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EFeb 05 22 08;13a Thone Anima (402) 426 902 S Hwy 30 Blair, NE 68008 CITY OF BLAIR W 2022 PET LICENSE APPLICAMN I(you live in Blalr;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; M_ arch 15. 2029L owner Name: De' owner Address:city/state/zip: Blair, NE 68008 Phone # 3 A y O LICENSE FEES: Dog or Cat; $16.00 Altered Dog or Cat: $'11.00 Replacement Fee for Lost Tag; $5.00 Iricluded is a State Fee aP $125 bei READ CARERILL: 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 fine up to$1SD.00 per pet. PET LICENSES RENEWALS ARE DUE BY ILLq ja 1. 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 or Blair for such Clog or cat. The City of Blair requires proof of rabies vaednaticn. ng eglleumn to fund the Nebraska Dag & Cat C)per for Irispecttitin program *PLEASE INCLUDE THE cnyTAG NUMBERIFTHIS 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) 426-4i4T- ++++++.....r• f.++* +++..t•-I..t.F........+.++++........+++.++..........................f NEW PETJNEW RESIDENTLICENSiNG REQUIREMENTS (Marchl.5laiereBdatenotW#ka fcrnewfieLs/newfWdajtS) Newly Awuired Pets New Residents to Blair ■ Must be lioertsad tnrdttn 10 days of camp ' ■ Must regrsler pt:t within 10 days of ■ <OR> at 6 monttlS of age if puppypdtben resldefxy. POET LICENSE VERIFICATION/APPLICATION FOR CITY( ... IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT(S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO., CITY OF BLAIR, — 218 S. 16TH ST -• BLAlIR, NB 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 LICENSE RENEWALS ARE DUE SY 3/15/2021. The city shall recognize a microchip la rnumb8r as the license number. It shall be unlawful fQr 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. NE _W PET LICENSING Must be licensed Within 10 days of ownership (OR) at 6 rn nths of age if pulpy or kitten NEW RESIDENTS TO BLAIR Must register pets within 10 days of residency Owner Name Polly EckerBley Spouse owner Address ��(� �j��.Y.�iE}.1d► �\v�i 1i=i�`C �-1C�5 +pity/Btalte/Zip Blair,, NE 68008 Phone 417-380-2799 �6 � 4�1 1 DL # or DOB Pet Na►rne: Buddy Age: DOB-. 05-13-21 Sex: Sex: Color., Black and white Breed: Bhih Tzu Microchip # Rabies Tag # RABIES VACCINATION DONE ON Rabies Description: 1 YEAR YEAR Holstein Veterinary Clinic ,Dr. Lisa Sc4rum PVM Dl' KristO HOISteltl DVM 718 South 19th Street Nair, NE 68008 FAXED 402-426-7387 402-426-0101 Fax �y hoisteinclinic@gmail.com LICENSE FEES Intact Dag or Cat: $16.00 og or ca rJt7 Replacement Tag $5.00 Total $ l� ( A'�PLIVCATiO(N I` CITY OF BLAII E(I If you live in Blair City Ci limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City Of Blair a 218 S 16th St a Blair, NE 68008 You may legally own a combination of four (4) adult pets,.but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. a L,.� LICENSE RENEWALS ARE DUE: March 15. 2022 ***PLEASE READ CAREFULLY*** Owner Name: V I r— YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Owner Address: I I FG I b UG a Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $iso.00 per pet. City/State/Zip: Blair, NE 68008 ) s PET LICENSES RENEWALS ARE DUE BY 3/15/2022. The City shall -� recognize a microchip Identification number as the license number. It Phone # shall be unlawful for any dog or cat to wear any license or other city Identification other than that Issued by the City of Blair for such dog or cat, The City of Blair requires proof of rabies vaccination. LICENSE FEES: Dog or Cat: $1.6.00 Altered Dog or Cat: $11.00 Replacement Fete for Lost Tag: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection P ram j # 1 ❑ Dog Cat 0 Spayed/Neutered License Fee Name—.) �, 06 Birthdate '1 L 1.� Sex k Ir �t��a _ Breed** "1"V� Replacement $ lared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N ROCHIP #(If applicable) SUBTOTAL: $ JES VACCINA-,qQN-. DAT, J l--�_ p (3 yr) �C s (Y yr) City Tag # v a I T #2 ❑ Dog 0 Cat Spi Name L4 0C Birthdate it C Lk c � Breed** lared Dangerous or Potentially DangE ;ROCHIP # `,"?41 2 `i? K Ili bU�16'1� LIES VACCINATION DATE:, PET # 3 ' ❑ D o'g d Cat CIF' Sapi; Pet Name 'r i 4 sv Birthdate Color %-, lt, Breed** Declared Dangerous or Potentially DangE MICROCHIP #4 _I I ti� ° ° P s" 16' ° RABIES VACCINAIRON DATE: ° r *PLEASE INCLUDE THE C TAG NUMBER D- i ** (This fee is due along with License Fee if p.d/Neutered License Fee $ 1 O6 c ItI) Sex S I o il-w r Replacement $ * * is Dog: ❑ Y ❑ N Q If applicable) SUBTOTAL: (3 yr) _�j (1 yr) City Tag Do Not Send Neutered License Fee $ ni Sex .E V _ Replacement $ Dog: ❑ Y ❑ N applicable) SUBTOTAL: $ _ (3 yr) X (1 yr) City Tag # oo/111 tENEWAL ng at the time of license renewal.) Ji fV J by Mail TOTAL ENCLOSED $ If you have questions, pleaselontact Blair Police Department at (402) 426-4747 .o ++++++.....+++++++++.+++++++++fit..............++++++++++++++++++............. NEW PET/NEW RESIDENT LICENSING REQUIR.EM:NTS (March 15/ate fee date not applicable fornewpets/new residents) Newly A uired 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/ldtten residency. Blair Small Animal Clinic PC David E. Johnson DVM 1734 Front Street Blair, Nebraska, 68008 (402) 533-2722 Rabies Certificate Patient ID: 6806 Client ID: 610 Patient Name: Jack Client Name: Ginger Edgell Species: Feline Address: 1119 Fairview Breed: Domestic Shorthair Blair, NE 68008 Sex: Neutered Male Color: Orange Markings: Phone: (402)426-4475 Birthday: 07/02/2013 Weight: 14.75 pounds on 3/12/2020 Microchip ID: 985112001333764 Tag Number: 0000 Vaccination Date: 3/9/2021 Lot Number: 18490 Expiration Date: 319/2023 Imrab Rabies Vaccine Producer: Merial K / MLV / R: Killed Virus Staff Name: David E. Johnson DVM License Number: 1893 Blair Small Animal Clinic PC David E. Johnson DVM 1734 Front Street Blair, Nebraska, 68008 (402) 533-2722 Rabies Certificate Patient I D: 6923 Client ID: 610 Patient Name: Lucky Client Name: Ginger Edgell Species: Feline Address: 1119 Fairview Breed: Domestic Shorthair Blair, NE 68008 Sex: Spayed Female Color: Calico Phone: (402)426-4475 Markings: Birthday: 09/11 /2013 Weight: 8.06 pounds on 3/12/2020 Microchip ID: 985111000168788 Tag Number: 0000 Vaccination Date: 3/9/2021 Lot Number: 18490 Expiration Date: 3/9/2023 Imrab Rabies Vaccine Producer: Merial K / MLV / R: Killed Virus Staff Name: David E. Johnson DVM License Number: 1893 Blair Small Animal Clinic PC David E. Johnson DVM 1734 Front Street Blair, Nebraska, 68008 (402) 533-2722 Rabies Certificate Patient ID: 7999 Client ID: 610 Patient Name: Tigger Client Name: Ginger Edgell Species: Feline Address: 1119 Fairview Breed: Domestic Longhair Blair, NE 68008 Sex: Neutered Male Color: Gray Phone: (402)426-4475 Markings: Birthday: 04/17/2015 Weight: 15.37 pounds on 3/12/2020 Microchip ID: 985112005030760 Tag Number: 0000 Vaccination Date: 3/9/2021 Lot Number: 18490 Expiration Date: 3/9/2023 Imrab Rabies Vaccine Producer: Merial K / MLV / R: Killed Virus Staff Name: David E. Johnson DVM License Number: 1893 CITY OF iLAI ® 'T LICE EAOPLI'`I(� If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City Of Blair e 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. i LICENSE RENEWALS ARE DUE: March 15 2022 Owner Name: Owner Address: z aZi ***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 68008 PET LICENSES RENEWALS ARE DUE BY 3/15/2022. The City shall Phone # -71 2- — Z5_ 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 # 1 ❑ Dog u' Cat payed/Neutered License Fee $ J160 a m e 1011 Birthdate -sex rOo Ie ** e- Breed** Dcynt_,.±)L- Replacement$ D ❑YON�— red Dangerous or Potentially Dangerous og. OCHIP # "I ` 1 U 1 q i()02 If applicable) SUBTOTAL: $ ES VACCINATION DATE: T hd 2-02-1 (3 yr) (1 yr) t,-'-_ City Tag #aV8 ` p'r ## 2 ❑ Dog ❑ Cat ❑ Spayed/Neutered P t Name Birthdate' Sex 51CROCHIP for Breed**clared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N # (If applicable) RABIES VACCINATION DATE: (3 yr) PET ##3 ❑ Dog ❑ Cat ❑', Spayed/Neutered Pet Name Birthdate Sex Color Breed" Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # _(If applicable) RABIES VACCINATION DATE: _ (3 yr) _ License Fee $ Replacement $ SUBTOTAL: $ (1 yr) City Tag # License Fee $ Replacement $ ❑N SUBTOTAL: $ (1 yr) City Tag # * *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) TOTAL ENCLOSED $ Do Not Send; Cash by Mail If you have questions, please contact Blair Police Department at (402) 426-4747 ..+++.+.+++.+..............I.............+++++++++++............++++++........ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS(March 15late fee date not applicablefor newpets/new residents) Newly AL�uired Pets• New Residents to Blair: Must be licensed within 10 days of ownership ® Must register pets within 10 days of . is <OR> at 6 months of age if puppy/kitten residency. n Completely Cat Clinic s 5060 South 108th Street Omaha, NE 68137 Phone: (402) 592-9001 CT � ;(IFax: (402) 592-2792 completelycatclinic@gmail.com www.completelycatclinic.com Patient and Owner Information Patient: Jack Breed: Domestic Longhair (DLH) (feline) Sex: Male (neutered) Color: Gray/white Age: 5 Years 1 Week Birthdate: Apr 27, 2016 Weight: 9.13 Ibs Chip: Rabies Information Tag Number: 21 3858 Product: Purevax Rabies 1 Year Date Given: May 08, 2021 Date Due: May 08, 2022 Lot: 17517A; Expires May 19, 2022 Veterinarian Information Owner: Karl Echtenkamp Address: 2038 Park Street Blair, NE 68008 Phone: 712-363-2513 / 712-363-2513 Email: kari.echtenkamp@gmail.com age i m i Client ID: 6730 Client Name: Adam & Trish Egan Address: 1451 Jackson St Blair, NE 68008 Phone: (531)212-0160. Tag Number: 7069 Vaccine: I mrab Rabies Vaccine Producer: Merial Brand: Imrab 3 TF Type: Killed Virus ,anner'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: 7854 Dakota Canine 2 Labrador Mix Spayed Female Gold & Black 09/30/2012 81.80 pounds on 5/25/2022 Vaccination Date: 5/25/2022 Expiration Date: 512512025 Lot Number: 18628 Drug Expiration Date: 9/15/2023 01/15/2022 11:28 402426010 V ERIFICATIOI IF YOU LIVE IN COMPLETE CITY OF SL YOU MAY LE BUT NO MORE THAN THREE (3) AC Failure to do $o is a viol The city shall it shall be unlawful for any dog or cat to wE NEW IT LICENSING Must be licensed NEW RESIDENTS TO BLAIR Must registf Owner Name Spouse &w- ner Address City/State/zip "'hone # pet Name: Rita Ag 8 I sex: DOB., —09-23.13 Breed: Min Chihuahua Microchip # PLEASE INCLUDE CITY TAG RABIES VACCINATION DONE ON Rabies Description: 1 Y HOLSTEIN VET CLINIC PAGE 2022 PET LICENSE /APPLICATION�FDOR C�TYcOF)BLAIR LAIR CITY LIMITS AND OWN JIS FORM AND RETURN wrrH A CHECK PAYABLE TO: Ili — 218 S. 16TH ST — BLAIR, NE 68008 4LLY OWN A COMBINATION OF FOUR (4) ADULT PETS, LT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. ***PLEASE READ CAREFULLY*** - nc oeRIFC VACCINATION. 02/02 gNLE Y . - y 1so.o0 per et. of City Ordinances 6.103 and carries a penalt Of a in, up to $ p p ET LICENSE RENEWALS ARE DUE BX 3 15 2022. ecognize a microchip ID number as the license number. r any license or other city ID other than that Issued by the City of Blair for such dog or cat. ithin 10 days of ownership (OR) at 6 monthg of age if puppy or kitten pets within 10 days of residency _ THIS IS A RENE1 09-25.19 Connie Jamie 1362 Colfax Street Blair, NE 68008 402-426-9007 Color: Brindle Rabies Tag # 17286 (IF AVAILABLE): # Holstein Veterinary Clinic inic ista Holstein air, NE 68008 j-0101 Fax lail.com Dr. visa Schrum ,DVM : Dr, k 718 South 19th Street B 402-426-7387 402-Z hOlsteinc1inic@91 YEA 11 UCEKsE EE,><S_ i n, ect Dog r 16.00 A/,to%*d Dog or Eaj, $11.00 /gep/acement Tag $ra.00 00 Total PETSrH T ARE 1INITHEAC IVE P TENTIALLY DAN EROUS R p GEROUS DOG T NEED TO REGISTER DI ECFLY CITY HALL. I • 01/15/2022 11:28 4024260101 HOLSTEIN VET CLINIC PAGE 01/02 2022 PET LICENS • RIFICATIO /APPLICATION FOR CITY OF GLAIR v E IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CA ( ), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF B IR " 21S 5.16 T" ST — BI-AIR, NE 68008 YOU MAY LE, ALLY OWN A COMBINATION OF FOUL (4) At7ULT PETS, BUT NO MORE THAN THREE (3) AD LT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. ***PLEASE READ CAREFULLY*** tL Y U ARE UIREI? BY EA TO LLIC NSE YOUR PE THE C OF B IR RE IRE$ PROOF Of! RABIES VACCINATIO of City Ordinances 6.103 and carries a penalty of 2 flue up to $150.00 per pet. Failure to do So is a vlolatio� ET LICENSE RENEWALS ARE D E BY 3 15 2022. • cerlse number, The city shall ecagnite a microchip ID ID number than thatas the ) ssUed by he City of Blair for such dog or cat. do or cat to we r any license or other city ) if u or kitten It shall be Unlawful for any B NEW PET LICENSING Must be licensed v1rithin 10 days of ownership(OR) at 6 months',, of agepuppy NEW RESIDENTS TO BLAIR Must reglste� pets within 10 days of residency — Connie Edson Owner Name Jamie - Spouse i 1362 Colfax Str',eet Owner Address I i Blair, NE 68068 City/State/Zip 402-426-9007 "home # Pet Name: Zoiee FDog B E% Collor. BraTan tact Age: 6Y Sex: Fem le 6.00 DOB: 07-25-15 eredreed: Chihuahua st: $11,00 Rabies Tag # 18414 Microchip # PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE: # i I 12-01-20 RABIES VACCINATION DONE ON Rabies Description: I 3 YEAR Holstein Veterinary Clinic Dr. Lisa Schrum DVM : Dr.. K ' to Holstein DVM 718 South 1 91hStreet Blpir, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinic@grri ail•com Replacement Tag $6.00 Total $ Jan 06 22 10:32a p.1 Thone Animal Hospital (402) 426-3630 902 S HWY 30 Blair, NE 68008 CITY OF BLAIR - 2021 PET LICENSE APPLICATION If you live In Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair * 218 S 16th St • Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 1S, 2021 Owner Name: 6&u'a�c,?�S Owner Address: dbt-'� City/State/Zip: Blair, NE 68008 Phone # ADt- Z.-J--Ill". () 6% 2- LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.10$ and carries a penalty of a tine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3/16/ZQ2,L The Cityshall recognize a mlcrochlp Identlfication number as the license number. It shall be unlawful for any dog or cat to wear any Ilcense or other city dentification 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 $1.25 being collected bo fund the Nebraska Dog & Cat Operator Inspection Program PET # 1 Dog ❑ Cat License Fee$ �Q Pet Name BiASpayed(Neutered ate 2•ZO q1MV Color Breed** Replacement$ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (o , Zi (3 yr) _'�_ (I yr) City Tag # �� PET #2 Dog ❑ Cat Spa ed/Neutered License Fee $ Pet Name Birth ate 1 Sex N1 Color Breed** Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: N MICROCHIP # (If applicable SUBTOTAL: $ RABIES VACCINATION DATE: Q • O 1 2 0 (3 yr) � (I yr) City Tag PET # 3 ❑ Dog �4 Cat Spayed/Neutered License Fee $ Pet Name _�--- Birthdate D l 13 Sex �-A— Color Breed** (-)ODMsReplacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y A N MICROCHIP # (If applicable) SUBTOTAL: $c-_ RABIES VACCINATION DATE: (n , 14 Zd (3 yr) (1 yr) City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not Send Cash by Mail TOTAL ENCLOSED $ If you have questions, please contact Blair Police Department at (402) 426-4747 ........................................................ 4 ..................... NEW PETINEW RESIDENT LICENSING REQUIREMENTS (MarchISlatef dalenotapplicablefo~new�ts�newresrdents) Newly Acquired Pets: New Residents to Blair: n Mkbt be lbat 6 l wW 10 days of v gV'sttlp ■ Must register pets within 10 days of rl <0R> at 6 months of age if pt ppyNden residency. CITY OF BLAIR - 202& PET LICENSE APPLICATION If you live In Blair. City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair . 218 S 16th St • Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2021 owner Name: '\ NWVA K6i G_ Owner Address: \� Z() Vh 'Pty t City/State/zip: Blair, NE 68008 Phone # Ll 07. 551) R I DIE0 LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5,00 READ CAREITILI..I(*** 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 3/16/2021, The City shall recognize a microchip Identification number as the license number, k 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 Stage Fee of $1,25 being collected tx) fund the Nebraska Dog & Cat Operator inspection program PET #1 m Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name ; ,\-cp-1r Birthdate t1, NI -a Sex V Color k�� l lad h c+r�2 Breed** _ 8w-p- � ve- Replacement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # G$ io •? non s-rbgC 7 z L4 (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: 712q I ?) (3 yr) (I yr) City To # 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 Pee is due along with license Fee if requesting at the time of license renewal.) Do Not Send Cash byMaii TOTAL ENCLOSED $ If you have questions, please contact Blair Police Department at (402) 4264747 NEW PIET•/NEW RESIDENT LICENSING REQUIREMENTS (Mairh 151atefee datenotappOcatYe fbrnewpals/newres1aLnts) NemAyAcauired Pets: New Residents m Blair: • Mist be lloe� within 10 days orom rsihlp F, Must regisber pets within 10 days of ■ <0R> at 6 months ofage if IupPV/Ntten residency. 069:0 t ZZ 6Z Clef P CITY OF BLAIR - 2022 PET LICENSE APPLICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable o: 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: j'' I l + (.a Owner Address: city/state/zip: Blair, NE 68008 i Phone# ***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. LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11.00 - - - - - Replacement Fee for Lost Tag: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET # 1 - ❑ Dog ® Cat ® Spayed/Neutered License Fee $ e 0 'm C) Crl Birthdate �� Sex ** ,V\ C �< Breed** �, � 0 I- A-1 c � 01A t Replacement $ Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N HIP # LRABIES (If applicable) SUBTOTAL: $ VACCINA I N DATE:-" - (3 yr) (1 yr) City Tag Fee PET # 2 ❑ Dog ❑ Cat ❑ Spayed/Neutered License $ Pet Name Color Birthdate Sex Breed** Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed** Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) �� TOTAL ENCLOSED $ Do Not Send Cash by Mail N 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 newpels/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. rTTV • R?2V2 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 o Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) ,aclult dogs or three (3) adult cats per residential or dwelling unit. i LICENSE RENEWALS ARE %DUE: March 15, 2022 ***PLEASE READ CAREFULLY*** Owner Name:�,,"��y p�^ YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Owner Address: �� ( `� �. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. City/State/Zip: Blair, NE 68008 PET LICENSES RENEWALS ARE DUE BY 3/15/2022. The City shall Phone # LV)cl 40 4 1R 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 1 Dog ❑ Cat Spayed/Neutered License Fee $ Pet Name Birthdate , _ 44:9� ment $ ** for Breed eclared 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 Pet Name Birthdate Sex Color Breed" Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) (1 yr) PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Birthdate Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ ❑N License Fee $ — Replacement $ SUBTOTAL: $ City Tag # License Fee $ Replacement $ SUBTOTAL: $ (1 yr) City Tag # * *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not Send Cash by Mail TOTAL ENCLOSED If you have questions, please contact Blair Police Department at (402) 426-4747 ...............++++++.++++++++++.+++++++++++++++++++++++++++++++++.++++++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15late fee date not applicablefor newpets/newresldents) Newly Acquired Pets: New Residents to Blair: • Must be licensed within 10 days of ownershlp N Must register pets within 10 days of ® <OR> at 6 months of age if puppy/Idtten residency. I}} amFc i CITY OF I _ 1�I If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair 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 UE; March 15. 2022 Owner Name: j, gg L 5 a y "y f y a q . g• i V 44 11 $ owner Address: City/State/Zip: Blair, NE 68008 Phone # LICENSE FEES: Dog or Cat: $16.00 t° 11 nn ***PLEASEREAD 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 BY ILIV 2 222. The City shall recognize a microchip Identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city Identification other than that Issued by the City of Blair for such dog or cat. The City of Blair requires proof of rabies vaccination. Altered Dog or Ca ° $ ° p'.eplacement Fee for Lost Tag: $5.00 being collected to fund the Nebraska Dog & Cat operator Inspection Program Included is a State Fee of $1.25 [Spayed/Neutered License Fee $ I� --- 1' �#1 4?9Cat Pet Name 'l : Birthdate Sex Rep/acement $ .`" Color Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N SUBTOTAL: $ t � , MICROCHIP # (If applicable),(1 yr) �� (3 yr) ,�� Ci Ta #' City 9 RABIES, VACCINATION DATE:'' ' ,. ❑ payed/Neutered / PET'# Cat pa Neutered Sex License Fee $ Pet Name Y _ Birthdate Olor Breed** Replacement $ °' lilfilil, 'T, ared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N SUBTOTAL: $ a. t" �,` MICROCHIP # (If applicable) 1 r ( Yr) ( Y ) Ciity Tag RABIES VACCINATION �JATE: PE #3�;Dag ❑ Cat Spayed/Neutered License Fee $ Pet Name i I Birt date Sex* Color Breed** Rep/acement $ Declared Dangerous or Potentially Dangerous Dog: ❑ N Sl1BT®TAL: $ MICROCHIP # ( applicable) City Tag # RABIES VACC ATION DATE: (3 Yr) (1 yr) *PLEASE INCLUDE THE CITY TAG UMB F 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 If you have questions, please contact Blair Police Department at (402) 426-4747 ..........++++++.....+¢+.++............++++++......... r+++++++++++++++.+++.+ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 151a e fe Residents t/o Bb/a fornewpef5/newre5idents) Newlyt wired Pets: Must register pets within 10 days of Must be licensed within 10 days of ownership residency. <OR> at 6 months of age if puppy/kitten CITY F APPLICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair a 218 S 16th St e Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3). adult,dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWAL ,,ARE DUE. -.,March 15� 2022 Owner Name: Owner Address: city/state/zip: Blair, NE 68008 Phone # LICENSE FEES: Dog or Cat: $16.00 Alt d Do or Cat• $11 00 ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3115/2022. The City shall recognize a microchip Identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city Identification other than that Issued by the City of Blair for such dog or cat. The City of Blair requires proof of rabies vaccination. ere g . Replacement Fee for Lost Tag: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program '' #1 ¢ i g ❑Cat Spayed/Neutered License Fee $ Pet Name V a� Bi date Sex Color J Breed** Replacement ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $- RABIES VACCINATION DATE: � � — L , (3 yr) (1 yr) City Tag # PET #k2 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Birthdate Sex Color _ Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ License Fee $ Replacement $ ❑N SUBTOTAL: $ (1 yr) City Tag # PET ##'3 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee Pet Name Birthdate Sex ** Color Breed** Replacement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) 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 Kash by Mail TOTAL ENCLOSE® If you have questions, please contact Blair Police Department at (402) 426-4747 .+++++.+++++.....+++.++++.+++..........++++++++++++++++++++.+++.....++.++++.+. NEW PET/NEW RESIDENT LICENSING REQUIREMENTS(March 15late fee date not applicablefornewpets/new residents) Newly Aoauired 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/Wen residency. � • r � 1 • 1 r #1 11LIVI I M&II—LOGIII VETERINARY CLINIC Thone Animal Hospital 902 S Hwy 30 Blair, NE 68008 402-426-3630 This is to certify... Patient information... PATIENT: 'Ghost '. SPECIES: Feline SEX: N Dr.Kamala Freeman Vaccinations done... Certificate No: 1 Vaccination:Previous Rabies 003831 OWNER OF ANIMAL John Ellis 683 Hillcrest Dr Blair, NE 68008 County: TAG NO: 006162 WEIGHT: 0.00 AGE: 4 years License: 3894 10-16-20 KF Rabies Vaccination (3 Year), #006162 10-16-23 10-16-20 ' KF Fe 4Way (Rhino/Cali/Pant/Chia) 10-16-21 03-29-19 LL Check up, FE-4way 10-16-21 Rabies Vaccine Information... MFG BY. ZOETI SER.NO: 389791 LOT EXP: 05-04-21 ADM: SQ E CERTIFICATE OF VACCINATION Date of Rabies Vaccination: 04-30-20 Next Rabies Vaccination On: 04-30-23 VETERINARY CLINIC Thone Animal Hospital 902 S Hwy 30 Blair, NE 68008 402-426-3630 This is to certify... Certificate No: 743 Previous Rabies Vaccination: 003728 OWNER OF ANIMAL John Ellis 683 Hillcrest Dr Blair, NE 68008 County: THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Buddah TAG NO: 005721 SPECIES: Feline WEIGHT: 12.63 SEX: N AGE: 4 years Color and markings... Orange and White Signed Dr.Kamala Freeman License: 3894 Vaccinations done... 04-30-20 KF Rabies Vaccination (3 Year), #005721 04-30-23 03-29-19 LL Fe Leukemia Vaccination 04-30-21 03-29-19 LL Fe 4Way (Rhino/Cali/Pant/Chia) 04-30-21 11-04-17 LL Check up, FE-4way 04-30-21 09-03-16 LL Rabies Vaccination (1 Year), #002916 Rabies Vaccine Information... MFG BY: NOBIV SER.NO: 400985B LOT EXP: 03-09-21 ADM: SQ zaw-&��WU.4 Moms VETERINARY CLINIC Thone Animal Hospital 902 S Hwy 30 Blair, NE 68008 402-426-3630 This is to certify... PATIENT: Cookie SPECIES: Caninnn SEX: S Signed Dr. Joe DiMari VACCINATION Certificate No: 0 Previous Rabies Vaccination: 003493 OWNER OF ANIMAL John Ellis 683 Hillcrest Dr Blair, NE 68008 County: TAG NO: 005880 WEIGHT: 65.00 AGE: 7 years License: 3258 06-30-20 JRD Rabies Vaccination (3 Year), #005880 06-30-23 06-30-20 JRD DA2PPV+L 06-30-21 06-30-20 JRD Bordetella Oral 06-30-21 07-26-19 KF Check up, DA2PPV+L 06-30-21 06-30-18 LL Bordetella, P13 (Intra-trac 3) 06-30-21 Rabies Vaccine Information... MFG BY: ZOETI SER.NO: 389791 LOT EXP: 05-04-21 ADM: SQ CERTIfLCATE OF VACCINATION Date of Rabies Vaccination: 04-06-20 Next Rabies Vaccination On: 04-06-23 VETERINARY CLINIC Thone Animal Hospital 902 S Hwy 30 Blair, NE 68008 402-426-3630 This is to certify... Patient information... Certificate No: 585 Previous Rabies Vaccination: 003346 OWNER OF ANIMAL John Ellis 683 Hillcrest Dr Blair, NE 68008 County: PATIENT: Reggie TAG NO: 005654 SPECIES: Canine WEIGHT: 43.70 SEX: N AGE: 4 years Color and markings... Gold Signed Dr. Joe DiMari Vaccinations done... License: 3258 04-06-20 JRD Rabies Vaccination (3 Year), #005654 04-06-23 04-06-20 JRD Bordetella Oral 04-06-21 04-06-20 JRD DA2PPV+L 04-06-21 04-06-19 JRD Bordetella, P13 (Intra-trac 3) 04-06-21 04-06-19 JRD Check up, DA2PPV+L 04-06-21 04-16-16 ILL Rabies Vaccination (1 Year), #002603 03-12-16 ILL Annual Checkup, DA2PPV+CV 03-12-16 **" (Distemper Group) DA2PPV+CV Rabies Vaccine Information... %M 02/24/2022 17:07 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 O, COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO; CITY OF BLAIR 218 S. 16TM ST — BLAIR, N12 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 RESIbENTIAL OR DWELLING UNIT. ***PLEASE READ CAREFULLY*** YOU ARE RESIUIRED BY LAW TO LICENSE YOUR PETr,. TNF CITY OF BLAIR REQUIRES PROOF OF R 131ES VACCINATION. Failure to do so is a violation of Clty Ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSE RENEWALS ARE DUE 13Y 34/11!QL202424. 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 r kitten NEW RESIDENTS TO BLAIR Must register pets within 10 days of residency Owner Name George Ely Spouse I 8 Owner Address 1028 Park Street City/State/Zip Blair, NE 68008 Phone # 533-777-9636 Pet Name: Tiger Age: 7Y Sex: Neutered Male D013: 03-03-14 Breed: Domestic ShorthAir Color: Gray tabby Microchip # Rabies Tag # PLEASE INCLUDE CITY TAG NUMBER iF THIS IS A RENEWAL. (IF AVAILABLE); # RABIES VACCINATION DONE ON 1 02.24-22 Rabies Description: / (1 YEAR 3 YEAR Holstein Veterinary Clinic Dr, Lisa Schrum pVM ; Or. Krista Holstein DVM 718 South 19t" Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinic@gmail.com LICENSE' Intact Dog or Cat: $16.00 cat: $11.00 $6.00 Total $ p TSTHATAREQNTHEACTIVE,POTENTIALLYDANGEROUS.Q$ ANGERDUS DQG LIST NEED TP REGISTER DIRECTLY AT CITY HALL. FAXED 02-24-22 m Feb 26 22 10;40a Thone Animal HoWtal (402) 426-3630 902 S Hwy 30 Blair, NE 68008 z CITY OF BLAIR - 2021.PET 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 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 nr three (3) adult cats per residential or dwelling unit, LICENSE RENEWALS ARE DUE: March 15 2U21 owner Name: � �`�` •� \C 4i,`� (1 Owner Address: \�5\- City/state/zip: Blair, NE 68008 Phone # i4 4IUD' LICENSE FEES: Dug or Cat: $16.00 Altered Dog or Cat: $11.00 Lost 7a - $5 00 ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED 13Y LAW TO LICENSE YOUR PETS. Failure to do so Is a violation of City ordinances 6.103 and carries a penalty of fine Upto $1ti0,00 per pet:. PET LICENSES RENEWALS ARE Due pyAL15/2 . The City shall recognise a microchip Identincation number as the license number, 11 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 (;iW of Blair requires proof of rabies vaccination. Replacement Fee for 9Program Inc UdW iS a Sty Fes d $1•25 being rolkx teed bD fund the Nebraska Dog & Cat OperatorI pin *PLEASE INCLUDE THE CnY TAG NUMBER IF f ri�ti ir7 ►+ ncr.e.rea- ** (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++++++++++++++.*............................+++++++++cue f.... ets/newrr~siaE?r....fi+ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (Mamhl51ate(OedatendW# Newl wired Pets: alew Residents h° Bfaiw ■ MLst be jb"ed vWhln 10 days 0 owr>a�J11p B Must register pets wltlltn 10 days (if ■ <0R> at 6 monft of age if puppYl�� 03/10/2022 17:57 4024260101 HOLSTEIN VET CLINIC PAGE 01/.Q2 5 2022 PET LICENSE VEItIFTCATIOrV/ APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT(S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY' OF BLAIR — 218 S. 16TH ST — BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. ***PLEASE READ CAREFULLY'' Y U ARE RE IRED BY LA TO LICEN YOUR PETS. THE CITY P BLAIR R UIRES PRQOF 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 numb that issued by the City of BIr for such dog or cat. It shall be unlawful for any, dog or cat to wear any license or other city ID other than 6 months of age if puppy la Ia kitten NEW PET LICENSING Must be licensed within 10 days of ownership (OR) NEW RESIDENTS TO BLAIR Must register pets within 10 days of residency Zach Erickson Owner Name Nikki Donner 402-718-6200 Spouse 775 N. 14th Street Owner Address Blair, NE 68008 City/State/Zip 402-619-8544 Phone # ry Pet Name: Raven LICENSE FED Age: 4Y Sex: Female Color: Slack Intac� DOB: 06-15-17 og or Cat: $16.00 Breed: Beauceron / r Dog or cat: $11.00 Microchip 0 Rabies Tag # Replacement Tag PLEASE INCLUDE CITY TAG NUMBER IF THIS I5 A RENEWAL (IF AVAILABLE);. $5.00 RABIES VACCINATION DONE ON 09.03-19 Total $� rRabies Description: 1 YEAR 3 YEAR ETS THAT A EON THE ACTIVE POi TIALLY DAN EROUS 06 D GEROUS D G LIST NEE TO REGISI'9 DIRECTLY T CITY HAI L Holstein Veterinary Clinic Dr, Lisa Schrum DVM ; Dr. Krlsta Holstein DVM 718 South 191n Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinic@gmail.com 03/10/2022 17:57 4024260101 HOLSTEIN VET CLINIC PAGE 02/02 2022 PET LICENSE VERIFICATION/APPLIC,ATION FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT($), 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) ADUI-T DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. ***PLEASE READ CAREFULLY"* Y ARE RE IRED BY W TO LICENSE YOUR PETS. THE ITY OF B AIR RE UIReS PROQE OF RABI VACCIN 710N. Failure to do so is a violation of City Ordinances 6,103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSE RENEWALS ARE DUE BY 3 15 2022- The city shall recognize a microchip ID number as the license number. It shall be unlawful for any dog or cat to wear any license or other city ID other than that issued by the City of Blair for such dog or cat. NEW PET LICENSING Must be licensed within 10 days of ownership (OR) at 6 months of age if puppy or kitten NEW RESIDENTS TO BLAIR Must register pets within -10 days of residency Owner Name Zach Erickson Spouse Nikki Donner 402-718-6200 Owner Address 775 N. 14th Street City/Sta#e/Zip Blair, NE 68008 Phone # 402-619-8544 Pet Name: Odin L GEI N SEt✓SAge: 7Y$ex: Male Color: Black Intact DOB: 01-15-15 Dog or Cat: $16.00 Breed: Beauceron Dog or• $11.00 IVlicrochip # Rabies Tag # flep/acement Tag PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE): # $5,00 RABIES VACCINATION DONE ON 05-08-20 ' Total Rabies Description: 1 YEAR (:3 YEA ' PETS rH TARE ON T ACTIVE POTENTIAL X DANGERQ oR DANGEROUS DOG LIST NEED TORE I TER DIRE LET Y AT Cl7i LL. Holstein Veterinary Clinic Dr. Liss Schrum DVM : or Krista Holstein DVM 718 South 19th Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteincii nic@ gmail.COm ■ 03/24/2022 ■ 18:01 4024260101 VERIFI, IF BUT NO MORE THAN Failure to do It shall be unlawful for any dog NEW PET LICENSING Must b NEW RESIDENTS TO BLAIR N HOLSTEIN VET CLINIC 2022 PET LICENSE ;ATION/APPLICATION FOR CITY OF BLAIR OU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT(S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO: Y OF BLAIR — 218 S. 16— ST — BLAIR, NE 68008 OU MAY LEGALLY OWN A COMBINATIONOF FOUR (4) ADULT PETS, IREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. PAE ***PLEASE READ CAREFULLY*** N 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, city shall recognize a microchip ID number as the license number. r cat to wear any license or other city ID other than that issued by the City of Blair for such dog or cat_ licensed within 10 days of ownership; (OR) at 6 months of age if puppy or kitten ist register pets within 10 days of residency, Owner Name Bobi Eriksen-Witherspoon Spouse Owner Address 834 N 13th City/State/Zip Blair, NE 68008 Phone # 402-426-4297 Pet Name: Dorkie Age: 10Y DOB: 02-17-12 S : Neutered Male Color: ' Brown/Blk Breed: Dach Mix Microchip # Rabies Tag # 20195 PLEASE INCLUDE CITY TAG UMBER IF THIS IS A RENEWAL (IF AVAILABLE-): # RABIES VACCINATION DO ME ON 03-24-22 Rabies Description; 1 YEAR 3 YEAR Holstein Veterinary Clinic Dr. Liss Schrum DVN) : Dr. Krista Holstein DVM 718 South 19th Etreet Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteincli is@gmaii.com LICE I1SE FEES Intact Dog or Cat: $16.00 Altered Dog or cat: $11.00 Replacement Tag $5.00 Total $-0- _ PETS THAT ARE ON THE ACTIVE POTENTIALLY DANGEROUS.2 DANGEROUS DO6 LIST NEED TO REGISTER OIRECTLYAT CITY HALL. FAXED 03-24-22 BY FAX TO BPD @ 402-426-7144 Feb 14 22 04;36p p.1 i Thon AnimaTH�i ital (402) 426-3630 902 S Hwy 30 Blair, NE 68008 W2-7 CITY OF BLAIR - 202"ET LICENSE APPLICATION If you live In Slair:City limits and own a dogs) and/or cat(s), complete this Form and return with check made payable to: City of Blair o 218 S 16th St • Blair, NE 68008 You may legally own a combination of four(4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15 2021 owner Name; CA —C,�- �S owner Address: OCO%h _a. CityJState/zip: Blair, NE 68008 Phone # Au, I LICENSE FEES: Dog or Cat: $16.00 ' Altered Dog or Cat: $'11.00 Replacement Fee fer Last Tag: $5.00 Included is a Slade Fee of $125 be READ GZRERALY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so Is a violation of City ordinances 6.103 and carrlos a penalty ofa fine up to $150.00 perpet. PET LICENSES RENEWALS ARE DUE BYaLlUa 21. The Cityshall recognize a microehlp Identification number ag 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 vacernatlon. u nj tollelcbed to fund the Nebraska Dog & Cat Operator Inspection Program *PLEASE INCLUDE THE ciYTAG NUMBER IF TWS IS A RENEWAL ** (This fee Is due along with License Fee If requesting at the time of license renewal.) Da Not Send Cash by Mail TOTAL ENCLOSED $ Z -00 If you have questions, please contact Blair Police Department at (402) 426-4747 +++ d-.........++++t+++++#++++. f++.t+........................h.{-.}..}.},.l.i..{..f..j.++...... NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (Mardi15latefee00yten0t41c caGle�newpeLslnewrt?s/dEy7 ) aew1y Acauir eel Peps New Residents to Blair Mtn tJe G0.� ci VNttltl 10 C rTyS Of avnership ■ Must register pets wiiE 10 days of ■ <Ott> ate) mcntt� of age if puppy/lvtta t residency.