USA PUREBRED LABS LLC KENNELS - KENNEL PERMIT.PDF

Maricopa County Animal Care and Control
RICG 2500 S. 27th Avenue
SY sie“ Phoenix, AZ 85009-6797
i a (602) 506-7387
Nae hitp://pets.maricopa.gov
So) UNS
Receipt Number: R16-163148 Receipt Date: 07/08/2016
Person ID: P2263346
Phone: 480 5849315
USA PUREBRED LABS LLC KENNELS
7/8/2016 10:03:11AM
27828 N 143RD ST
SCOTTSDALE, AZ 85262
Item: Animal ID: Reference No: Price: Each: Amount:
KEN PERMIT A7T777777 K17-000055 $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: Animalf# Vacc Date: Vacc Expires:
Please retain this receipt with your pet's records
luffmanm EBUSOFF

Maricopa County
Animal Care and Control
2500 South 27th Avenue
Phoenix, AZ 85009
(602) 506-7387 Tele.
(602) 506-2739 Fax
KENNEL PERMIT K17-000055
APPLICATION
C1 New pe Renewal
Name: Tracy Thomas Kennel Name: USA Purbred Labs
Mailing Address: 27828 N 143rd St Kennel Address: Same
City: Scottsdale State: AZ Zip:85262 City: Scottsdale Zip: 85262
County Supervisorial District: #2
Phone: 480-584-9315 Kennel Phone: 480-584-9315
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
ay
e 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
J |
e certify that I/We have dogs and that the kennel meets the definition in statute.
I/We certify that I/We 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).
e certify that all dogs over the age of three (3) months that are kept, harbored or maintained on the
prersises 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.
(We certify that I/We are submitting a valid copy of the rabies vaccination certificate for each
og with this application.
Mme 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.
e 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.
e understand that a person who knowingly fails to obtain a kennel permit within thirty days after
wri ation from the county enforcement agent is guilty of a class 2 misdemeanor..
ndersigned understand that that the kennel permit does not authorize the operation of any type
nd is solely used for the purpose of licensing multiple dogs.
We certify that all of the iy ation I/We have provided is true and accurate under penalty of law.
| 7/3/2616
phepicantsignatuie,. Pee ——
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 & Control
2500 South 27" Avenue
Phoenix, AZ 85009
Phone: (602) 506-7387
pets.maricopa.gov
KENNEL PERMIT K17-000055
PREMISE INSPECTION
Number of Dogs: 11
Name: Tracy Thomas Kennel Name: USA Purbred Labs
Mailing Address: 27828 N 143" St Kennel Address: Same
City: Scottsdale State: AZ Zip: 85262 City: Scottsdale Zip: 85262
County Supervisorial District: #2
Phone: 480-584-9315 Kennel Phone: 480-584-9315
1. Are all dogs over the age of three months properly vaccinated for rabies and in
of a valid rabies vaccination certificate?
=
2. Is the kennel an enclosed, controlled area, inaccessible to other animals, in which a
keeps, harbors or maintains five or more dogs under controlled conditions?
=
NOTE: Copies of each rabies vaccination certificate must be attached to the Kennel Permit
Premise Inspection form.
CORRECTIVE ACTION NEEDED FOR COMPLIANCE AND DAYS GIVEN
BEFORE REINSPECTION. (Note: There will be $49 re-inspect fee payable to the
Inspector by check upon each return visit.)
Deputy Enforcement Agent & Badge #: Lt Timothy Rummel Date: 07/08/16
October 2015

Date _ Year a Producer: Age: (Do Phone: Address: Owner: Date:
Veterinarian’s Veterinarian’s Vaccinated: “3 _(¢vnw Cat [23
:# Years E€LOlE | 436-524 Seuttdéle 2.2322 rag ) Certificate Dr.
Signature: 33/6 3@/2a//m Breed: - Aj. 10645 Kit’s
Lot Lab 93/6" ,X2 Thomas of Phoenix, N.
lol Weight: /43ro Tatum Mobile
hin Number: 25262 Sf Pet Rabies 602-909-5383 Arizona Blvd.,
Sloaea Date /27 (Lee _ Name: 85028 Ste. Surgical
DVT 7 2754 eri 200-477
Expires:_as/2a/ Vaccination Unit
Colors:
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Date 1 Year Producer: Age: / Dog Phone: Address: Owner: Date:
Veterinarian’s Veterinarian’s:# lye Cat __ s/, ad
Vaccinated: AGaMaeaD” s <2| S 2.782% & si
Signature: = © Breed: 480798 cottscate Thasheg Certificate 10645 Dr.
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lull Number: Weight: ba bb /A30 Pet Mobile
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Date Pa (Dog/ Phone: Address: Owner: Date:
Veterinarian’s Veterinarian’s Vaccina Producer:_©_ ate Cat (2/23
: # 10 42D- Sottedals 22223 _[raay /Ile Certificate Dr.
Signature: 33/6 | E Breed: S?4- 10645 Kit’s
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Weight: Lab 93/6 AZ of Phoenix, Tatum
plata LotNumber: /43vd Pet 602-909-5383 Mobile
_40 Name: Rabies Arizona Blvd.,
Stn Date .4f 8522 St __ 85028 Ste. Surgical
/29975A
DVH Cesar 200-477
Expires:_G@/26/17 Vaccination Unit
Colors:
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Date 1 Year Producer:|_ Age: (cog Phone: Address: Owner: Date:
Veterinarian’s Veterinarian’s peat
Vaccinated: lye 3/,
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Signature: 33/6 [€ Breed: 584 10645 Kit’s
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Weight: lab /¥3°d Tatum Mobile
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Sosa Date 73.8ibs 85262. ot Name: Ste. Surgical
xpi 38454 85028
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Colors:
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Date (Kear)! (reg) on Phone: Address: Owner: Date:
Veterinarian’s Veterinarian’s Vactinated 3 Producer:|_@-| Cat __ /, 3
:# Years © . Y#0- Settle ATARS Tacy Le Certificate Dr.
Signature: Breed: 10645
33/6 (Tr) SAY- Ad F N. Kit’s
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loll Number: foyer’ Pet Rabies 602-909-5383 Arizona Blvd.,
ON Date _// _34. 3 85262. ap Name: Ste.
Sloaum Ex 85028 Surgical
DVL 38654 Pluie 200-477
Vaccination Unit
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Altered:
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Dr. Kit’s Mobile Surgical Unit
10645 N. Tatum Blvd., Ste. 200-477
Phoenix, Arizona 85028
602-909-5383
Certificate of Rabies Vaccination
b/g hs
Date: Pet Name: Bailey
Owner: Traey Phen
Address:_2 7B 0 A) jy3rd sf
Srottedale A? 85862
Phane: YBO~ SQ¢- G3 ss
(bog) Cat preed:_L abraclor Pedrieve- Colors: Gellar)
Age: Le L Weight: Zi Lbs '
Altered: Yes (Alo)
Producer:|_[o all Lot Number :_ 04/3/27
1 Year /&vears) a
Date Vaccinated: inated: aye Date Expires: res: Ves/ie
Veterinarian’s : # 33/6
Veterinarian’s Signature: lal MN Sloe DVI

Dr. Kit’s Mobile Surgical Unit
10645 N. Tatum Blvd., Ste. 200-477
Phoenix, Arizona 85028
602-909-5383
Certificate of Rabies Vaccination
Date: 6/93 hs Pet Name: Dore. |
Owner: Trey Thon 3
;
Address: A7B28 AJ [Y3rd Sf
Phone: Y80 ~ 58.4 - 43/5
Dog ¥ Cat Breed: labrador Be dieye, Colors: Yolloed
Age: e yt > : A Weight: 7 ° 57 SZ /bs i L S J
Altered: Yes i No)
Producer: PR fe | Lot Number :_024/3 [A 7
1 Year 1 Sears) i |
Date Vaccinated: Kalam Date expire sesihesamlets
Veterinarian’s :# 33/6
Veterinarian’s Signature: Lu ‘. On Sloan DVT

Dr. Kit’s Mobile Surgical Unit
10645 N. Tatum Blvd., Ste. 200-477
Phoenix, Arizona 85028
602-909-5383
Certificate of Rabies Vaccination
Date: G/'g% /5 Pet Name: Vv
Owner: Tray Top S
Address:_A 7328 A) /Y3r dof
Phone: YL80~ 584-9355
' Cat Breed: Labradec kedrever Colors: Yellous
Age: yc Weight: C7 Ibs
Mieooadke Yee
Producer:
1 Year / Cleats) 7
Date Vaccinated: inated:_© Date Expires: res: Ape a
Veterinarian’s : #3 3/6
Veterinarian’s Signature: Lu hin Slum DVI

Dr. Kit’s Mobile Surgical Unit
10645 N. Tatum Blvd., Ste. 200-477
Phoenix, Arizona 85028
602-909-5383
Certificate of Rabies Vaccination
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Date: Pet Name: Dnolee
Address:_& 26 08 A) jy sp
Phone: 80 - SBY-G3I5
Cat Breed: labrador Retriever Colors: Beck
ge: _, Ut Weight:_Go lbs: Altera Ves /Kio)
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Producer: im F | | Lot N —— SYIZ AT
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1 Year oo
Date Vaccinated: Clorslase Date ee a
Veterinarian’s : #3 3/6
Veterinarian’s Signature: lol hs MN Shama DVT

Dr. Kit’s Mobile Surgical Unit
10645 N. Tatum Blvd., Ste. 200-477
Phoenix, Arizona 85028
602-909-5383
Certificate of Rabies Vaccination
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Date: 7 / 23 js - Pet Name: Arwen
Owner: Tray Lhonmus
Address:_2 1D 8 A) jysd <4
Phone: Y80- 5BY- 4355
(Bog) Cat Breed: labrador Kebreyves— Colors: Black.
Producer:
1 Year (Sears)
« Date Vaccinated: Ce a Date Expires: Shoah,
Veterinarian’s :# 33/6
; j
Veterinarian’s Signature: lal OM Slouem DVL

Dr. Kit’s Mobile Surgical Unit
10645 N. Tatum Blvd., Ste. 200-477
Phoenix, Arizona 85028
602-909-5383
Certificate of Rabies Vaccination
yr # 9 .
Date: b/92 (6 Pet Name: Aahley
| [
Owner: Traty Le S
Address: A7B9e A) jy3rd sf
Scottsdale AZ 85862
Phene: YLBO~- 58Y¢- G3s5
Cat Breed: ( altadoc Kedriever Colors: Chase alate.
Age: a Weight: é 2 [As ' (Xo)
Altered: Yes
Producer: im E || Lot Number: OY/3 1/2 7
: ae
1 Year (Gvears)
kag fyge wemmmaimens
Date Vaccinated: Date expires:
Veterinarian’s : #_33/6
Veterinarian’s Signature: Lu hs 1 Shama DVL