KENNEL PERMIT - COOKS CAVS AND LABS-COMPRESSED.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

Bf New C1 Renewal Permit #

Nama: /inda Cook Kennel Name: COOK'S Cavs and Labs
Mailing Address: 43414 North 12th Street Kiel Laie New River, AZ
rag ee ra ai County Supervisorial District MattooPa
Home Phone: 9902969078 : Kennel Phone: 990"662475

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 Board's approval.

NOTE: Failure to show for a scheduled inspection and/or failure of inspection will warrant a Subsequent
Inspection Return fee of $49 for each additional visit. Failure of inspection may result in denial of the kennel
permit and require individual licensing of each dog under the provisions of A.R.S. §11-1008.

PLEASE ANSWER THE FOLLOWING QUESTIONS AND INITIAL EACH RESPONSE
1. ~ 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, LC We certify that I/We have r / Q dogs and that the kennel meets the definition in statute.
3. LC We 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).

4. Le 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.

5. -C i Wwe certify that We are submitting a valid copy of the rabies vaccination certificate for each
dog with this application.

6,_ LC We understand that a dog remaining within the kennel is not required to be licensed individually under
ARS. § 11-1008. \/we also understand that a dog leaving the controlled kennel conditions shall be licensed

under A.R.S. § 11-1008 except if the dog is only being transported to another kennel which has a permit issued
under this section. '

7, tC \We 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.

8. Le 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.

9. LC 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 I/We have provided is true and accurate under penalty of law.

Applicant Signature Linda Cook 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

20f2

Maricopa County Animal Care and Control

2500 S. 27th Avenue
Phoenix, AZ 85009-6797

(602) 506-7387

Receipt Number: R22-945836 Receipt Date: 08/05/2022

Person ID: P3148834
Phone: 330 7662475

JOSEPH / LINDA COOK

43414 N 12TH ST 8/5/2022 3:17:44PM

NEW RIVER, AZ 85087

Item: Animal ID: Reference No: Price: Each: Amount:
KEN PERMIT $350.00 1 $350.00
Total Fees Due: $350.00

Payments: Cash;

Check:
Credit Card; $350.00
Total Payments Received: $350.00

Thank You!
Would you like to share your experience with our service to you? Shange: $0.00
Please visit our website at http://pets.maricopa.gov and click on "I Ralarios Dus: $0.00
Want To and Contact MCACC" to email your comments for our
review.

Pet Licensed/Registered To:

ellise WBUSOFF

Maricopa County
Animal Care & Control

2500 South 27" Avenuc
Phoenix, AZ 85009
Phone; (602) 506-7387

nefsinarinons pov

KENNEL PERMIT K
PREMISE INSPECTION
NUMBER OF DOGS: 18

Name: Linda Cook Kennel Name: Cook’s Cavs and Labs
Mailing Address: 43414 N 12" St Kennel Address: 43414 N 12th St
City: New River State: AZ Zip: 85087 City: New River State:AZ Zip: 85057

County Supervisorial District: Maricopa District 3

Phone: 330-256-3075 Kennel Phone: 330-256-3075

1. Are all dogs over the age of three months properly vaccinated for rabies and in possession of a
valid rabies vaccination certificate? YES

2. Is the kennel an enclosed, controlled area, inaccessible to other animals, in which a person
keeps, harbors or maintains five or more dogs under controlled conditions? YES

NOTE: Copies of each rabies vaccination certificate must be attached to the Kennel Permit
Premise Inspection form.

CORRECTIVE ACTION NEEDED FOR COMPLIANCE AND DAYS GIVEN BEFORE REINSPECTION.
(Note: There will be a $49 re-inspect fee payable to the Inspector by check upon each return

visit.)

Deputy Enforcement Agent & Badge #: Jason True #14

ZO

Official Summary of Visit
\ errerter Bet iESHn Rabies Certificate

230 E Riverside Dr, Eagle, 1D 83616 | vetiqpetcare.com | 833.838.4792

Joseph Cook Client's info:

43414 N 12th : 330-766-2475

New River, AZ 85087 docjcook@gmail.com

Rocky
rs BY : j Species: Dog Age: 7 months
: Gender: Male Birthdate: 12-10-2021

Breed: Chihuahua Fixed: No
Weight: 6.2 Ibs. Microchipped: No
Colors: Black And White

Vaccert: EIMIO1A-220720-63047Y

Clinic Visit | Location: El Mirage, Walmart, 12900 W. Thunderbird Rd.
Date: 07-20-2022
Vet On Duty: Cantrell, Charles
Vet License #: 7182
Pregnant: N/A
Weight: 6.2 Ibs.
Temperature: 100.4
Pulse: 170
Respiration: 30
Bright Alert Responsive: Yes
Visitation Age: 7 months
Weight Is Estimated: No
Is Healthy Enough To
Vaccinate: Yes
Referred To External Vet:
No
Physical Exam Note: WNL

Page 1 of 3

i
Smarter Pet Health

Official Summary of Visit
Rabies Certificate

230 E Riverside Dr, Eagle, iD 83616 | vetiqpetcare.com | 833.838.4792

Rabies

Vet Notes: Charles G. Cantrell, MS, VMD July, 20, 2022.
Open Clinic ..

s

Owner's presented pet for Examination, possible vaccinations, TNT, Lab work,
or possible preventative health care pet products.

Owner requests exam for Rabies vaccination.

Note the pet has not been known to have had any reactions to vaccines and is
considered healthy.

0:

Pet is Bright, Alert and Responsive - BAR.

Body Score: 5/9

Oral : MM - pink, CRT ~ < 2.0 sec.

: Teeth - young healthy adult teeth with retalned upper left
: canine.

: Tongue - WNL (Within Normal Limits) of size, shape & color.
Nose : No abnormalities noted.

Eyes : No abnormalities noted,

: Direct and indirect pupillary response - WNL.

Ears : WNL for clean and healthy.

Heart : WNL for rate and rhythm, No abnormalities noted.
: Femoral pulses - synchronous and symmetrical.

Lungs : Good air movement in all fields,

: WNL for panting & smelling the environment.

: No abnormalities noted.

Abdominal Palpation : WNL, No abnormalities noted.

: No masses or areas of discomfort noted.

Ambulation / Movement : No abnormalities noted.

Skin / Integumentary : No abnormalities noted.

Anal & Perianal : No abnormalities noted.

: Anal Glands - NR.

Lymph Nodes : WNL of size and shape.

A
Healthy pet, good candidate for Rabies vaccination.
Vac: Rabies .. Right hip, SQ. 1 yr.

Rec : Recheck In 6 months.

RB
Reviewed Physical Exam findings.
Reviewed possible adverse vaccination reactions.

Note : MM = Mucus Membranes
: WNL = Within Normal Limits
: NR = Not Remarkable.

Veterinary Assistant : Kimberly Rowland.
Veterinarian : Charles G Cantrell, MS, VMD

Product: Rabies - Rabies -|MRAB 3 TF Manufacturer: Merial
Vaccine Lot #: 18535 Lot Expiration: 11-17-2023 Duration: 1 year
Date Given: 07-20-2022 Next Vaccination: 07-20-2023

Page 2 of 3

1 VETIQ) | Official Summary of Visit
LVETIQS Rabies Certificate

Smarter Pet Health

230 E Riverside Dr, Eagle, ID 83616 | vetiqnetcare.com | 833.838.4792

License | Rabies Tag Generic Rabies Tag #V1161442 Expires: N/A

Signature: Dr. Charles Cantrell

Page 3 of 3

Smarter Pet Health

wr

Official Summary of Visit
Rabies Certificate

230 E Riverside Dr, Eagle, ID 83616 | vetiqpetcare.com | 833.838.4792

Joseph Cook
43414 N 12th
New River, AZ 85087

Client's Info:
330-766-2475
docjcook@gmail.com

Mocha

Vaccert: FMO1A-220720-632223

Species:

Gender:
Breed:
Weight:

Colors:

Dog Age: 8 months
Female Birthdate: 44-08-2021
Chihuahua Fixed: No

9.4 Ibs. Microchipped: No

Tan And White

Clinic Visit

Location:

Date:

Vet On Duty:

Vet License #:
Pregnant:

Weight:
Temperature:

Pulse:

Respiration:

Bright Alert Responsive:
Visitation Age:
Weight ts Estimated:

Is Healthy Enough To
Vaccinate:

Referred To External Vet:

Physical Exam Note:

El Mirage, Walmart, 12900 W. Thunderbird Rd.

07-20-2022
Cantrell, Charles
7182

N/A

9.4 Ibs,
100.8

200

50

Yes

8 months
No

Yes

No
WNL

Page 1 of 3

Smarter Pet Health

Official Summary of Visit
Rabies Certificate

230 E Riverside Dr, Eagle, 1D 83616 | veliqnpetcare.com | 833.838.4792

Rabies

Vet Notes: Charles G. Cantrell, MS, VMD — July, 20, 2022.
Open Clinic ..

Ss:

Owner's presented pet for Examination, possible vaccinations, TNT, Lab work,
or possible preventative health care pet products.

Owner requests exam for Rabies vaccination.

Note the pet has not been known to have had any reactions to vaccines and Is
considered healthy.

0:

Pet is Bright, Alert and Responsive - BAR.

Body Score: 5/9

Oral : MM - pink, CRT ~ < 2.0 sec.

: Teeth - healthy young adult teeth with slight protruding lower

: Jaw.

: Tongue - WNL (Within Normal Limits) of size, shape & color.
Nose : No abnormalities noted.

Eyes : No abnormalities noted.

: Direct and indirect pupillary response - WNL.

Ears : WNL for clean and healthy.

Heart : WNL for rate and rhythm, No abnormalities noted.
: Femoral pulses - synchronous and symmetrical.

Lungs : Good air movement in all fields,

: WNL for panting & smelling the environment.

: No abnormalities noted.

Abdominal Palpation : WNL, No abnormalities noted,

: No masses or areas of discomfort noted.

Ambulation / Movement : No abnormalities noted.

Skin / Integumentary : No abnormalities noted.

Anal & Perianal : No abnormalities noted.

: Anal Glands - NR.

Lymph Nodes : WNL of size and shape.

A

Healthy pet, good candidate for Rabies vaccination.
Vac : Rabies .. Right hip, SQ. 4 yr.

Rec : Recheck in 6 months.

Ps

Reviewed Physical Exam findings.

Reviewed possible adverse vaccination reactions.
Note : MM = Mucus Membranes

: WNL = Within Normal Limits

: NR = Not Remarkable.

Veterinary Assistant : Kimberly Rowland.
Veterinarian : Charles G Cantrell, MS, VMD

Product: Rabies - Rabies-IMRAB 3 TF Manufacturer: Merial
Vaccine Lot #: 18535 Lot Expiration: 44-17-2023 Duration: 1year
Date Given: 07-20-2022 Next Vaccination: 07-20-2023

Page 2 of 3

IQ) | Official Summary of Visit
Rabies Certificate

t i
* _ Smarter Pet Health

230 E Riverside Dr, Eagle, 1D 83616 | vetiqnetcare.com | 833.838.4792

License | Rabies Tag Generic Rabies Tag #V1073895 Expires: N/A

Signature: Dr. Charles Cantrell

Page 3 of 3

---- CLIENT ---- ---- PATIENT ----
LINDA COOK NAME PEANUT
1764 BEN FULTON SPECIES CANINE
NORTH LAWRENCE, OH 44666 Breed CAVALIER
(330) 256-3075 Sex FEMALE NOT SPAYED
COLOR
WEIGHT BORN 08-07-17

I hereby certify that I have vaccinated this animal in
accordance with the company's recomine dations for the vaccine
used on the-above date. . mei,

- é
Pat , Pome c
C ys lal ot
ae

Brenda Ramsey L'Amoreaux DVM

BeOS GEG AGG GIOI GOI IA ROI I CR SE A A A AR A A

PROCEDURE PERFORMED DUE

DA2PLP+C Q3-09-20 Q3-@9-21
Rabies Q@3-99-20 @3-09-23
HW Preventative 9-14-18 Q4-14-19

JE CIOS ROI GI III AK RA AC ICR A 28 oF A A

West Main Veterinary Clinic
817 West Main St
Louisville, Oh 44641
33@ 875 9404

Smarter Pet Health

Official Summary of Visit
Rabies Certificate

230 E Riverside Or, Eagle, ID 83616 | veliqpetcare.con | 833.838.4792

Joseph Cook Client's info:

43414 N 12th 330-766-2475

New River, AZ 85087 docjcook@gmail.com

Jazzy
Species: Dog Age: 1.5 years
Gender: Female Birthdate: 10-20-2020
Breed: Cavalier King Charles Fixed: No
Spaniel

Weight: 24.3 Ibs. Microchipped: No
Colors: Tan And White

Vaccert: EMO1A-220816-009141

Clinic Visit | Location:

Date:

Vet On Duty:

Vet License #:
Pregnant:

Weight:
Temperature;

Pulse:

Respiration:

Bright Alert Responsive:
Visitation Age:
Weight Is Estimated:

Is Healthy Enough To
Vaccinate:

Referred To External Vet:

Physical Exam Note:

El Mirage, Walmart, 12900 W. Thunderbird Rd.

08-16-2022
Warnke, Eden
8299

N/A

24.3 Ibs.
99.0

140

24

Yes

1.5 years
No

Yes

No
WNL

Page 1 of 2

Smarter Pet Health

Official Summary of Visit
Rabies Certificate

230 E Riverside Dr, Eagle, ID 83616 | vetiqnetcare.com

Rabies

License

Vet Notes:

Product:

Vaccine Lot #:
Date Given:

Rabies Tag

| 833.838.4792

Subjective: Patient presented today for examination and wellness services
{listed below). No C/S/V/D. No health concerns or recent medications.

Objective:

BCS: 6/9

Gen: BAR, adequately hydrated, mm: pink, moist, CRT: <2 sec -
Oral: mild amount of dental tartar/plaque, no gingivitis

EENT: no oculonasal discharge

CV: normal heart rate and rhythm, no murmurs or arrhythmias appreciated.
Strong synchronous pulses

Resp: Eupneic, no crackles or wheezes appreciated

Abdo: no palpable masses or fluid wave

Msk: adequate and symmetric muscling, no lameness

Neuro: appropriate mentation and ambulation. CN intact

LN: no peripheral lymphadenopathy

Urogenital: no vulvar swelling or discharge appreciated

Integ: full and clean hair coat, no ectoparasites appreciated

Assessment:
Apparently healthy for vaccines

Plan:
Rabies Vaccine (1 year) R hindlimb SQ

Additional Notes:

Monitor for signs of vaccine reactions - if any significant swelling, hives,
difficulty breathing, vomiting, or diarrhea within the next 24 hours then P
needs to be taken to an emergency clinic for evaluation.

Rabies - Rabies -IMRAB 3 TF Manufacturer: Merial

Lot Expiration: 03-10-2024 Duration: iyear

08-16-2022 Next Vaccination: 08-16-2023

Generic Rabies Tag #V1073796 Expires: N/A

Grabenn fA, La a

Signature: Dr. Eden Warnke

Page 2 of 2

---- CLIENT ---- ---- PATIENT ----
LINDA COOK NAME PEPPER
1764 BEN FULTON SPECIES CANINE
NORTH LAWRENCE, OH 44666 Breed CHI
(330) 256-3075 Sex MALE NEUTERED
COLOR
WEIGHT BORN @6-01-12

I hereby certify that I have vaccinated this animal in
accordance with the company's recommendations for the vaccine
usedyon the above date.

SAAR i EO OK fe ko

PROCEDURE PERFORMED DUE

DA2PLP+C 11-30-28 11-30-21
Rabies 11-30-20 11-30-23
HW preventative 07-08-20 Q4-08-21

SCAG CR ao 2k 2k A A Rk aC a 2 og ofc oo oR a Ae oe oie oo

West Main Veterinary Clinic
817 West Main St
Louisville, Oh 44641
330 875 9404

---- CLIENT ---- ---- PATIENT ----
LINDA COOK NAME RUDY
1764 BEN FULTON SPECIES CANINE
NORTH LAWRENCE, OH 44666 Breed CAV KING
(330) 256-3075 Sex FEMALE
COLOR RUBY
WEIGHT BORN 12-05-18

I hereby certify that I have vaccinated this animal in
accordance with the company’s recommendations for the vaccine

used "ool date i

Brenda Ramsey L'Amoreaux DVM

Je SSAA ACI GIOIA I IK a a 1K ok ok i ak ak ae a

PROCEDURE PERFORMED DUE
DA2PLP+C Q3-09-20 @3-09-21
Rabies Q3-09-20 @3-@9-23

GEE OAC OGG OHO CIC IIIS ICH # aka

West Main Veterinary Clinic
817 West Main St
Louisville, Oh 44641
330 875 9404

---- CLIENT ---- ---- PATIENT ----
LINDA COOK NAME JERRY
1764 BEN FULTON SPECIES CANINE
NORTH LAWRENCE, OH 44666 Breed KIN CAV
(33@) 256-3075 Sex MALE
COLOR
WEIGHT BORN @9-12-18

I hereby certify that I have vaccinated this animal in
accordance with the company's recommendations for the vaccine
used on the above date.

Brenda Ramsey L'Amoreaux DVM

JOO ERA ACG OR ROR IO ROR AO ACI ACR A ACR AC ACH A %

PROCEDURE PERFORMED DUE
DA2PLP+C Q@3-09-20 Q3-09-21
Rabies Q3-09-20 Q3-09-23

JES GSS GRA AG GI ICICI AR ACRE IIH

West Main Veterinary Clinic
817 West Main St
Louisville, Oh 44641
330 875 9404

7/25/22, 10:26 AM lindasamples3.jpg So

DATE VACCINATED: REVACCINATION DUE DATE: TAG 202716
---- CLIENT ---- ome PAT IENE ----
LINDA COOK NAME JOURNEY
1764 BEN FULTON SPECIES CANINE
NORTH LAWRENCE, OH 44666 Breed
(330) 256-3075 Sex
COLOR
WEIGHT BORN

Vaccine: MERIAL, 12653, 3YEAR, KILLED, IMRAB 3

I hereby certify that I have vaccinated this animal in
accordance with the company's recommendations for the vaccine
used on the above date.

Brenda Ramsey L'Amoreaux DVM

KK KR RR Rk Rk ok Rk ok RR RR RO KR Oe

PROCEDURE PERFORMED DUE

DA2PLP+C 11-28-20 11-28-21
Rabies 11-28-20 11-28-23
HW preventative 07-08-20 04-08-21

Rk KK RR TR RO ROR FOR RIO RIK RR RR IO

West Main Veterinary Clinic
817 West Main St
Louisville, Oh 44641
330 875 9404

https://mail.google.com/mail/u/0/?tab=rm&ogbi#inbox?projector=1

Wh

---- CLIENT ---- ---- PATIENT ----
LINDA COOK NAME MAGGIE
1764 BEN FULTON SPECIES CANINE
NORTH LAWRENCE, OH 44666 Breed CAV KING C
(330) 256-3075 Sex FEMALE
COLOR TRICOLORED
WEIGHT BORN @9-15-18

I hereby certify that I have vaccinated this animal in
accordance with the company's recommendations for the vaccine
used on the above date.

Brenda Ramsey L‘Amoreaux DV!

JOO OO Roig a Gc RHE

PROCEDURE PERFORMED DUE
DA2PLP+C Q3-09-20 @3-09-21
Rabies @3-09-20 @3-@9-23

FOGG OIS OI IO AIG I A I ACI A A A Kk AR a

West Main Veterinary Clinic
817 West Main St
Louisville, Oh 44641
330 875 9404

7/25/22, 10:26 AM lindacook4 jpg

DATE VACCINATED: REVACCINATION DUE DATE: TAG 202711
---- CLIENT ---- ee=-; PATIENE =-s-
LINDA COOK NAME SUNNY
1764 BEN FULTON SPECIES CANINE
NORTH LAWRENCE, OH 44666 Breed LAB
(330) 256-3075 Sex FEMALE NOT SPAYED
COLOR WHITE
WEIGHT BORN 03-02-16
aS a i pl aN se pee ences nemeee em ene emer msnesem seen eenenein fe a

Vaccine: MERIAL, 12653, 3YEAR, KILLED, IMRAB 3

I hereby certify that I have vaccinated this animal in
accordance with the company's recommendations for the vaccine
used on the above date.

Brenda Ramsey L'Amoreaux DVM PREVIOUS TAG 173584

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PROCEDURE PERFORMED DUE

DA2PLP+C 11-28-20 11-28-21
Rabies 11-28-20 11-28-23
HW preventative 07-08-20 04-08-21

KKK KK RK RK KR EK RK KER KK KER KK KKK KKK KKK KE

West Main Veterinary Clinic
817 West Main St
Louisville, Oh 44641
330 875 9404

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a

Official Summary of Visit
Rabies Certificate

Smarter Pet Health

230 E Riverside Dr, Eagle, ID 83616 | vetiqpetcare.com | 833.838.4792

Joseph Cook Client's info:

43414 N 12th 330-766-2475

New River, AZ 85087 docjcook@gmail.com

Roxie

Species: Dog Age: 8 months
Gender: Female Birthdate: 11-09-2021
Breed: Chihuahua Fixed: No
Weight: 5.5 Ibs. Microchipped: No
Colors: Tan

Vaccert: EMO1A-220720-63120B

Clinic Visit | Location: El Mirage, Walmart, 12900 W. Thunderbird Rd.
Date: 07-20-2022
Vet On Duty: Cantrell, Charles
Vet License #: 7182
Pregnant: N/A
Weight: 5.5 Ibs.
Temperature: 100.7
Pulse: 180
Respiration: 40
Bright Alert Responsive: Yes
Visitation Age: 8 months
Weight Is Estimated: No
Is Healthy Enough To
Vaccinate: Yes
Referred To External Vet:
No
Physical Exam Note: WNL

Page 1 of 3