BULLDOZE ENGLISH BULLDOGS.PDF

Maricopa County
Animal Care And Control
2500 South 27 th Avenue
Phoenix, AZ 85009
(602) 506-7387 Tele.
(602) 506-2739 Fax
KENNEL PERMIT APPLICATION
El New Renewal Permit # 0HE
Name: CA(A SqII \LOOD Ci? Kennel Name: oze__ E-- 1,%Vi5te, but
Mailing Address: C930-6. a ti s Kennel Location: -(0 30'4. ra0 lat
City Q Cif , AZ ZIP o) S County Supervisorial District
Home Phone: t'aq),- Kennel Phone:
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 "operating a kennel" must obtain a permit issued
by the Board of Supervisors where the kennel is located except if each individual dog is licensed, A.R.S. § 11-
1009 and MC Ordinance No. 13, Sec, 4. define a "kennel' 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 fora scheduled inspection and/or
failure of inspection will warrant a Subsequent Inspection Return fee of $49 for each additional visit. Failure of
inspection may require individual licensing of each dog under the provisions of ARS 11-1008.
PLEASE ANSWER THE FOLLOWING QUESTIONS
Initial Each
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. -s-‘ I/We certify that the kennel has been approved by the local zoning authority (if applicable) at the
premises for which I/we are making application for a permit,
3. NA \L INVe certify that I/We have I dogs and that the kennel meets the definition in statute.
4. AiLf/We certify that INVe have not been convicted of a violation of A.R.S. §§ 13-2910 (cruelty to animals)
or 13-2910.01 (dog fighting), or any other state, county or municipal animal welfare law. (Violations of license
and leash laws DO NOT apply.)
5. \1Y--- 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
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.
6. 4'1 /We certify that INVe are submitting a valid copy of the rabies vaccination certificate for each
dog with this application.

, 7, I/We understand that a dog remaining within the kennel is not required to be licensed individually under
ARS 11-1008. Uwe also understand that a dog leaving the controlled kennel conditions shall be licensed under
ARS 11-1008 except if the dog is only being transported to another kennel which has a permit issued under this
section.
8. VI./We understand that a person who fails to obtain a kennel permit under ARS 11-1009 is subject to a
penalty of twenty-five dollars in addition to the annual fee.
9. \\ \)r" I/VVe 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.
10. 41s this kennel permit being obtained for the purposes of operating a business including but not limited to
breeders, groomers or boarding establishments? (Please check one) YES
If the answer is "YES", you will need to provide proof of lawful presence in the United States in order to obtain a
kennel permit for the purposes of operating a business. The forms of identification accepted for this purpose
are listed below.
A.R.S. § 41-1080(A) provides:
After September 30, 2008, an agency or political subdivision of this state shall not issue a license to an
individual if the individual does not present any of the following documents to the agency or political
subdivision indicating that the individual's presence in the United States is authorized under federal law:
1. An Arizona driver license issued after 1996 or an Arizona non-operating identification
license.
2. A driver license issued by a state that verifies lawful presence in the United States.
3. A birth certificate or delayed birth certificate issued in any state, territory or
possession of the United States.
4. A United State certificate of birth abroad.
5. A United States passport.
6. A foreign passport with a United States visa.
7. An i-94 form with a photograph.
8. A United States citizenship and immigration services employment authorization
document or refugee travel document.
9. A United States certificate of naturalization.
10. A United States certificate of citizenship.
11. A tribal certificate of Indian blood.
12. A tribal or bureau of Indian affairs affidavit of birth.
Please submit a photocopy of both the front and back of your identification with your completed
application. Please also be prepared to present your identification at the time of inspection by the field
services officer.
If the answer to question 10. above is "NO" please answer question 11.
11A\)r-, INVe certify that the kennel permit is being used solely for the purpose of licensing my own multiple
companion dogs in my household.
INVe certify that all of th9 ipformatior, j/We have provided is true and accurate under penalty of law.
psi4
Applicant Signature P4 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
SOS Approval Date Term of Permit

Maricopa County Animal Care and Control
2500 S. 27th Avenue
Phoenix, AZ 85009-6797
(602) 506-7387
http://pets.maricopa.dov
Receipt Number: R14-107144 Receipt Date: 06130/2014
Person ID: P2048379
Phone: 602 5494888
BULLDOZE ENGLISH BULLDOGS KENNELS 5/30/2014 11:42:26AM
26304 S 201 WAY
QUEEN CREEK, AZ 85142
Item: Animal ID: Reference No: Price: Each: Amount:
KEN PERMIT A7777777 K15-000048 $328.00 1 $328.00
Total Foes 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

Vett,::lie
Case N°: 108609
26607 S 165th Way
Queen Creek, AZ. 85142 April 11, 2013
(480) 988-1487 www.MobileVetAz.com
Vaccination Certificate
Patient Info 102551
Vicki Kirkwood
26304 S 201 St Way Species:
Queen Creek, Az 85142 Canine
HPhone: 602 549-4888 Breed: Bulldog
BPhone: - X: Sex: Male
Age: 4y Om
Description: Tri-Color
Weight 78.60 Lb; 35.7273 Kg.
Tattoo#:
License#
Chip ID#
CURRENT RABIES INFO PREVIOUS RABIES INFO
Date Given: April II, 2013 Date Given:
Tag N° 984-13 Tag N°
Serial N° 18184C Serial N°
Type Imrab 3 TF Type
Admin before February 3, 2014
This is to certify that on, April 11, 2013, I have vaccinated Gabe against:
11»tt
Triannual Rabies Vacc Apr 10, 2016
Veterinarian:
Dr. Vasquez
3953

below... White
07-05-15 and
void*** described Red 838-3682 S174153A void***
document Vaccination: 549-4888 animal Bulldog markings: (480)
(602) the English 1000 85202 SER.NO: document
this Rabies rabies and 7Y Az this
render Next Phone: Breed: Color Age: License: Mesa, render
will against Rd. INTVE will
form form
in any 07-05-12 vaccinated Baseline BY: any
W. MFG in
***Alterations have 2650 ***Alterations
Vaccination: 85142 that I <7 Anderson Clinic Information:
ANIMAL AZ certify Canine Female C. Animal
Rabies OF Kirkwood 2178 Creek, to Sophie Spayed Raymond Vaccine
Date of OWNER Vicki PO Box Queen This is Patient: Species: Sex: Signed Dr. Anderson Rabies

***Alterations in any form will render this document void***
CERTIFICATE OF VACCINATION
Date of Rabies Vaccination: 09-19-13 Next Rabies Vaccination: 09-19-14
OWNER OF ANIMAL
Vicki Kirkwood
PO Box 2178
Queen Creek, AZ 85142 Phone: (602) 549-4888
This is to certify that I have vaccinated against rabies the animal described below...
Patient: Halo Breed: English Bulldog
Species: Canine Color and markings: Tan and White
Sex: Female Age: 17M
Signed
Dr. Jeff Anderson License: 6268
Anderson Animal Clinic 2650 W. Baseline Rd. Mesa, Az 85202 (480) 838-3682
Rabies Vaccine Information: MFG BY: PF-IN SER.NO: S287242A
***Alterations in any form will render this document void***

CERTIFICATE OF VACCINATION
Date of Rabies Vaccination: 06-02-14
Next Rabies Vaccination On: 06-02-15
VETERINARY CLINIC OWNER OF ANIMAL
Power Ranch Animal Hospital Vicki Kirkwood
18521 East Queen Creek Road #1 P.O Box 2178
Queen Creek, AZ 85242 Queen Creek, AZ 85142
480-988-6488 County:
This is to certify...
THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW.
Patient information...
1
PATIT: Boomer, Microchip #:
SPECIENS.:-Ganitie WEIGHT: 66.50
SEX: Male AGE: 12M
Color and markings: White and Tan Breed: English Bulldog
Signed
Steve Waldo, DVM License: 4305
Rabies Vaccine Information...
MFG BY: INTRV SER.NO: S313046
LOT EXP: 06-02-15 ADM: SQ
Vaccinations done...
06-02-14 SVV Rabies Canine, 1yr, #2400

***Alterations in any form will render this document void***
CERTIFICATE OF V.M;( 11N8fON . ' ..
Date of Rabies Vaccination: 01-07-14 Next Rabies Vaccination: 01-06-17
OWNER OF ANIMAL
Vicki Kirkwood
PO Box 2178
Queen Creek, AZ 85142 Phone: (602) 549-4888
This is to certify that I have vaccinated against rabies the animal described below...
Patient: Tara Breed: English Bulldog
Species: Canine Color and markings: Tan and White
Sex: Female Age: 3Y
Signed
Dr. Raymond C. Anderson License: 1000
Anderson Animal Clinic 2650 W. Baseline Rd. Mesa, Az 85202 (480) 838-3682
Rabies Vaccine Information: MFG BY: PF-IN SER.NO: S300571F
***Alterations in any form will render this document void***
cur
Maricopa County Animal Registration
Application for license must be made WITHIN 15 DAYS of vaccination to avoid late fees.
Licensing may be done in person, at one of the following Animal Care and Control facilities.
West Valley East Valley
2323 S. 35th Ave. 2630 W. 8th St.
Phoenix, Az 85009 Mesa, Az 85201
Online application and renewals may also be completed at the following web address:
https://www.maricopa.gov/pets/License/LicenseOnline.aspx

Complete Pet Care
Case 17: J 108367
26607 S 165th Way February 8, 2013
Queen Creek, AZ. 85142
(480) 988-1487 www.MobileVetAz.com
Vaccination Certificate
Client Info 101121 1—, Patient Info
Vicki Kirkwood
26304 S 201 St Way Species: Canine
Queen Creek, Az 85142 Breed: Bulldog English
HPhone: 602 549-4888 Sex: Female
BPhone: - X: Age: 1 y 4m
Description: Fawn
Weight 44.70 Lb; 20.3182 Kg.
Tattoo*
License#
Chip ID#
CURRENT RABIES INFO PREVIOUS RABIES INFO
Date Given: February 8, 2013 Date Given:
Tag N° 926-13 Tag N°
Serial N° 18181B Serial N°
Type Imrab 3 IF Type
Admin before November 13, 2013
This is to certify that on, February 8, 2013, I have vaccinated Carrie Ann against:
Description Next due
Triannual Rabies Vacc Feb 8, 2016
Veterinarian:
Dr. Vasquez
3953

uompiere Yer tare
Case N°: I 108096
26607 S 165th Way
Queen Creek, AZ 85142 June 7, 2013
(480) 988-1487 www,MobileVetAz.com
Vaccination Certificate
Client Info 101121 I••••II
Vicki Kirkwood
26304 S 201 St Way Species: Canine
Queen Creek, Az 85142 Breed: Bulldog
HPhone: 602 549-4888 Sex: Female
BPhone: - X: Age: 1y 2m
Description: Fawn And White Face
Weight: 46A0 Lb; 21.0909 Kg.
Tattoo#:
License#
Chip ID#
CURRENT RABIES INFO PREVIOUS RABIES INFO
Date Given: June 7, 2013 Date Given:
Tag N° 1008-13 Tag N°
Serial N° 18189B Serial N°
Type Imrab 3 TF Type
Admin before April 4, 2014
This is to certify that on, June 7, 2013, I have vaccinated Daisy against:
Description ir11;:tt
Triannual Rabies Vacc Jun 6, 2016
Veterinarian:
Dr. Vasque
3953

t....urnpfete ret 4-dre
Case N°: 1-7107 -7- 492
:28607 S 15th Way
Queen Creek. AZ. 85142 June 28. 2012
480) 988-1487 www_Mol)ileVetAz.conl
*-.774,17 747--
PPM
Patient Info 102304
Vicki Kirkwood Candy
26304 S 201 St Way Species: Canine
Queen Creek, Az 85142 Breed: Bulldog, English
HPhone: 602 549-4888 Sex: Female
BPhone: - X: Age: iy Srn
Description: White
Weight: 54.00 Lb; 24.5455 Kg.
Tattoo#:
License#
Chip ID#
CURRENT RABIES INFO PREVIOUS RABIES INFO
Date Given: June 28, 2012 Date Given:
Tag N° 800-12 Tag N°
Serial N° 18166A Serial N°
Type Imrab 3 TF Type
Admin before May 4, 2013
This is to certify that on, June 28, 2012, I have vaccinated Candy against:
Description Next due
Triannual Rabies Vacc Jun 28, 2015
Veterinarian:
Dr. Vasque
3953

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Case N: 1---1091-03
26607 S 165th Way
July 22, 2013
Queen Creek, AZ. 85142
(480) 988-1487 www. MobileVetAz.com
Vaccination Certificate
h
Patient Info 102635
Vicki Kirkwood Diva
26304 S 201 St Way Species: Canine
Queen Creek, Az 85142 Breed: Bulldog, English
HPhone: 602 549-4888 Sex: Female
BPhone: - X: Age: Oy 9.1m
Description: Fawn With White
Weight 42.60 Lb; 19.3636 Kg.
Tattoo#
License#
Chip ID#
CURRENT RABIES INFO LEt PREVIOUS RABIES INFO
Date Given: July 22, 2013 Date Given:
Tag N° 1035-13 Tag N°
Serial N° 18189B Serial N°
Type lmrab 3 TF Type
Admin before April 4, 2014
This is to certify that on, July 22, 2013, I have vaccinated Diva against:
Description Next due
Triannual Rabies Vacc Jul 21, 2016
Veterinarian;
Dr. Vasquez
3963

CERTIFICATE OF VACCINATION
Date of Rabies Vaccination: 06 -02 - 14
Next Rabies Vaccination On: 06 -02 - 15
VETERINARY CLINIC OWNER OF ANIMAL
Power Ranch Animal Hospital Vicki Kirkwood
18521 East Queen Creek Road #1 P.O Box 2178
Queen Creek, AZ 85242 Queen Creek, AZ 85142
480-988-6488 County:
This is to certify...
THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW.
Patient information...
PATIE41London Microchip #:
SPECIES: Canine WEIGHT: 52.90
SEX: Female AGE: 15M
Color and markings: White and Tan Breed: English Bulldog
(aia Dv AA
Signed
Steve Waldo, DVM License: 4305
Rabies Vaccine Information...
MFG BY: INTRV SER.NO: S313046
LOT EXP: 06 -02 - 15 ADM: SQ
Vaccinations done...
06-02-14 SW Rabies Canine, 1yr, #2401