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A.... f... 11TY OF . A . 2022 PET LICENSE 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 a 218 S 16th St e 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 ARE DUE: March 15,/2022 Owner Name: 3y'-i Li I C' �/ A�2(�d�' � _ Owner Address: ilJ go h F�/l " (d/ y-c L :.� city/state/zip: Blair, NE 68008 Phone # -'-/o, /-/� 6, - -/ 1 LICENSE FEES: Dog or Cat: $16.00 It D or a�'r 1100 ***PLEASE READ CARERJLLY*** 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 3115/2022. 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 requires proof of rabies vaccination. ere5ti og . ZQp acement Fee for Lost Tag: $5,00- Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program ET # 1 ❑ D o g /0, C a t A,Spayed/Neutered —-- License Fee $ A Name_ tr Birthd ** 7 Sex �, lI � •Replacement '`7nr r � �� Breed** clared Dangerous or Potentially pangerous Dog: ❑ YAN CROCHIP # - (If applicable) SUBTOTAL: $_pr BIES VACCINATION DATE: j s ' (3 yr) (1 yr) X� City Tag # ET # 2 ❑ Dog ❑ Cat ❑ Spayed/Neutered et Name _ Birthdate _ Sex olor _ Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ ME License Fee $ Replacement $ _ SUBTOTAL: $ (1 yr) City Tag # PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate Sex ** Color Breed** Rep/acement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) 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 ENCLOSE® If you have questions, please contact Blair Police Department at (402) 426-4747 NEW PET/NEW RESIDENT LICENSING REQUIREMENTS(March 15late fee datenotapplicablefornewpets/new residents) Newly Acquired Pets: New Residents to Blair: • Must be lioensed within 10 days of ownership ® Must register pets within 10 days of • <OR> at 6 months of age if puppy/kitten residency. 01/25/2022 17:43 4024260101 HOLSTEIN VET CLINIC PAGE 01/01 2022 PET LICENSE VERIFICATION/APPLICA.TION FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT($), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF BLAIR — 218 S. 16TH ST — BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. ***PLEASE READ CAREFULLY*** YQU ARE REQUIRED BYLAW TO LICENSE Y9UR PETS THE CITY F BLAIR REQUIRE$ PROOF OF RABIES VACCINATION. Failure to do so Is a violation of City Ordinances 6.103 and carries a penalty of a fine up to 9150.uu per pet. PET LICENSE RENEWALS ARE DUE BY 3 15 2022. The city shall recognize a microchip ID number a$ 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 orsuch dog or cat. NEW PET LICENSING Must be licensed within 10 days of ownership (OR) at 6 months of age if puppy or kitten NEW RESIDENTS TO BLAIR Must register pets within 10 days of residency Owner Name Spouse Owner Address City/State/Zip Phone # Adam Acker Melissa Johnson 1391 Linden Dr Blair, NE 68008 402-838-9198 Pet Name; Stryder Age: 5Y Sex: Neutered Male DOR: 02-16-16 (� Color: Brown/Wht Breed: Collie Microchip # 985112007412670 Rabies Tag # 17964 PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RF-NEWAL (IF AVAILABLE); # RABIES VACCINATION DONE ON 05.21-20 Rabies Description: 1 YEAR 3 YEAR Holstein Veterinary Clinic Dr. Lisa Schrum DVM : Dr. Kriste Holstein OVM 718 South 1Tt Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinic@gmail,com LICENSE ES Intact Dog or Cat: $16.00 Altered Dog or cat: $11.00 e Ce nt Tag $5.00 Total PETS TWArARE ON THE ACTIVE POTENT, LY DANGEROUS O DANGEROUS 00G—LIST NEED TOREGI 'rB—DIRECTLYATCITYHAS 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 ® 218 S 16th St a 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 ARE DUE: March ,15, 2022 Owner Name: Owner Address: City/State/Zip' Blair, NE 68008 Phone # ILL ***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 3/1512022. 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 requires proof of rabies vaccination. LICENSEFEES: Dog or Cat- $16.00 Altered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET #1 /W 09 LJ Cat N1 Spayed/Neutered License Fee $ Pet Name L Bi4date Sex IZ a12— Corr Breed* 5t, -- Replacement$ peclared Dangerous or Potentially Dangerous Dog: LJ Y )Kll N ob `MICROCHIP # (If applicable) SUBTOTAL: $ (RABIES VACCINATION DATE: (3 yr) _)&_ (1 yr) _ City Tag # # I \# 2 LJ Dog Ll Cat 171 Spayed/Neutered Pe ame----- Birthdate Sex Color — Breed** — Declared Dangerous or Potentially Dangerous Dog: F711 Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) — PET #3 LJ Dog Lj Cat Ll Spayed/Neutered Pet Name Birthdate — Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: LJ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) — 0 N License Fee $ — Replacement $ SUBTOTAL:$ — (1 yr) ---- City Tag # License Fee $ Replacement$ J N SUBTOTAL:* (1 yr) - 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.) TOTAL ENCLOSED $ 1l d-U Do Not Send Cash by Mail If you have questions, please contact Blair Police Department at (402) 426-4747 .............................................................................. NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15 late fee date not applicable for newpetslnew residents) Newly &cguired Pets: New Residents to Blair: • Must be licensed within 10 days of wrietship. m Must register pets within 10 days of • <OR> at 6 rnonths of age if puppy/kitten residency. Ja n'25 22 01;14p p,1 CERTIFICATE OF VACCINATION Date of Rabies Vaccination: 03-14-19 Certificate No: 0 Next Rabies Vaccination On: 03-13-22 Previous Rabies Vaccination: VETERINARY CLINIC OWNER OF ANIMAL Thone Animal Hospital Richard Acker 902 S Hwy 30 2710 Larsen Dr Blair, NE 68008 Blair; NE 68008 402-426-3630 County: This is to certify... THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information — PATIENT: Rudy TAG NO: 004665 SPECIES: Canine WEIGHT: 7.70 SEX: N AGE: 10 years Color and markings... White Signed Dr.Karnala Freeman Vaccinations done... License: 3894 04-01-21 KF Bordetella Oral 04-01-22 04-01-21 KF DA2PPV 04-01-22 05-25-19 JRD Bordetelia, P13 (Intra-trac 3) 04-01-22 03-14-19 KF Rabies Vaccination (3 Year), #004665 03-13-22 03-10-18 LL Check up, DA2PPV 04-01-22 Rabies Vaccine Information... MPG BY: Z0& SER.NO: 293134 LOT EXP: I1129119 ADM: SCE 03/09/2022 15:07 4024260101 HOLSTEIN VET CLINIC PAGE 2022 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF BLAIR ^,-(A�,1•T""•TTq-,AND OWN A DOGS) AND /OR CA .-URN WITH A CHECK PAYABLE TO. 16" ST — BLAIR, NE 68008 INATION OF FOUR (4) ADULT PETS, :-E (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. _:AD CAREFULLY*** `• ' `�14E GIN OF B AIR RE UIRE ROOF OF RABIES VACCINATION. 103 and Carries a penalty of a fineup to $150.00 per pet. ALS ARE DUE BY 3 15 2022. 4+ :hip ID number as the license•'hUmber. er city ID other than that issued by the City of Blair for such dog or Cat. • , kitten s of i r .. . ' ' ' • � ' : ' :. ' ' = ` ':�1neCship �CR� at 6 month age . f pupPY o. k e � ,, ;,,:,�,V; y$ of residency `� ' .^, Bry an Adams Phone,# Pet Name: .lax Age; 3Y DOB: 06-28-1 B Breed: Heeler X Sex: Neutered Microchip # PLEASE INCLUDE CITY TAG NUMBER IF RABIES VACCINATION DONE ON Rabies Description: /," • 1 YEAR Emily 761 N 2nd St Blair, NE 68008 402-670-4369 J _ , I ICENSE FEES Color: Tri Intact Dog oT Cat: $16.00 DID Qr cat: $11.00 Rabies Tag # 20158 IS A RENEWAL (IF AVAILABLE): # Replacement Tog $5.00 03-09-22 1 , D0 Total $_- 3 YEAR PETS THA-rAREONTHEA-mVEPOTENTIALLY DA GEROUS DANGEROUS 00G LIST NEW TO REGISTER OIREGTLY AT CITY HALJ Holstein Veterinary Clinic Dr, Lisa Schrum DVM ; Dr. Krista Holstein DVM 718 South 19"' Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinic@gmail.com 03/08/2022 BUT Nt It shall be unl PAGE 01/0 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 CHICK PAYABLE TO: CITY OF BLAIR — 218 S. 16TH ST — BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. *,N PLEASE READ CAREFULLY'"'"* ARE RE IRED BY LAW TO LICENSEYOUR PETS THE CITY OF BLAIR RE UIRES PROOF OF RABIES V CCINATIO FailUte 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, ful for any dog or cat to wear any license or other city ID other than that issued by the City of glair for such dog or cat. SING Must be licensed within 10 days of ownership (OR) at 6 months of age if puppy or kitten S TO BLAIR Must register pets within 10 days of residency 15:26 4024260101 Owner Nam'' Spouse Owner Addi ' ss City/State/ 1 P Phone # Pet N4�03-20 er Age:DOB:' Breed: Lab Ix Microchip # j PLEASE. INCLI J. DE CIT RABIES V Rabies Sex: Spayed Female N TAG NUMBER IF TION GONE ON I YEAR HOLSTEIN VET CLINIC Bryan Adams Emily r m Blair, NE 68008 402-670-4359 Color: Brawn Rabies Tag # 20154 IS A RENEWAL (IF AVAILABL.F): # 03.08-22 3 YEA LICENSE FF.� Intact Dog or Cat: $16.0Q0 og or cat: $1 Replacement Tag $5.00*� `' ` ,L,0 1 Total $ anTHATAREONTHE ACYIVEPOTENTIA LYDANGEROf 5OR p4NGEROU5 D G LIST NEED EGISTER DIRECTLY•AT IQn'HALL. n Hol ,teen Veterinary CI i C FAXED 03 08-22 Dr. US Schrum DVM Dr. KIISW holstein DVM BY 718 ' outh 19" Street Blair, NE 68008 -426-0 r 381402 101.,Fax I?! �'. 2-426-7 ;;.;,,` ?: , •:,,,.i,; holsteinclinic@gmail.com u>. ra:{ar,;:5;,.. 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 • 218 S 16th St ® Blair, NE 68008 I' '' You may,legally own a combination of four (4) adult pets, but no more than three (3) adult dogs,, i or three (3) adult cats per residential or dwelling unit. �ye ;!u .� b LICENSE RENEWALS ARE DUE: March 15, 2022 Owner Name: Owner Address:-- city/state/zip: Blair, NE 68008 Phone # L- Igt r , ***PLEASE REA®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. i-'d -i� tllk-a' PET LICENSES RENEWALS ARE DUE BY 3/15/20 1 t the Clrybshall 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 requires proof of rabies vaccination. LICENSE FEES: Dog or Cat: $16.00 L� Altered Dog or Cat: $11.00 Replacement Fee for Lost Tack: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska & Cat Operator Inspection Program PET # 1 0 Dog ❑ Cat payed/Neutered License Fee $ Pet Nam : Birthdate 34 cY2Sex e p2 Breed** r�t4� Rep/acement$ t. Color Declared Dangerous or Potentially Dangerous Dog: ❑ Y N v �` MI'ROCHIP # i (If applicable) SUBTOTAL: $_ DATE: 3 - � � (3 (1 yr) City Tag #2. ..� VACCINATION r yr) # 2 UJ""D o g ❑ Cat ❑ Spayed/Neutered License Fee $ ri m P :Name Birthdate Sex - �** r 13 Breed** Re P/acement $ e � lared Dangerous or Potentially Dangerous Dog: ❑ Y WN ROCHIP # 1?! ` /l//t Lp 27`if1/2_(If applicable)SUBTOTAL: $ �TBIES City Tag # VACCINATION DATE: t or� (3 yr) (1 yr) PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate ** lacemnt Re Sex ** Color Breed _ P $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) 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 Sena cash by Mai! TOTAL ENCLOSED $ )J J. j If you have questions, please contact Blair Police Department at (402) 426-47d7 .........-+++++++¢.+++++.....++++.++++++++...+-r....+++.++..........++++++..... NEW PET/NEW RESIDENT LICENSING REQUIREMENTS(March 15late fee date not applicablefor newpets/new residents) Newlyoguired pets. New Residents to Blair: ® Must be licensed within 10 days of owl)ership m Must register pets within 10 days of • <OR> at 6 months of age if puppy/ldtten residency. Date of Rabies Vaccination: 04-14-22 Next Rabies Vaccination On: 04-13-25 VETERINARY CLINIC Thone Animal Hospital 902 S Hwy 30 Blair, NE 68008 402-426-3630 This is to certify... Certificate No: 1283 Previous Rabies Vaccination: 004621 OWNER OF ANIMAL Edward Adams 4-- 1916 Lincoln St Blair, NE 68008 County: THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Gidget a0eTAG NO: 007751 SPECIES: Canine WEIGHT: 6.40 SEX: S AGE: 6 years Color and markings... Tan and White Signed Dr. Donna Mertz License: 3630 Vaccinations done... 04-14-22 DM Rabies Vaccination (3 Year), #007751 04-13-25 04-14-22 DM DA2PPV 3yr 04-13-25 02-23-21 JRD DA2PPV 03-02-19 LL Check up, DA2PPV 01-29-18 LL Rabies Vaccination (1 Year), #003870 01-28-16 LL Annual Checkup, DA2PPV+CV Rabies Vaccine Information... MFG BY: ZOETI SER.NO: 543936 Reminders for: Bella (Weight: 9.8 Ibs -15y) Last done f _)Oq}/E' 04-13-25 DA2PPV 3yr 04-14-22 03-12-23 Rabies Vaccination (3 Year) 03-12-20 Reminders for: Billy (Weight: 10.7 Ibs - 11y) Last done 04-13-25 DA2PPV 3yr 04-14-22 02-23-24 Rabies Vaccination (3 Year) 02-23-21 You Can Order Your Pet Supplies On animalcareofblair.com. Like us on Facebook!i 9 a yy 022 PLICA"_T'� Pi Li� JTY__QFJfflAER�- 2 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 e 218 S 16th St e 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. j— LICENSE RENEWALS ARE DUE: March 15 21022 ***PLEASE READ CAREFULLY*** Owner Name: \) tr ' (A V* 'o \7 i 9 qYOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS, I ko -2_�' � , 'I�J-Y_' , - Owner Address: Yt Failure to do so is a violation of city ordinances 6.103 and carries a penalty of a fine up to $iso.00 per pet. City/State/Zip: Blair, NE 68008 PET LICENSES RENEWALS ARE DUE BY 3/15/202 . The City shall recognize a microchip Identification number as the license number, It Phone # L1 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 requires proof of rabies vaccination. LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program #1 License Fee $ IL111-2 Dog L3 Cat LA Spaye /N utered Bifthdat ')�6'IkSex P t ameGBa,dCC, e Replacement $ Colo __ Breed" I V-1 mid;, - VN�N I Decla ed Dangerous or Potentially DangerousDog: LI YAN MICR CHIP # -(If applicable 3 SUBTOTAL: $ (3 yr) — (1 yr) \Z' City Tag RASRJ S VACCINATION DATE: 7 I� Ot' # 2 U Dog LJ Cat Ll Spayed/Neutered Pet'Name— Birthdate —_ Sex Col r Breed" 12 De lared Dangerous or Potentially Dangerous Dog: LJ Y C� CROCHIP # (If applicable) RABIES VACCINATION DATE: _ (3 yr) — PET #3 LJ Dog J Cat LJ Spayed/Neutered Pet Name Birthdate Sex Color __ Breed" Declared Dangerous or Potentially Dangerous Dog: LJ Y MICROCI ]IP # — , (If applicable) RABIES VACCINATION DATE: (3 yr) — W License Fee $ Replacement $ SUBTOTAL: $ — (1 yr) __ City Tag # License Fee $ — Replacement $ SUBTOTAL: $ — (1 yr) I 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� I_' LL) If you have questions, please contact Blair Police Department at (402) 426-4747 ............................................................ 4 .................. NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (Mal-ch 15 late fee date not applIcable fornewpetFlnew residents) Newly Acquired Pets: New Residents to Blair: • Must be licensed within 10 days of ownership ® Must registerpets within 10 days of ® <OR> at months of age if puppy/Wen residency. Client ID: 23738 Client Name: BRANDY ADLER Address: 163 N. 25th St. BLAIR, NE 68008 Phone: (402)677-1120 Tag Number: 211025 Lot Number: 119912 NOBIVAC Producer: ZOETIS MLV / R: Killed Virus Northwest Animal Hospital www.nwahomaha.com 3506 N. 72nd St. Omaha, NE 68134 (402) 572-1280 Rabies Certificate Staff Name: Dr. Jodi Houts License Number: 3003 Patient ID: 34715 Patient Name: CHARLEE Species: Canine Breed: Pointer, GermanShorthaired Sex: Spayed Female Color: Black/White Markings: ov Birthday: 06/d2011 Weight: 72.10 pounds on 9/10/2020 Vaccination Date: 9/30/2021 Expiration Date: 9/30/2022 SPAY CERTIFICATE Owner's Name.: BRANDY ADLER Address......: 3136 YOUNG ST OMAHA,, NE 68112 Date.: 12/21/2012 Phone: (402) 677-1120 Animal Name..: CHARLEE Sex..: Spayed Female Breed: Pointer, GermanShorthaired Mix Date of Birth: 6/6/2011 Weight:58.7 Color: Black/White Issued By NORTHWEST ANIMAL HOSPITAL ----------------------------------------- 3506 North 72nd St. Omaha, NE 68134 (402) 572-1280 This certificate certifies that the above mentioned animal has had an ovariohysterectomy (surgical sterilization) at our,, veterinary hospital. %8 02/12/2022 10:10 4024260101 HOLSTEIN VET CLINIC PAGE 01/02 2022 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF GLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT($), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO: 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. PEFi RESIDENTIAL OR DWELLING UNIT. ***PLEASE READ CAREFULLY10** YOU ARE REQUIRED RY LAW TO LICENSE YOUR. PETS THE CITY OF BLAIR REQUIRES PROOF OF RA13 P5 VCINATONn Failure to do so is a violation of City Ordlnancos 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 for such dog or cat. NEW PET LICEN5ING Must be licensed within 10 days of ownership* (OR) at 6,months of age if puppy or kitten NEW RE5IDENTS TO BLAIR Must register pets within 10 days.of residency Owner Name Stephanie; Aguilar Spouse Owner Address 1080 N 28th Ave City/State/Zip Blair, NE 68008 Phone # ,575-693-2684 1 Pet Name: Hank , i, Age: 3Y Sex: Neutered Male Color: Gold DOB: 06-02-18 Breed: Golden Retriever Microchip # Rabies Tag # 17289 PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE): # RABIES VACCINATION DONE ON 09-27-19 Rabies Description: 1 YEAR YEAR 0 Holstein Veterinary Clinic Dr. Lisa Schrum DVM : Dr, Krista holstein DVM 718 South 1911 Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinic@ gmail,com Dog or Cat: $16.00 A/tocatted D06 r : 0 Replacement rag $6.00 Total $ �, PETS THAT ARE ON THE ACTIVE POTENTIALLY DANGEROUS OR p NUpUS DOG LISrNEED ro ReGISrf DIRECTLYA1 CIYYHAdb.. CITY OF BLAIR - 2021 PET LICENSE 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 • 218 S 16th St • Blair, NE 68008 n, You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs i or three (3) adult cats per residential or dwelling unit.,t�s, i LICENSE RENEWALS ARE DUE: March 15, 2021 ***PLEwsEREAD cAREFULLY*** Owner Name: Mm»�f0 f15 �� —�(—� ---T (` YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Owner Address' \\q` , --- 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. City/State/Zip: Blair, NE 68008{' -.1 PET LICENSES RENEWALS ARE DUE BY 3115/2021. The City shall Phone # `1�rre o `�fl ' " 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 requires proof of rabies vaccination. LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection protf m t, ' U hb 00 PET # 1 Dog ❑ Cat Spayed/Neutered License Fee $�_ Pet Name s r t)I s.� Birthdate ,�- --1-/ Sex n Color 'R n K Breed** �� `f��,L Replacement $, . Declared Dangerous or Potentially Dangerous Dog: ❑ Y 'A'N c��> MICROCHIP # (If applicable) SUBTOTAL: $ �- RABIES VACCINATION DATE: X (3 yr) (1 yr) City Tag # , OV PET # 2 Dog ❑ Cat License Fee $ Spayed/Neutered ' Pet Name i' li v e c Birt date Sex M ' / Color ' 1 c arf Breed** 'vraliu,/iLtr lh - /�t+ Rep/acement$ ** Declared Dangerous or otentially Dangerous Dog: ❑ Y ON MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) —XL_ (1 yr) City Tag cab PET # 3 ❑ Dog 16 Cat A Spayed/Neutered _ License Fee $_ Pet Na 1 e 1 �� Birthdate ! Sex Lw,,0P- Color 9reL -+ l,�lnA'�� Breed— I . Replacement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y )2'N i MICROCHIP # (If applicable) SUBTOTAL: $ I_g RABIES VACCINATION DATE: I -.'a (3 yr) (1 yr) 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.) TOTAL ENCLOSED $ Do Not Send Cash by Mail If you have questions, please contact Blair Police Department at (402) 426-4747 ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15late fee date not applicable fornewpets/new residents) 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. CITY OF BLAIR 2022 PET LICENSE 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 a 218 S 16th St a 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 ARE DUE: March 15, 2022 r Owner Name: � �� j�- � ' �' i % ,/- k E�- z i Owner Address: X , 7 city/Mate/zip: Blair, NE 68008 Phone # �'l s2 - I Et � "3 e': LICENSE FEES: Dog or Cat: $16.00 Alt d D or Cat• $11 00 ***PLEASE FULLY*** 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 3/15/2022. 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 requires proof of rabies vaccination. ere og Replacement Fee for Lost Tag: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebiaska Dog & Cat Operator Inspection Program PET #1 A Dog ❑ Cat A Spayed/Neutered License Fee $ Pet Name ? ,' ' Birthdate .t � ,5) Sex L Color ;+�; �r r Breed** i 7 �� t "I" ,rce Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y 'l N MICROCHIP # !3 ,� i 4 1 6,s j 7 �j ?-- ij V _(If applicable) I SUBTOTAL: $ RABIES VACCINATION DATE: _ q - I t (3 yr) , L (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) M License Fee $ Replacement $ _ . SUBTOTAL: $ (1 yr) ` City. Tag ** PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Names Birthdate _ Sex _ Color Breed** Replacement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y Cl N MICROCHIP 4 (If applicable) SUBTOTAL: RABIES VACCINATION DATE: (3 yr) (1 yr) 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 NCL $ If you have questions, please contact Blair Police Department at (402) 426-4747 NEW PET/NEW RESIDENT LICENSING REQUIREMENTS(March 15late fee date notapplicablefornewpeWnewresidentV Newly Acquired Pets: New Residents to Blair: _ • Must be licensed within 10 days of ownership m Must register pets within 10 days of • <OR> at 6 months of age if puppy/Idtten residency. NE +SKA HUMANE SOCIETY MEDICAL HISTORY AS OF: 11/2/2021 Animal ID Barcode 8929 Fort St, Omaha NE 6813 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII (402) 444-7800 ti„Name POPPY�maIID# A1419224 �I Breed AUST TERRIER / MIX Color WHITE & TAN Microchip # 985141004242179 Aqe 6Y Sex NEUTERED MALE Visit Type/Reason: NOTATION Weight: Lbs. Treated by Tech: VLB COMMENTS: This animal is current on rabies vaccination through:04/13124-- This information is on file from the previous owner and will be used for licensing purposes only. We are unable to release further rabies certificate information at this time. We are unable to re -issue rabies tags or certificates. Wei ht: Lbs. Treated by Vet: Sheryl Hemmer DVM-4134 Treated Visit T �e/Reason: PROCEDURE g Diagnostic/Treatments and Results/Reasons COMPLETE BLOOD COUNT: MISCELLANEOUS HEMISTRY COMPLETE: MISCELLANEOUS I-IW-VETSCAN: NO DECT ANTIGEN ®nirrral in-t A1419224 Animal ID Barcode IIIIIIIIINIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII Pagel of4 T LiC AP L iON k,Tiry nr ni Am - O� Tf you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made ' playable to: City of Blair * 218 S 16th St s Blair, NE 68008 A I You may legally own a combination of four (4) adult pets, but no more than three (3) adult dolog, or three (3) adult cats per residential or dwelling unit. A),A J V % LICENSE RENEWAL'S ARE DUE: Marc 3-L5-,--2022 ***PLEASE READ CAREFULLY*** V0 ETS Owner Name: Jt�YOU ARE REQUIRED BY LAW TO LICENSE YOUR P 3 9 � 151 Slce- /10 17 6? C—' Failure to do so is a violation of City ordinances 6.10 Owner Address: a penalty of a fine up to siso.00 per pet. City/Mate/Zip: Blair,,NE 68008 PET LICENSES RENEWALS ARE DUE BY 31 IS/ 2022. The City shall 220 6,12-5 - recognize a microchip Identification number as the license number, It Phone # 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 requires proof of rabies vaccination LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11-00 Replacement Fee for Lost Tag'. $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat operator Inspection Program L—'J) PET #1 01 po,g Ll Cat t4 SpayedlNeuter--, qed Pet Name Birthdate Sex Color K,'ol-cZ Breed" Gol Ded,arecl Dangerous or Potentially Dangerous Dog: D Y ZI N �CR CHIP # ) I ?,go 3 / F.S V 77,12 r (If applicable) I BIX VACCINATION DATE: (3 yr) Pet I;1�2 LJ Dog LJ'Cat a Color Declared Dangerous or P ti I �T�tROC IP # - HO RTFS CCINATION DAT_E-. ,JE, . License Fee $ —Ylt'20 Replacement $ SUBTOTAL: $ 4190 (1 yr) _ City Tag # Li Spayed/Neutereo_------ Birthdate Breed" ally D��rous Dog: L3 Y 171 N (if Zable) t3' yr) - (I yr) PET # LJ Dog Ll Cat LJ Spayed/Neutered Pet Nam Bi oate -Se Colo10 6d** olo eclare—dd Dangerous or Potential Fl�yy�Dan er s Dog Y Ll N MICROCHIP (If app!•Tle) -6A RABIES VACCINATION D _(3yr) —, License Fee $ Replacement $ SUBTOTAL: $ City Tag License Fee $ _ Replacement $ SUBTOTAL:$ — (1 yr) _ 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.) TOTAL ENCLOSED$ jz Do Not Send Cash by Mail I if you have questions, please contact Blair Police Department at (402) 426-4747 . . . . . . . . . . . . . . . . . .. 1-+++4 .. . . . . . . . . . . . . . . . . . . . . . .. 1. +41 . . . . . . . . . . .. il- . . . . . . . . . .. NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15 late fee date not applli-,3blelair: for newpelylnew residents) A aired Pets- New Resid ts to B n Must be lioe within 10 days of ownership n Must register pets within 10 days of a <OR> at 6 months of age if puppy/ldten residency. Thone Animal Hospital 902 S Hwy 30 Blair, NE 68008 402-426-3630 FOR: Karen Amsberry 451 S 16th St #212 Blair, NE 68008 (770) 617-5972 Date For Qty Description 06-12-20 Einstein 1 Chem10In-house 06-12-20 3 Rimadyllnj/mL 06-12-20 Items used... 1 1 Naxcel Injection Naxcel/Ceftiflex (ceftiofur sodium) /cc 06-12-20 1 Complimentary Nail Trim 06-12-20 1 Surgical Monitoring 06-12-20 1 Surgery Hospitalization 06-12-20 1 Anesthesia 51-80 06-12-20 1 Canine Neuter (51.80 Ibs) 06-12-20 1 Micro Chip Placement 06-12-20 14 Carprofen 75mg #17176 Printed: 06-13-20 at 9:16a Date: 06-13-20 Account: 9323 Invoice: 93272 Net Price 55.50 39.90 34.00 0.00 10.80 21.70 109.50 57.50 51.00 16.30 06-13-20 Visa payment-396.20 Merchant ID: 4445046763017, Approval code: 903102, Transaction ID: 585055012 Ref #: 11795, Act #: **' *********1457, Exp: XX/XX, Entry: Keyed, Card: VISA Your card balance is not available I AGREE TO PAY ABOVE TOTAL AMOUNT ACCORDING TO CARD ISSUER AGREEMENT X Old balance Charges Payments 0.00 396.20 396.20 Reminders for: Einstein (Weight: 65.0 Ibs - 12m) Last done 10-11-20 Rabies Vaccination (3 Year) 09-09-20 09-10-19 DA2PPV+CV 09-10-19 09-09-20 Bordetella, P13 Intra-trac 3 06-12-20 Hwt Dog (Heartworm Test) You Can Order Your Pet Supplies On animalcareofblair.com. Like us on Facebook!1 New balance 0.00 CERTIFICATE OF VACCINATION Date of Rabies Vaccination: 11-16-20 Next Rabies Vaccination On: 11-16-23 VETERINARY CLINIC Thone Animal Hospital 902 S Hwy 30 Blair, NE 68008 402-426-3630 This is to certify... Certificate No: 2111 Previous Rabies Vaccination: OWNER OF ANIMAL Karen Amsberry 399 E Baronage Dr Blair, NE 68008 County: THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Einstein TAG NO: 006236 SPECIES: Canine WEIGHT: 65.00 SEX: N AGE: 17 months Color and markings... Gold Signed Dr. Joe DiMari Vaccinations done... License: 3258 11-16-20 JRD Rabies Vaccination (3 Year), #006236 11-16-23 11-16-20 JRD DA2PPV 11-16-21 11-16-20 JRD Bordetella Oral 11-16-21 10-12-19 JRD Rabies Vaccination (1 Year), #005201 09-10-19 JRD (Distemper Group) DA2PPV+CV 08-05-19 JRD Check up, DA2PPV+CV Rabies Vaccine Information... MFG BY: ZOETI SER.NO: 395414 LOT EXP: 06-15-21 ADM: SQ CITY OF BLAIR ® 20PET LICE I NSE 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 • 218 S 16th 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. LICENSE RENEWALS ARE DUE: March 15 2022 Owner Name: �,c ,,&e rem Owner Address: to city/state/zip: Blair, NE 68008 Phone # `jo , " `A Ci -) LICENSE FEES: Dog or Cat: $16.00 Alt d ID or Cat• $11 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 3/15/2022. 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 requires proof of rabies vaccination. ere og Replacement: Fee fbi- Lost'Tag: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET #' 1 Dog ❑ Cat I Spayd/Neutere License Fee $ � Pet Name r��c , Birth ate _ c)Se m Color w o_ Breed** —'' r Replacement $ Declared Dangerous or Potentially Dangerous Dog: ❑ li,4 N MICROCHIP # I I z oo6'C.; co (If applicable) SUBTOTAL: $ RABIES VACCINATION, DATE: 0 - v3 2 ' (3 yr) yr) City Tag # � <_ PET Dog ❑ Cat CA Spayed/Neutered OsSe6 aicense Fee $ r e� Pet Name Oci �� Birthdate Sex m& I t ** Color a t-C g -,-,Breed** _ _—€)a cA(",�,+a� �, � .��Rev/acement $ 0 clared Dangerous or Potentially Dangerous Doge-l.Y, ❑-NfIC RABIES INATION DATE: applicable) SUBTOTAL: $ (3 yr) City Tag # PET #>F3 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate _� Sex ** Color Breed Replacement $ Declared Dangerous or Potentially, Dangerous Dog: ❑ Y ❑ N MICROCHIP # (jf applicable) SUBTOTAL: $ RABIES VACCINATION DATE: __ (3 yr) (1 yr) City Tag #' *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if reque;;ting at the time of license renewal.) Do Not Send fash by Mail TOTAL ENCLOSE® $ o If you have questions, please contact Blair Police Department at (402) 426-4747 .....++++++++++++++++++++++++...I.++++++++++++++++++++++++++++++.............. NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15late fee date not applicable fornewpets/newreSidents) Newly Aoguired Pets: New Residents to Blair: w Must be licensed within 10 days of ownership m Must register pets within 10 days of ® <OR> at 6 months of age if puppy/kitten residency. Date of Rabies Vaccination: 10-14-21 Certificate No: 0 Next Rabies Vaccination On: 10-13-24 Previous Rabies Vaccination: 16343 VETERINARY CLINIC OWNER OF ANIMAL Holstein Vet Clinic Sandra Andersen 718 South 19th Street 1035 N 27th Blair, NE 68008 Blair, NE 68008 402-426-7387 County: This is to certify... THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Gracie TAG NO: 19547 SPECIES: Canine WEIGHT: 34.40 SEX: S AGE: 11 years Color and markings... Tan Signed Krista Holstein , DVM License: 3612 Rabies Vaccine Information... MFG BY: ZOETI SER.NO: 500084 LOT EXP: 08/09/22 ADM: SQ 1 02/23/2022 16:59 4024260101 HOLSTEIN VET CLINIC PAGE 01/02 '20.22 PET LICENSE ,�. VERIFICATION/APPLICATION FOR CITY OF BLAIR LIVE IN B LAIR CITY LIMITS ANOW D N A DOGS AND /OR CAT(S) IF YOU ) COMPLM THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF BLAIR 218 S. 16TH ST — BLAIR, NE 68008 YQU MAY LEGALLY OWN A COMBINATION OF FOUR (-i) ADULT P[TS, BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. ***PLEASE READ CAREFULLY*** YOU ARF REQUIRED BY I,AW TO LICENSE YOUR PETS THE CITY OF BLAIR REQUIRES PROOF OF RAQIES VACCINATION. Failure to do so Is a violation of City Ordloances 6,103 and tarries a penalty of a fine up to $1$0.00 per pet. PET LICENSE RENEWAL ARE DUE BY3/15/2022. 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 Ib other than that issued by the City of Blair for such dog or cat. NEW PET LICENSING Must be licensed within 1.0 days of ownership (OR) at 6 months of age if puppy or kitten NEW RESIDENTS TO BLAIR Must register pets within 10 days of residency Owner Name Roger Anderson Spouse I Penny (Johnson) Owner Address . 1 1233 Kristin Circle City/State/Zip Blair, NE 68008 Phone # 402-278-1613 . dt Name: Dale Age: 5Y DOB: 05.12.16 Sex: Neutered Male Color: Blk,Brn " Breed: Pomeranian Microchip # 985112008167188 Rabies Tag # 18367 PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE): # RABIES VACCINATION DONE ON 10-31-20 Rabies Description: 1 YEAR YE R Holstein Veterinary Clinic Or, Lisa Schrum DVM : Dr. Krist'a Holstein DVM 718 South 191h Street Blair, NE 68008 402-426-7387 407-426-0101 Fax holsteinclinic@gmaii.com LICENSE FEES , Intact Dog or Cat: $16.00 eyed Do or cat, $11 0 Replacement Tag $5.00 t1 To al $ PETS THATARE ON THE ACTIVE POTENTIALLY DANGEROUS OR DANGEROUS DOG LIST NEED TO REGISTER DIRECTLYA•r CITY HALL. FAXE p • 02-23-22 BY ni I�"t�{'Its"li�IJi+: �l ��i��iiili'�5 L, 1 �tYh1R �:i) 2:.'l i•'�"�"gip N.l �:l"i>�ij n �ti;,'gr.J;i.�ir,,,��Ypt;l%'pd:cEo}i{V�w��•u..1,a��;'!rt�W.j,;{I;��`;tlri•'i��i ,��.y.. ..; f;:;"I't: l�; rt;ii��,, 02/23/2022 16:59 4024260101 HOLSTEIN VET CLINIC 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. 16TH 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 PAGE 02/02 ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LI,MSE YOUR PETS. THE CITY OF BLAIR RE UIIiFS PROOF OF RApIES VACCINATION, 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 for such dog or cat. NEW PET LICENSING Must be licensed within 10 days of ownership (OR) at 6 months of age if puppy or kitten NEW RESIDENTS TO BLAIR Must register pets within 10 days of residency Owner Name Roger Anderson Spouse Panny(Johnson) Owner Address 1233 Kristin Circle City/State/Zip Blair, NE 68008 Phone # 1 402-278-1613 Pet Name: Jenny Blue I —H' Age: 8Y Sex: Spayed Female Color: Tri DOB: 06-14-13 Breed: Aussie Microchip # Rabies Tag # 19243 PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAI- (IF AVAILABLE): # RABIES VACCINATION DONE ON 06-12-21 Rabies Description: I YEAR � 3 Holstein Veterinary Clinic Or. Lisa Schrum DVM : Dr. Krlsta Holstein OVA4 718 South 19th Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinic@gmail,com LICENSE FEES Intact Dog or Cat: $16,00 ered Do or cat: $11.0 Replacement Tag $5.00 Total $� -- PETS 1 HATARE ON THE ACTIVE POTENTIALLY n/,NGEROUS OR QANG1RQY§ DOG LIST NEED TO REGISTER DIRECT LYAT CITY HALL. FAXED 02-23-22 BY •i'��i � i�j7:f (; `� �! is A','� :{�j�� ,�(�y'j� + � 1 ,'{ui F{r��I '�;.'.i71 � �i',Ht�J:S t� ..��;II 11 �•Y jl� t / �. tJ1f + �t c A'I;A' � „r�,�,{� x..,�v,t I;'�r•�� I,,ri�,�i �� ya�l�yRd.;i,� �t'�,;�j��,�c �� l,��,�.�r�i#i£°, C1W OF BLAIR - 202 LICENSE 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 e 218 S 16th St e 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 ARE DUE: March �f22 5 20.e] Owner Name: Owner Address- city/state/zip: Blair, NE 68008 �7 Phone # LICENSE FEES: Dog or Cat: $16.00 Altered Don or Cat: 4k11-00 ***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 311512022. 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 requires proof of rabies vaccination. Replacement Fee for LostTag: $5.00 Included is a State Fee of $1.25 being collectip, 'd to fund the Nebraska Dog & Cat Operator Inspection Program �PET #1 Dog LJ Cat Lj Spayed/Neutered License Fee $ Pet Name D e- U Birthdate Sex Color i3t,r Breed** 179 ) � ___ Replacement $ Declared Dangerous or Potentially Dangerous Dog: LJ Y ON // !P? 1, MICROCHIP # (If applicable) SUBTOTAL: J�7 RABIES VACCINATION DATE: Zr(3 yr) (1 yr) __ City Tag ; 1 1* PET #2 12f Dog Ll Cat LJ Spayed/Neutered License Fee $ 44 leel 4- Pet Name Birthdate ZZ.-6._QSex Color Replacement $ L� 4-- - 2,�q �,c/ Breed" Declared Dangerous or Potentially Dangerous Dog: LJ Y D N MICROCHIP # (If applicable) SUBTOTAL:$ RABIES VACCINATION DATE: 3 -45 __ (3 yr) yr) — City Tag # PET #3 LI Dog Ll Cat LJ Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed* *1 — Replacement$ Declared Dangerous or Potentially Dangerous Dog: LJ Y Ll N MICROCHIP # _(Il" applicable) SUBTOTAL:$ RABIES VACCINATION DATE: I ___ (3 yr) — (I yr) _ 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 $ Z2-- If you have questions, please contact Blair Police Department at (402) 426-4747 ........................ _1 ....... A.... I- . . i- . . -F+. -F i- . .-F+•F . . ......... q^ .+. .-R-.... .+.... NEW PET/ NEW RESIDENT LICENSING REQUIREM, ENTS (March 15 late fee date not applIcable fbrnewp?Iylnew re5ldent7) Newly Acquired Pets: New Residents to Blair: • Must be licensed within 10 days of ownership m Must register pets within 10 days of • <OR> at 6 months of age if puppy/kitten residency. Client ID: 8200 Client Name: LukaAehland Address: bQ5South 17thStreet Blair, NEG8OO8 | Phone: /402\278-2992 Tag Number: 6671 Vaccine: |mnabRabies Vaccine Producer: K8eria| `id: |mrob3TF lypa: Killed Virus Manner of Subcutaneously Staff Name: David EJohnson OVM License Number: 1883 Doctor Signature: ^ »~),6/ Blair Small Animal Clinic PC DmvidE. JohnoonOVM �� -)~) \ 1734F�nt�� 7�~.��«~` Blair, Nebraska, 68008 /402\533-2722 Rabies Certificate Patient ID: 11227 Patient Name: Ace Species: Canine Breed: l/ '7 Beagle Sex: Neutered K8e|a Color: Th-Color Markings: Birthday: 00/25/2018 Weight: 3GGOpounds on12/8C2O31 Microchip ID: Vaccination Date: 12/8/2021 Expiration Date: 12/8/2024 Lot Number: 18514 � Drug Expiration Date: 3/11/2023 5`0 'k CjT)Lop�� 202�2P�ET LICENSE 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 ® 218 S 16th 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. , LICENSE RENEWALS ARE DUE: March 15, 2022 Owner Name: Owner Address: J L4b — city/state/zip: Blair, NE 68008 Phone # Li' 0A — &1 b ' C-1 t. j A g r4 L1DA-(, 11 �(,��a Purr, LICENSE FEES: Dog or Cat: $16.00 Alt ed Do or Cat: $11 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 3115/2022. 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 requires proof of rabies vaccination. er g Replacement Fee for Lost Tag: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET #1 Dog ❑ Cat Spayed/Neutered License Fee $ 1U Pet Nam , I Birthdate20 Sex �1� ** Color ►��rae►! r hY 1 Breed_Rep/acement$ Declared Dangerous or Potentially Dangerous Dog: ❑ Y X N +"f MICROCHIP # 6 1 G '0l 3 (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: 1, 11faa,13 (3 yr) (1 yr) _ City Tag PET # 2 �4 Dog ❑ Cat �( Spayed/Neutered License Fee $ Pet NameLAA,Birthdate &Qg,�Sex ��Color Breed**� Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ;XN MICROCHIP #..9 s ID a(203 a plicabie °P` I SUBTOTAL: $ RABIES VACCINATION DATE: 1 (3 yr ?V (1 yr) _ City Tag # * PET #3 �4 Dog ❑ Cat )i9 Spayed/Neutered License Fee $ i� Pet Name �ri Birthdate " Sex Mom-''.-- Color Breed** Rep/acement $ Declared Dais erous or Potentially Dangerous Dog: ❑ Y XN MICROCHIP # gLf_ h 2!%1 (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: P !14_ (3 yr) � (1 yr) 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 TL ENC'.L®SE® _�A If you have questions, please contact Blair Police Department at (402) 426-4747 +++++++..+++++......++++++++++++++++++.......... a-............++++++++++++.... NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15late fee date not applicable fornewpets/newre5idents) Newly Acquired Pets: New Residents to Blair: • Must be lioensed within 10 days of ownership ® Must register pets within 10 days of • <OR> at 6 months of age if puppy/kitten residency. E4 CITY OF BLAIR - 2022 PET LICENSE 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 • 218 S 16th 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. LICENSE RENEWALS ARE DUE: March 15, 2022 Owner Name: ' r��^ re vt ,i — Owner Address: e1166 iV City/State/Zip: Blair, NE-768008 Phone # ` t®Q A;/9 - LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11.00 ***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 3/15/2022. 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 requires proof of rabies vaccination. Replacement Fee for Lost Tag: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET # 1 ❑ Dog M Cat �A, Spayed Neutered License Fee $ Pet Name Birthdate Sex Mali.-- Color Breed** a Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y 0 N MICROCHIP # (If applicable) SUBTOTAL: $ T— RABIES VACCINATION DATE: D_ (3 yr) (1 yr) X_ 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) _ ■W W License Fee $ Replacement $ * * SUBTOTAL: $ (1 yr) City Tag # License Fee $ Replacement $ * * SUBTOTAL: $ (1 yr) . 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 15late fee date not applicable for new pets/new residents) 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. CERTIFICATE OF VACCINATION Date of Rabies Vaccination: 5/14/2021 Next Rabies Vaccination On: 5/14/2022 VETERINARY CLINIC Arlington Pet Hospital 225 N. 3rd St. Arlington, NE 68002 402-478-4141 This is to certify... Certificate No: 0 Previous Rabies Vaccination:' OWNER OF ANIMAL Olivia Evans 451 So 16th St Blair, NE 68008 County: Washington X PATIENT: Jasper TAG NO: 027435 SPECIES: Feline WEIGHT: 10.00 SEX: Neutered Male AGE: 10M Color and markings: Grey And Black Tabby VI -A Signed_ GRANT LITTLE, DVM License: 4022 Vaccinations done... 5/14/2021 GL FVRCP- C ADULT BOOSTER 5/14/2023 5/14/2021 GL RABIES I YEAR, #027435 9/22/2020 JAN FVRCP-C KITTEN #1 MFG BY: NOBIV SER.NO: 464480 LOT EXP: 05/10/22 ADM: SQ 21 kw P* 1�- 5 S-1 01-t CITY OF BLAIR - 2021 PET LICENSE APPLICATION If you live in Blair City limits and own a clog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair • 218 S 16th 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 LICENSE RENEWALS ARE DUE: March 15, 2021 Owner Name: eJ�►v%%-t^1 Owner Address: a 335 d e b a sl , Stty± I City/State/Zip: Blair, NE 68008 Phone # 01— r �4 q LICENSE FEES: Dog or Cat: $16.00 Alt d D or Cat• $11 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 3/15/2021. 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 requires proof of rabies vaccination. ere og Replacement Fee for Lost Tag: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET #1 Dog ❑ Cat N(spayed/Neutered License Fee $ 11,06 Pet Name Birthdate /0 - -17 Sex a., ** Color (eta - k 4 lam_ Breed** l Replacement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y `i� N MICROCHIP # (If a icable) SUBTOTAL: $ RABIES VACCINATION DATE: `Z - (3 yr (1 yr) City Tag # (p PET #2 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate Sex ** Color Breed** Replacement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed Re /acement $ ** P Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # *PLEASE INCLUDE THE CM TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) ,O 6 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 (Marl 15/atefaedatenotapplicablefornewpets/newresI nlsJ Newly Acquired Pell: 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. 03/15/2022 15:16 4024260101 HOLSTEIN VET CLINIC PAGE 02/03 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 TO: CITY OF BLAIR — 218 S. 16TH 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 bWI ELLING UNIT. ***PLEASE READ CAREFULLY"* YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS THE CITY OF BLAIR REQUIRES PROOF OF RABIES VACGINATIQN• Failure to do so is a violation of City Ordlnances 6,103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSE RENEWALS ARE DUE BY 3/15/2022. The city shall recognize a microchip ID number as the license number. It shall be unlawful for any dog or cat to wear any license or other city ID other than that issued by the City of Blair for such dog or cat. NEW PET LICENSING Must be licensed within 1.0 days of ownership (OR) at 6 months of age if puppy or:k'itten NEW RESIDENTS TO BLAIR Must register pets within 10 days of residency owner Name Sandi Avery . • Spouse Myranda Brown Owner Address 736 S 13th St #7 City/State/Zip• Blair, NE 68008 Phone 712-210-1527 Pet Name: Bridget ' Age; 13Y DOB. 01-02-09 Sex: Spayed Female Color: Breed: Shep Mix Microchip # Rabies Tag # 18009 PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE): # RABIES VACCINATION DONE ON 06-10-20 Rabies Description: 1 YEAR 3 YEAR Holstein Veterinary Clinic Dr, Lisa Schrum DVM : On Krista Holstein DVM 718 South 191" Street Blair, ,NE 68008 402-426-7387 402-426-0101 Fax holsteinclinic@gmail.com LICENSE` FEE$ Intact Dog or Cat: $16.00 I envd Dog or at: $9 0 Replacement Tag $5.00 Total $ PfrS THAT ARE ON THE ACTIVE POTENTIALLY DANGEROUS OR DANGFROUS DOG LIST NEED TO REGISTER DIRECTLYAT•CITYNALL, FAXED 03-15-22 BY il�'•�.:i�a;(:Iha}.,J:. i,�1,�3;:P1'r�r!:r.�t';:?�ilti�r�c.,�l'�t�u;:�<.r�''v:`:lu1.wg�fic6�1��7�ll�"<�4�'� %�ip�F(?"-i 1p+:�ac y�'�•sa{ �,y;¢wi"y �� •t1,.4 H ��r a 88J �: