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E)(pir'es 10 -31 - / 5"- Maricopa County Animal Care and Control 2500 South 27th Avenue Phoenix, AZ 85009 (602) 506-7387 Tele. (602) 506-2739 Fax KENNEL PERMIT APPLICATION /62 111 New iyr Renewal Permit # K18-000058 Name: Margaret Hodge Kennel Name: Wingfoot Kennels Mailing Address: 964 East Wildhorse Drive Kennel Location: 964 East Wildhorse Drive, Chandler City: Chandler ZIP: 85286 County Supervisorial District: District # I Phone: 480-820-6566 Kennel Phone: 480-820-6566 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. ;,ff_f_ INVe 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). I/We certify that IANe have /1 dogs and that the kennel meets the definition in statute. 3. ifl 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.i,/v ( I/We 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 1NVe are submitting a valid copy of the rabies vaccination certificate for each dog with this application. 1/We understand that a dog remaining within the kennel is not required to be licensed individually under A.R.S. § 11-1008. Uwe 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. , IANe 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 annualfee. 21A 1/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.. 9. .:741 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/VVe certify that all of the information I/We have provided is true and accurate under penalty of law. Applicant Signature Date: ZOZSZL Applicant Signature Date: For Official Use Only: Copies of Valid Rabies Vaccination Certificates for each dog attached s Copy of Person's Valid Identification Attached y C Type of Identification submitted Az DL 130S Approval Date Term of Permit Ic2 me4i)s 2 of 2 Maricopa County Animal Care and Control 2500 S. 27th Avenue Phoenix, AZ 85009-6797 (602) 506-7387 http://pets.maricopa.gov Receipt Number: R15-242568 Receipt Date: 10/2312015 Person ID: P2292456 Phone: 480 8206566 WINGFOOT KENNELS 10/23/2015 5:23:17PN 964 E WILDHORSE DR CHANDLER, AZ 85286 Item: Animal ID: Reference No: Price: Each: Amount: KEN PERMIT A7777777 K16-000058 $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 shawcrof EBUSOFF Maricopa County Animal Care & Control 2500 South 27th Avenue Phoenix, AZ 85009 Phone: (602) 506-7387 pets.marieopa.gov KENNEL PERMIT PREMISE INSPECTION Name: Margaret Hodge Kennel Name: Wingfoot Kennels Mailing Address: 964 E Wildhorse Dr. Kennel Location: 964 E Wildhorse Dr. City: Chandler LIP: 85286 County Supervisorial District: 1 Home Phone: 480-820-6566 Kennel Phone: 480-820-6566 I. Are all dogs over the age of three months properly vaccinated for rabies and in possession of a valid rabies vaccination certificate? YES NOTE: Copies of each rabies vaccination certificate must be attached to the Kennel Permit Premise Inspection form. 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 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.) N/A Deputy Enforcement Agent Datelizoil,c- Aashne Animal Hospital Dean L Kile, DVM 2860 S. Carriage Lane Mesa, AZ 85202 (480) 831-3031 Rabies Certificate Patient ID: 3468 Client ID: 2493 Patient Name: Asian Client Name: Patrick and Teresa Smith Species: Canine Address: 964 E Wildhorse Dr Breed: Saluki Sex: Male Chandler, AZ 85286 Color: Red Grizzle Phone: (480)820-6566 Markings: Birthday: 11/07/2013 Weight: 50.00 pounds on 3/11/2015 Tag Number: 0 Vaccination Date: 3/11/2015 Lot Number: S3067048 Expiration Date: 3111/2018 K9 Rabies-3 Yrs Producer: Pfizer K / MLV / R: Killed Virus Staff Name: Dean Kile, DVM License Number: AZ #1182 (4, Aashne Animal Hospital Dean L Kile, DVM 2860 S. Carriage Lane Mesa, AZ 85202 (480) 831-3031 Rabies Certificate Patient ID: 10149 Client ID: 1031 Patient Name: Autumn Client Name: Margaret Hodge Species: Canine Address: 964 E Wildhorse Dr Breed: Saluki Sex: Spayed Female Chandler, AZ 85286 Color: Red Phone: (480)838-3867 Markings: Birthday: 03/29/2001 Weight: 31.00 pounds on 8/5/2015 Microchip ID: 43320E3804 Tag Number: 0 Vaccination Date: 3/11/2015 Lot Number: S306704B Expiration Date: 311112018 K9 Rabies-3 Yrs Producer: Pfizer K / MLV / R: Killed Virus Staff Name: Dean Kile, DVM License Number: AZ #1182 Aashrie Animal Hospital Dean L Kite, DVM 2860 S. Carriage Lane Mesa, AZ 85202 (480) 831-3031 Rabies Certificate Patient ID: 1021 Client ID: 1031 Patient Name: Pal Client Name: Margaret Hodge Species: Canine Address: 964 E Wildhorse Dr Breed: Saluki Sex: Female Chandler, AZ 85286 Color: Tri-Color Phone: • (480)838-3867 Markings: Birthday: 06/21/2009 Weight: 39.00 pounds on 1/30/2014 Tag Number: 0 Vaccination Date: 10/9/2013 Lot Number: S287243B Expiration Date: 10/9/2016 Producer: Pfizer K / MLV: Killed Virus Staff Name: Dean Kite, DVM License Number: AZ #1182 ; Phor; Aashne Animal Hospital Dean L Kile, DVM 2860 S. Carriage Lane Mesa, AZ 85202 (480) 831-3031 Nione: Rabies Certificate Patient ID: 1024 Client ID: 2493 Patient Name: Maggie Client Name: Patrick and Teresa Smith Species: Canine Address: 964 E Wildhorse Dr Breed: Saluki Sex: Female Chandler, AZ 85286 Color: Tr-Color Phone: (480)820-6566 Markings: Birthday: 06/21/2009 Weight: 47.50 pounds on 10/912013 Tag Number: 0 Vaccination Date: 10/9/2013 vtot-Number: S2.87243B Expiration Date: 101912016 liQaer: Pfizer 1„rvi IN:- Killed Virus Staff Name: Dean Kile, DVM License Number: AZ #1182----C: Aashne Anima' Hospital Dean L Kile, DVM 2860 S. Carnage Lane Mesa, AZ 85202 (480) 831-3031 Rabies Certificate Patient 1D: 1025 Client[IIX: 2493 Patient Name: Zira OelitNarne: Patrick and Teresa Smith Species: Canine Address: 964 E Wildhorse Dr Breed: Saluki Sex: Female Chandler, AZ 85286 Color: Tr-Color Phone: (480)820-6666 Markings: • Birthday: 06/21/2009 Weight: 46.00 pounds on 10/9/2013 Tag Number: 0 Vaccination Date: 10/9/2013 Lot Number: S287243B Expiration Date: 10/9/2016 Producer: Pfizer K / MLV: Killed Virus Staff Name: Dean Kile, DVM License Number: AZ #1182 Aashne Animal Hospital Dean L Kile, DVM 2860 S. Carriage Lane Mesa, AZ 85202 (480) 831-3031 Rabies Certificate Patient ID: 1022 E. 2493 Patient Name: Einstein Lul Client.Nprne• • Patrick and Teresa Smith Species: Canine Address: 964 E Wildhorse Dr Breed: Saluki Sex: Male Chandler, AZ 85286 Color: Tr-Color Phone: (480)820-6566 Markings: Birthday: 06/21/2009 Weight: 55.00 pounds on 1/30/2014 Tag Number: 0 Vaccination Date: 10/9/2013 Lot Number: S287243B Expiration Date: 101912016 Producer: Pfizer K MLV:. Killed Virus Qlie-r-,-t !vac ' Staff Name: Dean Kile, D License Number: AZ #1182 Aashne Animal Hospital Dean L Kile, DVM 2860 S. Carriage Lane Mesa, AZ 85202 (480) 831-3031 Rabies Certificate Patient ID: 217 Client ID: 2493 Patient Name: Titan Client Name: Patrick and Teresa Smith Species: Canine Address: 964 E Wildhorse Dr Breed: Saluki Sex: Male Chandler, AZ 85286 Color: Brwn/ Blk PtiQne: (480)820-6566 Markings: • Birthday: 04/1012008 Weight: 55.00 pounds on 10/9/2013 Tag Number: 0 Vaccination Date: 10/9/2013 Lot Number: S287243B Expiration "Date: 10/9/2016 Producer: Pfizer K / MLV: Killed Virus Staff Name: Dean Kile, DVM License Number: AZ #1182 - Aashne Animal Hospital Dean L Kile, DVM 2860 S. Carriage Lane Mesa, AZ 85202 (480) 831-3031 Rabies Certificate _ Client 113: 2493 Patient ID: 13955 Client Name: Patrick and Teresa Smith Patient Name: Mrs.White Address: 964 E Wildhorse Dr Species: Canine Breed: Saluki Sex: Spayed Female Chandler, AZ 85286 Color: Cream Phone: (480)820-6566 Markings: Birthday: 09/01/2003 Weight: 39.00 pounds on 5/23/2014 Tag Number: 0 Vaccination Date: 9/11/2014 • Lot:Number: S311817A Expiration Date: 9/11/2017 Producer: Pfizer Killed Virus Staff Name: Dean Kile, DVM License Number: AZ #1182 Aashne Animal Hospital Dean L Kile, DVM 2860 S. Carriage Lane Mesa, AZ 85202 (480) 831-3031 Rabies Certificate Client ID: 2493 Patient ID: 13950 Patient Name: Bea Client Name: Patrick and Teresa Smith Address: 964 E Wildhorse Dr Species: Canine Breed: Dachshund Sex: Spayed Female Chandler, AZ 85286 Color: Black/Tart Phone: (480)820-6566 Markings: Birthday: 05129/2006 Weight: 19.00 pounds on 4/8/2011 Tag Number: 0 Vaccination Date: 9/11/2014 Lot Number: S311817A Expiration Date: 911112017 Producer: Pfizer K / MLV: Killed Virus Staff Name: Dean Kile, DVM License Number:• AZ #1182 i.• Aashne Animal Hospital Dean L Kile, DVM 2860 S. Carriage Lane Mesa, AZ 85202 (480) 831-3031 Rabies Certificate ClierifID: 2493 Patient ID: . 2882 Patient Name: Limey Client Name: Patrick and Teresa Smith Address: 964 E Wildhorse Dr Species: Canine Breed: Shepherd, Anatolian Sex: Female Chandler, AZ 85286 Color: Fawn Phone: (480)820-6566 Markings: Birthday: 07/29/2012 Weight: 81.00 pounds on 12114/2013 Tag Number: 0 Vaccination Date: 12/14/2013 Lot Number: S301989D Expiration Date: 12/14/2016 Producer: Pfizer Ki MLV: Killed Virus crieff lD Staff Name: Dean Kite, DVM License Number: AZ #1182 Aashne Animal Hospital Dean L Kile, DVM 2860 S. Carriage Lane Mesa, AZ 85202 (480) 831-3031 Rabies Certificate Patient ID: 13952 Client ID: 2493 Patient Name: Cinnamon Client Name: Patrick and Teresa Smith Species: Canine Address: 964 E Wild horse Dr Breed: Dachshund Sex: Spayed Female Chandler, AZ 85286 Color: Red Phone: (480)820-6566 Markings: Birthday: 05/29/2006 Weight: 20.00 pounds on 4/8/2011 Tag.Number: 0 Vaccination Date: 9/11/2014 Lot .Number: S311817A Expiration Date: 9/11/2017 Producer: Pfizer K /MLV:- Killed Virus Staff Name: Dean Kile, DVM License Number. AZ #1182