SPRINGBROOK KENNELS.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
Li New XI Renewal Permit # Y\15- -
Name: \---1,k -Seo,y-Ac-ocks Kennel Name:S(j)f"t nc,\21"' (c—Vo nois
Mailing Address: 316.61,( A). Kennel Location: 6614 -
City SV\c)evI k )( A zi County Supervisorial District 3
•
Kennel Phone: ay.),9,_ts-102_0(.-.) qstic
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
appl ation 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).
1NVe certify that 1NVe 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)
br" V-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).
1NVe certify that all dogs over the age of three (3) months that are kept, harbored or maintained on the
ises 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.
I NVe certify that I/We are submitting a valid copy of the rabies vaccination certificate for each
with this application.
I/VVe understand that a dog remaining within the kennel is not required to be licensed individually under
§ 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.
INVe understand that a person who fails to obtain a kennel permit under A.R.S.§11-1009 is subject to a
ty of twenty-five dollars in addition to the annual fee.
1/We understand that a person who knowingly fails to obtain a kennel permit within thirty days after
n notification from the county enforcement agent is guilty of a class 2 misdemeanor..
The undersigned 'understand that that the kennel permit does not authorize the operation of any type
iness and is solely used for the purpose of licensing multiple dogs.
1/i/Ve certify that all of the information 1/We have provided is true and accurate under penalty of law.
Applicant Signature,
Applicant Signature
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 271h Avenue
Phoenix, AZ 85009
Phone: (602) 506-7387
pets.marieopa.gov
KENNEL PERMIT PREMISE INSPECTION
APPLICANT 1---vt,e -Sean Yo ccotc
STREET ADDRESS b k Li - '````.) 3 (\c'l
CITY, STATE, ZIP
PHONE ALTERNATE PHONE
COUNTY DISTRICT i3 KENNEL LICENSE• Aqs.,: NUMBER OF DOGS.
1. Are all dogs over the age of three months properly vaccinated for rabies and in possession of a
valid rabies vaccination certificate?
Yes No
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 No
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 A Date q-9

Maricopa County Animal Care and Control
2500 S. 27th Avenue
Phoenix, AZ 85009-6797
(602) 506-7387
http://pets.maricoba.gov
Receipt Number: R14-174099 Receipt Date: 09/0212014
Person ID: P0999286
Phone: 480 4881780
SPRINGBROOK KENNELS
36614 N 23RD ST 9/2/2014 10:15:43AM
CAVE CREEK, AZ 85331
Item: Animal ID: Reference No: Price: Each: Amount:
KEN PERMIT A7777777 K14-000004 $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
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Desert Hills Animal Clinic
www.dhanirnalclinic.com
10.39 E Carefree Hwy Ste A
Phoenix, AZ 85065
(623) 581-1558
Rabies Certificate
Patient ID: 8061
Client 1D: 773 Patient Name: Pearl
Client Name: Lue Jeane Brooks Species: Canine
Address: 36614 N 23rd St Breed: Spaniel, English Springer
Sex: Female
Desert Hills, AZ 85086 Color: Black White
Markings:
Phone: Birthday: 07/19/2002
Weight: 33.40 pounds on 6/2/2012
Tag Number: 2837 Vaccination Date: 6/2/2012
Lot Number: 12557 Expiration Date: 612/2015
Inventory Rabies Vaccine
Producer. Merial
K / MLV / Ft: Killed Virus ON,*
Staff Name: Bryan L. Neidigh, DVM
License Number: 3932

Desert Hills Animal Clinic
www.dhanimalclinic.com
1039 E. Carefree Hwy Ste. A POM
Phoenix, AZ 85085
(623) 581-1558
Rabies Certificate
Patient ID: 1156
Client ID: 773 Patient Name: Ransom
Client Name: Lue Jeane & Springbrook Kennel Species: Canine
Address: 36614 N 23rd St Breed: Spaniel, English Springer
Sex: Neutered Male
Desert Hills, AZ 85086 Color: Black Tri
Phone: Markings:
Birthday: 03/28/2001
Weight:
Tag Number: 17389 Vaccination Date: 6/7/2014
Lot Number: 12581 Expiration Date: 6/7/2017
Inventory Rabies Vaccine
Producer: Merial
K / MLV / R: Killed Virus
Staff Name: Cheryl J. Rahal, DVM
License Number: 3934

Desert Hills Animal Clinic
www.dhanimalclinic.com
1039 E. Carefree Hwy Ste. A
Phoenix, AZ 85085
(623) 581-1558
Rabies Certificate
Patient ID: 21913
Client ID: 773 Patient Name: Jubilee
Client Name: Lue Jeane Brooks Species: Canine
Address: 36614 N 23rd St Breed: Spaniel, English Springer
Sex: Spayed Female
Desert Hills, AZ 85086 Color: Black White
Phone: Markings:
Birthday: 03/0512010
Weight: 35.20 pounds on 6/19/2012
Tag Number: 17390 Vaccination Date: 6/7/2014
Lot Number: 12581 Expiration Date: 617/2017
Inventory Rabies Vaccine
Producer: Medal
K / MLV / R: Killed Virus
Staff Name: Cheryl J. Rahal, DWI
License Number: 3934

Desert Hills Animal Clinic
www.dhanimalclinic.com
1039 E. Carefree Hwy Ste. A
Phoenix, AZ 85085
(623) 581-1558
Rabies Certificate
if
Patient ID: 33916
Client ID: ID: 773
Patient Name: Bristol
Client Name: Lue Jeane Brooks
Species: Canine
Address: 36614 N 23rd St
Breed: Spaniel, English Springer
Sex: Female
Desert Hills, AZ 85086
Color: Black/Tan/White
Phone: Markings:
Birthday: 08/2412013
Weight:
Tag Number: 13806 Vaccination Date: 12/7/2013
Lot Number: 12577 Expiration Date: 121712014
Inventory Rabies Vaccine
Producer: Menai
K / MLV / R: Killed Virus
Staff Name: Jason M. Gold, DVM
License Number: 4229
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CERTIFICATE OF VACCINATION
Date of Rabies Vaccination: 05-06-14 Certificate No:
Next Rabies Vaccination On: 05-05-17
VETERINARY CLINIC OWNER OF ANIMAL
Desert Forest Animal Hospital Lue Jeane Brooks-Rothrock
6554 East Cave Creek Road 36614 N. 23rd St.
P.O. Box 170 Phoenix AZ 85086
Cave Creek. AZ 85327 County:
This is to certify...
THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW.
Patient information...
PATIENT: Bentley
SPECIES: Canine WEIGHT: 44.40
SEX: M AGE: 17M
Color and markings: Black and White
;10 ate6a
Signed
Tracy A. Marvelle, DVM License: 1368
Rabies Vaccine Information...
MFG BY: PFZ SER.NO: S300570D
LOT EXP: 09-02-14 ADM: SQ

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RABIES VACCINATION CERTIFICATE
YAVAPAI COUNTY ANIMAL CONTROL PHONE 771-3260 RASES NO.
266.EAST GURLEY 0 PRESCOTT; AZ
AGE SIZE SEX
HOME PHONE
OWNER
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PHYSICAL ADDRESS
MAILING ADDRESS
DATE P NFAlionf Alec/6 .0.,/-)7
65 LATE FEE APPLIES AFTER MARCH 31ST
. RABIES VACCINATION CERTIFICATE
YAVAPAI COUNTY ANIMAL CONTROL PHONE 771-3260
255 EAST GURLEY n PRESCOTT, AT
VACCINE MFGR.
Zgedir*e LICENSE FEE
PENALTY
VACCINATION EXPIRES TOTAL
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tiVORK PHONE
,56.47crafficAN CATS OF
LICENSE VET HOSPITAL
$5 LATE FEE APPLIES AFTER MARCH 31ST