YERBRIER 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
O New c Renewal Permit #14 t - DOS
c_V\
Name: €1-11-1 '?er\ Kennel Name:
Mailing Addressz.(-7-1 -k r, 1 , C 6 j M e Kennel Location: 529y .7 < C M; ,-‘615 -e__
City /I r'S D rX , AZ ZP County Supervisorial District 5—
Home Phone: bgb Kennel Phone: 623 /2 50
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 ukenner 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
1. f/We assume complete responsibility for the kennel at the premises for which I/we are making
appl n for a permit and understand that "kennel" means an enclosed, controlled area, inaccessible to other
animal_ in which a person keeps, harbors or maintains five or more dogs under controlled conditions (ARS 11-
1001)
e certify that the kennel has been approved by hp local zoning authority (if applicable) at the
for which I/we are making application for a perrniN/
4/.
/
e certify that I/We have dogs an thithe kennel meets the definition in statute.
4. 1/ e certify that I/We have not been convicted of a violation of A.R.S. §§ 13-2910 (cruelty to animals)
or 132 1001 (dog fighting), or any other state, county or municipal animal welfare law. (Violations of license
and leash. laws DO NOT apply.)
INVe certify that all dogs over the age of three (3) months that are kept, harbored or maintained on the
premisii 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. fe/frf,/We certify that I/We are submitting a valid copy of the rabies vaccination certificate for each
dog witt-Ahis application.

7.Me understand that a dog remaining within the kennel is not required to be licensed individually under
A R—S- ft:rf 0 0 8 . Ilwe 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.
VE/We understand that a person who fails to obtain a kennel permit under ARS 11-1009 is subject to a
of)twenty-five dollars in addition to the annual fee.
I/VVe understand that a person who knowingly fails to obtain a kennel permit within thirty days after
fication from the county enforcement agent is guilty of a class 2 misdemeanor.
1
10. this kennel permit being obtained for the purposes of operating a busins including but not limited to
br roomers or boarding establishments? (Please check one) YES 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. INVe certify that the kennel permit is being used solely for the purpose of licensing my own multiple
companion dogs in my household.
l/We certify that all of the information INVe have provided is true and accurate under penalty of law.
If
Applicant SignatuworrargC:e, )111° , _20
Applicant Signature Date: ' 4/
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.dov
Receipt Number: R13-176323 Receipt Date: 09/11/2013
Person ID: P0999105
Phone: 623 9258778
YERBRIER KENNELS
5447 S EL MIRAGE RD 9/11/2013 1:21:41PM
TOLLESON, AZ 85353
Item: Animal ID: Reference No: Price: Each: Amount:
KEN PERMIT A7777777 K14-000005 $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
munozd EBUSOFF

1V1a.L.I1A;Upi1
Animal Care & Control
2500 South 27th Avenue
Phoenix, AZ 85009
Phone: (602) 506-7387
pets.maricopa.gov
KENNEL PERMIT PREMISE INSPECTION
APPLICANT CZIO, \\(\r(1 Vrillk- 4" OST‘ et. It V-git Lf2
STREET ADDRESS 91 ;
CITY, STATE, ZIP io Az_ c353
HOME PHONE 03- bO 5S7 BUSINESS PHONE 0-3 - CI) ST)
COUNTY DISTRICT KENNEL LICENSE #KILI. OOc NUMBER OF DOGS 3
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
2. Is the kennel an enclosed, controlled area, inaccessible to other animals, in which a person
keeps, har) ors 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 Agent 1 1444/A—#-k-- Date 9- d

Sundance Animal Hospital Client No. 5908
8350 W. Lower Buckeye Rd, Ste. 101 Yerbrier Kennel, K-14-005 & Yerington, Betty
5447 S. El Mirage Rd.
Tolleson, AZ 85353
Tolleson, AZ 85353
Phone: (623) 478-9295 Phone: (623) 680-5597
Fax: (623) 478-9294
Rabies Vaccination Certificate
NAME: Schmopt
SPECIES: Canine WEIGHT: lbs Rabies Tag #
BREED: Poodle, Mini ID #1
GENDER: MI ID #2
COLOR: Black Last Visit 9/10/2013
BIRTHDAY: 12/1/2005
AGE: 7 yrs, 9 months
Item Description Given Due Date Lot # Manufacturer Exp. Date
2016 Rabies Vaccine - 3 Year 9/10/2013 9/9/2016 S2845630 Nobivac 9/3/2013
I hereby certify that this animal has been vaccinated in accordance with the manufacturers recommendation for the vaccine used on above date.
Date Issued 9/10/2013
Nancy McEachern, DVM License: 1605

Agua Fria Animal Hospital Client No. 3884
Yerbrier Kennel & YerIngton, Betty
13330 W. Van Buren 5447 S. EL MIRAGE
Goodyear, AZ 85338 Tolleson, AZ 85353
Phone: (623) 932-3611 Phone: (623) 925-1350
Fax: (623) 932-3396
Rabies Vaccination Certificate
NAME: Zeus
SPECIES: CANINE WEIGHT: lbs Rabies Tag #
BREED: STANDARD POODLE ID #1
GENDER: MI ID #2
COLOR: WHITE Last Visit 6/6/2012
BIRTHDAY: 6/15/2007
AGE: 4 yrs, 11 months
Item Description Given Due Date Lot # Manufacturer Exp. Date
2007 RABIES CANINE - 3 YEAR 6/6/2012 6/1/2015 S170481B Pfizer 1/22/2013
I hereby certify that this animal has been vaccinated in accordance with the manufacturer's recommendation for the vaccine used on above date.
Date Issued 6/6/2012
W. Robert Doster,

Agua Fria Animal Hospital Client No. 3884
Yerbrier Kennel & Yerington, Betty
13330 W. Van Buren 5447 S. EL MIRAGE
Goodyear, AZ 85338 Tolleson, AZ 85353
Phone: (623) 932-3611 Phone: (623) 925-1350
Fax: (623) 932-3396
Rabies Vaccination Certificate
NAME: Franky
SPECIES: CANINE WEIGHT: lbs Rabies Tag #
BREED: TOY POODLE ID #1
GENDER: MI ID #2
COLOR: VVHT Last Visit 6/6/2012
BIRTHDAY: 3/24/2011
AGE: 1 yr, 2 months
Given Due Date Lot # Manufacturer Exp. Date
Item Description s/s/2012 6/1/2015 S1704815 Pfizer 1/22/2013
2007 RABIES CANINE - 3 YEAR
I hereby certify thal this animal tilas b vaccinated in accordance with the manufacturer's recommendation for the vaccine used on above date.
Date Issued 6/612012
W. Robert Yoster, DV - License: 455

Agua Fria Animal Hospital Client No. 3884
Yerbrler Kennel & Yerington, Betty
OAGUA FRIA 13330 W. Van Buren 5447 S. EL MIRAGE
Goodyear, AZ 85338 Tolleson, AZ 85353
AN1MagINIC Phone: (623) 932-3611 Phone: (623) 925-1350
Fax: (623) 932-3396
Rabies Vaccination Certificate
NAME: Denver
SPECIES: CANINE WEIGHT: lbs Rabies Tag #
BREED: TOY POODLE ID #1
GENDER: MI ID #2
COLOR: WHT Last Visit 7/27/2011
BIRTHDAY: 6/17/2006
AGE: 5 yrs, 1 month
Item Description Given Due Date Lot # Manufacturer Exp. Data
2007 RABIES CANINE - 3 YEAR 7/27/2011 7/21/2014 50582135 Pfizer 1/24/2012
I hereby certify that 7 is a eenvaccinated in accordance with the manufacturers recommendation for the vaccine used on above date.
,
Date Issued 7/2712011
W. Robert Doster, DV License: 455

Agua Fria Animal Hospital Client No. 3884
Yerbrier Kennel & Yerington, Betty
ACLU FRIA 13330 W. Van Buren 5447 S. EL MIRAGE
Goodyear, AZ 85338 Tolleson, AZ 85353
ANIMALPNIC Phone: (623) 932-3611 Phone: (623) 925-1350
Fax: (623) 932-3396
Rabies Vaccination Certificate
NAME: DEVON
SPECIES: CANINE WEIGHT: 0.00 lbs Rabies Tag #
BREED: POODLE ID #1
GENDER: MI ID #2
COLOR: WI-IT Last Visit 7/27/2011
BIRTHDAY: 11/1/2001
AGE: 9 yrs, 8 months
Item Description Given Due Date Lot # Manufacturer Exp. Date
2007 RABIES CANINE - 3 YEAR 7/27/2011 7/21/2014 S058213B Pfizer 1/24/2012
I hereby certifylhat tflanimal has been vaccinated in accordance with the manufacturers recommendation for the vaccine used on above date.
Date Issued 7/27/2011
W. Robert Doster, DV License: 455

Agua Fria Animal Hospital Client No. 3884
Yerbrier Kennel & Yerington, Betty
OAGUA FRIA 13330 W. Van Buren 5447 S. EL MIRAGE
Goodyear, AZ 85338 Tolleson, AZ 85353
ANIMALCUN114 Phone: (623) 932-3611 Phone: (623) 925-1350
Fax: (623) 932-3396
Rabies Vaccination Certificate
NAME: Nate
SPECIES: CANINE WEIGHT: lbs Rabies Tag #
BREED: TOY POODLE ID #1
A\v
GENDER: MI ID #2
COLOR: WHITE Last Visit 7/27/2011
BIRTHDAY: 7/11/2006
AGE: 5 yrs, 0 months
Item Description Given Due Data Lot # Manufacturer Exp. Data
2007 RABIES CANINE - 3 YEAR 7/27/2011 7/21/2014 S058213B Pfizer 1/24/2012
I hereby certify that this animal has been vaccinated in accordance with the manufacturers recommendation for the vaccine used on above date.
Date Issued 7/27/2011
License: 455

Sundance Animal Hospital Client No. 5908
8350 W. Lower Buckeye Rd, Ste. 101 Yerbrier Kennel, K-14-005 & Yerington, Betty
5447 S. El Mirage Rd.
Tolleson, AZ 85353 Tolleson, AZ 85353
Phone: (623) 478-9295 Phone: (623) 680-5597
Fax: (623) 478-9294
Rabies Vaccination Certificate
NAME: Cash
SPECIES: Canine WEIGHT: lbs Rabies Tag #
BREED: Toy Poodle ID #1
GENDER: MI ID #2
COLOR: White Last Visit 9/10/2013
BIRTHDAY: 6/16/2008
AGE: 5 yrs, 2 months
Item Description Given Due Date Lot # Manufacturer Exp. Date
2016 Rabies Vaccine - 3 Year 9/10/2013 9/9/2016 S2845630 Nobivac 9/3/2013
I hereby certify that this animal has been vaccinated in accordance with the manufacturer's recommendation for the vaccine used on above date.
Date Issued 9/10/2013
Nancy McEachern, DVM License: 1605

Agua Fria Animal Hospital Client No. 3884
Yerbrler Kennel & Yerington, Betty
13330 W. Van Buren 5447 S. EL MIRAGE
Goodyear, AZ 85338 Tolleson, AZ 85353
Phone: (623) 932-3611 Phone: (623) 925-1350
Fax: (623) 932-3396
Rabies Vaccination Certificate
NAME: Bella
SPECIES: CANINE WEIGHT: lbs • Rabies Tag #
BREED: TOY POODLE ID #1
GENDER: Fl ID #2
COLOR: WHITE Last Visit 6/6/2012
BIRTHDAY: 12116/2007
AGE: 4 yrs, 5 months
Item Description Given . Die Date Lot.# . Manufacturer Exp. Date
2007 RABIES CANINE - 3 YEAR 6/6/2012 6/1/2015 S17046112r- Pfizer 1/22/2013
I hereby certify that this 9"nirnathiasiipek va mated In accordance with the manufacturer's recommendation for the Vaccine used on above date.
Date Issued 6/6/2012
W. Robert Doster, DV License: 455

Agua Fria Animal Hospital Client No. 3884
YerbrIer Kennel & Yerington, Betty
AGM FRIA, 13330 W. Van Buren 6447 S. EL MIRAGE
Goodyear, AZ 85338 Tolleson, AZ 85353
AN 1MLLINICI Phone: (623) 932-3611 Phone: (623) 925-1350
Fax: (623) 932-3396
Rabies Vaccination Certificate
NAME: Brook
SPECIES: CANINE WEIGHT: lbs Rabies Tag #
BREED: TOY POODLE ID #1
GENDER: Fl ID #2
COLOR: WHT Last Visit 7/27/2011
BIRTHDAY: 6/17/2007
AGE: 4 yrs, 1 month
Item Description Given Due Date Lot # Manufacturer Exp, Date
2007 RABIES CANINE - 3 YEAR 7/27/2011 7/21/2014 5058213B Pfizer 1/24/2012
I hereby certify tlAthis animal has been vaccinated in accordance with the manufacturer's recommendation for the vaccine used on above date.
Date Issued 7/27/2011
W. Robert Doster, DV License: 455

Sundance Animal Hospital Client No. 5908
8350 W. Lower Buckeye Rd, Ste. 101 Yerbrier Kennel, K-14-005 & Yerington, Betty
5447 S. El Mirage Rd.
Tolleson, AZ 85353 Tolleson, AZ 85353
Phone: (623) 478-9295 Phone: (623) 680-5597
Fax: (623) 478-9294
Rabies Vaccination Certificate
NAME: Trixie
SPECIES: Canine WEIGHT: lbs Rabies Tag #
BREED: Toy Poodle ID #1
GENDER: Fl ID #2
COLOR: White Last Visit 9/10/2013
BIRTHDAY: 6116/2008
AGE: 5 yrs, 2 months
Item Description Given Due Date Lot # Manufacturer Exp. Date
2016 Rabies Vaccine - 3 Year 9/10/2013 9/9/2016 S2845630 Nobivac 9/3/2013
I hereby certify that this animal has been vaccinated in accordance with the manufacturers recommendation for the vaccine used on above date.
Date Issued 9/10/2013
Nancy McEachern, DVM License: 1605

Agua Fria Animal Hospital Client No. 3884
Yerbrier Kennel & Yerington, Betty
13330W. Van Buren 5447 S. EL MIRAGE
Goodyear, AZ 85338 Tolleson, AZ 85353
ANIMAIJIINIC] Phone: (623) 932-3611 Phone: (623) 925-1350
Fax: (623) 932-3396
Rabies Vaccination Certificate
NAME: Diva
SPECIES: CANINE WEIGHT: lbs Rabies Tag #
BREED: TOY POODLE ID #1
GENDER: Fl ID #2
COLOR: VVHT Last Visit 6/6/2012
rciv BIRTHDAY: 6/1612008
AGE: 3 yrs, 11 months
Item Description Given Due Date Lot # Manufacturer Exp. Date
2007 RABIES CANINE - 3 YEAR 6/6/2012 6/1/2015 S170481B Pfizer 1/22/2013
I hereby certify that this animal,has been vaccinated in accordance with the manufacturer's recommendation for the vaccine used on above date.
Date Issued 6/6/2012

Sundance Animal Hospital Client No. 5908
8350 W. Lower Buckeye Rd, Ste. 101 Yerbrier Kennel, K-14-005 & Yerington, Betty
5447 S. El Mirage Rd.
Tolleson, AZ 85353 Tolleson, AZ 85353
Phone: (623) 478-9295 Phone: (623) 680-5597
Fax: (623) 478-9294
Rabies Vaccination Certificate
NAME: Britney
SPECIES: Canine WEIGHT: lbs Rabies Tag #
BREED: Toy Poodle ID #1
GENDER: Fl ID #2
COLOR: White Last Visit 9/10/2013
BIRTHDAY: 8/1/2001
AGE: 12 yrs, 1 month
Item Description Given Due Date Lot # Manufacturer Exp. Date
2016 Rabies Vaccine - 3 Year 9/10/2013 9/9/2016 52845630 Nobivac 9/3/2013
I hereby certify that this animal has been vaccinated in accordance with the manufacturers recommendation for the vaccine used on above date.
Date Issued 9/10/2013
Nancy McEachern, DVM License: 1605

Agua Fria Animal Hospital Client No. 3884
Yerbrier Kennel & Yerington, Betty
13330 W. Van Buren 5447 S. EL MIRAGE
Goodyear, AZ 85338 Tolleson, AZ 85353
ANINtagIATKI Phone: (623) 932-3611 Phone: (623) 925-1350
Fax: (623) 932-3396
Rabies Vaccination Certificate
NAME: Honey Dew
SPECIES: CANINE WEIGHT: lbs Rabies Tag #
BREED: TOY POODLE ID #1
GENDER: Fl ID #2
COLOR: VVHT Last Visit 6/6/2012
BIRTHDAY: 3/24/2010
AGE: 2 yrs, 2 months
Description Given Due Date Lot # Manufacturer Exp. Date
Item
2007 RABIES CANINE - 3 YEAR 6/6/2012 6/1/2015 S170481B Pfizer 1/22/2013
I hereby erti riim Ieae has n vaccinated in accordance with the manufacturers recommendation for the vaccine used on above date.
.
,
Date Issued 6/6/2012
W. Robert Doster, DV License: 455

Sundance Animal Hospital Client No. 5908
411; ---- 8350 W. Lower Buckeye Rd, Ste. 101 Yerbrier Kennel, K-14-005 & Yerington, Betty
5447 S. El Mirage Rd.
Tolleson, AZ 85353
loadiacoul Itaphl Tolleson, AZ 85353
Phone: (623) 478-9295 Phone: (623) 680-5597
—1.I A Fax: (623) 478-9294
Rabies Vaccination Certificate
NAME: Vanity
SPECIES: Canine WEIGHT: lbs Rabies Tag #
BREED: Toy Poodle ID #1
GENDER: Fl ID #2
COLOR: White Last Visit 9/10/2013
BIRTHDAY: 6/19/2005
AGE: 8 yrs, 2 months
Item Description Given Due Date Lot # Manufacturer Exp. Date
2016 Rabies Vaccine - 3 Year 9/10/2013 9/9/2016 S2845630 Nobivac 9/3/2013
I hereby certify that this animal has been vaccinated in accordance with the manufacturers recommendation for the vaccine used on above date.
(44:4v6402,-, Date Issued 9/10/2013
Nancy McEachern, DVM License: 1605

Sundance Animal Hospital Client No. 5908
8350 W. Lower Buckeye Rd, Ste. 101 Yerbrier Kennel, K-14-005 & Yerington, Betty
5447 S. El Mirage Rd.
Tolleson, AZ 85353 Tolleson, AZ 85353
Phone: (623) 478-9295 Phone: (623) 680-5597
Fax: (623) 478-9294
Rabies Vaccination Certificate
NAME: Pansy
SPECIES: Canine WEIGHT. lbs Rabies Tag #
BREED: Toy Poodle ID #1
GENDER: Fl ID #2
COLOR: White Last Visit 9/10/2013
BIRTHDAY: 1/16/2009
AGE: 4 yrs, 7 months
Item Description Given Due Date Lot # Manufacturer Exp. Date
2016 Rabies Vaccine - 3 Year 9/10/2013 9/9/2016 S2845630 Nobivac 9/3/2013
I hereby certify that this animal has been vaccinated in accordance with the manufacturer's recommendation for the vaccine used on above date.
Date Issued 9/10/2013
Nancy McEachern, DVM License: 1605

Agua Fria Animal Hospital Client No. 3884
YerbrIer Kennel & Yerington, Betty
13330 W. Van Buren 5447 S. EL MIRAGE
Goodyear, AZ 85338 Tolleson, AZ 85353
Phone: (623) 932-3611 Phone: (623) 925-1350
Fax: (623) 932-3396
Rabies Vaccination Certificate
NAME: WillOW
SPECIES: CANINE WEIGHT: lbs Rabies Tag #
BREED: TOY POODLE ID #1
GENDER: Fl ID #2
COLOR: VVHT Last Visit 6/6/2012
BIRTHDAY: 6/16/2004
AGE: 7 yrs, 11 months
Item Description Given Due Date Lot # Manufacturer Exp. Date
2007 RABIES CANINE - 3 YEAR 6/6/2012 6/1/2015 S170481B Pfizer 1/22/2013
I hereby certify that this animal has been vaccinated in accordance with the manufacturers recommendation for the vaccine used on above date.
Date Issued 6/6/2012
W. Rotfert Cdster; CV License: 455

„ Agua Fria Animal Hospital Client No. 3884
Yerbrler Kennel & YerIngton, Betty
tWITRIA 13330 W. Van Buren 5447 S. EL MIRAGE
Goodyear, AZ 85338 Tolleson, AZ 85353
Phone: (623) 932-3611 Phone: (623) 925-1350
Fax: (623) 932-3396
Rabies Vaccination Certificate
NAME: Lark
SPECIES: CANINE WEIGHT: lbs Rabies Tag #
BREED: TOY POODLE ID #1
GENDER: Fl ID #2
COLOR: VVHT Last Visit 7/2712011
BIRTHDAY: 12/1212005
AGE: 5 yrs, 7 months
,o2(
Item Description Given Due Date Lot # Manufacturer Exp, Date
2007 RABIES CANINE - 3 YEAR 7/27/2011 7/21/2014 5058213B Pfizer 1/24/2012
I hereby certify t t thiA-iimal has been vaccinated in accordance with the manufacturer's recommendation for the vaccine used on above date.
1 Date Issued 7/27/2011
(I/
W. Robert Doster, DV License: 455

Client No. 3884
Agua Fria Animal Hospital Yerbrler Kennel & YerIngton, Betty
13330 W. Van Buren 5447 S. EL MIRAGE
Goodyear, AZ 85338 Tolleson, AZ 85353
Phone: (623) 932-3611 Phone: (623) 9254350
Fax: (623) 932-3396
Rabies Vaccination Certificate
71,
NAME: BRENDA
SPECIES: CANINE WEIGHT: 0.00 lbs Rabies Tag #
ID #1
BREED: POODLE
ID #2
GENDER: Fl Last Visit 7/27/2011
COLOR: WHT
BIRTHDAY: 12/1/2002
AGE: 8 yrs, 7 months
Given Due Date Lot #. ManUfacturer Exp. Date
Item Description 7/21/2014 S05821333 Pfizer 1/24/2012
2007 RABIES CANINE - 3 YEAR 7/27/2011
ccinated in accordance with the manufacturers recommendation for the vaccine used on above date.
I hereby cc
Date Issued 7/27/2011
W. Robert Doster, DV License: 455

Agua Fria Animal Hospital Client No. 3884
Yerbrier Kennel & Yerington, Betty
13330W. Van Buren 5447 S. EL MIRAGE
Goodyear, AZ 85338 Tolleson, AZ 85353
MEgiNt Phone: (623) 932-3611 Phone: (623) 925-1350
Fax: (623) 932-3396
Rabies Vaccination Certificate
NAME: MITZE
SPECIES: CANINE WEIGHT: lbs Rabies Tag #
BREED: POODLE ID #1
GENDER: Fl ID #2
COLOR: WHT Last Visit 6/6/2012
BIRTHDAY: 1/6/2002
AGE: 10 yrs, 5 months
Item Description Given Due Date Lot # Manufacturer Exp. Date
2007 RABIES CANINE - 3 YEAR V6/2012 6/1/2015 S170481B Pfizer 1/22/2013
I hereby certify that_this animal has been vaccinated in accordance with the manufacturer's recommendation for the vaccine used on above date.
Date Issued 6/6/2012
W. Robert D6ster, DV License: 455

Sundance Animal Hospital Client No. 5908
8350 W. Lower Buckeye Rd, Ste. 101 Yerbrier Kennel, K-14-005 & Yerington, Betty
5447 S. El Mirage Rd.
Tolleson, AZ 85353 Tolleson, AZ 85353
Phone: (623) 478-9295 Phone: (623) 680-5597
Fax: (623) 478-9294
Rabies Vaccination Certificate
NAME: Ms. B
SPECIES: Canine WEIGHT: lbs Rabies Tag #
BREED: Poodle, Mini ID #1
GENDER: Fl ID #2
COLOR: White Last Visit 9/10/2013
BIRTHDAY: 6/19/2005
AGE: 8 yrs, 2 months
Item Description Given Due Date Lot # Manufacturer Exp. Date
2016 Rabies Vaccine - 3 Year 9/10/2013 9/9/2016 S2845630 Nobivac 9/3/2013
I hereby certify that this animal has been vaccinated in accordance with the manufacturer's recommendation for the vaccine used on above date.
%fey/m.44(4'4i, Date Issued 9/10/2013
Nancy McEachern, DVM License: 1605

Agua Fria Animal Hospital Client No. 3884
Yerbrler Kennel & Yerington, Betty
13330 W. Van Buren 5447 S. EL MIRAGE
Goodyear, AZ 85338 Tolleson, AZ 85353
Phone: (623) 932-3611 Phone: (623) 925-1350
Fax: (623) 932-3396
Rabies Vaccination Certificate
NAME: Jazzie
SPECIES: CANINE WEIGHT: lbs Rabies Tag #
BREED: MIN POODLE ID #1
GENDER: Fl ID #2
COLOR: BLK Last Visit 7/27/2011
BIRTHDAY: 6/17/2007
AGE: 4 yrs, 1 month
Item Description Given Due Date Lot # Manufacturer Exp. Date
2007 RABIES CANINE - 3 YEAR 7/27/2011 7/21/2014 S058213B Pfizer 1/24/2012
I hereby certify thet thisMirrAtas been vaccinated in accordance with the manufacturer's recommendation for the vaccine used on above date.
Date Issued 7/27/2011
W. Robert Doster, DV License: 455

Agua Fria Animal Hospital Client No. 3884
Yerbrier Kennel & Yerington, Betty
13330 W. Van Buren 5447 S. EL MIRAGE
Goodyear, AZ 85338 Tolleson, AZ 85353
ANINIALMNIC Phone: (623) 932-3611 Phone: (623) 925-1350
Fax: (623) 932-3396
Rabies Vaccination Certificate
NAME: Connie
SPECIES: CANINE WEIGHT: 46.40 lbs Rabies Tag #
BREED: STANDARD POODLE 1D#1
GENDER: Fl ID #2
COLOR: BLK Last Visit 7/2712011
BIRTHDAY: 4/30/2009
AGE: 2 yrs, 2 months
Item Description Given D148 Date Lot # Manufacturer Exp. Date
2007 RABIES CANINE - 3 YEAR 7/27/2011 7/21/2014 S058213B Pfizer 1/24/2012
I hereby certify t t this 4nigilki-1as ben vageinated in accordance with the manufacturers recommendation for the vaccine used on above date.
riff Date Issued 7/27/2011
W. Robert Doster, DV License: 455

Agua Fria Animal Hospital Client No. 3884
Yerbrier Kennel & Yerington, Betty
13330 W. Van Buren 5447 S. EL MIRAGE
Goodyear, AZ 85338 Tolleson, AZ 85353
Phone: (623) 932-3611 Phone: (623) 925-1350
Fax: (623) 932-3396
Rabies Vaccination Certificate
NAME: Zena
SPECIES: CANINE WEIGHT: lbs Rabies Tag #
BREED: STANDARD POODLE ID #1
GENDER: Fl ID #2
COLOR: WHITE Last Visit 6/6/2012
BIRTHDAY: 6/1512007
AGE: 4 yrs, 11 months
Item Description Given Due Date Lot # Manufacturer Exp. Date
2007 RABIES CANINE - 3 YEAR 6/6/2012 6/1/2015 S170481B Pfizer 1/22/2013
I hereby certify that this animal has been vaccinated in accordance with the manufacturers recommendation for the vaccine used on above date.
Date Issued 6/612012
W. Robert Doste

Sundance Animal Hospital Client No. 5908
8350 W. Lower Buckeye Rd, Ste. 101 Yerbrier Kennel, K-14-005 & Yerington, Betty
11;i1mducitaal 5447 S. El Mirage Rd.
Tolleson, AZ 85353 Tolleson, AZ 85353
Phone: (623) 478-9295 Phone: (623) 680-5597
Fax: (623) 478-9294
Rabies Vaccination Certificate
NAME: Darcy
SPECIES: Canine WEIGHT: lbs Rabies Tag #
BREED: Toy Poodle ID #1
GENDER: Fl ID #2
COLOR: White Last Visit 9/10/2013
BIRTHDAY: 8/23/2011
AGE: 2 yrs, 0 months
Item Description Given Due Date Lot # Manufacturer Exp. Date
2016 Rabies Vaccine - 3 Year 9/10/2013 9/9/2016 S2845630 Nobivac 9/3/2013
I hereby certify that this animal has been vaccinated in accordance with the manufacturer's recommendation for the vaccine used on above date.
;,;ft4e7e/nrgee..f.e09,43 Date Issued 9/10/2013
Nancy McEachern, DVM License: 1605

Agua Fria Animal Hospital Clierit No. 3884
13330 W. Van Buren YerbrIer Kennel & Yeringtoil, Betty
5447 B. EL MIRAGE
Goodyear, AZ 85338 Tolleson,* AZ 85353
Phone: (623) 932-3611 Phone: (623) 925-1350
Fax: (623) 9323396
Rabies Vaccination Certificate
NAME: Bridget
SPECIES: CANINE WEIGHT: lbs Rabies Tag #
BREED: TOY POODLE ID #1
GENDER: Fl ID #2
COLOR: WHITE Last Visit 6/6/2012
BIRTHDAY: 6/16/2007
AGE: 4 yrs, 11 months
Item Description : Given Due . Datai. Lot :# Manufacturer Exp,.pate
2007 RABIES CANINE 3 . YEAR 6/6/2012 6/1/2015 B1704215 Pfizer • . 1/22/2013
I hereby certify that this animal hA been vaccinated in accordance with the manufacturers recommendation for the'vaccine used on above date.
Date Issued 6/6/2012
W. Robert Doster, DV License: 455
(N.d.!... fr: .e.<I •

Agua Fria Animal Hospital Client No. 3884
13330 W. Van Buren Yerbrier Kennel & Yerington, Betty
5447 S. EL MIRAGE
Goodyear, AZ 85338 Tolleson, AZ 85353
Phone: (623) 932-3611 Phone: (623) 925-1350
Fax: (623) 932-3396
Rabies Vaccination Certificate
NAME: Willie
SPECIES: CANINE WEIGHT: lbs Rabies Tag #
BREED: TOY POODLE ID #1
GENDER: MI ID #2
COLOR: VVHT Last Visit 6/6/2012
BIRTHDAY: 9/5/2010
AGE: 1 yr, 9 months
Item Description Given Due Date Lot # Manufacturer Exp. Date
2007 RABIES CANINE - 3 YEAR 6/6/2012 6/1/2015 S170481B Pfizer 1/22/2013
I hereby certify that this animal has been vaccinated in accordance with the manufacturer's recommendation for the vaccine used on above date.
Date Issued 6/6/2012
W. Robert

Agua Fria Animal Hospital Client No. 3884
Yerbrler Kennel & Yerington, Betty
133301N. Van Buren 5447 S. EL MIRAGE
Goodyear, AZ 85338 Tolleson, AZ 85353
Phone: (623) 932-3611 Phone: (623) 925-1350
Fax: (623) 932-3396
Rabies Vaccination Certificate
NAME: CHARITY
SPECIES: CANINE WEIGHT: 6,00 Ibi Rabies Tag .#
BREED: POODLE ID #1
GENDER: FS ID #2
COLOR: BLK Last Visit 616/2012
BIRTHDAY: 11/1/2003
AGE: 8 yrs, 7 months
Given 'Due Date —, Lot # Manufacturer Exp. Date
Item Description 6/6/2012 6/1/2015 S1704818 Pfizer 1/22/2013
2007 RABIES CANINE - 3 YEAR
I hereby certify that this animal has been vaccinated In adcordancevidi the manufacturers recomMendatIon for the vaccine used on above date.
Date Issued 6/6/2012
W. Robert Doster, DV ense: 455

Agua Fria Animal Hospital Client No. 3884
Yerbrier Kennel & Yerington, Betty
13330 W. Van Buren 5447 S. EL MIRAGE
Goodyear, AZ 85338 Tolleson, AZ 85353
Phone: (623) 932-3611 Phone: (623) 925-1350
Fax: (623) 932-3396
Rabies Vaccination Certificate
NAME: Cookie
SPECIES: CANINE WEIGHT: lbs Rabies Tag #
BREED: TOY POODLE ID #1
GENDER: Fl ID #2
COLOR: WHITE Last Visit 6/6/2012
BIRTHDAY: 5/2/2010
AGE: 2 yrs, 1 month
Item Description Given Due Date Lot # Manufacturer Exp. Date
2007 RABIES CANINE - 3 YEAR 6/6/2012 6/1/2015 S170481B Pfizer 1/22/2013
I hereby certify t10 at till as been vaccinated in accordance with the manufacturer's recommendation for the vaccine used on above date.
,
Date Issued 6/6/2012
W. Robert Doster, DV License: 455

Sundance Animal Hospital Client No. 5908
8350 W. Lower Buckeye Rd, Ste. 101 Yerbrier Kennel, K-14-005 & Yerington, Betty
5447 S. El Mirage Rd.
Tolleson, AZ 85353 Tolleson, AZ 85353
Phone: (623) 478-9295 Phone: (623) 680-5597
Fax: (623) 478-9294
Rabies Vaccination Certificate
NAME: Patsy
SPECIES: Canine WEIGHT: lbs Rabies Tag #
BREED: Fox Terrier-Toy ID #1
GENDER: Fl ID #2
COLOR: Tri-Color Last Visit 9/10/2013
BIRTHDAY: 10119/2011
AGE: 1 yr, 10 months
Item Description Given Due Date Lot # Manufacturer Exp. Date
2016 Rabies Vaccine - 3 Year 9/10/2013 9/9/2016 S2845630 Nobivac 9/3/2013
I hereby certify that this animal has been vaccinated in accordance with the manufacturers recommendation for the vaccine used on above date.
c--w0r4eil2(gt‘e.-40e., Date Issued 9/10/2013
Nancy McEachern, DVM License: 1605

Sundance Animal Hospital Client No. 5908
8350 W. Lower Buckeye Rd, Ste. 101 Yerbrier Kennel, K-14-005 & Yerington, Betty
Tolleson, AZ 85353 5447 S. El Mirage Rd.
Tolleson, AZ 85353
Phone: (623) 478-9295 Phone: (623) 680-5597
Fax: (623) 478-9294
Rabies Vaccination Certificate
NAME: P. Diddy
SPECIES: Canine WEIGHT* lbs Rabies Tag #
BREED: Chihuahua ID #1
GENDER: MI ID #2
COLOR: Tan/White Last Visit 9/10/2013
BIRTHDAY: 1211512007
AGE: 5 yrs, 8 months
Item Description Given Due Date Lot # Manufacturer Exp. Date
2016 Rabies Vaccine - 3 Year 9/10/2013 9/9/2016 S2845630 Nobivac 9/3/2013
I hereby certify that this animal has been vaccinated in accordance with the manufacturers recommendation for the vaccine used on above date.
(---vAemeiitY°,
Date Issued 9/10/2013
Nancy McEachern, DVM License: 1605

Agua Fria Animal Hospital Client No. 3884
Yerbrier Kennel & Yerington, Betty
13330 W. Van Buren 5447 S. EL MIRAGE
Goodyear, AZ 85338 Tolleson, AZ 85353
A Phone: (623) 932-3611 Phone: (623) 925-1350
Fax: (623) 932-3396
Rabies Vaccination Certificate
NAME: COSMO
SPECIES: CANINE WEIGHT: lbs Rabies Tag #
BREED: STANDARD POODLE ID #1
GENDER: MI ID #2
COLOR: BLK Last Visit 7/2712011
BIRTHDAY: 6/17/2007
AGE: 4 yrs, 1 month
Item Description Given Due Date Lot # Manufacturer Exp. Date
2007 RABIES CANINE - 3 YEAR 7/27/2011 7/21/2014 S05821313 Pfizer 1/24/2012
I hereby certify that thipanimal has leen vaccinated in accordance with the manufacturers recommendation for the vaccine used on above date.
Date Issued 7/27/2011
W. Robert Doster, DV License: 455

Agua Fria Animal Hospital Client No. 3884
13330 W. Van Buren Yerbrler Kennel & Yerington, Betty
5447 S. EL MIRAGE
Goodyear, AZ 85338 Tolleson, AZ 85353
Phone: (623) 932-3611 Phone: (623) 925-1350
Fax: (623) 932-3396
Rabies Vaccination Certificate
NAME: Denzel
SPECIES: CANINE WEIGHT: lbs Rabies Tag #
BREED: CHIHUAHUA ID #1
GENDER: MI ID #2
COLOR: BLKNVHT Last Visit 6/6/2012
BIRTHDAY: 12/15/2007
AGE: 4 yrs, 5 months
Item Description Given Due Date Lot # Manufacturer Exp. Date
2007 RABIES CANINE - 3 YEAR 6/6/2012 6/1/2015 S170481B Pfizer , 1/22/2013
I hereby certify that this aOirnal Ns gen 4c4artga in accordance with the manufacturer's recommendation for the vaccine used on above date.
Date Issued 6/6/2012
W. Robert Doster, DV License: 455

Sundance Animal Hospital Client No. 5908
8350 W. Lower Buckeye Rd, Ste. 101 Yerbrier Kennel, K-14-005 & Yerington, Betty
5447 S. El Mirage Rd.
Tolleson, AZ 85353 Tolleson, AZ 85353
Phone: (623) 478-9295 Phone: (623) 680-5597
Fax: (623) 478-9294
Rabies Vaccination Certificate
NAME: Twila
SPECIES: Canine WEIGHT: lbs Rabies Tag #
BREED: Toy Poodle ID #1
z1I1DER: Fl ID #2
COLOR: White Last Visit 9/10/2013
BIRTHDAY: 11/14/2006
AGE: 6 yrs, 9 months
Item Description Given Due Date Lot # Manufacturer Exp. Date
2016 Rabies Vaccine - 3 Year 9/10/2013 9/9/2016 S2845630 Nobivac 9/3/2013
I hereby certify that this animal has been vaccinated in accordance with the manufacturers recommendation for the vaccine used on above date.
Date Issued 9/10/2013
Nancy McEachern, DVM License: 1605

Ague Fria Animal Hospital Client No. 3884
Yerbrier Kennel & Yerington, Betty
OAGITA- f114 13330 W. Van Buren 5447 S. EL MIRAGE
Goodyear, AZ 85338 Tolleson, AZ 85353
ANKULINICI Phone: (623) 932-3611 Phone: (623) 925-1350
Fax: (623) 932-3396
Rabies Vaccination Certificate
NAME: Sunny
SPECIES: CANINE WEIGHT: lbs Rabies Tag #
BREED: TOY FOX TERRIER ID #1
GENDER: MI ID #2
COLOR: TRI Last Visit 6/6/2012
BIRTHDAY: 10/15/2010
AGE: 1 yr, 7 months
Item Description Given Due Date Lot # Manufacturer Exp. Date
2007 RABIES CANINE - 3 YEAR 6/6/2012 6/1/2015 S170481B Pfizer 1/22/2013
I hereby certify that this animal has been vaccinated in accordance with the manufacturer's recommendation for the vaccine used on above date.
Date Issued 6/6/2012
W. Robert DOster, 'Dv No4 License: 455