Extracted text (via pymupdf_layout)
29660 characters
Maricopa County
Animal Care and Control
2500 South 27th'Avenue
Phoenix, AZ 85009
(602) 506-7387 Tele.
(602) 506-2739 Fax
KENNEL PERMIT K17-000005
APPLICATION
CI New l‘Renewal
Name: Betty Yerington Kennel Name: Yerbrier Kennels
Mailing Address: 5447 S El Mirage Rd Kennel Address: Same
City: Tolleson State: AZ Zip: 85353 City: Tolleson Zip: 85353
County Supervisorial District: #5
Phone: 623-533-7269 Kennel Phone: 623-533-7269
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." AR 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. I/We assume complete responsibility for the kennel at the premises for which I/we are making
plication 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).
I/We certify that l/l/Ve have 7-clogs- and that the kennel meets the definition in statute.
3 111 I/We certify that 1/We have not been convicted of a violation of A.R.S. §§ 13-2910 (cruelty to animals)
or f4-2910.01 (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." INVe certify that all dogs over the age of three (3) months that are kept, harbored or maintained on the
pr ises 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.
I /We certify that 1/We are submitting a valid copy of the rabies vaccination certificate for each
Oh with this application.
I/We understand that a dog remaining within the kennel is not required to be licensed individually under
AWS. § 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.
I/We understand that a person who fails to obtain a kennel permit under A.R.S.§11-1009 is subject to a
piWarty 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
Wil n notification from the county enforcement agent is guilty of a class 2 misdemeanor..
9. lierThe undersigned understand that that the kennel permit does not authorize the operation of any type
of w- lusiness and is solely used for the purpose of licensing multiple dogs.
INVe certify that all of the ihformation I/We have provided is true and accurate under penalty of law.
Applicant Signature 40 '70120 r Date:r/z9
F.
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
'1 October 2015
Maricopa County
Animal Care & Control
2500 South 27th Avenue
Phoenix, AZ 85009
Phone: (602) 506-7387
pets.tnaricopa.gov
KENNEL PERMIT K17-000005
PREMISE INSPECTION
Number of Dogs: c) 1
Name: Betty Yerington Kennel Name: Yerbirer Kennels
Mailing Address: 5447 S El Mirage Rd Kennel Address: Same
City: Tolleson State: AZ Zip: 85353 City: Tolleson Zip: 85353
County Supervisorial District: #5
Phone: 623-533-7269 Kennel Phone: 623-533-7269
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 RE1NSPECTION. (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: 11/1/16
October 2015
Maricopa County Animal Care and Control
2500 S. 27th Avenue
Phoenix, AZ 85009-6797
(602) 506-7387
htte://oets.maricopa.00v
Receipt Number: R16 -256219 Receipt Date: 10/2012016
Person ID: P0999105
Phone: 623 5337269
YERBRIER KENNELS
10/20/2016 11:24:43AM
5447 S EL MIRAGE RD
TOLLESON, AZ 85353
Item: Animal ID: Reference No: Price: Each: Amount:
KEN PERMIT A7777777 K17-000005 $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 Youl
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 9114/1999, 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
APODACAP EBUSOFF
Sundance Animal Hospital Client No. 5908
8350 W. Lower Buckeye Rd, Ste. 101 Yerbrier Kennel, K-15-005 & Yerington, Betty
Tolleson, AZ 85353 5447 S. El Mirage Rd.
Tolleson, AZ 85353
Phone: (623) 478-9295 Phone: (623) 680-5597
Fax: (623) 478-9294
Rabies Vaccination Certificate
NAME - Willow
SPECIES: Canine WEIGHT: lbs Rabies Tag #
BREED: Poodle, toy ID #1
GENDER: Fl ID #2
COLOR: White Last Visit 10/5/2015
BIRTHDAY: 6116/2004
AGE: 11 yrs, 3 months
Item Description Given Due Date Lot # Manufacturer Exp. Date
2016 Rabies Vaccine - 3 Year 10/5/2015 10/4/2018 S300570B Noblvac 12/5/2017
I hereby certify that this animal has been vaccinated in accordance with the manufacturer's recommendation for the vaccine used on above date.
4-1,4011,44,2e4:40,64t1
Date Issued 10/12/2015
Nancy McEachern, DVM License: 1605
Sundance Animal Hospital Client No. 5908
1111Ph 8350 W. Lower Buckeye Rd, Ste. 101 Yerbrier Kennel, K-15-005 & Yerington, Betty
Tolleson, AZ 85353 5447 S. El Mirage Rd.
ii-dao4himil ROW Tolleson, AZ 85353
Phone: (623) 478-9295 Phone: (623) 680-5597
Fax: (623) 478-9294
Rabies Vaccination Certificate
NAME: Willie
SPECIES: Canine WEIGHT: lbs Rabies Tag #
BREED: Poodle, toy ID #1
GENDER: MI ID #2
COLOR: White Last Visit 10/5/2015
BIRTHDAY: 91512010
AGE: 5 yrs, 1 month
Item Description Given Due Date Lot # Manufacturer Exp. Date
2016 Rabies Vaccine - 3 Year 10/5/2015 10/4/2018 5300570B Nobivac 12/5/2017
I hereby certify that this animal has been vaccinated in accordance with the manufacturers recommendation for the vaccine used on above date.
4-1,40,argisSe4109
Date Issued 10/12/2015
Nancy McEachern, DVM License: 1605
Sundance Animal Hospital Client No. 5908
8350 W. Lower Buckeye Rd, Ste. 101 Yerbrier Kennel, K-15-005 & Yerington, Betty
5447 S. El Mirage Rd.
Tolleson, AZ 85353 Tolleson, AZ 85353
SUNIMINCE Phone: (623) 478-9295 Phone: (623) 680-5597
01141,1I 11,151,,,,- Fax: (623) 478-9294
Rabies Vaccination Certificate
NAME: Trixie
SPECIES: Canine WEIGHT: lbs Rabies Tag #:
BREED: Toy Poodle ID #1:
GENDER: Fl ID #2:
COLOR: White Last Visit: 10/10/2016
BIRTHDAY: 6(16/2008
AGE: 8 yrs, 3 months
Item Description Given Due Date Lot # Manufacturer Exp. Date
10331 Rabies Vaccine - 3 Year 10/10/2016 10/10/2019 S300570B Nobivae 12/5/2017
2016 Rabies Vaccine - 3 Year 9/10/2013 9/9/2016 02845630 Nobivac 9/3/2013
I hereby certify that this animal has been vaccinated in accordance with the manufacturer's recommendation for the vaccine used on above date.
. (3 PI 110 nvm ,
Ct- Date Issued 10/10/2016
Lori D. Coles, DVM License: 6276
Sundance Animal Hospital Client No. 5908
8350W. Lower Buckeye Rd, Ste. 101 Yerbrier Kennel, K-15-005 & Yerington, Betty
5447 S. El Mirage Rd.
Tolleson, AZ 85353
tl kilailIi4ilil Tolleson, AZ 85353
Phone: (623) 478-9295 Phone: (623) 680-5597
Fax: (623) 478-9294
Rabies Vaccination Certificate
NAME: Sunny
SPECIES: Canine WEIGHT: lbs Rabies Tag #
BREED: Fox Terrier-Toy ID #1
GENDER: MI ID #2
COLOR: Tr-Color Last Visit 101512015
BIRTHDAY: 1011512010
AGE: 4 yrs, 11 months
Item Description Given Due Date Lot # Manufacturer Exp. Date
2016 Rabies Vaccine - 3 Year 10/5/2015 10/4/2018 8300570B Ncbivac 12/5/2017
I hereby certify that this animal has been vaccinated in accordance with the manufacturer's recommendation for the vaccine used on above date.
<-144wernegoiwoloyl
Date Issued 10112/2015
Nancy McEachern, DVM License: 1605
Sundance Animal Hospital Client No. 5908
8350 W. Lower Buckeye Rd, Ste. 101 Yerbrier Kennel, K-15-005 & Yerington, Betty
5447 S. El Mirage Rd.
Tolleson, AZ 85353
Tolleson, AZ 85353
SUNORNCE Phone: (623) 478-9295 Phone: (623) 680-5597
.1,1,1}.1141_ 14.15 Fax: (623) 478-9294
Rabies Vaccination Certificate
NAME: Spring
SPECIES: Canine WEIGHT: 36.00 Ihs Rabies Tag #:
BREED: Poodle, Standard ID #1:
GENDER: Fl ID #2:
COLOR: White Last Visit: 1011012016
BIRTHDAY: 12/10/2015
AGE: 0 yrs, 10 months
Item Description Given Due Date Lot # Manufacturer Exp. Date
10333 Rabies Vaccine - 1 Year 10/10/2016 10/10/2017 S300570B Nobivac 12/5/2017
I hereby certify that this animal has been vaccinated in accordance with the manufacturer's recommendation for the vaccine used on above date.
Li
,c2.4_ 1DV
Date Issued 10/10/2016
Lori D. Coles, DVM License: 6276
Sundance Animal Hospital Client No. 5908
8350 W. Lower Buckeye Rd, Ste. 101 Yerbrier Kennel, K-15-005 & Yerington, Betty
Tolleson, AZ 85353 5447 S. El Mirage Rd.
lirliRiliil Ralik: INN Tolleson, AZ 85353
Phone: (623) 478-9295 Phone: (623) 680-5597
Fax: (623) 478-9294
Rabies Vaccination Certificate
NAME: Sidney
SPECIES: Canine WEIGHT: lbs Rabies Tag #
BREED: Poodle, toy ID #1
GENDER: MI ID #2
COLOR: White Last Visit 10/5/2015
BIRTHDAY: 5/1/2007
AGE: 8 yrs, 5 months
Item Description Given Due Date Lot # Manufacturer Exp. Date
2016 Rabies Vaccine - 3 Year 10/5/2015 10/4/2018 S3005700 Nobivac 12/5/2017
I hereby certify that this animal has been vaccinated in accordance with the manufacturer's recommendation for the vaccine used on above date.
c-lavylm'evieve.dorl
Date Issued 10/12/2015
Nancy McEachern, DVM License: 1605
Sundance Animal Hospital Client No. 5908
8350 W. Lower Buckeye Rd, Ste. 101 Yerbrier Kennel, K-15-005 & Yerington, Betty
5447 S. El Mirage Rd.
Tolleson, AZ 85353 Tolleson, AZ 85353
SUNOFINCE Phone: (623) 478-9295 Phone: {623) 680-5597
Fax: (623) 478-9294
Rabies Vaccination Certificate
NAME: Schnott
SPECIES: Canine WEIGHT: lbs Rabies Tag #:
BREED: Poodle, toy ID #1:
GENDER: MI ID #2:
COLOR: Black Last Visit: 10110/2016
BIRTHDAY: 12/1/2005
AGE: 10 yrs, 10 months
Item Description Given Due Date Lot # Manufacturer Exp. Date
10331 Rabies Vaccine - 3 Year 10/10/2016 10/10/2019 0300570B Nobivac 12/5/2017
2016 Rabies Vaccine - 3 Year 9/10/2013 9/9/2016 S2845630 Nobivac 9/3/2013
I hereby certify that this animal has been vaccinated in accordance with the manufacturers recommendation for the vaccine used on above date.
. C:1 0) 1
J. „e_T \ 151. Date Issued 1011012016
Lori D. Coles, DVIVI License: 6276
Sundance Animal Hospital Client No, 5908
8350 W. Lower Buckeye Rd, Ste. 101 Yerbrier Kennel, K-15-005 & Yerington, Betty
5447 S. El Mirage Rd.
Tolleson, AZ 85353
Tolleson, AZ 85353
SUNORNCE Phone: (623) 478-9295 Phone: (623) 680-5597
Fax: (623) 478-9294
Rabies Vaccination Certificate
NAME: P. Diddy
SPECIES: Canine WEIGHT: lbs Rabies Tag #:
BREED: Chihuahua ID #1:
GENDER: MN ID #2:
COLOR: Tan/White Last Visit: 10/10/2016
BIRTHDAY: 12115/2007
AGE: 8 yrs, 9 months
Item Description Given Due Date Lot # Manufacturer Exp. Date
10331 Rabies Vaccine - 3 Year 10/10/2016 10/10/2019 3300570B Nobivac 12/5/2017
2016 Rabies Vaccine - 3 Year 9/10/2013 9/9/2016 32845630 Nobivac 9/3/2013
I hereby certify that this animal has been vaccinated in accordance with the manufacturer's recommendation for the vaccine used on above date.
--49 • cj
Date Issued 1 0/10/2016
' • -
Lori D. Coles, DVM License: 6276
Sundance Animal Hospital Client No. 5908
8350 W. Lower Buckeye Rd, Ste. 101 Yerbrier Kennel, K-15-005 8, Yerington, Betty
5447 S. El Mirage Rd.
Tolleson, AZ 85353 Tolleson, AZ 85353
SIJNORNICE Phone: (623) 478-9295 Phone: (623) 680-5597
Fax: (623) 478-9294
Rabies Vaccination Certificate
NAME: Patsy
SPECIES: Canine WEIGHT: lbs Rabies Tag #:
BREED: Fox Terrier-Toy ID #1:
GENDER: El ID #2:
COLOR: Tr-Color Last Visit: 10/10/2016
BIRTHDAY: 10/19/2011
AGE: 4 yrs, 11 months
Item Description Given Due Date Lot # Manufacturer Exp. Date
10331 Rabies Vaccine - 3 Year 10/10/2016 10/10/2019 S3005708 Nohivac 12/5/2017
2016 Rabies Vaccine - 3 Year 9/10/2013 9/9/2016 S2845630 Nobivac 9/3/2013
I hereby certify that this animal has been vaccinated in accordance with the manufacturer's recommendation for the vaccine used on above date.
Date Issued 10/10/2016
Lori D. Coles, DVM License: 6276
Sundance Animal Hospital Client No. 5908
8350 W. Lower Buckeye Rd, Ste. 101 Yerbrier Kennel, K-15-005 & Yerington, Betty
5447 S. El Mirage Rd.
Tolleson, AZ 85353 Tolleson, AZ 85353
SIMERNCE Phone: (623) 478-9295 Phone: (623) 680-5597
Fax: (623) 478-9294
Rabies Vaccination Certificate
NAME: Ms. B
SPECIES: Canine WEIGHT: lbs Rabies Tag #:
BREED: Poodle, toy ID #1:
GENDER: Fl ID #2:
COLOR: White Last Visit: 1011012016
BIRTHDAY: 6/19/2005
AGE: 11 yrs, 3 months
Item Description Given Due Date Lot # Manufacturer Exp. Date
10331 Rabies Vaccine - 3 Year 10/10/2016 10/10/2019 S300570B Nobivac 12/5/2017
2016 Rabies Vaccine - 3 Year 9/10/2013 9/9/2016 02845630 Nobivac 9/3/2012
I hereby certify that this animal has been vaccinated in accordance with the manufacturer's recommendation for the vaccine used on above date.
.r.) • A . Date Issued 10/10/2016
Lori D. Coles, DVM License: 6276
Sundance Animal Hospital Client No. 5908
8350 W. Lower Buckeye Rd, Ste. 101 Yerbrier Kennel, K-14-005 & Yerington, Betty
5447 S. El Mirage Rd.
41 --SEW ,1 61 4111 Tolleson, AZ 85353 Tolleson, AZ 85353
\ Phone: (623) 478-9295 Phone: (623) 680-5597
Fax: (623) 478-9294
Rabies Vaccination Certificate
NAME: Lark
SPECIES: Canine WEIGHT: 5.40 lbs Rabies Tag #
BREED: Toy Poodle ID #1
GENDER: MI ID #2
COLOR: White Last Visit 915/2014
BIRTHDAY: 1211212005
AGE: 8 yrs, 8 months
Item Description Given Due Date Lot 41 Manufacturer Exp. Date
2016 Rabies Vaccine - 3 Year 9/5/2014 9/1/2017 S300570B Noblvac 9/1/2018
I hereby certify that this animal has been vaccinated in accordance with the manufacturer's recommendation for the vaccine used on above date.
Date Issued 9/512014
Nancy McEachern, DVM License. 1605
Sundance Animal Hospital Client No. 5908
11!;; 8350W. Lower Buckeye Rd, Ste. 101 Yerbrier Kennel, K-15-005 & Yerington, Betty
5447 S. El Mirage Rd.
kuluomil liqW Tolleson, AZ 85353 Tolleson, AZ 85353
Phone: (623) 478-9295 Phone: (623) 680-5597
Fax: (623) 478-9294
Rabies Vaccination Certificate
NAME: Honey dew
SPECIES: Canine WEIGHT: lbs Rabies Tag #
BREED: Poodle, toy ID #1
GENDER: Fl 1D#2
COLOR: White Last Visit 10/12/2015
BIRTHDAY: 3/24/2010
AGE: 5 yrs, 6 months
Item Description Given Due Date Lot # Manufacturer Exp. Date
2016 Rabies Vaccine - 3 Year 10/12/2015 10/11/2018 S3005700 Nohivac 12/5/2017
I hereby certify that this animal has been vaccinated in accordance with the manufacturer's recommendation for the vaccine used on above date.
G-ImeirreGidoe,409
Date Issued 10/12/2015
Nancy McEachern, DVM License: 1605
Sundance Animal Hospital Client No. 5908
8350 W. Lower Buckeye Rd, Ste. 101 Yerbrier Kennel, K-15-005 & Yerington, Betty
---.7 .-----/. Tolleson, AZ 85353 5447 S. El Mirage Rd.
11111' ati).111 !milli Tolleson, AZ 85353
Phone: (623) 478-9295 Phone: (623) 680-5597
Fax: (623) 478-9294
Rabies Vaccination Certificate
NAME: Bella
SPECIES: Canine WEIGHT: lbs Rabies Tag #
BREED: Poodle, toy ID #1
GENDER: Fl ID #2
COLOR: White Last Visit 10/12/2015
BIRTHDAY: 1211612007
AGE: 7 yrs, 9 months
(
Item Description Given Due Date Lot 4 Manufacturer Exp. Date
2016 Rabies Vaccine - 3 Year 10/12/2015 10/11/2016 S300570B Noblvac 12/5/2017
I hereby certify that this animal has been vaccinated in accordance with the manufacturers recommendation for the vaccine used on above date.
r-/
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Date issued 10/12/2015
Nancy McEachern, DVM License: 1605
Sundance Animal Hospital Client No. 5908
8350 W. Lower Buckeye Rd, Ste. 101 Yerbrier Kennel, K-15-005 & Yerington, Betty
5447 S. El Mirage Rd.
Kospi!al Tolleson, AZ 85353 Tolleson, AZ 85353
Phone: (623) 478-9295 Phone: (623) 680-5597
Fax: (623) 478-9294
Rabies Vaccination Certificate
NAME: Bridget
SPECIES: Canine WEIGHT: lbs Rabies Tag #
BREED: Poodle, toy ID #1
GENDER: Fl ID #2
COLOR: White Last Visit 10/5/2015
BIRTHDAY: 6116/2007
AGE: B yrs, 3 months
Item Description Given Due Date Lot # Manufacturer Exp. Date
2016 Rabies Vaccine - 3 Year 10/5/2015 10/4/2018 S3005702 Nobivao 12/5/2017
hereby certify that this animal has been vaccinated in accordance with the manufacturer's recommendation for the vaccine used on above date.
c-lestopnegnievolory
Date Issued 10/12/2015
Nancy McEachern, DVM License: 1605
Sundance Animal Hospital Client No. 5908
8350 W. Lower Buckeye Rd, Ste. 101 Yerbrier Kennel, K-15-005 & Yerington, Betty
6447 S. El Mirage Rd.
Tolleson, AZ 85353 Tolleson, AZ 85353
mjnowicE Phone: (623) 478-9295 Phone: (623) 680-5597
Fax: (623) 478-9294
Rabies Vaccination Certificate
NAME: Britney
SPECIES: Canine WEIGHT: lbs Rabies Tag #:
BREED: Toy Poodle ID #1:
GENDER: Fl ID #2:
COLOR: White Last Visit: 10/10/2016
BIRTHDAY: 8/112001
AGE: 16 yrs, 2 months
Item Description Given Due Date Lot # Manufacturer Exp. Date
10331 Rabies Vaccine - 3 Year 10/10/2016 10/10/2019 S300570B Nobivac 12/5/2017
2016 Rabies Vaccine - 3 Year 9/10/2013 9/9/2016 S21345630 Nohivac 9/3/2013
I hereby certify that this animal has been vaccinated in accordance with the manufacturer's recommendation for the vaccine used on above date.
Icd
U. L
cZL X:). 6?.A.,:DY Date Issued 1011012016
Lori D. Coles, DVM License: 6276
Sundance Animal Hospital Client No. 5908
8350W. Lower Buckeye Rd, Ste. 101 Yerbrier Kennel, K-14-005 & Yerington, Betty
5447 S. El Mirage Rd.
Tolleson, AZ 85353
1111.. IErilua "ol 11pili Tolleson, AZ 85353
Phone: (623) 478-9295 Phone: (623) 680-5597
\ ' Fax: (623) 478-9294
Rabies Vaccination Certificate
NAME: Brook
SPECIES: Canine WEIGHT: 5.40 lbs Rabies Tag #
BREED: Poodle, Mini ID #1
GENDER: Fl ID #2
COLOR: White Last Visit 9/512014
BIRTHDAY: 6117/2007
AGE; 7 yrs, 2 months
Item Description Given Due Date Lot # Manufacturer Exp. Date
2016 Rabies Vaccine - 3 Year 9/5/2014 9/4/2017 . 9300502 Nobivac 9/1/2018
hereby certify that this animal has been vaccinated in accordance with the manufacturers recommendation for the vaccine used on above date.
ri-LA;:,e474611
4,"117:10.1yf
Date Issued 9/5/2014
Nancy McEachern, DVM License: 1605
Sundance Animal Hospital Client No. 5908
8350 W. Lower Buckeye Rd, Ste. 101 Yerbrier Kennel, K-14-005 & Yerington, Betty
111;111. 5447 S. El Mirage Rd.
iiad-ia iiimal lopital Tolleson, AZ 85353 Tolleson, AZ 85353
\ ---e: Phone: (623) 478-9295 Phone: (623) 680-5597
Fax: (623) 478-9294
Rabies Vaccination Certificate
NAME: Bubbles
SPECIES: Canine WEIGHT: 4.40 lbs Rabies Tag #
BREED: Poodle, toy ID #1
GENDER: Nil ID #2
COLOR: White Last Visit 9/5/2014
BIRTHDAY: 8/17/2013
AGE: 1 yr, 0 months
Item Description Given Due Date Lot # Manufacturer Exp. Date
2016 Rabies vaccine - 3 Year 9/5/2014 9/4/2017 33005703 Mobivac 9/1/2019
I hereby certify that tev.ipilal has bcagjo vacinated in accordance with the manufacturer's recOmmendation for the vaccine used on above date.
ifole4r4lf 6.0,04,04,
Date Issued 9/512014
Nancy McEachern, DVM License: 1605
Sundance Animal Hospital Client No. 5908
8350 W. Lower Buckeye Rd, Ste. 101 Yerbrier Kennel, K-15-005 & Yerington, Betty
5447 S. El Mirage Rd.
Tolleson, AZ 85353 Tolleson, AZ 85353
ISUNININCE Phone: (623) 478-9295 Phone: (623) 680-5597
Fax: (623) 478-9294
Rabies Vaccination Certificate
NAME: Cash
SPECIES: Canine WEIGHT: lbs Rabies Tag #:
BREED: Toy Poodle ID #1:
GENDER: MI ID #2:
COLOR: White Last Visit: 10/10/2016
BIRTHDAY: 6/16/2008
AGE: 8 yrs, 3 months
Item Description Given Due Date Lot Manufacturer Exp. Date
10331 Rabies Vaccine - 3 Year 10/10/2016 10/10/2019 S3005709 Nobivac 12/5/2017
2016 Rabies Vaccine - 3 Year 9/10/2013 9/9/2016 S2845630 Nobivac 9/3/2013
I hereby certify that this animal has been vaccinated in accordance with the manufacturer's recommendation for the vaccine used on above date.
11,) 47,N01,1
CiL j. Date Issued 10110/2016
Lori D. Coles, DVM License: 6276
Sundance Animal Hospital Client No. 5908
8350 W. Lower Buckeye Rd, Ste. 101 Yerbrier Kennel, K-15-005 & Yerington, Betty
41--- ligalulL Tolleson, AZ 85353 5447 S. El Mirage Rd.
Ilitpkil Tolleson, AZ 85353
Phone: (623) 478-9295 Phone: (623) 680-5597
\ -.- Fax: (623) 478-9294
Rabies Vaccination Certificate
NAME: Charity
SPECIES: Canine WEIGHT: lbs Rabies Tag #
BREED: Poodle, toy ID #1
GENDER: FS ID #2
COLOR: Black Last Visit 10/5/2015
BIRTHDAY: 11/1/2003
AGE: 11 yrs, 11 months
Item Description Given Due Date Lot # Manufacturer Exp, Date
2016 Rabies Vaccine - 3 Year 10/5/2015 10/4/2018 S30057013 Nebivac 12/5/2017
I hereby certify that this animal has been vaccinated in accordance with the manufacturer's recommendation for the vaccine used on above date.
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Cirliefilo414.1 Date Issued 10/12/2015
Nancy McEachern, DVNI License: 1605
Sundance Animal Hospital Client No. 5908
Yerbrier Kennel, K-14-005 & Yerington, Betty
8350 W. Lower Buckeye Rd, Ste. 101 5447 S. El Mirage Rd.
Tolleson, AZ 85353 Tolleson, AZ 85353
Phone: (623) 478-9295 Phone: (823) 680-5597
Fax: (623) 478-9294
Rabies Vaccination Certificate
NAME: Connie
SPECIES: Canine WEIGHT: lbs Rabies Tag #
BREED: Poodle, Standard ID#1
GENDER: Fl ID #2
COLOR: Black Last Visit 91512014
BIRTHDAY: 7/23/2009
AGE: 5 yrs, 3 months
Item Description Given Due Date Lot # Manufacturer Exp. Date
2016 Rabies Vaccine - 3 Year 9/5/2014 9/4/2017 S3005703 Nobivac 9/1/2018
I hereby certify that this animal has been vaccinated in accordance with the manufacturer's recommendation for the vaccine used on above date.
c÷rrIrgai.e.,1014e1 Date Issued 10/23/2014
Nancy McEachern, DVM License: 1605
Sundance Animal Hospital Client No. 5908
.. 8350 W. Lower Buckeye Rd, Ste. 101 Yerbrier Kennel, K-14-005 & Yerington, Betty
5447 S. El Mirage Rd.
16km itid NU Tolleson, AZ 85353 Tolleson, AZ 85353
1111;r Phone: (623) 478-9295 Phone: (623) 680-5597
----\ Fax: (623) 478-9294
Rabies Vaccination Certificate
NAME: Cosmo
SPECIES: Canine WEIGHT: 67.00 lbs Rabies Tag #
BREED: Poodle, Standard ID #1
GENDER: MI ID #2
COLOR: Black Last Visit 91512014
BIRTHDAY: 9/5/2006
AGE: 8 yrs, 0 months
Item Description Given Due Date Lot # Manufacturer Exp. Date
2016 Rabies Vaccine - 3 Year 9/5/2014 9/4/2017 S3005709 Ncbivac 9/1/2018
I hereby certify that this animal has been vaccinated in accordance with the manufacturer's recommendation for the vaccine used on above date.
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Date Issued 9/5/2014
Nancy McEachern, DVM License: 1605
Sundance Animal Hospital Client No. 5906
8350 W. Lower Buckeye Rd, Ste. 101 Yerbrier Kennel, K-14-005 & Yerington, Betty
411 - Tolleson, AZ 85353 5447 S. El Mirage Rd.
Suka Tolleson, AZ 85353
Phone: (623) 478-9295 Phone: (623) 680-5597
Fax: (623) 478-9294
Rabies Vaccination Certificate
NAME: Denver
SPECIES: Canine WEIGHT: 3.20 lbs Rabies Tag if
BREED: Poodle, toy ID #1
GENDER: MI ID #2
COLOR: White Last Visit 91512014
BIRTHDAY: 6/1712006
AGE: 8 yrs, 2 months
Item Description Given Due Date Lot # Manufacturer Exp. Date
2016 Rabies Vaccine - 3 Year 9/5/2014 9/4/2017 S3005700 Nobivac 9/1/2015
I hereby certify that this animal has been vaccinated in accordance with the manufacturer's recommendation for the vaccine used on above date.
Date Issued 9/5/2014
Nancy McEachern, DVM License: 1605
Sundance Animal Hospital Client No. 5908
41P!;in, 8350 W. Lower Buckeye Rd, Ste. 101 Yerbrier Kennel, K-15-005 & Yerington, Betty
Tolleson, AZ 85353 5447 S. El Mirage Rd.
Iilig tito HO Tolleson, AZ 85353
Phone: (623) 478-9295 Phone: (623) 680-5597
Fax: (623) 478-9294
Rabies Vaccination Certificate
NAME - Denzel
SPECIES: Canine WEIGHT: lbs Rabies Tag #
BREED: Chihuahua ID #1
GENDER: MI ID #2
COLOR: Black/White Last Visit 10/5/2015
BIRTHDAY: 12/15/2007
AGE: 7 yrs, 9 months
Item Description Given Due Date Lot It Manufacturer Exp. Date
2016 Rabies Vaccine - 3 Year 10/5/2015 10/4/2018 83005700 Ncbivac 12/5/2017
I hereby certify that this animal has been vaccinated in accordance with the manufacturer's recommendation for the vaccine used on above date.
(-140y#2egive-40ty
Date Issued 10/12/2015
Nancy McEachern, DVM License: 1605
Sundance Animal Hospital Client No. 5908
8350 W. Lower Buckeye Rd, Ste. 101 Yerbrier Kennel, K-14-005 & Yerington, Betty
5447 S. El Mirage Rd,
swim histl Tolleson, AZ 85353 Tolleson, AZ 85363
Phone: (623) 478-9295 Phone: (623) 680-5597
Fax: (623) 478-9294
Rabies Vaccination Certificate
NAME: Devon
SPECIES: Canine WEIGHT: 3.80 lbs Rabies Tag #
BREED: Toy Poodle ID #1
GENDER: MI ID #2
COLOR: White Last Visit 915/2014
BIRTHDAY: 11512005
AGE: 9 yrs, 8 months
Item Description Given Due Date Lot # Manufacturer Exp. Date
2016 Rabies Vaccine - 3 Year 9/5/2014 9/4/2017 0300570B Noloivac 9/1/2010
I hereby certify that this animal has been vaccinated in accordance with the manufacturer's recommendation for the vaccine used on above date.
Date Issued 91512014
Nancy McEachern, DVM License: 1605
Sundance Animal Hospital Client No. 5908
8350 W. Lower Buckeye Rd, Ste. 101 Yerbrier Kennel, K-15-005 & Yerington, Betty
41/------/ Tolleson, AZ 85353 5447 S. El Mirage Rd.
Wm il icaqi141 Tolleson, AZ 85353
Phone: (623) 478-9295 Phone: (623) 680-5597
\ Fax: (623) 478-9294
Vaccination Certificate
NAME: Diva
SPECIES: Canine WEIGHT: lbs Rabies Tag #
BREED: Poodle, toy ID #1
GENDER: Fl ID #2
COLOR: White Last Visit 10/5/2015
BIRTHDAY: 5/2/2010
AGE: 5 yrs, 5 months
Item Description Given Due Date Lot # Manufacturer Exp. Date
2016 Rabies Vaccine - 3 Year 10/5/2015 10/4/2018 S300570B Nobivac 12/5/2017
I hereby certify that this animal has been vaccinated in accordance with the manufacturer's recommendation for the vaccine used on above date.
c-iliviteti4egge4-449 Date Issued 10/12/2015
Nancy McEachern, DVM License: 1605
Sundance Animal Hospital Client No. 5908
8360 W. Lower Buckeye Rd, Ste. 101 Yerbrier Kennel, K-15-005 & Yerington, Betty
Tolleson, AZ 85353 5447 S. El Mirage Rd.
Eupi Tolleson, AZ 85353
Phone: (623) 478-9295 Phone: (623) 680-5597
Fax: (623) 478-9294
Rabies Vaccination Certificate
NAME: Franky
SPECIES: Canine WEIGHT: lbs Rabies Tag #
BREED: Poodle, toy ID #1
GENDER: MI ID #2
COLOR: White Last Visit 10/512015
BIRTHDAY: 3124/2011
AGE: 4 yrs, 6 months
Item Description Given Due Date Lot # Manufacturer Exp. Date
2016 Rabies Vaccine - 3 Year 10/5/2015 10/4/2018 5300570B Nobivac 12/5/2017
I hereby certify that this animal has been vaccinated in accordance with the manufacturer's recommendation for the vaccine used on above date.
cliviefi)rettior,40,1
Date Issued 10/12/2015
Nancy McEachern, DVM License: 1605
Sundance Animal Hospital Client No. 5908
8350 W. Lower Buckeye Rd, Ste. 101 Yerbrier Kennel, K-15-005 & Yerington, Betty
5447 S. El Mirage Rd.
Tolleson, AZ 85353 Tolleson, AZ 85353
51,1111MINCE Phone: (623) 478-9295 Phone: (623) 680-5597
Fax: (623) 478-9294
Rabies Vaccination Certificate
NAME: Henry
SPECIES: Canine WEIGHT: lbs Rabies Tag #:
BREED: Toy Poodle ID #1:
GENDER: MI ID #2:
COLOR: White Last Visit: 10/1012016
BIRTHDAY: 9/1/2015
AGE: 1 yr, 1 month
Item Description Given Due Date Lot # Manufacturer Exp. Date
10333 Rabies Vaccine - 1 Year 10/10/2016 10/10/2017 S300570B Nobivac 12/0/2017
I hereby certify that this animal has been vaccinated in accordance with the manufacturer's recommendation for the vaccine used on above date.
Date Issued 10/1012016
Lou D. Coles, DVM License: 6276