2026.04.22 KENNEL PERMIT DAISY PEREZ C# APPLICATION.PDF
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Maricopa County
Animal Care-And Control
2500 South 27th Avenue
Phoenix, AZ 85008 fy
(602) 506-7387 Tele.
(602) 506-2739 Fax
KENNEL PERMIT APPLICATION
Sow C1 Renewal Permit #
Name_ DQ SY N. Perez Kennel Name: “Tale Dy Kx
Maiting Address: 1/425 Al PICK [us Peart | Kennel Location: WH95 tal Prick tp Peac Trl
City bea falammive zp_CO2E4 County Supervisorial District Maricapa COUNTY
Home Phone: (43) “39a “Ol]& Kennel Phone: 48, O)- ATH - We 41
5000 N Abin De Litchtield Park, AZ 863+0
Please complete and sign this application and return it to the above address with payment In. the amount of
three hundred fifty dollars ($350.00) 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 Boara’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
ad p lWe 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),
fA) We certify that We have 23 dogs and that the kennel meets the definition in statute.
3. 4D. lWe certify that I/We have not been convicted of a violation of A.R.S. §§ 13-2910 (cruelty to animals)
or 13-2910.01 (dog fighting), or similar violations of any other state, county or municipal animal welfare law.
(Violations of license and leash laws DO NOT apply).
art a VWe certify that all dogs over the age of thred 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.
dp | We certify that We are submitting a valid copy of the rabiés vaccination certificate for each
dog With this application.
be 4) We understand that a dog remaining within the kennel is not required to be licensed individually under
§ 11-1008. lAve also understand that a dog leaving the controlled kennel conditions shall be licensed
wer ARS, § 11-1008 except if the dog is only being transported fo another kennel Which has a permit issued
under this section.
hp lAVe 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.
sD \We 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.
eA) 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.
[We certify that all of the information We have provided is true and accurate under penalty of law.
Applicant Signature AO) Lege a) Pa pate Oa lag AOA lp
Applicant Signature. Date.
For Official Use Only:
Copies of Valid Rabies Vaccination Certificates for each dog attached, AS f a b j eS
Copy of Person’s Valid Identification Attached A |
Type of Identification submitted AZ- DRWERC LICENCE
BOS Approval Date Term of Permit,
2 of 2
ICERTIFICATE OF VACCINATION
Date of Rabies Vaccination: 03-06-26
Next Rabies Vaccination On: 03-06-27
VETERINARY CLINIC
Vistancia Animal Hospital
28570 North El Mirage Road
Peoria, AZ 85383
623-888-8108
This is to certify...
Certificate No: 10915
Previous Rabies Vaccination:
OWNER OF ANIMAL
Jayleen Allen
1641 S. 235th Drive
Buckeye, AZ 85326
County:
THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW.
Patient information...
PATIENT: Anego
SPECIES: Canine
SEX: F
Color and markings... White And Tan
Signed
Microchip:
WEIGHT: 5.30
AGE: 15 weeks
ea
UV (PF
Jason Long
Vaccinations done...
03-06-26 DL Rabies Canine tyr, #327
03-06-26 DL Da2pp #4 tyr
01-13-26 ae Da2pp #3 3wks
01-05-26 ee Bordetella Vaccine I.N. 1 yr
Rabies Vaccine Information...
MFG BY: NOBIV
LOT EXP: 03/18/27
License: 6749
SER.NO: 838296
ADM: RRSQ
Date of Rabies Vaccination: 09-29-25
Next Rabies Vaccination On: 09-29-26
VETERINARY GLINIC
Vistancia Animal Hospital
28570 North El ive Road
Peoria, AZ 85383
623-888-8108
This is to certify.|.
Patient information...
PATIENT: Ivy
SPECIES: Canine
SEX: F
Vaccination
09-29-25 0
69-29-25 DL Da2pp #4V :
09-29-25 DL Litter Exaim- Each Puppy Addl
09-05-26 DL Da2pp #3 Swks
08-15-25 DL | Bordetella Vaccine I.N. 4 yrs
08-15-25 DL | Da2pp #2 3 wks a
07-22-26 DL Da2pp #1 3wks
Rabies Vaccine Information...
MFG BY: NOBIV
LOT EXP: 07/01/26
Certificate No: 10287
Previous Rabies Vaccination:
OWNER OF ANIMAL
Daisy Perez
85383
icense: 6749
rm
SER.NO: 781241
ADM: RRSQ
a icrochip:. me ;
“ WEIGHT: 4.70 °°:
© AGE: : 18 weeks a
11425 W Prickly Pear Tri
DESCRIBED BELOW,
Petco 1108
WKS ¢ @) Certificate of Rabies 6090 W Behrend Dr
CO Glendale, AZ 85308
Vaccination
VatcoClinics.com
: Customer Information
Owner's Name: Daisy Perez Additional
5060 n 146 dr Account
Litchfield Park, AZ 853540 Holders:
County: Maricopa County
Phone: 480-973-6847 Alternate Phone:
Email: daisynicoleperez@icloud.com First Visit: 02/13/2025
Last Visit: 02/12/2026
Pet Name: Han Last Visit: 01/22/2026
Breed: Yorkie-Poo Species: Canine
Color: Black and Brown
Sex: Male Weight: 5.14
Age: 5 Months DOB: 08/24/2025
Microchip #: 941000032116050 Rabies Tag:
Medications:
Vaccine Information
Vaccination: Rabies Vaccination 1 Year Age at 21 Weeks
Vaccination:
Date 01/22/2026 Next Vaccine 01/22/2027
Vaccinated: Due:
Manufacturer:. Zoetis Lot # / Serial #: 844199/815456
Vaccine Name: Vanguard Rabies 3 Year Vaccine 41/05/2026
Explration Date:
Veterinarian
Attending Veterinarian: Dr. Matthew Robson License Number: 3895
ote for VA and MD clients with Rables Vaccinations: An Animal is not considered immunized for at least 28 days after the initial or
srimary vaccination is administered
drinted - 2/15/2026
WEUco,
Certificate of Rabies
Vaccination
Petco 1108
6090 W Behrend Dr
Glendale, AZ 86308
VetcoClinics.com
Customer Information
Owner's Name: Daisy Perez
5060 n 146 dr
Litchfield Park, AZ 85340
County: Maricopa County
Phone: 480-973-6847
Email: daisynicoleperez@icioud.com
Pet Information
Additional
Account
Holders:
Alternate Phone:
First Vislt:
Last Visit:
02/13/2025
02/12/2026
Pet Nama: Dom Lest Visit: 01/22/2026
Breed: Yorkie-Poo Species: Canine
Color: Black, Brown, and White
Sex: Male Weight: §10
Age: 5 Months DOB; 08/24/2025
Microchip #: 941000032085880 Rabies Tag:
Medications: ,
Vaccine Information
Vaccination: Rabies Vaccination 1 Year Age at 21 Weeks
Vaccination:
Date 01/22/2026 Next Vaccine 01/22/2027
Vaccinated: Due:
Manufacturer: Zoetis Lot # / Serial #: 844199/815456
Vaccine Name: Vanguard Rabies 3 Year Vaccine 11/05/2026
Expiration Date:
Veterinarian
Attending Veterinarian:
Dr. Matthew Robson
License Number:
3895
ote for VA and MD clients with Rabies Vaccinations: An Animal is not considered immunized for at least 28 days after the initial o!
otimary vaccination is administered
*rinted - 2/15/2026
WEuUCco,
Certificate of Rabies
Vaccination
Petco 1108
6090 W Behrend Dr
Glendale, AZ 85308
VetcoClinics.com
Customer Information
Owner's Name: Daisy Perez
§060 n 146 dr
Litchfield Park, AZ 85340
County: Maricopa County
Phone: 480-973-6847
Email: daisynicoleperez@icloud.com
Additional
Account
Holders:
Alternate Phone:
First Visit: 02/13/2025
Last Visit: 02/12/2026
Pet Information
Pet Name; Mia Last Visit: 01/22/2026
Breed: Yorkie-Poo Species: Canine
Color: Black, Brown, and White
Sex: Female Weight:. 742
Age: & Months DOB: 08/24/2025
Microchip #: 941000031726835 Rabies Tag:
Medications:
Vaccine Information
Vaccination: Rabies Vaccination 1 Year Age at 21 Weeks
Vaccination:
Date 01/22/2026 Next Vaccine 01/22/2027
Vaccinated: Due:
Manufacturer: Zoetis Lot # / Serial #: 844199/815456
Vaccine Name: Vanguard Rabies 3 Year Vaccine 11/05/2026
Attending Veterinarian:
Veterinarian
Dr. Matthew Robson
Expiration Date:
License Number: 3895
ote for VA and MD clients with Rabies Vaccinations: An Animal is not considered immunized for at least 28 days after the initial o1
yrimary vaccination is administered
tinted - 2/16/2026
Petco 108
WI CO Certificate of Rabies 6090 W Behrend Dr
\ ® Glendale, AZ 85308
Vaccination
VetcoClinics.com
Customer Information
Owner's Name: Daisy Perez Additional
5060 n 146 dr Account
Litchfield Park, AZ 85340 Holders:
County: Maricopa County
Phone: 480-973-6847 Alternate Phone:
Email: daisynicoleperez@icloud.com First Visit: 02/13/2025
Last Visit: 02/12/2026
Pet Name: Letty Last Visit: 01/22/2026
Breed: Yorkie-Poo : Species: Canine
Color: Black and Brown
Sex: Famale Weight: 5.20
Age: 5 Months DOB: 08/24/2025
Microchip #: 941000032116484 Rabies Tag:
Medications:
Vaccine Information
Vaccination: Rabies Vaccination 1 Year Age at 21 Weeks
Vaccination:
Date 01/22/2026 Next Vaccine 01/22/2027
Vaccinated: Due:
Manufacturer: Zoetis Lot # / Serial #: 844199/815456
Vaccine Name: Vanguard Rabies 3 Year Vaccine 11/05/2026
Expiration Date:
Veterinarian
Attending Veterinarian: Dr. Matthew Robson License Number: 3895
Vote for VA and MD clients with Rabies Vaccinations: An Animal is not considered immunized for at least 28 days after the initial or
orimary vaccination is administered
*rinted - 2/16/2026
VaUCo.
Certificate of Rabies
Vaccination
Petco 1108
6090 W Behrend Dr
Glendale, AZ 85308
VetcoClinics.com
' Customer Information
Owner's Name: Daisy Perez
5060 n 146 dr
Litchfield Park, AZ 85340
County: Maricopa County
Phone: 480-973-6847
Email: daisynicoleperez@icloud.com
Additional
Account
Holders:
Alternate Phone:
First Visit:
Last Visit:
02/13/2025
02/12/2026
Pet Information
Pet Name: Suki Last Visit: 01/22/2026
Breed: Yorkle-Poo ' Species: Canine
Color: Black, Brown, and White
Sex: Female Weight: 6,00
Age: 5 Months DOB: 08/24/2026
Microchip #: 941000032116289 Rabies Tag:
Medications:
Vaccine Information
Vaccination: Rabies Vaccination 1 Year Age at 21 Weeks
Vaccination:
Date 01/22/2026 Next Vaccine 01/22/2027
Vaccinated: Due:
Manufacturer: Zoetis Lot # / Serial #: 844199/815456
Vaccine Name: Vanguard Rabies 3 Year Vaccine 11/05/2026
Expiration Date:
Veterinarian
Attending Veterinarian: Dr, Matthew Robson License Number: 3895
is ce aca se al
ote for VA and MD clients with Rabies Vaccinations: An Animal is not considered immunized for at least 28 days after the initial or
yrimary vaccination is administered
*rinted ~ 2/15/2026
| Vaccination
OF VACCINATION
Date of Rabies Vaccination: 09-29-25
Next Rabies Vaccination On: 09-29-26
| VETERINARY GLINIC
“| Vistancia Animal Hospital
28570 North El Mirage Road
Peoria, AZ 85393
623-888-8108 .
This is to certify.|.
_| THAT | HAVE VACCINATED AG)
| Patient information...
PATIENT: Ace
SPECIES: Canine
SEX: M ;
Certificate No: 10286
Previous Rabies Vaccination:
OWNER OF ANIMAL
Daisy Perez
11425 W Prickly Pear Tri
Peoria, f
GE: = AB weeks s
09-29-25
09-29-25 es € ve
09-29-25 Litter Exani- Fitst Pu:
09-05-25 BL Da2pp #3 3wks
08-15-25 DL.| Bordetella Vaccine I.N. 1 yr
08-15-26. BL Da2pp #2 3 wks
07-22-25 BL Da2pp 1 3wks
Rabies Vaccine Information...
MFG BY: NOBIV | SER.NO: 781241
| ADM: RRSQ
LOT EXP: 07/01/26
* Ihicense: 6749,
DESCRIBED BELOW. |
|
|
|
i
| Peoria, AZ 85383
Date of Rabies|Vaccination: 09-29-25
Next Rabies Vaccination On: 09-29-26
VETERINARY GLINIC
Vistancia Animal Hospital:
28570 North El Mirage Road
623-888-8108
This is to certify... |
THAT | HAVE VACCINATED AG
Patient information...
PATIENT: Cash
SPECIES: Canine
SEX: M
Certificate No: 10285
Previous Rabies Vaccination:
OWNER OF ANIMAL
Daisy Perez
11425 W Prickly Pear Trl
Peoria, 85383
09-29-25 Eyes
09-29-25 DL DaZpp 4 ay
09-29-25 DL Litter Exam- Bach
09-06-25 DL | Da2pp #3 3wks
08-18-25 DL } Bordetella Vaccine |.N. 4 yr
08-15-26 DL | Da2pp#2 3.wks
07-22-25 DL Da2pp ‘ awks
Rabies Vaccine Informati Dan
MFG BY: NOBIV|
LOT EXP: 07/01/26
SER.NO: 781241
ADM: RRSQ
icense: 6749
{
'
i
|
i
i
é
. Petco 108
WI Ce) Certificate of Rabies 6090 W Behrend Dr
Oy Glendale, AZ 85308
Vaccination
VetcoClinics.com
Customer Information |
Owner's Name: Daisy Perez Additional
5060 n 146 dr Account
Litchfield Park, AZ 85340 Holders:
County: Maricopa County
Phone: 480-973-6847 Alternate Phone:
Email: daisynicoleperez@icloud.com First Visit: 02/13/2025
Last Visit: 02/12/2026
Pet Name: Tsubasa Last Visit: 01/15/2026
Breed: Shiba Inu Species: Canine
Color: Beige
Sex: Neutered Male Weight: 18.80
Age: 1 Year, 4 Months DOB: 09/16/2024
Microchip #: Rabies Tag:
Medications:
Vaccination: Rabies Vaccination 3 Year Age at 1 Year, 4 Months
Vaccination:
Date 01/15/2026 Next Vaccine 01/14/2029
Vaccinated: Due:
Manufacturer: Zoetis Lot # / Serial #: 822239/807379
Vaccine Name: Vanguard Rabies 3 Year Vaccine 08/20/2026
Expiration Date:
Veterinarian
Attending Veterinarian: Dr. Mitshei Stover License Number: 8485
ote for VA and MD clients with Rabies Vaccinations: An Animal is not considered‘immunized for at least 28 days after the initial or
yrimary vaccination is administered
>rinted - 2/14/2026
et Petco 1138
ifi 4 2501 W Happy Valley Rd
Wh co. Certificate of Rabies Phoenix, AZ 85085
Vaccination
VetcoClinics.com
Customer Information
Owner's Name: Daisy Perez Additional
5060 n 146 dr Account
Litchfield Park, AZ 85340 Holders:
County: Maricopa County
Phone: 480-973-6847 Alternate Phone:
Email: daisynicoleperez@icloud.com First Visit: 02/13/2025
Last Visit: 07/03/2025
Pet Name: Aiko Last Visit: 07/03/2025
Breed: Poodle, Standard Species: Canine
Color: Black and White
Sex: — Female Weight: 50.20
Age: 1 Year 6 Months DOB: 12/27/2023
Microchip #: Rabies Tag:
Medications: 7.3,26 last heat in April claims no
chance of pregnancy, rabies exp
5.10.25 5n1 + lepto exp §.51,.24TH
Vaccine Information
Vaccination: Rabies Vaccination 3 Year Age at 1 Year 6 Months
Vacoination:
Date 07/03/2025 Next Vaccine 07/02/2028
Vaccinated: Due:
Manufacturer: Zoetis Lot # / Serial #: 798395 / 780796B
Vaccine Name: Vanguard Rabies 3 Year Vaccine 04/22/2026
Expiration Date:
Veterinarian
Attending Veterinarian: Dr. Jenica Gorman License Number: 5088
C5 Ca —
Vote for VA and MD clients with Rabies Vaccinations: An Animal is not considered immunized for at least 28 days after the initial or
orimary vaccination Is administered
rinted - 7/4/2026
Petco 1138
WI eo @ |) Certificate of Rabies 2601 W Happy Valley Rd
. . Phoenix, AZ 85085
Vaccination jot
VetcoClinics.com
Customer Information
Owner's Name: Daisy Perez Additional
5060 n 146 dr Account
Litchfield Park, AZ 85340 Holders:
County: Maricopa County
Phone: 480-973-6847 Alternate Phone:
Emali: daisynicoleperez@icloud.com First Visit: 02/13/2025
Last Visit: 07/03/2025
Pet Name: Kenzo Last Visit: 07/03/2025
Breed: Poodie, Standard Species: Canine
Color: Biscuit and White
Sex: Neutered Male Weight: 46,60
Age: 1Year & Months | DOB: . 01/22/2024
Microchip #: Rabies Tag:
Medications: 7,3.25 rabies exp 5.10.25 and 5ni +
Jepto exp 6.31.24 TH
Vaccine Information
Vaccination: Rabies Vaccination 3 Year Age at 1 Year § Months
Vaccination:
Date 07/03/2025 Next Vaccine 07/02/2028
Vaccinated: Due:
Manufacturer: Zoatis Lot #/ Serial #: 798395 / 7807968
Vaccine Name: Vanguard Rabies 3 Year Vaccine 04/22/2026
Expiration Date:
Veterinarian
Attending Veterinarian: Dr. Jenica Gorman License Number: 5088
ote for VA and MD clients with Rabies Vaccinations: An Animal is not considered immunized for at least 28 days after the initia! or
‘imary vaccination is administered
inted - 7/4/2025
Date of Rabies Vaccination: 09-29-25
Next Rabies Vatcination On: 09-29-26
VETERINARY CLINIC
Vistancia Animal Hospital
28570 North El Mirage. Road
Peoria, AZ 85383
623-888-8108
_| This.is'to certify’,
THAT | HAVE Vi CCINATED AGAINST RA
Patient informa fon...
PATIENT: Joker
SPECIES: Canin
SEX: M
Certificate No: 10288
Previous Rabies Vaccination:
OWNER OF ANIMAL
Daisy Perez
11425 W Prickly Pear Tri
Peoria AZ 85383
09-29-25 ei
09-29-25 pp #
09-29-25 DL’) Litter Exa
09-05-26 DL Dapp #3 3wks
- | 08-18-25 DL Bordetella Vaccine'I.N, 1 yr
© | 08-15-25 DL | Dapp #2 3 wks
07-22-26 BL Da2pp #1-3wks
Rabies. Vaccine information...
MFG BY: NOBIV
LOT EXP: 07/01/26
SER.NO: 781241
ADM: RRSQ
DESCRIBED BELOW.
+
|
fees
Date: oF Rabies. Vaccination: 06-04-25 Certificate, No: 9795.
Next Rabies Vaccination On: 06-03-28 Previous: Rabies Vaccination:
VETERINARY ‘CLINIC | OWNER OF ANIMAL,
Vistancia Animal rage Re Daisy Perez
ad
|
‘|| 28570 North El Mirage Re 11425 W Prickly ® Pear Tri
Peoria, AZ 85383 Peori
623-888-8108
_| This i to certify...
| THAT | HAVE VACCINATED Ac
DESCRIBED BELOW.
: Patient information... |
|
te tal Veco: LNA yr:
| SERNOY780787 |
ADM: RRSQ
Daisy Perez
5060 N 146th Dr
Litchfield Park, AZ 853402833
Home Phone: (213) 392-0176
daisynicoleperez@icloud.com
A Banfield
PET HOSPITAL
Banfield Pet Hospital
7290 W. Bell Read,
Glendale, AZ 85308-5308
(623) 334-1568
Rabies Certificate
Certificate Date
Wednesday, January 17,2024 4:04 PM
Microchip ID:
Pet Information
Name: Jojo Perez
Species: Canine
Breed: Terrier, Yorkshire
Sex: Male (Neutered)
Color: wht tan
Age: 2y/0m
Weight: 9.60 lbs
Microchip ID; 981020055146778
Manufacturer: Other/Unknown
Manufacturer:
Rabies Tags
Banfield
National Pet ID#
419608
County & Tag #
None
Vaccine Information
Producer: Zoetis Vanguard
Administered: 1/17/2024
Due Date: 1/17/2027
Lot/Serial #: 684658
Lot/Serial Expires: 12/10/2024
Vaccine Name: Rabies (Type: Killed)
Route: Subcutaneous
Site: Right Rear
[hereby certify that this pet has been vaccinated in accordance with all state and Federal laws and
regulations on this date.
Veterinarian:
Wend tony
Licensed Veterinarian: Dr. Madison M Aubry
DVM License Number:
8387
Any rabies certificate for this pet printed prior to the date of this certificate is null and void
ReportiD: RabiesCerten.x
Time Printed: 4:04 PM
Hospital #0157
Page 1of1
Date Printed: 1/17/2024
Petco 1138
WK Co. Certificate of Rabies 2501 W Happy Valley Rd
. . Phoenix, AZ 85085
Vaccination
VetcoClinics.com
E Customer Information
Owner's Name: Daisy Perez Additional
5060 n 146 dr Account
Litchfield Park, AZ 86340 Holders:
County: Maricopa County
Phone: 480-973-6847 Alternate Phone:
Email: daisynicoleperez@icloud.com First Visit: "02/13/2025
Last Visit: 07/03/2025
Pet Name: Sasha Last Visit: 02/13/2025
Breed: Yorkshire Terrier Species: Canine
Color: Black and Gray
Sex: Female Weight: 6.00
Age: 2 Years 1 Month DOB: 07/08/2023
Microchip #: Rabies Tag:
Medications: 2/13/25 Dapp due 1-3-26 Rabies due
12-13-24 Bord due 8-11-25 Det
Vaccine Information
Vaccination: Rabies Vaccination 3 Year Age at 1 Year 7 Months
Vaccination:
Date 02/13/2025 Next Vaccine 02/13/2028
Vaccinated: Due:
Manufacturer: Zoetis Lot # / Serial #: 766351/746382
Vaccine Name: Vanguard Rabies 3 Year Vaccine 11/18/2025
Expiration Date:
; Veterinarian
Attending Veterinarian: Dr. Angela Ascherl License Number: 7728
Ae SY
ote for VA and MD clients with Rabies Vaccinations: An Animal is not considered immunized for at least 28 days after the initial or
rimary vaccination is administered
‘inted - 8/26/2025
Petco 138
WKS CoO Certificate of Rabies 2601 W Happy Valley Rd
® Phoenix, AZ 85085
Vaccination
VetcoClinics.com
Customer Information
Owner's Name: Daisy Perez Additional
5060 n 146 dy Account
Litchfield Park, AZ 85340 Holders:
County: Maricopa County
Phone: 480-973-6847 Alternate Phone:
Email: daisynicoleperez@icloud.com First Visit: 02/13/2025
Last Visit: 02/13/2025 |
Pet Name: Milan Last Visit: 02/13/2025
Breed: Yorkshire Terrier Species: Canine
Color: Black and Gray
Sex: Neutered Male Weight: 6.60
Age: 1 Year 7 Months DOB: 07/08/2023
Microchip #: Rabies Tag:
Medications: 2/13/25 Dapp due 1-3-25 Rabies due
12-13-24 Det
Vaccination: Rabies Vaccination 3 Year Age at 1 Year 7 Months
Vaccination:
Date 02/13/2025 Next Vaccine 02/15/2028
Vaccinated: Due:
Manufacturer: Zoetis Lot # / Serial #: 766351/746382
Vaccine Name: Vanguard Rabies 3 Year Vaccine 41/15/2025
Expiration Date:
Veterinarian
Attending Veterinarian: Dr. Angela Ascherl License Number: 7728
ote for VA and MD clients with Rables Vaccinations: An Animal is not considered immunized for at least 28 days after the initial or
srimary vaccination fs administered
*rinted - 2/14/2026