR: Red MICROCHIP MFG BY: B1, SE7pL': 150421A, EXPIRES: 12/20/17, ADMIN: Sq Signed: F. Isom, DVMJ License: 3307 Other Vaccinations... Date of Vaccination: 10-12-16 Certificate No. 0 Next Vaccination on: 10-12-17 Previous Vaccination: VETERINARY CLINIC OWNER OF ANIMAL Indian Bend Animal Hospital Mary Johnson 3923 E. Thunderbird Road 2527 E.Tonto Ln. Phoenix, AZ 85032 Phoenix, AZ 85050 602-867-2992 (602) 569-3373 This is to certify... THAT I HAVE VACCINATED THE ANIMAL DESCRIBED BELOW AGAINST RABIES. Patient information.. PATIENT: Teddy TAG NO: SPECIES: Canine BREED: Dachshund SEX: Male AGE: 21 months WEIGHT: 10.50 lbs COLOR: Blk & Tan MICROCHIP MFG BY: B1, SERI44: 4.150421A, EXPIRES: 12/20/17, ADMIN: So Signed: F. Isom, License: 3307 otherVaooinaticins.., Date of Vaccination: 10-12-16 Certificate No. 0 Next Vaccination on: 10 -12 -17 Previous Vaccination: VETERINARY CLINIC OWNER OF ANIMAL Indian Bend Animal Hospital Mary Johnson 3923 E. Thunderbird Road 2527 E.Tonto Ln. Phoenix, AZ 85032 Phoenix, AZ 85050 602-867-2992 (602) 569-3373 This is to certify... THAT I HAVE VACCINATED THE ANIMAL DESCRIBED BELOW AGAINST RABIES. Patient information... PATIENT: Zena TAG NO: SPECIES: Canine BREED: Doberman Pinscher SEX: Female AGE: 22 months WEIGHT: 60.00 lbs COLOR: Black & Tan MICROCHIP MFG BY: BI, SER ° L: 4150421A, • EXPIRES: 12/20/17, ADM; Sq Signed: F. IsomMD License: 3307 Other VaCcinations- CERTIFICATE OF VACC NAT ON Date of Vaccination: 10-12-16 Certificate No. 0 Next Vaccination on: 10-12-19 Previous Vaccination: 4 VETERINARY CLINIC OWNER OF ANIMAL Indian Bend Animal Hospital Mary Johnson 3923 E. Thunderbird Road 2527 E.Tonto Ln. Phoenix, AZ 85032 Phoenix, AZ 85050 602-867-2992 (602) 569-3373 This is to certify... THAT I HAVE VACCINATED THE ANIMAL DESCRIBED BELOW AGAINST RABIES. Patient information... PATIENT: Toby TAG NO: SPECIES: Canine BREED: Yorkshire Terrier SEX: Neutered Male AGE: 10 years WEIGHT: 4.50 lbs COLOR: Black and Tan MICROCHIP MFG BY: BI, S7AL: 4150421A, EXPIRES: 12120/17, ADMIN: Sq I A Vaccinated By Vaccination Next due 05-27-11 KJA Rabies-Canine 1yr (none)