Extracted text (via tesseract_tsv)
32531 characters
Expires 10-31-71”
Maricopa County
Animal Care and Control
2500 South 27th Avenue
Phoenix, AZ 85009
(602) 506-7387 Tele.
(602) 506-2739 Fax
KENNEL PERMIT APPLICATION
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C1 New } Renewal Permit # K?S-000037
Name: Vickie Harshman Kennel Name: Harshman Kennels
Mailing Address: 3342 West Cactus Road Kennel Location: 3342 West Cactus Road, Phoenix
City: Phoenix ZIP: 85029 County Supervisorial District: District # 4
Kennei Phone:
480-320 -992 9
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.
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. 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 H. IWe assume complete responsibility for the kennel at the premises for which lAve 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).
I, (4
2. i We certify that I/We have dogs and that the kennel meets the definition in statute.
3. [} 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).
4. | | Ht MWe 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. } . | We certify that We are submitting a valid copy of the rabies vaccination certificate for each
dog with this application.
6. UE IMWe 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.
7. UH. We understand that a person who fails to obtain a kennel permit under A. R.S.§1 41-1009 is subject to a
penalty of twenty-five dollars in addition to the annual fee.
8. Ue. We 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..
=
L.the
9. 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.
We certify that all of the information [We have provided is true and accurate under penalty of law.
Wp
Applicant Signature _* L ‘ Date: dof. a 22 of a
:
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
2 of 2
Maricopa County
Animal Care & Control
2500 South 27" Avenue
Phoenix, AZ 85009
Phone: (602) 506-7387
pets.maricopa.gov
KENNEL PERMIT K16-000024
PREMISE INSPECTION
Number of Dogs: +8 |4
Name: VICKIE HARSHMAN Kennel Name: HARSHMAN KENNELS
Mailing Address: 3342 W CACTUS RD Kennel Address: 3342 W CACTUS RD
City: PHOENIX State: AZ Zip:85029 City: PHOENIX Zip: 85029
County Supervisorial District: #4
Kennel Phone: 480-320-9929
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?
a
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.)
Deputy Enforcement Agent & Badge #: Lt Timothy Rummel Date: 11/05/2015
October 2015
oS ire)
Maricopa County Animal Care and Control
2500 S. 27th Avenue
Phoenix, AZ 85009-6797
(602) 506-7387
http://pets. maricopa.gov
Receipt Number: R15-247871 Receipt Date: 10/30/2015
Person ID: P1539572
Phone: 602 7896051
HARSHMAN KENNELS
40/30/2015 12:41:31PI
3342 W CACTUS RD
PHOENIX, AZ 85029
Item: Animal 1D: Reference No: Price: Each: Amount:
KEN PERMIT AT777777 K16-000037 $328.00 4 $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
5 1 17 3 1 2 489 1764 62 32 91.637878 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
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5 1 34 1 8 1 954 936 174 148 39.988831 pi!
5 1 34 1 8 2 997 1155 49 62 96.866798 SEX:
5 1 34 1 8 3 1009 1695 25 68 96.816750 SIZE:
5 1 34 1 8 4 1011 1949 23 146 13.517427 PREDOMI
5 1 34 1 8 5 959 2185 90 90 9.327316 ee
5 1 34 1 8 6 1005 2273 12 6 95.536705 |
5 1 34 1 8 7 1001 2297 49 117 95.536705 COLORS:
5 1 34 1 8 8 952 2513 62 48 18.960781 '
4 1 34 1 9 0 920 937 116 1690 -1
5 1 34 1 9 1 954 937 29 52 92.255020 Dog
5 1 34 1 9 2 955 1055 2 3 41.436684 ff
5 1 34 1 9 3 950 1156 53 62 94.094421 Male
5 1 34 1 9 4 961 1320 31 74 32.497284 O}s3
5 1 34 1 9 5 952 1373 84 14 33.156490 3
5 1 34 1 9 6 963 1408 69 49 59.796097 Mo
5 1 34 1 9 7 963 1472 21 25 92.318771 to
5 1 34 1 9 8 963 1515 23 29 92.318771 12
5 1 34 1 9 9 963 1561 23 47 84.528023 Mo.
5 1 34 1 9 10 963 1638 30 27 0.000000 C|
5 1 34 1 9 11 963 1696 24 119 95.653595 Under
5 1 34 1 9 12 953 1786 53 27 96.022179 20
5 1 34 1 9 13 964 1827 23 44 60.471855 tbs.
5 1 34 1 9 14 964 1891 29 28 40.425247 0
5 1 34 1 9 15 920 2058 96 212 19.397478 els
5 1 34 1 9 16 948 2382 50 47 40.367081 rd
5 1 34 1 9 17 952 2457 41 51 47.210953 th
5 1 34 1 9 18 949 2592 23 35 33.041504 (Ro
4 1 34 1 10 0 909 937 93 1655 -1
5 1 34 1 10 1 913 937 25 46 62.686478 ct
5 1 34 1 10 2 915 1030 29 28 73.590340 O
5 1 34 1 10 3 915 1158 23 93 91.137352 Female
5 1 34 1 10 4 912 1309 33 52 8.401604 2
5 1 34 1 10 5 916 1380 23 203 1.808958 12Mo.crokder
5 1 34 1 10 6 909 1638 51 200 0.000000 (Xl20-sobs
5 1 34 1 10 7 918 1891 29 29 75.343765 O
5 1 34 1 10 8 900 1966 57 101 26.757027 ye
5 1 34 1 10 9 920 2098 58 96 59.678951 Sl
5 1 34 1 10 10 942 2273 60 86 30.018005 £
5 1 34 1 10 11 942 2549 52 43 34.946190 i
4 1 34 1 11 0 825 937 95 1102 -1
5 1 34 1 11 1 868 937 23 74 95.860184 Other
5 1 34 1 11 2 868 1033 29 29 36.332951 0
5 1 34 1 11 3 846 1156 47 92 93.916893 Altered
5 1 34 1 11 4 825 1212 56 90 58.478134 0
5 1 34 1 11 5 859 1317 44 33 52.978378 oO
5 1 34 1 11 6 871 1696 25 62 92.659981 Over
5 1 34 1 11 7 871 1768 23 31 63.643005 50
5 1 34 1 11 8 871 1810 24 44 61.357639 Ibs.
5 1 34 1 11 9 873 1891 29 29 67.316994 (9
5 1 34 1 11 10 863 1947 57 92 96.233505 NAME:
4 1 34 1 12 0 770 940 77 1560 -1
5 1 34 1 12 1 794 940 44 110 87.404579 (Specify)
5 1 34 1 12 2 770 1968 74 71 58.196442 ta
5 1 34 1 12 3 781 2038 34 35 83.961723 é
5 1 34 1 12 4 788 2156 57 55 34.772408 az
5 1 34 1 12 5 770 2301 77 199 0.000000 ———-
4 1 34 1 13 0 712 942 59 1317 -1
5 1 34 1 13 1 726 942 23 96 95.414665 DATE
5 1 34 1 13 2 726 1056 24 149 93.521164 VACCINATED:
5 1 34 1 13 3 712 1314 58 165 96.334778 PRODUCER:
5 1 34 1 13 4 714 1953 22 174 19.681101 Veterinarians
5 1 34 1 13 5 714 2149 21 2 86.716499 #
5 1 34 1 13 6 718 2167 53 92 74.968773 DO
4 1 34 1 14 0 638 961 91 1349 -1
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5 1 34 1 14 2 654 1173 59 62 41.164787 j3
5 1 34 1 14 3 649 1562 64 38 10.782728 »
5 1 34 1 14 4 660 1622 55 36 49.419983 re
5 1 34 1 14 5 664 1683 49 32 90.579231 &
5 1 34 1 14 6 682 2158 23 83 85.349426 Licens¢
5 1 34 1 14 7 682 2268 23 42 96.981216 No.
4 1 34 1 15 0 533 951 186 1644 -1
5 1 34 1 15 1 618 951 101 79 25.392284 oh
5 1 34 1 15 2 613 1100 36 51 61.017120 Dey
5 1 34 1 15 3 583 1177 70 19 0.000000 ~
5 1 34 1 15 4 619 1214 23 58 96.748177 Year
5 1 34 1 15 5 603 1549 29 64 95.032532 (First
5 1 34 1 15 6 609 1621 23 16 95.109871 3
5 1 34 1 15 7 604 1647 29 95 94.835266 Letters)
5 1 34 1 15 8 586 1954 40 173 88.221603 Veterinarian’s
5 1 34 1 15 9 533 2234 108 160 30.531540 ff
5 1 34 1 15 10 561 2411 76 184 28.064007 a
4 1 34 1 16 0 404 942 172 1335 -1
5 1 34 1 16 1 404 942 151 298 0.000000 Licdeiit
5 1 34 1 16 2 508 1197 48 69 90.522423 IRES:
5 1 34 1 16 3 541 1315 28 52 61.315125 tye
5 1 34 1 16 4 475 1377 101 169 33.539246 mee
5 1 34 1 16 5 531 1956 29 123 96.294998 Signature
5 1 34 1 16 6 476 2208 58 69 31.595421 ae
4 1 34 1 17 0 471 1314 46 750 -1
5 1 34 1 17 1 484 1314 23 15 78.976532 3
5 1 34 1 17 2 480 1338 23 29 92.799225 yr.
5 1 34 1 17 3 484 1378 25 125 68.513138 Lic.Vacc.
5 1 34 1 17 4 477 1644 10 41 12.504749 a
5 1 34 1 17 5 471 1956 46 108 96.478737 Address
4 1 34 1 18 0 404 945 116 1475 -1
5 1 34 1 18 1 404 945 35 81 95.929375 Month
5 1 34 1 18 2 406 1196 114 76 0.000000 \y_
5 1 34 1 18 3 426 1559 66 168 21.238575 VES
5 1 34 1 18 4 429 1772 68 102 21.711048 oA
5 1 34 1 18 5 416 2067 55 81 3.850250 \Ce
5 1 34 1 18 6 416 2152 57 211 41.062923 TOS
5 1 34 1 18 7 420 2372 54 48 0.000000 )
4 1 34 1 19 0 378 1551 35 774 -1
5 1 34 1 19 1 382 1551 23 69 89.693871 Vacc.
5 1 34 1 19 2 382 1631 23 72 93.305756 Serial
5 1 34 1 19 3 378 1713 29 56 90.482368 (Lot}
5 1 34 1 19 4 384 1779 22 42 96.900787 No.
5 1 34 1 19 5 402 2094 10 12 37.997417 “
5 1 34 1 19 6 405 2171 7 6 44.976353 .
5 1 34 1 19 7 399 2286 14 39 44.375488 nad
2 1 35 0 0 0 324 926 32 1747 -1
3 1 35 1 0 0 324 926 32 1747 -1
4 1 35 1 1 0 324 926 32 1747 -1
5 1 35 1 1 1 324 926 32 1747 95.000000
2 1 36 0 0 0 297 927 23 165 -1
3 1 36 1 0 0 297 927 23 165 -1
4 1 36 1 1 0 297 927 23 165 -1
5 1 36 1 1 1 297 927 23 165 82.003944 VAC0410001
2 1 37 0 0 0 340 2657 1089 19 -1
3 1 37 1 0 0 340 2657 1089 19 -1
4 1 37 1 1 0 340 2657 1089 19 -1
5 1 37 1 1 1 340 2657 1089 19 95.000000
2 1 38 0 0 0 1351 2751 76 363 -1
3 1 38 1 0 0 1351 2751 76 363 -1
4 1 38 1 1 0 1401 2751 26 363 -1
5 1 38 1 1 1 1401 2751 26 215 96.180756 VACCINATION
5 1 38 1 1 2 1401 2979 26 135 96.194977 RECORD
4 1 38 1 2 0 1351 2753 26 85 -1
5 1 38 1 2 1 1351 2753 26 85 96.646568 Name
2 1 39 0 0 0 577 2745 755 461 -1
3 1 39 1 0 0 1295 2745 37 158 -1
4 1 39 1 1 0 1295 2745 37 158 -1
5 1 39 1 1 1 1295 2745 37 158 0.000000 PYRABIES
3 1 39 2 0 0 909 2751 360 437 -1
4 1 39 2 1 0 1240 2751 29 269 -1
5 1 39 2 1 1 1240 2751 29 123 46.300129 COLYME
5 1 39 2 1 2 1240 2885 26 135 96.749969 DISEASE
4 1 39 2 2 0 1186 2753 29 354 -1
5 1 39 2 2 1 1186 2753 29 159 33.017555 COCANINE
5 1 39 2 2 2 1186 2924 26 183 90.936028 DISTEMPER
4 1 39 2 3 0 1131 2753 29 435 -1
5 1 39 2 3 1 1131 2753 29 159 35.541283 (CANINE
5 1 39 2 3 2 1132 2924 25 264 91.802788 PARAINFLUENZA
4 1 39 2 4 0 1069 2754 37 407 -1
5 1 39 2 4 1 1075 2754 31 27 37.459999 CI
5 1 39 2 4 2 1075 2792 28 121 37.459999 CANINE
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4 1 39 2 5 0 1020 2754 29 374 -1
5 1 39 2 5 1 1020 2754 29 159 30.920834 COCANINE
5 1 39 2 5 2 1020 2925 26 203 96.363853 PARVOVIRUS
4 1 39 2 6 0 964 2754 29 407 -1
5 1 39 2 6 1 964 2754 29 161 15.927229 COCANINE
5 1 39 2 6 2 964 2925 26 236 95.842392 CORONAVIRUS
4 1 39 2 7 0 909 2756 29 379 -1
5 1 39 2 7 1 909 2756 29 159 34.132061 OOCANINE
5 1 39 2 7 2 909 2927 27 208 96.547295 BORDETELLA
3 1 39 3 0 0 853 2756 31 292 -1
4 1 39 3 1 0 853 2756 31 292 -1
5 1 39 3 1 1 853 2756 31 28 18.283482 [1
5 1 39 3 1 2 853 2796 28 252 79.808113 LEPTOSPIROSIS
3 1 39 4 0 0 577 2757 250 449 -1
4 1 39 4 1 0 798 2757 29 425 -1
5 1 39 4 1 1 798 2757 29 29 42.388702 C1
5 1 39 4 1 2 799 2796 25 108 72.596214 FELINE
5 1 39 4 1 3 799 2916 26 164 96.786667 LEUKEMIA
5 1 39 4 1 4 799 3087 26 95 96.744087 VIRUS
4 1 39 4 2 0 742 2757 31 428 -1
5 1 39 4 2 1 742 2757 31 29 20.205059 (3
5 1 39 4 2 2 742 2796 26 110 93.254013 FELINE
5 1 39 4 2 3 742 2918 28 267 91.008354 PANLEUKOPENIA
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5 1 39 4 3 1 687 2759 29 28 21.322250 CO]
5 1 39 4 3 2 687 2798 27 108 92.288437 FELINE
5 1 39 4 3 3 688 2918 26 288 89.875648 RHINOTRACHEITIS
4 1 39 4 4 0 633 2759 29 358 -1
5 1 39 4 4 1 633 2759 29 28 49.534702 (CO
5 1 39 4 4 2 633 2798 26 109 93.279137 FELINE
5 1 39 4 4 3 633 2918 26 199 91.846619 CALICIVIRUS
4 1 39 4 5 0 577 2760 29 350 -1
5 1 39 4 5 1 577 2760 29 147 39.091568 OOFELINE
5 1 39 4 5 2 577 2919 26 191 96.524567 CHLAMYDIA
2 1 40 0 0 0 474 2760 77 488 -1
3 1 40 1 0 0 474 2760 77 488 -1
4 1 40 1 1 0 522 2760 29 488 -1
5 1 40 1 1 1 522 2760 29 29 0.000000 (1
5 1 40 1 1 2 522 2799 26 110 90.323936 FELINE
5 1 40 1 1 3 522 2921 27 327 96.285416 IMMUNODEFICIENCY
4 1 40 1 2 0 474 2799 26 98 -1
5 1 40 1 2 1 474 2799 26 98 95.942558 VIRUS
2 1 41 0 0 0 1344 2847 10 332 -1
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5 1 41 1 1 1 1344 2847 10 332 95.000000
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3 1 42 1 0 0 319 2895 82 182 -1
4 1 42 1 1 0 363 2895 38 182 -1
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5 1 70 1 7 3 918 2865 56 56 92.183815 INE
5 1 70 1 7 4 918 2946 56 188 0.000000 }ORDETELLA
4 1 70 1 8 0 849 2754 71 281 -1
5 1 70 1 8 1 858 2754 50 50 75.885338 Ol
5 1 70 1 8 2 849 2799 71 236 48.433784 LEPTOSPIROS!
2 1 71 0 0 0 0 1906 0 180 -1
3 1 71 1 0 0 0 1906 0 180 -1
4 1 71 1 1 0 0 1906 0 180 -1
5 1 71 1 1 1 0 1906 0 180 95.000000
2 1 72 0 0 0 0 2273 0 84 -1
3 1 72 1 0 0 0 2273 0 84 -1
4 1 72 1 1 0 0 2273 0 84 -1
5 1 72 1 1 1 0 2273 0 84 95.000000
2 1 73 0 0 0 0 2597 0 65 -1
3 1 73 1 0 0 0 2597 0 65 -1
4 1 73 1 1 0 0 2597 0 65 -1
5 1 73 1 1 1 0 2597 0 65 95.000000
2 1 74 0 0 0 591 2751 125 368 -1
3 1 74 1 0 0 591 2751 125 368 -1
4 1 74 1 1 0 642 2754 74 365 -1
5 1 74 1 1 1 651 2754 65 41 89.165916 a
5 1 74 1 1 2 642 2799 62 95 70.469757 FELIN
5 1 74 1 1 3 654 2928 59 191 83.640678 SALICIVIRUS
4 1 74 1 2 0 591 2751 47 360 -1
5 1 74 1 2 1 591 2751 53 44 0.000000 C1
5 1 74 1 2 2 588 2818 47 25 0.000000 FELINE
5 1 74 1 2 3 598 2866 46 245 96.874176 CHLAMYDIA
2 1 75 0 0 0 498 2793 88 468 -1
3 1 75 1 0 0 498 2793 88 468 -1
4 1 75 1 1 0 513 2793 73 468 -1
5 1 75 1 1 1 540 2793 41 116 89.852013 FELINE
5 1 75 1 1 2 513 2920 73 341 75.677521 IMMUNODEFICIENCY.
4 1 75 1 2 0 498 2799 26 98 -1
5 1 75 1 2 1 498 2799 26 98 95.527145 VIRUS
2 1 76 0 0 0 438 3179 2 85 -1
3 1 76 1 0 0 438 3179 2 85 -1
4 1 76 1 1 0 438 3179 2 85 -1
5 1 76 1 1 1 438 3179 2 85 95.000000
2 1 77 0 0 0 0 2895 0 162 -1
3 1 77 1 0 0 0 2895 0 162 -1
4 1 77 1 1 0 0 2895 0 162 -1
5 1 77 1 1 1 0 2895 0 162 95.000000
2 1 78 0 0 0 303 2823 150 290 -1
3 1 78 1 0 0 336 2830 117 283 -1
4 1 78 1 1 0 384 2885 69 228 -1
5 1 78 1 1 1 384 2885 69 228 48.237617 Boehringer
4 1 78 1 2 0 303 2823 114 239 -1
5 1 78 1 2 1 303 2823 114 53 40.706459 ti
5 1 78 1 2 2 333 2893 49 169 69.798271 Togelheim
2 1 79 0 0 0 249 1402 8 1725 -1
3 1 79 1 0 0 249 1402 8 1725 -1
4 1 79 1 1 0 249 1402 8 1725 -1
5 1 79 1 1 1 249 1402 8 1725 95.000000 QO OO O. CJ C) g
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CLEPTOSPIROSIS
Ingelheim Boehringer LEUKEMIA DISEASE
CHLAMYDIA CALICIVIRUS RHINOTRACHEITIS PANLEUKOPENIA BORDETELLA CORONAVIRUS PARVOVIRUS ADENOVIRUS PARAINFLUENZA DISTEMPER RECORD
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! 5 1 32 4 1 6 1015 1737 28 81 36.952980 ued.
5 1 32 4 1 7 1013 2178 9 29 18.104248 _.
5 1 32 4 1 8 1001 2334 41 176 13.842735 cect
3 1 32 5 0 0 741 942 306 1667 -1
4 1 32 5 1 0 978 955 69 1643 -1
5 1 32 5 1 1 999 955 45 194 35.784912 BB)
5 1 32 5 1 2 997 1171 31 109 0.000000 be
5 1 32 5 1 3 984 1306 47 203 20.822229 Abu
5 1 32 5 1 4 996 1550 41 32 46.324127 NS
5 1 32 5 1 5 994 1752 22 5 59.845985 i
5 1 32 5 1 6 982 1788 65 53 39.396439 by
5 1 32 5 1 7 994 1881 25 11 87.919075 i
5 1 32 5 1 8 982 2097 53 45 29.086037 ‘tT
5 1 32 5 1 9 1002 2187 11 17 74.730438 2
5 1 32 5 1 10 991 2335 22 26 9.737501 a
5 1 32 5 1 11 978 2442 58 86 23.917561 ae
4 1 32 5 2 0 920 942 67 1662 -1
5 1 32 5 2 1 946 942 38 126 96.360390 SPECIES:
5 1 32 5 2 2 945 1161 37 60 88.617294 SEX:
5 1 32 5 2 3 954 1381 24 65 96.649910 AGE:
5 1 32 5 2 4 942 1699 37 68 95.934692 SIZE:
5 1 32 5 2 5 951 1954 36 190 96.631523 PREDOMINANT
5 1 32 5 2 6 949 2151 37 92 96.287682 BREED:
5 1 32 5 2 7 939 2293 37 127 96.110802 COLORS:
5 1 32 5 2 8 930 2453 49 31 22.209190 ood
5 1 32 5 2 9 920 2492 54 77 16.604528 ate
5 1 32 5 2 10 937 2570 39 34 55.316383 Le
4 1 32 5 3 0 878 943 72 1648 -1
5 1 32 5 3 1 904 943 29 52 95.560219 Dog
5 1 32 5 3 2 906 1033 42 52 27.273727 BF
5 1 32 5 3 3 892 1124 60 25 69.471245 |
5 1 32 5 3 4 909 1162 23 61 96.705124 Male
5 1 32 5 3 5 898 1323 41 41 43.326279 Sel)
5 1 32 5 3 6 908 1382 22 15 81.031265 3
5 1 32 5 3 7 907 1413 23 48 87.036674 Mo.
5 1 32 5 3 8 907 1476 22 26 92.277626 to
5 1 32 5 3 9 907 1518 23 30 92.277626 12
5 1 32 5 3 10 907 1564 23 47 95.007042 Mo.
5 1 32 5 3 11 906 1641 30 29 38.703918 [1]
5 1 32 5 3 12 906 1700 23 79 93.038765 Under
5 1 32 5 3 13 906 1788 23 32 93.038765 20
5 1 32 5 3 14 906 1831 23 44 95.704636 Ibs.
5 1 32 5 3 15 904 1894 31 29 20.027500 3
5 1 32 5 3 16 878 1981 72 139 46.548019 ned
5 1 32 5 3 17 901 2125 47 29 36.019684 in
5 1 32 5 3 18 887 2326 48 91 20.172787 cada
5 1 32 5 3 19 880 2427 46 108 42.888458 loag
5 1 32 5 3 20 886 2553 50 38 16.579065 ~
4 1 32 5 4 0 843 942 51 1667 -1
5 1 32 5 4 1 864 942 23 45 49.057888 ca
5 1 32 5 4 2 864 1035 29 29 49.057888 O
5 1 32 5 4 3 862 1162 23 92 91.577606 Female
5 1 32 5 4 4 862 1324 29 28 30.058590 |
5 1 32 5 4 5 861 1383 24 203 28.549599 12Mo.orolder
5 1 32 5 4 6 856 1633 38 206 0.000000 Sf20-soibs
5 1 32 5 4 7 852 1890 41 36 37.403931 Bi
5 1 32 5 4 8 843 2069 45 177 23.248734 fi
5 1 32 5 4 9 839 2136 59 45 22.278719 neg
5 1 32 5 4 10 843 2195 45 50 0.000000 ees
5 1 32 5 4 11 880 2327 10 66 43.461971 |
4 1 32 5 5 0 777 942 77 1232 -1
5 1 32 5 5 1 819 942 23 74 93.804466 Other
5 1 32 5 5 2 817 1038 31 29 16.863480 0
5 1 32 5 5 3 817 1160 23 91 76.025787 Altered
5 1 32 5 5 4 809 1317 40 62 36.143326 S|
5 1 32 5 5 5 814 1699 23 62 92.416740 Over
5 1 32 5 5 6 814 1770 23 32 69.960686 50
5 1 32 5 5 7 814 1813 23 43 69.960686 Ibs,
5 1 32 5 5 8 814 1894 29 29 52.563179 (|
5 1 32 5 5 9 820 1954 34 89 92.943321 NAME:
5 1 32 5 5 10 801 2038 24 23 31.109661 7
5 1 32 5 5 11 777 2106 38 26 15.595579 e
5 1 32 5 5 12 820 2155 23 19 22.620859 uy
4 1 32 5 6 0 741 945 66 1145 -1
5 1 32 5 6 1 741 945 64 108 84.960999 (Specify
5 1 32 5 6 2 742 1995 20 18 23.229240 2
5 1 32 5 6 3 741 2040 66 98 40.086597 RS
3 1 32 6 0 0 312 937 439 1642 -1
4 1 32 6 1 0 717 1983 34 138 -1
5 1 32 6 1 1 717 1983 34 138 48.963715 Coy
4 1 32 6 2 0 645 945 56 1482 -1
5 1 32 6 2 1 678 945 23 69 96.449707 DATE
5 1 32 6 2 2 676 1023 23 183 95.664772 VACCINATED:
5 1 32 6 2 3 675 1315 24 166 95.735504 PRODUCER:
5 1 32 6 2 4 654 1955 23 174 76.314499 Veterinarian’s
5 1 32 6 2 5 654 2139 23 15 92.641701 #
5 1 32 6 2 6 661 2247 37 12 27.898092 is
5 1 32 6 2 7 651 2269 35 53 47.162636 ij
5 1 32 6 2 8 645 2354 30 28 6.463909 sy
5 1 32 6 2 9 652 2413 29 14 0.000000 ‘y
4 1 32 6 3 0 621 1237 23 1076 -1
5 1 32 6 3 1 637 1237 5 5 72.572945 :
5 1 32 6 3 2 621 2161 23 98 95.980080 License
5 1 32 6 3 3 621 2269 23 44 95.840805 No.
4 1 32 6 4 0 557 972 38 1298 -1
5 1 32 6 4 1 557 972 38 62 20.157486 fonth
5 1 32 6 4 2 566 1209 25 63 75.769699 ‘Year
5 1 32 6 4 3 580 1655 4 4 0.000000 ‘
5 1 32 6 4 4 561 2214 6 56 54.650459 —
4 1 32 6 5 0 522 1136 62 1314 -1
5 1 32 6 5 1 561 1136 23 15 39.545174 ¥
5 1 32 6 5 2 547 1549 29 64 71.098869 (Pirst
5 1 32 6 5 3 552 1621 23 16 87.012489 3
5 1 32 6 5 4 546 1647 29 95 87.012489 Letters)
5 1 32 6 5 5 537 1956 23 174 91.702255 Veterinarian’s
5 1 32 6 5 6 530 2220 30 45 13.853359 _f
5 1 32 6 5 7 522 2428 21 22 76.296669 i
4 1 32 6 6 0 481 1315 42 1264 -1
5 1 32 6 6 1 492 1315 21 10 86.064842 1
5 1 32 6 6 2 479 1337 46 32 86.064842 yr.
5 1 32 6 6 3 490 1380 25 41 51.701809 Lic.
5 1 32 6 6 4 490 1422 31 117 38.298424 /Vace.
5 1 32 6 6 5 479 1521 46 20 71.286842 0
5 1 32 6 6 6 494 1976 4 4 19.515924 ,
5 1 32 6 6 7 484 2247 32 23 0.000000 Se
5 1 32 6 6 8 481 2289 16 66 0.000000 mmese
5 1 32 6 6 9 489 2370 34 111 10.489941 eb
5 1 32 6 6 10 498 2507 17 72 10.928650 Bean
4 1 32 6 7 0 412 943 97 1304 -1
5 1 32 6 7 1 465 943 23 188 92.945717 VACCINATION
5 1 32 6 7 2 463 1143 23 123 36.882931 Expines:
5 1 32 6 7 3 452 1289 61 16 88.296150 |
5 1 32 6 7 4 452 1320 61 6 72.854050 |
5 1 32 6 7 5 486 1338 23 15 14.794397 ™
5 1 32 6 7 6 412 1506 91 50 67.446159 cy
5 1 32 6 7 7 469 1956 29 125 95.492165 Signature
5 1 32 6 7 8 477 2235 9 12 0.000000 .
4 1 32 6 8 0 415 1201 38 863 -1
5 1 32 6 8 1 429 1201 14 5 59.907795 7
5 1 32 6 8 2 430 1314 23 15 91.767891 3
5 1 32 6 8 3 424 1338 23 27 88.118240 yr.
5 1 32 6 8 4 430 1377 23 44 51.785316 Lic.
5 1 32 6 8 5 430 1430 23 72 51.785316 Vace.
5 1 32 6 8 6 447 1557 6 8 28.799152 LA
5 1 32 6 8 7 415 1956 26 108 88.568665 Address
4 1 32 6 9 0 351 933 45 1578 -1
5 1 32 6 9 1 351 933 45 92 8.864937 Math
5 1 32 6 9 2 355 1101 36 50 93.080734 Day
5 1 32 6 9 3 378 1180 13 8 48.222000 iF) L PRINT ADAPTED
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Name
VIRUS FELINE FELINE FELINE FELINE FELINE OFELINE COCANINE CANINE CICANINE CICANINE CANINE (CANINE LYME RABIES VACCINATION
LEPTOSPIROSIS
Ingelheim Boehringer LEUKEMIA DISEASE
CHLAMYDIA CALICIVIRUS RHINOTRACHEITIS PANLEUKOPENIA BORDETELLA CORONAVIRUS PARVOVIRUS ADENOVIRUS PARAINFLUENZA DISTEMPER RECORD
IMMUNODEFICIENCY
VIRUS 2
CERTIFICATE OF VACCINATION
Certificate No. 0
Previous Vaccination:
VETERINARY CLINIC OWNER OF ANIMAL
Sunburst Animal Hospital Joe Harshman
5032 W. Thunderbird Road 3342 W Cactus Rd
Glendale, AZ 85306 Phoenix, AZ 85029
602-938-1860 (602)
This is to certify...
THAT | HAVE VACCINATED THE ANIMAL DESCRIBED BELOW AGAINST RABIES.
Patient information...
PATIENT: Eden TAG NO:
SPECIES: Canine BREED: Labrador Retriever
SEX: Female AGE: 16 months
WEIGHT: 40.80 Ibs COLOR: Black
MICROCHIP:015605272
MFG BY: PFI, SERIAL: S413127,
Signed:
Andrea License: 3632
Other Vaccinations...
Vaccinated By Vaccination Next due
06-02-15 ALA Bordetella Reminder 1 yr 06-01-16
06-02-15 ALA Canine Dhpp Reminder 3y 06-01-18
06-02-15 ALA Dhpp / Bord / Rabies Vaccination & Ex(none)
06-14-14 VRR Rabies Vaccine Reminder 1year (none)
06-14-14 VRR ~ Canine Dhpp Vaccine Reminder ly —_ (none)
06-14-14 VRR Puppy vx program fecal direct/float (none)
06-14-14 VRR Puppy vx program DHPP/Rabies (none)
05-24-14 MLP Puppy vx program pyrantel (none)
CERTIFICATE OF VACCINATION
Certificate No. 0
Previous Vaccination:
VETERINARY CLINIC OWNER OF ANIMAL
Sunburst Animal Hospital Joe Harshman
5032 W. Thunderbird Road 3342 W Cactus Rd
Glendale, AZ 85306 Phoenix, AZ 85029
602-938-1860 (602)
This is to certify...
THAT | HAVE VACCINATED THE ANIMAL DESCRIBED BELOW AGAINST RABIES.
Patient information...
PATIENT: Beacon TAG NO:
SPECIES: Canine BREED: Welsh Springer Spaniel
SEX: Male AGE: 16 months
WEIGHT: 45.30 Ibs COLOR: Red/White
MICROCHIP:
MFG BY: PFI, SERIAL; $413131C, EXPIRES: 5/24/16, ADMIN: SQ
Signed:
Andrea Aamann, DVM License: 3632
Other Vaccinations...
Vaccinated By Vaccination Next due
06-23-15 ALA Canine Dhpp Reminder 3y 06-22-18
06-23-15 ALA Bordetella Reminder 1 yr 06-22-16
06-23-15 ALA Dhpp / Bord / Rabies Vaccination & Ex(none)
06-14-14 VRR Rabies Vaccine Reminder 1year (none)
06-14-14 VRR Canine Dhpp Vaccine Reminder ‘ty (none)
06-14-14 VRR Puppy vx program fecal direct/float (none)
06-14-14 VRR Puppy vx program DHPP/Rabies (none)
05-24-14 MLP Puppy vx program DHPP/Bord (none)
CERTIFICATE OF VACCINATION
Certificate No. 0
Previous Vaccination:
VETERINARY CLINIC OWNER OF ANIMAL
Sunburst Animal Hospital Joe Harshman
5032 W. Thunderbird Road 3342 W Cactus Rd
Glendale, AZ 85306 Phoenix, AZ 85029
602-938-1860 (602)
This is to certify...
THAT | HAVE VACCINATED THE ANIMAL DESCRIBED BELOW AGAINST RABIES.
Patient information...
PATIENT: Pie TAG NO:
SPECIES: anine BREED: Welsh Springer Spaniel
SEX: Female AGE: 16 months
WEIGHT: 45.20 lbs COLOR: Red/White
MICROCHIP:
MFG BY: PFI, SERIAL: S413131C, EXPIRES: 5/24/16, ADMIN: SQ
Signed: A. pa —
Andrea Aamann, cense: 3632
Other Vaccinations...
Vaccinated By Vaccination Next due
06-23-15 ALA Canine Dhpp Reminder 3y 06-22-18
06-23-15 ALA Bordetella Reminder 1 yr 06-22-16
06-23-15 ALA Dhpp / Bord / Rabies Vaccination & Ex(none)
06-14-14 VRR Rabies Vaccine Reminder 1year (none)
06-14-14 VRR Canine Dhpp Vaccine Reminder 1y = (none)
06-14-14 VRR Puppy vx program fecal direct/float (none)
06-14-14 VRR Puppy vx program DHPP/Rabies (none)
05-24-14 MLP Puppy vx program DHPP/Bord (none)
RABIES VACCINATION CERTIFICATE
OWNER'S INFORMATION:
HARSHMAN VICKIE P2380155
.
LAST NAME FIRST NAME PERSON ID FELERHONE NUMBER xr
3342 W CACTUS RD PHOENIX AZ 85029
STREET ADDRESS APT CITY STATE ZiP CODE
ANIMAL INFORMATION
DOG SPAYED 7/21/2014 MED CHIHUAHUA LH MIX
ANIMAL TYPE ANIMAL SEX ANIMAL DATE OF BIRTH SIZE PRIMARY BREED ‘SECONDARY BREED
TAN TAN
A3636773
ARTERAL TD PRIMARY COLOR SECONDARY COLOR
ANIMAL NAME MICROCHIP NUMBER
VACCINATION INFORMATION
RABDOMUN 42 Months W2T/2015 7/27/2016 7/28/15
VACCINE PRODUCER VACG, LENGTH DATE VACCINATED VACCINATION EXPIRES PRINT DATE
Bw. $m
Aorikic ars
KILLED Maricopa County
Animal Care & Control
VACCINE TYPE VETERINARIAN'S SIGNATURE
2500 S 27th Avenue, Phoenix, AZ 85009
(602) 506-7387
$410328
VACC, SERIAL NO. VETERINARIAN'S LICENSE NUMBER
CERTIFICATE OF VACCINATION
Date of Vaccination: 10-27-15 Certificate No. 0
Next Vaccination on: 10-26-18 Previous Vaccination:
VETERINARY CLINIC OWNER OF ANIMAL
Sunburst Animal Hospital Joe Harshman
5032 W. Thunderbird Road 3342 W Cactus Rd
Glendale, AZ 85306 Phoenix, AZ 85029
602-938-1860 (602)
This is to certify...
THAT | HAVE VACCINATED THE ANIMAL DESCRIBED BELOW AGAINST RABIES.
Patient information...
PATIENT: Omally TAG NO:
SPECIES: Canine BREED: Labrador Retriever
SEX: Male AGE: 2 years
WEIGHT: 0.00 ibs COLOR: Yellow
MICROCHIP:
MFG BY: PFI, 11/30/16, ADMIN: SQ
“S Vee
Signed:
Andrea Aamann, DVM License: 3632
Other Vaccinations...
Vaccinated By Vaccination Next due
40-27-15 ALA Rabies Vaccination & Exam (none)