PAMMYS 2ND CHANCE KENNEL.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
New )A Renewal Permit # \,{10 4 q
Name: Kennel Name:t?yytyvt S f•-ht-f
Mailing Address: 549 oei , 04' Me Kennel Location: ( D14' ,40.12‘
City Th 1 AiS ov1 AZ ZIP S C3 County Supervisorial District
Home Phone: 10?) 3eb(067 Kennel Phone: 102 3 3(o (plc)
0a3 19'I 59'V7
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 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 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. () 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. I/VVe certify that I/We have _11). k5 dogs and that the kennel meets the definition in statute.
4. INVe certify that I/VVe 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. 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.
6. I /We certify that I/We are submitting a valid copy of the rabies vaccination certificate for each
dog with this application.

7. _KO I/We understand that a dog remaining within the kennel is not required to be licensed individually under
ARS 11-1008. I/we 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.
( I/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. . INVe 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.
iO.Q.b Is this kennel permit being obtained for the purposes of operating a business including buS. not limited to
breeders, groomers or boarding establishments? (Please check one) YES )L NO
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.
11. 't.L. I/We certify that the kennel permit is being used solely for the purpose of licensing my own multiple
companion dogs in my household.
I/We certify that all of the information I/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

Maricopa County Animal Care and Control
2500 S. 27th Avenue
Phoenix, AZ 85009-6797
(602) 506-7387
http://pets.maricopa.gov
Receipt Number: R14-052504 Receipt Date: 03/14/2014
Person ID: P2071953
Phone: 623 3866612
PAMMY'S SECOND CHANCE KENNELS 3/14/2014 10:56:49AM
5209 S 110TH AVE
TOLLESON, AZ 85353
Item: Animal ID: Reference No: Price: Each: Amount:
KEN PERMIT A7777777 K15-000049 $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

Sun Valley Hope Animal Hospital
7150 North 110th Avenue
Glendale, AZ 85307
(623) 512-4673
Rabies Certificate
Patient ID: 7465
7 Patient Name: Dolly
Client Nam 3mmy's 2nd Chance Rescue
Species: Canine
Address: :1209 S. 110th Ave
Breed. Pinscher, Minature
Sex: Female
.eson, AZ 85353
Color: Rust
Phor )696-5967 Markings:
Birthday: 03/02/2011
Weight:
Tag Numbe!. dA00000000000000000 Vaccination Date: 3/24/2014
Lot Number : ,000571F Expiration Date: 3/24/2017
Rabies Cani,1 ''ear Booster Vaccination
Prodier: ;zer
K I 7 ! P•
Staff Name: Swaneth Porta!atin DVM
License Number: 4560

Sun Valley Hope Animal Hospital
7150 North 110th Avenue
Glendale, AZ 85307
(623) 512-4673
Rabies Certificate
Patient ID: 7867
Client ID: 117 Patient Name: Scamp
Client Name: Pammy's 2nd Chance Rescue Species: Canine
Address: 5209 S. 110th Ave Breed: Chihuahua Mix
Sex: Neutered Male
Tolleson, AZ 85353 Color: Buff
Phone: (623)698-5967 Markings:
Birthday: 03/22/2010
Weight:
Tag Number: 00000000000000000000 Vaccination Date: 3/24/2013
Lot Number: S300571F Expiration Date: 3/24/2016
Rabies Canine 3 Year Booster Vaccination
Producer: Pfizer
K / MLV / R: Killed Virus
Staff Name: Fernando Notario-Britez
Fernando Notario Britez, DVM
License Number: 6147

Sun Valley Hope Animal Hospital
7150 North 110th Avenue
Glendale, AZ 85307
(623) 512-4673
Rabies Certificate
Patient ID: 7868
Client ID: 117 Patient Name: Gordo
Client Name: Pammy's 2nd Chance Rescue Species: Canine
Address: 5209 S. 110th Ave Breed: Chihuahua
Sex: Neutered Male
Tolleson, AZ 85353 Color: Buff
Phone: (623)698-5967 Markings:
Birthday: 03/22/2010
Weight:
Tag Number: 00000000000000000000 Vaccination Date: 3/24/2013
Lot Number: $300571F Expiration Date: 3/24/2016
Rabies Canine 3 Year Booster Vaccination
Producer: Pfizer
K / MLV / R: Killed Virus
Staff Name: Fernando Notario-Britez
Fernando Notario Britez, DWI
License Number: 6147

Date of Rabies Vaccination: 01-31-14 Certificate No: 0
Next Rabies Vaccination On: 01-31-15 Previous Rabies Vaccination:
VETERINARY CLINIC OWNER OF ANIMAL
Palm Glen Animal Hospital • Pammy's second chance res
7771 North 43rd Avenue 5209 S. 110th Ave.
Phoenix, AZ 85051 Tolleson, AZ 85353
602-841-1200 County:
This is to certify...
THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW.
Patient information...
PATIENT: Jade TAG NO:
SPECIES: Canine WEIGHT: 45.00
SEX: Spayed Female AGE: 24M
Color and markings: Red Brindle/Wht
Signed
Bernard Mangone, DVM License: 3'37 - .21 9 /
Vaccinations done...
01-31-14 BM Rabies Canine - 1 Year
Rabies Vaccine Information...
MFG BY: MERIA SER.NO: 18203A
LOT EXP: 1-25-15 ADM:

CERTIFICATE OF VACCINATION
Date of Rabies Vaccination: 02-28-14 Certificate No: 0
Next Rabies Vaccination On: 02-28-15 Previous Rabies Vaccination:
VETERINARY CLINIC OWNER OF ANIMAL
Palm Glen Animal Hospital • Pammy's second chance res
7771 North 43rd Avenue 5209 S. 110th Ave.
Phoenix, AZ 85051 Tolleson, AZ 85353
602-841-1200 County:
This is to certify...
THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW.
Patient information...
PATI TAG NO:
SPECIESI-Caffi111- WEIGHT: 10.40
SEX: Neutered Male AGE: 24M
Color and markings: Red
Signed
Bernard Mangone, DVM License: ,?-3-2/--g"
Vaccinations done...
02-28-14 BM Rabies - Canine - 1 Year -1;-8 1,P-c)15
Rabies Vaccine Information...
MFG BY: MERIA SER.NO: 18211A
LOT EXP: 1-25-15 ADM: SO

fl
LOS ANGELES COUNTY ANIMAL CARE & CONTROL
5210 W. Avenue 1 . Lancaster, CA 93536
(661) 940-4191 (661) 723-3409 FAX.
3 NC-1 Ci\cc i\Q
2QA 5 to*k,j3J,u-e_ Receipt Date: June 20, 2013
Receipt Number: R13-148663
---roit-e-s4A s•-•is F1D:P5383544
Reseivec Fern: LISA KORELL Check No:104 Phone: (661) 724-0642
Item: Animal ID: Reference No: Price: Each:
ADOPTION A4583534 $10.00 1 $10.00
DHLPP A4583534 T13-130293 .00 1 .00
BORDETELLA A4583534 T13-130292 .00 1 .00
RABIES A4583534 T13-153664 .00 1 .00
MICROCHIP A4583534 013002029 15.00 1 15.00
TRUST RESCUE A4583534 WAIVED .00 1 oo
Total Fees Due: $25.00
Payments: Cash: $0.00
Check: $25.00
Credit Card: $0.00
Total Payments Received: $25.00
Thank You
C/Z0
Change: S0.00
Balance Due:
Animal Information:
A4583534 - 5 YEARS 01- AGE, MALE, POMERANIAN/MIX, TAN AND WHITE DOG
RABIES VACCINATION **(NO DUPLICATES ISSUED)**
€.4013P Ce -.VC) '070 L4
Rabvac3 LOT/SER NO. 1- ( C367. I This vaccine effective for 12 months jKThis vaccine effective for 36 months
VETERINARIAN
l3002029 06120/14 A4583534 $15.00 MICROCHIP
Total License Fees: $25.00
Want to help the animals?
Donate to the Los Anoeles County Animal Care Foundation
PO Box 100515, Pasadener -Ciir918439-0515
Learn more and donate at: www.iacountvanimals.erct
Ihere will he a $33.01) charge for any check returned by the bank rpt 139 :)7: :2
.3W; EC497:51 LANCASTR 3*zz

Date of-Rkbies-Veccination: 10-06-12 Certificate No: 0
Next RabisalfatZlnation On: 10-06-15 Previous Rabies Vaccination:
VETERINARY CLINIC
The Complete Pet Animal Hospital
5135 N Dysart rd Suite #4 ‘Itivvelq 15 3
Litchfield Park, AZ 85340 e
623-935-9632 c aol'›
This is to certify...
THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW.
Patient information...
PATIENT: Kyra TAG NO:
SPECIES: Canine WEIGHT: 36.60
SEX: S AGE: 2 years
Color and markings... Red
Signed
Nancy Buczek License: 3743
Vaccinations done...
01-19-13 01-19-13 NB Canine bordatella vaccine oral 01-19-14
10-06-12 NB NB Rabies Dhpp 3 vaccine yr 3yr 01-1 9-16
10-06-15
Rabies Vaccine Information...
MFG BY: BOEH SER.NO: 1215362A
LOT EXP: 01-04-14 ADM: SQ

OFFICE
Dr. Kit's Mobile Surgical Unit
10645 N. Tatum Blvd., Ste. 200-477
Phoenix, Arizona 85028
602-909-5383
Certificate of Rabies Vaccination
Date: Pet Name: aith
Owner: AIIMPIIIIMILYVY‘ 1.5 c;i.‘
Reste_
Address:
2 çc to-t-eN_
Phone : terlev
Cat • Breed: CkattLa itzz-aL Colors: 7aro 4-6
Age: qt-fr Weight: c:/. a/i3
Producer: Lot Number : 2 3 3 4 4
i'Ye)/ 3 Years
Date Vaccinated . * /`'`,1 Date Expires: -91/.-/ /5-
Veterinarian's # 33/6
Veterinarian's Signature: yaguag (7)1§6dezittp/M

VACCINATION RECORD
RABIES VACCINATION CERTIFICATE Tag fee $: Name -1--se-‘(,)
' ADAPTED NASPHV FORM 51 Tag #:
PRINT - use ball point pen or type Cert. Serial #: ,RABIES
Owner's Name & Address 0 LYME DISEASE
PRTFITIST 4 FIRST, II MI TELEPHONE 0 CANINE DISTEMPER
• a pc), AC 4' ...Qs_ ...•
. I k 0 CANINE PARAINFLUENZA
NO. STREET CITY STATE 4E_
0 CANINE ADENOVIRUS 2
SPECIES: SEX: AGE: SIZE: PREDOMINANT BREED: COLORS: 0 CANINE PARVOVIRUS
Dog A Male 0-3 Mo. to 12 Mo. 0 Under 20 lbs.0 CI (<4 y, --- f-v-w, I i L,,, • . . 0 CANINE CORONAVIRUS
Cat 0 Female .0, 12 Mo. or older 0 20 - 50 lbs 0 0 CANINE BORDETELLA
Other 0 AlteredIltg--, Over 50 lbs. 0 NAME: 0 LEPTOSPIROSIS
(Specify) 0 FELINE LEUKEMIA VIRUS
DATE VACCINATED: .PRODUCER: 0 FELINE PANLEUKOPENIA
Veterinarian's # '1 7-- I 1/4-IL
License No. 0 FELINE RHINOTRACHEITIS
I t —7 (+- ;
Month ' Day Year (First 3 Letters) 0 FELINE CALICIVIRUS
Veterinarian's
0 FELINE CHLAMYDIA
1 yr. Li' c.Nacc. 0 . S 1. . "1 - ur ,. .111 / ...... ,..,..—......deis -- _____ 0 FELINE IMMUNODEFICIENCY
VACCINATION EXPIRES: .
3 yr. Lic.Nacc: AkikiZrEk I.,-,1, A .1 ,. S."' Trli VIRUS
1 1 1 i s
Month Day Year 3 %it) 471 •+=.— noi:: S. :.:,,-...; ii' ' ' •
Vacc. Serial (Lot) No. Boehringer
an "i3errgilidi.
MP/ Ingelheim
VAC0410001

Vaccine Certificate
Foot ill Animal Hospital
70 ntral
Uplaid Ca. 91786
TEL ( 0 31) 985-1988 Date: 06/0540.3
ammy's SeCorici Chance Rescue
"Impound 40132140" Vaccines Rb iies
Due: ue:
1
i i
06/0/P.014
- 1
L I
RABIES VA NOBIVAC SERIAL# S287242A MANF EXP: I Y11/2014
, - 1
DOB: 06/201
Breed: Pomerianlian Mix
Color: Tan
Species: C
Sex: Male Netitered
Veterinarian Signatlir Gabriel Flores D.V.M.
DUPLICATE COPY OF CERTIFICATE $IO FEE

ATI3C - Phx
602-943-7729
Animal Summary / Rabies Summary
This is not an invoice.
Owner
Pammy's 2nd Chance
5209 South 110th Ave, Tolleson, AZ 85353
Animal Details Animal's Name: Archimeales
Sex: Male
Species: Dog
Age: 0.00 Years, 3.0 Months
Color: Tan /
Breed: Chihuahua
Weight 6.37 lbs
Visit Date: 101312013
Animal Number: 13-1051
Microchip Number 985 112 001 062 130
Rabies Vaccbte Producer: Boehringer Ingelheim
Type: One Year
Vaccine Lot Number 1215375A (expires 914/2014)
Date Vaccinated: 10/312013
Expires: 10/3/2014
Veterinarian: Jessica March, License #
Signature:
Clinic Info: ATBC - Phx
950 West Hatcher Road, PHOENIX, AZ185021
602-943-7729
All Products/Services Date Description
10/3/2013 Dog Neuter
10/3/2013 Rabies 1-Year
10/3/2013 Microchip insertion (client prcivicied chip)
1W3/2013 Buprenorphine
This is not an invoice.

AMC - Pim
602-943-7729
Animal Summary / Rabies Summary
This is not an invoice.
Owner
,5 c .0-0.,ApoitcLe_re
_cnci
—rot' ptz <3.5-3c53 -
Ardrnal Details Animal's Name: Biappr3-1-
SSee..xx ttl-faa
Species: Dog
Age: 0.00 Years, 5.0 Months
Color Black /
Breed: Chihuahua
Weight 7.43 lbs
Visit Date: 10/112013
Animal Number: 13-943
Microchip Number
Rabies Vaccine Producer Boehringer Ingelheim
Type: One Year
Vaccine Lot Number 1215375A (expires 9/4/2014)
Date Vaccinated: 1011/2013
Expires: 10/1/2014
Veterinarian: Jessica March, License #
Signature:
Clinic Info: ATBC - Phx
950 West Hatcher Road, PHOENIX, AZ 85021
602-943-7729
All Products6Sovices Date Description
10/1/2013 Dog Neuter
10/1/2013 DA2PP -1 year
10/1/2013 Rabies 1-Year
This is not an invoice.

AMC - Prix
602-943-7729
Animal Summary / Rabies Summary
This is not an invoice.
Owrter
--11 /5
Lr
Animal Detafis Animal's Name', 114
Sex Male
Species: Dog
Age: 0.00 Years, 5.0 Months
Color Brown / Brown
Breed: Chihuahua
Weight 3.93 lbs
Visit Date: 1011/2013
Animal Number 13-945
Microchip Number:
Rabies Vaccine Producer: Boehringer Ingetheim
Type: One Year
Vaccine Lot Number 1215375A (expires 9/4/2014)
Date Vaccinated: 10/1/2013
Expires: 10/1/2014
Veterinarian: Kellie Ayle, License #
Signature:
4idec2Pvti
Clinic Info: ATBC - Phx
950 West Hatcher Road. PHOENIX: AZ 85021
602-943-7729
All Products/Services Date Description
10/1/2013 Dog Neuter
10/1/2013 Rabies 1-Year
10/1/2013 DA2PP -1 year
This is not an invoice.

AMC - Phx
602-943-7729
Animal Summary / Rabies Summary
This is riot an invoice.
Owner
"P--e5Q
-s-2c) (
z._ 53--s-35-a
Animal Details Animal's Name: Ebsby-
Sex: Male
Species: Dog
Age: 0.00 Years, 11.0 Months
Color: Black / White
Breed: Chihuahua
Weight 9.81 lbs
Visit Date: 10/1/2013
Animal Number: 13-950
Microchip Number:
Rabies Vecdne Producer: Boehringer Ingelheim
Type: One Year
Vaccine Lot Number 1215375A (expires 9/4/2014)
Date Vaccinated: 10/1/2013
Expires: 10/1/2014
Veterinarian: Kellie Ayle, License #
Signature:
Clinic Info: ATBC - Phx
950 West Hatcher Road, PHOENIX, AZ 85021
602-043-7729
M Products/Services Date Desaiption
10/1/2013 Dog Neuter
10/1/2013 DA2PP - 1 year
10/1/2013 Rabies 1-Year
This is not an invoice.

AMC - Pier
602-943-7729
Animal Summary / Rabies Summary
This is not an invoice.
Owner
?cc ry‘Ai i 5
MOW 5-2-C)7 5/ /044‘
Animal Details Animal's Namel_i : t n-3513
Sex: Female
Species: Dog
Age: 0.00 Years, 4.0 Months
Color: Brown / Brown
Breed: Chihuahua
Weight 7.43 Ibs
Visit Date: 10/1/2013
Animal Number 13-942
Microchip Number
Rabies Vaccine Producer Boehringer Ingelheim
Type: One Year
Vaccine Lot Number 1215375A (expires 9/4/2014)
Date Vaccinated: 10/1/2013
Expires: 10/1/2014
Veterinarian: Jessica March, License #
Signature:
Clinic Info: All3C Phx
950 West Hatcher Road, PHOENIX, AZ 85021
602-943-7729
All Products/Services Date
Description
10/1/2013 Dog Spay
10/1/2013 DA2PP -1 year
10/1/2013 Rabies 1-Year
This is not an invoice.

ATEiC - Roc
802-943-7722
Animal Summary / Rabies Summary
This is not an invoice.
Owner
?-11/1"-rvv-i t 5
to4-e-t
Ic--5ceA A-z-cirS353
Minya! Details Ani — 1 a
Sex: Male
Species: Dog
Age: 0.00 Years, 3.5 Months
Color Brown / Brown
Breed: Chihuahua
Weight 5.31 lbs
Visit Date: 101112013
Animal Number: 13-949
Microchip Number
Rabies Vaccine Producer: Boehringer Ingelheim
Type: One Year
Vaccine Lot Number 1215375A (expires 9/4/2014)
Date Vaccinated: 10/1/2013
Expires: 10/112014
Veterinarian: Jessica March, License #
Signature:
Clinic Info: ATBC - Phx
950 West Hatcher Road, PHOENIX, AZ 85021
602-943-7729
All Products/Services Date Description
10/1/2013 Dog Neuter
10/1/2013 DA2PP - 1 year
10/1/2013 Rabies 1-Year
This is not en invoice.

Altered Tails Barnhart Clinic 1111111:1 11AAA4 e(-j a-/N* 14-
950 West Hatcher Rd
Phoenix, AZ 85021
BARNHART ALTERED TAILS CLINIC Phone: (602) 943-7729
Aff.rdabre.. Spa/ Fax: (602) 216-2369 Pc --e--
www.alteredtalls.org ---(c—A It---- )ir‘
15-5- 5 3
Rabies Vaccination Certificate
NAME: Sophie
SPECIES: Canine WEIGHT: 6.43 tbs Rabies Tag #
BREED: Terrier Mix ID #1 985 112 000 977 982
GENDER: FS ID #2
COLOR: Black Last Visit
BIRTHDAY: 413012013
AGE: 13 weeks, 'I day
Item Description Given Due Date Lot # Manufacturer Exp. Data
5101 Rabies Vaccination Canine 1 Year 7/31/2013 7/31/2014 1215366A Boehringer Ingelhe 2/13/2014
hereby certify that niTdhasbeln in pccordance with the manufacturer's recommendation for the vaccine used on above date.
Date Issued 713112013
Dr. Jessica Marchi-DVM

he% en-1 S ;7 'Nc/' rq
Altered Tails Barnhart Clinic 5- f_Dct S
950 West Hatcher Rd
Phoenix, AZ 85021
BARNHART ALTERED TAILS CLINIC Phone: (602) 943-7729
AsSo.datk Spay *NeLT.m. Fax: (602) 216-2369
www.alteredtails.org
Rabies Vaccination Certificate
NAME: MO
SPECIES: Canine WEIGHT: 17.60 lbs Rabies Tag #
BREED: Chihuahua ID #1 985 112 001 109 183
GENDER: MN ID #2
COLOR: Brown Last Visit
BIRTHDAY: 6/4/2012
AGE: 1 yr. 0 months
Item Description Given Due Date Lot # Manufacturer Exp. Date
5101 Rabies Vaccination Canine 1 Year 6/4/2013 6/4/2014 1215366A Boehringer Inge1he 2/13/2014
I hereby certify that this animal has be9n vaccinated in accordance with.the manufacturer's recommendation for the vaccine used on above date.
Date Issued 6/412013
Dr. Jessica March, DVM

Altered Tails Barnhart Clinic Client No. 12696
950 West Hatcher Rd ‘C‘kir 'S 9'n
Phoenix, AZ 85021
BARNHART ALTERED TAILS CLINIC Phone: (602) 943-7729 Phone: (623) 698-5967 52c..1
Affee-41H, Spay -Ness. Fax: (602) 216-2369
www.alteredtails.org ( 0 i vesc),-)
5-3
Vaccination Certificate
NAME: Bandit
SPECIES: Canine WEIGHT: 14.20 lbs Rabies Tag #
BREED: Terrier Mix ID #1
GENDER: MN ID #2
COLOR: Black/Tan Last Visit
BIRTHDAY: 7/1/2011
AGE: 2 yrsx 0 months
Item Description Given Due Date Lot if Manufacturer Exp. Date
5101 Rabies Vaccination Canine 1 Year 7/1/2013 7/1/2014 1215366A Boehringer Ingelhe 2/13/2014
I hereby certify that 'this anim haskeen vaccinated in accordance with the manufacturer's reccommendation for the vaccine used on above date.
Date Issued 7/1/2013
Dr. Kellie J. Ayle,

Altered Tails Barnhart Clinic --ectivvvvoi 39
950_West Hatcher Rd Q-e5€.
Phoenix, AZ 85021
ALTERED TAILS One,- (602494.1-7729 Phone: (623) 60:-F7 I I C)4-•
&AR NHART CLJNIC
Sp:q. • t, Fax: (602) 216-2369 776 .1 t
www.alteredtails.org 'c:5535-3
Rabies Vaccination Certificate
NAME: Miss
SPECIES: Canine WEIGHT: 5.68 lbs Fiabies Tag #
If) #1 985112000979550
BREED: Chihuahua
GENDER: FS
Lst Visit
COLOR: Tan
BIRTHDAY: 7/1/2012
AGE: 1 yr. 0 months
1
Given Due Date Lot # Mianufacturer Exp. Date
Item Description Vaccination Canine 1 Year 7/1/2013 7/1/2014 I 71 5366A Be ringeringelhe 2/13/2014
5101 Rabies
I hereby certify that this animal has been vaccinated in accordance with the manufacturer's recommendation forth vaccine used on above date.
s44
Date Issued 711/2013
413"7/if
Dr. Kellie J. Ayle DVM
tt'Ll

ATBC - Plu
802-943-7729
Animal Summary / Rabies Summary
This is not an invoice.
Owner
Pammys 2nd Chance
5209 South 110th Ave, Tolleson, AZ 85353
Anh1181 Details Animal's Name: Chewy
Sex: Male
Species: Dog
Age: 3.00 Years, 0.0 Months
Color: White / Tan
Breed: Shih Tzu
Weight 14.20 lbs
Visit Date: 10/3/2013
Animal Number 13-1044
Microchip Number 985 112 001 111 467
Rabies Vacdne Producer: Boehringer ingelheini
Type: One Year
Vaccine Lot Number 1215375A (expires 9/412014)
Date Vaccinated: 101312013
Expires: 10/3/2014
Veterinarian: Jessica March, License #
Signature:
Clinic Info: ATBC - Phx
950 West Hatcher Road, PHOENIX, AZ 85021
602-943-7729
All Products/Bastes Date Desolation
10/3/2013 Dog Neuter
10/3/2013 Rabies 1-Year
10/3/2013 Microchip insertion (client provided chip)
This is not an invoice.

Sun Valley Hope Animal Hospital
7150 North 110th Avenue
Glendale, AZ 85307
(623) 512-4673
Rabies Certificate
Patent ID: 16
Client ID: 117
Patent Nam Fa ndy
Client Name: Pammy's 2nd Chance Re i4 Species: anine
Address: 5209 S. 110th Ave
Breed: etriever, Labrador Mix
Sex: payed Female
Color ellow
Phone: Markings:
Birthday: ó711812008
Weight
Tag Number 000000000000 Vaccination Date: /18/2012
Lot Number: Si 67007G Expiration Date: V1812015
Rabies Canine 3 Year Booster Vaccinatic.1
Producer Pfizer
IC/ MLV / R: Killed Virus
Staff Nan - E
License P. u iber

Sun Valley Hope Animal Hospital
7150 North 110th Avenue
Glendale, AZ 85307
(623) 512-4673
Rabies Certificate
Patient ID:
Client ID: 117 Patient Nam
Client Name: Palmy's 2nd Chance Rescue Species: mim e
Address: 5209 S. 110th Ave Breed: Chihuahua
Sex: Neutered Male
Tolleson, AZ 85353 Color White
Phone: (623)698-5967 Markings:
Birthday: 04/04/2009
Weight:
Tag Number: 000000000000 Vaccination Date: 4/7/2013
Lot Number: S285955A Expiration Date: 4/7/2014
Rabies Canine 1 Year Booster Vaccination
Producer: Pfizer
K / MLV / R: Killed Virus
Staff Name: Fernando Notario-Britez
License Number: 6147

Sun Valley Hope Animal Hospital
7150 North 110th Avenue
Glendale, AZ 85307
(623) 512-4673
Rabies Certificate
Patient ID: 4287
Client ID: 117 Patient Name: Diesel
Client Name: Pammy's 2nd Chance Rescue Species: Canine
Address: 5209 S. 110th Ave Breed: Pitbull
Sex: Neutered Male
Tolleson, AZ 85353 Color: Red
Phone: (623)698-5967 Markings:
Birthday: 08/26/2010
Weight:
Tag Number: 000000000000 Vaccination Date: 9/2/2012
Lot Number: S167007G Expiration Date: 9/2/2015
Rabies Canine 3 Year Booster Vaccination
Producer: Pfizer
K / MLV / R: Killed Virus
Staff Name: Fernando Notario-BritezDI. naLkt.4.5eQy
License Number: Le (U7

t
Sun Valley Hope Animal Hospital
7150 North 110th Avenue
Glendale, AZ 85307
(623) 512-4673
Rabies Certificate
Client ID: 117 Patient ID:
Client Name: Pammy's 2nd qhance Rescue Patient Na Ceaser
Address: 5209 S. 110th Ave Species:
Breed: Terrier Mix
Tolleson, AZ 85353 Sex: Male
Phone: Color Nhite
Markings:
Birthday: /2011
Weight
Tag Number: 000000000000
Lot Number S285955A Vaccination Date: /2013
Rabies Canine 1 Year Booster Vaccination Expiration Date: /2014
Producer Pfizer
K / MLV / R: Killed Virus
Staff Name: Fernando Notario-Britez
License Number. 6147

Sun Valley Hope Animal Hospital
7150 North 110th Avenue
Glendale, AZ 85307
(623) 512-4673
Rabies Certificate
Patient ID:
Client ID: 117
Patient Na e: Dietire
Client Name: Pammy's 2nd Chance Rescue
Species: anine
Address: 5209 S. 110th Ave
Breed:
Sex:
Tolleson, AZ 85353
Color: Fawn
Phone: (623)698-5967 Markings:
Birthday: 08/28/2010
Weight:
Tag Number: 00000000000000000000 Vaccination Date: 3/3/2013
Lot Number: S279713G Expiration Date: 3/3/2016
Rabies Canine 3 Year Booster Vaccination
Producer: Pfizer
K / MLV / R: Killed Virus
Staff Name: F
License Number. 6147

RABIES VACCINATION CERTIFICATE
NASPHV FORM 51 (revised 2007)
RABIES TAG #
MICROCHIP #
Owner's Name & Address Print Clearly
LAST M.I. _ TELEPHONE #
\--ctili 01 4 '.5 ar.dC_kneic
- •
NO. STREET --reC.) -1,--4,A A-z, CITY STATE ZIP
SPECIES AGE 'SIZE PREDOMINENT BREED PREDOMINANT
Dog X Months0 Under 20 lbs. X COLORS/MARKINGS
Cat Years N 20 - 50 Ibs. 0 tem(
Ferret J SEX Prl Male Over 50 lbs. white/blk/br
Other fl Female ANIMAL NAME
(specify) i x I Neutered hammie
Animal Control License 1 II Yr n3 Yr flOther _
DATE VACCINATED Product Name: • eterinarian's Name:
02/12112 DR. ANDERSON
Manufacturer:
Month / Day / Year (First 3 letters) P I F license Number 12052
1 Yr USDA Licensed Vaccine
NEXT VACCINATION X 3 Yr USDA Licensed Vaccine Veterinarian's Signature
DUE BY 4 Yr USDA Licensed Vaccine Address: 2009 WSLAUSON AVE
I Os ANGPI PS CA 90047
02112/15 X Initial dose Booste r dose
Month / Day / Year S175935F
Vaccine Serial (lot) Number
\c\ricc a

RABIES VACCINATION CERTIFICATE
NASPHV FORM 51 (revised 2007)
RABIES TAG #
Owner's Name & Address Print Clearly MICROCHIP #
LAST FIRST M.I. - TELEPHONE #
ionryw g4. SIJI\ 6._
C- 4 JA.ce rve.-P
NO. STREET CITY STATE ZIP
c>1-Cr3q, i 1c -" If\Q-C-7 -)1 1 e-a)-‘ Az— (SS'. 33
SPECIES AGE SIZE PREDOMINENT BREED PREDOMINANT
Dog X Months0 Under 20 lbs.
Cat fJ Years X 20 -50 lbs. COLORS/MARKINGS
Ferret SEX X Male Over 50 lbs. El Li ,_, terrx white/blk
Other fl Female ANIMAL NAME ,
(sPecifY) x I Neutered
Animal Control License I 11'V1T13 Yr nOther sammie
DATE VACCINATED Product Name: Veterinarian's Name: I
02/12/12 Manufacturer. DR. ANDERSON
Month / Day / Year (First 3 letters) P I F License Number. 12052
— 1 Yr USDA Licensed Vaccine
NEXT VACCINATION X 3 Yr USDA Licensed Vaccine Veterinarian's Signature
DUE BY: ____ 4 Yr USDA Licensed Vaccine Address: 2009 WSLAUSON
AVE
02/12/15 F2 Initial dose Booster dose LOS _IFLFS ANr (-IA 90047
Month / Day / Year S175935F
Vaccine Serial (lot) Number

trILAIE UV RABIES VACCINAHUN
Issued By:
Coachella Valley Animal Campus
..Wers;deiInIy Com:numb, Healtt Agenc-y 72-050 Petland Place
Thousand Palms, CA 92276
(760) 343-3644 Fax: (760) 343-1144
OWNER INFORMATION
Owner ID: P0704880
Name : Tctroni‘i 's
Address: ak511,Q€
Phone:
ANIMAL INFORMATION
Animal ID: A1036410
Name:
Type: DOG
DOB: 07/26/05
Sex: NEUTERED
Color: CHOCOLATE AND WHITE
Breed: CHIHUAHUA SH
VACCINATION INFORMATION
Date Vaccinated: August 01, 2013
V cination Expiration: August 01, 2014
Tag Type:
Tag Number:
Producer: RAE3VAC 3
Lot Number: 1215375A
Lot Exp: 09/04/2014
Microchip Information
dicrochip number:
Manufacturer:
This is to certify that I ha :IF vaccinated the described animal against Rabies, with a killed virus vaccine.
PLEASE KEEP THIS CE ICATE. YOU WILL NEED IT TO RECEIVE A LICENSE FOR YOUR PET.
DR. ALLAN DRUSYS, WM, MVPHIVIGINT LIC#08330
r'•\ nfivxma cermalaw-vrA rmt

r-
_ CERTIFICATE OF RABIES VACCINATION
Issued By:
DEPARTMENT OF Coachella Valley Animal Campus
Am= SERVICES
Rivefside County Community Health Agency 72-050 Petland Place
Thousand Palms, CA 92276
(760) 343-3644 Fax: (760) 343-1144
OWNER INFORMATION
Owner ID: P0704880
Name :
rniArvli
Address:
5-z-c
Phone: NOM tot (ea.,"
et--z-
5- 53
ANIMAL INFORMATION
Animal ID: A1044388
Name:
Type: DOG
DOB: 12/28/12
Sex: NEUTERED
Color: BEIGE
Breed: SHIH TZU MDC
VACCINATION INFORMATION
Date Vaccinated: September 04, 2013
Vaccination Expiration: September 04, 2014
Tag Type:
Tag Number:
Producer: RABVAC3
Lot Number: 1215379A
Lot Exp: 02/01/2015
Microchip Information
Microchip number: 015786533
Manufacturer: AVID
This is to certify that I have vaccinated the described animal against Rabies, with a killed virus vaccine.
PLEASE KEEP THIS CERTIFICATE. YOU WILL NEED IT TO RECEIVE A LICENSE FOR YOUR PET.
DR. ALLAN DRUSYS, DVM, MVPHMGMT LIC#08330
C:\Chameleon Software \ Chameleon\crystahrabcertspt

•
CERTIFICATE OF RABIES VACCINATION
Issued By:
DEPARIMENT OF Coachella Valley Animal Campus
ANNA SERVICES 72-050 Petland Place
•it:alth AkIrrv; ,,
Thousand Palms, CA 92276
(760) 343-3644 Fax: (760) 343-1144
OWNER INFORMATION
Owner ID: P0704880
Name : Pc,rylvn..., 15 bind-
Address:
04-k
Phone: -a. -6 --3-3a3
ANIMAL INFORMATION
Animal ID: A1047386
Name:
Type: DOG
DOB: 09/03/08
Sex: MALE
Color: WHITE AND TAN
Breed: SHIH TZU
VACCINATION INFORMATION
Date Vaccinated: September 12, 2013
Vaccination Expiration: September 12, 2014
Tag Type:
Tag Number:
Producer: RABVAC3
Lot Number: 125380A
Lot Exp: 02/07/2015
Microchip Information
Microchip number:
Manufacturer:
This is to certify that I have vaccinated the described animal against Rabies, with a killed virus vaccine.
PLEASE KEEP THIS CERTIFICATE. YOU WILL NEED IT TO RECEIVE A LICENSE FOR YOUR PET.
DR. ALLAN DRUSYS, DVM, MVPHMGMT LIC#08330
C: \ Chameleon Software \Chameleon\crystahrabcert.rpt

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