USA PU REBRED LABS LLC KENNELS.PDF
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Maricopa County Animal Care And Control 2500 South 27th Avenue Phoenix, AZ 85009 (602) 506-7387 Tele. (602) 506-2739 Fax KENNEL PERMIT APPLICATION C1 New’ & Renewal Permit # KI9 — 0 00 0SX Name: Tretes Ths was Kennel Name: LLSA eo dL the ¢ Zé Mailing Address: OTS 2¢ ru 2 143, ad St Kennel Location: C colltd u g city S ew tts dake zp_PS IED County Supervisorial District Home Phone: 4 f0- SB y- GELS Kennel Phone: Same 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. 4, 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. We certify that I/We have 4 § dogs and that the kennel meets the definition in statute. 3. We certify that I/We have not been convicted of a violation of A.R.S. §§ 13-2910 (cruelty to animals) or 18-2910.01 (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. WY (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. | We certify that I/We are submitting a valid copy of the rabies vaccination certificate for each dog with this application. 6. 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. 7. t 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. Wy IWe 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. The undersigned understand that that the kennel permit does not authorize the operation of any type of pusiness 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 IZ Date: “Tl * ‘ me yo (a = 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 2 of 2 Maricopa County Animal Care and Control Receipt Number: R20-259344 USA PUREBRED LABS LLC KENNELS 27828 N 143RD ST SCOTTSDALE, AZ 85262 2500 S. 27th Avenue Phoenix, AZ 85009-6797 (602) 506-7387 http://pets. maricopa.gov Receipt Date: 07/31/2020 Person ID: P2263346 Phone: 480 5849315 7/31/2020 11:17:03AM Item: Animal ID: Reference No: Price: Each: Amount: KEN PERMIT AT777777 K21-000055 $350.00 1 $350.00 Total Fees Due: $350.00 Payments: Cash: Check: $350.00 Credit Card: Total Payments Received: $350.00 Would you like to share your experience with our service to you? Thank You! Please visit our website at http://pets.maricopa.gov and click on "I Chance: 0.00 Want To and Contact MCACC" to email your comments for our a : $0. review. Balance Due: $0.00 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 WBUSOFF Maricopa County Animal Care & Control 2500 South 27" Avenue Phoenix, AZ 85009 Phone: (602) 506-7387 pets.maricopa.gov KENNEL PERMIT K21-000055 PREMISE INSPECTION Number of Dogs: 35 Name: TRACY THOMAS Kennel Name: USA PUREBRED LABS LLC Mailing Address: 27828 N 143° ST Kennel Address: SAME AS MAIL City: SCOTTSDALE State: AZ Zip: 85262 County Supervisorial District: 2 Phone: 480-584-9315 Kennel Phone: 480-584-9315 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 NIA DAYS GIVEN BEFORE REINSPECTION. (Note: There will be $49 re-inspect fee payable to the Inspector by check upon each return visit.) The kennel was inspected on August 5, 2020 and there are 35 dogs on the kennel premises; all dogs have current rabies vaccinations and all are confined to the kennel property under controlled conditions. Deputy Enforcement Agent & Badge #: Lt. Romero #4 Date: 8/10/2020 October 2015 CERTIFICATE OF VACCINATION Date of Rabies Vaccination: 02-24-20 Next Rabies Vaccination On: 02-23-21 VETERINARY CLINIC Sunburst Animal Hospital 5032 W. Thunderbird Road Glendale, AZ 85306 602-938-1860 This is to certify... Certificate No: 0 Previous Rabies Vaccination: OWNER OF ANIMAL Tracy Thomas 27828 N. 143rd Street Scottsdale, AZ 85262 County: THAT | HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Hachi — SPECIES: Canine SEX: M Color and markings... Black Rabies Vaccine Information... TAG NO: WEIGHT: 73.90 AGE: 7 months MICROCHIP: MFG BY: MERI SER.NO: 18444 LOT EXP: 07/03/21 ADM: SQ Signed Lh. Shi... we Mark A. Stevens, DVM? egy" License: AZ1246 PAWS 20635 N Cave Creek Road, A-2- Phoenix, AZ 85024 Phone: (602) 795-7297 Fax: (602) 324-0816 azpaws.org Rabies Vaccination Certificate NAME: _ Echo | SPECIES: Canine WEIGHT: Ibs BREED: Labrador Retriever | GENDER: MI | COLOR: White BIRTHDAY: 711312017 AGE: 3 yrs, 0 months Item Description Given Due Date Lot # VR302 Rabies Vaccination - 3 Years 7/13/2020 7/13/2023 390136B Client No. 29087 Thomas, Tracy 27828 B. 143rd St Scottsdale, AZ 85262 Phone: (480) 584-9315 Rabies Tag #: ID #1: ID #2: Last Visit: 7/13/2020 Manufacturer Exp. Date Pfizer Nobivac-3 5/11/2021 | hereby certify that this animal has been vaccinated in accordance with the manufacturer's recommendation for the vaccine used on above date. Jib Scot Diskin, DVM License: 3781 Date Issued 7/13/2020 ‘CERTIFICATE OF VACCINATION Date of Rabies Vaccination: 03-19-19 Certificate No: 0 Next Rabies Vaccination On: 03-18-22 Previous Rabies Vaccination: VETERINARY CLINIC OWNER OF ANIMAL Sunburst Animal Hospital Tracy Thomas 5032 W. Thunderbird Road 27828 N. 143rd Street Glendale, AZ 85306 Scottsdale, AZ 85262 602-938-1860 County: This is to certify... THAT | HAVE VACCINATED AGAINST RABIES THE-ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Coco TAG NO: SPECIES: Canine WEIGHT: 52.10 SEX: F AGE: 6 months. Color and markings... Chocolate MIGROCHIP: Rabies Vaccine Information... MFG BY: ZOE SER.NO: 293126 LOT EXP: 11/06/19 ADM: SQ Le Signed fle i ote Mark A. Stevens, DVM License: AZ1246 Date of Vaccination: 04-05-18 Next Vaccination on: 04-04-21_ VETERINARY CLINIC Sunburst Animal Hospital 5032 W. Thunderbird Road Glendale, AZ 85306 602-938-1860 This is to certify... Certificate No. 0 Previous Vaccination: OWNER OF ANIMAL Tracy Thomas 27828 N. 143rd Street Scottsdale, AZ 85262 (480) 584-9315 THAT | HAVE VACCINATED THE ANIMAL DESCRIBED BELOW AGAINST RABIES. Patient information... PATIENT: ~ Nugget SPECIES: ~ Canine SEX: Female WEIGHT: _60.10.lbs MICROCHIP: : TAG NO: BREED: Labrador Retriever AGE: 2 years COLOR: Yellow MFG BY: ZOE, SERIAL: 242100B, EXPIRES: 01/30/19, ADMIN: SQ Signed: Other Vaccinations... Vaccinated By Vaccination 04-05-18 MAS Rabies Vaccination & Exam License: AZ1246 Next due (none) CERTIFICATE OF VACCINATION Date of Rabies Vaccination: 02-24-20 Next Rabies Vaccination On: 02-23-21 VETERINARY CLINIC Sunburst Animal Hospital 5032 W. Thunderbird Road Glendale, AZ 85306 602-938-1860 This is to certify... Certificate No: 0 Previous Rabies Vaccination: OWNER OF ANIMAL Tracy Thomas 27828 N. 143rd Street Scottsdale, AZ 85262 County: THAT | HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Diva SPECIES: Canine SEX: F Color and markings... White Rabies Vaccine Information... TAG NO: WEIGHT: 32.50 AGE: 6 months MICROCHIP: MFG BY: MERI SER.NO: 18444 LOT EXP: 07/03/21 ADM: SQ Signed Mark A. Stevens, BVM License: AZ1246 Date of Vaccination: 04-10-18 Next Vaccination on: 04-09-21 VETERINARY CLINIC Sunburst Animal Hospital 5032 W. Thunderbird Road Glendale, AZ 85306 602-938-1860 This is to. certify... Certificate No. 9) Previous Vaccination: OWNER OF ANIMAL Tracy Thomas 27828 N. 143rd Street Scottsdale, AZ 85262 (480) 584-9315 THAT I HAVE VACCINATED THE ANIMAL DESCRIBED BELOW AGAINST RABIES. Patient information... PATIENT: “Ceasar SPECIES: Canine SEX: Male WEIGHT: 88.00 Ibs MICROCHIP: TAG NO: BREED: Labrador Retriever AGE: 4 years COLOR: Chocolate MFG BY: ZOE, SERIAL: 2421008, gE) IRES: 01/30/18, ADMIN: SQ Signed: Mark A. Stevens, DVM License: AZ1246 Other Vaccinations... Vaccinated By Vaccination Next.due 04-10-18 MAS Rabies Vaccination & Exam (none) woteuta ny 8 er Dr. Kelly's Mobile Unit - West 602-909-5383 Animal Summary / Rabies Certificate This is not an invoice, Owner USA Pure Breed Labs 27828 North 143rd Street, Scottsdale, AZ 85262 480-584-9315 Animal Details Animal's Name:Summer Sex:Female Species: Dog Age:4 Years, 0.0 Months Color: Yellow Breed: Labrador Retriever Weight: 100.00 Ibs Spayed/Neutered: Visit Date: 3/5/2019 Animal Type: Owned Animal Number: 19-723 Microchip Number: Already Altered: No Rabies Vaccine Producer: Nobivac Type: Three Year Vaccine Lot Number: 321086 (expires 4/21/2020) Date Vaccinated:3/5/2019 Expires: 3/5/2022 Veterinarian: Kelly Patriquin License # 3463 e Signature: 7 * Ae Dr. Kelly's Mobile. Unit -- West Glinic Info:6405.E Thomas Rd, Scottsdale, AZ'85251 602-909-5383 All Products/Services Date Description 3/5/2019 Rabies. 3 year vaccine This is not an invoice. about:blank 5/6 CERTIFICATE OF VACCINATION Date of Rabies Vaccination: 02-24-20 Certificate No: 0 Next Rabies Vaccination On: 02-23-21 Previous Rabies Vaccination: VETERINARY CLINIC OWNER OF ANIMAL Sunburst Animal Hospital Tracy Thomas 5032 W. Thunderbird Road 27828 N. 143rd Street Glendale, AZ 85306 Scottsdale, AZ 85262 602-938-1860 County: This is to certify... THAT | HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Bailey J TAG NO: SPECIES: Canine ~~ WEIGHT: 30.30 SEX: F AGE: 6 months Color and markings... White MICROCHIP: Rabies Vaccine Information... MFG BY: MERI SER.NO: 18444 LOT EXP: 07/03/21 ADM: SQ Signed LEE Mark A. Stevens, DVM License: AZ1246 PAWS 20635 N Cave Creek Road, A-2 Phoenix, AZ 85024 Phone: (602) 795-7297 Fax: (602) 324-0816 azpaws.org Rabies Vaccination Certificate Client No. 29087 Thomas, Tracy 27828 B. 143rd St Scottsdale, AZ 85262 Phone: (480) 584-9315 NAME: * Balm SPECIES: Canine Ibs Rabies Tag #: BREED: Labrador Retriever ID #1: GENDER: Fl ID #2: COLOR: Chocolate Last Visit: 6/22/2020 BIRTHDAY: 2/22/2020 AGE: 17 weeks, 2 days Item Description Given Due Date Lot # Manufacturer Exp. Date VR301 Rabies Vaccination - Annual 6/22/2020 6/22/2021 390136B Pfizer Nobivac-3 5/11/2021 | hereby certify that this animal has been vaccinated in accordance with the manufacturer's recommendation for the vaccine used on above date. Scot Diskin, DVM License: Date Issued 6/22/2020 PAWS 20635 N Cave Creek Road, A-2 Phoenix, AZ 85024 Phone: (602) 795-7297 Fax: (602) 324-0816 azpaws.org Rabies Vaccination Certificate Item VR301 Rabies Vaccination - Annual Description NAME: ‘Ragnar SPECIES: Canine BREED: Labrador Retriever GENDER: Mi COLOR: Chocolate BIRTHDAY: 2/22/2020 AGE: 17 weeks, 2 days Given 6/22/2020 Client No. 29087 Thomas, Tracy 27828 B. 143rd St Scottsdale, AZ 85262 Phone: (480) 584-9315 Ibs Rabies Tag #: ID #1: ID #2: Last Visit: 6/22/2020 Manufacturer Exp. Date 390136B Pfizer Nobivac-3 5/11/2021 | hereby certify that this animal has been vaccinated in accordance with the manufacturer's recommendation for the vaccine used on above date. MLE Scot Diskin, DVM License: 3781 Date Issued 6/22/2020 PAWS 20635 N Cave Creek Road, A-2 Phoenix, AZ 85024 Phone: (602) 795-7297 Fax: (602) 324-0816 azpaws.org Rabies Vaccination Certificate NAME: Sparta — SPECIES: Canine WEIGHT: BREED: Labrador Retriever GENDER: Fl COLOR: Yellow BIRTHDAY: 10/24/2019 AGE: O yrs, 8 months Item Description Given Due Date VR301 Rabies Vaccination - Annual 6/24/2020 6/24/2021 Client No. 29087 Thomas, Tracy 27828 B. 143rd St Scottsdale, AZ 85262 Phone: (480) 584-9315 Ibs Rabies Tag #: ID #1: ID #2: Last Visit: 6/24/2020 Lot # Manufacturer Exp. Date 390136B Pfizer Nobivac-3 5/11/2021 | hereby certify that this animal has been vaccinated in accordance with the manufacturer's recommendation for the vaccine used on above date. Scot Diskin, DVM License: 3781 Date Issued 6/24/2020 PAWS Client No. 29087 d Thomas, Tracy Ghocnin, ae, ee Road Ane 27828 B. 143rd St : Scottsdale, AZ 85262 Phone: (602) 795-7297 Phone: (480) 584-9315 Fax: (602) 324-0816 azpaws.org Rabies Vaccination Certificate NAME: Max | SPECIES: Canine WEIGHT: Ibs Rabies Tag #: BREED: Labrador Retriever ID #1: GENDER: MI ID #2: COLOR: White Last Visit: 7/13/2020 BIRTHDAY: 7/13/2013 AGE: 7 yrs, 0 months Item Description Given Due Date Lot # Manufacturer Exp. Date VR302 Rabies Vaccination - 3 Years 7/13/2020 7/13/2023 390136B Pfizer Nobivac-3 5/11/2021 | hereby certify that this animal has been vaccinated in accordance with the manufacturer's recommendation for the vaccine used on above date. Joi Date Issued 7/43/2020 Scot Diskin, DVM License: 3781 > CERTIFICATE OF VACCINATION Date of Rabies Vaccination: 03-19-19 Gertificate No: 0 Next Rabies Vaccination On: 03-18-22 Previous Rabies: Vaccination: VETERINARY. CLINIC OWNER OF ANIMAL Sunburst Animal Hospital Tracy Thomas 5032 W. Thunderbird Road 27828 N. 143rd Street Glendale, AZ. 85306 Scottsdale, AZ 85262 602-938-1860 County: This is to certify... THAT HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: aaa? TAG NO: SPECIES: WEIGHT: 60.00 SEX: F AGE; 9 months Color and markings... Chocolate MICROCHIP: Rabies Vaccine Information... ; MFG BY: ZOE SER.NO: 293126 LOT EXP: 11/06/19 ADM: SQ fe him. Signed Mark A. Stevens, DVM License: AZ1246 CERTIFICATE OF VACCINATION Date of Rabies Vaccination: 07-14-20 Next Rabies Vaccination On: 07-14-23 VETERINARY CLINIC Sunburst Animal Hospital 13807 North 51st Avenue, Suite A Glendale, AZ 85306 602-938-1860 This is to certify... Certificate No: 0 Previous Rabies Vaccination: OWNER OF ANIMAL Tracy Thomas 27828 N. 143rd Street Scottsdale, AZ 85262 County: THAT | HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... ed SPECIES: ine SEX: M Color and markings... Chocolate Rabies Vaccine Information... TAG NO: WEIGHT: 65.00 AGE: 22 months MICROCHIP: MFG BY: MERI SER.NO: 18457 LOT EXP: 11/13/21 ADM: SQ Signed Aix Tierney Coats, DVM ~ License: AZ7218 Date of Vaccination: 06-21-18 Next Vaccination on: 06-20-21 VETERINARY CLINIC Sunburst Animal Hospital 5032 W. Thunderbird Road Glendale, AZ 85306 602-938-1860 This is to. certify... Certificate No. 0 Previous Vaccination: OWNER OF ANIMAL Tracy Thomas 27828 N. 143rd Street Scottsdale, AZ 85262 (480) 584-9315 THAT | HAVE VACCINATED THE ANIMAL DESCRIBED BELOW AGAINST RABIES. Patient information... PATIENT: “Y _ SPECIES: Canine SEX: Female WEIGHT: 76.40 lbs MICROCHIP: MFG BY: ZOE, SERIAL: 282272, Signed: Other Vaccinations... Vaccinated By 06-21-18 MAS EXPIRES: 06/30/19, ADMIN: SQ icense: AZ1246 Vaccination Rabies Vaccination & Exam TAG NO: BREED: Labrador Retriever AGE: 4 years COLOR: Yellow Next due (none) Date of Vaccination: 04-10-18 Next Vaccination on: 04-09-21 VETERINARY CLINIC Sunburst Animal Hospital 5032 W. Thunderbird Road Glendale, AZ 85306 602-938-1860 This is to certify... Certificate No. 6) Previous. Vaccination: OWNER OF ANIMAL Tracy Thomas 27828 N. 143rd Street Scottsdale, AZ 85262 (480) 584-9315 THAT | HAVE VACCINATED THE ANIMAL DESCRIBED BELOW AGAINST RABIES. Patient information... PATIENT: ° Percy. SPECIES: Canine SEX: Male WEIGHT: 99.00 Ibs MICROCHIP: Signed: =ABIRES: 01/30/19, Mark A. Stevens, DVM Other Vaccinations... Vaccinated By 04-10-18 MAS License: AZ1246 Vaccination Rabies Vaccination & Exam ADMIN: SQ TAG NO: BREED: Labrador Retriever AGE: 4 years COLOR: Yellow Next due (none)