Extracted text (via pymupdf_layout)
14936 characters
Maricopa County Animal Care and Control 2500 South 27th Avenue Phoenix, AZ 85009 (602) 506-7387 Tele. (602) 506-2739 Fax KENNEL PERMIT K17-..1 00002 —1 APPLICATION E New g4enewal Name: Alvin Reed Kennel Name: Big A Kennels Mailing Address: 1110W Mohave St Kennel Address: Same City: Phoenix State: AZ Zip: 85007 City: Phoenix Zip: 85007 County Supervisorial District: #5 Phone: 602-254-1994 Kennel Phone: 602-254-1994 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. Ak 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. A a INVe certify that I/We have / 0 dogs and that the kennel meets the definition in statute. 3. 4A I/We certify that 1/We have not been convicted of a violation of A.R.S. §§ 13-2910 (cruelty to animals) or 3-2910.01 (dog fighting), or similar violations of any other state, county or municipal animal welfare law. (Violations of license and leash laws Da,NOT apply). 4. AA, .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. 44 1 /We certify that lAAle are submitting a valid copy of the rabies vaccination certificate for each dog with this application. 6. /IR, INVe understand that a dog remaining within the kennel is not required to be licensed individually under A.R.S. § 11-1008. I/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. INVe 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. /NZ IANe 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. At 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. I/We certify that all of the information I/We have provided is true and accurate under penalty of law. Applicant Signature vii' fZ e,e7 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 Maricopa County Animal Care and Control 2500 S. 27th Avenue Phoenix, AZ 85009-6797 (602) 506-7387 http://pets.maricopa.cov Receipt Number: R16-226760 Receipt Date: 0911612016 Person ID: P1168437 Phone: 602 2541994 BIG A KENNELS 1110W MOHAVE ST 9/16/2016 2:44:56PM PHOENIX, AZ 85007 Item: Animal ID: Reference No: Price: Each: Amount: KEN PERMIT A7777777 K17-000027 $328.00 1 $328.00 Total Fees Due: $328.00 Payments: Cash: $340.00 Check: $0.00 Credit Card: $0.00 Total Payments Received: $340.00 Thank You! Would you like to share your experience with our service to you? Change: $12.00 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 saucedos WBUSOFF M aric op a County Animal Care & Control 2500 South 27th Avenue Phoenix, AZ 85009 Phone: (602) 506-7387 pets.marieopa.gov KENNEL PERMIT K17-000027 PREMISE INSPECTION Number of Dogs: 10 Name: Alvin Reed Kennel Name: Big "A" Kennels Mailing Address: 1110W Mohave St Kennel Address: Same City: Phoenix State: AZ Zip: 85007 City: Phoenix Zip: 85007 County Supervisorial District: #5 Phone: 602-254-1994 Kennel Phone: 602-254-1994 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 Christopher Kunszt Date: 10/28116 October 2015 RABIES VACCINATION CERTIFICATE OWNER'S INFORMATION: KENNELS BIG A P1158437 (602) 2541994 LAST NAME FIRST NAME PERSON 10 TELEPHONE NUMBER EXT: 1110 W MOHAVE ST PHOENIX AZ 85007 STREET ADDRESS API CITY STATE ZIP CODE ANIMAL INFORMATION DOG MALE 9/16/2013 AM PIT BULL TER MIX ANIMAL TYPE ANIMAL SEX ANIMAL DATE OF BIRTH SIZE PRIMARY -BREED SECONDARY BREED A3824094 PLAYBOY RED ANIMAL ID PRIMARY COLOR SECONMRY-COLOR ANIMAL NAME MICROCHIP NUMBER VACCINATION INFORMATION RABDOMUN 12 Months 9/16/2016 9/16/2017 9/16/16 VACCINE PRODUCER VACC. LENGTH DATE VACCINATED VACCINATION EXPIRES PRINT DATE Th/fiti , KILLED Marieopa County Animal Care & Control VACCINE TYPE VETERINARLANG SIGNARIRE 2500 S 27th Avenue, Phoenix, AZ 85009 (602) 506-7387 SN120629 VACC, SERIAL NO. VETERINARIAN'S LICENSE NUMBER , RABIES VACCINATION CERTIFICATE OWNER'S INFORMATION: KENNELS BIG A P1158437 (602) 2541994 LAST NAME FIRST NAME PERSON ID TELEPHONE NUMBER EAT: 1110 W MOHAVE ST PHOENIX AZ 85007 STREET ADDRESS APT CITY STATE ZIP CODE ANIMAL INFORMATION DOG MALE 9116/2011 AM PIT BULL TER MIX ANIMAL 'OPE ANIMAL SEX ANIMAL DATE OF BIRTH SIZE PRIMARY BREED SECONDARY [KEEL) A3824087 WICKED BRINDLE ANIMAL lo ANIMAL NAME MICROCHIP NUMBER PRIMARY COLOR SECONDARY COLOR VACCINATION INFORMATION RABDOMUN 12 Months 9/16/2016 9/16/2017 9/16/16 VACCINE PRODUCER VACC. LENGTH DATE VACCINATED VACCINATION EXPIRES PRINT DATE „4',„-,441-1v--, "---- _,....v-'4 KILLED Maricopa County Animal Care & Control VACCINE TYPE VETERINARIANS SIGNATURE 2500 S 27th Avenue, Phoenix, AZ 85009 (602) 506-7387 SN120629 VACO. SERIAL NO. VETERINARIANS LICENSE NUMBER RABIES VACCINATION CERTIFICATE OWNER'S INFORMATION: KENNELS -• BIG A P1158437 (602) 2541994 LAST NAME FIRST NAME PERSON ID TELEPHONE NUMBER EXT. 1110 W MOHAVE ST PHOENIX AZ 85007 STREET ADDRESS APT CITY STATE ZIP CODE ANIMAL INFORMATION DOG . FEMALE 6/16/2014 AM PIT BULL TER MIX ANIMAL TYPE . ANIMAL SEX ANIMAL DATE OF BIRTH SIZE PRIMARY BREED SECONDARY BREED A3824084 QUEEN BRINDLE ANIMAL 10 ANIMAL NAME MICROCHIP NUMBER PRIMARY COLOR SECONDARYCOLOR VACCINATION INFORMATION RABDOMUN 12 Months 9/16/2016 9/16/2017 9/16/16 VACCINE PRODUCER VACC. LENGTH DATE VACCINATED VACCINATION EXPIRES PRINT DATE 1 ,-__,,, KILLED Marieopa County Animal Care & Control VACCINE TYPE VETERINARIAN'S SIGNATURE 2500 S 27th Avenue, Phoenix, AZ 85009 (602) 506-7387 SN120629 VACC. SERIAL NO. VETERINARIANS LICENSE NUMBER RABIES VACCINATION CERTIFICATE • OWNER'S INFORMATION: KENNELS BIG A P1158437 (602) 2541994 . LAST NAME FIRST NAME PERSON ID TELEPHONE NUMBER EXT: 1110 W MOHAVE ST PHOENIX AZ 85007 STREET ADDRESS APT CITY STATE ZIP CODE ANIMAL INFORMATION DOG MALE 9/1612014 AM PIT BULL TER MIX ANIMAL TYPE ANIMAL sEX ANIMAL DATE OF BIRTH SIZE PRIMARY BREED SECONDARY BREED A3824089 HULK RED ANIMAL ID ANIMAL NAME MICROCHIP NUmBER ARY COLoR PRIM SECONDARY COLOR VACCINATION INFORMATION RABDOMUN 12 Months 9/16/2016 9/16/2017 9/16/16 VACCINE PRODUCER VACc. LENGTH DATE VAccINATEO VACCINATION EXPIRES PRINT DATE .. .,„,,,..4e - ,i..... . cs---, Maricopa County - KILLED Animal Care & Control VACCINE TYPE VETERINARIANS SIGNATURE 2500 S 27th Avenue, Phoenix, AZ 85009 (602) 506-7387 SN120629 VACC. SERIAL NO. VETERINARIANS LICENSE NUMBER RABIES VACCINATION CERTIFICATE OWNER'S INFORMATION: KENNELS BIG A P1158437 (602) 2541994 LAST NAME FIRST NAME PERSON ID TELEPHONE NUMBER EXT. 1110 W MOHAVE . ST PHOENIX AZ 85007 STREETADORESS APT CITY STATE zip CODE ANIMAL INFORMATION DOG MALE 9/16/2013 AM PIT BULL TER MIX ANIMAL TYPE ANIMAL SEX ANIMAL DATE OF BIRTH SIZE PRIMARY BREED SECONDARY BREED A3824088 STITCH BLACK ANtMALTID ANIMAL NAME MICROCHIP NUMBER PRIMARY COLOR SECONDARY COLOR VACCINATION INFORMATION ... RABDOMUN 12 Months 9/16/2016 9/1612017 9/16/16 VACCINE PRODUCER VAcc, LENGTH DATE VACCINATED VACCINATION EXPIRES PRINT DATE ,,,,704/74.-/C---/- ----- • KILLED Maricopa County . Animal Care & Control VACCINE TYPE VETERINARIANS SIGNATURE 2500 S 27th Avenue, Phoenix, AZ 85009 (602) 506-7387 SN120629 VACC, SERIAL NO, VETERINARIAN'S LICENSE NUMBER RABIES VACCINATION CERTIFICATE OWNER'S INFORMATION: KENNELS BIQ A P1158437 (602) 2541994 LAST NAME FIRST NAME PO2801410 TELEPHONE NUMBER EXT: 1110 W MOHAVE ST PHOENIX AZ 85007 rffiERTADDRE6s APT CITY STATE ZIP CODE ANIMAL INFORMATION DOG MALE 9/22/2013 AM PIT BULL TER MIX ANIMAI_TYPE ANIMAL SEX ANIMAL DATE OF BIRTH SIZE PRIMARY BREED SECONDARY BREED A3663723 BROKE TAIL RED ANIMAL El ANIMAL NAME MICROCHIP NUMBER PRI WRY COLOR SECONDARY COLOR VACCINATION INFORMATION .... RABDOMUN 36 Months 9/16/2016 9/16/2019 9/16/16 VACCINE PRODUCER VACC. LENGTH DATE VACCINATED VACCINATION EXPIRES PRINT DATE „694 -7 .— KILLED Maricopa County Animal Care & Control VACCINE TYPE vETEIRNARIAMS SICNATURE 2500 S 27th Avenue, Phoenix, AZ 85009 (602) 506-7387 S414181 VACC. SERIAL NO. VETERINARIAN'S LICENSE NUMBER RABIES VACCINATION CERTIFICATE OWNER'S INFORMATION: KENNELS BIG A P1158437 (602) 2541994 , AST NAME FIRST NAME PERSON ID TELEPHONE NUMB R EXT. 1110 W MOHAVE ST PHOENIX AZ 85007 STREET ADDRESS APT CITY STATE ZIP CODE ANIMAL INFORMATION DOG MALE 9/2212010 AM PIT BULL TER MIX ANIMAL TYPE ANIMAL SEX ANIMAL DATE OF BIRTH SIZE PRIMARY BREED SECONDARY BREED A3663724 GAVLAN RED ANIMAL ID ANIMAL NAME MICROCHIP NUMBER PRIMARY COLOR SECONDARY COLOR VACCINATION INFORMATION RABDOMUN 36 Months 9/16/2016 9/16/2017 9116/16 VACCINE PRODUCER VACC LENGTH CAFE VACCINATED VACCINATION EXPIRES PRINT DATE .1 , KILLED Maricopa County Animal Care & Control VACCINE TYPE VETERINARiANS SIGNATURE 2500 S 27th Avenue, Phoenix, AZ 85009 (602) 506-7387 S414181 VACC. SERIAL NO VETERINARIANS LICENSE NUMBER RABIES VACCINATION CERTIFICATE I OWNER'S INFORMATION: KENNELS BIG A P1158437 (602) 2541994 LAST NAME FIRST NAME PERSON ID TELEPHONE NUMBER EXT 1110 W MOHAVE ST PHOENIX AZ 85007 . STREET ADDRESS APT C#TY STATE ZIP CODE ANIMAL INFORMATION DOG FEMALE .9/21/2014 AM PIT BULL TER ANIMAL TYPE ANIMAL SEX ANINIAL DATE CP BIRTH SIZE PRIMARY BREED SECONDARY BREED A3663543 GIRL RED ANIMAL ID ANIMAL NAME MICROCHIP NUMBER PRIMARY COLOR SECONDARY COLOR VACCINATION INFORMATION RABDOMUN 36 Months 9/16/2016 9/16/2019 9/16/16 VACCINE PRODUCER VACC LENGTH DATE VACCINATED VACCINATION EXPIRES PRINT DATE 1 Azy.;74../ - KILLED ---- --JA. Marieopa County Animal Care & Control VACCINE TYPE VETERINARIANS SIGNATURE 2500 S 27th Avenue, Phoenix, AZ 85009 (602) 506-7387 S414181 VACC. SERIAL NO. VETERINARIANS LICENSE NUMBER RABIES VACCINATION CERTIFICATE OWNER'S INFORMATION: KENNELS BIG A P1158437 (602) 2541994 LAST NAME rRsT NAME PERSON ILI TELEPHONE NUMBER EAT; 1110 W MOHAVE ST PHOENIX AZ 85007 STREET ADDRESS APT CITY STATE ZIP CODE ANIMAL INFORMATION DOG MALE 3121/2014 AM PIT BULL TER ANIMAL TYPE ANIMAL SE ANIMAL DATE OF BIRTH SIZE PRIMARY BREED SECONDARY BREED A3663539 PEE WEE BLACK ANIMAL ID ANIMAL NAME MICROCHIP NUMBER PRIMARY COLOR SECONDARY COLOR VACCINATION INFORMATION RABDOMUN 36 Months 9/16/2016 9/16/2019 9/16/16 VACCINE PRODUCER VACC. LENGTH DATE VACCINATED VACCINATION EXPIRES PRINT DATE .4,.;,..., /".-- e s-- KILLED --4A . Maricopa County Animal Care & Control VACCINE TYPE VETERINARIAN'S SIGNATURE 2500 S 27th Avenue, Phoenix, AZ 85009 (602) 506-7387 5414181 VACC. SERIAL NO. VETERINARIAN'S LICENSE NUMBER RABIES VACCINATION CERTIFICATE OWNER'S INFORMATION: , KENNELS BIG A P1158437 (602) 2641994 LAST NAME FIRST NAME PERSON ID TELEPHONE NUMBER EXT: 1110 W MOHAVE ST PHOENIX AZ 85007 STREET ADDRESS APT CiTY STATE zip cooe , ANIMAL INFORMATION , DOG FEMALE 9/21/2008 AM PIT BULL TER ANIMAL TYPE ANIMAL SEX ANIMAL DATE OF BIRTH SIZE PRIMARY BREED SECONCARY BREED A3663536 HELL CAT RED ANIMAL ID ANIMAL NAME MICROCHIP NUMBER PRIMARY COLOR SECONDARY COLOR VACCINATION INFORMATION RABDOMUN 36 Months j 9/16/2016 9/16/2019 9/16/16 VACCINE PRODUCER VACC LENGTH DATE VACCINATE!) VACCINATION EXPIRES PRINT DATE A - 4., ------ ,cs.___. , KILLED Maricopa County Animal Care & Control VACCINE TYPE VETERINARLANS SIGNATURE 2500 S 27th Avenue, Phoenix, AZ 85009 (602) 506-7387 8414181 VACC. SERIAL NO VETERINARIANS LICENSE NUMBER