Loading...
2021-11-20 Krueger, Kellyb. wvj cn CD O 3 3 ZY O CD r = n O VI m O A n 0 m Lo O c Lo' Z) Ln w rD 3 �C G S ID m CD Ifiil=lll n`1U303.ad. cam April 1, 2024 Kelly Krueger is the owner of Paco. She was living with Josh Tanner at the time of the dangerous dog incident, but everything was done under Josh's name. Kelly contacted me on this date stating that she has moved to 951 Iowa Ave 45, Blair, NE 68008 and that she was the owner of the dog. Paco now lives with her. I emailed her the rules and regulations regarding dangerous dogs requesting she obtain renters insurance and provide us with the required insurance to comply with the city's ordinance regarding dangerous dogs. w r x April 17, 2024 RW Investments, Inc. PO Box 45102 Omaha, NE 68145 RE: Dangerous Dog Declaration To Whom It May Concern: Kelly Krueger has informed us that she has moved into your apartment complex located at 951 Iowa Ave, Blair, Nebraska. We are legally required to inform you that on January 5, 2022, Kelly's dog Paco was involved in an incident of an unprovoked dog bite resulting in the City of Blair declaring Paco a Dangerous Dog. Enclosed is a copy of our potentially dangerous and dangerous dog regulations so that you can see the procedure we followed to declare Paco dangerous. Since that time, we have had no other incidents with Paco and Kelly has complied with all the requirements outlined in the code. If you have any questions, please feel free to contact me at 402-426-4191 or brwheeler@blairnebrasl<a.org. Sincerely, Brenda Wheeler City Clerk Enc cc: Kelly Krueger, 951 Iowa Ave #5, Blair, NE 68008 LOW 218 Soa,th 161h Strut • Slag,14SIXOAa 66008 - 402-426-4191 • Fax 402.426.4196 • E-ma3 c40t1>Vi(jbla�nebros)n.v9 State Farm agent Meyer, Matt Matt Meyer Ins Agency Inc (402)556-7100 Agent code: 93F8 State Farm Fire and Casualty Company Declarations Premium: $98.00 Amount paid: $98,00 Credit amount: $ Amount due: $0.00 Due date: 05101/2024 Policy number: 27-EF-2195-2 Billing period from: 03/28/2024 to: 03/28/2025 Location of residence premises 951 IOWA AVE APT 5 BLAIR, NE 68008-1766 Important messages This is the only notice you will receive. Your canceled check is your receipt. Please make check payable to State Farm® and return it with this entire page or only the payment slip below. When you provide a check as payment, you authorize us either to use the information from your check to make a one-time electronic fund transfer from your account or to process the payment as a check transaction. When we use information from your check to make an electronic funds transfer, funds may be withdrawn from your account as soon as the same day we receive your payment, and you will not receive your check back from your financial institution, Thanks for letting us serve you! 559-916,5 Prepued;03-28-2024 Please cut on line to send payment slip only or fold to send the entire page. Face outward the panel below in a #10 window Ways to pay Online I Mobile statefarm.com/� State Farm mobile app 0 00 Insured's name: KRUEGER, KELLY N Policy number: 27-EF-2195-2 State Farm PO Box 853907 Richardson, TX 75085-3907 Call I Mail 1-800-440-0998 Send us a check 1000007 2024 127534 224 11-22-2023 Page 1 of 3 Agent Visit or call (402)556-7100 Please make check payable to State Farm, Policy type: Renters Policy Amount due: $0.00 Please pay by 0510112024. Agent issued Prepared:03-28-2024 O Coverage afforded by this policy is provided by: State Farm Fire and Casualty Company PO Box 853907 Richardson, TX 75085-3907 A Stock Company with Home Offices in Bloomington, Illinois. We will provide the insurance described in this policy in return for the premium and compliance with all applicable provisions of this policy. Policy number: 27-EF-2195-2 Effective date from: 03/28/2024 to: 03/28/2025 (Policy period -12 months) The Policy Period begins and ends at 12:01 a.m. Standard Time at the residence premises. Location of residence premises: 951 IOWA AVE APT 5 BLAIR, NE 68008-1766 Named insured and mailing address: KRUEGER, KELLY N 951 IOWA AVE APT 5 BLAIR, NE 68008-1766 Mortgagee and additional interests Coverages and limits Policy type: Renters Policy Limit of Liability - Section I Coverage Limit Personal Property (Coverage B) $20,000 Limit of Liability - Section II Coverage Limit Personal Liability (Coverage L) each occurrence $300,000 Medical Payments (Coverage M) each occurrence $5,000 Deductibles Section I Deductible: $500 All losses - In case of loss under this policy, the deductible will be applied per occurrence and will be deducted from the amount of the loss, Other deductibles may apply - refer to your policy. Policy premium $ 98.00 Page 2 of 3 559-916.5 Prepared:03-28-2024 LANDLORD/LEASING AGENT 1000007 2024 127534 224 11-22-2023 COPY Forms, Options, and Endorsements H4 2127 Renters Policy Automatic renewal If the Policy Period is shown as 12 months, this policy will be renewed automatically subject to the premiums, rules and forms in effect each succeeding policy period. If this policy is terminated, we will give you and the Mortgagee/Lienholder written notice in compliance with the policy provisions or as required by law, State Farm agent Meyer, Matt 5323 N 134th Ave Ste B OMAHA, NE 68164-6302 (402)556-7100 Agent code; 93F8 Policy number: 27-EF-2195-2 KRUEGER, KELLY N Page 3 of 3 559-916.5 Prepared:03-28-2024 LANDLORD/LEASING AGENT 1000007 2024 127534 224 11-22-2023 COPY Holstein Veterinary Clinic DAT 718S. I gthStreet — Blair, NE 68008 402-426-7387 MAIN M 402-426-0101 FAX holsteinclinic@gmail.com M www.holsteinvet.com .RTIFICATE OF RAB]ES VACCINATION OWNER INFORMATION PATIENT INFORMATION CLIENT: Kelly Krueger / 3osh Tanner PATIENT NAME: Paco ADDRESS: 543 N 20" AVE SPECIES: Canine CITY: Blair BREED: Pitbull X STATE: NE SEX: N ZIP: 68008 COUNTY: Washington COLOR/MARKINGS: Tan PHONE: 402-350-5162 KELLY WEIGHT: 51.60 OTHER: 402-612-5724 JOSH BIRTHDAY: —12-15-D GE: 7 years OTHER PHONE: MICROCHIP #: 985141002770481 RABIES INFORMATION 'NCCINATION DATE: 12-08-21 EXPIRATION DATE: 12-07-24 TAG NUMBER: 19660 MFG BY: ZOETI VIRUS: Killed Virus ADM: SQ SERIAL#: 500084 LOT EXP: 08/09/22 THIS IS TO CERTIFY THAT I HAVE VACCINATED THE ANIMAL DESCRIBED ABOVE AGAINST RABIES. STAFF: Krista Holstein, DVM LICENSE: 3612 STAFF SIGNATURE/STAMP: Kr4fov HoI44s�, r>VM State Fann Fire and Casualty company oes In Sloo In ton Illlnols A Stock Company 41?1h Home Ofli m g , PO Box 863907 Richardson, TX 76086-3907 AT2 H-06-9D08-FB35 F H W 3200 TANNER, JOSHUA 543 N 20TH AVE BLAIR NE 68008-1570 _==__=___`....__ HOMEOWNERS AVAILABLE COVERAGE NOTICE SEE RENEWAL DECLARATIONS IT IS IMPORTANT THAT YOU OCCASIONALLY REVIEW THE COVERAGES AND LIMITS IN YOUR HOMEOWNERS POLICY TO BE CERTAIN YOUR NEEDS ARE BEING MET. THE FOLLOWING INFORMATION WILL ASSIST YOU IN THE REVIEW PROCESS. THE COVERAGE LIMITS FOR COVERAGE A - DWELLING, COVERAGE B - PERSONAL PROPERTY, COVERAGE L - PERSONAL LIABILITY, AND COVERAGE M - MEDICAL PAYMENTS TO OTHERS ARE LISTED ON THE ACCOMPANYING RENEWAL DECLARATIONS. PLEASE REVIEW THESE LIMITS TO DETERMINE IF THEY ARE ADEQUATE IN THE EVENT OF A LOSS. THE FOLLOWING IS A PARTIAL LIST OF THE OPTIONAL COVERAGES YOU HAVE NQI ADDED TO YOUR POLICY. THEY MAY BE AVAILABLE TO YOU FOR AN ADDITIONAL PREMIUM. Business Property (for higher limits) Business Pursuits Liability (for teachers, school administrators, sales persons, and clerical employees) Child Care Liability (for those providing child care in their home) Earthquake (for damage to buildings and personal property caused by an earthquake) Firearms (for broadened coverage and higher limits) Cyber Event, Identity Restoration, and Fraud Loss Incidental Business Liability (for those with an incidental office, studio, orschool in the home) Jewelry and Furs (for broadened coverage and higher limits) Loss Assessment (for neighborhoods with Homeowners Associations) Nurses' Professional Liability (for those in the nursing profession) Personal Injury (for your liability to others caused by certain acts of libel, slander, invasion of privacy, or false arrest) Silverware/Goldware (for broadened coverage and higher limits) Adult Day Care Liability (for those providing adult day care in their home) Energy Efficiency Upgrade (for replacing damaged heating unit, air conditioning unit, orwater "*Continued on Reverse Side** Agent SHERMAN WILLIS Prepared AUG 112022 Telephone (402) 493-1000 State Farm Fre and Casualty Coinpany A Stook Company M h Home Oftes In Bloomington, llllnols PO Box 863907 Richardson, TX 76086-3907 H-06-9DO8-FBM F H W 3200 TANNER, JOSHUA 543 N 20TH AVE BLAIR NE 68008-1570 Homeowners Policy Location of Residence Premises 543 N 20TH AVE BLAIR NE 68008-1570 Construction: Frame Year Built: 1910 RENEWAL DECLARATIONS AMOUNT DUE: None Policy Number. 27-135-N121-4 Policy Period: 12 Months Effective Dates: OCT 15 2022 to OCT 15 2023 The policy period begins and ends at 12:01 am standard time at the residence premises. Your State Farm Agent SHERMAN WILLIS 4915 N 120TH ST STE 107 OMAHA NE 68164.2004 Phone: (402) 493-1000 Roof Material: Composition Shingle Roof Installation Year: 2017 Automatic Renewal If the POLICY PERIOD is shown as 12 MONTHS, this policy will be renewed automatically subject to the premiums, rules, and forms in effect for each succeeding policy period. If this policy is terminated, we will give you and the Mortgagee/Lien- holder written notice in compliance with the policy provisions or as required by law. NOTICE: Information concerning changes in your policy language is included. Please call your agent with any questions. Please help us update the data used to determine your premium. Contact your agent with the year each of your home's utilities (heating/cooling, plumbing, or electrical) and roof were last updated. 0 l Annual Premium $2,520.00 Your premium has already been adjusted by the following: Home/Auto Discount Claim Record Discount Loyal Customer Total Premium $2,520.00 Prepared AUG 112022y7 p / Page 1 o 4 un') m / ,7,/ir:S'�r�wQ %//I.i�P�Cd?/YfPava... AStateFa 27-B5-N121-4 r ,n FORMS, OPTIONS, AND ENDORSEMENTS HW -2127 Homeowners Policy Option ID Increase Dwig up to $49,720 Option OL Ordinance/Law 10%/ $24,860 Option JF Jewelry and Furs $1,500 Each Article/$2,500 Aggregate HO -2441.2 Home Systems Protection HO -2442.2 Service Line Coverage HO -2444.2 Back -Up Of Sewer Or Drain - 5% of Coverage A/$12,430 HO -2288.1 *Ho Amendatory Endorsement *New Form Attached ADDITIONAL MESSAGES State Farm® works hard to offer you the best combination of price, service, and protection. The amount you pay for homeowners insurance is determined by many factors such as the coverages you have, the type of construction, the likelihood of future claims, and information from consumers reports. Other limits and exclusions may apply - refer to your policy Your policy consists of these Declarations, the Homeowners Policy shown above, and any other forms and endorsements that apply, including those shown above as well as those issued subsequent to the issuance of this policy, This policy is issued by the State Farm Fire and Casualty Company. Participating Policy You are entitled to participate in a distribution of the earnings of the company as determined by our Board of Directors in accordance with the Company's Articles of Incorporation, as amended, In Witness Whereof, the State Farm Fire and Casualty Company has caused this policyto be signed by its President and Secretary at Bloomington, Illinois. Secretaty 4 President Prepared AUG 112022 Page 3 of 4 un Irwn 27 -B5 -N121.4 031366 1-10-22881C Page 1 of 4 IMPORTANT NOTICE Regarding Changes to Your Policy HO -2288.1 HOMEOWNERS AMENDATORY ENDORSEMENT (Nebraska) is added to your State Farm® policy and replaces HO -2288 HOMEOWNERS AMENDATORY ENDORSEMENT (Nebraska) and HO - 2356 AMENDATORY ENDORSEMENT — SECTION II — LIABILITY COVERAGES. Note the following changes to your policy. Changes that broaden coverage without additional premium are effective immediately on the date first adopted in your state. All other changes are effective with this policy term: • DEFINITIONS, under the definition of business, item d. has been revised to provide that business does not include the ownership, maintenance, or use of systems and equipment used to generate electrical power if the power generated is intended primarily for consumption on the residence premises and any resulting income is incidental. • COVERAGE A — DWELLING, Property Not Covered, item 3,c. has been revised to provide that sys- tems and equipment used to generate electrical power are not covered property unless the power generated is intended primarily for consumption on the residence premises and any resulting income is incidental. • SECTION I — ADDITIONAL COVERAGES, language has been added to describe how COVERAGE C — LOSS OF USE, Option OL — Building Ordinance or Law, and other SECTION I — ADDITIONAL COVERAGES apply to Volcanic Action, Collapse, and Fuel Oil Release. • SECTION II — ADDITIONAL COVERAGES, under Damage to Property of Others, language has been added to emphasize that item 2.c, under SECTION II — EXCLUSIONS does not apply to the coverage provided under Damage to Property of Others. • SECTION II — EXCLUSIONS, item 1.p. has been revised to provide that Coverage L and Coverage M do not apply to bodily injury or property damage arising out of the ownership, maintenance, or use of systems and equipment used to generate electrical power unless the power generated is intended primarily for consumption on the residence premises and any resulting income is incidental. • SECTION I AND SECTION II — CONDITIONS, Joint and Individual Interests has been revised to provide that if you consists of more than one person or entity, then each acts for all to change or cancel this policy. The endorsement follows this notice. Please read the endorsement and place it with your policy, If you have any questions, please contact your State Farm agent. DISCLAIMER; This notice only provides a general summary ofchanges to your State Farm policy. This notice Is not a statement of contract This notice does not change, modify, or Invaffdate the provisions, terms, or conditions as set forth In your State Farm polky booklet, the most recency Issued decbrallons, and any appikable endorsements. HOMEOWNERS AMENDATORY ENDORSEMENT (Nebraska) This endorsement modifies insurance provided under the following: HOMEOWNERS POLICY DEFINITIONS d. the ownership, maintenance, or use of systems and Under the definition of "business', item d. is replaced by the equipment used to generate electrical power, if: following: (1) the power generated is intended primarily for Business does not include: consumption on the residence premises; and ©, Copyright, State Farm Mutual Automobile Insurance Company, 2021 27 -B5 -N121-4 031367 (1) for your share of any loss assessment charged against all members of any type of association of property owners; or (2) imposed on or assumed by any insured through any unwritten or written contract or agreement. This exclusion does not apply to: (a) liability for damages that the Insured would have in absence of the contract or agreement; or (b) written contracts: (i) that directly relate to the owner- ship, maintenance, or use of any Insured location; or (ii) when the liability of others is as- sumed by you prior to the occur- rence; unless excluded elsewhere in the policy; c. property damage to property rented to, used or occupied by, or in the care, custody, or control of any Insured at the time of the occurrence. This exclusion does not apply to property damage caused by: (1) fire; (2) smoke; (3) explosion; (4) abrupt and accidental damage from water; or (5) household pets, up to $500 in excess of your security deposit; SECTION I AND SECTION II — CONDITIONS Under Cancellation, 5.b, is replaced by the following: b. We may cancel this policy by providing notice to a named insured shown on the Declarations. The no- tice will provide the date cancellation is effective. (1) When you have not paid the premium, we may cancel at any time by providing notice at least 10 days before the date cancellation takes ef- fect. This condition applies whether the premium is payable to us or our agent or under any fi- nance or credit plan. (2) When this policy has been in effect for less than 60 days and is not a renewal with us, we may cancel for any reason. We may cancel by providing notice at least 60 days before the date cancellation takes effect. (3) When this policy has been in effect for 60 days or more, or at any time if it is a renewal with us, we may cancel: 1-10-2288.1 C Page 3 of 4 (a) if there has been a material misrepresenta- tion of fact that, if known to us, would have caused us not to issue this policy; (b) if the risk has changed substantially since this policy was issued; (c) if an Insured has submitted a fraudulent claim; (d) if an insured violates any of the terms or conditions of this policy; (e) upon certification to the Director of Insur- ance of loss of reinsurance by us which provided coverage to us for all or a sub- stantial part of the underlying risk insured; or (f) upon determination by the director that the continuation of this policy could place us in violation of the insurance laws of this State. We may cancel this policy by providing notice at least 60 days before the date cancellation takes effect. (4) When this policy is written for a period longer than one year, we may cancel for any reason at anniversary. We may cancel by providing notice at least 60 days before the date cancellation takes effect. Nonrenewal is replaced by the following: Nonrenewal. If we decide not to renew this policy, then, at least 60 days before the end of the current policy pe- riod, we will provide a nonrenewal notice to a named in- sured shown on the Declarations. Joint and Individual Interests is replaced by the following: Joint and Individual Interests. If you consists of more than one person or entity, then each acts for all to change or cancel this policy. Electronic Delivery is deleted. OPTIONAL POLICY PROVISIONS Option ID is replaced by the following: Option ID — Increased Dwelling Limit. We will settle losses to damaged building structures covered under COVERAGE A— DWELLING according to the Loss Set- tlement Provision shown in the Declarations. 1. If the amount you actually and necessarily spend to repair or replace the damaged dwelling exceeds the limit of liability shown in the Declarations for Cover- age A — Dwelling, we will pay the additional amounts ©, Copyright, State Farm Mutual Automobile Insurance Company, 2021 27 -M -N121.4 031368 553-3145 IMPORTANT NOTICE ... Information Regarding Your Premium Claims and information from other State Farm' policies in your household may have been used to determine the premium shown. A policy may be considered "in your household" if, according to our records, the policy has a name and address in common with this policy. Consumer reports may also be used to determine the price you are charged. We may obtain and use a credit -based insurance score developed from information contained in these reports. We may use a third party in connection with the development of your insurance score. If a credit -based Insurance score is used, you have the right to request, no more than once in a 12 month period that your policybe re -rated. Re -rating could result in a lower rate, no change in rate or a higher rate. 553-3145(C) (to/09) 553-4157 NOTICE TO POLICYHOLDER For a comprehensive description of coverages and forms, please refer to your policy. Policy changes that you requested before the "Date Prepared" on your Renewal Declarations are effective on the renewal date of this policy unless indicated otherwise by a separate endorsement, binder or Amended Declarations Page. Any coverage forms or endorsements included with your Renewal Declarations are effective on the renewal date of this policy. Policy changes that you requested after the "Date Prepared" on your Renewal Declarations will be sent to you as an Amended Declarations Page or as an endorsement to your policy. You will be billed for any resulting premium increase later. If you have acquired any valuable property Items, made any improvements to your home, or have questions about your insurance coverage, please contact your State Farm° agent. 553.4157 (C) IMPORTANT NOTICE ABOUT YOUR POLICY 553-2798.1 With our Claim Record Rating Plan, your savings will typically increase the fewer claims you have and the longer you're insured with State Farm®. We adjust premiums based on the number of claims under the rating plan. Depending on your state, claims under the plan generally include those resulting in a paid loss and may include weather-related claims where permitted. In addition, any claims with your prior Insurer resulting in property damage or injury may also influence your premium. Our Loyal Customer Discount provides a premium discount based on the number of years that you have been with us. For more information about whether the Claim Record Rating Plan applies in your state, the claims we consider for the plan, or whether the Loyal Customer Discount Is in effect in your state, please contact your State Farm agent. 553-2798.1 m M3 I F(0,) cm, 2 IOU P , Y (D (D a om 0. a' 'N (, a a 0 Q 4D C) 40 OZ fa Z; M'O 0 :3 g MOMM o z CL V- 0 CL M @ to r- g 5, S cli CL &X -1 0 0 zr n 5-0 00 9 m a rn C4 z EL 0 E= 0 CA cn 0 e 0 0 > cr 0 Ul 0 Q-400 0* 0 0 0,W 3002R�00 0 0 0 0.W 000 00 00 0 C) 0 0 CITY OF APPLICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair 9 218 816th St 9 Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS AREDUE: March 15, 2023 Owner Name: R � Owner Address: city/state/zip: Blair, NE 68008 Phone # r LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: t11.00 ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3/15/2023. The City shall recognize a microchip identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city Identification other than that Issued by the City of Blair for such dog or cat. The City of Blair renuires Proof of rabies vaccination to be submitted with your license application. Replacement Fee for Loss: Tag: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET # ❑ " Dog ❑ Cat ❑-Spayed/Neutered License Fee $ I '� Pet Name .� r Birthdate Sex Color Breed** r �` Replacement $ ** Declared Dangerous or, Potentially Dangerous Dog:.OY Y LJN 1 (; MICROCHIP #� °�` (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE (3 yr) (1 yr) City Tag # PET #2 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Birthdate Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Birthdate Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ M 0 (1 yr) (1 yr) License Fee $ Replacement $ SUBTOTAL: $ City Tag # License Fee $ Replacement $ SUBTOTAL: $ City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not Send Cash by Mail TOTAL ENCLOSED $ If you have questions, please contact Blair Police Department at (402) 426-4747 ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15/ate fee date notapplicable fornewpets/newresidenty) Newly Acquired Pets: New Residents to Blair: ■ Must be licensed within 10 days of ownership ■ Must register pets within 10 days of ■ <OR> at 6 months of age if puppy/kitten residency. 12/17/2021 11:26 4024260101 HOLSTEIN VET CLINIC PAGE 03/07 2022 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT(S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE T0: CITY OF BLAIR — 218 S. 16T" ST — BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT, ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BYLAW TO LI ENSE YOUR P THE CITY OF BLAIR RE UIRES PROQE OF RABIES VAC INATION. Failure to do so is a violation of City Ordinances 6.103 and carries a penalty of a fine up to $150,00 per pet, PET LICENSE RENEWALS ARE DUE BY 3/15 2022. The city shall recognize a microchip ID -number as the license number, It shall be unlawful for any dog or cat to wear any license or other city ID other than that issued by the city of Blair QT such ch dog or cat. NEW PET LICENSING Must be licensed within 1.0 days of ownership (OR) at 6 months of age if puppy NEW RESIDENTS TO 9LAIR Must register pets within 10 days of residency Owner Name Spouse Owner Address City/State/Zip Phone # Kelly Krueger Josh Tanner 543 N 20th AVE Blair, NE 68008 402-350.5162 Pet Name: Paco Age: BY DOB: 12.16-16 Sex: Neutered Male Color. Tan Breed: Pitbull X Microchip # Rabies Tag # 19660 �T81S �AREN�FWAL PLEASE INCLUDIr CITY TAG NUM81=R 1� IS (IF AVAILABLE=): RABIES VACCINATION DONS ON 12.08-21 Rabies Description: 1 YEAR =�EAR Holstein Veterinary Clinic Dr. Liss Schrum DVM ; Dr. Krfsrp Holstein DVM - 718 South 191" Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinic@gmail.com Intact Dog or Cat; $16.00 • ter'a og or cat: $11. Replacement Tag $5.00 Total $ 1— PETS THAT ARE ON THE ACrIVC P T NTI LLV RANG -I S OR DANGER0U5 b0 I NEED TO REGISTER DIRECTLYAi 17Y HALL. Nebraska Humane Society Join the Humane Race. Humane Society Join the Huntae Race. January 19, 2022 To Whom It May Concern: Josh Tanner and Kelly Krueger p578388 attended required Owner Responsibility class on Monday, January 17, 2022. Dawn Thrapp Behavior Specialist Project Pet Safe Coordinator Nebraska Humane Society 402-905-3420 8929 Fort Street Omaha NE 68134 402.444.7800 Fax 402.546.1476 www,nehumanesociety.org December 14, 2021 To whom it may concern: I have been seeing Paco an approximately 5-year-old tan Pitbull mix owned by Kelly Kreuger and Josh Tanner since July 10, 2021. 1 have seen him in the clinic 11 documented times since that date for various medical needs this does not include nail trims and laser therapy appointments Paco is currently undergoing. During this time Paco has never shown any aggression towards my staff or myself. However, Paco does have anxiety which we are currently trying to find the best treatment for. During the night of the bite incident Paco was placed on medicine prescribed by myself to lessen his anxiety towards a larger number of people in his home than he is used to. While these medications are designed to relax dogs and lessen fear associated anxiety, every dog acts differently to these medications. In addition to Paco being treated for anxiety, we have recently began treating him for lumbar spinal pain, hence the laser therapy treatments he is undergoing. Dogs in pain can have an unpredictable response if the area of pain which they are guarding is touched. Paco has only had a relatively short portion of his life at his current home, as his owners have only had him around a year. They are both taking this incident extremely seriously they have begun seeking a behaviorist and training classes to address his fear anxiety and we have been discussing other medical options for treatment. In addition, they have increased the number of laser therapy treatments per week if the incident was pain related. While we will never know which of these reasons led Paco to bite, I can say with a great deal of confidence in my professional opinion Paco is not a dangerous dog. He comes into the clinic tail wagging and is eager to greet everyone. I approach him with the same caution I approach every dog to ensure I can watch for any signs of discomfort or anxiety. Deeming Paco a dangerous dog and keeping him muzzled outside the home would not have prevented this incident nor do I believe it will be as effective or beneficial as training and managing his underlying back pain. Thank you for your time and consideration in this matter. Sincerely, Krista Holstein DVM Jc� s h %a v� �l e �, (6n CAt -4 hehea��� � - 0 4-/- BLAIR POLICE DEPARTMENT Incident ID: 20210000540 Incident Data Sheet Report ORI Number: NB0890100 Page: 3 Printed On: 12/7/2021 12:16 (Tue) Narratives Narrative Title ❑Locked Narrative Assignment: On 12/06/2021 I, Animal Control Officer Gunderson, was assigned to work uniformed patrol from 0730 hours to 1330 hours in the Animal Control van marked unit 14. Report: At 0806 hours I stopped by Josh's residence and spoke to him about the quarantine letter. He told me he thought the letter was taken care of. He said he would find out where the letter was and return it to the Police department later today. At 1233 hours Josh dropped off the quarantine letter. The dog "Paco" was seen by the vet on 11/30/2021. The dog was neurologically normal. Disposition: I recommended the dog be declared dangerous per city code. I also recommend the case be closed now that the letter has been returned. Case Status: Active Date Typed:12/06/2021 Typed By: Gunderson #108 Created On Created By 12/7/202109:05 BGUNDERSON Updated On Updated By 12/7/202109:05 BGUNDERSON Animal Quarantine Order o r� owner%_r,T BPD Incident Report #: <I00r Animal's Name: Description�Dc� / Cat Breed:_P A Date of Bite: In accordance with Blair Municipal Ordinance: 6-119(2) the owner of the above -described animal agrees to: 1. Ensure that the animal will not be removed from or leave the premises for a minimum of 10 days from the above listed date; r, 2. The animal will not be allowed to have contact with other persons or animals; f 3. If the animal displays symptoms of any illness, it shall be transported to and treated by a lic . sed doctor of veterinary medicine immediately; 4. The owner agrees to permit observation and examination of the animal by a doctor of veterinary medicine and Animal Control, both during and at the completion of the quarantine period to insure compliance with this order; 5. In the event the owner violates the conditions of this Quarantine Order, the animal shall immediately be seized by Blair Animal Control or the Blair Police Department and placed in the Blair Animal Shelter for no less than 10 days; and, 6. The cost of any examination, care and/or boarding by a licensed veterinarian or the Blair Animal Shelter shall be borne by the owner. I agree to the conditions of this Quarantine Order: Owner Signature:Date: r� To be completed after Quarantine Period expires: Veterinarian: Examination Date: Revised: 25 September 2014 I Condition of Animal: to trZ Oro use of December 7, 2021 Josh Tanner 543 N. 20t" Ave Blair, NE 68008 RE: Dangerous Dog Hearing Dear Josh, Per your request, the Blair City Council Police Committee will meet on Wednesday, December 15, 2021, at 5:00 p.m. in the Blair City Council Chambers, 218 S. 16t" St., Blair, to consider your appeal of the "Dangerous Dog Declaration" placed on Paco from an incident occurring on November 20, 2021. This declaration was based on the recommendation submitted by Blair Police Chief Joe Lager as indicated in the attached letter. If you have any questions, feel free to contact me. Sincerely, Brenda Wheeler City Clerk Enc 218 South 16th Street • Blair, Nebraska 68008 • 402-426-4191 a Fax 402-426-4195 e E-mail cltyofblalr@cl.blalr.ne.us m,a DATE LETTER PREPARED: December 7, 2021 have received a letter addressed to: Josh Tanner 543 N 201h Ave Blair, NE 68008 Signatu"re^ of person receiving letter Printed name of person receiving letter Signature of person delivering letter i2/7 G� Date 218 S 16th Sheet • Blair, Nebraska 68008 •402.426.4191 • FAX 402.426.4195 • E-mail: cityofblair@blairnebraska.org Blair Police Lincoln Street Blair, NE 68008 as - 402-426-4747 Joseph Lager 402-426-7144 (fax) Chief of Police www.blairpolice.orA To: Rod Storm, City Administrator From: Joseph Lager, Chief of Police Date: November 29, 2021 Subject: Dangerous Dog Designation Mr. Storm, On November 20,2021, our office received a report of a dog injuring a person at 543 N 20 Ave here in Blair (BPD Incident Report #20210000540). Through our investigation we learned that the attack was unprovoked. It is our determination that the animal, "Paco", the property of Josh Tanner here in Blair, is a Dangerous Dog as defined by Blair Municipal Ordinance 6-125(2)(b). 2. "Dangerous dog" shall be defined as one who meets one or more of the following conditions: a. Has killed a human being; b. Has inflicted an injury on a human being that requires medical treatment; c. Has killed a domestic animal without provocation; or, d. Has been previously determined to be a potentially dangerous dog by an animal control authority, the owner has received notice from an animal control authority or animal control officer of such determination, and the dog inflicts an injury on a human being that does not require medical treatment, injures a domestic animal, or threatens the safety of humans or domestic animals. The Blair Police Department respectfully requests that this dog be designated as a Dangerous Dog and that the owner be served proper notice of such designation. Respectfully Submitted, e . Lager olice Integrity- Respect I oA �o City of Blair, 218 S. 16'h St, Blair, NE 68008 ' pro(402) 426-4191 Fax (402) 426-4195 - . - of mise www.blairnebraska.gig NOTICE DANGEROUS DOG DECLARATION NOTICE DATE: December 7, 2021 Effective date of Declaration: December 17, 2021 TO: Josh Tanner 543 N 201h Ave Blair, NE 68008 Pursuant to City of Blair Municipal Code 6-128 the following animal(s) has been declared a Dangerous Dog: Paco — Pit Bull Mix This Declaration is based on the attached synopsis of facts. Based on this Declaration, you are required to comply with the following sections of the City of Blair Municipal Code and submit the following to City Staff: 1) Written proof from Veterinarian that your dog has been spayed, neutered and implanted with a microchip, along with the identification number (within 30 days from declaration). 2) Written proof of public liability insurance of not less than $100,000 (within 30 days from declaration). 3) Written proof from the Nebraska Humane Society of your attendance and completion of the required "Potentially Dangerous Dog" class (within 90 days from declaration). IMMEDIATELY. Sec-6-103 LICENSES. Any person who shall own, keep or harbor a dog or cat over the age of 6 months within the City shall, within 10 days after acquisition of said dog or cat, acquire a license for each such dog or cat annually by or before January 1 of each year. IMMEDIATELY: Sec. 6-131 DANGEROUS AND POTENTIALLY DANGEROUS DOGS; RESTRAINED. It shall be unlawful for any person owning, harboring, or having the care of a dangerous or potentially dangerous dog to permit such dog to go beyond the property of such person unless the dog is under the control of a person 19 years of age or older, restrained securely by a harness and leash no longer than 6 feet, and properly muzzled to prevent the dog from biting. Josh Tanner December 7, 2021 Page 2 WITHIN (30) DAYS: Sec. 6-129 DANGEROUS AND POTENTIALLY DANGEROUS DOGS; SPAYING OR NEUTERING; MICROCHIP IDENTIFICATION AND LICENSE REQUIRED. Any dog declared dangerous or potentially dangerous shall be spayed or neutered, implanted with microchip identification by a licensed veterinarian at the owner's expense and written proof of spayine or neutering and the microchip identification number being provided to the City within 30 days after such declaration is entered. WITHIN (30) DAYS. Sec. 6-132 DANGEROUS AND POTENTIALLY DANGEROUS DOGS: PROOF OF INSURANCE. The owner of any dog declared dangerous or potentially dangerous shall be required to present written proof of public liability insurance of not less than $100,000 00 to the City within 30 days after such declaration. Such insurance shall be required to remain in effect as long as such dog is declared dangerous or potentially dangerous and shall be verified annually at the time of licensing. WITHIN (90) DAYS: Sec. 6-130 DANGEROUS AND POTENTIALLY DANGEROUS DOGS; CLASSES REQUIRED. The owner of any dog declared dangerous or potentially dangerous shall be required to attend, at the owner's expense, a responsible pet ownership class approved by the City within 90 days after such declaration is entered. (Please contact the Dawn Thrapp, Nebraska Humane Society (402) 444-7800 Ext 220 for information on the "Potentially Dangerous Dog" classes you are required to attend. These classes are only offered every other month and attendance at two (2) classes is required for successful completion. Do not delay in registering to meet your (90) day requirement. Also, you will need to request a verification letter from the Humane Society as proof of successful completion.) NOTE: A copy of the verification letter must be provided to the City. You have a right to appeal this declaration to the City Council Police Committee. An appeal of this declaration must be made within ten (10) days of the date of mailing or date of personal service of this notice, and must be made in writing to the City of Blair, along with payment of the appeal fee of two hundred dollars ($200.00), payable to the City of Blair. A hearing will be held by the City Council Police Committee within ten (10) days of the date of filing your written appeal, at which time you will have an opportunity to appear and offer evidence to dispute the declaration. A final determination to affirm or deny the declaration will be issued within ten (10) days of the hearing by the City Council Police Committee. The written appeal and the appeal fee should be sent or delivered to the following address: City of Blair, Attn: Brenda Wheeler, City Clerk, 218 S. 16th Street, Blair, NE 68008, and clearly marked as "Notice to Appeal" at the top of the document. Failure to provide sufficient data regarding what matter is being appealed, or failure to pay the appeal fee, will be considered a waiver of appeal. Non-compliance of any of the above ordinances will result in the owner being declared a Reckless Owner by the City of Blair, pursuant to Chapter 6, Section 6-138 of the Blair City Code; and will result in the revocation of all pet licenses associated with this animal(s) and Josh Tanner December 7, 2021 Page 3 you will be required to surrender the animal(s) to any City Law Enforcement Officer or Animal Control Officer within 24 hours An appeal of such declaration can be heard by the City Council Police Committee. The filing fee for such appeal is $200.00. Enclosed is a copy of Section 6-101 through 6-139 of the City of Blair Municipal Code. The procedure for determination of Dangerous Dog may be found in Section 6-135. The procedure for determination of a Reckless Owner may be found in Section 6-138. BRENDA WHEELER, CITY CLERK CITY OF BLAIR, NEBRASKA Blair Police Department 1730 Lincoln Street Blair, NE 68008 To: Rod Storm, City Administrator From: Joseph Lager, Chief of Police Date: November 29, 2021 Subject: Dangerous Dog Designation Mr. Storm, 402-426-4747 402-426-7144 (fax) www.blairpollce.orq On November 20,2021, our office received a report of a dog injuring a person at 543 N 20 Ave here in Blair (BPD Incident Report #20210000540). Through our investigation we learned that the attack was unprovoked. It is our determination that the animal, "Paco", the property of Josh Tanner here in Blair, is a Dangerous Dog as defined by Blair Municipal Ordinance 6-125(2)(b). 2. "Dangerous dog" shall be defined as one who meets one or more of the following conditions: a. Has killed a human being; b. Has inflicted an injury on a human being that requires medical treatment; c. Has killed a domestic animal without provocation; or, d. Has been previously determined to be a potentially dangerous dog by an animal control authority, the owner has received notice from an animal control authority or animal control officer of such determination, and the dog inflicts an injury on a human being that does not require medical treatment, injures a domestic animal, or threatens the safety of humans or domestic animals. The Blair Police Department respectfully requests that this dog be designated as a Dangerous Dog and that the owner be served proper notice of such designation. Respectfully Submitted, 1 4 eph M. Lager Chief of Police Integrity 0 Service 0 Vigilance 0 Excellence 0 Respect '1 Blair Police Department' 1730 Lincoln Street Blair, NE 68008 s 3 402-426-4747 (office) Joseph Lager 402-426-7144 (fax) Chief of Police www.blairpolice.org Animal Quarantine Order ]� BPD Incident Report #: IM I O_Z�AOOwner: o:5hJ k44& -- � r � Animal's Name: Description / Cat Breed; 14 Date of Bite: - 1Z!_—. In accordance with Blair Municipal Ordinance: 6-119(2) the owner of the above -described animal agrees to: 1. Ensure that the animal will not be removed from or leave the premises for a minimum of 10 days from the above listed date; 2. The animal will not be allowed to have contact with other persons or animals; 3. If the animal displays symptoms of any illness, it shall be transported to and treated by a licensed doctor of veterinary medicine immediately; 4. The owner agrees to permit observation and examination of the animal by a doctor of veterinary medicine and Animal Control, both during and at the completion of the quarantine period to insure compliance with this order; 5. In the event the owner violates the conditions of this Quarantine Order, the animal shall immediately be seized by Blair Animal Control or the Blair Police Department and placed in the Blair Animal Shelter for no less than 10 days; and, 6. The cost of any examination, care and/or boarding by a licensed veterinarian or the Blair Animal Shelter shall be borne by the owner. I agree to the conditions of this Quarantine Order: Date: Owner Signature: � To be completed after Quarantine Period expires: Veterinarian: Examination Date: Condition of Animal: Revised: 25 September 2014 BLAIR POLICE DEPARTMENT Incident ID: 20210000640 Incident Data Sheet Report ORI Number: NBO890100 Printed On: 11/23/2021 13:26 (Tue) CFS#: 202100006793 Disp Recd: 11/20/2021 18:24 Dispatched: 11/20/2021 18:24 Arrived: 11120/2021 18:29 Cleared: 11 /20/2021 18:66 Dispatcher: TORI SWAN Call Codes: ANIMAL BITE OCCURRED 30 MINUTES AGO OR LONGER Clearance Information Clearance Date Incident Reference Cleared By Clearance Type 20210000640 Not Applicable 1 BLAIR POLICE DEPARTMENT incident ID: 20210000540 Incident Data Sheet Report Page: 2 Associated Names_ Involved Vict/Susp Rol: DOB 1/6/1999 Age/Time: 22 Juv: Home Phone: Work Phone; Arrest# FBI; Appr Appr By: ORI Number: NBO890100 Printed On: 11/23/2021 13:26 (Tue) Name: GRUBAUGH, BRANDON S Sex: M SSN: Race: White Circumstance: Visitor: ❑ Military: ❑ Police Dept Associate Follow -Up: Injured: ❑ Reasons for Treatment: Hospital: Transported By: Condition: Injuries Breath Test: ❑ Blood Test: Drivers License State: NE Clothing: Weap: Physician: Other Phone: SBI: Charges: State Justif. Homicide: Treated: ❑ Voluntary: ❑ Confined: ❑ Refused Admission: ❑ Sent Home: ❑ Other Action: ❑ Refused Test: ❑ Test Results: Expiration: Number: H13718966 Primary Address: 16076 BROWNE ST BLAIR, NE 68008 Primary Mailing: Second Address: Second Mailing: Advice of Victims Rights Provided ❑ How Notified Comment: Employer Occupation Phone Number Employed From Employed To _t\ t BLAIR POLICE DEPARTMENT Incident ID: 20210000640 Incident Data Sheet Report ORI Number: NBO890100 Page: 3 Printed On: 11/23/2021 13:26 (Tue) Associated Names Injured party Vict/Susp Rel: Name: CROSBY-WILSON, CAYDEN R DOB 7(25(2000 Age/Time; 21 Juv; Sex: F SSN: Race: White Home Phone: Work Phone: Arrest# FBI: Appr Appr By: Circumstance: Visitor: ❑ Military; ❑ Police Dept Associate: ❑ Follow -Up: Weap: Injured: ❑ Reasons for Treatment: Hospital; Physician: Transported By: Condition: Injuries Breath Test: ❑ Blood Test: ❑ Refused Test: ❑ Drivers License State: NE Expiration: Clothing: Primary Address: 614 N 163 ST OMAHA, NE 68118 Primary Mailing: Second Address: Second Mailing: Advice of Victims Rights Provided❑ How Notified Comment: Other Phone: SBI; Charges: State Justif. Homicide; Treated: ❑ Voluntary: ❑ Confined: ❑ Refused Admission: ❑ Sent Home: ❑ Other Action: Test Results: Number: H13799939 Employer Occupation Phone Number Employed From Employed To BLAIR POLICE DEPARTMENT Incident ID: 20210000640 Incident Data Sheet Report OR( Number: 100 Printed On: 11/23/20l23(2021 13:26 (Tue) Page: 4 Associated Names .Animal Owner Vict[Susp Rel: Name: TANNER, JOSHUA D DOB 11122/1995 AgelTime: 25 Juv: N Sex: M SSN: Race: White Home Phone: (402) 612-6724 Work Phone: Arrest# FBI: Appr Appr By: Circumstance: Visitor: ❑ Military: ❑ I Police Dept Associate: ❑ Follow -Up: Weap Injured: ❑ Reasons for Treatment: Hospital: Physician: Transported By: Condition: Injuries Breath Test: ❑ Blood Test: ❑ Refused Test: ❑ Drivers License State: NE Expiration: Clothing: Primary Address: 643 N 20 AVE BLAIR, NE 68008 Primary Mailing: Second Address: Second Mailing: Advice of Victims Rights Provided❑ How Notified Comment: Other Phone: SBI: State Charges: Justif, Homicide: Treated: ❑ Voluntary: ❑ Confined: ❑ Refused Admission: ❑ Sent Home: ❑ Other Action: Test Results: Number: H13607720 Employer Occupation Phone Number Employed From Employed To BLAIR POLICE DEPARTMENT Incident ID: 20210000540 Incident Data Sheet Report OR] Number: N60890100 Printed On: 11/23/2021 13:26 (Tue) Page: 6 Associated Names Animal Owner Vict/Susp Rel; Name: KRUEGER, KELLY N DOB 4/3/1998 Age/Time: 23 Juv: N Sex; F SSN: Race: White Home Phone: (402) 360-5162 Work Phone: Arrest# FBI: Appr Appr By: Circumstance: Visitor: ❑ Military: ❑ Police Dept Associate: ❑ Follow -Up: Weap: Injured: ❑ Reasons for Treatment; Hospital: Physician: Transported By: Condition: Injuries Breath Test; ❑ I Blood Test: ❑ Refused Test; ❑ Drivers License State: NE Expiration: 413/202412:00 Clothing: Other Phone: SBI: Charges; Justif, Homicide; Confined; ❑ ( Refused Ad Other Action: Primary Address: 1644 COUNTY ROAD 31 BENNINGTON, NE 68007 Primary Mailing: Second Address: Second Mailing: Advice of Victims Rights Provided❑ How Notified Comment: Employer Occupation HOLSTEIN VET CLINCI VET TECH Work Address: 718 S 19 ST BLAIR NE 68008 Associated Businesses Arrests Expunged Arrests Juvenile Contacts Expunged Juvenile Contacts Test Results: Number: H13657030 Phone Number Employed From State Treated: ❑ I Voluntary: ❑ Sent Home: Employed To Incident ID: 20210000540 Page: 6 Vehicles Stolen Vehicles Property Evidence/Custodial Citations Ticket# Date BLAIR POLICE DEPARTMENT Incident Data Sheet Report ORI Number: NB0890100 Printed On: 11/23/2021 13:26 (Tue) Field Interviews Field Interview # Date/Time Occurred Accidents Report Number Date Ordinance Action Taken TXL? Description Suspects (Unknown) Victim to Suspect Relationships Victim # Victim Name Isuspect# ISuspect Name Drugs Amount Officer Vehicle Plate Vehicle VIN Relationship i BLAIR POLICE DEPARTMENT Incident ID: 20210000540 Incident Data Sheet Report Page: 7 Offense Codes Code: AC/Dog/Cat Bite Date Occurred ( FROM ): 11/20/2021 18:00 jDatE Code Section: Bias: None Location: Residence/Home Final Lc Entry Type: Entry Area: # Premises Entered: Entry Method: Exit Point 1: Exit Point Area Target: Property Target 2: Weapon 1: (Automatic: Weapon 3: Criminal Act 1: Suspected Use 1: Not Applicable Susp. Action to Prem. 1: Susp. Action on Viet. Susp, Other Action 1; Susp. SolicIt/Offered 1: Victim Use 1: Victim Activity: Vehicle Locked: Photographed; u Identity Theft: Remarks: ORI Number: NBO890100 Printed On: 11 /23/2021 13:26 (Tue) IRank Attempt Completed I Dom Violence: NO Occurred (TO): 11/20/2021 18:24 jDate Reported: 11/20/2021 18:24 Statute: ration: Rape Location: Instrument Used: Entry Point 1: Entry Point 2: Method Of Exit: Property Target 1: Property Target 3: IN Criminal Act 2: Suspected Use 2: Susp, Action to Prem. 2; Susp. Action on Viet. 2: Susp, Other Action 2: Susp. Solicit/Offered 2: Victim Use 2: Victim Condition: Keys in Ignition: security 2: n 2: A Criminal Act 3: Suspected Use 3: Susp, Action to Prem. 3: Susp. Action on Viet, 3: Susp, Other Action 3; Susp. Solicit/Offered 3: ✓ictim Use 3: 'recip. Circumstance: # Louvers Removed: Arson: Workflow Action Logged On Logged By Approval 11 /20/2021 18:55 XMLCADToRMS BLAIR POLICE DEPARTMENT Incident ID: 20210000540 Incident Data Sheet Report ORI Number: NBO890100 Page: 8 Printed On: 11/23/2021 13:26 (Tue) Images Description 2021-540, dog bite Incident Supplement Officer Hours BLAIR POLICE DEPARTMENT Incident ID: 20210000540 Incident Data Sheet Report OR) Number NBO890100 Page: 9 Printed On: 11/23/2021 13:26 (Tue) Narratives Narrative Title ❑ Locked Narrative Assignment: I was working uniformed road patrol in marked unit 124 on 11/20/2021 from 1800 hrs. to 0200 hrs. Report: At approximately 1824 hrs., I was dispatched to the Blair Memorial Community Hospital, 810 N 22 St., to take a report of a dog bite. I arrived and was escorted to an exam room. Lying on the table was a white female, later identified as Cayden Crosby -Wilson (DOB: 07/25/2000), holding a gauze pad on her left ear with blood on it. Sitting across from Cayden in a chair was a white male who was later identified as Brandon Grubaugh (DOB: 01/06/1999). 1 identified myself as Officer Flynn of the Blair Police Department and asked Cayden to explain what happened. Cayden informed me she was at a friend's birthday party at 543 N 20 Ave and was petting her friend's dog, Paco. Paco began to act excited, so Cayden attempted to roll away from him to get up. While Cayden was rolling away, he barked and bit her on the left ear. Cayden informed me Paco's owner is a veterinary technician and had given the dog some drugs to calm it down. Cayden believes Paco though she was going to pick him up and freaked out. I asked Cayden what kind of dog Paco was. She informed me it was a Pitbull/bulldog mix. After obtaining the information, I asked Cayden if she would allow me to take a picture of the injury. She allowed me to take a picture. On her left ear I could see an approximate 1-Inch cut. It appeared the ear was hanging on by a small piece of skin. After a picture of the injury was obtained, I went to 543 N 20 Ave, to speak with Paco's owners. I arrived and spoke to Joshua Tanner (DOB: 11/22/1995) and Kelly Krueger (DOB: 04/03/1998), Joshua showed me paperwork of Paco's shots, I asked Joshua and Kelly to explain what had happened. They informed me Cayden was petting Paco and he freaked out and bit her on the ear. I asked Kelly where she worked. She informed me she works at Holstein Vet Clinic as a Veterinary technician. I asked Kelly what kind of drugs she had given the dog. She informed me she had given him Ace Promazine and Gabapentin. I informed Joshua and Kelly I would be issuing them an Animal Quarantine Order. After filling out the form and explaining it to them, Joshua signed as the owner. I handed them their carbon copy of the form and asked if they had any questions. Both Joshua and Kelly stated they did not have any. After issuing the Animal Quarantine Order, I returned into service. Disposition: I request this case be forwarded to an Animal Control Officer. Case status: Active Date typed 11/20/2021 Typed by: Flynn, J #214 Created On Created By Updated On Updated By 11/23/202109:44 JFLYNN 11/23/202109:44 JFLYNN