FRIENDS FOR LIFE ANIMAL RESCUE.PDF

Maricopa County
Animal Care And Control
2500 South 27th Avenue
Phoenix, AZ 85009
(602) 506-7387 Tele.
(602) 506-2739 Fax
KENNEL PERMIT APPLICATION
El New XI Renewal Permit #g, -000010
Name: tri 'ea„ wz li fyvarl Kennel Name: Friends for Life Animal Rescue
Mailing Address: 143 West Vaughn Avenue Kennel Location: 143 West Vaughn Avenue
City: Gilbert AZ ZIP: 85233 County Supervisorial District: #2
Phone: 480-497-8296 Kennel Phone: 480-497-8296
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. I/VVe 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. C___J/We certify that 1/We have 5- dogs and that the kennel meets the definition in statute.
3. 9--17We certify that 1/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. C-------1/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

I6- 00736 II
Maricopa County Animal Care & Control
KENNEL PERMIT INSPECTION
Date: September 6, 2016
Lt Timothy Rummel
Enforcement Division Lieutenant
2630 W. Rio Salado Parkway
Mesa, AZ 85201
(602) 506-6274
trummel@mail.maricopa.gov
Friends for Life Animal Rescue / Kennel Permit # 24,000010
143 West Vaughn Avenue
Gilbert AZ 85233
480-497-8296
Number of Dogs —
• Are all dogs over the age of 3 months properly vaccinated for rabies and in possession of a valid rabies
vaccination certificate? ("Properly Vaccinated" means, by a licensed veterinarian or Maricopa County Animal
Care and Control)
g YES NO
• Is the kennel an enclosed, controlled area, inaccessible to other animals, in which a person keeps, harbors or
maintains 5 or more dogs under controlled conditions?
YES NO
• CORRECTIVE ACTION REQUIRED FOR COMPLIANCE - NONE
Lt Timothy Rummel
Maricopa County Animal Care and Control

Maricopa County Animal Care and Control
2500 S. 27th Avenue
Phoenix, AZ 85009-6797
(602) 506-7387
http://pets.maricopa.qov
Receipt Number: R15-198211 Receipt Date: 08/27/2015
Person ID: P1279029
Phone: 480 4978296
FRIENDS FOR LIFE RESCUE
143 W VAUGHN AVE 8/27/2015 2:43:52PM
GILBERT, AZ 85233
Item: Animal ID: Reference No: Price: Each: Amount:
KEN PERMIT A7777777 K16-000010 $328.00 1 $328.00
Total Fees Due: $328.00
Payments: Cash: $0.00
Check: $0.00
Credit Card: $328.00
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: Animai# Vacc Date: Vacc Expires:
Please retain this receipt with your pet's records
APODACAP EBUSOFF

ane Society of Yuma, Inc.
SOUTH AVE 4 1/2E
AA, AZ 85365
,none: (928) 782-1621
Ask About Our Low Cost Clinic Services! 928-247-9115
Vaccination Certificate
Vaccination information:
Vaccination ID HSOY
Vaccination Type RABIES
Effective Date 06-08-2015
FRIENDS FOR LIFE RESCUE Expiration Date 06-08-2016
143 W VAUGHN AVE Issued by PAUL CARNEY DVM
GILBERT, AZ 85233 Precinct CITY OF YUMA
Drug administered:
Manufacturer PFIZER
Vaccine RABVAC 3
Lot ID 1411715
Loc?-r% (\127-r Serial ID s409070
Pet Name 4SOVINNINsf License None on record
Species DOG ID#: 149000 Vacc ID HSOY
Primary Breed LABRADOR RETRIEVER Microchip 982000123150661
Gender MALE/STERILIZED Registration None on record
Age ADULT
Size LARGE —DNL4-13
Bites NO 1"
Veterinarian Signature
120
Veterinarian ID #
Federal Tax ID 86 -6053617
Printed using Shelter Pro

rv&- a-5385-
J Phone: (928) 782-1621
=Fora Our Low Cost Clinic Services! 928-247-9115
Va-ecination Certificate
Vaccination information:
Vaccination ID HSOY
Vaccination Type RABIES
FRIENDS FOR LIFE RESCUE Effective Date 08-26-2015
143 W VAUGHN AVE Expiration Date 08-26-2016
GILBERT, AZ 85233 Issued by DANHAUS/CARNEY...
Dru
Manufacturer PFIZER
Vaccine RABVAC 3
Lot ID
Serial_te Stilf1198 _
About this animal
Pet Name
Species DOG ID#: 152160 ""`'W License None on record
Primary Breed TERRIER Vacc ID HSOY
Gender FEMALE/STERILIZED Microchip 900074001719282
Age ADULT Registration None on record
Size MEDIUM Bites NO
Veterinarian Signature
Veterinarian ID # 720
Federal Tax ID 86-805361Y
Printed using Shelter Pro

vv Cost Clinic-SsTvicesI 928-247-9115
,dc-ci nation Certificate
Vaccination information:
Vaccination ID HSOY
Vaccination Type RABIES
Effective Date 08-03-2015
FRIENDS FOR LIFE RESCUE Expiration Date 08-03-2016
143 W VAUGHN AVE Issued by PAUL CARNEY DVM
GILBERT, AZ 85233
Drug administered:
Manufacturer PFIZER
Vaccine RABVAC 3
Lot ID 1414500
Serial ID 010328
About this animal
Pet Name esionit License 14311
Species DOG ID#: 151291 Vacc ID HSOY
Primary Breed GERMAN SHEPHERD Microchip 900074001719301
Gender FEMALE/STERILIZED Registration None on record
Age ADULT
Size LARGE Bites NO
(-)
Veterinarian Signature-
Veterinarian ID # 720
- 11 1 111119011(1)17111
0171 930111111111
FederaI Tax ID 88-6053611—
Printed using Shelter Pro

,Anaciety of Yuma, Irld
1050 SOUTH AVE 4 112E
YUMA; AZ 85365
Phia -182-1621
Ask Aild1Weit—L— Jr OW Cost Clinic Services! 928-2474115
Vaccination Certificate
Vaccination information:
Vaccination ID HSOY
Vaccination Type RABIES
Effective Date 08-21-2015
Expiration Date 08-21-2016
FRIENDS FOR LIFE RESCUE 1 1 Issued by DANHAUS/CARNEY...
143 W VAUGHN AVE
GILBERT, AZ 85233 Drug administered:
Manufacturer PFIZER
Vaccine RABVAC 3
Lot ID
serial ID S410328
About this rIniimmaall (\ A
Pet Name ONIVILW %Ai License None on record
Species DOG ID#: 152044 Vacc ID HSOY
Primary Breed POODLE Microchip 900074001719255
Gender MALE/STERILIZED Registration None on record
Age ADULT
Size SMALL Bites NO
Veterinarian Signature
720
Veterinarian ID #
illumijimggigyip120j1111111.
Federal Tax ID 86-5053617
Printed using Shelter Pro

Sockty of Yuma, hric
/05-5-o SOUTH–AVE 4 112E
YUMA, AZ 85365
Phone: (928) 782-1621
Ask About Our Low Cost Clinic-Ses1 928-247-9115
Vaccination Certificate
Vaccination information:
Vaccination ID IISOY
Vaccination Type RABIES
Effective Date 0841-2015
Expiration Date 0841-2016
FRIENDS FOR LIFE RESCUE Issued by DANHAUS/CARNEY...
143W VAUGHN AVE
GILBERT, AZ 85233
Drua administered:
Manufacturer PFIZER
Vaccine RABVAC 3
Lot ID
Serial ID S41032-8—
About this animal
Pet Name 11111111W License None on record
Species DOG ID#: 152092 Vacc ID HSOY
Primary Breed CHIHUAHUA Microchip 900074001719244
Gender MALE/STERILIZED Registration None on record
Age ADULT
Size SMALL Bites NO
Veterinarian Signature
Veterinarian ID # 720
-- ederal Tax ID 86-6053617
Printed usino Shelter Pro

9/412015 Angel rabies cert...jpg
Humane Society of Yuma, inc.
4050 SOUTH AVE 4 1/2E
• YUMA, AZ 85365
Phone: (928) 782-4621
; Ask About Our Low Cost Clinic Services! 928-247-9115
Vaccination Certificate
Vaccination information:
Vaccination ID FISOY
Vaccination Type RA131ES
Effective Date 03-31-2015
FRIENDS FOR LIFE RESCUE Expiration Date 03-31-2016
143 W VAUGHN AVE IS.s.Ued by PAUL CARNEY DVM
GILBERT, AZ 85233
Drug administered:
Manufacturer PFIZER
Vaccine IIARVAC 3
lot ID
=Serial ID S409090
About this animal
Pet Name AWOL* 14-1 License 13862
Species DOG ID/#:. 144596 Vacc ID 1150?
Prirnary Breed TERRIER Microchip 900074001702440
Gender MALE/STERILIZED Registration None on record
Age ADULT
Size SMALL Bites NO
Veterinarian Signature
Veterinarian ID #
7_0;ty(ft-
1400/ TT
OmP
Federal Tax ID 86-6053047
Printed using Shelter Pro
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00/31/2015 12:03 FROM: 9207031049-TO: @16029262405 Page: 2 of 2
;-
—T-iumane Society of Yuma, inc.
4050 SOUTH AVE 4 1/2E
i YUMA, AZ 85365
I Phone: (928) 762-1621
Ask About Our Low Cost Clinic Services! 928-247-9115
Vaccination Certificate
Vaccination information:
Vaccination ID HSOY
Vaccination Type RABIES
Effective Date 08-13-2016
FRIENDS FOR LIFE RESCUE Expiration Date 08-13-2016
143 W VAUGHN AVE Issued by PAUL CARNEY DVM
GILBERT, AZ 86233
Drug administered:
Manufacturer PFIZER
Vaccine RABVAC 3
Lot ID
Serial 1D -5410328—
About this animal
Pet Name PHIL License None on record
Species DOG ID#: 151492 Vacc ID HSOY
Primary Breed TERRIER Microchip 900074001719411
Gender MALE/STER1LIZED Registration None on record
Age ADULT
Size SMALL • Bites NO
Veterinarian Signature
Veterinarian ID # 120-
Federal Tax ID 88-60536117
Printed using Shelter Pro

08/31/2015 12:03 FROM: 9267831049-TO: K6029262405 Page: 1 of 2
Humane SCHDifq of Yuma, Inc.
4050 SOUTH AVE 4 1/2E
YUMA, AZ 85365
Phone: (928) 782-1621
Ask About Our Low Cost Clinic Services! 928-247-9115
Vaccination Certificate
Vaccination information:
Vaccination ID
Vaccination Type RABIES
FRIENDS FOR LIFE RESCUE Effective Date 07 -24-2015
143W VAUGHN AVE Expiration Date 07-24-2016
Issued by PAUL CARNEY DVM
GILBERT, AZ 85233
Drug administered:
Manufacturer PFIZER
Vaccine RABVAC 3
Lot ID
Sa—t ia ID S410328
About this animal
Pet Name TINK License 14808
Species DOG inik 150752 Vacc ID
Primary Breed CHIHUAHUA Microchip 900074001714447
Gender FEMALE/STERILIZED Registration None on record
Age 3 MONS 10 12 MONS
Size SMALL Bites NO
Veterinarian Signature
Veterinarian ID*
Federal Tax ID 86-6053617
Pried usinghelter Pro

Pumane Society of Yuma, Inc.
4050-SOUTH-AVE 4 1/2E
YU MA, AZ 85365
Phone: (928) 782-1621
Ask About Our Low Cost Clinic Services! 928-247-9115
Vaccination Certificate
Vaccination information:
Vaccination ID HSOY
Vaccination Type RABIES
Effective Date 07-25-2015
FRIENDS FOR LIFE RESCUE Expiration Date 07-25-2016
143W VAUGHN AVE Issued by PAUL CARNEY DVM
GILBERT, AZ 85233
Drug administered:
Manufacturer PFIZER
Vaccine RABVAC 3
Lot ID
Serial ID S410328
About this animal
Pet Name =----GART-MAN ; (.01- License None on record
Species DOG 1134: 151 87 Vacc ID HSOY
Primary Breed CHIHUAHUA Microchip 900074001714304
Gender MALE/STERILIZED Registration None on record
Age ADULT ci— t— I L-1
Size SMALL kjrza,..tAri , Bites NO
Ct (sust-
--Veterinarian Signature
Veterinarian ID # 720
— Federal Tax ID 86-6053617
Printed using Shelter Pro

• :---H-Humane Society of Yuma, Inc.
4(lbU SOUTH AVE 4 112E
IYUMA, AZ 85365
l-Phone: (928) 782-1621
Ask About Our Low Cost Clinic Services! 928-247-9115
Vaccination Certificate
Vaccination information:
Vaccination ID HSOY
Vaccination Type RABIES
Effective Date 08-04-2015
FRIENDS FOR LIFE RESCUE Expiration Date 08-03-2016
143 W VAUGHN AVE Issued by CAPOZZI/CARNEY DVM
GILBERT, AZ 85233
Drug administered:
Manufacturer PFIZER
Vaccine RABVAC 3
Lot ID
Serial ID S410328 --
About this animal
Pet Name ROY License 13169
Species DOG ID#: 145019 Vacc ID HSOY
Primary Breed CHIHUAHUA Microchip 900074001719373
Gender MALE/STERILIZED Registration None on record
Age ADULT
Size SMALL Bites NO
Veterinarian Signature 0-
k,
Veterinarian ID #
720
Federal Tax ID 86-6053617
Printed using Shelter Pro

FRIENDS FOR LIFE RESCUE leg4 r, Banfield Rabies Certificate
143 W VAUGHN AVE g PET HOSPITAL
GILBERT, AZ 85233 Certificate Date
Banfield Pet Hospital
6632 E. Mckellips Rd., Monday, June 23, 2014 9:03 AM
Mesa, AZ 85215-5215
(480) 641-7200
Pet Information
Rabies Tags
Name: Lady
Species: Canine 0
Breed: Chihuahua (Mix) National Bonfield Pet ID#
Gender: Female (Spayed) 6261535
Color: Tan County & Tag #
Age: 2y/6m None
Weight: —1-3-90,1bs
Microchip ID: Manufacturer:
Microchip ID: Manufacturer:
Vaccine Information
Vaccine Name : Rabies gy_pe. KitledJ
Producer: 7oetis Defensor 3
Administered: 6/23/2014 Route: Subcutaneous Site: Right Rear
Due Date: 6/22/2017
Lot #: S402601A
Lot Expires: 9/22/2015
I hereby certify that-l-have vaccinated this pet in accordance with all state and Federal laws and
regulations on this date.
Administered by:
admok'Xit-e-4(et
Licensed Veterinarian: Dr. Sarah Duncan DVM
DVM License Number: 6139
Any rabies certificate for this pet printed prior to the date of this certificate is null and void
ReportilllabiesCerten.x Hospital #1066- Page 1 of r
Time Printed: 9:03 AM Date Printed: 6/23/2014

07/23/2015 05:02PM 4803969827 HIGLEY RD PET CLINIC PAGE 04/05
RABIES VACCINATION CERTIFICATE FOR MARICOPA COUNTY, ARIZONA
DATE VACCINATED VACCINATION EXPIRES RABIES SERIAL NUMBER
07/23/2015 07/22/2018 S414179A
NAME: Friends for Life FFL - Dog PET: Halston
143 W. Vaughn St.
Gilbert, AZ 85233 TELEPHONE: (480) 497-8296
SPECIES SEX AGE WEIGHT
,71
Canine MN 07/01/2009 77_6 lbs.
BREED COLOR MANUFACTURER TYPE
Defensor 3 Killed
German Shepherd Black/Tan
I hereby certify that I have vaccinated this animal in accordance with the company's recommendation
for the vaccine used on the above date. .
Higley Road Pet Clinic
ZigA. 866 N. Higley Rd., Suite 108
Gilbert, AZ
Signature Of licensed v) arian administering vaccine.
Dr. CesarRuiz

!Humane Society of Yuma, Inc. • 111110 ,- -11—
, 4050 SOUTH AVE 4 112E
YUMA, AZ 85365
Phone: (928) 782-1621
Ask About Our Low Cost Clinic Services! 928-247-9115
Vaccination Certificate
Vaccination information:
Viccination ID HSOY
Vaccination Type RABIES
Effective Date 08-17-2015
FRIENDS FOR LIFE RESCUE Expiration Date 08-17-2016
143 W VAUGHN AVE Issued by DANHAUS/CARNEY...
GILBERT, AZ 85233
Drug administered;
Manufacturer PFIZER
Vaccine RABVAC 3
Lot ID
Serial ID S410328
About this animal 2_ 0
Pet Name —411AINNOW License None on record
Species DOG 1D#: 151455 Vace ID HSOY
Primary Breed LABRADOR RETRIEVER Microchip 900074001719342
Gender MALE/STERILIZED Registration None on record
Age ADULT 7- 1
Size LARGE is acic_ Bites NO
(7rt C
Veterinarian Signature Fts -
Veterinarian ID #
—mmara:36.-
Federal Tax ID 86-6053617
Printed using Shelter Pro

Date of Rabies Vaccination: 07-01-15
Next Rabies Vaccination On: 06 -30-16 Previous Rabies Vaccination:
VETERINARY CLINIC OWNER OF ANIMAL
East Valley Animal Hospital Friends for Life Friends for Life
81 West Guadalupe Rd, Suite 105
Gilbert, AZ 85233 Gilbert, AZ
480-892-1577 County:
This is to certify... 3
THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW.
Patient information...
PATIENT: Peaches TAG NO:
SPECIES: Canine WEIGHT: 43.30
SEX: S AGE: 12 months
Color and marki ... Red and Black
Signed
Alan Mafara License: 4097
Date Done DVIII1 Services
07-01-15 ARM Rabies Vaccination (1yr) Atopitgassio
Rabies Vaccine Infort ation_
MFG BY: PF1ZE SER.NO: S516086A
LOT EXP: 13sept16 ADM: Subq

Humane Society of Yuma, Inc.
14050 SOUTH AVE 4 1/2E
AZ 85365
Phone: (928) 782-1621
Ask About Our Low Cost Clinic Services! 928-247-9115
Vaccination Certificate
Vaccination information
Vaccination ID HSOY
Vaccination Type RABIES
Effective Date 08-17-2015
FRIENDS FOR LIFE RESCUE Expiration Date 08-17-2016
143W VAUGHN AVE Issued by DANHAUS/CARNEY...
GILBERT, AZ 85233
Drug administered:
Manufacturer PFIZER
Vaccine RABVAC 3
Lot ID
Serial ID S410328
About this animal
Pet Name ANDY License None on record
Species DOG ID#: 151428 Vacc ID HSOY
Primary Breed TERRIER Microchip 900074001719330
Gender MALE/STERILIZED Registration None on record
Age ADULT
Size SMALL les NO
Veterinarian Signature_ 720
Veterinarian ID #
Federal Tax 10 86 -6053617
Printed using Shelter Pro