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D■ 02/18/2022 15:37 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($), 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 (,ICENSE YOUR PETS THE CITY OF 9LAIR REQUIRES PROOF OF RABIES VACCINATION Failure to do so is a violation of City Ordinances 6.103 and carries a penalty of a flee up to $150.00 per pet. PET LICENSE RENEWALS ARE DUE BY 3 15 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 Spouse Owner ,Address City/State/Zip Phone # Connie Dahlgren 1272 Deerfield BLVD #102 Blair, NE 68008 352-223-1831 Pet Name: Bentley Age, 5Y Sex: Neutered Male Color: Black and Tan DOB: 04.20-16 Breed: Yorkshire Terrier Microchip # Rabies Tag # PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE): # RABIES VACCINATION DONE ON 07-21-20 Rabies Description; 1 YEAR 3 YEAR 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 hoisteinclinic@gmail.com LICENSE FEES Intact Dog or Cat: $16.00 ire og or cat: $11.0 Replacement Tag $5.00 Total $'1 PATS iHAT ARE ON TNEQCTIVE POTENTIALLY DANC R4US Oft DANGEROUS DOG UST NEEQ 7"(7 REGISTER DIRECTLYAT CITY HALL. FAXED 02-18-22 BY ?„ 0��y� tier! �1, d u� ��'�1��..��in °�,�,.i �_f�I✓Ls� ,�lv�y � i�.11��li�alr{� ia�;�i��ll��u�r t�l' ��!�.�dW,�'��G a\ CITY OF BLAIR - 2022 PET LICENSE APPLICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair a 218 S 16th St • 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: 15, 2022 Owner Name: i Ann � � �,�,,'P Owner Address: I W 7 I�I01, Jlf A 0"ya city/state/zip: BI irr��, NE 68008 Phone # " G� L�' :J-jL- to -9 LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11.00 ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3/15/2022. The City shall recognize a microchip identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city identification other than that issued by the City of Blair for such dog or cat. The City of Blair requires proof of rabies vaccination. Replacement Fee for Lost Tag: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET #1 ❑ Dog � Cat X Spay d/Neutered License Fee $ Pet Name _ Birthdate S Sex Color Breed** N \ k, Replacement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) X (1 yr) City Tag #2j�* PET #2 ❑ og Cat Spayed/Neutered License Fee $��•� Pet Name GEC \TBirthdate !NjrG Sex Color 'I; I w VL Breed** Yy-1 0< Rep/acement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ _ RABIES VACCINATION DATE: 3 ACQ (3 yr) X_ (1 yr) City Tag # � PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed** Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not Send Cash by Mail TOTAL ENCLOSED $ If you have questions, please contact Blair Police Department at (402) 426-4747 ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ NEW PET/ NEW RESIDENT LICENSING REQUIREMENTS(March 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. Thone Animal Hospital 902 S Hwy 30 Blair, NE 68008 402-426-3630 FOR: Ann Darnel 1005 Nebraska St Blair, NE 68008 (402) 426-9826 Date For Qty Description 03-09-20 Molly 1 Fe4way + FeLeuk 03-09-20 1 Vaccination Exam 03-09-20 1 Rabies Vaccination (3 Year) 03-09-20 1 Discount Per Dr 03-09-20 Cash payment 03-09-20 #AG Cash Refund Oki balance Charges Payments 0.00 84.00 84.00 Reminders for: Molly (Weight: 9.1 Ibs - 23m) Last done 03-09-23 Rabies Vaccination (3 Year) - 03-09-20 03-09-21 Fe Leukemia Vaccination 03-09-20 03-09-21 Fe 4Way (Rhino/Call/Pans/Chia 03-09-20 Printed: 03-09-20 at 10:05a Date: 03-09-20 Account: 9476 Invoice: 91334 You Can Order Your Pet Supplies On animalcareofblair.com. Like us on Facebook!1 Net Price 34.00 31.00 29.00 -10.00 -85.00 1.00 New balance 0.00 Thone Animal Hospital 902 S Hwy 30 Blair, NE 68008 402-426-3630 Printed: 03-02-20 at 10:06a FOR: Ann Darnel Date: 03-02-20 1005 Nebraska St Account: 9476 Blair, NE 68008 Invoice: 91181 (402) 426-9826 Date For Qty Description Net Price 03-02-20 Goldy 1 Vaccination Exam 31.00 03-02-20 1 Fe 4Way (Rhino/Cali/Pant/Chia) 25.50 03-02-20 1 Rabies Vaccination (3 Year) 29.00 03-02-20 1 Thank You!!! 0.00 03-02-20 Cash payment -100.50 03-02-20 #AG Cash Refund 15.00 Old balance Charges Payments 0.00 85.50 85.50 Reminders for: Goldy (Weight: 14.4 Ibs - 19m) Last done 03-02-23 Rabies Vaccination (3 Year) 03-02-20 03-02-21 Fe 4Way (Rhino/Call/Pant/Chia 03-02-20 New balance 0.00 You Can Order Your Pet Supplies On animalcareofblair.com. Like us on Facebookll . c � If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair a 218 S 16th St e Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15. 2022 Owner Name: - Owner Address: f City/state/zip: Blair, NE 68008 Phone # ljoll - c I j) LICENSE FEES: Cat: $16.00 Altered�og 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. ep 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 ° Dog ❑ Cat Spayed/Neutered License Fee $ " Pet Name 1 fit. Birthdate i'ViU45 Sex AM Color khE ,r** !i i se Replacement ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: , " ` (3 yr) (1 yr) _ City Tag # PET #2 Dog ❑ Cat &-Spayed/Neutered License Fee $ 1 Pet Name 06' i Birthdate 1012,o, I3 3r Sex Color fG�r, ,FA Breed** �L II j -- —Rep/acement$ Declared Dangerous or Potentially Dangerous Dog: ❑ Y N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: d (3 yr) (1 yr) City Tag # * PET #3 ❑ Dog ❑ Cat . Spayed/Neutered License Fee $ Pet Name " i (le yr Birthdate I' � p of Sex Color' . i � f Breed** m .i ' ;, o c �,l r, f Rep/acement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y AN MICROCHIP # —(If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: t,,0272 (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.) �p Do Not Send Cash by Mall TOTAL ENCLOSED $ If you have questions, please contact Blair Police Department at (402) 426-4747 .....++++++.....+.++++..........++++++++++++.....++++++++++++++++++++++++... NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15/ate fee date notapplicable fornewpets/newresidenfs) 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/kitten residency. /� § !a. i ,� t•', `gyp d ri%` 4.../ . 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 RENEWALSARE ®UE,,, March 15, 2022 Owner Name: ° Ml Owner Address: city/state/zip: Blair® NE 68068 Phone # ***PLEASE READ CAREFULL YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. i$ j. PET LICENSES RENEWALS ARE DUE BY 3/15/2022. The Clty shad 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 vaccmatibn A— 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 i (' "A ET #� ,11 ` Dog ❑ Cat U Spayed Neutered License Fee $ Pet Name r'' Birthdate s Sex Color = _ Breed" C ; . C% Replacement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y 'i'N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: - CJ ;2 (3 yr) (1 yr) City Tag #k�* PET #2 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Birthdate Sex Color l Breed" Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ M (1 yr) 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) (1 yr) License Fee $ Replacement $ * * SUBTOTAL:$ License Fee $ Replacement $ * * `. s: A 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.) TOTAL ENCLOSED 4 Do Not Send Cash by Mail If you have questions, please contact Blair Police Department at (402) 426-4747 ...............++++++++.+++..........+.............................. r+++.+... NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15/ate fee date not applicable for newpets/newre5/dents) Newly Acquired Pets: New Residents to Blair: Is 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. Reminder Letter Report Sorted by Client ID .'D Client Name Patient ID Patient Name Item ID/Description Dean, Michele &Curtis (318)470-4217 9965 Ginger Type Date 857Blood Profile Chem 15 L 8C27/2021 |NTRA\nbanosa|BondehaUo/Pana|nMuenzm L 8/4/2022 86Distemper HepLapPan/o-Annua| L 6/4/2022 151 HearbwormTaot-GnopRT L 8/4C2022 82Rabies Vaccination - Canine 3yr L 10/30/2024 Blair Small Animal Clinic PC Page 1 of I Date: 2/25/2022 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 RENE ALS ARE DU : March 15 2022 Owner Name: 9 me+ 0ee wer Owner Address: `"7 P k S 1 City/State/Zip: Blair, NE 68008 Phone # LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11.00 ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3/15/2022. The City shall recognize a microchip Identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city identification other than that issued by the City of Blair for such dog or cat. The City of Blair requires proof of rabies vaccination. Replacement Fee for Lost Tag: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET # 1 t � D ❑ Cat Spayed Neutered License Fee $_ Pet Name g Birthdate Sex Color Breed** Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ _ RABIES VACCINATION DATE: I t) ®201 °i (3 yr) _K_ (1 yr) City Tag # PET #2Jb Dog ❑ Cat Spay d/Neutered License Fee $ 100 Pet Name bio ' _ Birthdate _ Sex Color W"'i Breed** Rep/acement$ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) , SUBTOTAL: $ RABIES VACCINATION DATE: yI q `L (3 yr) (1 yr) City Tag #Q 1 PET #3 JKI Dog ❑ Cat A Spa ed/Neutered License Fee $ Pet Na & _ Birthdate 15W Sex 0 Color Breed** Rep/acement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: r (3 yr) (1 yr) 2_ City Tag # ` a *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. I =11MM111ii w � I 1 902 S Hwy 30 Blair, NE 68008 402-426-3630 Certificate No: 411 OWNER OF ANIMAL Steven Deemer 1403 Park, St Blair, NE 68008 County: This is to certify... THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOI ITRU"S SPECIES: Canine SEX: N z Dr.Kamala Freeman yTT194r1r'U= TAG NO: 005250 WEIGHT: 29.10 AGE: 4 years 10-30-19- KF Rabies Vaccination (3 Year), #005250 10-29-22 01-09-19 LL Bordetella, P13 (Intra-trac 3) 01-09-20 01-09-19 ILL Check up, DA2PPV+L 01-09-20 10-08-15 LL Rabies Vaccination (1 Year), #002274 10-08-15 ILL DA2PPV MFG BY: ZOETI SER.NO: 374591 LOT EXP: 12/15/20 AUM: SQ CERTIFICATE OF VACCINATION Date of Rabies Vaccination: 01-19-22 Next Rabies Vaccination On: 01-18-25 VETERINARY CLINIC Thone Animal Hospital 902 S Hwy 30 Blair, NE 68008 402-426-3630 This is to certify... Certificate No: 1715 Previous Rabies Vaccination: OWNER OF ANIMAL Steven Deemer 1403 Park St Blair, NE 68008 County: THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Benji SPECIES: Canine SEX: N Color and markings... White Signed Dr. Donna Mertz Vaccinations done... TAG NO: 007427 WEIGHT: 10.90 AGE: 4 years License: 3630 01-19-22 ° '" DM Rabies Vaccination (3 Year), #007427 01-18-25 01-19-22 DM Bordetella Oral 01-19-23 01-19-22 DM DA2PPV 01-19-23 04-09-19 LL Bordetella, P13 (Intra-trac 3) 01-19-23 04-09-19 LL Check up, DA2PPV 01-19-23 01-09-19 LL Check up, Rabies 3YR, #004516 01-18-25 03-01-18 LL Check up, DA2PPV+L 11-16-17 LL (Distemper Group) DA2PPV+CV 11-16-17 LL Rabies Vaccination (1 Year), #003759 CERTIFICATE OF VACCINATION Date of Rabies Vaccination: 11-30-21 Next Rabies Vaccination On: 11-30-22 VETERINARY CLINIC Thone Animal Hospital 902 S Hwy 30 Blair, NE 68008 402-42673630 Certificate No: 3065 Previous Rabies Vaccination: OWNER OF ANIMAL Steven Deemer 1403 Park St Blair, NE 68008 County: This is to certify... THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Ace SPECIES: Canine SEX: M Color and markings... Black Signed Dr. Joe DiMari Vaccinations done... TAG NO: 007310 WEIGHT: 0.00 AGE: 15 weeks License: 3258 11-30-21 JRD Rabies Vaccination (1 Year), #007310 11-30-21 JRD DA2PPV+L 11-30-22 Rabies Vaccine Information... MFG BY: ZOETI SER.NO: 500084 LOT EXP: 5-10-22 ADM: SQ ;, Y 01/12/2022 14:21 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. 16TIl 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*** MARE REQUIRED BY LAWN LICENSE YOUR PETS. THE CITY OF BLAIR 1'�EQUIRES PROOF OF RABIES VACCINATION. Failure to do so is a violation of City Ordinances 6,103 and carries a penalty of a fine up to $150,00 per pet. PET LICENSE RENEWALS ARE DUE BY 3/15/2022. The city shall recognize a microchip ID number as the license number. It shall be unlawful for any dog or cat to wear any license or other city ID other than that issued by the City of glair 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 Michelle Deseure Spouse Owner Address 202 Hollowstone Or City/Suite/Zip Blair, NE 68008 Phone # 303-910-7271 Pet Name: (PLUS Age: 8Y Sex: Neutered )Male Color: Chocolate DOB: 05-07-13 Breed: Lab Microchip # Rabies Tag # PLEASE INCLUDE CITY TAG, NUMBER IF THIS IS A RENEWAL (IF AVAILABLE): # RABIES VACCINATION DONE ON 03-16-20 Rabies Description: 1 YEAR 4YEAR Holstein Veterinary Clinic Dr. Lisa Schrum DVM ; Dr, Kristo Holstein DVM 718 South 1911 Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinic@gmail.com LICENSE f, M Intact Dog or Cat: $16.00 ®I Dog or cat: �ac61x1er+rt ag $5.00 Total $ L1 PETS TNATARE ON THE ACTIVE POTENTIALLY PANGEROUS OR pANGEROUS DOG LIST NEED TO REGISTER DIRECTLYAT CITY HALL, FAXED 01-12-22 BY � i i �t�i'r �t.YA��++��C��yi �� M• �'� i r 1�L��!S��. J y, tihl}r d i 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 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. ***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 Do or Cat-. $li 00 g Replacement Fees for Lost Tact: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat operator inspection vrogram ET # 1 Dog ❑ Cat 1. Spayed/Neutered License Fee $ '� _ Birthdate ` Pet Name ex r Color s �� Breed** � � Replacement $ �'� _ Declared Dangerous or Potentially Dangerous Dog: ❑ Y C N MICROCHIP # — _(If applicable) SUBTOTAL: $ , '7 BTES VACCINATION DATE: ' (3 yr) (1 yr) City Tag # Cat ftl Spayed/Neutered = , ET #2 ❑ Dog ; License Fee $ �-- ij�:.. �. `. ,a et Name Birhdate Sex olor� =r=w Breed** ,- �.�r _Replacement $ ** I ( clared Dangerous or Potentially Dangerous Dog: ❑ Y dLj N IV ) 9 " g I ROCHIP # (If applicable) (1 SUBTOTAL: $ J' City Tag TES VACCINATION DATE:(3 yr) yr) mPET #3 ❑ Dog Cat �Spayed/Neutered License Fee $ _V Pet Name 0,16 `' _ Birthdate Sep ' Color Breed** �r.k Replacement $ Declared Dangerous or Potentially Dangerous Dog: ❑Y 0 N MICROCHIP # (If applicable) SUBTOTAL $ , RABIES VACCINATION DATE: J�(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.) ' dJ Do Not Send Cash by Mail TOTAL ENCLOSED $ 7 If you have questions, please contact Blair Police Department at (402) 426-4747 NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15late fee date not applicable fornewpets/new residents) Newly Acquired Pets: New Residents to Blair: N Must be licensed within 10 days of ownership m Must register pets within 10 days of IN <OR> at 6 months of age if puppy/ldtten residency. CITY OF BLAIR - 2022 PET LICENSE APPLICATION if you live in Blair City limits and own a dog(s) and/or 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 RENEWAL$ ARE DUE: March 15, 2022 Owner Name: Owner Address: City/State/Zip: Blair, NE 68008 Phone # A LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11.00 ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so Is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3/1512022. The City shall recognize a microchip identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city Identification other than that Issued by the City of Blair for such dog or cat. The City of Blair requires proof of rabies vaccination. Replacement Fee for Lost Tag: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET # 1 ❑ Dog Q Cat Spayed/Neutered License Fee $ , Pet Name f - Birthdate Sex Color Breed** Replacement$ r ** Declared Dangermis or Potentially Dangerous Dog: ❑ Y ❑ N ' MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: _`>� , r��f (3 yr) (1 yr) City Tag #%* PET #2 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Birthdate Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Birthdate Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ M (1 yr) (1 yr) License Fee $ Replacement $ SUBTOTAL: $ City Tag # License Fee $ Replacement $ SUBTOTAL: $ City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not Send Cash by Mail TOTAL ENCLOSED $ If you have questions, please contact Blair Police Department at (402) 426-4747 ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15late fee date not applicable for newpets/new residents) Newly Acquired Pets: New Residents to Blair: ■ Must be lb rLsed within 10 days of ownership ■ Must register pets within 10 days of 0 <OR> at 6 months of age if puppy/kitten residency. CERTIFICATE OF VACCINATION Date of Rabies Vaccination: 01-29-22 Certificate No: 1234 Next Rabies Vaccination On: 01-28-25 Previous Rabies Vaccination: 004510 VETERINARY CLINIC OWNER OF ANIMAL Thone Animal Hospital Sarah Detjens 902 S Hwy 30 2064 Lincoln Street Blair, NE 68008 Blair, NE 68008 402-426-3630 County: This is to certify... THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Joey TAG NO: 007463 SPECIES: Canine WEIGHT: 51.00 SEX: N AGE: 10 years Color and markings... BlIk And Wh Signed _ Dr, Joe DiMari Vaccinations done... License: 3258 01-29-22 JRD Rabies Vaccination (3 Year), #007463 01-28-25 01-29-22 JRD DA2PPV+L 01-29-23 01-02-19 LL Check up, DA2PPV+L 01-29-23 11-22-17 LL Rabies Vaccination (I Year), #003768 Rabies Vaccine Information... MFG BY: ZOETI SER.NO: 542135 LOT EXP: 02-14-23 ADM: SQ Client ID: Client Name Address: Phone 2060 Sarah Detjens 2064 Lincoln Blair, NE 68008 (402)889-2706 Tag Number: 0000 Vaccine: Imrab Rabies Vaccine Producer: Merial Brand: Imrab 3 TF Type: Killed Virus Manner of Subcutaneously Administration: 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: 6443 Faith Feline Domestic Shorthair Spayed Female Gray 02/27/2010 11.62 pounds on 11/19/2021 Vaccination Date: 3/6/2021 Expiration Date: 3/612023 Lot Number: 18490 Drug Expiration Date: 7/3/2021 Client ID: Client Name Address: Phone: 2060 Sarah Detjens 2064 Lincoln Blair, NE 68008 (402)889-2706 Tag Number: 0000 Vaccine: Imrab Rabies Vaccine Producer: Merial Brand: Imrab 3 TF "ype: Killed Virus Manner of Subcutaneously Administration: 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: 6444 Grace Feline Domestic Shorthair Spayed Female Orange 02/27/2010 16.56 pounds on 3/6/2021 Vaccination Date: 3/6/2021 Expiration Date: 3/6/2023 Lot Number: 18490 Drug Expiration Date: 7/3/2021 Client ID: Client Name: Address: Phone: 2060 Sarah Detjens 2064 Lincoln Blair, NE 68008 (402)889-2706 Tag Number: 0000 Vaccine: Imrab Rabies Vaccine Producer: Merial Brand: Imrab 3 TF Type: Killed Virus Manner of Subcutaneously Administration: 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 Patient ID: Patient Name: Species: Breed: Sex: Color: Markings: Birthday: Weight: Microchip ID: 6044 Hope Feline Domestic Shorthair Neutered Male Black/White 05/01/2012 11.68 pounds on 3/13/2021 Vaccination Date: 3/13/2021 Expiration Date: 3/13/2023 Lot Number: 18490 Drug Expiration Date: 7/312021 01/07/2022 16:33 4024260101 HOLSTEIN VET CLINIC PAGE 01/01 2022 PET LICENSE iii. 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. -r 218 S. 16TM ST BLAIR,, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PE S, 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 LICLNkE YOUR PETS THE CITY OF BLAIR REQUIRES PROOF OF RABIES VACCINATION Fallure to do so is a violation of City Ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSE RENEWALS ARE DUE BY 3/15/2022, The city shall recognize a' microchip 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 Charles DeVoe Spouse Barbara Shuck Owner Address 1205 Colfax St City/State/Zip Blair, NE 68008 Phone # 503-512-3574 ell wa ,► M, NJ,A Pet Name: CiCi Age: IBM DOB: 06-30-20 Sex: Spayed Female Color: Breed: Golden Retriever Microchip # Rabies Tag # 20015 PLEASE INCLUDE CITY TAG NUMBI=R IF THIS IS A RENEWAL (IF AVAILABLE): # RABIES VACCINATION DONE ON 01-07.22 Rabies Description: 1 YEAR 3 Y AR Holstein Veterinary Clinic Dr. Lisa Schrum DVM : Dr Krista Ho/stein DVM 718 South 1Tz Street Blair, NE 68008 402-426-7387 402-426-0101 Fax hoisteinclinic@gmail.com 1"ICEN69, FEES Intact Dog'or Cat: $16.00 A,/> or, D g OF cat: $11.00 Replacement Tag $5.00 Total $ 1.' (�FO PETS THAT ARE ON THE ACTIVE POTENTIALLY Ag LUEROUS OR DANGEROUS DOG LIST NEED TO REGISTER' DIRECTLY Ar CITY HALL, I 'I FAXED 01-07-22 BY �✓t !�� .. 111 ��i„�i�lit� ,�.'.Nt 1'r�i+ir r��:I P��?�i�u ��•�%��N` i I •Ir"YM 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, �P22 Owner Name: Owner Address: City/State/Zip: Blair, NE 68008 Phone # 6W LICENSE FEES: Dog or Cat: $16.00 .ftltararii nrior Cat: til 00 t, ***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. .Zeplacement Fee for Lost Tag- $s.on Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program a "#1 Dog LJ Cat *payed/Neutered License Fee $ ZZ 00 e A Birthdate Sex "e Breed" z�dh Ilk. / ,IAZ,l _Zlr Replacement $ 10 6Z AA__ JNA!� a cl red Dangerous or Potentially Dangerous Dog: L) Y �1 N IC CHIP # (If applicable) SUBTOTAL: $ I S VACCINATION DATE: (1 yr) City T T a ;`ei�# 2 LJ Dog J Cat Ll Spayed/Neutered License Fee- Pet 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 0 Dog Ll Cat LJ Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed" — Replacement $ Declared Dangerous or Potentially Dangerous Dog: LJ 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 $ 11,X_ If you have questions, please contact Blair Police Department at (402) 426-4747 .............................................................................. NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 151ate fee date not applicable forneWpelslneW lv5ldent5) 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. N CITY OF BLAIR - 2022 PeT LIUNSE APPL CATIOU 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: I City of Blair e 218 S 16th St 9 Blair,, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2022 Owner Name, KX -,., L':2/ .07 A - Owner Address: /0 0 7 L-1-a, Y,/- 5 T- — City/State/Zip: Blair, NE 613008 Phone # /O,;;z - &- ('-', 0 - -7 Y- S- 0 - ***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 tip 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. LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11.00 Repiacemeik 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 A Dog L1 Cat hdSpayecl/�e rt� ut4ecl License Fee $ Pet Name.- n Birthdate 'I-.;z0-13 Sex /41 )Color 6 Breed** Replacement $ Declared Dangerous or Potentially Dangerous Dog: Ll Y Z N MICROCHIP# (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: 2, .22 -. (3 yr) — (1 yr) _ City Tag # L7VY #2 Ll Dog 0 Cat LJ Spayed/Neutered O§t� , ame Birthdate Sex . N Coldr Breed** Declared Dangerous or Potentially Dangerous Dog: D Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) -- PET #3 LJ Dog J Cat LJ Spayed/Neutered Pet Name Birthdate Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: U 'Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) License Fee $ Replacement $ Ll N U N SUBTOTAL:$ (I yr) — City Tag # (I 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 Police Department at (402) 426-4747 .................. q ......... 1- ................................................... NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (march 15 late fee date not applicable fornewpet5lnew residents) Newly Aggluired Pets: New Residents to Blair: .- • Must be lioensed within 10 days of ownership m Must register, pets within tO days of • <OR> at 6 months of age if puppy/kften residency. Best Care Pet Hospitals 4915 N 120th Street Suite 8 Omaha, NE 68164 (402) 445-8738 Rabies Certificate Client ID: 26963 Patient ID: M15982 Client Name: Rhonda Dick Patient Name: Nash Address: 1007 Grant St. Species: CANINE Breed: MASTIFF Blair, NE 68008 Sex: Neuter Color: Phone: (402)660-7250 Markings: Birthday: 06/02/2013 Weight: 125.20 pounds on 2/26/2022 Microchip ID: Tag Number: 001541 Vaccination Date: 2/26/2022 Vaccine: IMRAB-3 Expiration Date: 2126/2025 Producer: Boehringer Ingelheim Lot Number: 18528 Brand: IMRAB-3 Drug Expiration Date: 9/15/2023 Type: Killed Virus anner of Subcutaneously Administration: Staff Name: Dr. Emily Gray D.V.M. License Number: 4177 Doctor Signature: Best Care Pet Hospitals 4915 N 120th Street Suite 8 Omaha, NE 68164 (402) 445-8738 Rabies Certificate Client ID: 26963 Patient ID: M15982 Client Name: Rhonda Dick Patient Name: Nash Address: 1007 Grant St, Species: CANINE Breed: MASTIFF Blair, NE 68008 Sex: Neuter Color: Phone: (402)660-7250 Markings: Birthday: 06/02/2013 Weight: 125.20 pounds on 2/26/2022 Microchip ID: Tag Number: 001541 Vaccination Date: 2/26/2022 Vaccine: IMRAB-3 Expiration Date: 2/26/2025 Producer: Boehringer Ingelheim Lot Number: 18528 Brand: IMRAB-3 Drug Expiration Date: 9/15/2023 Type: Killed Virus anner of Subcutaneously Administration: Staff Name: Dr. Emily Gray D.V.M. License Number: 4177 Doctor Signature: CITY OF BLAIR - 2022 PET LICENSE APPLICATION IT 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: of Blair e 218 S 16th St o Blair., ME 68008-1.1 You may legally own -a combination of four:(4) adult pets, but no, more than .three: (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE- March 15,2022 Owner Name: Owner Address: citylstate/zip: Blair, NE 68008 Phone # LICENSE FEES: Dog or Cat. $16.00 .1 Aim-.rwi nnri nr rni��ti i -on CAAE- '***PLEAS 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 Identlflcation,other than that Issued by the City of Blair for such dog or cat. The City ofBlair requires proof of rabies vaccination. Replacement Fee for Lost Tag: $5.00 Included Is a State Fee of $1.25 being collected to fund the 'Nebrasta Dog Be. Cat operator inspection Program PET #1 4, Dog L] Cat 11. Spayed/ N e utered License Fee Pet Name 0, c /, I I e Birthdate Sex Color b77--4 Breed** -s -Replacement Declared Dan'gerous or Potentially Dangerous Dog: L3 Y El N MICROCHIP # (If applicable) SUBTOTAL:$ RABIES VACCINATION DATE: (3yr)(1yr) /'�_ City Tag # 2 PET #2 P'Dog, Ll Cat 'd-Spayed Neutered Pet Name Lr i f ?- Birthdate Sex Color 151 Y Z Breed** r Declared Dangerous or Potentially Dangerous Dog: L3 Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: 1 (3 yr) — License Fee $ . _41_-�L r Replacement $ 3 N SUBTOTAL-.$ (I yr) City Tag PET #3 Ll Dog Ll Cat L] Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed** Replacement Declared Dangerous or Potentially Dangerous Dog: L3 Y Ll 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 ENCLOSED $ .. If you. have quesffons� please contact Blair Police Department at (402) 426-4747 . ................................. f .............................................. NEW PET'/NEW RESIDENT- LICENSING, REQUIREMENTS (March 15 late fee -date not applIcable fornewpetsInew resldents) Newl 'Acquired Pets New Residents to Blair, III :-, MUst be licensed.within 10 days of ownership 13 Must register pets within 10 days of W <OR> at, 6 months of age if puppy/kitten , residency. 12/17/2021 11:26 4024260101 HOLSTEIN VET CLINIC PAGE 02/07 2022 PET LICENSE C, 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. 16TIl ST — GLAIR, 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 RE UIRED BY LAW TO L1GENSE YOUR PETS, THE CITY OF GLAIR Rf QUIRES PROOF OF RABIES VACCINATION. 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 3/15/2022. 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 glair 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 Michael Dodd Spouse JoAnn Owner Address 1952 Grant Street City/State/Zip Blair, NE 68008 Phone # 402-426-184.4 ��172 Pet Name: Bella Age: 19W DOB: 08-03-21 Sex: Female Color: Black Breed: Goldendoodle Microchip # Rabies Tag # 19663 PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL- (IF AVAILABLE); # RABIES VACCINATION DONE ON 12-09-21, Rabies Description: 1 YEAR 3 YEAR Holstein Veterinary Clinic Dr. Lisa Schrum DVM : Dr. Krlste Holstein DVM 718 South 1VII Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinic@gmail.com LICENSE FEES Intact � Dog or Cat: $16.0 Altered Dog or cat; $11.00 Replacement Tag $5.00 Total $ S THAT ARE ON THE CTIVE POTENTIALL DANGEROUS OR DANGEROUS DOG LIST NEED TO REGISTER DIR LV AT CJTY HALL, FAXED 12-17-21 BY FAX TO BPQ @ 402-426-7144 03/21/2022 16:42 4024260101 HOLSTEIN VET CLINIC PAGE 02/02 It 2022 PET LICENSE VERIFI ATION/APPL,ICATI N FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND O N A DOG(S) AND /OR W,(S), COMPLETE THIS FORM AND RETURN W TH A CHECK PAYABLE TO: CITY OF BLAIR — 218 S. 16r" ST — BLAIRf NE 68008 YOU MAY LEGALLY OWN A COMBINATIO OF FOUR (a) ADULT PETS, BUT NO MORE THAN.THREE (3) ADULT DOGS OR THREE (3) A ULT CATS VER RESIDENTIAL OR DWELLING UNIT. ***PLEASE READ CAF EFULLY'P** YOU A ERE UI D BY LAW TO LICENSE YOUR PETS. THE TY QB IR RE UI ES PROOF QF RABIE CCINA I Failure to do So is a violation of City Ordinances 6,103 and c irries a penalty of a fine up to $150.00 per pet, PET LICEN E RENEWALS ARE VE BY 3 15 2o22. The city shall recognize a microchip ID n imber as the license number. 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 cE ET LICENSING Must be licensed within 10 days of ownershi q(OR) at 6 months of age if puppy or kitten ESIDENTS TO BLAIR Must register pets within 10 days of res dency OwnOr Name Spouse Owner Address City/ tate/Zip Phon # . et Na%e: Brutus Age: 3Y Sex; Male DOB: 6.30-18 Breed: I Poodle,Standard D ana Doerneman Brian Knight 101 N. 20th Ave Circle Blair, NE 68008 402-380-5160 Color: 01ack p # 985112010834152 1 Rabies 11CLUDE CITY TAG NUMBER IF THIS IS A FIENEWAL (IF AVA RABIES VACCINATION DONE ON 03-18-21 Rabies �escrilptlon: 1 YEAR HIstein Veterinary Clinic D i Lisa Schrum DVM : Or Krista Holstein OVM 18 South 1911 Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinic@gmail.com 3Y LICENSE,FEES Intact D'og or Cat: $16,00 # 18995 Dog or cat: $11.00 LE): # Replacement Tag $5.00 Total VEjS 'THAT ARE QN THE ACTIVE' POTENTIALLY bANGEROU9 OR DANGLRousDOCK fSTNEEDTQREGISTERDfR,E`,(TLYATCITYHALL FAXED 03-21-22 BY Ml�Jµ!r��, � Ally ,��),� 'i: Y• I +�i" i`'" a 7 � :tJ:J4� ��'.', � � :•�w�i '��'�`' � !�y..,,,�, ,t;�;:; !-r:xo�'j)��r� �J �:�a:: ��,fi'tA, g`i;'Y^�tiY 03/21/2022 16:42 4024260101 HOLSTEIN VET CLINIC PAGE 01/02 2022 PET LICENSE VERIFICATION/APPLICATI N FOR CITY OF BL,AIR IF YOU LIVE IN BLAIR CITY LIMITS AND 0 fN A DOG(S) AND /OR CAT(S), COMPLETE THIS FORM AND RETURN W. TH A CHECK PAYABLE TO: CITY OF BLAIR — 218 S. 16T" ST — BLAIR, NIE 68008 YOU MAY LEGALLY OWN A COM BINATIOf I OP FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) AC VLT CATS PER RESIDENTIAL OR DWELLING UNIT. "PLEASE HEAD CA EFULLY*** YOU ARE REUI ED BY LAUV TO LICENSE YOUR PE 5. THE ITY 0 B�,gIR RE UIRES ROOF OE RABIES VACCINAT ON. Failure to do so is a violation of City Ordinances 6.103 and c rrles a penalty of a flee up to $150,00 per pet. PET LICENSE RENEWALS ARE, UE BY 3 1S 2022. The city shall recognize a microchip ID n imber as the license number. It shall be unlawful for any dog or cat to wear any license or other city ID other than that issued by the City of Blair for such dog or NEW PET LICENSING Must be licensed within 10 days of ownershi (OR) at 6 months of age If puppy or kitten NEW RESIDENT$ TO GLAIR Must register pets within 10 days of res dency Name I D ana Doerneman Brian Knight Owne Address 101C N. 20th Ave Circle i City/State/Zip lair, NE 68008 Phone; # 402-380-5160 i et Name: Portia Age: 11M Sex: Female DOB: 04.03-21 Breed: I Giant Schn Microchip # PLEASE �NCLUVE CITY TAG NUMBER IF THIS IS A Color: Rabies T g # 19369 (IF AVAIL BLE): # RABIES!VACCINATION DONE ON 07-29-21 i I Rabies 089cription: 1 YEAR 3 YEAR HO! lste,in Veterinary Clinic Dr, Lisa Schrum DV44 Qr, Krisra Ho/stein Dl/M 718 South 1911 Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinic@gmail.com ICF,NSE FEES �ct �g or Get' $16,C ,.altered og or cat: $11.00 Replacement Tag $5.00 Total $-, L(a— PE7STHAIALEONTNEAGTIVEPQ%fNTIALLVQANGEROU DR t�NGEROUS pDG UST N�'ED TO REC(STER DIREf� j'LY AT CITE HALL. 5 CITY OF BLAIlt - 1 LICENSE If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair * 218 S 16th St a Blair, NE 68008 You may legally own a, combination of four (4) adult pets, but no more than three (3) adult dogs, or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2022 Owner Name: Owner Address: to-). City/State/Zip: Blair, NE 68008 Phone # (4Dj,) (D"1` -D �3 LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11.00 ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3/1512022. The City shall recognize a microchip Identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city Identification other than that Issued by the City of Blair for such dog or cat. The City of Blair requires proof of rabies vaccination. l:eplaccment Fee for Lost Tag: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program ET #1 ® Dog Cat 2f Spaye /Neutered License Fee Pet Name O � Birthdate 15 Sex yy-� A I -, Color Breed** <)\%o k- aiy'�d �o Rep/acement$ ** Declared Dangerous or Potentially Dangerous Dog: LI Y b3 N MICROCHIP # 5 2.o0(04i-1 (P4 0 (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: 3 2,67 3 yr) (1 yr) City Tag # 3Qo-�,IT T PIET ##' 2 Ud Dog ® Cat Spa ye / eutered License Fee $ � i Pet Name �� _ Birthdate Sex yvAa� Color f',hoc,�a�e . Breed** r i �u� Rep/acement $ Declared Dangerous or Potentially Dangerous Dog: ® Y 12 N MICROCHIP # g5(0®®00® ON 160o 1'7tP (If appli ble) SUBTOTAL: $ RABIES VACCINATION DATE: ZdZ y (1 yr) City Tag # 3b PET #3 'W Dog ® Cat 1A Spay d/N utered License Fee $ Pet Name Birthdate t 2`1 I Sex Color 1010 Breed** Rep/acement $ 0 * * Declared Dangerous or Potentially Dangerous Do : ® Y N MICROCHIP # 94) 5112,0 Olq -? 13 (If applicable), SUBTOTAL: $ RABIES VACCINATION DATE: -i 2 �— 3 y (1 yr) City Tag # '3�s *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 '1 If you have questions, please contact Blair Police Department at (402) 426-4747 ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15late fee date not applicable fornewpets/new residents) Newly Aoquired Pets: New Residents to Blair: a Must be licensed within 10 days of ownership a Must register pets within 10 days of a <OR> at 6 months of age if puppy/Idtten residency. J Date of Rabies Vaccination: 1/21/2020 Certificate No: 0 Next Rabies Vaccination On: 1/20/2023 Previous Rabies Vaccination: VETERINARY CLINIC A 11 OWNER OF ANIMAL Big Goose Veterinary Clinic Ken Doolin & Wellness Center 11-56"ofly-Ponil s-Drmive ),u [,j Sheridan, WY 82801 She4dan,-XA/ 8260t iq', 307-674-4500 Courity.-SherAdan- c This is to certify... THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... 11-1- PATIENT: Sophie 'A' TAG NO: 20038 SPECIES: Canine WEIGHT: 9.10 SEX: S AGE: 16 months CHIP: 985112010878199 Color and markings... QL*tk & White Signed Laura Wold DVM Vaccinations done... License: 1/21/2020 LW DHPP Adult 3y 1/20/2023 1/21/2020 LW Canine Rabies 3 Year Vaccine, #20038 1/20/2023 1/15/2019 LW Canine Rabies Annual Vaccine, #19027 1/16/2019 LW DHPP Annual 12/18/2018 LW DHPP #2 Puppy 11/27/2018 LW DHPP #1 Puppy Rabies Vaccine Information... MFG BY: MERIA SER.NO: 18435 LOT EXP: 25APR21 ADM:RRSQ \4 Connecting your contact information to your°, pet's microchip ID# Is important —follow the omeAc- Alast pat'. hest chnncc steps below to ensure your pet is protected. �F Eo" _ � a d r' 3 �(` _.. CITY OF I � 0 16 114 'if you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City Of Blair a 218 S 16th St ® Blair, NE 68008 You may legally, own a combination of four (4) adult pets, but no more than three,- (3) adult dogs or three (3) adult cats per residential or dwelling unit.. r.w, LICENSE RENEWALS ARE DUE: March 15, 2022 ***PLEASE READ CAREFULLY*** Owner Name: C)Slala v� � YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Owner Address: 1 C� 7 4o, �' r' �`� 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 _ i U PET LICENSES RENEWALS ARE DUE BY 3/15/,2022. The City shall Identification as the license number. It Phone , recognize a microchip number shall be unlawful for any dog or cat to wear any license or other city Identification other than that Issued by the City of Blair for such dog or LICENSE PEES: Dag or Cat: $16.00 cat. The City of Blair requires proof of rabies vaccination. Altered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 ` Inc '! to Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program 4 P Dog ® Cat Spayed/Neutered License Pee`' �w" date 7 Sex Yt� -Pet Nai�nel�l� l Birt IfColor Breed** 1� _ Replacement ®** Declar Dangerous or Potentially Dangerous Dog: ® N MICR HIP # _(If applicable SUBTOTAL: $ l Ulk VACCINATION DATE: r -1'i - 21 (3 yr) (1 yr) oCity Tag - ° �Olb #2 Ll Dog IJ Cat ® Spayed/Neutered License Pee $ Pet ame Birthdate _ Sex Colo _ Breed** Rep/acement $ ** Dec ared Dangerous or Potentially Dangerous Dog: Ll Y Ll N MI ROCHIP # (If applicable) SUBTOTAL: $ IES VACCINATION DATE: (3 yr) (1 yr) _ City Tag # a PET #3 ® D o g Ll C a t Ll Spayed/Neutered License Pee $ Pet Name Birthdate Sex . Color Breed** Replacement $ ** Declared Dangerous or Potentially Dangerous Dog. Ll Y ❑ N MICROCHIP # _ (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) _ (1 yr) City Tag #I *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.) Ob Do Not Send Cash by Mail TOTAL IV LOS E If you have questions, please contact Blair Police Department at (402) 426-4747 N IRErf, LICENSING REQUIREMENTS(March 15late fee date not applicable fornewpets/newresldenL5) I Acquired Pets: New Residents to Blair: Must Iloe In 0 days of ownership ® Must register pet, within 10 days of <OR> at 6 months of age if puppy/ldtten residency. �6 . CERTIFICATE OF VACCINATION . 0 1 1 0, M-1:F1,4117T �'FMFIJ 6=1 0 1 01; Thone Animal Hospital 902 S Hwy 30 Blair, NE 68008 402-426-3630 This is to certify... WMr-_n""ff= Certificate No: 2910 Previous Rabies Vaccination: OWNER OF ANIMAJ April Dose 1123 N 18th ave Blair, NE 68008 County: PATIENT: Willow TAG NO: 007027 SPECIES- Canine WEIGHT: 1.81 SEX: F AGE: 19 weeks Signed Dr.Kamala Freeman VTrftWU1TTff0T,TV#• Iff pq=l�f 2 1 08-17-21 KF Rabies Vaccination (1 Year), #007027 08-17-21 KF DA2PPV 08-17-22 07-16-21 KF DA2PPV 08-13-21 07-02-21 RXC Bordetella Oral 07-02-22 MFG BY: ZOETI SER.NO: 4703410 LOT EXP: 5-10-22 ADM: SQ CITY OF BLA;R ® 20 T L CE('1E ICATION 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 ® 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. �' ✓ 0 A 21;) LICENSE RENEWALS ARE DUE: March 15, 2j ®22 Owner Name: 0AV ��j 0 V� Owner Address: 6 �- q l (P A, 5 ***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. City/State/Zip: Blair, NE 66006 ,r u �y� PET LICENSES RENEWALS ARE DUE BY 3/15/2022. The City shall Phone # `i. 7— �� "k� 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 (�P T # Dog ❑ Cat B'Spayed/Neutered License Fee $ / a iJ Pet Name v Birthdate 3 - 2- -1,01 Sex /_ Col r `�� Breed** i,; Y Rep/acement $ Dec aced Dangerous or Potentially Dangerous Dog: ❑ Y MI OCHIP # (If applije SU BTOTAL: $ RA ES VACCINATION DATE _ ( r (1 yr) City Tag # j - ___-�— 7T # 2 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ P Name Biithdate Sex C for Breed** Replacement $ eclared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N ICROCHIP # (If applicable) SUBTOTAL: $ BIES VACCINATION DATE: (3 yr) (1 yr) City Tag # PET # ❑ 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 ENCLOSE® $ If you have questions, please contact Blair Police Department at (402) 426-4747 ++++++++++++.....++++++...+++.....+++++++++.++.....++++++++++++.........+.+++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March15/ate fee date not applicable for newpets/newresldents) Newly Acquired Pets: New Residents to Blair: • Must be licensed within 10 days of a✓v iership m Must register pets within 10 days of • <OR> at 6 months of age if puppy/kitten residency. Schrum Animal Care LLC dba Holstein Veterinary Clinic 718 S. 19th Street — Blair, NE 68008 402-426-7387 MAIN at 402-426-0101 FAX holsteinclinic@gmail.com tit www.hoisteinvet.com OWNER INFORMATION PATIENT INFORMATION CLIENT: Melody Dubon PATIENT NAME: Bucky ADDRESS: 589 S 16th St SPECIES: Canine CITY: Blair BREED: Lab Mix STATE: NE SEX: M ZIP:68008 COUNTY: COLOR/MARKINGS: Black PHONE: - WEIGHT: 83.20 OTHER: BIRTHDAY: 03-02-18 AGE: 4 years OTHER PHONE: MICROCHIP #: RABIES INFORMATION I fACCINATION DATE: 06-06-19 EXPIRATION DATE: 06-05-22 TAG NUMBER: 17013 MFG BY: ZOETI VIRUS: Killed Virus ADM: SQ SERIAL #: 328008 LOT EXP: 07-07-20 THIS IS TO CERTIFY THAT I HAVE VACCINATED THE ANIMAL DESCRIBED ABOVE AGAINST RABIES. STAFF: Krista Holstein, DVM LICENSE: 3612 STAFF SIGNATURE/STAMP: Kr44v-1 Hoty4�5 DVM I I I I I I I 1 I I I I I L----- - - - - - I Date of Rabies Vaccination' 06-06-19 OXX F%O 9%1V,17 vaccination On: (none) VETERINARY CLINIC Holstein vet Clinic 718 South 19th Street Blair, NE 68008 402-426-7387 This Is to certify... THAT I HAVE VACCINATED Patient information... PATIENT: Bucky SPECIES: Canine SEX- M �01*4 morkinas... Black Certificate No. 0 Previous Rabies Vaccination: OWNER OF ANIMAL Melody Dubon 589 S 16th St Blair, NE 68008 County: - RABIES THE ANIMAL DESdRI13ED BELOW TAG NO:'17013 W51GHT: 83J0 AGE: 4 years Signed License: 3612 KrIsta Holstein DVM Rabies Vaccine Information... MFG BY: z0ETI SER.110: 328008 LOT EXP: 07-07-20 ADM: "SQ TO/10 39Vd -1 DINI10 13A N131S�OH TOT09zvz0v Z6:TT ZZOZ/6Z/60 Blair Small Animal Clinic PC David E. Johnson DVM 1734 Front Street Blair, Nebraska, 68008 (402) 533-2722 Rabies Certificate Client ID: 8066 Patient ID: 10899 1 LA I Client Name: --M*,&-Farrens, 0 0 v'I 0 LA, r 0 " '�'I Patient Name: Cinch Address: --W-45-0-Avenue— Species: Canine Breed: Border Collie D !TNr,-NE-6BO2,0 Sex: Neutered Male Color: Biscuit/White Phone: {4U)87,0-7-1-00 Markings: Birthday: 04/15/2017 Weight: 43.80 pounds on 1/4/2022 Microchip ID: Tag Number: 6807 Vaccination Date: 1/4/2022 Vaccine: Imrab Rabies Vaccine Expiration Date: 1/412025 Producer: Merial Lot Number: 18514 Brand: Imrab 3 TF Drug Expiration Date: 3/11/2023 pe: Killed Virus Manner of Subcutaneously Administration: Staff Name: David E. Johnson DVM License Number: 1893 Doctor Signature: 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. j LICENSE RENE ALS ARE DUE: March 15, 2022 �� .� {�., ,�, s � t,,; ,, � ***PLEASE READ CAREFULLY*** Owner Name: __ �_o� 1t:J" — �y r` YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Owner Address: a } t 1 Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. City/State/zip: Blair, NE 68008 PET LICENSES RENEWALS ARE DUE BY 3/15/2022. The City shall Phone #%�- Ii recognize a microchip Identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city Identification other than that Issued by the City of Blair for such dog or LICENSE FEES: Dog or Cat: $16.00 cat. The City of Blair requires proof of rabies vaccination. Altered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET 1. - Dog ❑ Cat 0 Spa d/Neutered � License Fee ► I W Pet N Birthdate� - x _ o eclared Dangerous- lo Breed** Replacement$ ** \ or Potentially Dangerous Dog: ❑ Y ❑ N y ICROCHIP # If applicable) , SUBTOTAL: $ _. BTES VACCINATION DATE:- (3 yr) - (1 yr) City Tag # -� 4� __JPET #�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) I (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 1 If you have questions, please contact Blair Police Department at (402) 426-4747 ++++++...............+++++++++++++.++++++++++.......... ..........++++.+..... do NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15late fee date not applicable for newpets/newresidenis) 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. 16. CITY OF BLAIR - 2022 PET LICENSE APPLICATION 1, 1), If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair • 218 S 16th St ® Blair, NE 68008 You may legally own a combination -of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2022 Owner Name: jZrr��,-m d Owner Address: gon3 Wo -A r i dcl0 04.r City/State/zip: Blair, NE 68008 Phone # (-qoz> .6 63 -gr77Z 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 b Dog ❑ Cat .4 Spayed/Neutered License Fee Pet Name Aysinu Birthdate 1 /# Sex es Color B to ck, Breed** _Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y X N MICROCHIP # -0' (If applicable) SUBTOTAL: $ /• D0 RABIES VACCINATION DATE: l 1J (3 yr) (1 yr) __ City Tag # * PET # 2 Dog ❑ Cat Q Spayed Neutered 0 License Fee $ 1 i• b0 Pet Name Birthdate z 1z. Sex at' - Color IA_)1-7 Breed** Replacement$ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y �4 N MICROCHIP # _=�' _ (If applicable) ,,• SUBTOTAL: $ 11.00 RABIES VACCINATION DATE: 101 1 is 9 (3 yr) fir' (1 yr) City Tag # 3 1-3 PET #3 Dog ❑' Cat IV Spay d Neutered License Fee $ 11 � U 0 Pet Na e D i V 1^ Birthdate P Sex `� Color _r-L'nal.lA, Breed** Replacement$ ** Declared Dangerous or Potentially Dangerous Do Y ' 4 N MICROCHIP # &-- (If applicable) /,- SUBTOTAL: $ 1 /. 60 RABIES VACCINATION DATE: 1? f C (3 yr) V (1 yr) City Tag # 3 *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 $ 330-0- If you have questions, please contact Blair Police Department at (402) 426-4747 +++++++.++++++++++++++++.....+++++++++++..+++++.....++++++++++++++++.+++++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15late fee date not applicablefornewpeis/new residents) Newly Acquired Pets: New Residents to Blair: Must be licensed within 10 days of ownership IN Must register pets within 10 days of <OR> at 6 months of age if puppy/kitten residency.