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BJIM CITY OF BLAI PET LICENSE APPLICATIOIC 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 e Blair, NE 68008 r,­ 7 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: i t \q � l V Owner Address: 361-aSuA�A_q2 LC City/State/Zip: Blair,, NE 68008 Phone # 46 2l, ®` _W c1 - LICENSE FEES: Dog or Cat: $16.00 Altered Don or Cat: 4;11.00 "d ***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 ILIV2022. 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 J PET #I.vl 5-1 Dog Ll Cat Spa ed/Neutered License Fee $ --- .1, '1 Pet Na e Wg�"Q_ BXh(date%Xd vk sex Color � �A, �-Ve- Breed" Replacement $ ""Declared Dangerous or Potentially Dan erclus Dog: Ll N i CROCHIP # 93,� (al Cf�> (:)qqq Ow (If applicable) SUBTOTAL:$ BIES VACCINATION DATE:: a (3 yr) ✓ (1 yr) _ City Tag # 0 OET #2 Dog U Cat Spayed/Neutered License Fee $ 1Pet Name M ` Bir !clate S X E omw�� * —& I Lbn ..!Color Breed* A'M S.Replacement$ teclared Dangerous or Potentially Dangerous Dog: U Y 0 N' '� ICRCICHIP # 00D S&auu, 1 R p 113 -(If applicable) // SUBTOTAL:$ tABIES VACCINATION DATE: j a � 12 (3 yr) _Z�_ (I yr) - City Tag #PQ3W0* PET #3 ;& Dog LJ Cal Pet Name Color Declared [Yangerous or Potenti� MICKOCHIP # RABIES Y INATICIN DATE: Spaynd/Kieutered License Fee $ BiPhdate Ta,� ) Se� rn Br Breed" 0 11�_ Replacement $ Ily Dangerous Dog: LJ Y A N I li,pg 60-c-') (If applicable) S BTO-TAL., $ 1 �5_ (3 yr) - (1 yr) City Tag *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL \j __ 11 — , , — ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not Send Cash by Mail TOTAL ENCLOSED $ 0 If you have questions, please contact Blair Police Department at (402) 426-4747 .............I ................................................................ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15 late fee date not applicable fornewpet�lneW resIdenty) Newly Acquired Pets: New Residents to Blair: • Must be lioensed within 10 days of ownership 0 Must register pets within 10 days of • <OR> at 6 months of age if puppy/Wen residency. 21 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 UE: March 15. 2022 Owner Name: TWIL i._ 4ts—G is Owner Address: 14QL1 11Ln >� City/State/Zip: Blair, NEP68008 � Phone # 0a —10�q ' 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 3/1512022. 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. 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 $ 1 CJ Pet Name S1 Bi hdate 11_ 21--10 Sex Color Breed** men IWAX°. Replacement$ Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: W (3 yr) ' �Z— (1 yr) City Tag # * PET #2 o ❑ Cat Spayed/Neutered i-- License Fee $ lh Pet Name -� � Bi hdate I-Lf—Zb1Z1Sex 1' ** Color Breed** CV1�h�►r1n Rep/acement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: q-JU,- ZI (3 yr) :�X (1 yr) City Tag #a� 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 ENCLOSED $ If you have questions, please contact Blair Police Department at (402) 426-4747 ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March I5late 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. Iva Baessler 1421 Lincoln St Blair, NE 68008 ae Patient ID: 9837 Patient Name: Bessie "' Species: Canine Breed: Shepherd Mix Description 3/12/2022 Pedicure Simple Reminder 12/04/2022 Distemper Hep Lep Parvo-Annual 12/18/2023 Rabies Vaccination - Canine Syr Patient ID: 10076 Patient Name: Izzabella Species: Canine Breed: Chihuahua Description 3i 12/2022 Pedicure Simple Reminder 10/29/2022 Distemper Hep Lep Parvo-Annual 04/16/2024 Rabies Vaccination - Canine Syr Blair Small Animal Clinic PC Page 1 / 1 David E. Johnson DVM, 1734 Front Street 1 Blair, Nebraska, 68008 (402) 533-2722 Client ID: 7689 Invoice #: 167191 Date: 3/12/2022 (402) 699-0369 Weight;. 86.50 pounas Birthday: 11 /21 /2010 Sex: Spayed Female Staff Name Quantity Total David E. Johnson DVM 1.00 $16.00 T Patient Subtotal: $16.00 Weight: 7.68 pounas Birthday: 01 /04/2012 Sex: Spayed Female Staff Name Quanti David E. Johnson DVM 1.00 Patient Subtotal: Invoice Total: default Tax Rate Total: Balance Due: Previous Balance: Balance Due: VISA Card Number: ... XXXX8027: Less Payment: Balance Due: Total $16.00 T $16.00 $32.00 $2.24 $34.24 $34.24 $0.00 $34.24 ($34.24) ($34.24) $0.00 Order your pets supplies online now through our website www.blairsmallanimalclinic.vetsfirstchoice.com For questions contact us at 402-533-2722. CERTIFICATE OF VACCINATION". No. Date of Rabies Vaccination: 12-29-21 Certificate No: 3103 Next Rabies Vaccination On: 12-29-22 Previous Rabies Vaccination: 00212 VETERINARY CLINIC Thone Animal Hospital 902 S Hwy 30 Blair, NE 68008 402-426-3630 This is to certify... OWNER OF ANIMAL Chris & Holly Baker 641 S 17th St Blair, NE 68008 County: THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Copper SPECIES: Canine SEX: N Color and markings... Copper Signed Dr.Kamala Freeman Vaccinations done... TAG NO: 007379 WEIGHT: 0.00 AGE: 10 years License: 3894 12-29-21 KF Rabies Vaccination (1 Year), #007379 12-29-21 KF DA2PPV 12-29-22 05-14-13 LL Rabies Vaccination (3 Year), #00977 12-29-22 05-14-13 LL Bordetella, P13 (Intra-trac 3) 05-14-14 05-14-13 LL (Distemper Group) DA2PPV+CV Rabies Vaccine Information... MFG BY: ZOETI SER.NO: 542135 Fah A" ►TR e R ti. 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 S 16th St a Blair, NE 68008 You may legally own a combination offour (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, -202 Owner Name: r. owner Address: LaLL city/state/zip: Blair, NE 68008 ' r Phone # LICENSE FEES: Dog or cat: $16.00 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 3/1S/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. Alter= og Replacement Fee for Lost Tag. Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & cat Operator Inspection Program Fee l' �# �. :Dog ❑Cat Spayed/Neutered w� License $ Petlame Birthdate` �� I Sex 4010 Breed** Replacement $ De cl r d Dangerous or Potentially Dangerous Dog: ❑ Y N IC OCHIP # (If applicable) SUBTOTAL: $ R4 ES VACCINATION DATE: (3 yr) (I yr) — City Tag 4 PE' Pet Col( Dec # �,Dog ❑ Cat "Spayed/Neutered _ License Fee $ am �' �� Birthdate 4 � Sex Breed** = Replacement $ d D erous or Potentially Dangerous Dog: ❑ Y ® N re ang I # (If applicable) SUBTOTAL: $ =S VACCINATION DAT— E: (3 Yr) (� Yr) Cull Tag 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 License Fee $ Replacement $ SUBTOTAL: $ (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 Sena Cash by Mail TOTAL ENCLOSE $ d` c If you have questions, please contact Blair Police Department at (402) 426-4747 ........................................ q...................................... NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (Marc% 151ate fee date notapplicable for new pets/new residents) Newly Acquired Pets: New Residents to Blair: a Must be licensed within 10 days of ownership mMust register pets within 10 days of <OR> at 6 months of age if puppy/kitten residency. �4',',Home of the Bears. Vaccination Records 2 messages PetDesk <support@petdesk.com> Reply -To: PetDesk <support@petdesk.com> To: kristi,baker@biairschools.org Patient: Name:CARLEY Species: Dog Breed: Rat Terrier Gender: Female Spayed DOB: 12/1/2015 Age:6 Weight: 15lbs Microchip #: Not Entered I Rabies Tag M. 025317 Baker, Kristi <kristi.baker@blairschools.org> Sat, Jan 1, 2022 at 6:14 PM Client: Kristi Baker 2175 Davis Dr, Blair, NE 68008 Service Name Good Until BORDETELLA VACCINATION Jun 4, 2022 HEARTWORM AG TEST Jun 4, 2022 EXAM- WELLNESS Jun 4, 2022 Jun 4, 2023 DHLPP ADULT BOOSTER LEPTO BOOSTER Jun 4, 2023 ^ Vaccination R=^co.~~~Ns ` Client: Patient: Name: DAISY Species: Dog Breed: Yellow Labrador Gender: Female Spayed DOB: 8/23/2011 AQe:1U WeightS7Ubs KU|croohip#: Not Entered Rabies Tag #: 024544 KhoUBekor 2i7SDavis Dr, Blair, NES8O08 Service Name Good Until EXAM- WELLNESS Jun 4, 2022 Arlington Pet Hospital 225N.3ndStreet Arlington, NEO8OO2 Powered by q L4R' j4 J: t_ rd�j cgs] 2:j 1W-Aj 4-01'4w 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 ® 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: — oqlz�e Owner Address: 1,31.9 city/state/zip- Blair, NE 68008 Phone # LICENSE FEES: Dog or Cat: $16.00 A r% orrni-m otj j nn ***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. MILeie %P!j 1 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 D o g L3 C a t Spayed/Ne tered License Fee $ e ' Ai Birthdate Sex r& P a cy- 6ee 6 Breed** lwoz-ee- Replacement $ I Dange ous or Potentially Dangerous Dog: Ll Y N /1W HIP# qg, SUBTOTAL: $ _�-j Z,3W6,3 V,:yj 1(;�, _(If applicable) VACCINATION DATE: Jury (3 yr) _4__ (1 yr) _ City Tag PET42 L1 Dog Lj Cat J Spayed/Neutered Birthdate Sex NO or Breed** Breed" Declared Dangerous or Potentially Dangerous Dog: La Y Ll N MICROCHIP # -(If applicable) RABIES VACCINATION DATE: (3 yr) — (1 yr) License Fee $ Replacement $ C-!)UBTOTAL: $ City Tag PET #3 Ll Dog Ll Cat Ll Spayed/Neutered License Fee $ Pet Name Birthdate -- Sex Color Breed" ---Replacement$ Declared Dangerous or Potentially Dangerous Dog: LJ Y Ll N MICROCHIP 4 1 (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 ENCLOSED $ ZL If you have questions, please contact Blair Police Department at (402) 426-4747 ............................... I ......................................... 4 ...... NEW PET/ NEW RESIDENT LICENSING REQUIREMENTS (Match 15 late fee date not aPPllcable fOrnewPelylnew residents) Newly Acquired Pets, -- New Residents to Blair: u Must be licensed within 10 days of ownership m Must register pets within 10 days of N <OR> at 6 months of age if puppy/kitten residency. 6 El M I —Al AREA VETERINARY GROUP 252b4 NEST U.S. 12 STURGIS, MI 49091 0j'- 7- &#e— i'269)651-8395 1319 1. "idcw, 4e- Account: 42 Invoice: 337214 Date: 08/07/2021 Page: 1 Walter C. Buscher 501 US 131 Lot 58 WHITE PIGEON MI 49099 Phone: (616)796-5318 Patient: SANDY Species: CANINE Breed: GOLDEN RETRIEV MIX Color: BLONDE Doctor: SUZANNE J. LEE, D.V.M. Age: Sex: Tag: Weight: 5 FS 302247 55.60 Service/item My Price Amount Dist/hep/par/lep/parvo Vac lyr 1.00 20.00 20.00 Canine Influenza annual 1.00 37.00 37.00 Bordetella Vaccination 1 Yr.- 1.00 17.00 17.00 Tax 0.00 Net Invoice 74.00 Previous Balance 0.00 Payment 74.00 Card 74.00 (VISA) Balance Due 0.00 Reminders: July 10, 2023 Rabies Vac -Canine 3 years May 14, 2024 Heartworm Test (in Office) Aug. 7,2022 Dist/hep/par/lep/parvo Vac lyr Aug. 7,2022 Canine Influenza annual Aug. 7,2022 Bordetelia Vaccination 1 Yr.- '41"0&10 ocir M-41z?!� 6jz-rllv 4:2w)6476fC Thank You 03/02/2022 16:22 4024260101 HOLSTEIN VET CLINIC PAGE 0 01 2022 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF BLAIR .r IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(5) 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 DWELLING UNIT. ***PLEASE (LEAD CAREFULLY**' YOU AIREREWREPSY LAW TO LICEN E YOUR PE 13.111E CITY O BLAIR RE UIRES PROOF OF RABIES VA CINATION. 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 I—W022. 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 Margie Bansen Spouse Owner Address 2930 College Drive City/State/Zip Blair, NE 68008 Phone # 426-2935 Pet Name: Calli Age: 11Y Sex: Spayed Female Color: Calico DOB: 10-26-10 Breed: Domestic Shorthair Microchip # Rabies Tag # PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE)'- # RABIES VACCINATION DONE)aK---\ 08-24-21 Rabies Description: I 1 Y 3 YEAR Holstein Veterinary Clinic Dr, Lise Schrum DVM : Dr, Krista Holstein DVM 718 South 191h Street Blair, NE 68008 402-426-7387 402-426-0101 Fax hoisteinclinic@gmail.com L.ICEN99-EE_ SS Intact Dog or Cat: $16.00 Altered ! Dog cat' 00 Replacement Tag $5.00 PETS THATARE ON THEAGiIVE POTENTIALLY DANGEROUS p NGEROUS DO LIST NEED y0 REGISTER 01n CTLYAT GUY H LL, F BLAIR ® 2022 PET LICENSE APPLICATION CITY 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: r` Owner Address: ri City/State/Zip: Blair, NE 68008 f Phone # LICENSE FEES: Dog or Cat: $16.00 d D r Cata $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. Alter= og o . 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 'Q Cat ,ti' 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 # " .A PET #2 0 Dog 111, Cat Pet Name Color : r Declared Dangerous or Potentia MICROCHIP # RABIES VACCINATION DATE J, 0 Spayed/Neutered License Fee $ Birthdat* Sex Replacement Re ** Breed"p $ Ily Dangerous Dog: ❑ Y ❑ N (If applicable) (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) _ 709 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 fornewpets/new residents) 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: 6658 Client Name: Deb Barnett Address: 1319 Fieldcrest Drive Blair, NE 68008 Phone: (402)374-2656 Tag Number: 0000 Lot Number: 18507 Imrab Rabies Vaccine Producer: Merial K / MLV / R: Killed Virus Blair Small Animal Clinic PC David E. Johnson DVM 1734 Front Street Blair, Nebraska, 68008 (402) 533-2722 Rabies Certificate Patient ID: 9005 Patient Name: Cookie Species: Feline Breed: Domestic Longhair Sex: Spayed Female Color: Tiger Stripe Markings: Birthday: 05/15/2016 Weight: 16.06 pounds on 8/26/2021 Microchip ID: 985112011104685 Vaccination Date: Expiration Date: Staff Name: David E. Johnson DVM License Number. 1893 8/26/2021 8/26/2023 Client ID: 6658 Client Name: Deb Barnett Address: 1319 Fieldcrest Drive Blair, NE 68008 Phone: (402)374-2656 Tag Number: 0000 Lot Number: 18507 1mrab Rabies Vaccine Producer: Menal K / MLV / Ft: i I f Killed Virus Blair Small Animal Clinic PC David E. Johnson DVM 1734 Front Street Blair, Nebraska, 68008 (402) 533-2722 Rabies Certificate Patient ID: 9004 Patient Name: Batman Species: Feline Breed: Domestic Shorthair Sex: Neutered Male Color: Black/White Markings: Birthday: 05/15/2016 Weight: 18.12 pounds on 8/26/2021 Microchip ID: 985112011104735 Vaccination Date: Expiration Date: Staff Name: David E. Johnson DVM License Number: itsu3 8/26/2021 8/26/2023 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 9 218 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: '�-- Owner Address: o � (' ,V- k, city/state/zip: Blair, NE 68008 Phone # L" l® (b?)b 060 LICENSE FEES: Dog or Cat: $16.00 dD C t•$11®® ***PLEASE READ CARERILLY*** 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. Altere og or a . Raalacemen. t r-e_v for I nst. Tag. $S.E!® included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator inspection Program ET # 1 W Dog ❑ Cat ❑ Spayed/Neutered License Fee Pet Name — Birthdate O' Sex C_ ** Color Zri - Breed** Pe:A P \_ Replacement $ r.r,\r5�r' _ .�--�Declared Dangerous or Potentially Dangerous Dog: ❑ Y P N MICROCHIP # .(If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: 03io 0 AjZoZ2_.(3yr) X_ (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) _ W License Fee $ — Replacement $ SUBTOTAL: $ --- (1 yr) __ City Tag PET .#3 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate Sex Rep/acement $ Color Breed** _ Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # __(If applicable) SUBTOTAL, $ iY 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 ENCLOSED If you have questions, please contact Blair Police Department at (402) 426-4747 ..4•....4.....4.4..... +. 4°...4.4• °h °h °F i- i•....4.4.........4.4•+ ...4. 4........4...4.4....4.4...4. 4.4.... NEW PET/NEW RESIDENT LICENSING REQUIREMENT'S (March 15late fce date not applicable fornewper5/new residents) Newly AMuired Pets New Residents to Blair: Must be licensed vAiin 10 days of ownership m Must register pets within 10 days of Eli <OR> at 6 months of age if puppy/kitten residency. CERTIFICATE OF VACCINATION Date of Rabies Vaccination: 10-19-21 Certificate No: 0 Next Rabies Vaccination On: 10-19-23 Previous Rabies Vaccination: 800287 VETERINARY CLINIC Wayne Veterinary Clinic OWNER OF ANIMAL 3 r �Wayne-Vet-Glinic- 610 Thorman Street &W-T-herf-riari-Stfeet-, Wayne, NE 68787 402-375-2933 Wayne-,-NE- This is to certify... THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Pearl TAG NO: 211484 SPECIES: Canine WEIGHT: 0.00 SEX: F AGE: 6 years Color and markings... Brindle & White Signed ( 1-1 Lauri D. Zink License: 2420NE Vaccinations done... 10-19-21 LDZ Rabies Canine 2 Yr. Booster, #211484 10-19-23 10-30-15 LDZ Rabies Canine I Yedif, #51096 Rabies Vaccine Information... MFG BY: NOBIV SER.NO: 493448 LOT EXP: I OSept22 ADM: SQ %M 03/17/2022 15:35 4024260101 HOLSTEIN VET CLINIC 2022 PET LICENSE i VERIFICATION/APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOGS) AND /OR CATS) COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF BLAIR — 218 S. 26TH 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. MC ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICEN E YOUR PEPS. THE CITY. BLAIR RE_O . ES 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 $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 I David Barr Spouse Owner Address 1 1952 Colfax Street City/State/Zip I Blair, NE 68008 Phone # I i ) 402-533-4865 . a Name: Sasuike Age: 15M DOB: 11-24-20 Breed; Aussie Sex: Neutered Male I Color: 'Can & Wh Microchip # I Babies Tag # 20178 PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE): # RABIES VACCINATION DONE ON 1 03-17-22 Rabies Description: 1 YEAR ( 3 Holstein Veterinary Clinic Dr. Lisa Schrum DVM Dr. Krlsta Holstein DVM 718 South 191h Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinic@gmail.com LICENSE FEES Intact Dog or Cat: $16,00 Altered og or Cat: $11.00 Replacement Tag $5.00 Total $ I PETS THAT ARE ON THEAMVE POTENTIALLY DANGEROUS OR OANG0R0 $ DOG LJST NEEp TO REGISTER D�RECTLYAT CITY HALL. FAXED 03-17-22 BY FAX TO BPD @ 4 2-426-7144 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 ® 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: Bel/air, NE 68008 Phone # `°t 0Z _ -�` qn -,7 4K0 4� —-W-t- LICENSE FEES: Dog or Cat: $16.00 Alt d D or Cat• $i1 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 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" #1 ®�Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Nam I LICK Birthdate W'`- i Sex Pe ** Replacement Qo or �c Ct��r� breed 1tr �; p $ lared Dangerous or Potentially Dangerous Dog: ❑ Y N MICROCHIP # q8� (If applicable) SUBTOTAL: $ .g 1 BIES VACCINATION DATE: j - 15- 1 cl' (3 yr) V' (1 yr) City Tag # j 0 -T # 2 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ t Name Z(3 e- Birthdate � _f Sex for -c%` - Breed** Replacement $ clared Dangerous or Potentiall Dan er�o,us Dog: ❑ Y AN CROCHIP # f applicable) ,BIES VACCINATION DATE. _/ -15- Iq (3 yr) SUBTOTAL: $ (1 yr) City Tag PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate _ Sex ** Color Breed** Replacement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUB` OTAL: $ — 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 15/ate fee date notaPP11 ble fornewpets/new residents) Newly Aoquired Pets: New Residents to Blair: Must be licensed within 10 days of ownership m Must register pets within 10 days of In <OR> at 6 months of age if puppy/ldtten residency. CITY OF BLAIR ® 2022 PET LICENSE APPLICATION If you live in Blair City limits and own a dog(s) and/or cats complete this forth and return with check made payable/t: O, p City of Blair a 28 S 16th St 0 Blair, ME 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,_ 022 . Owner Nance: I�� tYy� 11` 1 XACY 111('(tu Owner Address: city/state/zip: Blair, ME 68008 Phone # [_I O J 4,%g LICENSE FEES." t;rg or Cat:p16.00 r4 ***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. Replacement Fee for Lost Tag- $5�00 r Alf � � k,a� �;1• oR�,cr rw;i,n^ ,h rm*„ i2.; Proaram PET #1 Dog Ll Cat ® Spa�Neutere License Fee - 00 Pet Name Mc�`y Birthdate Ynn,�. _ h ( �rn CalorT_can �ctict�l brz m -- Breed** �� c he. NA + ' l iOrReplacement $ Declared Dangerous or Potentially Dangerous Dog: Ll IN MICROCHIP # `r� �� I I a 00 9 � 0� 1 �� ,4� (If applicable) � € SUBTOTAL: � , (��' RABIES VACCINATION DATE: "� — (3 yr) (1 yr) "_'City Tag # ' E ` ` # ..Nr aR Dog ® Cat ® Spayed/Neutered Pet Name Birthdate w1lal I C1 Sex Color'T- �� �nv� r�I(AGV--- Breed** it Declared Dangerous or _Potentially -Dangerous Dog: ® Y MICROCHIP #- (If applicable) RABIES-V4CCINATION DATE: (3 yr) _ SUBTOTAL: $ (1 yr) City Tag—` PET #3 0 Dog Ll 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.) ®o Not Send Casa by Mail TOTAL L $ If you have questions, please contact Blair Police Department at (402) 426-4747 . . . ..... . ..... . . ^ir .-k .. . . . . ^9. ^h. ^Pr. ^ir i^ •E^ . -F . •h...I ..................................... NEW PET/NEW SIDENT LICENSING REQUIREMENTS (Marchl5/atefeedatenotaoplicablefornewpeis/newresldentsJ Newly Acquired Pets: New Residents to Blair: • Must be licensed whin 10 days of ownership ® Must register pets within 10 days of • <OR> at 6 months of age if puppy/kitten residency. 01/17/2022 16:07 4024260101 HOLSTEIN VET CLINIC PAGE 02/02 2022 PET LICENSE VERIFICATI N/APPLICATION FOR CITY OF BLAIR IF YOU LIVE N BLAIR CITY LIMITS AND OWN A DOG($) AND /OR CAT(5), COMPL F THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF BLAIR — 218 S. 16TH ST — BLAIR, hE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) DUKT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. Failure to do so is a vlo The city sr It shall be unlawful for any dog or cat to NEW PET LICENSING Must be license NEW RESIDENT$TO BLAIR Must regi Owner Name Spouse Owner Address City/State/Zip Phone # Pet Name: Jack Age; 9Y Sex: DOB: 06-0842 Breed: Aussie X ***PLEASE READ CAREFULLY*** on of City Ordlnences 6.103 and carries a penalty of @;fine up to $1so.00 per pet. PET LICENSE RENEWALS ARE DUE BY 3/15/2022,j recognize a microchip ID number as the license, number. ear any license or other city ID other than that issued by the City of Blair for such dog or cat. within 10 days of ownership (OR) at 6 months of age if puppy or kitten :r pets within 10 days of residency Male Garrett Batenhorst 635 N 19th 402-317-0309 Color: TO Microchip # Rabies Tag # 20039 PLEASE INCLUDE CITY TAG NUMBE====R I THIS IS A RENEWAL (IF AVAILABLEI: RABIES VACCINATION DONE ON Rabies Description: /I Y 01-77.22 3 YEAR Holstein Veterinary Clinic Dr. Liss Schrum DVM : Dr. Kr sta Ho/stein DVM 718 South 191" Street BI Ei ir, NE 68008 402-426-7387 402-42 -0101 fax hoIsteinclinic@g aiI-cOM LICiENSE FEES Intact Dog or Cat; $16.00 Dog r�$111,0101Repr $5.00 Total $ l PAS r►iATQRE N HE ACTIVE POTENTIALLY DANGEROUS OR 0, NGEROUS DOG LI ST N E-D TD REGISTER DIR -CT-" AT C►TY HALL. FAXED` 01-17-22 m 01/17/2022 16:07 4024260101 'V ERIFICATI IF You LIVE COMPLE I CITY OF YOU MAY BUT NO MORE THAN THREE (3) Failure to do so is a The city sha it shall be unlawful for any dog or cat to m NEW PET LICENSING Must be licensed NEW RESIDENTS TO BLAIR Must reglsl Owner Name Spouse Owner Address City/State/Zip Phone # HOLSTEIN VET CLINIC PAGE 01/02 2022 PET LICENSE N/APPLICATION FOR CI l'lI' OF BLAIR I BLAIR CITY LIMITS AND OWN A DOG(S) AND/OR CAT(S), THIS FORM AND RETURN WITH A CHECK PAYABLE TO; .AIR — 218 S. 16TH ST BLAIR, NE 68008 :GALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, )ULT DOGS OR THREE (3) ADULT CAWS PER RESIDENTIAL OR DWELLING UNIT_ ***PLEASE READ CAREFULLY*** n of City Ordinances 6•103 and carries a penalty of a jflne up to $150,00 per pet. ; PET LICENSE RENEWALS ARE DUE BY 3/18/z422.; recognize a microchip ID number as the license number. ar any license or other city ID other than that issued by the City of glair for such dog or cat. vithin 10 days of ownership (OR) at 6 months of age if puppy br kitten r pqf within 10 days of residency' Garrett Batenhorst . I 535 N 19th Blair, NE 68 402-317 Pet Name: Sophie i Al — - Age: 3Y DOB: 10-10-18 Sex: Spay d Female Color: Choc i Breed: Great Dane i Microchip # Rabies Tag # 20040 I PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE): # RABIES VACCINATION DONE ON 01-17.2-2 I Rabies Description: 1 YE R YEAR i Holstein ueterin ry Clinic Dr. Lisa Schrum DVM : Dr. 0 718 South 191h Street Bic, 402-426-7387 40242E holsteinclinic@gm to Holst®in VVM r, NE 68008 0101 Fax il.Com LICENSE FEES r' Intact Dog or Cat: $16.00 ere Dog r cat: $11.00 Replacement Tag $5.00 f c Total $ i� PETS THAT ARE ON THE ACTIVE POTENTIALLY DANGEROUS OR DANGEROUS DOG LIST NEED TO REGISTER DIRECTLYAT CITY HALL. i 12/23/2021 11:52 4024260101 HOLSTEIN VET CLINIC PAGE 02/02 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. 16T" ST — BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, 13UT 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 LICENSE YOUR PETS THE CITY OF BLAIR REQUIRES PROOF OF RABIES VACCINATION, Failure to do so is a violation of City Ordinances 5.103 and carries a penalty of a fine up to.$150,00 per pet. PET LICENSE RENEWALS ARE DUE.BY 3 1 2 22. 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 4ICENSING 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 Sandy Baumberger Spouse Owner Address 1379 Fieldcrest Drive City/State/Zip Blair, NE 68008 Phone # 402-727-8107 Pet Narri. Bell Age: 15Y DOB: 05-29-06 Sex: Spayed Female Color: Grey Breed: DSHI Microchip # Rabies Tag # PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE): # RABIES VACCINATION DONE ON� z Rabies Description: 1 YEAR 3 YEAR Holstein Veterinary Clinic Dr. Lisa Schrum OVM : Or. Krista Holstein DVM 718 South 19'h Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinicC gmail.com Intact Dog or Cat: $16.00 Altered Dog or cat: $11.00 ag $5.00 Total $_n0____. PETSTHATA E.QN�IPOI �(NLLYDANGMQUSOR DANGEROUS DOG LIST NEED TO REGISTER DIRECRYAT CITY HAU FAXED 12-23-21 BY ;yU•ir,Y,'?,. .V�•: '•.�1,,1n' � d;:g,� i' �I ,•la 1 a� { 711�t�11+,I .:l:A i.:t�'si.•.•.;. t 1 _,,�y _�nraf !�ter.i 1n'.�.n�'Tjw i����ii.�!i;!i,��N�. Y�i1�1�'u�, �11T I::h did .:cif. h &L�l. 333 �i:1St;•;I _ry;,<I�ra»�r ��i;� ��I«GIN:I�i.�Ri"'I��.ibn yP•: ql¢i ,:.a. I ra I�ys"��u . 12/23/2021 11:52 4024260101 HOLSTEIN VET CLINIC PAGE 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. 16T11 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. 01/02 Q, ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. THE CITY OF BLAIR REQUIRES PROOF OF RABIES VACCINATION. Fallure 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 It) 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 Sandy Saumberger Spouse Owner Address 1379 Fieldcrest Drive City/State/Zip Blair, NE 68008 Phone # 402-727-8107 Pet N e: Cie patra Age: 13Y DOB: 06-27-08 Sex: Spayed Female Color: Cali/Wh Breed: Dlh Microchip # Rabies Tag # PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE): # RABIES VACCINATION DONE ON Rabies Description: C1YEAR 3 YEAR Holstein Veterinary Clinic Dr. Iisa Schrum DVM : Dr. Krim Holstein ,DVM 718 South 19th Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinalinic@gmail.com LICENSE FEES Intact Dog or Cat: $16.00 A/tere� Dog or cat: $11.0 Rep a ment Tag $6.00 Total $ �' I PL'1'S THAT ARC' ON THEACTIVE POTEN'nAM PA6!Q9RM5 OR DANGEROUS DOG LIST NEED TO REG§T,i;lf pJU� rLV AT CITY HALL, 04/08/2022 8:32 AM FAX 4025332723 BLAIR SMALL ANIMAL �P_ 000006/0007 CITY OF BLAIR '- 2022 PET LICENSE APPLICATxON 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, NIE 68008 I �j You'may legally own 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 pUE: V Owner Name:' r° owner Address: _150�" � City/state/zip: Bla NE 68008 . V Phone # ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO 4IcENSE YOUR PETS. falluro to do so is a violation of city ordlnantes 6.103 and carries a penalty of s fine up to $iso.00 per pet. PET LICENSES RENEWALS ARE DUE BY tea,{ V2o22. Tho City shall recognize a microchip identification number as the license number, It mall 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 at. The City of Blair requires proof of ►able: vaWnadon- 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 t o fund the Nebraska Dog & Cat Operab°r Znspec�vn Program a PET #I og ❑ Cat Bi hdatpe y Pet Na(nQ Breed** Declared Dange ous or Pate Color Tally Dangerous MICROCHIP #� (It RABIES VACCINATIO ATE: !Pplicaable tered (� License Fee $ _ ICU ex�� N� Replacement $ : ❑ y N SUBTOTAL: $__ 1t�Q(B yr) (I, yr) City Tag # ❑ Cat a Spayed/Neutered License Fee $ PET #�'2 0 Dog Birthdate . Sex ** Pet Name Breed** Replacement $ Color Declared Dangerous or Potentially Dangerous DpPiif lcaOby ❑ N SUBTOTAL: $ MICROCHIP # City Tag # �* RABIES VACCINATION DATE: (B yr) — (� yr) PET #3 ❑ Dog 0 Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate _ Sex Rep/gcement$ 1** Color Breed** Declared Dangerous or Potentially Dangerous Dog: Cl Y ❑ N SUBTOTAL: $ MICROCHIP # (If applicable) City Tag # RABIES VACCINATION DATE: (3 yr) (1 yr) __ *PLEASE INCLUDE THE CITY TAG NUMBED 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 ++++t++++++++ +••r++++*+++++t++UIREMENTS (Maw 15/aate fee d to notapplIcNb/e fvrnewpeolnew�dents) ++�r+ NEW p�/NEW RESIDENT LICENSING REQ i a Must reglOr pets within 1v days of o Must be II within lu days of ty/kitte hip. residency. ■ <OR> at 6 months of age if puppy/kitten L CITY OF III T 'dd 0 2 P LICE"S P I 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 RENEWALSAREDUE: March 15, 2022 ***PLEASEREADCAREFULLY*** Owner Name: be -au, let- YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Owner Address: / Failure to do so is a violation of city ordinances 6.103 and carries a penalty of a fine up to $15o.00 per pet. City/State/Zip: Blair,, NE 68008 PET LICENSES RENEWALS ARE DUE BY 3/15/2022. The City shall Phone # qV q 2 �� l (�� 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 Ins on Program ET # D o ❑ Cat Spaye /N-utered License Fee $ 1 Pet Name ___ Birt date Lg LI Sex ** i 1 Color �1 V uut Breed** ri vt s a.r: i1 _Replacement $ Declared Dangerous or Potentially Dangerous Dog: Y 4 N 1 MICROCHIP # 00 3 !Z _(If applicable) SUBTOTAL: $ RABIES VAC D : 9 %� (3 yr) (1 yr) fit' _ City Tag # PET #2 ❑ 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 # PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate Sex _ ** Replacement$ Color Breed ** Declared Dangerous or Potentially Dangerous Dog: 0 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 byMlail TOTAL ENCLOSED $ If you have questions, please contact Blair Police Department at (402) 426-4747 .... .......... ......I ........................................................ NEW PET/ NEW RESIDENT LICENSING REQUIREMENTS(March 15late fee date notappllcablefor newpets/newresldents) Newly Acquired Pets: New Residents to Blair: ® Must be licensed within 10 days of ownership Ei Must register pets within 10 days of ® <OR> at 6 months of age if puppy/kitten residency. Client ID: 786 Client Name: Janet & Jerry Beasley Address: 926 N. 27th Street Blair, NE 68008 Phone: (402)278-0467 Tag Number: 6727 Vaccine: \rnnabRabies Vaccine Producer: K8eria| ` nd: \mnab3TF Type: Killed Virus Manner of Subcutaneously Staff Name: David E.Johnson DVM License Number: 1893 Doctor Signature: Blair Small Animal Clinic PC DavdE. JohnsonDVK0 1734Front Street Blair, Nebraska, 88008 (402)533'2722 Patient ID: Patient Name: Breed: Color: Markings: Birthday: Weight: Microchip ID: 06/28/2U21 27.8Opounds on12CZO/2021 985141003348312 Vaccination Date: 9U0C3021 Expiration Date: 9M6%2822 Lot Number: 18508 Drug Expiration Date: 1/20/2033 LH614 -�- -z-- CITY OF BLAIR - 2021 PET LICENSE APPLICATION `770)�),r5, 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, 2021 Owner Name: E X I L- Z EA -Ty Owner Address: l 6 b 0 C 0 LF0 X :S7 City/State/Zip: Blair, NE 68008 Phone # Y0 Z _ 7-3 -% _ % 5 O$ LICENSE FEES: Dog or Cat: $16.00 I d D r Catm $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 3/1512021. 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. A ter= og o 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 If Dog ❑ Cat C�f Spayed/Neutered License Fee $ Pet Name MAK)'TA Birthdate '�lzo iz Sex fL-MSC ** Color BL&-k 17 N Breed** llusky' i­x Replacement$ Declared Dangerous or Potentially Dangerous Dog: n Y ❑ N I ,'� MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: /I /-7o 7,I (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) _ 70M, ❑N 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. 01/05/2022 11:58 4024260101 HOLSTEIN VET CLINIC PAGE 01/01 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 DWELLING UNIT. — ***PLEASE READ CAREFULLY'** Y ARE RE UIRED BY LAW TO LICENSE YOUR PETS. THE CITY OF BLAIR RE UIRES 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 $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 forsuchdog or cat. NEW PET LICENSING Must be licensed within 1.0 days of ownership (OR) at 6 months of age if puppy or NEW RESIDENTS TO BLAIR Must register pets within 10 days of residency owner Name Terri Beck Spouse Owner Address 758 S- 16th Apt #373 City/State/Zip Blair, NE 68008 phone # 402-620-8415 Pet Name: V an Li CFN�SE FEES Color: Blu Merle Age: 71Y Sex: Neutered Male /ntsct DOB:-�11-24-10 Dog or Cat:'$16.00 Breed: Poodle X A/ Do or cat: $11.04 Microchip # 985112009207095 =RabiesTag#19602 Replacement Tag PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE) $6.00 RABIES VACCINATION DONE ON 11-05.21 l J Total $ Rabies Description: 1 YEAR (13 YEAR PETS TWAT ARE QN THE ACTIVI= POTPNTIALLY DANGEROUS 2R DANGEROUS DQG LIST NEED TO REGISTER DIRECTLY AT CI V7 HALL• Holstein Veterinary Clinic Dr. Lisa Schrum DVM : Dr. Krista Holstein DVM 718 South 191h Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinic@ gmail-com 01/10/2022 14:28 4024260101 HOLSTEIN VET CLINIC PAGE 01/03 2022 PET LICENSE VEotIFICATION/APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A pOG(S) AND /OR CAT(5), 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 COMI3INATION OF FOUR (4) ADULT PETS, OUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. ***PLEASE READ CAREFULLY*** YOU ARE RE UIRED BY LAW TO LICE E YOUR PETS THE CITY OF BLAIR REQUIRE RROOF OF ABIES VACCINATION. Failure to do so is a violation of City Ordinances 6,103 and carries a penalty Of a fine up to $Is0.0o per Pet. PET LICENSE RENEWALS ARE DUE BY 3/15/2022. The city shall recognize a microchip it) 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 Spouse Owner Address City/State/Zip phone # Pet Name: Dylan Terri Beck 758 S. 16th Apt #373 Blair, NE 68008 402-620-8415 Age: 11Y Sex: Neutered Male Color: Blu Merle DOB:—11-24-10 Breed: Poodle X Microchip # 985112009207095 �:: Rabies Tag 0 19602 PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE): # RABIES VACCINATION DONE ON 111-05-21 Rabies Description: 1 YEAR ( ( 3 YEAR Re ` to (z'z Holstein Veterinary Clinic ,or. 1 sa Schrum DVM : Dr. Krista Holstein DVM 718 South 19t" Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinic@9mail-COm LICEFEES Intact Dog or Cat:'$16.00 Di or cat: $11.00 Replacement Tag $5.00 Total $ —� --� p T THAT ARE 0 THE ACTIVE POTENTIALLY DANGEROUS OR DANGEROUS DOG 41 ST NEED TO RprISTER DIRET CITY HALO_ v02/08/2022 09:00 4024260101 HOLSTEIN VET CLINIC PAGE 01/01 X X 2022 PET LICENSE f. VERIFICATION/APPLICATION FOR CITY OF BLAIR e IF YOU LIVE IN GLAIR CM LIMITS AND OWN A DOG(S) AND /0R CAT S ( It 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 UNIT. ***PLEASE READ CAREFULLY*** YQU ARE REQUIRED BY JAW TO LI" SE YOUR PETS THE CITY OF BLAIR REQUIRES 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 $150.00 per pet. PET LICENSE RENEWALS ARE DUE 9Y 3/15/ZOz2. The city shall recognize a microchip ID number as the license number, It shall be unlawful forlany 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 GLAIR Must register pets within 10 days of residency Owner Name Amber Beckenhauer Spouse Jeremy Owner Address '240 Baronage Circle City/State/Zip Blair, NE 68008 Phone # i Pet Name: Qreo � Age: 16M DOB: 10-09-20 Breed: Aussie X Sex: Neutered Male Microchip # PLEASE INCLUDE CITY iTAG NUMBER IF THIS IS A RENE RABIES VACCINATION DONE ON Q2-08-22 Rabies Description: ' 1 YEAR Color: Black and White Rabies Tag # 20086 -CIF—AVAILABLE), # 3 YEAR Holstein 'Veterinary Clinic Dr, Lisa Schrum'DVM ; Dr. Krlsta Holstein OVM 718 South 19t1i Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holstei,nclinic@gmail.com LICENSE, FEES Intact Dog or Cat: $16.00 L] - k Dog or cat: $11,00 $5.00 Total $ I I PETS THAT ARF ON THE ACTIVE POTENTIALLY DANGEROUS QR DANGEROUS DOG LIST NEED TO REGISTER DlREC11YAT CITY HgLL. 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 madepa�ia�I&eto:p City of Blair * 218 S 16th St 0 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: 7 City/State/Zip: Blair,. NE 68008 Phone # ***PLEASE READ CARERJU.Y*** 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 $jS0.00 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. 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 14--- PET #1 �5( Dog L3 Cat License Fee $ ___Z_(0__ I rth�Spayecl/Neutered L Pet Name— 1116 4 o Birthdate 1��21 - -Z 0 Sex ment $ /51) Color -7-cv\ breed** -r�h_s4-z "-" �'hOA —Replace Declared Dangerous or Potentially Dangerous Dog: L1 Y N MICROCHIP# q_f10 Zj 06 (K It- BTOTAL:$ (If applicable) SU --- -2-2 RABIES VACCINATION DATE: D"Z.,10Z5,111 (3yr)(1yr)2101 City Tag( -.— PET #2 LJ Dog Ll Cat Ll Spayed/Neutered Pet Name. Birthdate Sex Color — Breed" Declared Dangerous or Potentially Dangerous Dog: r_1 Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) — PET #3 0 Dog 0 Cat U Spayed/Neutered Pet Name Birthdate Sex Color Breed" Declared Dangerous or Potentially Dangerous Dog: U Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) — W License Fee $ — Replacement $ SUBTOTAL: $ (I yr) . City City Tag License Fee $ Replacement $ L] 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.) Do Not Send Cash by Mail TOTAL ENCLOSED $ If you have questions, please contact Blair Police Department at (402) 426-4747 .............................................................................. a ca pe& NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 151atefee date not ppll blefornew lnewre5ldents) 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. INVOICE Thone Animal Hospital 902 S Hwy 30 Blair, NE 68008 402426-3630 Printed: 05-01-21 at 11:19a FOR: Aaron Belina Date: 05-01-21 1062 South 17th ave Account: 10126 Blair, NE 68008 Invoice: 99664 (402) 306-3650 Date For Qty Description Net Price 04-30-21 Nala 1 Canine Spay (<20 Ibs) 88.00 04-30-21 1 Surgical Hospitalization 21.70 04-30-21 1 Surgical Monitoring 10.80 04-30-21 1 Complimentary Nail Trim 0.00 04-30-21 1 Naxcel Injection 34.00 Items used... 1 Naxcel/Ceftiflex (ceftiofur sodium) /cc 04-30-21 1 Anesthesia <20 # 66.50 04-30-21 1 Chem10In-house 55.50 04-30-21 6 Spectrum Green 8.1-25# #21615 49.62 04-30-21 1 Depo-Medrollnj 35.00 Items used... 1 Depo-Medrol 20mg/ml 04-30-21 1 Micro Chip Placement 51.00 04-30-21 1 Elizabethen Collar 10.00 04-30-21 1 Thank You!!! 0.00 05-01-21 #9099 Check payment -422.12 Old balance Charges Payments New balance 0.00 422.12 422.12 0.00 Reminders for: Nala Last done 02-08-22 DA2PPV 02-08-21 02-08-22 Rabies Vaccination (3 Year) 02-08-22 Bordetella, P13 Intra-trac 3 02-08-21 10-13-21 Hwt Dog (Heartworm Test) You Can Order Your Pet Supplies On animalcareofblair.com. 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Thone Animal Hospital 902 S Hwy 30 Blair, NE 68008 402-426-3630 FOR: Aaron Belina 1062 South 17th ave Blair, NE 68008 (402) 306-3650 INVOICE Printed: 02-08-21 at 10:10a Date: 02-08-21 Account: 10126 Invoice: 97904 Date For City Description 02-08-21 Nala 1 Puppy/Kitten Exam 02-08-21 1 Bordetella Oral 02-08-21 1 DA2PPV 1 Rabies Vaccination (1 Year) 02-08-21 02-08-21 3 Iverhart Max 6-12# Each 02-08-21 1 Thank Youlll 02-08-21 Mastercard payment Merchant ID: 4445046763017, Approval code: 00804G, Transaction ID: 409950493 Entry: Contacticc, Card: MASTERCARD Ref #: 160.12, Act #: ************1213, Exp: XX/XX, Your card balance is not available AMOUNT ACCORDING TO CARD ISSUER AGREEMENT I AGREE TO PAY ABOVE TOTAL X Old balance Charges Payments 0.00 112.72 112.72 Reminders for: Nala Last done 02-08-22 DA2PPV 02-08-21 02-08-22 Rabies Vaccination (3 Year) 02-08-21 02-08-22 Bordetella, P13 Intra-trac 3 11-28-21 Hwt Dog (Heartworm Test) You Can Order Your Pet Supplies On animalcareofblair.com. Like us on Facebook!l Net Price 20.40 25.50 23.20 27.00 16.62 0.00 -112.72 New balance 0.00 CERTIFICATE OF VACCINATION Date of Rabies Vaccination: 02-08-21 Next Rabies Vaccination On: 02-08-22 VETERINARY CLINIC Thone Animal Hospital 902 S Hwy 30 Blair, NE 68008 402-426-3630 This is to certify... Certificate No: 2620 Previous Rabies Vaccination: OWNER OF ANIMAL Aaron Belina 1062 South 17th ave Blair, NE 68008 County: THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Nala TAG NO: 006397 V1, GIN +SE 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 218S16thSt® Blair, NE 68008 You may legally oven a combination of four () adult pets, but no more than throe (3) adult dogs or three (3) adult cats per residential or dwelling unit, : 1 LICENSE RENEWALS ARE DUE: Mal owner Name: city/state/z7jp: Blair, NE 68008 Phone # ***PLEASE READ 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 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 Idetification other cat, The City of Blair requires proof oan that issued by the city of Blair for such dog or f rabies vaccination. r 00 Dog ❑ Cat Spayed/Neutered LicenseI • Name ►�o i l e U Birthdate Sex F m ** )r �iYhi1,Yl _ Breed** 4e:r 66— ubf ® Replacement lared Dangerous or Potentially Dangerous Dog: ❑ Y ; N SUBTOTAL: 00 :ROCHIP #17930oD0oO 995(oY (If applicable) 3IES VACCINATION DATE: 8/loly6X1 (3 yr) �C _ (1 yr) i T 3'ss—r ❑ Dog ❑ Cat ❑ Spayed/Neutered LicenseF ee PET #2Pet Name Birthd " Sex Replacement ** Color Breed Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N (If applicable) U TOT L: MICROCHIP # City Tag RABIES VACCINATION DATE: (3 yr) (1 yr) Fee PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Pet Name Birthdate Sex Replacement ** Color Breed* Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N (If applicable) T TAL: MICROCHIP # 1 CityTag# RABIES VACCINATION DATE: (3 yr) ( yr ) a If you have questions, please contact Blair Police Department at (402) 426-4747 +++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ +++++++++++++++++P .. RESIDENT LICE I G REQUIREMENTS (Marcel 15 late feeNew pdate not 'dento applicable for new,oets/rew residents) NEW uiI Pets, o Must register pets within 10 days of • Must be ficerwa wm vn i® days of own"ship residency. • <OR> at 6 rr onibs of age if puppyffiten MILLARD VETERINARY CLINICS PC 5757 S. 144th St. & 17935 Welch Piz & 1515 S. 204th St Omaha, NE 68137 (402) 895-9595 Patient ID: 24316-1 Client ID: 24316 Patient Name: Bailey Client Name: Joshua Bennett Species: CANINE Address: 18106 Ontario Street Breed: TERRIER, SOFT WHEAT. Sex: Spay Omaha, NE 68130 Color: Brown Phone: (402)960-6982 Markings: Birthday: 03/15/2020 Weight: 21.00 pounds on 8/10/2021 Microchip ID: 992000000188568 Tag Number: 118648 Vaccination Date: 8/10/2021 Lot Number: 4150445A Expiration Date: 8110/2024 RABIES CANINE 3 YEAR Producer: Boehringer Ingeiheim K / MLV / R: Killed Virus Staff Name: Sam L. Sroczyk, DVM License Number: 4107 c4 Uq3q� CITY OF BLAIR - 2 2 ET LICENSE APPi► ON 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 ***PLEASE READ CAREFULLY*** ®caner Name: '— FFailure E REQUIRED BY LAW TO LICENSE YOUR PETS. Owner Address:` ` to do so is a violation of City ordinances 6.103 and carries ty of a fine up to $150.00 per pet. City/State/Zip: Blair, NE 68008 PET LICENSES RENEWALS ARE DUE BY 3/1512022. The City shall iN 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 PET # 1 =Dog ❑ Cat ❑ Spayed/Neutered i License Fee $ Pet Name �', ``` Birthdate ;� i Sex '�!; Color _ Breed** _ Replacement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N SUBTOTAL: MICROCHIP # ;` t,`> , `> (If applicable) $ 3 r 1 r) City Tag # RABIES VACCINATION DATE: ( Y) ( y PET #2 ❑ Dog ❑ Cat Birt® Speayed/Neutered Pet Name — Sex Color greed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # _(If applicable) RABIES VACCINATION DATE: (3 yr) (1 yr) PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name _ Birthdate Sex Color Breed" Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # ` -1. � (If applicable) RABIES VACCINATION DATE: (3 yr) _, ■W License Fee $ -- Replacement $ SUBTOTAL: — City Tag License Fee $ Replacement $ SUB` OT°AL: $ (1 yr).—City Tag # * *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL f ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not Send Cash by Mall TOTAL ENCL.®SED "$ If you have questions, please contact Blair Police Department at (402) 426-4747 ................... r.................+.+.++..........+++++++.+++++++++++.+++ NEW PET/ NEW � RESIDENT LICENSING REQUIREMENTS (March 15late fee date not applicablefor newpets/new residents) Newly Acquired Pets: New Residents to Blair: ® Must be lioensed within 10 days of ownership m Must register pets within 10 days of ® <OR> at 6 months of age if puppy/kitten residency. HOLSTEIN VET CLINIC PAGE 01/01 ® 01/05/2022 09:26 4024260101 2022 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CM 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 DWELLING UNIT. Q-"7 ***PLEASE READ CAREFULLY*** YQ ARE REQUIRED BY W TO LICENSE UR PETS. THE OF BLAIR RE U RES PROOF OF RABIES VACCINA7 N• Failure to do so Is a violation of City Ordinances 6.103 and carries a penalty of a fine up t0 $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. City of Blair for such'dog or cat. It shall be unlawful for any dog or cat to wear any license or other city ID other than that Issued by e or kitten NEW PET LICENSING Must be licensed within 10 days of ownership (OR) at 6 months of age if puppy NEW RESIDENTS TO FLAIR Must register pets within 1.0 days of residency Owner Mama Spouse Owner Address City/state/Zip Phone # I Pet Name: Lori l3ensen Mike 2831 Westridge Drive Blair, NE 68008 402-650-8539 v � Age: 4Y sex: Spayed Female Color: Silvee DOB: 03-09-11 Breed: Lab Microchip # Rabies Tag # 20006 PLEASE N I LUDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLL ) RABIES VACCINATION DONE ON 101-05-22 Rabies Description: (1 YEAR) 3 YEAR Holstein Veterinary Clinic Dr, trsa Schrum AVM . Dr, Krfsta Holstein 718 South 19th Street Blair, NE 68008 402-426-•7387 402-q.26-0101 Fax holsteinclinic@ 9mail .com LICUM FEES Intact Dog or Cat: $16.00 g or cat. $11.00 Replacement Tag $5.00 1 Total $ ' ` PETS THAT ARE ON THE ACTIVE POTENTIALLY DA EROUS OR DANGERD S DOG LIST NEED To REGISTER DIRECTLY T CITY HALL, 02/12/2022 10:10 4024260101 HOLSTEIN VET CLINIC PAGE 02/02 Z022 PET LICENSE VERIFICATION/APPLICATIO.N 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 OWNA COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADU!_T DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT N ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS THE CITY OF BLAIR REMAIR9 PRQQF QF RABIES VACCINATION. Failure to do so is a violation of City Ordinances G.103 and carries a penalty of a flne 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 la 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 61months of age if puppy or kitten NEW RESIDENTS TO BLAIR Must register pets within 10 days of residency Owner Name • Barb Billeter Spouse Owner Address City/State/Zip Blair, NE 68008 Phone # 402-253-5193 Pet Name: Dibby Age: 6Y DOB: 03-27-15 Sex; Spayed Female Color: Black and Tan Breed: Terrier X Mlcrochip # 981020041837981 Rabies Tag # PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE): R RABIES VACCINATION DONE ON Rabies Description: 1 YEAR . 3 YEAR Holstein Veterinary Clinic Dr, Lisa Schrum DVM Dr. Krista Holstein DVM 718 South 191" Street ,Blair, NE 68008 402-426-7387 402-426-0101 FaX hoisteinclinic@gmaii.com LICENSE FEES Intact Dog or Cat: $16.00 or cat: $11,00 $5.00 Total $ 1 1 IOU PETS THATAREONTHEACTIVEPOTENTIAf.I.Y.Q.QN 5-9 DANGEROUS DOG LIST NEED TO REGISTER DIRECMAT CIT.y H�4LL. 02/02/2022 16:41 4024260101 HOLSTEIN VET CLINIC PAGE 01/01 2022 PET LICENSE OF GLAIR V FZCA�TION/APPLICATION FOR CITY 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 S of FOURBLAIR, NE 6r8008 YOU MAY LEGALLY OWN A COMBINATION BUT NO M RE HAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. ***PLEASE READ CAREFULLY*** YOU E R U ED BY W TO LIG NSE YO PETS. T F CITY OF BIAI_ REQUIRESof P OF Oti 15o oo pE CIp t. N. F ilur to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up $ 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 or a y dog or cat to wear any license or other city ID other than that issued by the city ty of Blair fors ch dog or cat. NEW PET LICENSI G ust be licensed within 10 days of ownership (OR) at 6 months of age if puppy or itten NEW RESIDENTS 0 B IR Must register pets within 1.0 days of residency Jim Birrell Owner Name Spouse 2449 Clark Street Owner Address City/State/Zip Blair, NE 68008 402-426-8930 "hone # At A, Pet Name: Kil er v LIC�,ENSE its_ eyed Female Color: Gray T19er Intact Age: 2Y Sex: Spay Dog or Cat: $16.00 DOB: 06.07.19 Breed: DSH teed~ Dog or Cat: $11,00 Rabies Tag # Microchip # Replacement ag PLEASE INCLUDE CI TAG NUMBER IF THIS IS A RENEWAL (Ir AVAILABLE): # $5.00 RABIES VACCIN TI N DONE ON OZ-02-22 Total $ Rabies Descript an: 1 YEAR 3 YEAR PEI S,THAT ARE QN THE A- j1VE POTENTIALLY DANGEROUSQR DANG RODS 00 LIST NEED O REGISTER DIRE yATCIV_UALL. Holst i Veterinary Clinic Dr: Lisa S hr DVM : Dr. Kristd Holstein UVM 718 S ut 19`h Street Blair, NE 68008 402 42 -7387 402-426-0101 Fax h Is einclinic@gmail.com CITY OF BLAIR- 2022 PETLICENSE APPLICATION 1 - 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)r adult cats per residential or dwelling unit. LICENSE RENE ALS ARE DUE: March 15. 2022 Owner Name: �-�- Owner Address:r�` city/state/zip: Blair, NE 68008 Phone # t S6, ii LICENSE FEES: Dog or Cat: $16.00 C t• $] 1 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. Altered Dog or a . 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 ®"D o g ❑ Cat ❑ Spayed/Neutered - License Fee $ t �._ L Birthdate-� Sex _ ** Pet Name Breed** c Replacement $ Color v- -° '` -- Declare Dangerous or Potentially Dangerous Dog: ❑ Y a N SUBTOTAL: $ MICROCHIP # (If applicable) RABIES VACCINATION DATE: 8 (3 yr) (1 yr) City Tag # — PET #2 03' D o g ❑ Cat ®`Spayed/Neutered License Fee $ Pet Name Birthdate i,jj,1,LxSex 1 Color Breed** t�k Replacement$ _** Declared' Dangerous or Potentially Dangerous Dog: ❑ Y SUBTOTAL: $ MICROCHIP # (If applicable) �47* RABIES VACCINATION DATE: _ (3 yr) (1 yr) City Tag # PET #3 01 Dog ❑ Cat U'Spayed/Neutered License Fee $ Pet Name c Birthdate _ Sex C" �' Color '�e Breed ,� `�� ** Replacement$ ** Declare Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N SUBTOTAL. $ MICROCHIP # _ (If applicable) * 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.) DoNot Send cash by Mall TOTAL ENCLOSED $ If you have questions, please contact Blair Police Department at (402) 426-4747 NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March I5/ate fee date notapplicable fornelropeis/newresldents) 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. CERTIFICATE 0F�VAQC1NATj0N Date ofVaccination: 01-14-0 �e��oet No. 12466 Previous Vaccination: Next Vanunabonon: U143�3 VETERINARY CLINIC OWNER DFANIMAL pdVaoc|nuUnnCUn|« KAiohmUo8jork 1O0Rivam|ewDr 2911S. i20(hSt. Blair, NE 08008 Omaha NE 88144 ^""^^�"«»« (217)273'5031 *v/-^fQv`,^"^ Thi»i»hmc»rtifY— THAT |HAVE VACCINATED THE ANIMAL DESCRIBED BELOW AGAINST RABIES Patient information... PATIENT:TAG NO: ' VVa0eo . � SPECIES:BREED: ' Feline K �� SEXAGE' Neutered ' �� ���� . ' &�[ ���-��� WEIGHT: O.00\bo - - COLOR: MICROCHIP: N1FGBY: ZOET|. SERIAL: 347471. EXP|RES:O7/28/2O. ADM|N:8Q Signed: ~ Other Vaccinations... ' 200238 DomnoUoShorthair 24muntho Black and White 0 rT-ry OF RLAIR v 2022 ICEN �PPLICAI'ION 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 thanahree,(3) adult dogs or three (3) adult cats per residential or dwelling unit. `'' q I a'. LICENSE RENEWALS ARE DUE: March _154 2022 ***PLEASE READCARERJLLY*** Owner Name: YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. .:f ( �,. Failure to do so is a violation of City ordinances 6.103 and carries Owner Address: ' t-i M a penalty of a fine up to $150.00 per pet. City/State/Zip: Blair, NE 68008 (r PET LICENSES RENEWALS ARE DUE BY 3/15/2022. The City shall Phone # r'? 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 Program PE # 1 Dog ❑ Cat ❑ Spayed/N utered License Fee $ ., Birthdate Sex ** Colo of i nmeL.L— Breed** t A 7Rep/acement $ v Decla ed Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N SUBTOTAL: MICR CHIP # �.� 1 ' `� `' "/'l (If applicable) $ RABI VACCINATION DATE: (3 yr) (1 yr) City Tag Color Decla MICR 2 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ e Birthdate Sex Rep/acement $ ** Breed* I Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N ;HIP # (If applicable) VACCINATION DATE, (3 yr) PET -)g Pet N, Colo, Dec' MIr. RABIES VACtrilik i ,.vi 4 ❑ Cat ❑ Spayed/Neutered _ Birthdate Sex — Breed** Ily Dangerous Dog: ❑ Y ❑ N (If applicable) (3 yr) SUBTOTAL: $ (1 yr) City Tag # License Fee $ Replacement$ ** i 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 ENCLOSE® ' 0ry ry ry 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 re5idenf ) Newly Acquired Pets, New Residents to Blair: a Must be licensed within 10 days of ownership n Must register pets within 10 days of a <OR> at 6 months of age if puppy/kitten residency. (402) 806-7499 D.O.B. WEIGHT ---- SPECIES SEX ---- Canine M 09/05/2021 6.6lbs. 'REED COLOR MICROCHIP NUMBER ------------- I �/o 20 ®q/ ,?0 0 q /4f Schnauzer, Minature Liver Pepper Parti accinations: Expiration ame TE VACCINATED ------------------------ rlin innnn C Producer: Serial Nurr Vaccine T) Location c I hereby c( for the vac VACCINATION EXPIRES RABIES TAG NUMBER ------01 /12/2023-------------- 8619 is Right rear leg I have vaccinated this animal in accordance with the company's recommendation I on the above date. Countryside Veterinary Clinic 3030 Industrial Avenue Fairbury, NE 68352-1306 (402) 729-2204 PrVa�flicensed veterinarian administering vaccine. ture . Jonathan Winter License Number: 3541 l CITY OF BLAIR - 20 2 PEA LIC Ii®iV 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 Blain 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 ***PLEASE READ CAREFULLY*** Owner Name: ' /� �� ma s YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Owner Address` �� 1�1r'�"�� 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 2 l�1 . PET LICENSES RENEWALS ARE DUE BY 3/15/2022. The City shall Phone #k Cl RD 4 6 J 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 Tau: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat operator In Program ET #1 t� Dog ❑ Cat ❑ Spaye /Neutered License Fee $ �t Name h;� Birthdate 11�2��ZS2 Sex F. ** �lor .5i Breed* _ -b Replacement $ 2clared Dangerous or Potentially Dangerous Dog: ❑ Y N ICROCHIP # q5 (P VJ= G4'5-'i 0Q (If applicable) SUBTOTAL: $ —LW—, * R * 4BIES VACCINA71ON DATE: a (3;y yr) yr ., .r 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) _. License Fee $ Replacement $ ❑N ■W 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.) � .z , Do Not Sena Cash by Mail TOTAL ENCLOSED $ t 0 4 - (f you have questions, please contact Blair Police Department at (402) 426-4747 +++++++++++++.+++++++++++++++++.++++.....++++++++++++....++++++.....++++++.... NEW PET/NEW RESIDENT LICENSING REQUIREMENTS(March 15late fee date not applicablefor newpets/newre5ldenls)' 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. TY OF 22 PET LICENSE APPLICATIOR ,..£L _ P If • live in Blair • • own a • rcomplete form • return check payable • You may legally owri 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: Mavc15,2022. Owner Name: AOwner Address: city/State/zip: Blair, NE 68008 Phone ' ; `A o LICENSE FEES: Dog or Cat: $16.00 * I **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 , e nFee for g00 ftind the Nebraska Dog &Cat operator Inspection Program T #1 Dog ®Cat Spayed/Neutered License Fie Pet Name �� � :��� I Birthdate j, � � ll� ---,- i t ;"1' a\ �. Re lacement Color .;� nr ,_ Breed �-- p — Declared Dangerous or Potentially Dangerous Dog: D Y 4 N MICROCHIP # (If applicable) SUBTOTAL: $ -- RABIES VACCINATION DATE: 2 "%- k (3 yr) (1 Yr) Y' -' City Tag # 3 1 T #2 ® Dog Ll Cat ® Spayed/Neutered Pet Name Birthdate Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: LJ Y LJ N MICROCHIP # _(If applicable) RABIES VACCINATION DATE: (3 yr) (1 yr) PET #3 LJ Dog ® Cat ® Spayed/Neutered Pet Name _ Birthdate �_ Sex Color Breed** _ Declared Dangerous or Potentially Dangerous Dog: D Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) ,_ i Replacement $ — SUBTOTAL: i Replacement $ ®N SUBTOTAL: $ (1 yr) _ CRY 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.) TOTALDo Not Send Cash by Mail O$ if you have questions, please contact Blair Police Department at (402) 426-4747 NEW PET/NEW RESIDENT LICENSING REQUIRLNIENTS (March 15late fee date not applicable for newpets/newresldenb-) Newly Acquired Bets. ; ,,Npm Residents to Blair: 11111 Must ie licensed within 10 days of ownership m Must register pets within 10 days of .<OR> at 6 months of age if puppy/Iditen . residency. 03/12/2022 12:23 4024260101 HOLSTEIN VET CLINIC PAGE 01/01 2022 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF RLAIR IF YOU LIVE M�BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT(S), -COMPLETETHIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF BL�IR 218 S. :j6T14 ST — BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREk (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. ***PLEASE READ CAREFULLY' YO ARE REQUIRED BYLAW TO LICENSE Y R PETS. THE CITY F RLAIR RE DIRE PROOF OF RAB1E VACCINATION. Failure to do So Is a violation of city Ordinances 6,102 and carries a penalty of a fine up to $1S0.00 per pet. PET LICENSE RENEWALS ARE DUE BY 3 15 2022. The city shall recognize a microchip ID number as the license number. It shall be unlawful for any dog or cat to wear any license or other city ID other Than that issued by the City of Blair for such dog or cat, NEW PET LICENSING Must be licensed within 10 days of ownership (OR) at 6 months of,age if puppy et NEW RESIDENTS TO BLAIR Must register pets within 10 days of residency Owner Name Spouse Owner Address City/state/Zip Phone ;et Pet Name; Riley Karen Bohl 777 N 16TH ST Blair, NE 68008 515-360-1650 Age: 14Y Sex: Spayed Female Color: DOB:—03-12.08 Breed: Russian Blue Microchip # Rabies Tag # PI FASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLI RABIES VACCINATION DONE ON 103-12-22 Rabies Description- 3 YEAR Holstein Veterinary Clinic Dr. Lisa Schrum DVM : Dr, Krista Holstein 0V114 718 South 19,h Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinic@gmail.COm lJ LIGEN$E FEES Intact Dog or Cat: $16.00 'ter d Dog r cat: $1 .00 Replacement Tag $6.00 Total $—� PET TH TARE ON rHEACTIVE POTENTIA LY DANGERdUS PR pANGEROUS DOG LIS'r NEED TO REGISr R DIRECTLYAT C17?' HALL. (j CITY OF BLAIR ® 2022 . PET LICENS PLICATION 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 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: A Lne�' —/�10NOF, Owner Address: iW ZV L-22' 5L- city/state/zip: Blair,, NE 68008 Phone # ±L2 15/41, /1�7 A?� - LICENSE FEES: Dog or Cat: $16.00 .1 n or rnt-m tj j oo ***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 3115/202 . 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. MILeie %ju Replacement Fee for Lost Tag: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog i Cat Operator Inspection Program PET #1 Ll Doa 1111' 11 Cat W'tpayed/Neutered License Fee$ 00 "'Pet Name 6-191VOIL-7: Birthdate Sex -Al h I I �\ I Color 13 Breed" Replacement $ V V Declared Dangerous or Potentially Dangerous Dog: LJ Y 113"N SUBTOTAL: $ MICROCHIP # A//,.?__(If applicable) 777,7—* -A MICROCHIP VACCINATION DATE: Z9 A0 ?-/ (3 yr) (1 yr) _ City Tag # -L�;� PET #2 LJ Dog Li Cat LJ Spayed/Neutered Pet Name Birthdate --. Sex Color — Breed" Declared Dangerous or Potentially Dangerous Dog: Ll Y Ll N MICROCHIP # - (If applicable) RABIES VACCINATION DATE: (3 yr) -- (1 yr) PET #3 LJ Dog LJ Cat Li Spayed/Neutered Pet Name Birthdate -- Sex Color — Breed" Declared Dangerous or Potentially Dangerous Dog: Ll Y Ll N MICROCHIP # (if applicable) RABIES VACCINATION DATE: (3 yr) — License Fee $ — Replacement$ —** SUBTOTAL: $ — City Tag License Fee $ Replacement $ SUBTOTAL: $ (I yr) _ City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL I ** (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 .............................................. I ................................ NEW PET/ NEW RESIDENT LICENSING REQUIREMENTS (March 15 late fee date notapplicable for newpelslnew re5ldenh;) Newly Acquired Pets: New Residents to Blair: • Must be licensed within io days of ownership m Must register pets within 10 days of • <OR> at 6 months of age if puppy/kitten residency. N CERTIFICATE OF VACCINATION Date of Rabies Vaccination: 12-29-21 Certificate No: 2561 Next Rabies Vaccination On: 12-28-24 Previous Rabies Vaccination: VETERINARY CLINIC OWNER OF ANIMAL Thone Animal Hospital Kyle Bolte 902 S Hwy 30 762 Nth 15th st 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: Gandalf the Gray TAG NO: 007378 SPECIES: Feline WEIGHT: 5.50 SEX: N AGE: 17 months Color and markings... Grey Signed Dr.Kamala Freeman Vaccinations done... License: 3894 12-29-21 KF Rabies Vaccination (3 Year), #007378 12-28-24 12-29-21 KF Fe 4Way (Rhino/Cali/Pant/Chia) 12-29-22 12-02-20 KF Rabies Vaccination (1 Year), #006254 Rabies Vaccine Information... MFG BY: ZOETI SER.NO: 542135 LOT EXP: 02-14-23 ADM: SQ May 1122 03:09p P. Thane Animal Hospital (402) 426-3630 902 S HWY 30 Blair, NE 68008 CITY OF BLAIR - 2029*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 s 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 1&r 20-0- owner Name: v Owner Address: -L l3 'FYonV city/statelzjp, Blair, NE 68008 Phone # LICENSE FEES: Dog or Cat: $3.6.00 Altered Dog or Cat: $11.00 De lacernent Fee for Lost Tag: $5.00 ***PLEASE READ 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 BY3/1 /S 2021. The Cityshall recognize a microchip identification number as the license number, It shall be unlawrul for any dog or cat to wear any license or other city identification other than that Mued by the City of Blair for such dog or cat. The City of Blair requires proof of rabies vaccination. P Included its a State Fee of $1.25 being collecbed to fund the Nebraska Dog & Cat Operator Inspection Program PET # 1 1 Dog ❑ Cat Q Spayed/Neutered License Fee $ U0 (� Pet Name-� Birt hdate 22 �� Sex �-i c =.l 2 Color V V5V \� hF C)t�tJ(1 Breed** CReplacement$ Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: 1 (3 yr) __�_ (1 yr) _ City Tag # PET # 2 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Color Birthdate Sex 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 Color Birthdate _ Sex Breed** Replacement$ Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # *PLEASE INCLUDE THE CiIYTAG 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 +++++++++.++++++..*+++.*.+.+......++++++++++++..........11.....f+t++f*++-r+...... NEW PET/NEW RESIDENT LICENSING REQUIREMENTS(Marrhl5/at�feedalanotapolicablefla netv�Ls/r�lvresl�ntsJ Newly AcxLuired Pets: New Residents to B4�ir w, Must be IKerseci witl in 10 ciaysofavrler Ip ■ must reinter pets rvitl iin 10 days of ■ <OR> at 6 moritts of age if puppyNt zi resMer~y. City limits and owl If you live in Blair n a dog(s) and/or cat(s), complete this form and return with check made payable to: tY City ®f Blair ® 216 S 16th St a Blair, NE 68006 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 152022 ***PLEASE READCAREFULLY*** Owner Name: le YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Owner Address' Sy� V s� — Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $is0.00 per pet. City/State/Zip: Blair, NE 68006 PET LICENSES RENEWALS ARE DUE BY 3 i5 2022. The City shall 0512a9�3 ' tl .2 I recognize a microchip Identification number as the license number. It Phone # �D shall be unlawful for any dog or cat to wear any license or other city qIdentification other than that C I �2) cat, The City of Blair requires sproof of rabies vaccination. such dog or 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 - ET # 1 Dog ❑ Cat adSpayedINeutered License Fee $ Pet Name r ici Birthdate 9 2��Sex ** Color Y _ —Breed** Du�K To//%� Replacement Declared Dangerous or Potentially Dangerous Dog: pliable) ❑ N ✓SUBTOTAL: MICROCHIP #If ,� r City Tag #* RABIES VACCINATION DATE: -.� (3 yr) _ ( Y) --- 9 PET #2 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name, _ Birthdate ** Color Breed** Sex Replacement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N SUBTOTAL: $ MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag ET #3 ❑ Dog ❑ C a t BirtLl ® Spayed/ Neutered ate Sex — Pet Name greed** Color - Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) License Fee $ Replacement $ SUBTOTAL: $ (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.) TOTAL ENCLOSED oO Do Not Send Cash by Mail if you have questions, please contact Blair Police Department at (402) 426-4747 ++++++-e ................................+..+++.........+++++.+.+.+............ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15late fee date not applicable fornewpets/new residents) Newly Aoauired 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. ' 02/28/2022 11:54 4024260101 HOLSTEIN VET CLINIC PAGE 01/01 ■ ■ 2022 PET LICENSE '■' VERIFICATION/APPLICATION FOR CITY OF BLAIR` IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOC(S) AND /OR CAT(S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF BLAIR 218 S. 16"m ST — GLAIR, 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 BY LAW TO LICENSE YOUR PETS. T E CITY OF 8LA RE UIRES P F OF RAB. VACCINATION. Failure to do so Is a violation of City Ordinances 6.103 and carries a penalty of a fine up to $7 5000 per pet. PET LICENSE RENEWALS ARE DUE BY 9 A5 2022. The city shall recognize a microchip ID number as the license number. or cat. It shall be unlawful for any dog or cat to wear any license or other city ID other an that issued by months of agehe City of if puppy or kitten for ch dog NEW PET LICENSING Must be licensed within 10 days of ownership ( ) NEW RESIDENTS TO BLAIR Must register pets within 10 days of residency Owner Name Spouse Owner Address City/State/Zip Phone # Pet Name: Max Age: 7Y DOB: 07-16-14 Breed: Lab Mix Sex: Neutered Mate Microchip # 985112005501095 CITY TAG NUMBER RABIES VACCINATION DONS ON Rabies Description: 1 YEAR John Borchardt Barb 2357 Clark Street Blair, NE 68008 402-426-8279 Color: Brown/Wt Rabies Tag # 17235 (IF AVAILABLE): # Holstein Veterinary Clinic Dr. Lisa Schrum DVM : Dr. Krista Holstein AVM 718 South 191h Street Blair, NE 68008 402-426-7387 402-426-0101 Fax hoisteinclinic@gmail.com YEAR LI"UEE FEES Intact Dog or Cat: $16.00 ee po or cat: $11. Replacement Tag $5.00 Total $ � ` P HAT RE ON i E ACTIVE POTENTIALLY DANG US OR DANG OUS DOG LIST NEED TO REGIST DIRECTLY A7 CITY HALL, FAXED IO2-28-22w M FAX TO BPM) @ 402-426-7144 Y/2112022 3:21 PM FAX 4025332723 BLAIR SMALL ANIMAL [a000li000l CrTY 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 • glair, NE 68008 1 1. 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: ^-�: J�CSu el IL l P y� Owner Address: 0'otl kew city/state/zip: Blair, NE 68008 �19-3-9N7 oyQ�- 62.n - F)1L4 Rhone LICENSE FEES. Dog or Cat: $16.00 Altered Do or Cats $11 00 ***PLEASE READ CAREFULLY*** YOU ARE REQUXRED BY LAW TO LICENSE YOUR PETS. Failure to do so in a violation of City ordinances 6.103 and carrion a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 2LLV =. The City Shall recognize a microchip Identification number 05 the Ilcenso 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 Blalr for such dog or Cat. The City of Blair requiras proof of rrbles vacdnation. g Replacement Fee,for! ost Tag: $5.00 Included is a State Fee of $1.25 being collected tD fund the Nebraska Dog & Cat Operator Inspection Program PET # 1 ❑ Dog U_�rC a t CdSpayed/Neutered License Fee $ ,_.- j! ___ Pet Name pak _ Birthdate , "JL:a Sex MUIe. Color hi�� Breed** 6%ku Replacement$ Declared Dangerous or Potentially Dangerous Dog: ❑ Y t2l N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINA-RON DATE: _3& -~ a6JA (3 yr) r) City Tag # PET # 2 ❑ Dog D Cat ❑ Spayed/Neutered Pet Name Birthdate Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) (I yr) License Fee $ Replacement $ ** SUBTOTAL: $ City Tag # PET # 3 ❑ Dog u 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 THXS IS A RENEWAL ** (This fee is duel 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 ..........+++++++......++*.++++++.a.+++++++.++++++++**++++++++..++......+*+++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (Mardi l5/alb lee da&, not appl/cable. ornewpeWnewm&dentV New n� to Blair Newly Aaaulmd vets; ,,,.,,�Jl�iste ■ Must be limsed within 10 days of_m eishlp ■ Must register pets wlthln 10 days of ■ <OP,> at 6 months of age If puppy/icitben residency. HOLSTEIN VET CLINIC PAGE 02/02 03/08/2022 10:42 4024260101 I I BUT it shall be RES 2022 PET LICENSE VE.R.IFICATION/APPLIC,ATION 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. 16T" S7 - GLAIR, 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. ***PLEASE READ CAREFULLY*** Failure to do so is a violation of Qty 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 Ib number as the license number. 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. NG Must be licensed within 10 days of ownership (OR) at 6 months of age if puppy or kitten TO BLAIR Must register pets within 10 days of residency Owner Na Melanie Bowen Spouse OwInerAddss 5 Hollostone Dr y CitipBlair, NE 68008 Ph ; 402-533-814'4 I��'�•� f )ii�� Pet Name: tis Age; 5Y DOB: 07-29- i Sex: Neutered Male Color: Black and Whitef;', Breed: Mal ' se X Microchip # ; Rabies Tag # 18462: PLEASE INCL I' 1 E CITY TAG NUMBER IF THIS, IS A RENEWAL (IF AVAILABLE)-,# RABIES VAC (NATION DONE ON 12-30-20 Rabies Descr ` lion: 1 YEAR 3 YF'AF1 Hq lein Veterinary Clinic Or L/,a thrum DVM : Dr, Krlsta Holstein DVM 718 oath 1 91hStreet Blair, NE 68008 4 ; -426-7387 402-426-0101 Fax !holsteinclinic@gmail.com LICENSE FEES intact Dog or : $16.00 Altered Dog cat: $11. Replacement Tag $5.00 Total $ ■ 03/08/2022 ■ BUT R It shall be unl NEW PET LI( NEW RESIDE Owner Nar Spouse Owner Ad( City/State] Phone # ret Name: 10:42 4024260101 HOLSTEIN VET CLINIC PAGE 01/0 2022 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF BLAIR CY IF YOU LIVE IN GLAIR CITY LIMITS AND OWN A DOG($) AND /OR CAT(S), 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, 10 MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. ***PLEASE READ CAREFULLY*** ARE REQUIRFO BY LAW TO LICENSE YOUR PETS THE CITY OF BLAIR REQUIRES PRQOF OF RABIES VACCINATION. FailiI re 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 IQ number as the license number. I forl,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. ING'Must be licensed within 10 days of ownership (OR) at 6 months of age if puppy or kitten TO BLAIR Must register pets within 19 days of residency Melanie Bowen 105'Hollostone Dr Blair, NE 68008 402-533-8144 Age: 10Y Sex: Spayed Female Color: Blck/B�vn . DOB: 07-06-1 Breed: Chihii hua Microchip # Rabies Tag # 19569 PLEASE INCLU E CITYjTAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE): # RABIES VACC NATION DONE ON I 10�21-21 Rabies Descri�i ion: 1 'YEAR II I' I I�olst in 'Veterinary Clinic Dr. Lisa Krum DVM : Dr, Krists Ho/stein DVM 718 Sl' uth I91h Street Blair, NE 68008 40 ' 426-7387 402-426-0101 Fax Qlsteinclinic@grnail,com Ii YEAR LICENSE -FEES Intact Dog or Cat: $16.00 ed Dog c>�t: 1.00 Replacement Tag $5.00 Total $ PETS THAT ARE'ON THE ACTIVE PQTENTIALLY DANGEROUS OR DANGEROUS DOG LIST NEED TQ A661STER DIRECTLYAT If TY HALL. FAXED 03-08-22 BY t1"1l, dl',• Mgr "m, iA.��� i ,� t• ( rY : It?4i n �'3.,�1 � .ydtr�, •�;F1°", f� �.d � � :;':7i�i �ai•.iti.it ;,.�� I� l i !^. I'Iy1" I, '%ii' f�i�lel;t�r.:;r•U�i �.r Sri' I' iLN I ldu li ��:•.��us{ Ipiulip.aliRr i u �i'j� {, � i i,n•. i•�a�n•. i ul<iF' Itl'�:y!i�ti�:{�ti•.iy...jliyi�.i.iu�I�I �yn,�i:�,!inNf�i�!1;4i9;;;'n )' '�t�'A'' bae��k�N� L`�li:F�"� �Is� Qati 691/6 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 o Blair, NE.68008 You may legally Own a Cornbinati6rt 6f f6ur'(4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE ti2022 Owner Name: Owner Address: City/State/Zip: Blair, NE '00 LICENSE FEES: Dog or Cat: $16.00 C t• $91 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. Altered Dog or a . Replacement Fee for Lost Tag: $5.00 Included is a to Fee of 1.25 being collected to fund the -Nebraska Dog & Cat Operator Inspection Program 7' # 1 Dog ® Cat .Spayed/Neutered License Fee $ Pet Name 1', s Birthdate i -)o)v Sex Color G I I<�) P'',-j Breed** ��� 1� �, Replacement Declared Dangerous or Potentially Dangerous Dog: ® Y ® N If a SU1 TOTAL: $ -- _ MICROCHIP # ( pplicable ) RABIES VACCINATION DATE: 6`�' ¢1 (3 yr) . (I yr) — City Tag . —* T #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) _ T #3 ® Dog ® Cat Ll Spayed/Neutered Pet Name Birthdate Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: ® Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ License Fee Replacement $ ** ®N SUBTOTAL: $ (I yr) City Tag # m License Fee Replacement $ ** SUJTOTAL: $ (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 .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/newresidents) Newiy'Acc>luired Pets, New Residents to Blair: m Must be licensed.within 10 days of ownership ® Must register pets within 10 days of In <OR> at6 months of age if puppy/ldtten residency. M y'T LICENSE APPLICATION CITY OF BLAI ®2022 �'E 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 thanithree (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 5 2022 ***PLEASE READ CAREFULLY*** Owner Name: `i YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Owner Address: ii ( �fcs �� "' Avg 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 PET LICENSES RENEWALS ARE DUE BY 3115/2022. The City shall 31S — 2 9 b -- L.� I ( 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 PET # 1 Dog ❑ Cat ❑ Spayed/Neutered License Fee $ ) y Pet Name Birthdate Sex ** Color r3 Breed** M .� rrn � Rep/acement $ ° A eciared Dangerous or Potentially Dangerous Dog: ❑ Y N SUBTOTAL: $ 1� -/ `"�� � � , � MI # (If applicabl v; z 3 r 1 r City Tag # ZZZ� RABIES VACCINATION DATE: ( Y) ( Y ) 1 i) I PET #2 D o g ❑Cat ❑Spayed/Neutered License Fee $ I _ Birthdate I Sex Pet Name ** Replacement$ ** ` Color �� 6/ Is trBreed r ' Declared Dangerous or Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $1� Ufi� RABIES VACCINATION DATE: 7A � (3 yr) �,_ (1 yr) City Tag #_* PET #3 ❑ 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: $ 1 r City Tag # RABIES VACCINATION DATE: (3 r Y) ( Y) *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®$ ;?2 - 00 If you have questions, please contact Blair Police Department at (402) 426-4747 ....++++++.....++++++.....++++++.....++++++++++++..... +++++++++++++++++++++.++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March l51 to fee date notapplicabl fornewpets/newresidenL,) Newly Acquired Pets: New Residents to Blair: ® Must be licensed within 10 days of ownership s Must register pets within 10 days of ® <OR> at 6 months of age if puppy/ldtten residency. PAGE 01/01 �j 01/18/2022 10:50 402426010 ■ VERIFICATIO IF YOU LIVE I COMPLETI CITY OF 8 YOU MAY L BUT NO MORE THAN THREE (3) F HOLSTEIN VET CLINIC 2022 PET LICENSE LAIR V/APPLICATION FOR CITY OF B BLAIR CITY LIMITS AND OWN A DOG(S) AND iOR CAT(S), THIS FORM AND RETURN WITH A CHECK PAYABLE TO: AIR — 218 S. 16TH ST — BLAIR, NE 68008 GALLY OWN A COMBINATION OP POUR (4) ADULT PETS, iULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. ***PLEASE READ CAREFULLY*** YgU ARE REQUIRED BY LAW TO 1 ME vuu� rco. .... --- Failure to do so is a violatl n of City Ordinances 6.�03 and carries a penalty of a fine up to $150.00 per pet. 'PET IIGENSE RENEWALS ARE DUE BY 3/15/20Z22. The city shall recognize a microchip ID number as the license number. It shall be unlawful for any dog or cat to w ar any license or other city ID other than that issued by the City of Blair ttesuch dog or cat. NEW PET LICENSING Must be licensed ' ithin 10 days of ownership (OR) at 6 months of age if puppy NEW RE5IDENTS TO BLAIR Must registelr pets within 10 days of residency owner Name Spouse Owner Address City/State/Zip Phone # Pet Name: M011y Age: 13Y Sex: Sp DOB: 12-20-08 Breed: Lab Microchip # PLEASE INCLUDE CITY TAG NUMBER IF RABIES VACCINATION DONE ON Rabies Description: 1 Dawn Branz 824 N 24th Street Blair, NE 68008 402-533-8750 Female Color: Yellow LICENSE FEE& Intact Dog or Cat: $16.00 Dog or cat: $11.00 Rabies Tag # 15406 Replacement Tag 11S IS A RENEWAL (IF, AVAILABLE): # $5.00 02-08-20 Total $ ` R' YEAR PETS YHA r RE ON THE ACTIVE POTENTIAL D LNG T - HALL. DANGEROUS C LIST EED TO REGISTER DI Holstein Veterin ry Clinic Dr. Lisa Schrum DVM : Dr. Kri to Holstein AVM 718 South 19,, Street Blair, NE 68008 402-426-7387 402-426 0101 Fax holsteinciinic@gm il.com CITY OF BLAI 2022 PET LICIEN,SiE 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 9 Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs residential or dwelling unit. or three (3) adult cats per re ro LICENSE RENEWALS ARE DUE: —March- 15,-2022 Owner Name: �C4-Vtk -910-IeW owner Address: U& P., 12M city/state/zip: Blair, NE 68008 Phone # q()J- &50-ILPG 2�L ***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 $jLS0.00 per pet. PET LICENSES RENEWALS ARE DUE BY 311S/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. LICENSE FEES: Dog or Cat- $16.00 Altered Dog or Cat, $11-00 Rp_pleicement 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 0 Cat 'M Spayed/Neutered da License Fee $ Bir6date Sex Pet NameS—e- Breed" Replacement $ jpi o I or Wlacja ecor Potentially Dangerous Dog: Ll Y W N declared Dangerous ei O'� (If applicable)SUBTOTA L: $ 'J\, MICROCHIP # (3 yr) yr) 7 7'j— City Tag # R�ABIES VACCINATION DATE T #2 Ll Dog Ll Cat Lj Spayed/Neutered Birthdate Sex License Fee $ btName Breed" Replacement $ Color Declared Dangerous or Potentially Dangerous Dog: LJ Y Ll N SUBTOTAL: $ -MICROCHIP # applicable) _____(If RABIES VACCINATION DATE: _ (3 yr) ­ (1, yr) — — City Tag PET #3 L-1 Dog LJ Cat Ll Spayed/Neutered License Fee $ Pet Name Birthdate — Sex Color Replacement$ olor Breed" ET Dangerous or Potentially Dangerous Dog: U Y 0 N MICROCHIP # (If applicable) SUBTOTAL:!,$ (3 yr) -- (1 yr) -- city Teig # RABIES VACCINATION DATE, *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 $1. If you have questions, please contact Blair Police Department at (402) 426-4747 .......................................... 11 ................................... NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15 late fee date Resinot applIcable for newpet5lnew residentresidents)New denis. to Blair: iigWly Aii::illuired Pets: m Must register pets within 10 days of • Must be licensed within 10 days of ownership residency. • <OR> at 6 months of age if puppy/kitten CERTIFICATE OF VACCINATION Date of Rabies Vaccination: 08-06-21 Next Rabies Vaccination On: 8-05-24 VETERINARY CLINIC Holstein Vet Clinic 718 South 19th Street Blair, NE 68008 402-426-7387 Certificate NO: 0 Previous Rabies Vaccination: 19357 OWNER OF ANIMAL Maureen Bray 1116 N 28th St. Blair, NE 68008 County: This is to certify... THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Moose TAG NO: 19357 SPECIES: Canine WEIGHT: 13.30 SEX: N AGE: 16 months Color and markings... Yellow Signed Krista Holstein , DVM Rabies Vaccine Information... License: 3612 MFG BY: ZOETI SER.NO: 402242 LOT EXP: 05/10/22 ADM: SCE 01/14/2022 11:26 4024260101 Mr VERIFICATIOP IF YOU LIVE IN COMPLETF1- CITY OF St, YOU MAY Lei BUT NO MORE THAN THREE (3) AD Failure to do so Is a vio The city sha It shall be unlawful for any dog or cat to \A NEW PET LICENSING Must be licensed NEW RE$IDENTS TO GLAIR Must regist Owner Name Spouse Owner Address City/State/Zip HOLSTEIN VET CLINIC 2022 PET LICENSE 4/APPLICATION FOR CITY OF BLAIR BLAIR CITY LIMITS AND OWN A 000(S) AND /OR CAT(S), THIS FORM AND RETURN WITH A CHECK PAYABLE TO: AIR- 218 S. 16TH ST - BLAIR, NE 68008 aALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, ULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. ***PLEASE READ CAREFULLY*** .1 r YUVHveIa.Inc - n of City ordinances 6,103 and carries a penalty Of a fine up to $150.00 per pet. PET LICENSE RENEWALS ARF DUE BY 3 'LS.-- 2. recognize a microchip Ib number as the license number. ar any license or other city ID other than that issued bythe f City of Blair orsuch dog or cat. within 10 days of ownership (OR) at 6 months of agepuppy or en r pets within 10 days of residency Kathy Brechbill Terry P 0 Box 604 Blair, NB 68008 402-657-1 ;hone # Pet Name: Teddy Age: 3Y Sec: Neutered Male Color: White/Brut DOB: 08-23-18 Breed; Shih Txu Rabies Tag # 17369 Microchip # PLFASE INCLUDE CITY TAG NUMBER WI�,lS A RENEWAL (IF AVAILABLE)' # RABIES VACCINATION DONE ON ; 111-06-19 Rabies Description: 1 YEAR 3 YEAR Holstein Veterinary Clinic pr. Lisa Schrum DVM . Dr. Krists Holstein DVM 718 South 1911 Street Blair, NE 68008 402-428-1387 402-420-0101 Fax holstainclinic@91VIlail.com L.ICENSF-EEIE S Intact Zg or . 16.00 Altered orcat: 00 Replacement Tag $5.00 Total $�v _PETS ATAR ON THE ACTIVE POTENT) L/ LLY DANGEROU5 OR DANGEROUS PQG LIST NEE TO RE Lis DIRECrLyA CITY HAI 12/30/2021 15:07 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 DOGS) AND /OR CAT(S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF BLAIR - 218 S. 16TH ST — BLAIiR, 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 REOUIRED BY LAW TO LICENSE YOUR PETS THE CITY OF BLAIR R9QUIRES PROOF OF RABIES VACCINATION. Failure to do so is a violation of City Ordinances 6.10a and carries a penalty of a fine up to $150.00 per pet. PET LICENSE RENEWALS ARE DUE BY 3/15i2Q2A. 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 I Debbie Brehm Spouse I Jeff Owner Address 1 561 S. 17th City/State/Zip I Blair, NE 68008 Phone # 1 402-426-3640 Pet Name: Rosemary Age; 6Y DOB: 05-05-15 Sex: Female Color: V V Cr Breed: Porn X Microchip # Rabies Tag # PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE): # RABIES VACCINATION DONE ON 12.03-19 Rabies Description; 1 YEAR 3 YEAR Holstein Veterinary Clinic Dr, Lisa Schrum DVM ; Dr. Krista Holstein DVM 718 South 191" Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinic@gmail.com LICENSE PEES Intact Dog or Cat; $16.6 Altered Dog or cat: $11.00 Replacement Tag $5.00 Total $ PETS THAT ARE ON THEACTIVE POTENTIALLY DANCE OQ US OR DANQkROUS DOG LIST NEED TO REGISTER DIRECTLY AT CITY HALL, 12/30/2021 15:07 4024260101 HOLSTEIN VET CLINIC PAGE 03/03 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 DWELLING UNIT. ***PLEASE READ CAREFULLY*** YOU ARt REQUIRED BY LAW TO LICENSE YOUR PETS. TWf CITY OF BLAIR REQUIRES PROOF OF RABIES VACUNATION, 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 Debbie Brehm Spouse Jeff Owner Address 561 S. 17th City/State/Zip Blair, NE 68008 Phone .# 402-426-3640 Pat Name: MiZu Age: 12Y DOB: 09-09-09 Sex: $payed Female Color: Grey and White Breed; Microchip # 495FO30AG1 Rabies Tag # PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE). # RABIES VACCINATION DONE ON 07-16-21 Rabies Description: 1 YEAR 3 YEAR Holstein Veterinary Clinic Dr. Lisa Schrum DVM : Dr. Krista Holstein DVM 718 South 191" Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holstei►nclinic@ 9mail.com LICENSE FEES intact Dog or Cat: $16.00 L e: $11.0 nt'rag $5.00 Total $A � PETS THAT ARE ON TNT ACTIVE POTENTIALLY DANGEROUS OR DANGEROUS DO"L T NEED TO REGISTER DIRECTLYAT CITY HALL. CITY OF�' 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: Owner Address: City/State/Zip: Blair, NE 68008 Phone # i­�'c';,"_-A -- Q � 11 LICENSE FEES: Dog or Cat: $16.00 Altered noor Cat: 41;1100 n ***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 T i -'Dog Lj Cat -d Spayed/ Neutered N:'_ License Fee $ Hf) Na 1, k'k I Birthdate Sex —_ Breed" f Replacement $ or eclar d Dangerous or Potentially Qancierous Dog: LJ Y(14 N MICRO HIP # ?F-5- /y/ 002 G 2Sf applicable) J-) SUBTOTAL: $ 110, RA BIE VACCINATION DATE: Ve//Z/zqiq_(3yr,�� )(1 yr) _ City Tag L PET4 2 LJ Dog LJ Cat Ll Spayed/Neutered License Fee $ Pet Name--- Birthdate Sex — Replacement $ Color Breed** Declared Dangerous or Potentially Dangerous Dog: Ll Y 0 N MICROCHIP # — (If applicable) SUBTOTAL:$ RABIES VACCINATION DATE: (3 yr) — (1 yr) _ City Tag #_ PET #3 LI Dog Ll Cat 0 Spayed/Neutered License Fee $ Pet Name Birthdate Sex Repla . t$ Color Breed" cemen Declared Dangerous or Potentially Dangerous Dog: J Y LJ 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 ENCLOSED $ - If you have questions, please contact Blair Police Department at (402) 426.4747 .............................................................................. pe&1W resIdents) NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 151ate fee date r`OtaPPlica blefOrnew W Newly Acquired Pets: New Residents to Blair: ® Must be licensed within 10 days of ownership N Must register pets within 10 days of • <OR> at 6 months of age if puppy/kitten residency. 0 01/14/2022 14:41 4024260101 ■ V'ERIFICATIC IF You LIVE I COM PLET CITY OF B YOU MAY I BUT NO MORE THAN THREE (3) 1 Failure to do so Is a The city sha It shall be unlawful for any dog or cat to %n NEW PET LICENSING Must be licensed NEW RESIDENTS TO BLAIR Must regisl Owner Name Spouse Owner Address HOLSTEIN VET CLINIC 2022 PET LICENSE N/APPLICATION POR CITY OF BLAIR J BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR C,AT(S), THIS FORM AND RETURN WITH A CHECK PAYABLE TO: .AIR 218 S16TH ST — BLAIR, NE 68008 =GALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, DULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. .•o ***PLEASE READ CAREFULLY*** n of city Ordinances 6,103 and carries a penalty of a flee up to $150,00 per pet. PET LICENSE RENEWALS ARE DUE BY 3/15/20??• recognize a microchip ID number as the license number. ar any license or other city ID other than that issued by the city of Blair for such dog or cat. Within 10 days of ownership (OR) at 6 months of age if puppy or kitten r pets within 10 days of residency Alli Brower Nick 812 S 16th St City/State/Zip Blair, NE 68008 Phone # Pot Name: Penny Age: 7Y DOB: 07-28-14 Sex: Spay d Female Color: Breed: Boxer X I Rabies Tog # 20032 Microchip # PLEASE INCLUDE CITY TAG NUMBER IF'ITIHIS IS A RENEWAL (IF AVAILABLE): # RABIES VACCINATION DONE ON I 01-14-22 Rabies Description: 1 YEA I 3 YEAR I\ Holstein Veterinary Clinic Dr. Lisa Schrum DVM : Dr. Ki 718 South 191" Street K 402-426-7387 402-42( holsteinclinic@gm ;to Holstein ,pVM i r, NE 68008 -0101 Fax Ifl.com LICENSE -FEES Intact Dog or Cat: $16.00 ter D or cat: $11.0 fleplacement Tag $5.00 Total $�r PET S T AT ARE ON THe ACTIVE POTENTIALLY DAN EROUS OR DAN6C ,US DOG LIST NEED 1'04E ISTER DIREGTLYA CITY HALL. :T LICENSE 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 16h 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: ILI 00 I� Owner Address:_ * -e-- city/state/zip: Blair, NE :11: Phone . LICENSE FEES: Dog or Cat: $16.00 Alt d 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. ere g . Replacement Fee for Lost Tag: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET #1 ❑. DOCl Cat W Spaye$ /Neutered License Fee $ ' L v wT. ` o-° Pet Name Birthdate I-� Sex ' Breed _ Replacement $ Color ti"-�� _ *-� ��; ������� �. �� Declared Dan erous or Potentially Dangerous Dog: ❑ Y p N MICROCHIP # (If applicable) SUBTOTAL: $ ap err RABIES VACCINATION DATE: 14 i, (A yr) X (1 yr) City Tag # PET # 2 Dog ❑ Cat 0 Spayed Neutered.. License Fee $`° Pet Name ` Birthdate 0-i Sex . Color Breed** 0 Replacement$ —** Declared Dangerous or Potentially Dangerous Dog: ❑ Y 0 N ..4, MICROCHIP # (If a ' e) SUBTOTAL: $ i s : � _ uJ 1 r City Tag # RABIES VACCINATION DATE: (3 yr) `' �� ( y) g PET #3 W Dog ❑ Cat C. Spayed/Neutered License Fee $ Pet Name .4'; Birthdate k­,, r i Sex / 4 _ Color ' ': Breed** r L ,dAi �� Replacement ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ; N MICROCHIP # —(If applicable) . SUBTOTAL: $ - RABIES VACCINATION DATE: i, ( (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.) I � Do Not Send Cash by Mail TTL E NC LS® If you have questions, please contact Blair Police Department at (402) 426-4747 NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15/ate fee date not applicable fornewpets/newre5idents) Newly Acquired Pets: New Residents to Blair: Must be licensed within 10 days of ownership al Must register pets within 10 days of Is <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 • 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: °! ' City/State/Zip: Blair, NE 68008 Phone#f'i, LICENSE FEES: Dog or Cat: $16.00 Altered 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. 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 jd Spayed/Neutered License Fee $ [ _' Pet Name. Birthdate i Sex Color �, � �. Breed** 'PL— , h0 l i' Replacement $ * * Declared Dangerous r Potentially Dangerous Dog: ❑ Y W N MICROCHIP # (If a livable) SUBTOTAL: $` RABIES VACCINATION DATE: `� 4 ( yr) (1 yr) City Tag # 1�* PET #2 ❑ 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 # 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 ENCLOSED $ 11, 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. Client ID: 4069 Client Name: Shannon & Stewert Brewer Address: 552 North 19th Street Blair, NE 68008 Phone: (402)953-6082 Tag Number: 0000 Lot Number: 18508 Imrab Rabies Vaccine Producer: Merial K / MLV / R: Killed Virus Blair Small Animal Clinic PC David E. Johnson DVM 1734 Front Street Blair, Nebraska, 68008 (402) 533-2722 Rabies Certificate Patient ID: 11054 Patient Name: Merlin Species: Feline Breed: Domestic Shorthair Sex: Neutered Male Color: Gray/White Markings: Birthday: 07/02/2018 Weight: 15.62 pounds on 9/14/2021 Microchip ID: Vaccination Date: 9/14/2021 Expiration Date: 911412023 Staff Name: David E. Johnson DVM License Number: 1893 CERTIFICATE OF VACCINATION Date of Vaccination: 06-09-21 Next Vaccination on: 06-08-24 VETERINARY CLINIC Pet Vaccination Clinic 2911 S. 120th St. Omaha, NE 68144 402-480-3393 Certificate No. 21242 Previous Vaccination: OWNER OF ANIMAL Stewart Brewer 552 N 19th St Blair, NE 68008 (402) 800-7245 This is to certify... THAT I HAVE VACCINATED THE ANIMAL DESCRIBED BELOW AGAINST RABIES. Patient information... PATIENT: Miley TAG NO: 215183 SPECIES: Canine BREED: Terrier, Yorkshire Mix SEX: Spayed Female AGE: 7 years WEIGHT: 0.00 Ibs COLOR: Black and White MICROCHIP: MFG BY: ZOETI,,. SERIAL: 419390, EXPIRES: 09/14/21, ADMIN: SQ Signed ,� / "Jule Roraback, DVM License 3094 OtheC Vaccinations... Vaccinated By Vaccination Next due 06-09-21 JR Canine DA2PP + Lepto Vaccination 1 06-09-22 06-09-21 JR Canine Lyme Disease Vaccination, 1Y06-09-22 06-09-21 JR Canine Bordetella Vaccination, 1Y 06-09-22 Blair Small Animal Clinic PC David E. Johnson DVM 1734 Front Street Blair, Nebraska, 68008 (402) 533-2722 Rabies Certificate Patient ID: 10395 Client ID: 4069 Patient Name: Cisco Client Name: Shannon & Stewert Brewer Species: Canine Address: 552 North 19th Street Breed: Labrador Mix Blair, NE 68008 Sex: Neutered Male Color: Black Phone: (402)953-6082 Markings: Birthday: 10/03/2014 Weight: 36.10 pounds on 10/22/2021 Microchip ID: Tag Number: 6782 Lot Number: 18513 Imrab Rabies Vaccine Producer: Merial K / MLV / R: Killed Virus Vaccination Date: Expiration Date: Staff Name: David E. Johnson DVM License Number: 1893 10/22/2021 10/22/2024 Client ID: Client Name: Address: Phone Tag Number: Vaccine: Producer: Brand: Tvpe: inner of Administration: Blair Small Animal Clinic PC David E. Johnson DVM 1734 Front Street Blair, Nebraska, 68008 (402) 533-2722 4069 Shannon & Stewert Brewer 552 North 19th Street Blair, NE 68008 (402)953-6082 0000 Imrab Rabies Vaccine Merial Imrab 3 TF Killed Virus Subcutaneously Staff Name: David E. Johnson DVM License Number: 1893 Doctor Signature: Patient ID: Patient Name: Species: Breed: Sex: Color: Markings: Birthday: Weight: Microchip ID: Vaccination Date: Expiration Date: Lot Number: Drug Expiration Date: 7842 Sylvester Feline Domestic Shorthair Neutered Male Gray 03/21 /2013 15.00 pounds on 8/5/2021 8/5/2021 8/5/2023 18507 1 /20/2023 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 e 218 S 16th St e Blair., NE 68008 You may legally'own a combination,offour (4) adult pets, but no more than three (3) adult dogs I or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15,.2022 Owner Name: k z, 5 Owner Address: City/State/Zip: Blair, NE 68008 Phone # lyev) :J— 1 — LICENSE FEES: Dog or Cat: $16.00 A14- A r% v rmi-w 4t1j nn " ***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/I5/2022. 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 MW PET #2 0 Dog Q Cat Ll Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed" Replacement $ Declared Dangerous or Potentially Dangerous Dog: Ll Y U N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) — (1 yr) — City Tag PET #3 Ll Dog LJ Cat Ll Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color BreedReplacement $ " Declared Dangerous or Potentially Dangerous Dog: Ll Y Ll 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 ENCLOSED $ - If you have questions, please contact Blair Police Department at (402) 426-4747 .................................... I ........................................... NEW PET/ NEW RESIDENT LICENSING REQUIREMENTS (March 15 late fee date not applIcable fornewpely1new residents) Newly Acaulred Pets: New Residents to Blair: . 0 Must be licensed within 10 days of ownership m Must register pets within 10 days of is <OR> at 6 months of age if puppy/kitten residency. �L Feb 1122 11:56a P.1 Thone Animal Hospital (402) 426-3630 902 S Hwy 30 Blair, NE 68008 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 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: owner Address: citylstatelzip. 0,,(fair, NE 68008 Phone'It -?,b<?�l LICENSE FETES: Dog or Cat: $16.00 *p Altered bog or Cat: $11.00 Replacement free for Lost Tag: $5.00 ***PLEASE READ CAREPULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6303 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS A" DUE BY 3 1=221. The City shaft recognize a microchip identification number as the license number. It shall he 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. Included Its a Slate Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET #1, Do ❑ Cat s"- 9 hdate fed/Neutered License Fee $ Pet Name Li ti Birthdate 2 1 Sex ''tn�Cll . Color K\ Breed** Replacement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y )4N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: a '�(�µ' (3 yr) _ (� yr) City Tag # PET #'2 Pet Name vl ❑ Dog '4 Cat �� �- j '� Spayed Neut red Birthdate G� Sex ''C._\ \yam License Fee $ Color i :Nn,� Declared Dangerous or Potentially Breed** ,c�s^, e �, Dangerous Dog: ❑ Y ❑ N Replacement $ ** MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: ,I,4 (3 yr) (� yr) City Tag PET #3 ❑ Dog ❑ Cat Pet Name ❑ Spayed/Neutered Birthdate Sex License fee $ Color Declared Dangerous or Potentially Breed** Dangerous Dog: ❑ Y ❑ N Replacement $ ** MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1, yr) City Tag # r• .. +�,. w,,c ■nr"rT Axm rrumnitK11" Itf1SISA 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 +f++++.+++*....-r+++*..........+f++++................4... 4...+.+++.... t........ NEW PIETINEW RESIDENT LICEN51N6 REQUIREMENTS (Martt 15fat19tEe Ora tenot applk-ah/e lb,-newpe&lf7ewmsioLant,) imd Pets: New Residents to Blair: ■ Must be lOnsed WWn 10 days ar aurersilip ■ Must register pets ►vi In .lo days or 0 <0R> at 6 monft of age jf puppyMtbm residency. a "$ r r , p 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. 5 � t t 3 LICENSE RENEWALS ARE DUE: March 15 2022 Owner Name: Qh/lid Owner Address: l Q Jr u r QJ 1 r City/State/Zip: Blair, NE 68008 Phone # qb)- _,�, 37 " 2(01 _I 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 ❑ Cat Spayed NeutVx Pet Name Birthdate Zx` n License Fee $ II, oZ.t� I Color 07DE I Oa r t,,W, Breed** e-- Replacement $ ** Declared Dangerous or P tentially Dangerous Dog: ❑ Y ❑ N MCROCHIP # (If applicable SUBTOTAL: $ l RABIES VACCINATION, DATE: •5130/a -(3 yr) (1 yr) City Tag # o; * 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) _ License Fee $ Replacement $ ❑N W SUBTOTAL: $ (1 yr) City Tag # (1 yr) 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 $ l' 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 liaensed 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 - 20022�"� 4'�L 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 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. k LICENSE RENEWALS ARE DUE: March 15 2022 ***PLE►ASEREAD CAR FULLY*** Owner Name: � S d (� YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Owner Address: 4 �/ � � 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 PET LICENSES RENEWALS ARE DUE BY 3/15/2022. The City shall Phone # lv /�+✓`' 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 Program ET 1 Dog ❑ Cat Spayed/Neutered License Fee $ I : Pet Name a Birt��a*e Dii '� Sex funs u , t .r � Color — Breed Replacement $ ** E DeQ ed Dangerous or Potentially Dangerous Dog: ❑ Y v MICR CHIP # 0 (If applicable) S110T®TAL: $_�_ 4, *R�A VACCINATION DATE:, I i 111 I (1 Yr) (3 yr) C'tY Tag 4 �£ 4 F i 4 p.w�..- 1�T #L ❑Dog ❑Cat ❑ Spayed/Neutered License Fee $ t ' Pet N me _ Birthda** � Sex Replacement ** Colon Breed p $ i�i Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N ^r MICROCHIP # (If applicable) SUBTOTAL: $ RABIiES VACCINATION DATE: (3 yr) -- (1 yr) City Tag PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Birthdate Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y i MICROCHIP # (If applicable) RABIES VACCINATION DATE: — (3 yr) _ M License Fee $ Replacement $ SUBTO I AL: (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.) r�� Do Not SendCash by Mail T TA L N C L. I 1 � If you have questions, please contact Blair Police Department at (402) 426-4747 ^1° . . . i^ . . . .........+aF . . . . i-•i° ^h.... . °h -h.... . d-. -F -F °F °F i-+..4.............................. NEW PET/NEW RESIDENT LICENSING REQUIREMENTS' (March 15late fee date nOtapplicable for newpets/newresidents) Newly Acquired Pets: New Residents to Blair: Must be licensed within 10 days of ownership all Must register pets within 10 days of <OR> at 6 months of age if puppy/kitten residency. Client ID: Client Name 8847 Jessica Brown 14O5Voss Drive Blair, NE 68008 (402)770-3003 Blair Small Animal Clinic PC David E.Johnson OVM 1734 Front Street Blair, Nebraska, 68008 Rabies Certificate Tag Number: 6640 Jacone: |mnabRabies Vaccine Producer: K0aha| Brand: |mneb3TF Type: Killed Virus Manner of -SUbmUta-rwousk/-- Staff Name: David E. Johnson DVM License Number: 1893 Doctor Signature: Patient ID: Patient Name: Species: Breed: Sex: Markings: Weight: Microchip ID: AN 12888 O8' ( O| '\ �� Z�� -, L�\`u } | Conine Golden Retriever Female Gold O7/2O/2O21 2B.1Dpounds on11/17/2O21 | Vaccination Date: 11/17/2021 Expiration Date: 11/17/2022 Lot Number: 18518 Drug Expiration Date: 2/24/3023 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: � k r wo Owner Address: LI-Y- City/state/zip: BI 'r, NE 68008 Phone # r LICENSE FEES: Dog or Cat: $16.00 Altered 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 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. 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 og ❑ CatSpay d/Neutered ,�n License Fee $ I �, Pet Na e yV B`ih4date Sex f" 1 ** Color v Breed** Rep/acement $ Declared Dangerous or Potentially Dan ero s Dog: ❑ Y ❑ N MICROCHIP # r 11i (If applicabl SUBTOTAL: $ RABIES VACCINATION DATE: I - (3 yr) ^ (1 yr) City Tag # L` -9 PET #?�,-, Do ❑ Cat ;� Spaye Neutered License Fee $ I I ��� Pet Nam wv qY _ Birthdate �. y Sex Color 1f�W yl Breed _ \liY) _ Replacement$ ** Declared Dangerous or Potentially Dangerous Dog: L] Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: -' (3 yr) :X (1 yr) City Tag # PET #3 ❑ 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 # *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 t5late fee date not applicablefor new pet0newresidents) 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. VCA Animal Medical Center of Omaha 2323 South 64th Avenue Omaha, NE 68106 (402) 558 - 1522 Vaccination Status Client Patient Micah Brown C: Micah: (402) 960 - 5933 Name: Wesley Name: Kortney Brown C: kortney: (402) 943 - 9210 Species: Canine Breed: Pointer, German S- Address: 1947 Park St Email 1: mbrown24x@gm h Blair, NE 68008 ail.com Color: Liver And White Neutered Email 2: Sex: Male Birth: 10/21/2015 Age: 6y 4m Chip: 985112006965490 Weiqht: 78.2 lb Wesley's records sh I ow that the following vaccines are due Procedure Due Date Status Procedure Due Date Status K9 Rabies 11/25/2022 K9 Distemper 11/2/2023 K9 Bordetella 11/8/2022 K9 Heartworm Test 11/8/2022 K9 Leptospirosis 11/8/2022 K9 Parvo - 11/8/2024 '9 Dental Cleaning 1/31/2021 Overdue K9 Heartworm RX Gets product elsewhere Physical Exam 11/8/2022 Fecal Exam Doctor to assess K9 Flea Prevention Gets product elsewhere CBC Test Review Wellness Testing 1/30/2021 Overdue K9 Influenza H3N8 11/8/2022 K9 Influenza H3N2 11/8/2022 i For information on how we collect and use information about you and your pet, and how you may opt -out of some uses, please see our Privacy Policy at vcahospitals.com/privacy-policy. Thank you for trusting us with your pet's care. Your friends at VCA Animal Medical Center of Omaha. 1 of I VCA Animal Medical Center of Omaha 2323 South 64th Avenue Omaha, NE 68106 (402) 558 - 1522 Vaccination Status Client �u �Patient Name: Name: Micah Brown Home: _Walter Kortney Brown Work: Species: Canine Mobile: (402) 960 - 5933 Breed: Retriever, Labrador Address: 1947 Park St Email 1: mbrown24x@gm ' Color: Chocolate ail.com Sex: Male Neutered Blair, NE 68008 Email 2: Birth: 04/26/2012 Age: 9y 4m Chip: Weight: 83.6lb Walter's records show that the following vaccines are due Procedure Due Date Status Procedure Due Date Status 1<9 Rabies 7/26/2022 K9 Distemper 7/9/2023 K9 Bordetella 6/11/2022 K9 Heartworm Test 6/11/2022 9 Le tos irosis 6/11/2022 K9 Parvo 6/11/2024 K9 Dental Cleaning 7/30/2021 Overdue K9 Heartworm RX Doctor to assess Physical Exam 12/10/2021 Fecal Exam Doctor to assess K9 Flea Prevention Doctor to assess Urine Test Review CBC Test Review Liver Screening Review Kidney ScreeningReview Thyroid Test Review Wellness Testing7/9/2021 Overdue K9 Influenza H3N8 6/11/2022 K9 Influenza H3N2 6/11/2022 Thank you for trusting us with your pet's care. Your friends at VCA Animal Medical Center of Omaha. 1of1 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: 1jW� 24 Owner Address: �� ( y�� �1ing City/State/Zip: Blair, NE 68008 jj Phone # ` 04-1f Q — Qite ID LICENSE FEES: Dog or Cat: $16.00 Altered 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 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. 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, ^^^ rV Cat Spayed/Neutered License Fee $� I,UU Pet Name Birthdate VV Sex _ Color Breed** Rep/acement $ ** Declared D4ngerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: 11. 11 (3 yr) (1 yr) ,XCity Tag # _* PET #2 Dog A Cat 0,Spa"d/Neuttered 9^ License Fee$Pet Na e Color Birthdateex_ Breed** Replacement $ Declared Da gerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) UBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr)/ City Tag # PET #3 ❑ Dog X Cat ASpayed/ Neutered p— License Fee $, Pet Name 1t, _ Birthdate . ° ate Sex I' Color Breed** Mm • Rep/acement $ Declare'6 Da gerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) `�UBTOTAL: $ RABIES VACCINATION DATE: 3,1 '2 Z- (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 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. ASKA ANE ho METY whem help becomes hope, 4 Owner Information: NEBRASKA HUMANE SOCIETY SPAY AND NEUTER CENTER 8919 FORT ST OMAHA, NE 68134 (402) 905-3490 OR (402) 444-7800 RABIES CERTIFICATE FRIENDS OF JEANETTE HUNT ANIMAL SHELTER 47 S 4 ST BLAIR, NE 68008 (402) 533-2743 Al 428 45 S MEN ORG TABBY WHITE, Age: 6M Ilk Weight (Ibs): 6.10 Vaccination Date: 11/17/2021 DOMESTIC SH / MIX Vaccination Expiration Date: 11/17/2022 I YEAR RABIES VACCINATION: Tag # 022360 Serial#518868 Manufacturer: Zoetis Location of injection: SQ, right distal hind leg Veterinarian/License Number: Emma Chalupsky DVM-3964 Signature NEBRASKA HUMANE SOCIETY MEMCAL HISTORY AS OF: 11/17/2021 8929 Fort St, Omaha NE 68134 Animal ID Barcode (402) 444-7800 1111111111111111111111111111111111111111111111111111 AnimallD# A1428845 Name breed DOMESTIC SH / MIX Color ORG TABBY & WHITE Microchip # Age 6M Sex SPAYED FEMALE 11 /17/2021 Visit Type/Reason: RABIES VACCINATION RABIES VACCINATION COMMENTS: 1 YEAR RABIES VACCINATION: Tag # 022360 Serial #518868 Manufacturer: Zoetis Location of injection: SQ, right distal hind leg Expiration Date: 11 /17/2022 Weight: 6.10 Lbs Visit Type/Reason: SURGERY-SNC / SNC-SPAY Weight: 6.10 Lbs Treated by Vet: Emma Chalupsky DVM-3964 Treate( Treated by Vet: Emma Chalupsky DVM-3964 Treatec Surgery-Snc / Snc-Spay Medications Med: VAX RAB NOB 3 (Rabies Vaccine) VAX RAB NOB3 Total: 1.00 dose Directions: 1.00 dose once daily Vaccination for Rabies on 11/1712021 on 11/1712021 Route: SQ Med: VAX FVRCP MAH (Feline Rhinotracheitis-Calicivirus- Pan leukopenia Vaccine) 1 ML Total: 1.00 dose Directions: 1.00 dose once daily Vaccination given on 11/1712021 on 11/1712021 Route: SQ COMMENTS: This animal was given a medication described below as 'Cat Anesthesia', This label references our in-house compounded drug mixture containing 20 mL hydromorphone (2mg/mL) + 10 mL dexmedetomidine (0.5 mg/mL) + 40 mL ketamine (100mg/mL). The compounded mixture was dosed at 0.08 mL/lb (0.176 mL/kg.) Upon sedation, tattoo found - already spayed. Right eye is missing. Left eye has mild clear occular discharge with redness below the eye on skin - suspect from chronic drainage. Animal IN A1428845 Animal ID Barcode 11111111111111111111111111111111111111111111111111111111 Page 1 of 1 Blair Small Animal Clinic PC David EJohnson DVM 1734Front Street Blair, Nebraska, 08008 \ Client ID: Client Name: | Phone: Tag Number: Vaccine: Producer: Brand: ,onnarof Staff Name: License Number: | Doctor Signature: 7842 MyrandaBmwn 2347 Washington Street Blair, NEODOO8 (402)210-0690 0000 |mnabRabies Vaccine K8ar|ei |mrab 3TF Killed Virus Subcutaneously David EJohnson DVM 18@3 Patient : Patient Name: Breed: Color: K0oddnge: Birthday: Weight Microchip \O: Vaccination Date: Expiration Date: Lot Number: Drug Expiration Date 12183 ' Nala Feline / k' Domestic Longhair ' Spayed Female Gray 10/23/2018 | 3M/2U22 3/li2023 18526 5120/2023 Client ID: Client Name Phone: Tag Number: Vaccine: Producer: Brand: | Type: lannerof 7842 K8yroOdaurowD 2347 Washington Street Blair, NE 68008 (402)210-0690 0000 |nnnab Rabies Vaccine K8eha| |mrab3TF Killed Virus Subcutaneously Staff Name: David EJohnson OVM License Number: 1893 Doctor Signature: Blair Small Animal Clinic PC David E.Johnson DVM 1734Front Street B|air, Nebnaako, 68008 Patient |D: 12182 Patient Name: Lattie « Species: Feline ^4 Breed: Sex: Donnaa�c8�odha|r [' Spayed Female Color: Gray/White Markings: Birthday: 10/23/2018 Weight: 8J5pounds on3/1/2O22 Microchip |D: Vaccination Date: 3/1/2022 Expiration Date. 311C2023 Lot Number: 18526 Drug Expiration Date: 5/20/2023 02/26/2022 10:38 4024260101 HOLSTEIN VET CLINIC PAGE 2022 PET LICENSE VERIFICATION/APPLICATION 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*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. THE CITY OF BLAIR REQUIRES PROOF OF RABIES VACCINATIQN. 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 UUE 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 Shelley Brown Spouse John Owner Address 109 E Riverview Dr City/State/Zip Blair, NE 68008 Phone # 402-533-3411 f Pet Name: Ivy ww Age: 2Y DOB:—10-26-19 Sex. Spayed Female Color' 10 Color ,Breed: Corgi Microchlp # 985112011537424 Rabies Tag # 18923 PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE): # RABIES VACCINATION DONE ON 02-24-21 Rabies Description: 1 YEAR 3 YEAR !:... Holstein Veterinary Clinic Or. Lisa Schrum DVM : Dr, Krista Holstein DVM 718 South 1911 Street Blair, NE 68008 402-426-7387 402-426-0101 Fax hoisteinclinic@gmail.com LICENSE FEES Intact Dog or Cat: $16.00 t red Do or cat: $11.00 Replacement Tag $5.00 Total $ 00. PETSTHATARE ONTHEACTIVEPOTENTIALLrOANGEROUSOR 0 AN17fqQUS DOG LIST NEED TO REGISTER DIRECTLY AT CITY HALL FAXED 02-26-22 BY 'dlj" r:p..... � . �pS:.1,:.iy;:. Si' •o +)�6 ""^i�ttli,�r` •:l�j!)f;.;.: i; .�G.. yl�.lfl l'!,I,P�IlI..:��I„Io;,,�;.ilp;f'�/`;;'Jf��:s���,.,.:In::�I::j;..V'n„bt le;:f�i••..f�rl�ltivl �•',' ' ^Ilr 11 ! ll.. 1 i! 1 1 ... 1 f•. }��' �: 1��f 1 ;I,._1 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 ..r Owner Name: I (� V" V j��u r ✓'�_a. Owner Address: /d d1 l S 14'k ,A v P city/State/zip: Blair, NE 68008 Phone #� 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 T # 1 ❑Dog ❑Cat ❑Spayed/Neutered License Fee $ s' e Name -Ske IAA Birthdate /O.-&._/? Sex ** I PF or �. � Breed** �. h � !�k � � Replacement $ V D clared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N 0M CROCHIP # 9 B S' /'/ /�� l 3 Y) (If applicable) SUBTOTAL: $ BIES VACCINATION DATE: a6, `�� (3 yr) U (1 yr) City Tag # ET #2 LJ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name. 0 '411(al _ Birthdate . /_.y� � Sex Color _ Q6," Breed** 5"A • ki T,, 0 Rep/acement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: -3 0- 9./ (3 yr) (1 yr) �_ City Tag #* PET #3 ❑ 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 # �* *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 +++++++++++a ......+++..++++++..............++++++..........+++++++++++++.++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (Marchl5/ate fee date not applicable fornewpets/newresidenis) Newly Arguired Pets: New Residents to Blair: • Must be lioensed within 10 days of ownership N Must register pets within 10 days of • <OR> at 6 months of age if puppy/kitten residency. 10 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. 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 LICENSE YOUR PETS. THE CITY OF BLAIR REQUIRES 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 $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 Tim Brown Spouse Lu Owner Address 1174 Ryan Drive City/State/Zip Blair, NE 68008 Phone # 402-426-2692 a A, .1)A'0, /� -IsW Pet Name: Charli Age: 8Y DOB: 02-05-13 Sex: Spayed Female Color: Cream Breed: Goldendoodle Microchip # 005633030 Rabies Tag # 18065 PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE): # RABIES VACCINATION DONE ON 06-27-20 Rabies Description: 1 YEAR C3 YEAR 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 holsteincl,inic@gma.il.com LICENSE FEES Intact Dog or Cat: $16.00 Altered Brig or cat: $11.00 Replacement Tag $5.00 Total'$ ' ! ! 0 D PETS THAT ARE ON THE ACTIVE POTENTIALLY DANGEROUS OR DANGEROUS DOG LIST NEED TO REGISTER DIRECTLYAT CITY HALL. FAXED 01-13-22 BY 04 V2Y429 T© �1Jdd 0IIJ-10 13A NI31S-10H TOT©KOZ©b ET:PT ZZ0Z/6T TO 1&y. P 7� 03 CITY OF BLAIR ® 2022 PET LICENSE APPLICATION 3 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 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: B 6) b 0 J9 ff/'f 603.QM117(21� Owner Address: 9 6, � Lj e' City/State/Zip: Blair, NE 68008 P'(')' 1 "C"y 16 'b 16 Phone # a - 16 14 ',7 C' ' LICENSE FEES: Dog or Cat: $16.00 Altered Don or Cat-. !l;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 to Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET #1 r,�'&Dog LJ Cat )4 Spayed/Neutered License Fee $ n Pet Name t_� dqX Birthclate/�-/ -1-3 Sex I._Mfi�e_ Color 8Lj4c_,ff'1Wb1f'y-, Breed" po,,.JLe-P?J,X Replacement $ Declared Dangerous or Potentially Dangerous Dog: Ll Y ')A N MICROCHIP # —(If applicable) SUBTOTAL:$ RABIES VACCINATION DATE: 31R-a� (3 yr) X (1yr) _City Tag # PET #2 LJ Dog L' Cat Ll Spayed/Neutered Pet Name Birthdate Sex Color Breed" Declared Dangerous or Potentially Dangerous Dog: Ll Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: — (3 yr) — 7ork (1 yr) License Fee $ Replacement $ SUBTOTAL:$ — City Tag PET #3 Ll Dog Ll Cat Ll Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed** Replacement $ Declared Dangerous or Potentially Dangerous Dog: Ll Y LJ 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 ENCLOSED $ If you have questions, please contact Blair Police Department at (402) 426-4747 .......... ­1 ................................... A ................................ NEW PET/ NEW RESIDENT LICENSING REQUIREMENTS (March 15 late fee date not applIcable for newpety1new residents) Newly Acquired Pets: New Residents to Blain • Must be lioensed within 10 days of ownership E Must register pets within 10 days of • <OR> at 6 months of age if puppy/kitten residency. 60�� OCOOCS 'J 1 c I F R- 2022 ET LIE S AP L I N 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 Owner Name: # r q 93 R j i 3� 1A r Owner Address: ~, _. r! 1 v y 5 T_ City/State/Zip: Blair, NE 68008 Phone # _ ;'� v Z 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. Pe -placement Fee for Lost Tag: $S.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection PET ## 1 Dog ❑ Cat Spayed/Neutered License Fee $ Pet Name 6 -� L - _ Birthdate : .-ry . iy'Sex 0 4z ef- Color >. Breed** _J Replacement $ ** ec ar Dangerous or Potentially Dangerous Dog: ❑ Y N MICRONIP # 1> 2 r / (If applicable) SUBTOTAL: $ RABI SCCINKRON DATE: o / (3 yr) (1 yr) City Tag # 10) ' PET ##2 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ \ Pet Name _ Birthdate _ Sex C — Breed** Rep/acement $ ** �- 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 i Breed** Replacement $ ** 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.) iaL DoNot 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 applicablefor newpets/new residents) Newly Acquired Pets: New Residents to Blair: ® Must be licensed within 10 days of ownership Im Must register pets within .10 days of ® <OR> at 6 months of age if puppy/ldtten residency. 02/18/2022 14:01 4024260101 HOLSTEIN VET CLINIC PAGE 01/01 ■� 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. 1.6TH ST — BLAIR, NIE 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' YQ ARE REQUIREd BY LAW 'TQ LICENSE YOUR PETS, H,Ef ITY OF BLAIR RE UIRF-S PKOOF OF RABIES VAC (NATION. 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 ARF DUE BY 3 15 2022, •The city shall recognize a microchip ID number as the license number. It shall be unlawful for anydbg 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 ML9t 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 Paul Buckingham Spouse Chris Owner Address 1217 Fairview Dr City/State/Zip Blair, NE 68008 Phone # 402-533-2234 f�FINFA Pet Name: -Aca Age; 9Y DOB: 07-12-12 Sex: Neutered Male Color: Black Breed: Aussie X Microchip # Rabies Tag # 18168 PLEASE INCLUDE CITY TAG NUMBER, IF THIS IS A RENEWAL (IF AVAILABLE): # RABIES VACCINATION DONE ON 07�30-20 Rabies Description: 1 YEAR 3 AS Holstein Veterinary Clini;e Dr. Use Schrum DVM : Dr. Krista Holstein DVM 718 South 1911 Street Blair, NE 68008 402-426-7387 402-426-0101 Fax linic@ meil.com holstelnc g , LJCENSiE FEES Intact Dog or Cat: $16.00 ,4 /tared og or cat: $11 Replacement Tag $5.00 Total $ �'D PETSTHATAREONTHEACTIV P T NTIALLYDANGEROU50,R ' p NG ROUS DOG UST NEED 70 �E ISTEA DIRECTLY AT CITY HALL. FAXED 02-18-22 BY �'��!I ,AI. �•.T�.�'I�V�L, ��•r) ,�1 +.1,���!�.1/•P�'1�1;�;I dr!,r,^;;r ''� :�•`'� •,;�'> i.T, 4:' 1'i���`P.u!"iJ.; :) ^'II!�N'j9:^'; �:�Ix;hl;rrai�f';¢1: �bNr��Ti:: ,,;, ,I�; �!:, ��.'�. iie�• :4�:���a�;: r1j+� ii-1i•'iil'�i .:.'r'nR'r•":6 ia.,. eu.vq•il.l ;" .i, �;�:�fii:,: rr :��.I"::'(i�, uua•� .�.i.; �7(1' �. ui� Z!:.cc�e; ddn•�:;; ;� CITY OF BLAIR - 2022 PET LICENSE APPLICAMN 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 o Blair, NE 68008:. You may legally own a combination of four:(4) adult pets, but no. more, than thrpq- (3) adult dogs .' .. . . . , or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE- March 15, 2022 Owner Name: 91"4 i%. C? Owner Address: cj t"J,' City/State/zip: Blair,, NE 68008 > Phone # L Z 'y LICENSE FEES,. Dog or Cat: $16.00 Altered non or Cat: -tll 00 .***PLEASEREAD CAREFULLY*" YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do sods 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 Ins 'on Program PET #1 O'Dog Ll Cat Spayed/Neutered License Fee $ Pet Name Birthdate i Sex Color '—, e 11 juJ_ Breed** 0 Replacement $ Declared Dangerous or Potentially Dangerous Dog: LJ Y Ll N MICROCHIP # (If applicable) ' SUBTOTAL:$ RABIES VACCINATION DATE: V,,41 ) 1 (3 yr) 5e-, (I yr) _ City Tag #11,2-6 PET #2 Ll Dog L1 Cat Ll Spayed/Neutered Pet Name Birthdate Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: Ll Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) — W (1 yr) License Fee $ Replacement $ PET #3 L1 Dog El Cat 0 Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed** Replacement $ Declared Dangerous or Potentially Dangerous Dog: Ll Y J N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (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.) rXo Not Send Cash by Mail TOTAL ENCLOSED $ 0 If you. have questions, please contact Blair Police Department at (402) 426-4747 . ................................. I .............................................. NEW PET/NEW RESIDENT- LICENSING. REQUIREMENTS (March 151ate fee,oate not applIcable fopnewpetsInew residents) Newly'Acquired Pets: :- . New Residents to Blairo. Mdstbe,licensed.wb.iin-10-days ofownership M Must register pets within 10 days of-, m <OR> -at, 6 months of age if puppyffiften , residency. cc= Date of Rabies Vaccination: 12-03-20 Certificate No: 0 Next Rabies Vaccination On: 12-03-23 Previous Rabies Vaccination: VETERINARY CLINIC OWNER OF ANIMAL Countryside Small Animal -y .u.�. 'i 1306 Stevenson 24� `� D Fort Calhoun, NE 68023 Blair, NE Y County: qoo ' C1' n , 402-468-4060 This is to certify... ` THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Zeke i SPECIES: Canine — TAG NO: 20-0969 WEIGHT: 72,50 SEX: M AGE: 3 years BREED: Boxer Microchip Number: Color and markings... Tan and White Signed Kaycee Points License: Vaccinations done... 12-03-20 KNP Canine Rabies Vaccn, 3 yr, #20-0969 12-03-23 12-03-20 KNP Canine DA2PPL 12-03-21 09-21-19 KNP Canine Rabies Vaccn, 1 yr, #19-0936 Rabies Vaccine Information... MFG BY: ZOET SER.NO: 367269B LOT EXP: 02FEB21 ADM: Sq APPLICATIONCITY OF BLAIR - 2022 PET LICENSE 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 Owner Name: 1111 �i Vf U)J' H OAJ VW dd e Owner Address: 1 Jj ��� i �31 City/State/Zip: Blair, NE 68008 Phone # L 0'L- �5' U 0 0) 01 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 ❑ I Cat Spayed/Neutered License Fee $ Pet Name V,,k d N Birthdate 1' ' Sex C-f nn - Color bl a C k. Breed** 6 ` t�n C urn d 1 ("' Replacement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y g N MICROCHIP # fU i q' (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: 9 13 ,)U (3 yr) Z (1 yr) City Tag # PET # 2 Dog ❑ Cat Spayed/Neutered License Fee $ Pet Name N e m U Birt date Sex 1e m (;L-1 - Color .d-f.L-u Breed** � r'i ur Replacement$ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y 10 MICROCHIP # N /A (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: 1 (3 yr) (1 yr) _X_ City Tag # L �E 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) _ JIM (1 yr) Licensei Fee $ Replacement $ SUBTOTAL: *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 15/ate fee date not applicable fornewpets/newre5idents) Newly Acquired Pets: New Residents to Blair: • Must be licensed within 10 days of ownership N Must register pets within 10 days of • <OR> at 6 months of age if puppy/kitten residency. V. CITY OF BLAIR ® L C3A 0 IN If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made City of Blair o 218 S 16th St @ Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) or three (3) adult cats per residential or dwelling unit. ( 3 LICENSE RENEWALS ARE DUE: March 1S. 2022 Owner Name: R i C V-x L 'Q1C-_1 Owner Address: 3,2y M -c-'d ***PLEASE READ CAREFULLY*** to: 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. City/state/zip: Blair, NE 68008 PET LICENSES RENEWALS ARE DUE BY 3/15/2022. The City shall Phone # 40 2- ` 3 l c� G 1 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 LICENSE FEES: Dog or Cat: $16.00 cat. The City of Blair requires proof of rabies vaccination. 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 ET #1 I(D o g ❑ Cat Spayed/Neutered License Fee $ 11,, 0 1Z) Pet Name Per, Birthdate �/!Y/o,A Sex Color r Breed** Replacement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y 2( N MICROCHIP # (If applicable) SUBTOTAL: $ M , � 0 RABIES VACCINATION DATE: 1Z /2-3/ M (3 yr)y— (1 yr) City Tag # 5 y W S I� # 2 ❑ Dog ❑ Cat ❑ Spayed/Neutered (,,e; `Name Birthdate Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N 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) _ ❑N (1 yr) 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.) Do Not Send Cash by Mail TOTAL N L E 11 . 0 0 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 newpets/newreslden[s) Newly Acquired Pets: New Residents to Blair: _ a Must be licensed within 10 days of ownership m Must register pets within 10 days of la <OR> at 6 months of age if puppy/kitten residency. Blair Small Animal Clinic PC David E.Johnson DVM 1734Front Street Blair, Nebraska, 68008 (402)533'2722 Patient ID: 3147 � Client ID: 3782 Patient Name: ���� ,+,� Client Name: � Species: Canine Address: 824Meadow Drive Breed: Mixed Breed B|air, NE ' Sex: Neutered Male Color: Black Phone: (4K}2)633-1067 Markings: Yodde>(Chihuahua '�Chonh Birthday: 01/05/2009 Weight: 5.9Opounds on3/1O/2O17 Microchip ID: Tag Number: 5445 Vaccination Date: 12/23/2019 Lot Number: 18433 Expiration Date: 12/2312022 |nnngb Rabies Vaccine Producer: N1$ha| K/N1LV/R: Killed Virus Staff Name: David EJohnson DVM CITY OF BLAIR - 2022, PET LICENSE APPLICATION If you live in Blair City limits and own a dog(s) ar3d/or" at'(s), complete this form and return with r Vck made payable to: City of Blair, 9,218,S 1,6th 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 DU M`a^rch 15, 2022 ,/ Owner Name: d' t #�oV) 6G1'(r Owner Address: M `1 S k f e )C I b J o City/State/Zip: Blair, NE 68008 Phone # 53 17 7 7 6 3 -�Z 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 )4 Dog ❑ Cat ❑ Spayed/Neutered License Fee $ t'� Pet Name-6fii ewwh Birthdate Sex ftu 1,e, Color Gtc Breed** l,-O b Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y] N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # . ,, l ) > `re' PET # 2 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed** Replacement $ ** Declared Dangerous or Potentially Dangerous,D6� : ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # PEA' #3 ❑ 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 # *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 +++++++++++++++++++++++++++++++++++++`++++++++++++.i......+++++++++++++++++++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS(March 15late fee date not applicablefor new petr/newresidents) 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. ANIMAL MEDICAL CLINIC/FREMONT 1935 NORTH BELL FREMONT, NE 68025 (402) 721-3033 Client ID: 02522 Patient ID: 02522-3 Client Name: Matt Burbach Patient Name: OBI Address: 2501 E Curning St Species: CANINE Breed: RETRIEVER, LABRADOR Fremont, NE 68025 Sex: Male Color: Black Phone: (402)987-8341 Markings: Birthday: 01/13/2022 Weight: 29.20 pounds on 4/29/2022 Microchip ID: Tag Number: 002851 Vaccination Date: 4/29/2022 Vaccine: RABIES CANINE 1 YEAR BOOSTER Expiration Date. 4/29/2023 Producer: Zoetis Inc Lot Number: 543936 Brand: Nobivac 3 Drug Expiration Date: 3/7/2023 Type: Killed Virus Manner of Subcutaneously Administration: Staff Name: Dr. Jeri J. Lurz, D.VM License Number: NE 3461 Doctor Signature: