Info for Ray Stern Article - Mark Dixon ownership of Shilo | Business

I 036285557 I

MICROCHIP UM2>ER
1l1lllllll11lllll1llllII,
AVID*036*285*557
AVID
MicroChip
DATe
This Certifies t at__ --lo..C.aa..un.L!:jn.l.lOe _
,,"ol,e SpeCiES
Ausmman Shepherd ;tt4-30-0i
has been identified with the above number by:
John McWhirter, DVM
Address
BroWriJ White
1645 North Pinal Avenue, Casa Grande, AZ
The holder of said animal 15 .,...........,.-,..,......-- _
'Jo."e Mark Dixon
P.O:1fox12695 Casa Grande, AZ 85230
transferable 0 lyon he books of Avid by the holder hereof in person or by attorney upon
surrender of this certifica e properly endorsed.
111llli IfIDll[nll1
AVID*036*285*557

dmmhtwya/CIV'100325PHXDKD/INITDISC/RULE26(a)(1)_5-15-2010
EXHIBIT 27
Page 1 of 1
RABIES VACCINATION CERTIFICATE
A LEGAL DOCUMENT ISSUED 10-28-09 BY CASA GRANDE ANIMAL HOSPITAL
Patient Name: Shilo
Date of birth: 04-30-07
Microchip#: 036285557
39.00 Ibs
BrownlWhite
Australian Shepherd
Canine
F
Owner Information: Mark Dixon
P.O. Box 12695
Weight:
Color:
Sex:
Breed:
Species:
Casa Grande, AZ 85130
(520)705-2945
Date of Vaccination: 10-28-09 Expiration Date: 10-28-10
Rabies Vaccine Information- MFG: MERIA Lot #: 12531A Vaccine Exp: 19MAY1 0
Casa Grande Animal Hospital
1645 North Pinal Avenue
Casa Grande, Arizona 85122
Phone: (520) 836-5979 Fax: (520) 836-0391
Veterinarian: John McWhirter, DVM
License Number: 3090
g ~ ~ ~ g n ~ W ~ ~ pJY)
PINAL'COU 'TV

Pinal County Animal Care and Control
764 S. Eleven Mile Comer Road Casa Grand , AZ 85222
(520) 509-3555 (520) 866-7610 FAX www.pinalcountyaz.go
Receipt Number. R10-021242
Person Information:MARK DIXON
PO BOX 12695
CASA GRANDE, AZ 85194
Received From: MARK DIXON Check No:
Receipt Date: Wednesday, February 03,2010
PID: P064051
Phone: (520) 205-2945
Item: AnimallD: Reference No: Price: Each: Amount:
L1C REP A093285 L10-041767 $5.00 1 $5.00
$0.00
$0.00
$5.00
$5.00
$0.00
$0.00
$5.00
Total Fees Due:
Payments: Cash:
Check:
Credit Card:
=====
Total Payments Received:
Thank You!
Change:
Balance Due:
Animal Information:
A093285 SHILO - OF AGE, FEMALE, AUST SHEPHERD, BROWN AND WHITE DOG
License Information:
Tag Number: Expires: Animal# Vacc Date: Term: Expires: Amount: Type:
L1 0-041767 10/28/10 A093285 10/28/09 12 10/28/10 $5.00 L1C REP
)TAL ICENSE FEES: $5.00
Monday - Friday 8:00AM - 5.
Shelters CLOS
Clerk: FRNTDESK SHELTER
s
aturday 9:00AM - 12:00PM"
Sl.-lOa,fS and Holidays
Print Date: 02103/10 vare\Chameleon\Crystal\Receipt.rpt
PERSON INFORMATION
P064051
MARK DIXON
10380 W PASADENA DR
CASA GRANDE, AZ 85194
TAG INFORMATION
PERSON DOCUMENT
02/03/10
(520) 205-2945
ANIMALID
A093285
NAME
SHILO
TAG NO
L09-038672
TYPE
L1C UNALTER
TAG EXP
10/28/10
MEMO HISTORY
MEMO NO DATE TYPE
M10-037336 01/29/1012:00 NOTE
1-29-10
released copies of the license information for Shiloh to Mr. Dixon. He presented a written request.
f. valenzuela
M10-037708 02/03/1012:00 NOTE
***
On 2-3-10 Mark Dixon came into the office seeking information on his dog "Shilo" He purchased a replacement tag for the
amount of $5.00. I (Faye) told him the dogs record had been marked as "Moved Away" He stated to me that he had not
moved and has been separatedldivorced from his wife and would like this license to be re-activated again in his name.
F. Valenzuela
C:\Proaram Files\Chameleon Soflware\Chameleon\Crvstal\Person.rot

Sign up to vote on this title
UsefulNot useful