KENNEL PERMIT RENEWAL FOR ARTHUR MCKAY DBA HARQUAHLA KENNELS.PDF

Maricopa County

Animal Care and Control
2500 South 27th Avenue
Phoenix, AZ 85009
(602) 506-7387 Tele.

(602) 506-2739 Fax

KENNEL PERMIT K22-000018

APPLICATION

OO New X Renewal

Name Arthur McKay Kennel Name: Harquahla Kennels P0610901

Mailing Address: 10602 S 540" Ave Kennel Address: 10602 S 540" Ave
City: Tonopah State: AZ Zip: 85354 City: Tonopah State: AZ Zip: 85354
County Supervisorial District:

Phone:623-399-3623 Kennel Phone: 928-372-2262

Please complete and sign this application and return it to the above address with payment in the amount of three
hundred twenty-eight dollars ($350.00) within ten (10) days of receipt.

NOTE: It is suggested the renewal application be submitted 4 — 6 weeks in advance of the expiration date.

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 at time of inspection. 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.\Y 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{ f A We certify that I/We have + WZ GS ) dogs and that the kennel meets the definition in statute.

3. pee \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( ty Uv \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.

ne
5 | We certify that I/We are submitting a valid copy of the rabies vaccination certificate for each
dog with this application.
/)
eff We understand that a dog remaining within the kennel is not required to be licensed individually under

A.R’S. § 11-1008. I/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.

Chpeoe MWe understand that a person who fails to obtain a kennel permit under A.R.S.§11-1009 is subject to a
perialty of twenty-five dollars in addition to the annual fee.

irae 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.

4)
9.44 he 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 Cll ek ou Date ()errtoher, 19%, 2021

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,

October 2015

Maricopa County Animal Care and Control

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

(602) 506-7387
http://pets.maricopa.gov

Receipt Number: R21-683359 Receipt Date: 11/17/2021

Person ID: P0610901
Phone: 928 3722262

HARQUAHALA KENNELS —
10602 S 540TH AVE 11/17/2021 12:09:39PI

TONOPAH, AZ 85354

Item: Animal ID: Reference No: Price: Each: Amount:
KEN PERMIT A7777777 K22-000018 $350.00 1 $350.00
Total Fees Due: $350.00

Payments: Cash:
Check: $350.00

Credit Card: :
Total Payments Received: $350.00
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 "I Balance Due: $0.00
Want To and Contact MCACC" to email your comments for our
review.

Animal information: NTT

A7777777 KENNEL PERM - BORN 9/14/1999, SPAYED, UNKNOWN/MIX, TRICOLOR DOG

License Information:
Tag Number: License Expires: Animal# Vacc Date: Vacc Expires:

Pet Licensed/Registered To: Harquahala Kennels

Please retain this receipt with your pet's records

APODACAP WBUSOFF

Maricopa County
Animal Care & Control

2500 South 27" Avenue
Phoenix, AZ 85009
Phone: (602) 506-7387
pets.maricopa.gov

KENNEL PERMIT K22-000018

PREMISE INSPECTION
Number of Dogs: 5

Name: Arthur McKay Kennel Name: Harquahla Kennels P0610901
Mailing Address: 10602 S 540‘ Ave Kennel Address: Same
City: Tonopah State: AZ Zip:85354 City: Zip:

County Supervisorial District: 5

Phone: 623-399-3623 Kennel Phone: 928-372-2262

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_ N/A DAYS GIVEN
BEFORE REINSPECTION. (Note: There will be $49 re-inspect fee payable to the
Inspector by check upon each return visit.)

NONE

Deputy Enforcement Agent & Badge #: Lt. Chris Kunszt Date: 11-17-21

RABIES VACCINATION CERTIFICATE
ADAPTED NASPHV FORM 51

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Owner’s Name & Address

Tag fee $:
Tag #:
Cert. Serial #:

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cat ( O Female “LJ | 12 Mo. or older 3 20 - 50 Ibs {
Other (1 Altered i) Over 50 Ibs\ NAME:
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DATE VACCINATED, T PRODUCER: Veterinarian’s # ZIG »
| V L_- a License No.7
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1 yr. Lic.Vace.
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3 yr. Lic. / Vaccine

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DATE VACCINATED:

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Cat
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