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CCITY OF BLAIR - 2 2 T LICENI 'OP"LICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair e 218 S 16th St e Blair,. NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult do s' or three (3) adult cats per residential or dwelling unit. Ca LICENSE RENEWALS ARE DUE: March 15, 2022 Owner Name: Owner Address: city/state/zip: Blair, NE 68008 Phone # lk`j - j,2.1 12 LICENSE FEES: Dog or Cat: $16.00 Altered Don or Cat: t11 00 ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3/15/2022. 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 fer Lost Ta-, $5,,00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PLl Dog LJ Cat LJ Spayed/Neutered - License Fee $ (V� Pet T Naa 4e/)'., Birthdate ISex 'fe Color L I-r4iO Breed** Vop-le-yel" Replacement $ Decla d Dangerous or Potentially Dangerous Dog: LI Y-U-N U'-U MICR CHIP# (If applicable) SUBTOTAL:$ Tag # RABI S VACCINATION DATE: (3 yr) — (1 yr) — City TTq P #2 ;Dog J Cat Ciqe_enX1_A Ll Spayed/Neutered License Fee $ lreAdz- Pe Name Birthdate .Iol'7 Sex C or Breed** 617koAZ�e' •07jr —)K Replacement$ D lared Dangerous or Potentially Dangerous Dog: J Y -OT"N MI v I ROCHIP # (If applicable) SUBTOTAL:$ bIES VACCINATION DATE: Y -/A - a ( (3 yr) __ (1 yr) — City Tag #ME�* PET #3 0 Dog J Cat Ll Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed" Replacement $ 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 .............................................................................. NEW PET/ NEW RESIDENT LICENSING REQUIREMENTS (March 15 late fee date not applicable fornewpely1new 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. V 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 AR DUE: March 15 022 �,9 9 Owner Name: r13 i+t+� , � �� Owner Address: (a lV . 1 "n V City/State/Zip: Blair, NE 68008 p r_ Phone # `i'Vl9-" 9 I q - G 11G 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 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 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET #1 Dog ❑ Cat Spay, Ad/Neutered License Fee $� Pet Name Birthdate Sex Color 13k lit (mv1p, Breed** lam_ Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicabl) . SUBTOTAL: $ RABIES VACCINATION DATE: Ij (3 yr) (1 yr) City Tag #�* PET #2 D,'A Dog ❑ Cat Spay d/Neutered License Fee $ Pet Name i I V( Birthdate S Color v ** Breed Replacement$ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: -� (3 yr) � (1 yr) City Tag # PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed** 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 pets/new residents) Newly Acquired Pets: New Residents to Blair: ■ Must be licensed within 10 days of ownership ■ Must register pets within 10 days of ■ <OR> at 6 months of age if puppy/kitten residency. CERTIFICATE OF VACCINATION Date of Rabies Vaccination: 3/15/2021 Next Rabies Vaccination On: 3/14/2024 VETERINARY CLINIC Arlington Pet Hospital 225 N. 3rd St. Arlington, NE 68002 402-478-4141 This is to certify... Patient information... PATIENT: Skye SPECIES: Canine SEX: Female Color and markings: Signed GRANT LITTLE, DVM Vaccinations done... Blue Merle Certificate No: 0 Previous Rabies Vaccination: OWNER OF ANIMAL Brandon Campbell 630 N 12th St Blair, NE 68008 County: Washington TAG NO: 027001 WEIGHT: 61.00 AGE: 2Y License: 4022 2/25/2022 JAN LEPTO BOOSTER 2/25/2023 2/25/2022 JAN BORDETELLA ANNUAL BOOSTER 2/25/2023 3/15/2021 GL RABIES 3 YEAR, #027001 3/14/2024 3/15/2021 GL DHLPP ADULT BOOSTER 2 YR 3/15/2023 3/3/2020 GL RABIES 1 YEAR, #024873 3/3/2020 GL DHLPP PUPPY #4 2/6/2020 VTA DHLPP PUPPY #3 1/8/2020 GL DHPP PUPPY #2 12/16/2019 *** DHPP PUPPY #1 CERTIFICATE OF VACCINATION Date of Rabies Vaccination: 3118/2021 Next Rabies Vaccination On: 3/17/2024 VETERINARY CLINIC Arlington Pet Hospital 225 N. 3rd St. Arlington, NE 68002 402-478-4141 This is to certify... Patient information... PATIENT: Piper SPECIES: Canine SEX: Female Color and markings: Black And Brown Certificate No: 0 Previous Rabies Vaccination: OWNER OF ANIMAL Brandon Campbell 630 N 12th St Blair, NE 68008 County: Washington TAG NO: 027027 WEIGHT: 105.00 AGE: 5Y Signed JACLYN NELSON, DVM License: 4030 Vaccinations done... 11/12/2021 GL' LEPTO BOOSTER 11/12/2022 11/12/2021 GL BORDETELLA ANNUAL BOOSTER 11/12/2022 3/18/2021 JAN RABIES 3 YEAR, #027027 3/17/2024 7/23/2020 MT DHLPP ADULT BOOSTER 2 YR 7/23/2022 1/29/2020 *** RABIES 1 YEAR Rabies Vaccine Information... MFG BY: NOBIV SER.NO: 444591 LOT EXP: 02/15/22 ADM: SQ A J k, y 0 CITY OF BLAIR - 2022 PET LICENSE APPLICATION j &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 e 218 5 16th St * Blair,, NE 68008 You may legally own acombination of four (4) adult pets, but no more than three (3) adult dogs' or three (3) adult cats per residential or dwelling unit. LICENSE RENE LS ARE DUE". March 15. 2022 Owner Name: UW&I, 7 /- -4— Owner Address: Lf 70eb >J City/State/Zip: Blair, NE 68008 Phone # a I)A —tu LICENSE FEES: Dog or Cat: $16.00 Altered Don or Cat: 11;1100 ***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 Cat date License Fee $ Dog g LI d ,([ et Name 11 Bi ate e red — ;8ex �,Cblor LkEhLLe--�- Mi,;, ,-k'- Breed" Replacement$ Declared Dangerous or Potentially Dangerous Dog: 0 Y AN ICROCHIP # -,(Jfapplicable) SUBTOTAL: $ RABIES VACCINATION DATE: 3 yr)/t-,23 (1 yr) _ City Tag # PET #2 Ll Dog Ll Cat LJ Spayed/Neutered Pet Name Birthdate Sex Color Breed" Declared Dangerous or Potentially Dangerous Dog: LLJ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) — License Fee $ Replacement $ LJ N PET #3 LJ Dog Ll Cat LJ Spayed/Neutered Pet Name Birthdate Sex Color Breed" Declared Dangerous or Potentially Dangerous Dog: J Y LJ N MICROCHIP # —(If applicable) RABIES VACCINATION DATE: — (3 yr) — SUBTOTAL:$ _ (I 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 $ ET", If you have questions, please contact Blair Police Department at (402) 426-4747 ................................................ I ........................ q ....... NEW PET/NEW RESIDENT LICENSING REQUIREMENTS Newly Acquired Pets: . -- Bi Must be licensed within 10 days of ownership 0 <OR> at 6 months of age if puppy/kitten (March 15 late fee date not applicable for ne w PeWnew resIdenty) New Residents to Blain....— N Must register pets within 10 days of residency. Ak CITY OF BLAIR - 2022 PET LIC�IVSE 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 216 S 16th St a Blair, NE 66006 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., _ •. L- LICENSE RENEWALS 64,12E PUE: March 15 2/022 ***PLEASE READ CAREFULLY*** Owner Name: %5 YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Owner Address: ^ f- 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 66006 P PET LICENSES RENEWALS ARE DUE BY 3/15/2022. The City shall Phone # 4, ( ®"�'7 / / �' 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 $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program . , = Pet N f Color - Decla x MICR jY AB11 y�` E Pet N Color Decla ._ MICR 1 ® Dog C a t ❑ Spa=euter License Fee$ao I ej� — BirthdateBreed**` Replace Dangerous ** d Dangerous or Potentially Dangerous Dog: ❑ Y N CHIP # (If applicable) SUBTOTAL: $ VACCINATION DATE: ZnZo (Xyr) K (1 yr) City Tag i't2 ❑ Dog ❑ Cat ❑ Spayed/Neutered me Birthdate _ Sex Breed** �d Dangerous or Potentially Dangerous Dog: ❑ Y )CHIP # (If applicable) 3 VACCINATION DATE: (3 yr) _ (1 yr) License Fee $ Replacement $ R , , — City • PET #3 ❑ D o g ❑ C a t ❑ Spayed/Neutered License Fee Pet Name Birthdate Sex Color Breed** _ Replacement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBT`uTAL: $ 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.) OQ ®o Not send cash by hail TOTAL C L e If you have questions, please contact Blair Police Department at (402) 426-4747 ...+++.+...........++++++.+.............. e°-m•....+++++..+++++++++++++++++.....¢. 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 Ell Must register pets within 10 days of • <OR> at 6 months of age if puppy/Idtten residency. Client ID: Client Name Address: Phone: Tag Number: Vaccine: Producer: Rrand: Vie: Manner of Administration: 8203 Ross Campbell 1114 Stone Creek Drive Blair, NE 68008 (406)546-3492 0 Imrab Rabies Vaccine Merial Imrab 3 TF Killed Virus Subcutaneously Staff Name: David E. Johnson DVM License Number: 1893 Doctor Signature: Blair Small Animal Clinic PC David E. Johnson DVM 1734 Front Street Blair, Nebraska, 68008 (402) 533-2722 Rabies Certificate Patient I D: Patient Name: Species: Breed: Sex: Color: Markings: Birthday: Weight: Microchip ID: Vaccination Date: Expiration Date: Lot Number: Drug Expiration Date 11246 Kujo Feline Domestic Shorthair Neutered Male Cream 09/30/2004 9.06 pounds on 9/15/2021 9/25/2020 9125/2022 18445 7/3/2021 AIZ�4, " CITY OF BLAIR - 2022 PET LICENSE APPLICATION �±-�50L 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: Blair E) 218 S- 16th St 0 Blair, HE 68008-:::', You may legally 6Wh,,! c6mbination'of four:(4) adult pots, but no. more. than (tbrpq (3) adult dogs 'or three (3) adult cats per residential or dwelling unit. LXCENSE RENEWALS ARE DUE, March 15, 2022, Owner Name: �4',.-f� Owner Address: 7 City/State/Zip: Blair, NE 68008 Phone LICENSE FEESn. Dog or Cat: $16.00 YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so*ls 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 Xncluded is a State Fee of $1.25 being collected to fund the'Nebraska Dog & Cat Operator Xnspecdon Pologram PET #1 'ODog Ll Cat 0 Spayed/Neutered License Fee$ PettName— Birthdate A. in-_� Color 6 1 W �,j Breed** Ti ��i Lj,:LPL A_it. -Replacement$ Declared Dangerous or Potentially Dangerous Dog: 13 Y El N MICROCHIP # (If applicable) SUBTOTAL:$ RABIES VACCINATION DATE- e) - (3 yr) (I yr) _ City Tag # I,& k-0 PIES' #2 El Dog 0 Cat 0 Spayed/Neutered License Fee Pet Name Birthdate Sex Color Breed** Replacement Declared Dangerous or Potentially Dangerous Dog: 0 Y 0 N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: .(3 yr) _ (I yr) _ C" Tag # PET #3 LJ Dog Ll Cat U Spayed/Neutered Pet Name Birthdate Sex Color . Breed** Declared Dangerous or Potentially Dangerous Dog: El Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) License Fee $ . Replacement ®N SUBTOTAL:$ (I yr) City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER XF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) 11111 1'ral 1111511 111511,fill ,If you. have q uesflonsr please contact Blair Police Department at (402) 426-4747 . + ............... 1� ............ 4 ................................ t ................. NEW PET/NEW RESIDENT- LICENSING. REQUIREMENTS (March. 151ate fee,date not applIcable fornewpetsInewresIdents) NewlyAmuired Pets: New Residents to Blair,,. Mtlstbe,limnsed.wM.ln.10-daysofovVaership Ei Must register -pets within 10 days of...- n <OR>- -at. 6 months of age if puppy/ldften . residency. CERTIFICATE OF VACCINATION Wilk-, P'aUas Vaccination:,'03-20-21 Cerfifh,o@te No: 0 Next Rabias Vaccination Ow 0 - 3'19-24 Previous Rabies Vaccination. VET'1,'-:H`,H1HARY CLINIC Holstein Vet Cl�nic 718 Sou-,';'h I �itl-Street Blair, INIE 68008 402-426-7387 OWNER OF ANIMAL Tyler Carey 4-54 2, q ( --L 0 ajiA ID 0• - Blair, NE 68008 NE (oS06b County: This i =l to ce�-'d'�v... THA�T] 'I,- AVE VACCINATED AGAIaNISTRABIES, THE ANIMAL DESCRIBED BELOW. Duck TAG NO� 19000 Canine WEIGHT� 36.40 SEX, '&Nft --' AGE,4 years min.1kings... Blu Med.e Lisa DVM Ur*m-,ua., 2310. Information... EqIFG �-,"Y,,'2ZOET1 SERLHO- 402242 LOY 07/2 0/21 AD ftfl.,, S Q 1 CITY OF BL AID ®2d22' PETLICENSE APPLICATI®N If you live in Blair City limits and own a clog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair a 218 S 16th St a Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2022 r� Owner Name: I`ac W Carr Owner Address: (r2I-{ R(lik —Si City/State/Zip: Blair, NE 68008 Phone # 51%�o - a 9 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 Dog ❑—Cat Cj Spayed Neutered License Fee $ g Pet Name r _ Birthdate Sex ** Color PP Breed** Replacement $ F Declared Dangerous or Potentially Dangerous Dog: d Y ;H N i .g. MICROCHIP # 9Lj 1 (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: 1-1 20 -,Q) (3 yr) _jam (1 yr) City Tag # �2' ' PET # 2 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name _ Birthdate Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Birthdate Sex Color Breed** _ Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP'# (If applicable) RABIES VACCINATION DATE: (3 yr) _ W W (1 yr) (1 yr) License Fee $ Replacement $ SUBTOTAL: $ City Tag # License Fee $ Replacement $ SUBTOTAL: $ City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not Send Cash by Mail TOTAL ENCLOSED $ 1 Cry 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 fornewpet5/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. �4 C C� ` Papillion Animal Hospital Patient Chart 8410 South 73rd Plaza Suite 106 Papillion, NE 68046 Printed: 05-25-21 at 3:56p CLIENT INFORMATION Name Terri Larson Muddy Paws 2021 (6785) Address 527 Delong Ave Spouse Vet Coord. Mary Council Bluffs, NE 51503 PATIENT INFORMATION Name Ginger Sex Female, Spayed Species Canine Breed Spaniel, Cocker Mix Birthday 04-15-16 ID 941000017422167 Age 5y Rabies 21-00975 Reminded (none) Codes Reminders for: Ginger Last done 04-22-22 Canine Bordetella Oral 04-22-21 04-22-22 Heartworm Test 04-22-21 04-21-24 Canine Rabies Vaccination 3 ye 04-22-21 04-21-24 Canine DA2PP Vaccination 04-22-21 MEDICAL HISTORY Date By Code Description Qty (Variance) Photo 05-25-21 MR CALL Phone Call MR attempted to call --no answer, no voicemail available. Ginger can go home after 4pm today. 105, 106, 107, 108, 109, 110, 405, 406, 407, 408, 409, 410, ZUo, Zub, Zul, Zut$, Zuy, mo, sub, su1, 308, 309, 310, 311 VETPR07 Vetprofen Flavor Tab 75mg 4 CLAVA125 Clavacillin 125mg 28 OFFV Exam RESIDENT Rescue Dental 0-50# SXRIM Rimadyl 50mg/ml- Surgery SXNT Nail Trim- Surgery SXIVCATH IV Catheter- Surgery SXEC Ear Cleaning- Surgery RESSPAY Rescue Spay 0-26 Ibs, S: Ginger is presenting for a routine spay and dental. 0: Weight 19.40#, BAR, T = 101.6 HR = 88, RR = 28. Chest clear, no murmur noted, normal resp sounds. Eyes: nsf Ears: nsf, Oral exam: nsf. Abdominal palpation was soft, non -reactive. Skin and 03 ml Butorphanol-IM + 0.3 ml Atropine IM + 0.05 ml Acepromazine IM. IV cath placed. 0.6 ml VCA:: 0 Edgebrook Animal Hospital 777 Helmetta Blvd,, East Brunswick, NJ 08816 (732) 257 - 8882 RABIES VACCINATION CERTIFICATE Pet's Name: Rosie Species: Canine Breed: Boxer Sex: Female (Intact) Birthdate: 04/14/2015 Color: Brown Weight: 58.4 lb Date of vaccination: 4/16/2021 Duration: 3 years Date Due: 4/16/2024 Microchip Number: Aae) Owner: -L-ana-Ghe"(eva ""gtwcsvt E ast-BrThffiMl —ck--,--Xn-98!r Vaccination information Vaccinated at Edgebrook Animal Hospital Manufacturer: Zoetis Defensor 3 Serial Number: 447873 Lot Expiration: 11/23/2021 Tag Number: 21-8792 Otto DVIVI, Ryan License Number: 29VIO0467000 3oo VCIL: 16 ` / EdOebrookAnimal Hospital 777He|nnettaBkd.,East Brunswick, NJ 08816 Pe[sName: Uzzie Species: Canine �w�X o Breed: Boxer Sex: Female (Spoyed) 8irthdate:O3/01/%81S Color: Brindle Weight: 73.8|b Date ofvaccination: 4/16/ZO21 � Duration: 3years Date Due: 4/16/2024 Microchip Number: VV'I Owner:L�no�Ae�U�koYe, Vaccination information Vaccinated at Edgebrook Animal Hospital Manufacturer: ZoetbDefensor3 Serial Number: 447873 Lot Expiration: 11/23/2021 Tag Number: 21-O794 AnInic-M 777 VIBIFA&Usl E'Awl. Otto DVM,Ryan License Number: 39V00467O00 1 ]�� ` ��,2 /g~�� u � | ` ' | CgY 0LAIR ' 21DS 1QHST MAR Oesc�ptnm mm�n� _—'_-_-_---____-_'------_-. LANACHERBAKOVA PET LICENSE . 27 8O ' CAS�Received " � 0O ' Change 13.00 m '=�� CITY OF BLAIR - 2022 PET LICENSE APPLICATION 0, 7&0-32- 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 * 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: L Owner Address: Qz97 (5- 62=, 5 4- city/state/zip: Blair,, NE 68008 ck) 1)� L11 Phone # 1-7 --� LICENSE FEES: Dog or Cat: $16.00 Allf-V�A net ew Irmt! 't I 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 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 i�Dog LJ Cat, payecl/Neuterecl License Fee $ Pet Name Li it -q iwi e- Birthdate V-J2-,aj Sex Replacement$ Color a i a � L , W kJ- e- Breed" Declared Dangerous or Potentiall?/ Dangerous Dog: LJ Y LJ N d?z MICROCHIP # 2 �g la.wo�,z 3 //,7 _(If applicable) SUBTOTAL: $ // I RABIES VACCINATION DATE: A-Qq 1 (3 yr) -- (1 yr) City Tag #," c*, TTn PET #2 LJ Dog 171 Cat Ll Spayed/Neutered License Fee $ Pet Name Birthdate Sex --- Replacement $ Color Breecl** Declared Dangerous or Potentially Dangerous Dog: Ll Y LJ N MICROCHIP #- _-(If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) -- (1 yr) - City Tag # PET #3 Ll Dog Ll .Cat LJ Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed" Replacement$ Declared Dangerous or Potentially Dangerous Dog: Ll Y LI N I MICROCHIP #--(1t' 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 Canh by Mail TOTAL ENCLOSED $ If you have questions, please contact Blair Police Department at (402) 426-4747 .............................. 4 ................................................ NEW PET/ NEW RESIDENT LICENSING REQUIREMENTS (March 15 late fee date not applicable for newpe&lnew resldents) Newly Acquired Pets: New Residents to Blair: • Must be lioensed within 10 days of ownership w Must register pets within 10 days of • <OR> at 6 months of age if puppy/kitten residency. Skyline Veterinary Clinic RECEIPT - 61770 1315 N. 205th Street Elkhorn, NE 68022 Date: OCT 11 21 402-933-6800 Time: 12:49 www.skylineveterinaryclinic.com info@skylineveterinaryclinic.com Account: 5066 Operator: SMV JANET CAUL 1407 GRANT STREET Page: 1 BLAIR, NE 68008 Name: LILLY MAE Birthday: APR 19 21 Species: CANINE Gender: FEMALE SPAYED Breed: MIX, BERNESE MOUNTAIN DOG Weight: 45.2 Ibs Rabies Tag: 210984 ID1: 981020039513117 Item Description Pr Date Pr City Units Price Discount Total 05023 SPAY CANINE 45LBS TO 75LBS OCT 1121 EMM 1.00 EACH 240.000 240.00 07001 IV CATHETER & FLUID THERAPY-SX OCT 1121 EMM 1.00 EACH 0.000 0.00 55008 MAROPITANT 10MG INJ- SX 41-74LB OCT 1121 EMM 2.10 ML 14.286 30.00 08014 ACEPROMAZINE INJ,- INCLUDED OCT 1121 EMM 0.04 ML 0.000 0.00 08029 HYDROMORPHONE - INCLUDED OCT 1121 EMM 1.50 ML 0.000 0.00 08037 PROPOFOL- INCLUDED OCT 1121 EMM 6.10 EACH 0.000 0.00 08012 ANESTH, GAS - INCLUDED OCT 1121 EMM 1.00 EACH 107.000-107.00 0.00 03070 ECG MONITORING OCT 1121 EMM 1.00 EACH 33.000 -33.00 0.00 07015 PEDICURE WITH SURGERY OCT 1121 EMM 1.00 EACH 2O.000 -20.00 0.00 76029 MICROCHIP OCT 1121 EMM 1.00 EACH 55.000 55.00 03089 MICROCHIP IMPLANTING OCT 1121 EMM 1.00 EACH 15.000 -15.00 0.00 03090 MICROCHIP SCANNING OCT 1121 EMM 1.00 EACH 5.000 -5.00 0.00 75727 BRAVECTO 44-88LBS 1 CHEW OCT 1121 EMM 1.00 EACH 55.000 55.00 75702 SPECTRUM 25.1-50LBS OCT 11 21 • EMM 2.00 EACH 13.000 26.00 76009 E-COLLAR BITE NOT SIZE 6 OCT 11 21 EMM 1.00 EACH 46.570 46.57 Subtotal: 452.57 * TAX EXEMPT Type: VISA Date: OCT 11 21 Time: 12:48 Card Number: XXXX-XXXX-XXXX-2760 Transaction ID: 000000059334 Batch ID: 001130 Approval Code: 017798 Signature: SUBTOTAL RETAIL: 632.57 SUBTOTAL DISCOUNT: 180.00 SUBTOTAL: 452.57 TAX: 3.26 TOTAL THIS VISIT: 455.83 PAYMENTS: VISA:-455.83 TOTAL:-455.83 CHANGE: 0.00 TOTAL NOW DUE: 0.00 FOR YOUR PET'S SAFETY, WE DO NOT ALLOW RETURNS ON ANY DISPENSED MEDICATIONS. We are including important information concerning your visit with us today. Please take a few moments to review it. If you have any questions, please don't hesitate to ask. 03/16/2022 08:54 4024260101 HOLSTEIN VET CLINIC PAGE 01/01 2022 PET LICENSE VERIFICATION/APPLICATION FOR. CITY OF GLAIR 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. I6TH ST — BLAIR, NE 68008 YOU MAY LEGALLY. OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREE '(3) ADULT BOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. ***PLEASE READ CAREFULLY*'' YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS, THP CITY OF BLAIR RE MIRES PROOF OF R�►BIES VACCINATIQN. Failure to do so is a violation of City Ordinances 6.103 and carries 2 penalty of a fine up to $1S0.00 per pet. PET LICENSE RENEWALS ARE DUE BY 311512022, The city shall recpgnize a microchip 16 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 Brittany Comer Spouse Owner Address 1954 Lincoln Street City/State/Zip Blair, NB 68008 402-278-1495 Phone # Pet Name: Vinnie Age: 14M DOB: 12-23-20 Sex: Neutered Male Breed: Yorkshire Terrier Color: Black and Tan Microchip # 985141003662365 1 Babies Tag # 20173 PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE); # RABIES VACCINATION DONE ON 103.16-22 Rabies Description; 1 YEAR Ir 3 YEAR Holstein Veterinary Clinic Dr, Lisa Schrum DVM : Dr. Krista Holstein DVM 718 South 1911 Street glair, NE 68008 402-426-7387 402-426-0101 Fax hoisteinclinic@ gmail.corn LIGENS� —FEES /ntect Dog or Cat: $16.00 Altered ((Z $11•.00 Rnt TQg $5.00 Total $ I PEISOEHAETIVEPOTENTIAI4YDANGEROUS 06 DANGUSOST TGTTG' FAXED 03-16-22 BY �r „u v, �l, i�trlla'IP>iili..,.l�0till in�..;flik,r.V�l{!",11 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 RENEW S ARE DUE March 15 2022 Owner Name: !d!y )— Owner Address: City/State/Zip: Bla//i��r, NE 6r�u 8008 Phone # "'I U11- q i 13400 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/Neutered License Fees Pet Name D1 11 t Birthdate � Sex � ,V� ** _ Color UBreed .XY_ Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) UBTOTAL: $ _ RABIES VACCINATION DATE: '?r (3 yr) (1 yr) City Tag # f �* 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** 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 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. -0'7`�9F5 CERTIFICATE OF VACCINATION Date of Rabies Vaccination: 09-29-21 Certificate No: 2982 Next Rabies Vaccination On: 09-29-22 Previous. Rabies Vaccination: VETERINARY CLINIC OWNER OF ANIMAL Thone Animal Hospital -Br 1gett&Chamberlin 902 S Hwy 30 4416 State ` Blair, NE 68008 Blair, NE 68008 402-426-3630 County: y 0 - This is to certify... THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Ellie SPECIES: Canine SEX: F ---(' c,� 0- 3 3 1 � Color and markings... Signed Dr. Joe DiMari Vaccinations done... TAG NO: 007156 WEIGHT: 0.00 AGE: 9 years License: 3258 09-29-21 JRD Rabies Vaccination (1 Year), #007156 09-29-21 JRD DA2PPV 09-29-22 Rabies Vaccine Information... MFG BY: ZOETI SER.NO: 500084 LOT EXP: 5-10-22 ADM: SQ 04/09/2022 11:21 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 RESIDENTXAL OR DWELLING UNIT. **PLEASE READ CAREFULLY*** YOU ARE REQUIRED gY lQyy TO LICENSE YOUR PETS THE Glri QF eLA1R REQUIRES PROOF OF RABIES VACCIN/171QN. Failure to do so Is a violation of City Ordinances 6,103 and carrles a penalty of a fine up to $150,00 per pet. PET LICENSE RENEWAL$ ARE DUE BY 3/25/2022. 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 Iris Chavez Spouse Owner Address 787 N. loth Avenue City/State/Zip Blair, NE 68008 • s Phone # 402-237-9396 Pet Name: Raingo Age: 10Y DOB: 12-31-11 Sex: Neutered Male Color: Brown Breed: Poodle X Microchip # Rabies Tag # 17807 PLEASE INCLUDE CITY TAG NUMBER Ir THIS IS A RENEWAL (IF AVAILABLE): # RABIES VACCINATION DONE ON 03-14-20 Rabies Description: 1 YEAR 7r3 YEAR .) Holstein Veterinary Clinic Or, I.isa Schrum DVM : Dr. Krista Ho/stein 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 ltered Do or cat: $11: 0 Replacement rag $6.00 Total $ \00 PETS THAT ARE ON THE ACTT VE POT ENTIAIr� Y pQ NGCROUS OR DANGEROUS DOG LIST NEED TQ REQ1$TER PIRRCrLY AT CITY HALL, FAXED 04-09-22 BY • I f}�-Yl'y i i I(\�(�/�M��►I,{Il I• y"6�/ya�;;��/)j_ •' .I�;� �'I r_iC�■ �`TZ'�1'••: �1.... 11^:iFITw'll'�� V'I, •\�'��i:i ..; I••il�'I,yiii j;;;jla iji,; :�ti^ �Ili1:- ..yJi4'i•' i4i:il�!';Z';•i'fiiii�,! �lr�+:^t!.. �;�':�;./"• i. I:�:.I,„,,.,•:.•�,,.,..:•:,.�,.I,�• �,c.:.•,.r�rlrr,:lr:ill.•, �,,.,..,,�,..,<..r;r.l,;l<.• �, 04/09/2022 10:58 4024260101 HOLSTEIN VET CLINIC PAGE 01/01 2022 PET LICENSE VERIFICATION/A.PPLICA,TION FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT($), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF BLAIRt -- 21.8 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 aY LAW TO LICENSE YOUR PETS THE CITY OF BLAIR REQUIRES PROOF OF RABIES VACCINATION. Failure to do so is a violation of City Ordinances 6.1,03 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 Iris Chavez Spouse Owner Address 787 N. 10th Avenue City/State/Zip Blair, NE 68008 Phone # 402-237-9396 C) Oet Name: Rose Age: 5Y DOB:—06-01-16 Sex: Spayed Female Color: Brn Tabby Breed: Domestic Shorthair Y Microchip # Rabies Tog # PLEASE INCLUDE CITY TA© NUMBER IF THIS IS A RENEWAL. (IF AVAILABLE): # RABIES VACCINATION DONE ON 04-09.22 Rabies Description: r1y AR 3 YEAR Holstein Veterinary Clinic Dr: Lisa Schrum DVM : Dr. Kr/sta Holstein DVM' 718 South 1911 Street Blair, NE 68008 402-426-7387 402-426-0101 Pax holsteinclinic@gmail.com LICENSE FEES . Intact Dog or Cat: $16.00 re Dog r cat: $11.0 Replacement Tag $5.00 Total $ oQ PETS THAT ARE ON THE ACTIVE POTENTIALLY DANGEROUS OR OAN96QU-5 DOG LIST NEED TO REGISTER DIRECTLY AT CITY HALL, FAXED 04-09-22 • BY p,"• i E 1 I�, �r I� Il, lr r I � � USxI ZH�YfIj tii) 1 � �11 t gal �Hwat �v�i! �N ��/4r rlry':f 1�!Yd � '�r�, ^,iu a�:.r ..,.•:I,n iiior... �rr it ,,.rrifr. 15•..1 lm,,n. r.,lry.lvy, fl•�i.l}Arl.. u,l. CITY OF BLAIR - 2022 PET LICENSE APPLICATION* If you live in Blair City limits and own a clog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair a 218 S 16th St e Blair, NE 68008 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 DUE: March 1.5, 2022 Owner Name: \ (L Owner Address: ak_�k1- mYG �- City/State/Zip: Blair, NE68008 Phone # [y `)) a4c� LICENSE FEES: Dog or Cat: $16.00 Altered Do or Cat' R ] i. 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. 9 Rep acement Fee for Lost Tag: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET #1 O_D g ❑ Cat Spayed/Neutered License Fee $! Pet Name Birthdate �i lA 00 Sex Color kl Breed** Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y o, N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (IPLI120,4(3 yr) (1 yr) City Tag # rr r PET #2 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate Sex ** Color Breed** Replacement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate Sex ** Color Breed** 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.) DoNot Send Cash by Mail TOTAL ENCLOSE® � . 06 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 newpet5lnewresidents) 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. Ilene thenevert 1001 E 62nd Ave Unit 1021 Denver, CO 80216 Home Phone: (402) 249-8000 ilchenev6013@gmail.com Bat1fIE'ld Rabies Certificate PET HOSPITAL Ce- c6 4� ate Date Banfreld Pet Hospital 4� { 3103 oak View De, C�° ;ptemher 17, 2021 3:49 PM , Omaha, NE 68144-8144 (402) 330-4637 Pet' Information Rabies Tags Name: Bella Rae Chenevert Species: CanineAj Banfield Breed: Red Heelers` National Per' ,4 Gender: Female (Spayed) Color: red merle dr Tag # Age: 1y/2m Weight: 46.801bs ,None Microchip ID: Manufacturer: Microchip ID: Manufacturer: Vaccine Information Vaccine Name: Rabies (Type: Killed) Producer: Zoetis Defensor 3 Administered: 9/17/2021 Route: Subcutaneous Site: Right Rear Due Date: 9/17/2024 Lot/Serial #: 486861 Lot/Serial Expires: 6/7/2022 I hereby certify that this pet has been vaccinated in accordance with all state and Federal laws and regulations on this date, Veterinarian: tA Licensed Veterinarian: Dr. Jere Defter DVM License Number: 2083 Any rabies certificate for this pet printed prior to the date of this certificate is null and void ReportID: RabiesCert.en.x Hospital #0248 Page 1 of 1 Time Printed: 3:49 PM Date Printed: 9/17/2021 01/15/2022 10:04 4024260101 HOLSTEIN VET CLINIC PAGE 01/02 2022 PET LICENSE VERIF?CATYON/APPLICATION FOR CITY OF BLAIR IF YOU LIVE IP 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 L GALLY OWN A COMBINATION OF FOUR (4) Al*T, Pam, BUT NO 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 The city shall it shall be unlawful for any dog or cat to We NEW PET LICENSING Must be licensed NFW RESIDENTS TO GLAIR Must registe Owner Blame Spouse Owner Address City/State/Zip Pet Name: Flona Age: 16Y Sex: Spay DOB: 06-24-05 Breed: Microchip # PLEASE INCLUDE CITY TAG NUMBER IF RABIES VACCINATION DONE ON Rabies Description: (' i Y n of City Ordinances 6.103 and carries a penalty of a flee Up to $1$0.00 per pet. PET LICENSE RENEWALS ARE DUE BY 3 15 2022. 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. rithin 10 days of ownership (OR) at 6 months of age if puppy or kitten r pets within 10 days of residency Robert•W. Choate 2271 Lincoln Street Blair, NE 6800I 402-426-0414 Female Color: Rabies Tag # IIS IS A RENEWAL (IF AVAILABLE): # 3 YEAR Holstein Veterinary Clinic Dr ,Lisa Schrum DVM • r Dr. Kr sta Holstein DVM 718 South 1911 Street Blair, NE 68008 402-426-7387 402-42 , -0101 Fax holsteinclinic@gmail.com '-ICENSE FEES+ Intact Dog or Cat: $16.00 AMers Do or cat: $11. 0 Rep/a ent Tay $5.00 n� Tafal $�— i • PETS THAT RE ON THE A IVE POTgNTIALLY DAN OUS OR f�ANGEROUS 0 - G LIST NEED TO REGIST R DIRECTLY AT CITY HALE,,. I 01/15/2022 10:04 40242601 HOLSTEIN VET CLINIC PAGE 2022 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF BLAIR IF YOU LIVE I BLAIR CITY LIMITS AND OWN A DOG(S) AND /QR CAT(S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO' CITY OF BLAIR — 218 S. 16'rH ST — BLAIR, NE 6$008 YOU MAY L GALLY 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*** Fallure to do so IS a violati n of City Ordinances 6.103 and carrleS a penalty of a fine up to $150.00 per pet• PET LICENSE RENEWALS RE 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 towear 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 month's of age if puppy or kitten NEW RESIDENTS TO BLAIR Must registEr pets within 10 days of residency ; Owner Name Robert W. Choate Spouse Owner Address City/State/Zip Phone # Pet Name: Frankile Age: 14Y DOB:—03-07-07 2271 Lincoln Street Blair, NE 68008 402-426-0414 Sex: Neutered Mae �olorrApricot/Wh Breed: Poodle, Miniature Microchip ,# Rabies Tag # 19047 PLEASE INCLUDE CITY TAG NUMBER �IFTHIS IS A RENEWAL (IF AVAILABLE): # RABIES VACCINATION DONE ON Rabies Description: 1 Y 04-06-21 Holstein Veterinary Clinic Dr. Liss Schrum DVM : Dr, KRSM Holstein DVM 718 South 191h Street BITir, NE 68008 402-426-7387 402-421-0101 Fax holsteinclinic�gmllall-com LICENSE FEE; /ntact Dog or Cat. $16.00 Alters ' D or cat: $1)10 Replacement Tag $5.00 0�0 `r Total $- PETS 1HAZ RE ON THE ACTIVE POTEN11MLYDANGEROUSQR DANGEROUS 06G LIST NEED g REGIS��ITYHALL. I FAXED 01-15-22 BY I:T !; f!�'�iS.O� ,:•iurn(.�;IeL�I�'�i��'�PI ��I!�IJ�!%1�.:. ::IJ�IF�j�`�: 11 n.ilf!?;�,:.�: �j'��F. ��,�I�ni�,_,I�J�%%%! :'::,�"��{�i �J�ii'f 1}'i'1:91' F. �.i !r �:'i�!I,I�IF:I`�i�'fi�! •-�'.�Ih"I`I: ti.� I'::lii, �lij^. � p :1: 'D Mar 08 22 11:44a P. 1 CITY DE BLAIR - 2022 PET LICENSE APPLICATION If you five in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair • 218 S 16th St a Blair, NE 68008 , You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs, or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2022 Owner Name: G�Rgr Clack Chri owner Address: srr . t-s City/State/Zip: Blair, NE 68008 1946 South St Phone # 9�1 ?= .-— Yam" Y 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 6103 and carries a penalty of a Flne up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3118/2022. The City shall recognize a micro&,,lp Identification number as the license number. It shall he unlawful for any dog or cat to wear any license or other city Identiflcatlon other than that Issued by the City of Bla'r for such dog or cat. The City of Blair requires proof ofrabies vaccination. Replacement Fee for Lost Tact: $5.00 _ included is a Stye Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET # I 'Dog ❑ Ca t � Spayed/Neutered License Fee $ 1 a Pet Name' . aBitl hdate 4q l Sex 1'14w� Color ,A,(P Breed** 1, d'•fne' Replacement$ Declared Dangerous or Potentially Dangerous Dog: ❑ Y VN MICROCHIP # Of applicable) SUBTOTAL: $ `�' RABIES VACCINATION DATE: ,, -)42 (3 yr) �_ (1 yr) City Tag # . PET #2 CJ Dg ,* cat Spayed Neutered License Fee Pet Name��✓ c il' B rthdate G �� Sex d'7:61.3 4 o Color Z « e- k- Breed** -s-A —L 1-1arc-- Replacement$ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # _(If applicable) SUBTOTAL.- $ L/ RABIES VACCINATION DATE: 'l . R ZZ (3 yr) _�J_ (1 yr) City Tag / PET #3 ❑ Dog ❑ 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) 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 $ �o If you have questions, please contact Blair Police Department at (402) 426-4747 .+..+++*+++..•r.++.+++++.+..++f.... ......+++t+.........++++++++++*+++•r*.•F.t+++•r NEW PETJNEW RESIDENT LICENSING REQUIREMENTS (Nam15/ate fee date netapplicablefor newpets/newreslden&) NewjV Acquired Pets: New Residents to Blair: ■ Must: be Iioai� wihhtl 10 daysofownersh►p ■ Must regMer pets within 10 days of N <OR> at 6 months of age if puppy/kitten residency. Thone Animal Hospital -5 d � 'j o R 'S ✓`� � `s c�Pc.r_-ck (402) 426-3630 y 902 8 Hwy 30 Blair, NE GB008 I ET LICENSE APPLICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair ® 218 S 16th St 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, 2021 Owner Name:y-f � u, lii) l h Cl n U l,) Owner Address: 2-0SI r2t) Jl S j city/state/zip: Blair, NE 68008 Phone # 4n9 q i sm 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 3/1512021. 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. Replacement Fee for Lost Tag: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog 8& Cat Operator Inspection Program PET # 1 dI Dog ❑ Cat [2(Spayed/Neutered License Fee $ Pet Name �0?o BirthdateolloG121 Sex F Color P21GLC1L Breed** gk6,c Lab M (h Rep/acement $ * * Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ .DO RABIES VACCINATION DATE: bVL,�21 _ (3 yr) (1 yr) City Tag # tt,5114�* PET #2 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed** Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed** 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 15late fee date not applicable for newpets/new residents) Newly Acquired Pets: New Residents to Blair: s 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. %(11ERTIF1 CATE OF VACCINATION Date of Rabies Vaccination: 6/16/2021 Next Rabies Vaccination On: 6/16/2022 VETERINARY CLINIC Arlington Pet Hospital 225 N. 3rd St. Arlington, NE 68002 402-478-4141 This is to certify... Certificate No- 0 Previous Rabies Vaccination. OWNER OF ANIMAL Kelli Christiansen 2057 Front St Blair, NE 68008 County: Washington THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW, PATIENT: Jordy SPECIES: Canine SEX: Spayed Female Color and markings: Black Signed MATT TALBOT, DVM TAG NO: 027680 WEIGHT: 33.50 AGE: 5M License: 3220 6/16/2021 MT RABIES 'I YEAR, 4027680 5/2/2021 DHLPP PUPPY #4 5/2/2021 BORDETELLA ANNUAL BOOSTER 5/2/2022 Rabies Vaccine Information... MFG BY: NOBIV SER.NO: 497293 LOT EXP: 08/02/22 ADM: SQ Aibl� -7s-6 Ys CITY OF BLAIR o 2022 PET LICENSE A►PPLICATI®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 ® 218 S 16th St o 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: Owner Address: City/State/Zip: Blair NE 8008 G 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 PEET # 1. Dog ❑ Cat LY, Spayed/ N tered License Fee i I Pet Name Birthdate x C I Color _ Breed** Replacement $ Declared ge ous or Potentially Dangerous Dog: d N MICROCHIP # _ �(If applicabl SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # ET # - D10a ❑ Cat Spayed/Neut red License Fee $ Pet Nome \, ) W -3-\7 Bi h ate Sex Color Breed** c�° - Replacement $ ** Declared Dangerous or Potentially Dan erous Dog: ❑ Y MICROCHIP # C LL -(5 (If applicable) UBTOTAL: $ RABIES VACCINATION DATE: -�d (3 yr) - (1 yr) City Tag # ' , J3 * PET #3 ® Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed** Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # c (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # e *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not Send Cash by Mail TOTAL NCL®SE® $ 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/newre5ldents) Newly Acquired Pets: New Residents to Blair: Must be licensed within 10 days of ownership m Must register pets within 10 days of <OR> at 6 months of age if puppy/Idtten residency. Jan 05 22 03;53p P.1 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 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 fA�RE DUE-. Marclh.-15, 2022 Owner Name. rif%� �Y �; ��✓'�,� 4_ owner Address: Z I Z 1 ��ti' % 5 City/state/zip: Blair, NE 68008 Phone # � 2 Y_') 4� - -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 tine 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 rat 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 thle Nebraska Dog Sc Cat Operator Inspection Program PET #1 4 Dog Cl Cat A Spa ed/Neutered License Fee $. Pet Name_ f2aL _ Birthdate 1 z 55ex '7 _ Color ,t 1-dC1f Breed** Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y KI, N MICROCHIP # 2 P / O-LO E "t0��'�'1 (If applicable) SUBTOTAL-. $ �I RABIES VACCINATION DATE: -2- D (3 yr) - lam_ (1 yr) City Tag #c_--_3-.b)�*/ PET #2 ❑ Dog ❑ Cat Cl Spayed/Neutered Pet Name Birthdate Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ M (I yr) License Fee $ Replacement $ ** SUBTOTAL: $ 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 NotSend Cash byMail TOTAL ENCLOSED $ If you have questions, please contact Blair Police Department at (402) 426-4747 .....*4.+.......i-+.fi-..........++......+..-F....d-t.d--I ........ I-....++-h.......... NEW PETINEWRESIDENT LICENSING REQUIREMENTS(March15/atefeedatenofappllcablefornewpets/newresldents) Newly Acquired Pets: New Residents to Blair: ■ Must be licem ed witin 10 days of awership ■ Must register pets within 10 days of ■ <Oft> at 6 months of age if puppyfi&en residency, Thone Animal Hospital (402) 426-3630 902 S Hwy 30 Blair, NE 68008 Jan 10 22 12:56p p,1 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 0f Blair • 21S 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 John Clarlc Owner Name: ,..�(i41�11 �,�,l;�Ai' \4�1, Owner Address:`. ,- city/state/zip: lair, NE 68008 2340 die stDr ere Phone # 0 - - ` snlc 1 LCs LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat. $11.00 Replacement Fee for Lost Tag: $5.00 ***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 hSi So.00 per pet. PET LICENSES RENEWALS ARE DUE BY3/L5/2021. TheCityshall 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 vacdnhtion. Included is a Slate Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program ATHENA PET # 1 ` Dog ❑Cat Spayed e.utered License Fee $ \l1 Pet NameV,r,r.;5nl �, 6irt ate Sex Color Breed**'i Replacement$ ** Declared Dangerous or Potentially Dangerous Dog:.❑ Y N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: ? 11. 3 C (3 yr) `+, (1 yr) City Tag # PET #2 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed** Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed** 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......++++++.....+++.+f+++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (Mara`7l5latal�eda4e170topplicW f�rneWXt5y�lewresic9nts) Newly Acquired Pets: New Residents to Blair: ■ Must be Boat WHn 10 days of owne-ship ■ Must register pets Within 10 days of ■ <OR> at 6 months of age if puppyMttat reside-Ky. CERIT'1t4C.kTF OF, VACCINATION Date of Rabies Vaccination: Next Rabies Vaccination On: (none) VETERINARY CLINIC Thone Animal Hospital 902 S Hwy 30 Blair, NE 68008 402-426-3630 This is to certify... Certificate No: 3083 Previous Rabies Vaccination: OWNER OF ANIMAL Rita Coakley c� 2029 Jackson St L Blair, NE 68008 County: THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Morty SPECIES: Feline SEX: N Color and markings... White/Grey Signed Vaccinations done... TAG NO: 007342 WEIGHT: 0.00 AGE: 8 years License: 12-14-21 DIM Rabies Vaccination (I Year), #007342 12-14-21 DM Fe 4Way (Rhino/Cali/Pant/Chia) 12-14-22 Rabies Vaccine Information... MFG BY: SER.NO: LOT EXP: ADM: Date of Rabies Vaccination: 12-14-21 Next Rabies Vaccination On: 12-13-24 VETERINARY CLINIC Thone Animal Hospital 902 S Hwy 30 Blair, NE 68008 402-426-3630 Certificate No: 2554 Previous Rabies Vaccination: OWNER OF ANIMAL Rita Coakley 2029 Jackson St Blair, NE 68008 c° ` ' County: This is to certify... THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Phil TAG NO: 007341 SPECIES: Feline WEIGHT: 0.00 SEX: N AGE: 13 years Color and markings... Grey Signed Dr. Donna Mertz Vaccinations done... License: 3630 12-14-21 DM Fe 4Way (Rhino/Cali/Pant/Chla)12-14-22 12-14-21 DM Rabies Vaccination (3 Year), #007341 12-13-24 11-20-20 JRD Rabies Vaccination (1 Year), #006243 Rabies Vaccine Information... MFG BY: ZOETI SER.NO: 500084 LOT EXP: 5-10-22 ADM: SQ CE1,RTJF:1CAjE'bF VACIONA41.6 N Date of Rabies Vaccination: 11-21-19 Next Rabies Vaccination On: 11-20-22 VETERINARY CLINIC Thone Animal Hospital 902 S Hwy 30 Blair, NE 68008 402-426-3630 This is to certify... Certificate No: 479 Previous Rabies Vaccination: 003071 OWNER OF ANIMAL Rita Coakley 2029 Jackson St Blair, NE 68008 County: THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Cole SPECIES: Canine SEX: N C4� Color and markings... Black Signed Dr.Kamala Freeman Vaccinations done... TAG NO: 005298 WEIGHT: 68.50 AGE: 6 years License: 3894 12-07-21 DM DA2PPV+L 12-07-22 07-12-21 RXC Bordetella Oral 07-12-22 11-21-19 KF Rabies Vaccination (3 Year), #005298 11-20-22 11-09-18 LL Check up, DA2PPV+L 12-07-22 12-29-15 VK Rabies Vaccination (1 Year), #002399 12-29-15 VK Annual Checkup, DA2PPV 12-07-22 11-27-15 LL Annual Checkup, DA2PPV+CV 12-07-22 Rabies Vaccine Information... MFG BY: ZOETI SERNO: 374591 I Date of Rabies Vaccination: 11-21-19 Next Rabies Vaccination On: 11-20-22 VETERINARY CLINIC Thone Animal Hospital 902 S Hwy 30 Blair, NE 68008 402-426-3630 This is to certify... Certificate No: 0 Previous Rabies Vaccination: 003070 OWNER OF ANIMAL Rita Coakley 2029 Jackson St Blair, NE 68008 County: THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW, Patient information... PATIENT: Abby SPECIES: Canine SEX: S Color and markings... Blk/ Brown Signed Dr.Kamala Freeman Vaccinations done... TAG NO: 005297 WEIGHT: 11.70 AGE: 10 years License: 3894 12-07-21 DM DA2PPV+L 12-07-22 06-21-21 JRD Bordetella Oral 06-21-22 11-21-19 KF Rabies Vaccination (3 Year), #005297 11-20-22 11-09-18 LL Check up, DA2PPV 12-07-22 07-05-18 LL Bordetella, P13 (Intra-trac 3) 06-21-22 07-26-12 LL Rabies Vaccination (1 Year), #00005 Rabies Vaccine Information... MFG BY: ZOETI SER.NO: 374591 Blair Small Animal Clinic PC Client ID: 8111 Client Name: Denise Coe + Lj Address: 1262 Deerfield Blvd #223 Blair, NE 68008 Phone: (402)278-4172 Tag Number: 6565 Lot Number: 18502 Imrab Rabies Vaccine Producer: Merial MLV / R: Killed Virus David E. Johnson DVM 1734 Front Street Blair, Nebraska, 68008 (402) 533-2722 C �- �,�ov Patient ID: 11015 Patient Name: Maui —T� Species: Canine Breed: Papillion Sex: Female l� Color: White/Brown Markings: Birthday: 06/14/2015 Weight: 11.31 pounds on 6/14/2019 Microchip ID: Vaccination Date: Expiration Date: Staff Name: David E. Johnson DVM License Number: 1893 6/10/2021 6/10/2024 Jan 24 22 10:49a PA 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 awn 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 DUIE: March 15. 2021 Owner Name: M' ' owner Address: I � , city/statelZip: Blair, NE 68008 Phone # `- LICENSE FEES: Dog or Cat., $16.00 *p Altered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 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 $1so,00 per pet. PET LICENSES RENEWALS ARE DUE BY3115/7021, 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. Included is a State Fee of $1,25 being colkwtied to fund the Nebraska Dog & Cat Operator Inspection Program PET #1 AD og ❑ Cat 'A Spayed/Neutered License Fee $ k 00 Pet Name_ Birthdate ;Sec ^BOG Color _k�'; ,�\C�ti� Breed** r sir; Replacement$ ** Declared'jDangerous or Potentially Dangerous Dog: ❑ YN MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag# PET #2 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Birthdate Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Birthdate Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: License Fee $ Replacement $ ❑N (1 yr) SUBTOTAL: $ City Tag License Fee $ Replacement$ ** SUBTOTAL: $ (3 yr) (1 yr) City Tag # +i■..wvc I nc %, X A I , Hu nUMULK 1r -I HIS 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 $1i . CO If you have questions, please contact Blair Police Department at (402) 426-474.7 ++++++++++++++++++++++++++++++++++i-+++++++++++++++++++.+++++++++...1-+4•4.4-4.4.a NEW PET/NEW RESIDENT LICENSING REQUIREMENTS Newly Acquired Pets: 11111 Must be lic amW within 10 days cf cwretsi"ilp ■ <OR> at 6 months of age it poppy/Idti n (Marsh 15 late fe6 date notapo/rcable rEJ-newpewnewresiaLy&) New Residents to Blair: ■ Must register pets within 10 days of resi deriCv. 03/09/2022 14:26 4024260101 HOLSTEIN VET CLINIC PAGE 01/0 2022 PET LICENSE VERIFICATION/APPLICATION FOR, CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG($) AND /OR CAT(S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF BLAIR — 218 ' 16T" ST — GLAIR, NE 6$OOS YOU MAY LEGALLY OWN A COMBINATION OF FOUR (a) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. ***PLEASE READ CAREFULLY' Y U ARE REQUIRED BYLAW TQ LICENSE Y UR PETS. THE CITY OF BLA,IR 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 ItCENSE RENEW LS ARE DUE BY 3 15 202z, 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 W 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: Bo Age: 4Y DOS: 06-23-17 Sex: Neutered Male Breed: Domestic Shorthair Microchip # PLEASE INCLUDE CITY TAG NUMORR IF RABIES VACCINATION DONE ON Rabies Description: (�1 YEAR Cindy Coleman Tom 2167 South Street Blair, NE 68008 Color: Black and White Rabies Tag # A RENEWAL (IF AVAII..AE3LE): # 03-09-22 3 YEAR Holstein Veterinary Clinic Dr. Lisa Schrum OVM : Dr. Krista Holstein DVM 718 South 191" Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinic@gmaii.com LICENSE FEEa hitact' Dog or Cat: $16.00 tared Do or cat. $11,00 Replacement Tag $5.00 r-11 Total $ PETS THAT ARE ON THE ACTIVE POTENTIALLY DANGEROUS -9 DANGEROUS pOG LIST NEED r4 REGISTER DIR GTLYAT CITY HALL. TAXED 03-09-22 BY NNIV I;;:1'j;1 ^i •II I ��'��.��u; 1. .� ��i'..l,�i��l'f,�. •''�11,`��,<;'lli'I�t;�>4��, I•i.i �::��1^:<1�:� �l�;i�!��y..t �11�^ ��r4 ;..;�t:��l�iiV� ,:.�5hia,'ir.' A.k.: I,,,1._. ,,;,, :,a,l,:,, �� riv';•.'idl,: Lvi ., y. 03/07/2022 15:40 4024260101 HOLSTEIN VET CLINIC PAGE 02/02 BUT It .shall be unia, NEW PET LICE NEW RESIDE Owner Nam Spouse Owner Add City/State/; Phone # Pet Name: Age: 4Y DOB: —06-2, Breed: Doi Microchip •# PLEASEINCL RABIES VAI Rabies Desl 2022 PET LICENSE ERIFICATION/APPLICATION FOR CITY OF GLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT(S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE T0: CITY OF BLAIR 218 S. 16tH ST -- BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, i MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. ***PLEASE READ CAREFULLY*** E REQUIREREQUIREP BY LAW TO ICENSE YO R PETS. THE CITY OF BI, IR IlEaUglu§ PROOF OF R BIES 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 OY 15 2022. The city shall recognize a microchip ID number as the license number. for any dog or cat to wear any license or other city 1D 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 Sex: Neutered Male 7 stile Shorthair Cindy Coleman Tom 2167 South Street Blair, NE 68008 402-426-0447 Color: Blank and White Rabies Tag # CITY TAG NUMBER. IF THIS IS A RENEWAL (IF AVAILABLE): # TION DONE ON ' 1 03-07-22 YEAR 1 3YEAR Hol4 ein Veterinary Clinic Dr L/sa, Schrum DVM : Or. Kristg� Holstein DVM 718 outh 191" Street Blair, NE 68008 17hols'teinclinic@'gmaii.com 2-426-7387 402-426-0101 Fax U ENSE Intact Dog or Cat: $16.00 Bred Dog r cat: $1 , 0 Replacement Tag $5.00 Total $ L PET THATAREONTHEACTIVEPOTENTIALLY ANGEROUSOR DAN EROUS DOG T NEED TD EGISTER DIRECTLYAT CITY L . 03/07/2022 15:40 1 i 4024260101 HOLSTEIN VET CLINIC PAGE 01/02 BUT N It shall be unl N 2022 PET LICENSE VERIFICATION /APPL CATIQN FOR CITY OF GLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CATi,_ COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF IRLAIR — 218 S. 16TH ST — BLAIR, N6 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, I MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT, ***PLEASE READ CAREFULLY*** LRE REQUIRED 0Y SAW TO LICEN5E YOUR PETS THE CITY OF BLAIt REQUIRES PRCIOF OF RABIES VACCINATION• FaiiUr'e to do so N a violation of City Ordinances 6.103 and carries a penalty of 2 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. 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 I! Owner Nam'' Cindy Coleman Spouse Tom Owner Addr'ss 2167 South Street City/State/* Blair, NB 68008 Phone # I, 402-426-0447 I' Pet Name: zzie Age: 4Y - Sex: Neutered'Mele ` Color: Black and White DOB: 06-03- Breed: Dam' stir Shorthair Microchip # PLEASE INCLi RABIES VAC Rabies Desc N 12008020657 CITY TAG NUMB ATION DONE 0 n: 1 Rabies Tag # IF THIS IS A RENEWAL (IF AVAILABLE)! # 03-07-22 3 YEAR Hol Itein Veterinary Clinic Dr. Lis 'Schrum DVM . Dr. Krista Holstein DVM 718 ')outh' 19th Street Blair, NE 68008 4 2-426-7387 402-426-0101 Fax 'nclir►ic@ mail.com holster g , LICENSE-Ff_ES intact Dog, or 16.00 /t red Dog o cat: $1 .00 Replacement Tag $5,00 6) 1 Total $ PET5 THAT REON THEAC7YVE VOTENTIAL4Y DANGEROUS OR DANGEROU$ QDG LIST NEED ilp REGISTER DIRECTLYAT CITY HALL FAXED 03-07-22 BY ir i..::�1. rJ1'1' 0*10-11 CITY OF BLAIR - 2022%IVLICEI;E APPLICATIO 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 combinatioii.of.four (4) adult pets, but no more than three (3) adult dogs, . or three (3) adult cats per residential or dwelling unit. LICENSE RENEWAL ARE DUE: March Owner Name: (ec r"'` Owner Address: a.�'�",/l 0- de-n r .t rd e- City/State/zip; �� Blair, NE 68008 /'7/ Phone # ` 9 6- LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11.00 ***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 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 Tan: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program 1 Dog ❑ Cat Spayed/Neutered License Fee --06 ame Birthdate A Sex /Z �� Breed** Rep/acement$ AX4 ** ecl ed Dangerous or Potentially Dangerous Dog: ❑ Y �.N IC CHIP #o�C�C��_7� h applicable) SUBTOTAL: $ BI S VACCINATION DATE:, 21 (3 yr) (1 yr) __i City Tag # ®v? #2 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed** Replacement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag #� PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate Sex _ Color Breed** 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 ++..++++........... r....+++.++++.++.................++++..+.+++.++.+.....++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS(Malrchl5latefee date not applicablefor newpets/new residents) Newly Acquired Pets: New Residents to Blair: • Must be licensed witliin 10 days of ownership 0 Must register pets within 10 days of • <OR> at 6 months of age if puppy/ktten residency. v 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 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*** Owner Name: tic d t ru n M YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Owner Address: �0 q '50 r V�j 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 ti 6) PET LICENSES RENEWALS ARE DUE BY 3/15/2022. The City shall Phone # _71 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 cfBlair requires proof of rabies vaccination. LICENSE FEES: Dog or Cat: $16.00 t Altered Dog or Cat: $11.00 RelplacenienL Fee foi' 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 DoLJ g ❑ Cat Spayed/Neutered License Fee $ Pet Name -,IaIA I e Birthdate Sex Color Y, de Breed** Replacement $ Declared Dangerous or Potentially Dangerous Dog: LJ Y )A N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DIAT, (1yr) _City Tag #W/5._ Ila, PET #2 L1 Dog Ll Cat Ll Spayed/Neutered License Fee $ 3, Pei Name Birthdate Sex Color Breed** Replacement$ Declared Dangerous or Potentially Dangerous Dog: LJ Y LJ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) __ (I yr) - City Tag PET #3 Ll Dog J Cat Ll Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed" Replacement $ Declared Dangerous or Potentially Dangerous Dog: D Y J 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.) r "I. C) C- Do Not Send Cash by Mail TOTAL ENCLOSED $ -L-Ur , If you have questions, please contact Blair Police Department at (402) 426-4747 ......................................................................... +++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15 late fee date not applicable for newpet5lnew re5ldents) Newly Acquired Pets: New Residents to Blair: • Must be licensed within 10 days of ownership E Must register pets within 10 days of • <OR> at 6 months of age if puppy/ldtten residency. MME Client ID: Client Name: Address: Phone: Tag Number: Vaccine: Producer: Brand: Type: Anner of Administration: 7066 Tracie & Brent Conger 1909 Soren Drive Blair, NE 68008 (719)494-5240 5834 Imrab Rabies Vaccine Merial Imrab 3 TF Killed Virus Subcutaneously Staff Name: David E. Johnson DVM License Number: 1893 Doctor Signature: Blair Small Animal Clinic PC David E. Johnson DVM 1734 Front Street Blair, Nebraska, 68008 (402) 533-2722 Rabies Certificate Patient I D: Patient Name Species: Breed: Sex: Color: Markings: Birthday: Weight: Microchip ID: Vaccination Date: Expiration Date: Lot Number: Drug Expiration Date: 8614 Sadie Canine Labrador Mix Spayed Female Red / Blond 11/10/2014 56.40 pounds on 8/4/2021 985112004524733 6/12/2020 6/12/2023 18445 7/3/2021 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: Owner Address: city/state/zip: Blair, NE 68008 LICENSE FEES: Dog or Cat: $16.00 Altered Don or Cat: !k11.00 ***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 LIP 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. Repiacement Fee for Lost Tag. $5.00 Included is a State Fea of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET #1 Q9 Dog Ll Cat Spayed/Neutered License Fee$ Pet Name kv A-o �,- BIA ate -1 , Sex j Color fir . Breed" t-'de-k,-a-,P,,,�—_Replacement$ Declared Dangerous or Potentially Dangerous Dog: LJ'Y UO\N MICROCHIP # —(If applicable) SUBTOTAL: $ " ) 1 '2 RABIES VACCINATION DATE: , , t,� (1 yr) — City Tag # 0_5 PET #2 0 Dog J Cat Ll Spayed/Neutered Pet Name Birthdate Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: LJ Y MICROCHIP * (If applicable) RABIES VACCINATION DATE: — (3 yr) — License Fee $ Replacement $ EJ N PET #3 LJ Dog Ll Cat LJ Spayed/Neutered Pet Name Birthdate Sex Color Breed" Declared Dangerous or Potentially Dangerous Dog: 13 Y Ll N MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) — 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 ................................. 4+q ........................................... NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15 late fee date not appllcablefiornewpet5lnew residents) Newly Acquired 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. 2022 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF B 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 G UNIT. ***PLEASE READ CAREFULLY*** !;;: OU ARE RE UIRED BY LAW TO LICENSE YOUR PETS, THE CITY OF BLAIR RE UIRES P OO OF RABIES VA CIN TION. . Failure to do so is a violation of City Ordinances 6.103 and carries a penalty of a fine up to $150.00 p r pe . PET LICENSE RENEWALS ARE DUE BY 3/15/ 022. 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 lai 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 Ilitten . NEW RESIDENTS TO BLAIR Must register pets within 10 days of residency Owner Name Peggy Cowley Spouse Russ Owner Address 957 N. 18th Ave City/State/Zip: Blair, NE 68008 Phone #' 402-533-3143 A, Pet Name: Skeeter Age: 16W DOB: 10.08-21 hex: Female Color: Black and Tan Breed: German Shepherd Microchip # Rabies Tag # 20080 PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE): # RABIES VACCINATION DONE ON 02-03-22 Rabies Description: 1 =YEAR 3 YEAR PETS THAT ARE ON THE DANGEROUS DOG LIST NE 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 ar Cat: $16.00 Altered or cat; $11,00 acement Tag $5.00 To�al FAXED 02-03-22 BY j TO 39ad DINI-10 13A NI31S-10H TOT09zbz©b z6:bT zzaz/E©/z© CITY OF BLAik ® 2022 PET LICENSE APPLICA 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 (44) 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: tj City/State/Zip: Blair, NE 68008 Phone# L-W" 321 - 0 R� 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 Tan: $5.00 Included is a State Pee of $1.25 being collected to fund the Nebraska Dog & Cat Operator inspection Program T # "_ o g ❑ Cat spayed/Neutered License Fee $ i ° 00 Pet Name 0.G4 K Birthdate Sex Color Breed** Replacement$ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N _ MICROCHIP # Ala (If applicable) SUBTOTAL: $ � RABIES VACCINATION DATE: 00 2-0 (3 yr) (1 yr) City Tag PET #2 ❑ Dog ❑ IN Pet Name_ Color Declared Dangerous o Pc MCROCHIP # RABIES VACCINATION N at ❑ Spayed/Neutered Birthdate Sex Breed** ntially Dangerous Dog: ❑ Y (If applicable) (3 yr) _ License Fee $ Replacement $ ❑N SUBTOTAL: $ (1 yr) City Tag # ** * PET #3 ❑ Dog ❑ Cat ❑Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed** Replacement$ ** Declared Dangerous or P tentially Dangerous Dog: ❑ Y ❑ 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.) Do Not Send Cash by Mail TOTAL E(VLS®$ L, O If you have questions, please contact Blair Police Department at (402) 426-4747 ..........++++.+.........++++++.... •........+.++++.....++++++..... .....¢++.+ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15late fee date not applicablefornewpets/new residents) Newly Aoquired Pets: New Residents to Blair: • Must be licensed within 10 days ofotnmership Is Must register pets within 10 days of • <OR> at 6 months of age if puppy/kitten residency. Client ID: Client Name Address: Phone: Tag Number: Vaccine: Producer: Brand: Type: inner of Administration: 4482 Heather & Heath Cottle 1723 Grant Street Blair, NE 68008 (402)426-9850 5930 Imrab Rabies Vaccine Merial Imrab 3 TF Killed Virus Subcutaneously Staff Name: David E. Johnson DVM License Number: 1893 Doctor Signature: Blair Small Animal Clinic PC David E. Johnson DVM 1734 Front Street Blair, Nebraska, 68008 (402) 533-2722 Rabies Certificate Patient ID: Patient Name: Species: Breed: Sex: Color: Markings: Birthday: Weight: Microchip ID: Vaccination Date: Expiration Date: Lot Number: Drug Expiration Date: 6203 Bear Canine Chihuahua Spayed Female Black/White 11 /27/2011 2.87 pounds on 8/15/2020 8/15/2020 811512023 18445 7/3/2021 ��4 -1 All CITY OF B IR - 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. 1 _rq o LICENSE RENEWALS ARE DUE: March 15, 2022 Owner Name:> it Owner Address: "1 city/State/zip: Blair, NE 68008 Phone # 14 .` `. - '�" ) ***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. 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 ,# D o g ❑ Cat Spayed/N tered License Fee $ A Name � '� Bi hdate 3 -' ' wCx;, )lor Breed" < ' e') Replacement $ clared Dangerous or Potentially Dangerous Dog: ❑ Y "A N CROCHIP # (If applicable) SUBTOTAL: $ BIES VACCINATION DATE: c a(3 yr) (1 yr) City Tag f 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) _ ❑N (1 yr) ** License Fee $ Replacement $ ** SUBTOTAL: $ 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 ++++++++++++++++++++++++++++++++++++++++++f+++++++++++++++++++++++++++++++++++ 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 lioensed within 10 days of ownership ■ Must register pets within 10 days of ■ <OR> at 6 months of age if puppy/kitten residency. CertificateNo:'1598 RabiesDate of Rabies Vaccination". 10-15-19 s Vaccination, Vext •, I. OWNER OF ANIMAL VETERINARY CLINIC Jessica COX Thone Animal Hospital 1098 S. 16th ave 902 S Hwy 30 Flair, NEFlair, NE 68008 County. 402-426-3630 This is to certify... RABIES THE ANIMAL DESCRIBED BELOW. THAT I HAVE VACCINATED AGAINST Patient information... TAG NO: 005209 PATIENT: Coco WEIGHT: 42.00 SPECIES: Canine AGE: 20 months SEX: S Color and markings... Brown Signed Dr. Joe DiRllari License: 3258 1 F .Vaccinations done... 10-15-19 JRD Rabies Vaccination (3 Year), #005209 10-14-22 10-14-20 10-15-19 JRD Bordetella Oral 10-14-20 i 10-15-19 JRD DA2PPV L C t 09-13-18 LL Check Up, DA2PPV+L 10-14-20 09-13-18 LL Check Up, Rabies 1 Yr, #004333 09-13-18 LL Bordetella, PI3 (Intra-trac 3) 10-14-20 Rabies Vaccine Information... IMFG BY: ZOETI SE .O: 355056 01/26/2022 08:44 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**' YOU ARE REQUIRED BY LAW TO LICENSE Y UR PETS. THE CITY QF BLAIR REQUIRES pItQOF OF RABIES V 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 3/15/2022. 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 Nam® Lisa Cox Spouse Tom Owner Address 2004 Cauble Creek Circle City/State/Zip Blair, NE 68008 Phone # L al 2 - 345-2 3 Pet Name; riper Age: 7Y DOB: 09,30-14 Breed: Chesapeake Sex: Spayed Female Microchip # PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL RABIES VACCINATION CONE ON 1 01-26-22 Color: Tan Rabies Tag # 20061 AVAILABLE): # (Rabies Description: 1 YEAR /"- 3 YEAR Holstein Veterinary Clinic Dr. Lisa Schrum DVM : Dr. Krista Holstein DVM 718 South 19t' Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinic@gmail.com LICL:NSE FEES Intact Dog or Cat: $16.00 /" Altered Dog or cat: $11.00 Replacement Tag $5.00 Total $ V Cr-- pf fS TH TARE DN THE ACr VE POTENTIALLY D ERDUS OR DANG i US DOG LIST NEED IO REGISTER DIRE 'LY T CITY HALL, ON 02/01/2022 14:1 VF �Nowow•- Alexis c1 r listed bi 1 She net deliver' ' �1 anytim It : r NE Thank N E� LSadig 120o Spouse 4024260101 HOLSTEIN VET CLINIC 2022 PET LICENSE FICA'TION/AD01 -- 01/01 Q, 00 r ~ m • r �'��rp" dress r• �'� Feb 1Ir to the ad mom to Blair on She is moving ntly lives in Bennington. fore moving In. Pleas® refrain from � ►, a ment be delivered here M Proof of city license & p Y ou, it can be to show p cn, If it's easier for y Lhe city tag until after the 1$ r id we can have her pick it up- r Ima .�.o� Alexis Cozad Owner Address A City/State/Zip Blair, NE 68008 ice' Phone # 402-740-5520 Pet Name: Opill Age: 3Y DOB: 07-23-18 Sex: Spayed Female Color: White Breed: Boxer X Microchip # 985 12 11627596 Rabies Tag # 20051 PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE): # RABIES VACCIN96TICIN DONE ON 01-21-22 Rabies Descripti n: YEAR 3 YEAR Dr. Lisa Sch -718 Soy 402-4 ho Veterinary Clinic DVM : Dr, Krista Ho/stein DVM 1911 Street Blair, NE 68008 7387 402-426-0101 Fax InclinicQgmail.com PAGE LICENSE FEES Intact Dog or Cat: $16.00 Altered Dog or cat: $11.00 Replacement Tag $5.00 O0 Total $ PE" THATAREQNTHEAQVEQ.TENTIALLYDANGEROUSOR DANGEROUS DOG LIST NEED V RFGISTER DI RELY AT CITY -"ALL. FAXED 02-01-22 8Y <� FAX TO BPD c@ 44'02-426-7144 �/24/2022 10:47MI FAX 4025332723 BLAIR SMALL ANIMAL 2 0001/0001 cm 40.d OF BLAIR - 2022 PET LICENSE APPLICATTQN If you live in Blair City limits and own a dog(s) and/or cat(s), Complete this form and return with check made pays . City of Blair • 218 S 16th St * Blair, NE 68008 You may legally own a combinatiomof•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:r,�15 Owner Name: `\ Owner Address: \ _' City/State/Zip: Blair, NE 68008 Phone # 4i()a- LC ](a ?, S -? LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11.00 ***PLEASE READ CARERILLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinanw 6.103 and carries a penalty or a flne up to $xSo.00 per pet, PET LICENSES RENEWALS ARE DUE SY 511512022, The City shall recognize a microchip Identification number as the licence number. Xt shell 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 doff or cat. The City of Blair requires proof of rabies vaccination. Replacement Pee for Last Taq,_$5.00 „ • Induded is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program _ PET # 1 LX Dog ❑ Cat payed/Neutered' /Neutered License Pee $ Pet Co Name— l 6�Z BirtlSda*e Uk Sex Breed �?rd �r d Rep/acement $ Declared Dangerous or Potentially Dangerous Dog: q Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE; (3 yr) (I yr) City Tag # PET #2 Q Dog 0 Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed** Replacement $** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # - (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # PET #3 ❑ Dog ❑ Cat 0 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 XNCLUDE 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 *+++++......+++*.++++++.*+++++++*++......++++++...+++++fi.*+++++++..+++++++..++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (M ra5151alefiec dvtenotapplidb/efornew)0Nts/newres/den ) Newly Acaulred PeW New Residents to Blair: ■ Must be Iloyas d within 10 days ofownership ■ Must register pets within 10 days of " ■ <OR> at 6 months of age if puppy/kittn residency. Blair Small Animal Clinic PC David E. Johnson DVM 1734 Front Street Blair, Nebraska, 68008 (402) 533-2722 Page 1 / 1 1 I Z:L Janet Craig l� ��,1� Client ID: 8131 758 South 16th Street J Invoice #: 157683 Apt. 182 r} Date: 6/10/2020 Blair, NE 68008 Patient ID: 11078 Weight: 5.93 pounds Patient Name: Honeybee Birthday: 01/19/2019 Species: Canine Sex: Spayed Female Breed: Pomeranian Mix Description Staff Name Quantity Total 6/10/2020 Examination General David E. Johnson DVM 1.00 $26.28 Distemper Hep Lep Parvo-Annual 1.00 $37.10 Rabies Vaccination - Canine 3yr 1.00 $29.66 Intranasal Bordetella/Parainfluenza 1.00 $31.68 Pedicure Simple 1.00 $14.51 T 1 �..�.....�.,.._.:y,� Patient Subtotal: $139.23 Reminder 06/10/2021 Distemper Hep Lep Parvo-Annual Intranasal Bordetella/Parainfluenza t 0,, J/2023 Rabies Vaccination - Canine 3yr Invoice Total: $139.23 default Tax Rate: $1.02 Total: $140.25 Balance Due: $140.25 Previous Balance: $0.00 Balance Due: $140.25 MasterCard Card Number: ... XXXX9456: ($140.25) Less Payment: ($140.25) Balance Due: $0.00 Order your pets supplies online now through our website www.blairsmallanimalclinic.vetsfirstchoice.com For questions contact us at 402-533-2722. :BSAC FAX NO. :402-533-2722 Jan. 21 2022 09:47 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; ciytyyA Owner Address: Q 11 Ll.) ggAi' A u-G Clty/state/zlp: Blair, NE 68008 Phone # L1a 51,5 ' 64 0V 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 in a violation of City ordinances 6,103 and carries a penalty of a fine up to $130.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3/15/2022. The ply shall recognize a microchip identlflcatlon 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 sid) dog or cat. The City of Blair requires proof of rabies voccination. Replacement Fee for Lost Tag: $5,00 Included is a Static Fee of $1..25 being collected to fund the Nebraska Dog & Cat operator Inspection Program PET # 1 QS Dog ❑ Cat r Spayed/Ne tered Pet Name wsaC Birthdate MA License Fee $ _ lit.Sex �_G Color ;fie, ,raw,n Breed** i YVN'K Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: Y XN MICROCHIP # dIVS VAI CX$4 380 71C (If applicable) SUBTOTAL; $ RABIES VACCINATION DATE: /3v X% (3 yr) (I yr) K City Tag # * PET #2 ❑ Dog ❑ Cat © Spayed/Neutered License Pee $ Pet Name Birthdate Sex Color Breed** Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # PET #3 ❑ Dog ❑ Cat © Spayed/Neutered Pet Name Birthdate Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) El (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 $ If you have questions, please contact Blair Pollce Department at (402) 426.4747 t � *.+++++++*++♦ ♦+++++* .++++++* .++++t.. * * 4++++++* *+++++++..4........ *..++++*+++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March .15late tie date not applIcab/e /ornewpeWnew resjden&) Me1�fllf ulmd Pem: New ftidenta to Blair: • Must be faw.,ed Within 10 days of Ownership ■ Must regisber pets wlthln 10 days of ■ <OR> at 6 months of age ff puppy/kin residy, Feb 03 22 01:33p /1-6� C� 4 PA aORI CITY OF BLAIR -P694: PE' LICENSE APPLICATION If you live in Blair.City limits and own a dogs) 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. Owner Name: ��Ct/li l LI,f I (A Owner Address: � [o n y\ 4,f,I4 f I I r X I v 61, citylstatelzip: Blair, NE 68008 Phone# fiDz 013� T LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 YOU ARE REQUIRED BYLAW 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 BY3/1151202t The Cityshall recognize a microchip idendflcatlon 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, Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET #1 Ybog ❑ Cat If aye Neutered License Fee $ d U Pet Nameyl i Q Birthdate W I S Sex U �. Color Kl a c.1G i Breed** a Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: Li Y Ri N MICROCHIP # -- (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: -1(o Z ( (3 yr) _ (1 yr) City Tag #� �("3j q () PET #2 ❑ Dog I1 Cat Z Spayed/ eutered License Fee $ 11 • C7D Pet Name a IDI�; �. Birthdate 54,,I , o g x �q -Q Color Breed ** b 5 a Replacement $ Declared Dan erous or Potentially Dangerous Dog: ❑ Y N N MICROCHIP # - (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: 1 (3 yr) (i yr), ` City Tag PET #3 © bog ❑ Cat Q Spayed/Neutered License Fee $ v - Pet Name Birthdate Sex Color Breed ** Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y Cl N MICROCHIP # (If applicable) SUBTOTAL. $ RABIES VACCINATION DATE: (3 yr) (I, yr) City Tag ## *PLEASE INCLUDE THE C1W 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(7arch15/atefeedaL�not anpllcablefi�r-newp--&l►ewresyderr(s) Newly Acquired Pets: New Residents to Blair: ■ Mast be IiceaTsed wtAn 10 days of uNnaship ■ Must register pets within ID days of ■ <OR> at 6 months of age if pt ppyJ4dtten res;dery, i� `% -71 j 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 AREA 1DUE: March 15,2022 "y Owner Name: ►i- i c� Owner Address: Cd o CO-u.' I e- C ,we' L Ctv-c-�-- city/state/zip: Blair, NE 68008, �1 Phone# 0,2_g6Dqq�,1. 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 O'C a t M--S-payedkeuteredD License Fee $ l l Pet Name �s Birthdate Sex IQ K Color t.y h, +c. Breed** _ <i��5 R _ Replacement $ * * Declared Dangerous or Potentially Dangerous Dog: ❑ Y 23 N MICROCHIP # 2 ��i ! A P a s"q,'/ 173 (If applicable) . SUBTOTAL: $ 1 RABIES VACCINATION DATE: 03-ao -- ZA (3 yr) (1 yr) City Tag #0 d' PET # 2 ❑ Dog LU Cat _aye 'Neutered License Fee $ l l Pet Name 5 9 v n_vi c� Birthda Sex "P Color .5--Y,- Breed** )5rk Replacement $ ** Declared Dangerous 4 Potentially Dangerous Dog: ❑ Y &l N MICROCHIP # llf�j- / i 3 ooy `t 6.s_ V3.) (If applicable) SUBTOTAL: $ / l RABIES VACCINATION DATE: L -yS _2,2_ (3 yr) �(1 yr) City Tag #_, h 7A* PET #3 LJ Dog ❑ Cat ❑ Spayed/Neutered Pet Name _ Birthdate Sex Color Breed** e __ Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # _ (If applicable) RABIES VACCINATION DATE: _ (3 yr) _ m 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 ENCLOSE® ), If you have questions; please contact Blair Police Department at (402) 426-4747 .+++..+++++.....++++++................ ........+++..++¢++...........++..+.+.a .. NEW PET/NEW RESIDENT° LICENSING REQUIREMENTS (March 151ate 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. 02/01/2022 15:11 4024260101 HOLSTEIN VET CLINIC PAGE 01/02 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 — 21.8 S. 16TH ST — BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO M RE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. ***PLEASE READ CAREFULLY*** Y E REQUIRED Y LAW TO LICEN E YOUR PETS. THE ITY OF BLAIR K IRES PROOF 0 ABIES VACCIN TION. ailu a 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 eY 3 t5 202Z. The city shall recognize a microchip ID number as the license number. It shall be unlawful or ny dog or cat to wear any license or other city ID other than that issued by the City of glair for such dog or cat. NEW PET LICENSI G ust be licensed within 10 days of ownership (OR) at 6 months of age if puppy or kitten NEW RESIDENTS 0 IJLAIR Must register pets within 10 days of residency Owner Name William Curry Spouse Joy Owner Addres ' 624 N 11 th City/State/Zip Rlair, NE 68008 Phone # 402-633-1184 Pet Name; He, v . LICENSE FEES Age; 8Y Sex: Neutered Male Color: Tri Color /ntect DOB: 05-26-13 Dog or Cat:'$16.00 Breed: Mix Cor D11.00 Microchip # 98 14 001672155 Rabies Tag ## 20076 PLEASE INCLUDE GI TAG NUMBER Ir THIS IS A RENEWAL (IF AVAILABLE): # Replacement Tag $5.00 RABIES VACCIN TI N DONE ON 02-01-22 Total 4.$ '\0() _ Rabies Descriptibn:l 1 YEAR A YEAR HolSWIM Veterinary Clinic Dr, Lisa Scru 71 DVM : Dr. Krista Holstein DVM 718 South 191" Street Blair, NE 68008 402 2 -7387 402-426-0101 Fax h is einclinic@gmail,com PETS THAT ARE ON THE AC RVE POTENTIALLY DANGEROUi nL DANGEROUS DOG LIST NEED TO REGISI" DIRECTLYAT CITY LL- (A 02/01/2022 15:11 4024260101 HOLSTEIN VET CLINIC PAGE 02/0 2022 PET LICENSE V E A IFICATION/APPLICATION FOR CITY OF GLAIR 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 M RE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. ***PLEASE READ CAREFULLY*** i I ailu a 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 0Y 3 15 2022, The city shall recognize a microchip ID number as the license number, it shall be unlawful For " ny 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 UCENSI G ust be licensed within 10 days of ownership (OR) at 6 months of age if puppy or kitten N>=W RESIDENTS 0 LAIR Must register pets within 10 days of residency Owner Name Spouse Owner Address City/State/zip Phone # Pet Name: M gg Age: 5Y DOB: 10.05-16 Breed: Lab Mi Microchip # PLEASE INCLUDE CIT RABIES VACCIN TI Rabies Description: Holst Dr. Lisa S 718 S, William Curry Joy 624 N 11 th Blair, NE 68008 402-533-1184 01 JnLIGLi' Sex: Spayed Female I Color: Brindle Rabies Tag # 18378 TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE), # N DONE ON 1 11-07-20 1 YEAR ( 3 YEAR Veterinary Clink ,ru rn DVM ; Dr. Krista Holstein DVM it 191' Street Blair, NE 68008 1,2 -7387 402-426-0101 Fax Its einclinic@gmail.com LICENSE FEE6 F Intact Dog or Cat. $16.00 Altered Do r cat: Rep/aeement Tag $5.00 i Total $1 .�,. PETS THAT ARE ON T EACTIVE POTf.N ALLYDANG RDUS OR DANC�ERDUS DDG LIST �lEEO TO REGISTER DIRECTLY Ar CITY HALL, FAXED 02-01-22 By tiil�il'sii;i' '� !'.I;" ':?iD)ii Tav�i$•enU l:y:��p;, �+li1.�• i�l � �'�i ih4 +`r.r;i•?. �i�iSi:r,,,.••,...lia��M�i•'q.�ii�,'iil�ijui;li�u�nr—�ufa•I:.a't r.: i t'• ��•Id,M+nrn{��r.�� 0 1`0 1 V3 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 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: x, Owner Address: �'Y city/state/zip: Blair, NE 68008 Phone # EI I;'s' LICENSE FEES�:Jppg or Cat: $16.00 Altered Dog 'de'Ccit, !tii.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 ofBlair requires proof of rabies vaccination. 'Ae phl a 6e�m—efit IF66-&r Lost Tag: $ S. 00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET #1 Dog LJ Cat ';4 Spayed/Neutered License Fee $ Pet Name 'J- % I C� Birthdate - /rSexf- Color 1 a ) - ti ,x Breed" rj � o-) 41'j:; � J�,r' Replacement $ Declared Dangerous or Potentially Dangerous Dog: L3 Yg N \ Ai - MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: Ci (3 yr) (I yr) — City Tag # 70 PET #2 LJ Dog LJ Cat LJ Spayed/Neutered Pet Name Birthdate Sex Color Breed" Declared Dangerous or Potentially Dangerous Dog: LJ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ PET #3 Ll Dog Ll Cat Ll Spayed/Neutered Pet Name Birthdate Sex Color Breed" Declared Dangerous or Potentially Dangerous Dog: LJ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ W W (I yr) (I yr) License Fee $ Replacement $_ * * SUBTOTAL:$ — City Tag# License Fee $ Replacement $ SUBTOTAL:$ — City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee Is due along with License Fee if requesting at the time of license renewal.) Do Not Send Cash by Mail TOTAL ENCLOSED $ If you have questions, please contact Blair Police Department at (402) 426-4747 .............................................................................. NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (Maro9 15 late fee date not applicable for newpetylnewresldents) Newly Acquired Pets: New Residents to Blair: N Must be licensed within 10 days of am)mhip n Must register pets within 10 days of 0 <OR> at 6 months of age if puppy/kitten residency. Holstein Vet Clinic 718 South 19th Street Blair, NE 68008 402-426-7387 Printed: 09-11-21 at 12:46p CLIENT INFORMATION Name Tracy Custer (10263) Address 1324 Voss Dr. Spouse Chris Blair, NE 68008 Phone 402 237-9841 PATIENT INFORMATION Name Bella Species Canine Sex Female Breed Heeler X Birthday 06-20-20 Age 14m ID 900085001132366 Rabies 19479 Color Black and Tan Weight 55.60 Ibs Reminded (none) Codes Reminders for: Bella Last done 09-10-24 Denfensor 3 (3 Year Rabies) 09-11-21 09-11-22 Vangard Plus 5 L4 09-11-21 09-11-22 Bronchi Shield - Oral Bordetel 09-11-21 04-28-22 Heartworm Test & Prevention 04-28-21 MEDICAL HISTORY - Vaccination View Date By Code Description Patient Chart City (Variance) Photo 09-11-21 LS 4RAB3 Defensor 3 { 3Y RABIES }, #19479 410002 Vanguard® Plus 5 L4 { Distemper+Lepto } 410009 Vanguard® B ORAL { Bordetella }