USA PUREBRED LABS.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
c)3/ - 0 ea 6:5
/
E l New lkj. Renewal Permit # AC" 675-
Name: Kennel Name: L±± r
Mailing Address: c2 V P4frd Kennel Location: 4 4 0.,L ç fr .
City c-C CeJo-eo Pr-2_ ZIP eSIT-b County Supervisorial District
Kennel Phone: 2-7 P2' 3—S9' `S"--
#. 2-2.6 331/6
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/We 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. INVe certify that INVe have dogs and that the kennel meets the definition in statute.
3. 1.)-) I/We certify that I/VVe have not been convicted of a violation of A.R.S. §§ 13-2910 (cruelty to animals)
or 13- 910.01 (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
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. I NVe certify that I/We 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.A.S.__§.41-1008. 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. 4/1/Ve 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.
8.•IANe 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 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.
INVe certify that all of the inforn ilation 1/We have provided is true and accurate under penalty of law.
Applicant Signature Date:
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 and Control
2500 S. 27th Avenue
Phoenix, AZ 85009-6797
(602) 506-7387
http://pets.maricopa.gov
Receipt Number: R15-179202 Receipt Date: 08101/2015
Person ID: P2263346
Phone: 480 5849315
USA PUREBRED LABS LLC KENNELS
27828 N 143RD ST 8/1/2015 11:36:27AM
SCOTTSDALE, AZ 85262
Item: Animal ID: Reference No: Price: Each: Amount:
KEN PERMIT A7777777 K15-000055 $328.00 1 $328.00
Total Fees Due: $328.00
Payments: Cash: $328.00
Check: $0.00
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
Date: August 1, 2015
Lt Timothy Rummel
Enforcement Division Lieutenant
2630 W. Rio Salado Parkway
Mesa, AZ 85201
(602) 506-6274
trummel@maiLmaricoba.gov
Kennel Permit # 2015-000055 (renewal 2016-000055)
Number of Dogs —' 6
KENNEL PERMIT INSPECTION
USA Purebred Labs LLC Kennels / Tracy Thomas
27828 N 143 rd St
Scottsdale AZ 85262 (County District #2)
480-584-9315
• 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)
YES
• 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
• CORRECTIVE ACTION REQUIRED FOR COMPLIANCE - NONE
Lt Timothy Rummel
Maricopa County Animal Care and Control

Dr. Kit's Mobile Surgical Unit
10645 N. Tatum Blvd., Ste. 200-477
Phoenix, Arizona 85028
602-909-5383
Certificate of Rabies Vaccination
Date: /3 Pet Name: Rekv-e-n
Owner:
Address 1U / 1/31-01
56,-)I-641-e— A z s5a6z
Phone:
6c:Di g Cat Breed: (--a-brekdor ge- -(TpWeir- Colors: 73
Age: Weight: Weight: 6q Altered: Yes
Producer: Lot Number : /3 (37
1 Year
Date Vaccinated. Date Expires:
Veterinarian's : # 33/G
Veterinarian's Signature: Yagi-lag (goezzi-ik Pk/1i

Dr. Kit's Mobile Surgical Unit
10645 N. Tatum Blvd., Ste. 200-477
Phoenix, Arizona 85028
602-909-5383
Certificate of Rabies Vaccination
Date: 17/ 3 45 Pet Name: hk
Owner: ,
Address: 2 7 '0 71-
(56 1-1-dfi 1-e- 1 S5 , z
Phone 2
64;g)1 Cat Breed- ( c..J9raior garle-ver Colors: Noe elec-M--
Age: 1/(fr Weight: C,2 ' Altered: Yes
Producer: Lot Number : qi 3 I
1 Year 1(3 Years
Date Vaccinated- Date Expires:
Veterinarian's : # 33/6
Veterinarian'S Signature: y/atattLA`mcgo&e,tavg

Dr. Kit's Mobile Surgical Unit
10645 N. Tatum Blvd., Ste. 200-477
Phoenix, Arizona 85028
602-909-5383
Certificate of Rabies Vaccination
Date: / /L. Pet Name: 5inoi,e-ni
Owner: 7T-Gt_ev 74/77k5
Address'. ref 71-
(56
Phone
6'ol-sgi Cat Breed . (aiDrAWor Colors: 13 lack_
Age: Weight: 6 0 Altered: Yes /
Lot Number : 51 z--/i3/7
Date Vaccinate& 6/2=3 45 Date Expires: 6Z
Veterinarian's :# 35/6
Veterinarian's Signature: Y azillm'mo&eita)///1

Dr. Kit's Mobile Surgical Unit
10645 N. Tatum Blvd., Ste. 200-477
Phoenix, Arizona 85028
602-909-5383
Certificate of Rabies Vaccination
„
Date: (7// 3 Pet Name:
Owner: 7/7--Azcd
Address --
(Sco 1-e_ 4 7 056 z
Phone ;
Cat Breed: lc))) ra _dor Rei-n`e-V-eie--- Colors: 4,(J
Age: Weight: 6' 7 44,, Altered: Yes
Producer: Lot Number : 503
1 Year
Date Vaccinated: 2, '3 /5 Date Expires: 6/3 z / e3
Veterinarian's :# 33/6
Veterinarian's Signature: Y(24aleLgtmo.,, pi/1i

D r. Kit's Mobile Surgical Unit
10645 N. Tatum Blvd., Ste. 200-477
Phoenix, Arizona 85028
602-909-5383
Certificate of Rabies Vaccination
614 3 /5
Date: Pet Name:
Owner: 71--Azt._/ 71o/72A :5
Address. ca. A3 //r3rd 71--
111-541a_I-e-- ei5,z
Phone;
, (610--i) Cat Breed. Zehreicl or geviry,evei- Colors: (kJ/0 c.1/4.)
Age: Weight: 71 /1),5 ' Altered: Yes A
Producer: 4 I lot Number : 503 ig -7
1 Year /
Date Vaccinated: Date Expires: 6/z
Veterinarian's : # 3 3/6
Veterinarian's Signature: Yd a-b_LA'711§./.0ezzApwi

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/V3 Pet Name: buAL
Owner: -710inGt5
Address- 7 8ga iC)
(560 fkciet 7 05g6
Phone : Q3C9 - 54/_ 3
6o,D cg, Cat Breed: LbreLlor Colors: Vehlocj
Age: _34L___ Weight: L34 1h5' Altered: Yes A
Producer: Lot Number : 503 it*-7
1Year /
Date Vaccinated . 7`-2--3/i5 Date Expires: 67z3/
Veterinarian's # 3-316
Veterinarian's Signature: YegiALA (7)/ pkg