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H02/24/2022 12:44 4024260101 HOLSTEIN VET CLINIC PAGE 02/02i`` N 2022 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT(S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF BLAIR -- 218 S. 16TH ST — BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. ***PLEASE READ CAREFULLY*" YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. THE CITY OF L3(AIR RE UIRES PROOF Q� RABIES VACCINATIt Failure to do so Is a violation of City Ordinances 6.103 and cerrles 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 Spouse Owner Address City/State/Zip Phone # Connie Hagedorn 860 S HWY 30 Blair, NE 68008 402-426-8635 Pet Name: Luna Age: 11Y DOB: 02-16-11 Sex: Spayed Female Color: Brown/Bilk Breed: Dach/Terr Microchip # Babies Tag # 17806 PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE): # RABIES VACCINATION DONE ON 03-14•-20 --)Rabies Descriptions 1 YEAR 3 YEAR Holstein Veterinary Clinic Dr, Lisa Schrum DVM ; Dr. Krista Holstein DVM 718 South 191h Street Blair, NF 68008 402-426-7387 402-426-0101 Fax holsteinclinic@gmail.com LICE11�, E FEES Intact Dog or Cat: $16.00 :Altet�redoga$11.00 Replacement Tag $5.00 Total $4 PEATARE ON THE ACTIV�PPTEN7IALLY DANGEROUi�R DANGER0(!$ DOG LIST NEED TO REGISTER D/RECTLYAT CITY H Y 02/24/2022 12:44 4024260101 HOLSTEIN VET CLINIC PAGE 01/02', ■ram 2022 PET LICENSE % VERIFICATION/APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT(S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO! CITY OF BLAIR — 218 S. 16T" ST — BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (a) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. ***PLEASE READ CAREFULLY*#z YOU ARE REQUIRED MY LAW TO LICENSE YOUR PETS. THE CITY K R1 AIR RE UIRES pROOF OF RABIES VACCINATION. Failure to do so Is a violation of City Ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSE RFNEWALS ARE DUE 8Y 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 Connie Hagedorn Owner. Address 860 S HWY 30 City/State/Zip Phone # Slain,' NE 68008 ' 402-426-8635 Pet Name: King Age: 10Y DOB: 07.11-11 Sex: Ndutered Male Color: Brown/Blk Breed: Pug X Microchip # Rabies,Teg # 17805 PLEASE INCLUDE CITY TAG NUMBER IF TMIS IS A RENEWAL. QF AVAILABLE): #P RABIES VACCINATION DONE ON 03-14-20 Rabies Description: 1 YEAR _l 3 YEAR Holstein Veterinary Clinic Or. Lisa Schrum AVM : Dr. Krista Ho/stein DVM 718 South 191h Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinic@gmail,com LICENSE FEES Intact Dog or Cat: $16.00 Altered Dog or cat., $11.00 Replacement Tags $5.00 Total $IA VATTTHATAREONTHEACTIVEPOTENTIALLYDANrE OUSOR DANGER9LIS DOG LISTNEEDTO REGISTER DIREC7LYATCITYHALL• FAXED 02-24-22 BY .iJ '.';;�M�".';'r', l,clYa�" ',�5{%'��.,a;��' � I��'.�->1+nA"r h'�{� ; �::r,:'i''•�izi�l L', ^•'.11i dQa; ' n, .::tii�—r:.,F;i/�`�C;�/y.IV, )ty � �;iF+�J`��f�+�r'.9'!i:l,,•�r�l. i�pGL:ud�f.�^.i'.�� r:i;n!, {(;;' ;viri• n'r.'�. :;{!;� `,iii;,,:niY.�^ti!'r r�;'iF�l) �,:i �`: �: 4H44A1'l; �r�,� Jun 1621 02;47p Thone Animal Care 4024265808 p.1 900e9 301`1318 08 Am" S z0e 069E-9.7v (30p) MldsclH 116WIUV OU041 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 16ih 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 x5, 2021 Owner Name: �(] Y OwnerAddress: vffloo-rn Blair NE 68008 Phone # G.�O • a t. LICENSE FEES: Dog or Cat: $16.00 *p Altered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 I READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6A03 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY3115/2023. The Cityshall recognize a microchip ldentiflcation number as the license number. It shall he unlawful for any dog or cat to wear any license or other city Identification other than that Issued by the City of Blair for such dog or cat, The City of Blair requires proof of rabies vaccination. namulm is a State ll ee of $1.25 being oolkxted to fund the Nebraska Dog & Cat Operator Iinspection Program PET #1 UDog ❑ Cat ❑ Spayed/Neutered Otd License Fee $ ao PetColNameD Birthdate1 1 �- 21 Sex t Breed Replacement $� Declared Dangerous or Potentially Dangerous Dog: ❑ Y N MICROCHIP # (If applicable) SUBTOTAL: $ L 10 'Q0 RABIES VACCINATION DATE: i, - 15 : 2— 1_ (3 yr) (1 yr) —Y-- City Tag # PET #2 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed** Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed** Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # .•�-�.�-� -"G%.,arr IMurnlOMMKir I HL5 15 A RENEWAL fee is due along with License Fee if requesting at the time of license renewal.) Do Not Send Cash by Mai! TOTAL ENCLOSED $ If you have questions, please contact Blair Police Department at (402) 426-4747 ...*+++++...++++++.........+*++++++t+.+++++++.....•++++++++.+.......+.+++.... NEW PET/NEW RESIDENT LICIENSING REQUIREMENTS Newly Acquired Petsc ■ Mtst be lbarmd within 10 days of avnetship ■ <QR> at 6 mantfs of age tf puppy/IdtiEn (Match 151atafee date not applicable fornewpets/new reskeitt) New Residents to Blair, ■ Must register pets within 10 d of residency. hone Animal Hospftal (402) 426-3630 902 S Hwy 30 Blair, NE 68008 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 maylegally 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: \ O (', �I Owner Address: ?,)3 City/State/zip: Blair, NE 68008 Phone # L� LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11.00 ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3115/2022. The City shall recognize a microchip Identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city Identification other than that Issued by the City of Blair for such dog or cat. The City of Blair requires proof of rabies vaccination. Replacement Fees 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 ,b Cat (,Spayed/Neutered License Fee $ Pet Name Birthdate In Sex Color Breed** Replacement $ ** Declared Dan erous or Potentially Dangerous Dog: ❑ Y a-N MICROCHIP # bkl�) ___(If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag #. PET # 2 ❑ o g L l C at U Spayed/Neutered License Fee $ Pet Name Birthdate 1' Sex Color bAlBreed** Replacement$ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # _ (?:f applicable) SUBTOTAL: $ RABIES VACCINATION DATE = `.(3 yr) (1 yr) City Tag # PET #3 ❑ Dog ❑. Cat ❑ Spayed/Neutered Pet Name _ Birthdate Sex Color Breed** _ Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # I . (,' f applicable) RABIES VACCINATION DATE: (3 yr) _ 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.) Do Not Send Cash by Mail TOTAL ENCLOSED If you have questions, please contact Blair Police Department at (402) 426-4747 ................................ -i....++++++++++++.... ....++++++++++++....... NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March.15late fee date not applicable for newpets/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/ldtten residency. 0 02/22/2022 16:50 4024260101 HOLSTEIN VET CLINIC PAGE 01/01 2022 PET LICENSE VERIFICATION/APPLICATION FOIL 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 T0: CITY OF BLAIR ; 218 S. 16TH ST — GLAIR, NE' 68008 YOU MAY LEGALLY OWN A OF FOUR (4)BUT NO MORE THAN THREE3) ADULT DOOR THHREE (3) ADULT CATS PER' ' S ULT ESID�NTIA4 OR DWELLING 'PLEASE READ CAREFULLY*** Failure to do so is a violation of City Ordinances 6,103 and carries a penalty of a fine up to $150.Ob 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,,W 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 Brennan Hale Spouse ` Owner Address 2339 Nebraska St City/State/Zip Blair, NE 68008 Phone #. 402-278.4334 Name: Lucy Age: 6Y ' SOX: Spayed )Female DOB: _05�m4s .Breed: Pitbull X Microchip # PLEASE INCLUDE CITY TAG NUMBER IF TIJIS IS A R RABIES VACCINATION DONE ON 1 02-22-22 Rabies Description: /_ 1 YEAR Holstein Veterinary Clinic Dr Lisa Schrum DVM ; Dr. Krista HDistein DVM 718 South 19=1-Street Blair,, 'NE 68008 402-426-7387 402-426-0101 Fax holsteinclinic@gmail.com Color; White Rabies Tag # 20122 pF AVAILABLE): # 3 YEAR LICENSE FEES intact Dog or Cat: $16.00 Dog, or cat: $11.o0 $5.p0 Total $ PETS THAT ARC ON THE QCrIVE POTENTIALLY DANGERO�IS OR DANGEROUS DOG LIST NE�L7 TO RE�iISTER DIRECTLY AT CITY HALL INVOICE Holstein Vet Clinic 718 South 19th Street Blair, NE 68008 402-426-7387 Check out our online store at www.HOLSTEINVET.com for home delivery! `� _) '7,'— , '� Printed: 12-02-21 at 3:50p ` FOR: Brennan Hale `� "e?"I � W( n z Date: 12-02-21 2339 Nebraska St Account: 10573 Blair, NE 68008 Invoice: 123917 (402)838-8036 Date For Qty Description Net Price 12-02-21 Magpi 1 Vaccinate & Mini Exam 18.00 12-02-211 Felocell 3 { Feline Distemper } 25.25 12-02-21 w 1 Defensor 1 { 1Y RABIES } 26.50 12-02-21 Check payment -69.75 Old balance Charges Payments New balance 0.00 69.75 69.75 0.00 Reminders for: Magpi (Weight: 9.2 Ibs - 4y) Last done 12-02-22 Defensor 1 (1 Year Rabies) 12-02-21 12-02-22 Felocell3 12-02-21 Thanks for choosing us to take care of your pet's health care needsl wf�� 1)�A� ■ M :BSRC FAX NO. :402-533-2722 Jan. 11 2022 04:38PM P1 CITY OF BLAIR - 2022 PET LICENSE APPLICATION Imo. If you live in Blair City limits and own a dog(s) and/or cat(s), complete this Form and return with check made paya 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 DU, Mqffb S,2022, Owner Name: f owner Address- City/State/Zip: B a�1ir NE 68008 Phone # U C ~ LICENSE FEES: Dog or Car: $16.00 Altered Don or Cat: $11.00 ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW To LICENSE YOUR PETS. Failure to do so Is a violation of Cit}P•.ordlnancea 6.103 and carries a penalty of a fine up to $190.00 pert t. PET LICENSES RENEWALS ARE DUE BY 111S/2022, The City shall recognize a microchip identification number bs the license numb©r. It shall be unlawful for any dog or rat to wear any license or other rity Idontlflcatlon other than that Issued by the City of Blair for such dog or cat, The CItV of Blair requires proof of rabies vaccination. Replacement Fee for Lost Tag: $5.00 Included is a Side Fee of $1,25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET # 1 4pog ❑ Cat pay d/ a tered t�. License Fee $�_ Pet Name_ o Bi hdate �U 4 Sex Color Breed** Replacement $ Declared Dangerous or Potentially Dan erous Dog. ® Y ❑ N MICROCHIP # ra "� c (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: a (3 yr) _,�C (1 yr) City Tag PET # 2 ❑ 'Dog ❑ Cat ❑ Spayed/Neutered License Fee $� Pet Name Birthdate „_. _ Sex Color Breed** Rep/acement$ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y Ll 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 CILTY 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 Cosh by Mall TOTAL ENCLOSED $ If you have questions, please contact Blair Police Department at (402) 426-4747 ++++++*++++++++++++++++++++++++++++++++++++++.E++++a+*++++++++++*++++++++++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS(Nanhl5bteMedate not app//Cab/efornewpoWnewres/dent5) NewlyAcatAl NgW Residents to Blair: ■ Must be keen ed wkhln 10 days of wdri6l h p ■ Must register pets within 10 days of 1111111 <OR> at 6 months of age if puppy/kitten residency. 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 28 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 ***PLEASE READ CAREFULLY*** Owner Name: . a � 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 # t` recognize a microchip Identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city Identification other than that Issued by the City of Blair for such dog or LICENSE FEES: Dog or Cat: $16.00 cat. The City of Blair requires proof of rabies vaccination. Altered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5,00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program ET; # 1 ®Dog ❑Cat ❑ Spayed/Neutered... License Fee Pet Name =° h Sex date Birthdate �� Color „,�/t r� ; : � Breed** ��°'� ; x �� Replacement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Yi N MICROCHIP # K'1Y (If applicable) SUBTOTAL. $ RABIES VACCINATION DATE: c (3 yr) ~L (1 yr) City Tag # 4' PET 2 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Dame Birthdate Sex Colot Breed** Replacement $ ** � _Declared Dangerous or Potentially Dangerous Dog: ❑ Y � N MICROCHIP # °s €`1ii (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.) ®o Not send cash by Maui 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 not app/icab/efor newpeis/newres/dents) Newly Acquired Pets: New Residents to Blair: ® Must be lioensed within 10 days of ownership m Must register pets within 10 days of m <OR> at 6 months of age if puppy/kitten residency. '11/00Z CITY OF BLAIR - 2022 PET LICENSE APPLICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair • 218 S 16th St • Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2022 ,. w i'` Owner Name: - `, ° " '"' Owner Address: � i City/State/Zip: Phone # Blair, NE 68008 k LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11.00 ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3115/2022. The City shall recognize a microchip Identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city Identification other than that issued by the City of Blair for such dog or cat. The City of Blair requires proof of rabies vaccination. Replacement Fee for Lost Tag: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET #1 Dog ❑ Cat Lit Spayed/Neutered License Fee $ Pet Name " d �V(' J Birth'date Sex ; ',(d,1 Color A VBreed** 4 ' j , ¢ a Replacement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y E N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # PET # 2 ] Dog MaBirthdate at ❑ Spayed/Neutered License Fee $ Pet Name i�� Sex` Color 77-1(d iiyi Breed** i 8 ' '� � Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y 0 N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Birthdate Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ W (1 yr) License Fee $ Replacement $ SUBTOTAL: $ City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not Send Cash by Mail TOTAL ENCLOSED $ If you have questions, please contact Blair 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 licensed within 10 days of ownership ■ Must register pets within 10 days of ■ <OR> at 6 months of age if puppy/kitten residency. Client ID: Client Name: Address: Phone Tag Number: Vaccine: Producer: Brand: Type: inner of ,Administration: Staff Name: License Number: Doctor Signature: 4408 Lori Halsey 1518 Park Blair, NE 68008 (402)660-7483 6887 Imrab Rabies Vaccine Merial Imrab 3 TF Killed Virus Subcutaneously David E. Johnson DVM 1893 Blair Small Animal Clinic PC David E. Johnson DVM 1734 Front Street Blair, Nebraska, 68008 (402) 533-2722 Rabies Certificate Patient ID: Patient Name: Species: Breed: Sex: Color: Markings: Birthday: Weight: Microchip ID: Vaccination Date: Expiration Date: Lot Number: Drug Expiration Date: 12214 Beau Canine Rottweiler Neutered Male Black/Tan Rottweiler pit mix 11 /03/2011 74.00 pounds on 3/1/2022 3/1 /2022 31V2025 18526 5/20/2023 Blair Small Animal Clinic PC David E.Johnson DVM 1734 Front Street Blair, Nebraska, 88008 (402)533'2722 Rabies Certificate Client ID: 4408 Patient lD: Client Name: Lori Halsey Patient Name Address: 1518Pork Species: Breed: Blair, NE88OO8 ban Color Phone: /402>660-7483 Markings: Birthday: Weight: Microchip ID: Tag Number: 6888 Vaccination Dote: Vaccine: \rnrabRabies Vaccine Expiration Date: Producer: Merial Lot Number: Brand: |nlrob3TF Drug Expiration Date: Type: Killed Virus �nnerof Subcutaneously Staff Name: David EJohnson OVM License Number: 1893 Doctor Signature: 047& Maggie Canine Mixed Breed Spayed Female White & Tan O3/21/2O11 54.00pounds on3/1/2O22 3M/2O22 31112025 18520 CITY OF :: A R ._ 2022 PE LI�CENSkEAPPLICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair 9 218 S 16th St @ Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. 0 a —al a LICENSE RENEWALS ARE DUE: March 15, 2022 ***PLEASE READ CAREFULLY*** Owner Name: 5,1� 1, r � `I M °M p YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Owner Address: 1 O 0 1 Ay t1 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,, E 68008 — PET LICENSES RENEWALS ARE DUE BY 3/15/2022. The City shall Phone # Lgo 1 ' 1 0' ' 2911 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 Taal: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program -PET #1 �k D o g ❑ Cat 14 Spayed/Neutered lkh' Sex S License Fee $ ff Pe Col Na e f�,si'n1 Birthdate r _ c vj!I t� Breed** o d t-� Co Il F Replacement * * Dec red Da�rous or Potentially Dangerous Dog: ❑ Y A N MIC OCHIP # (If applicable) SUBTOTAL: $ l RA _ , ES VACCINATION DATE: (3 yr) (1 yr) City Tag # Fee 1 t #2 Dog ❑ Cat kilSpayed/N utered Birthdate 'J i I ! Sex /VM License $' I ame e- Iut < Breed** r - VI �� I�� Rep/acement$red Dange bus or Potentially Dangerous Dog: ''6-Y ❑ N OCHIP # (If applicable) VACCINATION DATE: _II y � (3 yr) (1 yr) SUBTOTAL:$ES City Tag #32/. 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.) o., DoNot Send Cash by Mall TOTAL ENCLOSED $ 2.2., If you have questions, please contact Blair Police Department at (402) 426-4747 ++++++..........+++++++.++++.....r++++++++++.++++++++++++++++++............... NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15late fee date not applicable for newpets/newresldents) Newly Acquired Pets: New Residents to Blair: ® Must be lioansed within 10 days of ownership n Must register pets within 10 days of ® <OR> at 6 months of age if puppy/kitten residency. Blair Small Animal Clinic PC David E. Johnson DVM "M 1734 Front Street Blair, Nebraska, 68008 (402) 533-2722 Rabies Certificate Client ID: 8794 Patient ID: 12828 Client Name: Jadie Hamm Patient Name: Henry Address: 1007 N 18th Ave Species: Canine Breed: Border Collie Blair, NE 68008 Sex: Neutered Male Color: Black/White Phone: (509)771-2437 Markings: Birthday: 07/31 /2014 Weight: 41.50 pounds on 11/5/2021 Microchip ID: Tag Number: 6616 Vaccination Date: 11/5/2021 Vaccine: Imrab Rabies Vaccine Expiration Date: 11/5/2024 Producer: Merial Lot Number: 18513 Brand: Imrab 3 TF Drug Expiration Date: 2/24/2023 Tvpe: Killed Virus Danner of Subcutaneously Administration: Staff Name: David E. Johnson DVM License Number: 1893 Doctor Signature: Client ID: Client Name: Address: Phone: Tag Number: Vaccine: Producer: Brand: Type: inner of Administration: 8794 Jadie Hamm 1007 N 18th Ave Blair, NE 68008 (509)771-2437 6617 Imrab Rabies Vaccine Merial Imrab 3 TF Killed Virus Subcutaneously Staff Name: David E. Johnson DVM License Number: 1893 Doctor Signature: Blair Small Animal Clinic PC David E. Johnson DVM 1734 Front Street Blair, Nebraska, 68008 (402) 533-2722 Rabies Certificate Patient I D: Patient Name Species: Breed: Sex: Color: Markings: Birthday: Weight: Microchip ID: Vaccination Date: Expiration Date: Lot Number: Drug Expiration Date: 13096 Ruth Canine Border Collie Spayed Female Black/White 11 /02/2018 46.40 pounds on 11/5/2021 11 /5/2021 11 /512024 18513 2/24/2023 ?/21/2022 2:52 PM FAX 4025332723 BLAIR SMALL ANIMAL Z0001/0002 Blair Small Animal Clinic PC David E. Johnson DVM 1734 Front Street Blair, Nebraska, 68008 (402) 533-2722 Rabies Certificate _J - Client ID; 8794 Patient ID: 12828 Client Name: Jadie Hamm Patient Name: Henry Address: 1007 N 18th Ave species: Canine Breed: Border Collie Blair, NE 68008 Sex: Neutered Male Color: Black/White Phone: (609)771-2437 Markings: Birthday: 07/3112014 Weight: 41,50 pounds on 11 /5/2021 Microchip ID: Tag Number: 6616 Vaccination Date: 11/5/2021 Vaccine: lmrab Rabies Vaccine Expiration Date! 1116/2024 Producer: Merial Lot Number: 18513 Brand: lmrab 3 TF Drug Expiration Date: 2/24/2023 ""'Jpe: Killed Virus anner of Subcutaneously Administration: Staff Name: David E. Johnson DVM License Number: 1893 Doctor Signature: 02/21/2022 2:53 PM FAX 4025332723 BLAIR SMALL ANIMAL Z 0002/0002 Client ID: Client Name: Address: Phone: Tag Number: Vaccine: Producer: Brand: —vpe: .,fanner of Administration: Staff Name: License Number, Doctor Signature: 8794 Jadie Hamm 1007 N 18th Ave Blair, NE 68008 (509)771-2437 6617 Imrab Rabies Vaccine Merial Imrab 3 TF Killed Virus Subcutaneously David E. Johnson DVM 1893 Blair Small Animal Clinic PC David E. Johnson DVM 1734 Front Street Blair, Nebraska, 68008 (402) 533-2722 Rabies Certificate Patient ID: 13096 Patient Name: Ruth Species: Canine Breed: Border Collie Sex: Spayed Female Color: Black/White Markings: Birthday: 11 /02/2018 Weight: 46.40 pounds on 11/5/2021 Microchip ID: Vaccination Date: 11/5/2021 Expiration Date: 11/5/2024 Lot Number: 18513 Drug Expiration Date: 2/24/2023 CITY OF BLAIR - 202 4 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 D6E-. March 15. 2021 owner Name: owner Address: i�l clity/Statelzip: Blair, NE 68008 Phone # ?—CA ' 0�11' C) LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11.00 R 1 cement Pee for Lost Tan: $5.00 ***PLEASE READ CAREFULLY*** YOU ARE. REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $i5o.0o per pet. PET LICENSES RENEWALS ARE DUE BY 3 J3 2 a. 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 stair requires proof of rabies vaccination. ep a Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat CUperabor Inspection Program PET #1 [Dog 0 Cat �14 Pet Name S��Y`o�? ** Color tV,�ne�y�t�r.:'te. Breed** e Replacement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y AN MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: Z-- l-Ir 2\ (3 yr) (1 yr) City Tag #�a PET # 2 J Dog Ll 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) 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 # C *PLEASE INCLUDE THE CLTYTAG NUMBER IF THIS IS RENEWAL ** (This fee is due along with License Pee if requesting at the time of license renewal.) Do Not Send Cash by Mail TOTAL ENCLOSED $11Q,'DD _ If you have questions, please contact Blair Police Department at (402) 4264747 ++++++++++++++++++++++++++++++++++++++++++++++++.++++++++++++++++++++++.++++++ NEW PET/ NEW RESIDENT LICENSING REQUIREMENTS(M.-tro15late fee date notapplicablefcroewpets/newresiQb9tS) NeMy A guired Pets, New Residents to Blair: ■ Must W ldnsW y&n 10 days of ownership ■ Must register pets within 10 days of ■ <OR> at 6 months of age if puppy/ldtt n reside icy, Z-d WR6 dOC:ZO ZZ g0 Uer 01/19/2022 16:58 4024260101 HOLSTEIN VET CLINIC PAGE 01/01 2022 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOGS) AND /OR CAT(S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF B"1 IR — 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 T ),,LICENSE YOUR PETS. THE CITY OF BLAIR REQUIRES PROOF OF RABIES VACCINATION Failure to do so is a violation of City Ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. iPET LICENSE RENEWAL$ ARE pUE 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 Carol Hansen i Spouse Todd Owner Address 1953 Colfax St cit /state/zi Y p Blair, NE 65008 Phone # 402- Pet Name: AStrO 4-- C;(7(J y� -Z� Age: 181110 DOB: 07-02-20 Sex: - Ne 'red Mal® Color: Black Breed: Terrier X Microchip # 98514100284],274 Rabies Tag # 19680 PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE). # RABIES VACCINATION DONE ON 12-18-21 Rabies Description: 1 YEAR 3 YEAR i i Holstein Veterinary clinic Dr. Lisa Schrum DVM : Or. Krista Ho/stein DVM 718 South 191" Street Blair, NE 68008 402-426-7387 402-426-6101 Fax hoIsteincIinic@gmaii1.corn Intact Dog or Cat: $16.00 �ered D g or cat: $11.00 Replacement Tag $5.00 Total J l PETS THAT ARE ON THEA41 �(/G POl ENiIALLV DANGEROUS OR DANGEROUS DOG UST NEED TO REGISTER DIRECTLYAT CITY HALL. FAXED 01-19-22 BY 01/25/2022 16:24 4024260101 HOLSTEIN VET CLINIC PAGE01/01 2022- PET LICENSE VERIFICATION /APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOGS) AND /OR CAT(S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF BLAIR — 218 S. 16TH ST — BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. ***PLEASE READ CAREFULLY*** Y ARE RE UIRED B LAW TO LICENSE YOUR OWN THE ITy OF BLAIR RE RES PRO F OF RABIES VA CINATION. Failure to do so Is a violation of City Ordinances 6.103 and carries a penalty of a fine up to $15o,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 te City of months of agehf puppy hair for such dog or cat. NEW PET LICENSING Must be licensed within 10 days of ownership (OR) at NEW RESIDENTS TO BLAIR Must register pets within 10 days of residency Owner Name �� Derek Hansen Spouse Owner Address 758 South 16th St. City/State/Zip Blair, NE 68008 "hone # 402-278-1496 Pet Name: Fonzie WQ5- —7113LICENSEES Age: 8Y Sex: Neutered Male Color: Black and Tan Intact DOB: �-11-10.13 Dog or Cat: $16.00 Breed: Chi/Dash D 0 0 at: $11.00 Microchip # Rabies Tog # 19279 ftep PLEASE INCLUDE CITY TAG NUMBER iF THIS IS A RENEWAL (IF AVAILABLE): #/ace a9$5.00 RABIES VACCINATION DONE ON 106.25-21 Rabies Description: 1 YEAR '3 YEAR Holstein Veterinary Clinic Dr. Lisa Schrum DVM ; Dr. Krista Holstein DVM 718 South 1911 Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinic@gmail.00m Total $�`—!� DANGEROU DOG LI T NEED T REGIS R DIREGTLYAT CI' HALL 01/11/2022 16:11 4024260101 HOLSTEIN VET CLINIC ,PAGE 01/01 2022 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF BLAIR Q,- IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT($), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF BLAIR — 218 S. 16TH ST — BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. ***PLEASE READ CAREFULLY*** YQU ARE REQUIRED BY LAW Tp LICENSE YOUR PETS THE CITY OF BLAIR REQUIRES PItOpF OF RABIES VACCiNATIQN. Failure to do so is a violation of City Ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSE RENEWALS ARE DUE BY 3 15 2027. The city shall recognize a microchip ID number as the license number. it shall be unlawful for any dog or cat to wear any license or other city ID other than that issued by the City of Blair for such dog or cat. NEW PET LICENSING Must be licensed within 10 days of ownership (OR) at 6 months of age if puppy or kitten NEW RESIDENTS TO BLAIR Must register pets within 10 days of residency Owner Name Lisa Hansen Spouse Owner Address 758 S 16th Street Ap. 194 City/State/Zip Blair, NE 68008 Phone # ' ' .N N Pet Name: Chaz Age: 5Y DOB;—06-02.16 Sex: Neutered Male Color: White Breed: Chi/Dash Microchip # Rabies Tag # 19015 PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE): rf RABIES VACCINATION DONE ON 03-24-21 Rabies Description: 1 YEAR 3 YEAR Holstein Veterinary Clinic Dr. Lisa Schrum DVM : Dr, Krim Holstein DVM 718 South 1 91hStreet Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinic@gmail.com LICENSE FEE.$ Intact Dog or,Cat: $16.00 Dog or cat: $11.00 Replacement Tog $5.00 Total $ PETSTHArARE NTHE CTIVEPOTENrIALLYDANGEROUSOR DANGEROUS DD IST NEED TO REGISTER DI YAT CITY HALL. If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair e 218 S 16th St 9 Blair, NE 6808 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. "k Z LICENSE RENEWALS ARE DUE: March 15, 2022 Owner Name: a a CLOwner Address: N 3- city/state/zip: Blair® NE 68 OB Cr Phone # t —14C "2D 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 `fag: $5.0u Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Ins 'on Program PET 1 U Dog ❑ Cat Spayed/Neutered License Fee $ \Pet Name Si M ` n Birthdate Ca co Sex Color I k Q,g<� ki) l -� C Breed** r Replacement $ D clared Dangerous or Potentially Dangerous Dog: ❑ Y 14 N M ROCHIP # 005t Qi Y� D (If applicable) SUBTOTAL: $ IRA TES VACCINATION DATE: (3 yr) A (1 yr) City Tag # rrrr i-' 'A;,�71: o - RE #2 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet ame Birthdate Sex eI r Breed** ared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MI ROCHIP # (If applicable) RAI,IES VACCINATION DATE: (3 yr) (1 yr) FEET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Birthdate Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ W License Fee $ Replacement $ 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 I5/ate fee date not applicable for newpets/newresldenW Newly Acquired Pets: New Residents to Blair: ® Must be licensed within 10 days of ownership 0 Must register pets within 10 days of • <OR> at 6 months of age if puppy/kitten residency. Client ID: Client Name Address: Phone: Tag Number: Vaccine: Producer: Brand: Tvpe: inner of Administration: 456 Tory Hansen 665 North 3rd Street Blair, NE 68008 (402)740-8936 6937 Imrab Rabies Vaccine Merial Imrab 3 TF Killed Virus Subcutaneously Staff Name: David E. Johnson DVM License Number: 1893 Doctor Signature: Blair Small Animal Clinic PC David E. Johnson DVM 1734 Front Street Blair, Nebraska, 68008 (402) 533-2722 Rabies Certificate Patient ID: Patient Name: Species: Breed: Sex: Color: Markings: Birthday: Weight: Microchip ID: Vaccination Date: Expiration Date: Lot Number: Drug Expiration Date 2916 Simon Canine Pomeranian Neutered Male Black/White 09/30/2008 17.87 pounds on 12/8/2021 4BOE221DO3 3/21 /2022 3/21/2026 18526 5/20/2023 CITY OF GLAIR - 2022 PET LICENSE APPLICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to. City of Blair • 218 S 16th St • Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15. 2022 owner Name, mar. WA'-•hSs�Y� .r.c��\ .�,,�t Owner Address: � `�� -. - city/state/zip: Blair, NE 68008 Phone # Ga LICENSE FEES: Dog or Cat: $16.00 Alt red Do or Cat• $11.00 ***PLEASE READ CAREFUU.Y*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. ' Failure to Qo so Is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet P!T LICENSES RENEWALS ARE DUE BY 2LIELAW, The CKY shall recognize b microchip identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city Identlticatlon other than that Issued by the city or Bialr for such dog or caL The Clttr of Blair requires proof of rabies vaedeetfon. e g Replacement Fee for Lost Tag: $5.00 included is a Stabs Fee of $L25 being eolle vd, to fund the Nebraska Dog & Gat Operator Inspection Program PET # 1 O Dog C a t payed/Neutered License Fee $\�-CQ Pet N me I3i hdate�t-� Sex Color 1h Breed** Sra Replacement$ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y )L,N MICROCHIP # (If applicable) SUBTOTAL: $ � RABIES VACCINATION DATE, \-�\. — (3 yr) �41-,X� City Tag PET #2 U Dog ❑ Cat ❑ Spayed/Neutered License Fee $� Pet Name Birthdate _ Sex Re /acement$�. ** Color Breed P Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # ' (If applicable) SUBTOTAL: RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed** Rep/acement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # *PLEASE INCLUDE THE CITY TAG NUMOER IF THI$ IS A RENEWAL ** ('this fee Is due along with License Fee if requesting at the time of license renewal.) Do Not send Cash by Mall TOTAL ENCLOSED $ \ Z in you have questions, please contact Blair Police Department at (402) 426-4747 ++++++*+++a.++++++++++++++++++++++++++++++*++++++++++++++++++++++t+++++++++++++ NEW PET/NEW RESIDENT LICENMG REQUIREMENTS (Mach 15late fw date not aped/cable fOrnew pe'91Mwn#del7tS) .Wmad LAcaul ed Pea:. — New Reside= I& Slab:- - - ■ Must be baked Wfttlr►10 days of owrteSW ■ Must register pet within 10 days of ■ <oR> at 6 moMtfs of age if puppy/Mm residency. &�� Ij ly-DeWs— CITY OF BLAIR— 2022 PET a._ 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, ME 68008 You may legally own a combination of four. (4) adult Pets, but no more than three (3) adult dogs, or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2022 Owner Name: x Owner Address: City/State/Zip: Blair, ME 68008 Phone # 1 LICENSE FEES: Dog or Cat: $16.00 ***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 ldentlflcatio n other than that Issued by the City of Blair for such dog or cat. The City of Blair requires proof of rabies vaccination. Replacernerilt Fee for Lost Tag: $5.00 n—y— V-A'YVA PET #1 0 Dog Ll Cat _2�Spayed/Neutered ' /ed/Neutered License Fee $ Pet Name _\?q_ ( 5 �A Bi (thdae 2- Sex f� — Color y�, OLIO^ Breed** -Replacement Declared Dangerous or Potentially Dangerous Dog: Ll Y N MICROCHIP # (If applicable) SUBTOTAL:$ RABIES VACCINATION DATE: (3 yr) N, (lyr) _City Tag # PET #2 4 Dog Ll Cat payed/Neutered License Fee $ b '0 Pet Name BirhdaSte `1 rL Sex Color 0AoLr__\-,_ Breed** C � N I A,1 \A Lt 4? Replacement Declared Dangerous or Potentially Dangerous Dog: LJ Y � N MICROCHIP # (If applicable) SUBTOTAL:$ RABIES VACCINATION DATE: Z -Z- (3 yr) � (1 yr) — City Tag #-7AAk—* PET #3 0 Dog Ll Cat U 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 # *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 $ —Z-Z, C)D If you have questionsy please contact Blair Police Department at (402) 426-4747 ... .............................. r ........................+ ....................... NEW PET/'NEW RESIDENT- LICENSING, REQUIREMENTS (March 15 late fee -date not applicable for new pets/new residents) Newly'Acquired Pets: � - New Residents to Blair: m --, Must be licensed within 10 days of ownership a Must register pets within 10 days of in <OR> at, 6 months of age if puppy/kitten . residency. CITY OF BLAIR ® 2022 PET LICENSE APPLICATION Al'I®IV If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair a 218 S 16th St 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 15 202 Owner Name: - Owner Address: City/State/Zip: Blair, NE 6808 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 3/15/2022. The City shall recognize a microchip Identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city Identification other than that Issued by the City of Blair for such dog or cat, The City of Blair requires proof of rabies vaccination. LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: 11.00 Repiacement Fee for I_os ag: $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 �d Payed Ne tered P`° t Name 1jv%rA_,» " lr, )) Birthdate ex Color �Ue o_k:. Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y X N MICROCHIP # `f%io aboo_yi,�_ 51lo _(If applicable) RABIES VACCINATION DATE: ,, - ., Qo (3 yr) ✓ (1 yr) 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 Dangerol_!s or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) ❑N (1 yr) License Fee $ 1l . CIL Replacement License Fee $ Replacement $ �ZUBTOTAL: License Fee $ Replacement $ SUBTOTAL:$ .• *PLEASE INCLUDE THE CITYTAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not Send Cash by Mail TOTAL ENCLOSED $ L If you have questions, please contact Blair Police Department at (402) 426-4747 ++++++++++++++++++.....++++++++++++..........+++++++++++++++.++++++++......... NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15late fee date not applicable for newpets/new residents) Newlycq_uired Pets: New Residents to Blair: • Must be licensed within 10 days of ownership a Must register pets within 10 days of ® <OR> at 6 months of age if puppy/kitten residency. 03/15/2022 16:59 4024260101 HOLSTEIN VET CLINIC PAGE 01/01 ■ 2022 PET LICENSE X VERIFICATION/APPLICATION FOR CITY OF BLAIR LIVE IN pLAIR CITY ( IMITS AND OWN A DOG($) AND /OR CAT(S), Ii= You COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF BLAIR.— 218 S. 16TH ST — BLAIRr 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*** YO ARE RE UI D BY :IA�MLICENSE YO a PETS. THE ITY OF BLAIft RE UIRE PROOF OF 81ES VAC (NATION. Failure to do so is on of City Ordinces 6,�03 and carries a penaltyofafine up t0 $150,00 per pet.PET ucENSE RENEWARE DUE BY 3 S2022.The cil recognize a microchip II„number as the license number. it shall be unlawful for any dog or cat to wear any license or other city )b 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'(0R) at 6 months of age if puppy or kitten NEW RESIDENTS TO BLAiR Must register pets within 10 days of r,�sidency Owner Name ! `Troy •}lartvigsen Spouse Tatum Owner Address 1965 Soren Dr, City/State/Zip Blair, NE 68008 Phone # ' 402-d26-9046 Pet'Name: Mavis Age: 5Y Sex: Spayed Female DOB: 02-04-17 Breed: Alaskan Malamute Color: . Microchip # 985112008180589 Rables Tag # 20170 PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILA81 El: # RABIES VACCINATION DONE ON 103-15-22 Rabies Description; 3 YEAR Holstein Veterinary Clinic Dr; Lisa Schrum DVM ; Dr: Krista Holstein DVM 718 South 191' Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinic@gmail.com LICENAEFEES Intact Dog or Cat: $16.00 D4 or cat: $11.0 Replacement rag $6 m Total $ � \ tO PETS THAT'A(tE ON 7I1E ACTIVE P(Q ENTIALLV DANGEROUS 01 DA GEROUS DOG LIST NEE O REGIS` ER DIRECT VAT CITV LL. Blair Small Animal Clinic PC David E. Johnson DVM 1734 Front Street Blair, Nebraska, 68008 (402) ,533-2722 Rabies Certificate Client ID. 8926 Client Name: Haidy Hassan 13th Street Apt 16 Address: 736 South Blair, NE 68008 (402)981-3943 Phone: Tag Number: 0000 Imrab Rabies Vaccine Vaccine: Merial Producer: Imrab 3 TF Brand: Killed Virus Type: Subcutaneously Manner of Administration: David E. Johnson DVM Staff Name: License Number: 1893 Doctor Signature: Patient ID: 12424 i Patient Name. pumpkin Species: Feline Domestic Shorthair Breed: Female ` Sex: OrangeANhite Color: Markings: 06119/2020 Birthday: 5.40 pounds on 12/20/2021 Weight: Microchip ID: Vaccination Date: 12/20/20212022 Expiration Date: 1201 12/201 Lot Number: Date: 1 8614 3/11 /2023 Drug Expiration V�) 01/10/2022 14:28 4024260101 HOLSTEIN VET CLINIC PAGE 03/03 2022 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT(S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY'OF BLAIR - 218 S.:.6TH ST - BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE; (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. 'PLEASE READ CAREFULLY' YOU ARE RE IRED BY LAW LICENSE YOUR PETS. THE Cl F BLAIR RE IRES PROOF OP BIES VAG (NATION. Failure to do so is a violation of City Ordinances 6,103 and carries a penalty of a fine up to $150,00 per pet, PET LICENSE RENEWALS 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 Don Hatcher Spouse Jan Owner Address 959 South Fork Rd City/State/Zip Blair, NE 68008 Phone # 334-318-4069 ar 33� . . 0-Igq Pet Name: Gizmo Age: 15Y Sex: Neutered Male Color: Tan White DOB: 08-02-06 Breed: Papillon Microchip # Rabies Tag # PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE): # RABIES VACCINATION DONE ON 1 02-22-19 Rabies Description: 1 YEAR Holstein Veterinary Clinic ,or. Lisa Schrum DVM : L)/: Krist8 Holstein DVM 718 South 191h Street Blair, NE 68008 402-426-7387 402-426-0101 Fax hoIsteinclinic@ gmaiI-Gom 0 LICENSE FEES Intact Dog or Cat: $16.00 PO D g Replacement rag $5,00 1 Total $ \ tc) PETS THAT ARE ON THE ACTIVE POTENTIALLY RANG RDA US OR aAN EROUS DOG LIST EED TO REGISTER OIRECTLYAT CITY HALL, 01/04/2022 15:48 4024260101 HOLSTEIN VET CLINIC PAGE 01/01 VERIFI, IF BUT NO MORE THAN TH 2022 PET LICENSE ►TION/A.PPLICATION FOR CITY OF BLAIR. I LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT(S), )MPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO: OF BLAIR — M S. 16T" ST — BLAIR, NE 68008 J MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, =E (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. 'PLEASE READ CAREFULLY' Failure to do so is a violation of City Ordinances 6.1o3 and carries a penalty of a fine up to $150.00 per pet. PET LICENSE RENEWALS ARE DYE BY 3 15 20Z2. The city shall recognize a microchip ID number as the license number. It shall be unlawful for any dog o cat to wear any license or other city ID ( her than that issued by the City of fit for kitten such dog or cat. NEW PET LICENSING Must be licensed within 10 days of ownership (OR) at 6 months of age if puppy or NEW RESIDENTS TO BLAIR M st register pets within 1,0'days of residency Owner Name Don Watcher Spouse Jan Owner Address 959 South, Fork Rd City/State/Zip Blair, NE 68008 Phone # 334-318-4069 Pet Name: Gizmo Age: 15Y DOB: 08-02-06 Breed: Papillon Microchip # pLEASE INCLUDE CITY RABIES VACCINATION Rabies Description: Neutered Male Color: Tan White Rabies Tag # 3ER IF THIS IS A RENEWAL (IF AVAILABLE): # F ON 1 02-22-19 1 YEAR Holstein Veterinary Clinic Dr. Lisa Schrum DVM Dr. Krista Holstein DVM 718 South 1911 Street Blair, NE 68008 402-426-7387 02-426-0101 Fax holsteincli is@gmail.com 11 pr LICENSE FEES Intact Dog or Cat: $16.00 tere D g or cat: $1 0 Replacement Tay $5.00 Total $` 1 `tc) _ PETS Tt Il ON THE ACTIVE POTENTIAL 4y DANGEROUS 9 DANGEROUS DQ6 41ST NEED 70 EGISTER DIRECTLYATCITV LL. CITY OF BLAIR - 2022 PET LICENSE APPLICATION -761, ml 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: Jc� vn L.6C, (A y) l � � � I � y0 Owner Address: 1265orb) lo-A Srf, 4+lV l aty/state/zip: Blair, NE 68008 Phone # P L-11-1 / - L4 3 6-_1 LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11.00 ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 311512022. The City shall recognize a mlcrochip 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 Biair 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 Od Cat U Spayed/Neutered License Fee $ " k r ( Pet Name P 00 Birthdate 10-1--1oll Sex Color Cckl i c o Breed** I o l i e-; Niel,, VVA,I r Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ 00 RABIES VACCINATION DATE: 1 1►� f�2_ ( (3 yr) i2S (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) _ RE (1 yr) License Fee $ Rep/acement $ SUBTOTAL: $ City Tag # PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed** Replacement$ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not Send Cash by Mail TOTAL ENCLOSED $ If you have questions, please contact Blair Police Department at (402) 426-4747 ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (Maroh 15late fee date not applicable for new pets/new residents) Newly Awuired Pets: New Residents to Blair: ■ Must be lioensed within 10 days of ownership ■ Must register pets within 10 days of ■ <OR> at 6 months of age if puppy/Idtten residency. ! / , TlGHHAVEL 521E18TGT Republican Valley Veterinary Clinic Judy Baxter, oVM P.O.Box 8O4 429E.Hwy. xm St. Francis, KG0775 (785)332-2202 Page 1/1 � Client ID: 3324000 |nvoice#: 20217 Date: 12/16/2021 Patient ID: 21783 Species: Feline Weight: Patient Name: BOO KITTY Breed: Modiumhair, Domestic Birthday 1801/2811 Sex: Spayed Female 12/6/2021 FVRCPCVACC'BOOSTER RABIES VACC-BOOSTER Reminder 12/16/2022 FVRCPCVACC-BOOSTER 12/16/2024 RABIES \AACC-BOOSTER Staff Name Quantity Total Judy Baxter 1.00 $36.00 1.00 $25.00 Patient Subtotal: $50.00 Invoice Total: $50.00 Total: $50.00 Balance Due: $50.00 Previous Balance: $U0U Balance Due: $50.00 Check Chaoh#814:($50.00) Less Payment: ($50.00) Balance Omm: $0.00 CITY OF BLAIR - 2 PET LICENSE APPL11C TION 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. (J LICENSE RENEWALS ARE DUE: March 15, 2022 ***PLEASE READ CAREFULLY*** Owner Name: �\uqQXw'k8q9— 50 J-1 & YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. �i �S_ QC)C�_ Cj 6 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 3/15L202 . The City shall Phone # �0 6211 �0 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 to Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET #1 Dog Ll Cat Spayed/Neutered License Fee $ Pet Name Zb1oc) Birthate 2o/d, Sex Color Bl. ICa Breed** e� orderro Replacement$ Declared Dangerous or Pot/(� tially Danger s Dog: LJ Y X N MICROCHIP # N (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: I �)610 J,� (3 yr) (1 yr) _ City Tag # QL4 1 --5 r I PET #2 Dog LJ Cat Spayed/Neutered License Fee $ Pet Name Bir hate - c2o]-77— Sex Ff� Color WW� a Breed" Exe�r Replacement$ 1 14 n Dni-nni-inll Dancirr-%"c r)r)' I.❑ V M N W %-are U y !J ij a C' CROCHIP # 98E5 14) o-g 9�Io wS (If applicable) SUBTOTAL: $ RA IFS VACCINATION DATE: ,91 (3 yr) City Tag # (1 yr) _-aL cL PET #3 Ll Dog LJ Cat LI Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed" Replacement $ Declared Dangerous or Potentially Dangerous Dog: El Y D N MICROCHIP # (If applicable) SUBTOTAL:$ RABIES VACCINATION DATE: (3 yr) — 1 (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 $ aMoo If you have questions, please contact Blair Police Department at (402) 426-4747 -I ...................................................... ............... NEW PET/ NEW RESIDENT LICENSING REQUIREMENTS (March 151ate fee date not applicable for newpetslnew residents) Newly Acquired Pets: New Residents to Blair: • Must be lioensed within 10 days of ownership m Must register pets within 10 days of • <OR> at 6 months of age if puppy/idtten residency. CERTIFICATE OF VACCINATION Date of Rabies Vaccination: 11/20/2021 Next Rabies Vaccination On: 11 /19/2024 VETERINARY CLINIC Arlington Pet Hospital 225 N. 3rd St. Arlington, NE 68002 402-478-4141 Certificate No: 0 Previous Rabies Vaccination: OWNER OF ANIMAL Stephanie Havenridge 509 River Road Blair, NE 68008 County: Washington THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Missy TAG NO: 029740 SPECIES: Canine WEIGHT: 64.00 SEX: Spayed Female AGE: 3Y Color and markings: Grey and White Signed #22�EL Lf� , DV(LI GRANT LITTLE, DVM License: 4022 Vaccinations done... 11/20/2021 GL LEPTO BOOSTER 11/20/2022 11/20/2021 GL RABIES 3 YEAR, #029740 11/19/2024 11/20/2021 GL BORDETELLA ANNUAL BOOSTER 11/20/2022 12/7/2020 GL RABIES 1 YEAR, #026348 11/20/2020 *** DHPP ADULT BOOSTER 2 YR 11/20/2022 Rabies Vaccine Information... MFG BY: NOBIV SER.NO: 51886? LOT EXP: 01/03/23 ADM: SQ CERTIFICATE OF VACCINATION Date of Rabies Vaccination: 11/20/2021 Next Rabies Vaccination On: 11/19/2024 VETERINARY CLINIC Arlington Pet Hospital 225 N. 3rd St. Arlington, NE 68002 402-478-4141 This is to certify... Certificate No: 0 Previous Rabies Vaccination: 022793 OWNER OF ANIMAL Stephanie Havenridge 509 River Road Blair, NE 68008 County: Washington THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Zuloo TAG NO: 029741 SPECIES: Canine WEIGHT: 64.00 SEX: Spayed Female AGE: 9Y Color and markings: Black Signed GRANT LITTLE, DVM i License: 4022 Vaccinations done... 11/20/2021 GL RABIES 3 YEAR, #029741 11 /19/2024 11/20/2021 GL DHLPP ADULT BOOSTER 2 YR 11 /20/2023 11/20/2021 GL BORDETELLA ANNUAL BOOSTER 11 /20/2022 12/5/2020 JAN LEPTO BOOSTER 11/20/2023 11/4/2017 DO DHPP ADULT BOOSTER Rabies Vaccine Information... MFG BY: NOBIV SER.NO: 518868 LOT EXP: 01/03/23 ADM: SQ Thone Animal Hospital (402) 426-3330 902 5 Hwy 30 Blair, NE 68008 CITY OF BLAIR - 2024& 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 carts per residential or dwelling unit. LICENSE RENEWS ARE DUE: M r 'h 16 2021 Owner Name: �,— owner Address: _�� C M)r\ 6tyJstateJZip: Blair,� E� 0$� Phone # LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11.00 R 1 —%nt Fee far Lost Tan: $5 00 ***PLEASE READ YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a nne up to $150.00 Per Pet. PEr LICENSES RENEWALS ARE DUE BY 3/1 1Z021. The cityshall 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 ac Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET #i og ❑ Cat �.Spayed(Neutered xna� License Fee $ �u Pet Name _ Birthdate �1Sex ** Color Breed** XLr A Replacement $ Declared Dangerous or Potentially Dangerous Dog; ❑ Y 6TN d MICROCHIP # Qf•applicable) SUBTOTAL: $ RABIES VACCINATION DATE: -3.OQ\ (3 yr) (1 yr) k City Tag #<�� PET #2 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Color Birthdate Sex Breed** Replacement $ ** Declared Dangerous or Potentially Dangerous Dog; ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE; (3 yr) _ (1 yr) City Tag PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Color Birthdate Sex* Breed** Replacement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # *PLEASE INCLUDE THE 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) 4264747 ....•+++..r+++++....++++++++++++...........+++++............++++++............ NEW PET] NEW RESIDENT LICENSING REQUIREMENTS (March 15late fee dafenotgopllcable fcrnewpeisInewresioLnts) Newly Acquired Pets: New Residents to Blair. ■ Must ke limed withn 10 days of CWM13HP ■ Must register pets witriln 10 days of ■ <OR> at 6 month of age if puppy/Idt6en residercY• l,•d do£:Zo ZZ go Uef ■ 01/21/2022 15:35 4024260101 HOLSTEIN VET CLINIC PAGE 01/01 ■ ■ 2022 PET LICENSE ■■■ VERIFICATION/APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT(S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF BLAIR — 218 S, 16TH ST — BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION'OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. 'PLEASE READ CAREFULLY' YOU ARE REQUIRED BY LAW TO;LICEUE_ YQIJR MTS. THE CITE/ OF BLAIR REQUIRES PROOF OF RABIES VACCINATION. Failure to do so is a violation of City Ordinances 6.103 and carries a penalty of a fine up to $150.00 per. pet, ' PET LICENSE RENEWALS ARE DUE BY 3/15/2022. The city shall; recognize a microchip ID number as the license number. it shall be unlawful for any dog or cat to wear any license or other city ID other than that issued by the City of Blair for such ddg 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 Megan Hayes Spouse 01 Michael Hayes Owner Address 19068 County Road 14 City/State/Zip Blair, NE 68008 Phone # - EIA Pet Name: Sunny Age: 3Y DOB; 12-18-18 a Sex: Spayed Female Color: Black and Tan Breed: Lab Mlx Microchip # Rabies Tag # 20048 PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE): # RABIES VACCINATION DONE ON 09�01-21 Rabies Description: 1 YEAR C3YEAR Holstein Veterinary Clinic Dr. Lisa Schrum DVM : Dr. Krista Holstein DVM ' 718 South 1911 Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinic@gmail-com LICENSE FEES Intact Dog or Cat: $16.00 Altered Dog'or cat: $11.00 /acement ag Total $ �v PETS THAT ARE ON THE ACTIVE POTENTIALLY DANGEROUS OR DANGEROUS DOG LIST NEED TO REGISTER D/RECTLYAT CITY HALL. FAXED 01-21-22 BY p ,i�. , o ;i r. n�J�l rF�11��;��6h ��.11. ��Ir I Iti;�F,n°Cn'�xia)�'�ei3. o•°�u3kl dn2� c. �� 01/14/2022 15:07 402426010 VERIFICATU IF YOU LIVE COMPLE- CITY OF E YOU MAY BUT NO MORE THAN THREE (3) HOLSTEIN VET CLINIC 2022 PET LICENSE ►N/APPLICATION FOR CITY OF BLAIR PAGE 02/02 N GLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT(S), THIS FORM AND RETURN WITH A CHECK PAYABLE TO: LAIR — 218 S. 16TH ST — BLAIR, NE 68008 EGAI-LY OWN A COMBINATION OF FOUR (4) ADULT PETS, DULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. ***PLEASE- CAREFULLY*** YOU ARE REQUIRED BY LAW T 1 LICENSE YOUR PETS, THE CITY OF GLAIR REQUIRES PflOOF OF RABIES VACCINATION Failure to do so Is a vlolat�on 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 sha I recognize a microchip ID number as the license number. It shall be unlawful for any dog or cat to dear 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 regist3r pets within 1.0 days of residency Owner Name Christie Hearn Spouse Mike Smith Owner Address I 2416 Elm Street City/State/Zip Blair, NE 68008 Phone # 402-981-5510 ; Pet Name: ICiki 7 Age: 3Y DOB:—10-11.18 Sex: Neut'red Ma a Color. Black and White Breed: Domestic Shorthair Microchip # Rabies Tag # PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE): # RABIES VACCINATION DONE ON 02-12-21 Rabies Description: 1 YEAR 3 YEAR I Holstein Veterinory Clinic Dr, Usa Schrum DVM Dr Krista Ho/stein DvM 718 South W1 Street Blaili_r, NE 68008 402-426-7387 402-426-U101 Fax holsteinclinic@gmail.corn LICENSE FEES Intact Dog or Cat: $16.00 Itere D g or cat: 1. 0 Re Iacement Tag $5.00 go Total $= PF.T$ THAT ARE ON THEACTIVf POTENTIALLY DANGEROUS OR DANOEROUS'DOG LIST NEED TO (PWISTER DIRECTLY AT CITY HALL. ■j 01/14/2022 15:07 4024260101 HOLSTEIN VET CLINIC PAGE 01/02 ■ 2022 PET LICENSE VERIFICATI N/APPLICATION FOR CITY OF BLAIR IF YOU LIVE N BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT(S), COMPL E THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF. LAIR — 218 S. 16" ST — BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) *DULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. 'PLEASE READ CAREFULLY' Failure to do so Is a vlofiWon of City Ordinances 6,103 and carries a penalty of a'fine up to $150.00 per pet, PET LICENSE RENEWALS ARE DUE BY 3/1512022.' The city shalIl 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 Christie Hearn Spouse I Mike Smith Owner Address 2416 Elm Street City/State/Zip Blair, NE 68008 Phone # 402-981-5510 .� Pet Name: Zeus Age: 5Y DOB: 01-05-17 Sex: Neu ed Ma Color: Dk Brindle Breed: Fr Bulldog Microchip # 985112007455992 Rabies Tag # 19139 PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE). # RABIES VACCINATION DOME~ ON 05-07-21 Rabies Description: 1 YEAR 3 YEAR Holstein Veterinary Clinic Dr. Lisa Schrum DVM ; Dr. Krkta Holstein DVM 71B South 191h Street Blair, NE 68008 402-426-7387 402-426 00101 Fax holsteinclinic@gmail.com LICENSE FEES Intact Dog or Cat: $16,00 re Do or cat: $I 00 Replacement Tag $5.00 Total $ I� DANGEROUS DOG LIST NEED TO REGISTER DIRECTLYAT CITY MALL, • 02/0e/2022 10:41 4024260101 HOLSTEIN VET CLINIC PAGE 01/01 % 2022 PET LICENSE ® TION/,ppPLICATION FOR CITY OF BLAIR vERYFxcAOWN A IF YOU LIVE IN BLAFciTY ORM AN LIMITS RETURN WIl-H A GONECK PAYABLE E TO: COMPLETE THIS_ BLAIR, NE 68008 tl-rY OF 13L A ZR �- 2,1,8 5� 1CT" S7 ADULT PETS, YOU MAY LEGALLY OWN A COM6INATIADULT ATS PER RESIDENTIAL OR DWELLING UNIT. BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ***PLEASE READ CAREFULLY*** CENSE VO R PE . TWE 1 OF BLAIR RE Ul ES PR OF O� RABIES pe Cp AT10N. YOU ARE RE UI - BY LAW T U Ordinances 6-103 and carries a penalty of a fine up $ Failure to do So is a violation of City PET LICENSF RENEWALS ARE DUE DY 3 15 20Z2. the Cityof glair for such dog or cat. The City shall recognize a microchip Ipr other city ID o heer than that issued by tnse number. or kitten It shall be unlawful for any dog or cat to wear any license °ys of ownership (OR) at 6 months of age if puppy licens NEW PET LICENSING �� Must regi dter'pelts Within 10 days of residency NEW RESIDENTS T� Jane Heinrich Owner Name Spouse Owner Address City/State/Zip i hone # FAg Name: BaiMey 6Y 05-10-15 breed: Goldendo'iudle Se Spayed Female Microchip # 9851;12006056778 mr- 01Y TAG NUM) RABIES V 1 Rabies Description: DONE ON IF THIS IS A 1 YEAR 07-15-19 Milt 101g Stone Creek Drive Stair, NE 68008 40;2-426-9573 I Color: Cream Rabies Tag # 17115 AL (IF AVAILABLE): # /ntsct Dog ©r Cat' $16.00 leered ,Do or cat: $11.00 Rep/#cement rag $5.00 Total 3 YEAR �— GET TH T A E ON THE AG7iVE POTENTif. LLY DANGFRO S OR VAN ER US POG ST EEO TO EGISTER DIRECTLY AT CG TV NLII Holstein Veterinary Clinic Dr. Lisa Schrum DVM : Dr. Krista Holstein DVM 718 So III th 1911, Street Blair, NE 68008 402- .426-7387 402-426-0101 Fax hglsteinGlinir, 9mai1.com r VPEMNt � � LI ITION 1-1-17. CITY OF .: 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 a 218 S 16th St a Blair, NE 68008 You may legally own d combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2022 Owner Name: Owner Address: City/State/Zip: Blair, NE 68008 Phone # 12-) 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 BC a t ' Spayed/Neutered License Fee $ Pet Name re i x Birthdate ' o(5f-- Sex -/'vA _ DeColor %�/�.rl� j�/� Breed** Replacement$ lared Dangerous or Potentially Dangerous Dog: ❑ Y MICOCHIP # (If applicable) S BTOTAL: $ ,. RAB fS VACCINATION PATE: c, (3 yr) _ (1 yr) City Tag # POET #2 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet ame Birthdate Sex Colo Breed** Dec red Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N 1I OCHIP # _ (If applicable) RABIES VACCINATION DATE: (3 yr) (1 yr) License Fee $ Replacement $ PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name _ Birthdate Sex Color Breed** Replacement$ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # I (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) _ (1 yr) _ City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) ®o Not Sena cash by Mail TOTAL ENCLOSED $ Al�, 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/new residents) NewlyAoquired Pets: New Residents to Blair: _ Must be licensed within 10 days of ownership ® Must register pets within 10 days of III <OR> at 6 months of age if puppy/kitten residency. 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 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, 2®22 ***PLEASE READ FULLY*** Owner Name: ►/1(kri f�P� 8 (i�r' 9 (.Y 5 / � � 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 shalt Phone # ®o� " c13 l —ate T 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 2eplac ment Fee $-or 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 NISpay d/ eutered r License Fee Pet Name Birthdate % Sex f dolor b I cA�-) W Breed** Replacement $ ** .. Declared Dangerous or Potentially Dangerous Dog: ❑ Y ON i MICROCHIP #-'4i0000�I(If applicable) SUBTOTAL: $ 0 RABIES VACCINATION DATE: 110 (3 yr) .I f_ (1 yr) City Tag # PET #2 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ w_ Pet Name Birthdate Sex Color Breed** Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # PET ##3 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed** Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not Sena cash by Mail TOTAL E NCLOSE 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 newpe&lnewre5ldents) Newly Muired Pets: New Residents to Blair: • Must be lioensed within 10 days of ownership N Must register pets within 10 days of ® <OR> at 6 mondis of age if puppy/kitten residency. 61 us: 02/19/2022 09:31 4024260101 HOLSTEIN VET CLINIC 2022 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF BLAIR PAGE"-- 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 — BLAIRf 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*** YDU ARE REQUIRED BY LAW TQ LICENSE YOUR PETS, TjiE CITY OF BLAIR REQUI�S PROOF OF RABIES VACCINATION, Failure to do so is a violatlon of City Ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet, PET LICENSE RENEWALS ARE DUE 13Y 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 Kelli Hermanson* Spouse Owner Address 1429 Lincoln Street City/State/Zip Blair, NE 88008 Phone # 402-427-3231 •fl� 4 Pet Name: Wilson° Age: 12M DOB, 02-01-21 Sex: Male Color: Brown Breed: Poodle, Miniature Microchip # Rabies Tag # 19199 PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAIL,'ABLE): #' . ; RABIES VACCINATION DONE ON 05-29-21 M Rabies Description: YEAR �3YE�AR Holstein Veterinary Clinic Dr. Lisa Schrum DOW : Dr- Krista Holstein OVM 718 South 191' Street Blair, N8 68008 402-426-7387 402-•426-0101 Fax holstoinclinic@gmail-com LICENSE FW tact ' b g or Cat: $16.00 tered Dog or cat: $11.00 Replacement Tay $5.00 Total $—`- pU1 THAT ARE ON THEACTI E POTENTIALLY 0ANG00US OR DANGER US DOG LIST NEED 10 RE ISTER DIRECTLYAT CITY ALL. FAXED 02-19-22 BY ,, .li,V; ;'., _,� � , -- IJVit:,.,• .c �, I r.. ' riyV1Y''•' '' I N P.' f, , Ity ' !+'�111„I I`a1 :i1C,1:f oi'i7nla:f'uai•i1fft�':.i.i.l�iY..Fg7fi :1�iv i�IL'I:ay, 1� �.Il� '•11.i' 41'.,•iil:"i1�1�":�il�n ti^:�• Y81 .J�"-� �i�ii+A'i�lii � 'Jv`y!?'c; a;�'v.;: i�(f iJ' �1i ;Il��rf. pii,,r il,Y`..,IDr;altiYBAY.,.;1..:'v'11.�Ah•I:°%i�Ut.l,.r.E,.:^;.�.iti/, 02/19/2022 09:31 4024260101 HOLSTEIN VET CLINIC PAGE 02/02 2022 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN. BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT(S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF BLAIR — 218 S. 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'rHREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. ***PLEASE READ CAREFULLY'** YOU ARE RE UIRED BY LAW TO LIG NSE YOUR PETS. THE CITY F BLAIR REQUIRES PR OF OF RABIES VAC )NATION. Failure to do so is a violation of City Ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSE_ RENEWALS ARE DUE BY 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 Nance Kelli Hermanson* Spouse ' Owner Address 1429 Lincoln Street City/State/Zip Blair, NE 68008 Phone # 402-427-3231 Pet Name: Bruizer Age: ISM DOS: 08-14.20 Sex: Male Color: Blck/Brwn Breed; Beag/Dach Microchip # Rabies Tag # 20111 PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE): # RABIES VACCINATION DONE ON 02-19-22 Rabies Description: 'I YEAR 3 YEAR Holstein Veterinary Clinic Dr. Llsa Schrum DVM ; Dr. Krlsta Holstein DVM 718 South 19t" Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinic@gmail.com LICENBE'FEES Dog or Cat: $16,00 Dog or cat: $11.00 Replacement Tag $5.00 ' Total $ `• ` PETS THAT ARE ON THE ACTIVE POTENTIALLY DANCy � —US OR DANGEROUS DOG LIST NEED REGISTER DIRECrLYAT CIJYHALL. FAXED 02-19-22 BY i>r;', "r, ;��,. i^ 'M1' J�li e: nr,�� ' �c15; •i�: ��`. �.•�•� ,y�,p`�„'`, 12/31/2021 09:50 4024260101 HOLSTEIN VET CLINIC PAGE 03/03 2022 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT(S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF BLAIR - 218 S. 16TH ST - BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. ***PLEASE READ CAREFULLY' YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS THE Q jY OF BLAIR REQUIRES PROOF OF RARIEI VACCINATION. Failure to do so Is a vlolatlon of City Ordinances 6.103 and carrles 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 Amanda Highfill Spouse Alex Owner Address 817 Meadow Drive City/State/Zip Blair, NE 68008 Phone # too a -iv mw a Pet Name: Ava Age: 11M DOB: 01-16-21 Sex: Spayed Female Color: Silver Breed: Weimaraner Microchip # 956000013410238 Rabies Tag # 19155 PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE): # RABIES VACCINATION DONE ON 05-12-21 Rabies Description: EAR 3 YEAR __ _�! Holstein Veterinary Clinic Dr. Lisa Schrum DVM : Dr. Kriste Holstein DVM 718 South 1 gth Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinic@gmail.com LLCENA,E FEES Intact Dog or Cat: $16.00 / rear Doi r cat: $11.0 Replacement Tay $6.00 Total $ � 1 PM THAT ARE ON THE ACTIVE POTENTIALLY DANGEROUS OR DANGEROUS DOG LIST NEED TO REGISTER QIRECTLY AT CITY HALL. FAXED 12-31-21 BY FAX TO BPD 4D 402-426-7144 12/31/2021 09:50 4024260101 HOLSTEIN VET CLINIC PAGE 02/03 2022 PET LICENSE VERIFICATION/APPLICATION FOR CITY.OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT(S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO. - CITY OF BLAIR — 218 S. 16TH ST — BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT, 'PLEASE READ CAREFULLY' YOU ARE REQUIRED BY LAW TO 10ENSE YOUR PETS. THE CITY OF BLAIR REQUIRES PROOF OF RABIES VACCINATION. Failure to do so is a violation of City Ordinances 6.103 and carries a penalty of a fine up t0 $150.00 per pet. PET LICENSE RENEWALS ARE DUE BY 3/15/2022. The city shall recognize a microchip ID number as the license number. 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 Rachel Highfill Spouse Owner Address 820 Meadow Dr City/Stare/Zip Blair, NE 68008 Phone #rk 402-659-4329 1 �'I M04 — 1.0 l) Irir� Pet Name: Field Age: 19M DOB: 05-25-20 Sex: Spayed Female Color: Blue Breed: Weimaraner !Microchip # 985141002128627 Rabies Tag # 19472 PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE), # RABIES VACCINATION DONE ON 09-09-21 Rabies Description: 1 YEAR 3 YEAR Holstein Veterinary Clinic Dr. Lisa Schrum DVM : Dr. Krista Ho/stein DVM 718 South 191" Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinic@gmail.com LICENSE FEES Intact Dog or Cat: $16.00 Dog , r cat: $11.0 Replacement Tag $5.00 Total $AVVIIJ PETS THAT ARE ON THE ACTIVE POTENTIALLY DANGEROUS OR DANGEROUS DOG UST NEED TO REGISTER DIRECTLYAT CITY HALL. FAXED 12-31-21 BY FAX TO BPD (a 02-426-7144 12/31/2021 09:50 4024260101 HOLSTEIN VET CLINIC PAGE 01/03 2022 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT(S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO. - CITY OF BLAIR — 218 S. 16T" ST — BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OP FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL. OR DWELLING UNIT. 'PLEASE READ CAREFULLY*** =-ARE REQUIRED BY LAW TO UI EIy$,E YOUR PETS. THE CITY OF BLAIR REQUIRES PROOF OF RA131ES 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 3115/2022. 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 Rachel Highfill spouse Owner Address 820 Meadow Dr City/State/Zip Blair, NE 68008 Phone # 402-659-4329 Pet Name: Wrigley Age: 10Y DOB: 05-19-11 Sex: Spayed Female Collor;, Silver Breed: Weimaraner Microchip # Rabies Tag # 19154 PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE); # RABIES VACCINATION DONE ON 05-11-21 Rabies Description: 1 YEAR (EAR Holstein Veterinary Clinic Dr. Lisa Schrum DVM : Dr. Krista Ho/stein DVM 718 South 191h. Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinic@gmail.com LICENSE FEES /Hiatt Dog or Cat: $16.00 A/ Dog cat: $11.00 Replacement Tag $6.00 Total $ 1 ` .00 PETS THATARE ON THEA j VE P TFNTIALLY DANGEROUS OR DANGEROUS DOG LISTNEED TO REG/SjEll DIRECT LYAT C/TYNALL. CITY OF BLAIR -2 22 PET LICENSE APPLICA ION If -jou live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair e 218 S 16th St ® Blair,, NE 68008 , You may legally own a combination of four (4) adult pets, but no more'than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2022 Owner Name: Owner Address: i0 City/State/Zip: Blair., NE 68008 Phone # � L9 Z.- LICENSE FEES: Dog or Cat: $16.00 Altered Don or Cat: !k11.00 ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3/I5L2022. 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 Z Dog Ll Cat t�Spayecl/Neuterecl License Fee $ fl. 06' Pet Name cm,:2i, Birthdate 'b - 16 -)7 Sex /R// /6- Color 44ey-1e- Breed** r,�-64,t Lc// -be- _Replacement $ Declared Dangerous or Potentially Dangerous Dog: LJ Y 3 N A00 MICROCHIP # —(If applicable) SUBTOTAL: $ _ RABIES VACCINATION DATE: (3 yr) (1 yr) _ City Tag # / / * r,r,, J�— PET #2 W Dog Ll Cat 11 Spayed/Neutered License Fee $ Pet Namei-)S LI4 -W-UW Birthdate I _ Sex qb -te, le - Color 6.,1241 t Breed" L1014-e- Replacement $ Declared Dar?gerous or Potentially Dangerous Dog: LJ Y a N MICROCHIP # (If applicable) SUBTOTAL:$ RABIES VACCINATION DATE: (3 yr) _ (1 yr) — City Tag #-L-4LLI PET #3 LJ Dog LJ Cat F-I Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed" — Replacement $ Declared Dangerous or Potentially Dangerous Dog: LJ Y J N MICROCHIP # (If applicable) SUBTOTAL:$ RABIES VACCINATION DATE: (3 yr) -- (1 yr) _ City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not Send Cash by Mail TOTAL ENCLOSED $ 2Z- W w�� If you have questions, please contact Blair Police Department at (402) 426-4747 .............................................................................. NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15 late fee date not appllc3ble fornewpety1new resldentq) Newly Acquired Pets: New Residents to Blair: • Must be licensed within 10 days of ownership m Must register pets within 10 days of • <OR> at 6 months of age if puppy/kitten residency. r Date of Rabies Vaccination: 12-02-21 Certificate No:.O Next Rabies Vaccination On: 12-01-24 Previous Rabies Vaccination: 16495 VETERINARY CLINIC OWNER OF ANIMAL Holstein Vet Clinic Aaron Hill 718 South 19th Street 2078 Colfax Street Blair, NE 68008 Blair, NE 68008 402-426-7387 County: Washington This is to certify... THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Scooch TAG NO: 19652 SPECIES: Canine WEIGHT: 125.70 SEX: N AGE: 4 years Color and markings... Merle Signed Krista Holstein, DVM Rabies Vaccine Information... License: 3612 MFG BY: ZOETI SER.NO: 500084 LOT EXP: 08/09/22 ADM: SQ CERTIFICATE OF VACCINATION. Date of Rabies Vaccination: 12-02-21 Next Rabies Vaccination On: 12-01-24 VETERINARY CLINIC Holstein Vet Clinic 718 South 19th Street Blair, NE 68008 402-426-7387 Certificate No: 0 Previous Rabies Vaccination: 16496 OWNER OF ANIMAL Aaron Hill 2078 Colfax Street Blair, NE 68008 County: Washington This is to certify... THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Buttercup TAG NO: 19651 SPECIES: Canine WEIGHT: 123.00 SEX: S AGE: 4 years Color and markings... Grey Signed Krista Holstein , DVM Rabies Vaccine Information... License: 3612 MFG BY: ZOETI SER.NO: 500084 LOT EXP: 08/09/22 ADM: SQ 2022 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF SLI 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 DW NG UNIT. ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. THE CITY OF BLAIR REQUIRES PROOF OF RABIES VACCIN TION. Failure to do so is a violation of City Ordinances 6.103 and carries a penalty of a fine up to $150.00 p r 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 Lisa Hillman Spouse Owner Address 1123 Jackson Street City/State/Zip Blair, NE 68008 Phone # °. 402-237-9546 Pet Name: Whiskers Age: 8Y DOB:—02-02.13 Sex: Female Color: Calico Breed: Domestic Longhair Microchip # Rabies Tag # PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE): # RABIES VACCINATION DONE ON 09-09-21 Rabies Description: 1 YEAR 3 YEAR Holstein Veterinary Clinic'. Dr. Lisa Schrum DVM : Dr. Kr/sta Holstein DVM 718 South 191h Street Blair, NE 68008. . 402-426-7387 402-426-0101 Fax. hoisteinclinic@gmail.com TO 39dd OINI-10 13A NI31S-10H LICENSE F� EES Dog or Cat: $16.00 Altered Dog or cat: $11.00 Replacement Tag $5.00 . Total $& 00 FAXED 01-27-221 BY �( 1 f ■ TOT09ZhZOb LB:TT ZZOZ/LZ/TO CITY OF BLAIR f z 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. ;t � LICENSE j RENEWALS ARE DUE' March 15. 2022 Owner Name: �� + `�� y,a,n Owner Address: D �4s _ city/state/zip: Blair, NE 68008 Phone # Liq r 23J, q SLA (-e — ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to 150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3/15/2022. The City shall recognize a microchip Identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city Identification other than that Issued by the City of Blair for such dog or cat, The City of Blair requires proof of rabies vaccination. LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat. $11.00 Replacement Fee for Lost Tag: $5.00 included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program ,,,Pet I ',Colo '. Decl . _ MIC RAB PE3` P6t t Colo Dee MIC ' # 1 Dog Cat A Spayed Neutered License Fee $ �l�w lame l` -�� Birthdate'Z -)'6f6 Sex Breed** ck.. co Replacement $ Ired Dangerous of Potentially Dangerous Dog: ❑ Y N .00HIP # \" V (If applicable SUBTOTAL: $ ES VACCINATION DATE: .. (3 yr) (1 yr) City Tag # 6� 'r # ❑ Dog ❑ Cat ❑ Spayed/Neutered Name Birthdate Sex r Breed** tared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N ROCHIP # (If applicable) IES VACCINATION DATE: (3 yr) __ (1 yr) License Fee $ Replacement $ SUBTOTAL: $ City Tag # PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed** v Replacement ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBBTOTAL: $ 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 Wait TOTAL ENCLOS � , Dv If you have questions, please contact Blair Police Department at (402) 426-4747 .......................................+++..+..........++++++.++++++.. +++..... NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March.t5/ate fee date not applicable fornewpets/new residents) Newly Acquired Pets: New Residents to Blair: • Must be licensed within 10 days of ownership w Must register pets within 10 days of • <OR> at 6 months of age if puppy/kitten residency. CIS OF FLAIR ®2® LICEIVS APPL.&%,A i LOW 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: lm A Owner Address: city/state/zip: Blair, NE 68008 Phone # 1q::S6Q- It 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 $1.25 being collected to fund the Nebraska Dog Pie Cat Operator Inspection Program #1 Dog ❑ Cat Spa e /Neutered n ,� License Fee I r V V Pet Nam _ Birth�iate �1117 01 sex ll�\ e ' Co Ir Breed** Replacement$ ** s De lared Dangerou or Potentially Dangerous Dog: ❑ Y N YM ROCHIP # If applicable).SUBTOTAL: $ a BIES VACCINATION DATE: (3 yr) (1 yr) City Tag # 2'1 ..: Tr P T# 2 D o g ❑Cat ! Spay, / I entered n License Fee $ P Name'(i h Birthdate Zb Sex t �y C forkgWkw_ Breed** Replacement$ 10 ** Declared Dangerou5 or Potentially Dangerous Dog: ❑ Y Lk N MICROCHIP # 11�a(If applicable) SUBTOTAL: $ U RABIES VACCINATION DATE: 11 — (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 appiicable) SUBTOTAL: $ T RABIES VACCINATION DATE: (3 yr) (1 yr) Cites 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 220 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/newre5idents) Newly Acquired Pets: New Residents to Blair: Ia 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. ' Blair Small Animal Clinic PC ` David E.Johnson OVM 1734Front Street / Blair, Nebraska, 68008 PaUent|D: 11118 Client ID: 8152 Patient Name: Odle Client Name: DarbvH|mmelberQ Species: Conine � Address: 328FonhanaUeB|Vd Breed: Gh|hTzu B\e|r, NE ' Sex: Neutered Male 'o|or: Brown Phone: (712\3OQ-18G� `orkDgS' ' ' ` ' /rthdov 08/01/2019 �leigh¢ 13.25pounds on9/18/2O20 Microchip ID: Tag Number: 6094 / Vaccination Date: 12q5/2020 Lot Number: 18473 Expiration Date: 12115/2023 |nnnab Rabies Vaccine Prn c K8er|a\ Staff Name: David EJohnson DVM Blair Small Animal Clinic PC David E. Johnson DVM 1734 Front Street Blair, Nebraska, 68008 (402) 533-2722 Patient ID: 11760 Client ID: 8152 Patient Name: Milo Client Name: Darby Himmelberg Species: Canine Address: 328 Fontanelle Blvd Breed: Maltese Blair, NE 68008 Sex: Neutered Male Color: White Phone: (712)309-1067 Markings: Birthday: 01/06/2020 Weight: 8,93 pounds on 5/11/2021 Microchip ID: Tag Number: 6475 Vaccination Date: 8/11/2021 Lot Number: 18507 Expiration Date: 811112024 Imrab Rabies Vaccine Producer: Merial K LV / R: Killed Virus Staff Name: David E, Johnson DVM License Number: 1893 OF OR CITY OF BLAIR - 2022 PET LICENSE APPLICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair • 218 S 16th St • Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2022 Owner Name: Tracy Hineman Owner Address: City/State/Zip: Phone # 850 N 14th Street Blair, NE 68008 402-714-2793 LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11.00 ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3/15/2022. The City shall recognize a microchip identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city identification other than that issued by the City of Blair for such dog or cat. The City of Blair requires proof of rabies vaccination. Replacement Fee for Lost Tag: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET #1 ® Dog ❑ Cat ❑ Spayed/Neutered Pet Name Bella Birthdate Sex Color Fawn Breed** mix Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # 985112000932100 (If applicable) RABIES VACCINATION DATE: 3-21-21 (3 yr) x Female m (1 yr) License Fee $ 11.00 Replacement $ ** SUBTOTAL: $ —City Tag # PET #2 ® Dog ❑ Cat ❑ Spayed/Neutered License Fee $ 18.00 Pet Name Layoee Birthdate sex Female Color Black/White/Brown Breed** Austrailian Sheppard Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ® N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: 3-21-21 (3 yr) x (1 yr) City Tag # PET #3 ❑ Dog A Cat ❑ Spayed/Neutered License Fee $11.00 Pet Name Miss Kitty Birthdate Sex Female Color Black/While Breed** mix Replacement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y ® N MICROCHIP # 985111000225983 (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: 3-21-21 (3 yr) x (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 $ 38.00 If you have questions, please contact Blair Police Department at (402) 426.4747 ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March t5late fee date not applicablefor newpe&lnewresidents) 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. P(-y e- �797 CITY OF BLAIR - 2022 PET LICENSE APPLICATION ,-3 -h- dj- If you live in Blair City limits and own a clog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair e 218 S 16th St e Blair® NE 68008 You may legally own a combination of four (4) adult pets, but no morethan three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2022 I 7 1 Owner Name: Owner Address: City/State/Zip: Blair NE 68008 Phone # 6 0 y 7 () / 7� 7 LICENSE FEES: Dog or Cat: $16.00 Altered Don or Cat: ItIl 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/ 5/2022. 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 5a / Dog Ll Cat Ej Spayed/Neutered License Fee $ 0,) Pet Name /) 4 v Birthdate Sex A` , / - Color R1,6; t 1-, 4 /ij,,A Breed** _Replacement$ Declared Dangerous or Potentially Dangerous Dog: Ll Y EY N MICROCHIP# X-wl ) Ao112 02 t `j (If applicable) . SUBTOTAL: $ RABIES VACCINATION -DATE: V 2 2 i j: (3 yr) �/ (1 yr) _ City Tag # PET #2 LJ Dog Ll Cat LJ Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed" Replacement $ Declared Dangerous or* Potentially Dangerous Dog: Ll Y LJ N MICROCHIP # (If applicable) SUBTOTAL:$ RABIES VACCINATION DATE: (3 yr) — (I yr) — City Tag PET #3 LJ Dog J, Cat Ll Spayed/Neutered Pet Name Birthdate Sex Color Breed" Declared Dangerous or Potentially Dangerous Dog: Ll Y MICROCHIP # (If applicable' RABIES VACCINATION DATE: (3 yr) — (1 yr) License Fee $ Replacement$ SUBTOTAL:$ — City:Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not Send Cash by Mail TOTAL ENCLOSED $ If you have questions, please contact Blair Police Department at (402) 426-4747 ...................................................... 1 ........................ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 151ale fee date not applicable for newpetslnew re5ldents) Newly Acquired Pets: New Residents to Blair: 0 Must be licensed within 10 days of ownership m Must register pets within 10 days of N <OR> at 6 months of age if puppy/ldften residency. It 1V CITY OF BLAIR ® 2022"�PET LICENSE APPLICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair • 218 S 16th St a Blair, NE 68008 You may legally Own a combination of four (4) adult pets, but no more than three (3).adult dogs _ or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2022 Owner Name: Owner Address: f City/State/Zip: Blair, NE 68008 Phone # 1 , )110 t/ LICENSE FEES: Dog or Cat: $16.00 Altered no or Cat: $11 00 ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3/15/2022. The City shall recognize a microchip Identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city Identification other than that Issued by the City of Blair for such dog or cat. The City of Blair requires proof of rabies vaccination. g Replacement Fee for Lost Tag: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program `;PET # 1 . JS D o g ❑ Cat Spayed/Neutered License Fee $ �et Name r �� Birthdate Sex dolor Breed** Replacement $ ** IDeclared Dangerous or Potentially Dangerous Dog: ❑ Y)2N MICROCHIP # (If applicable) SUBTOTAL: $ 'RABIES VACCINATION DATE: j ! Z � � (3 yr) (1 yr) City Tag # F PET #2 Dog ❑Cat Spaye /N u red License Fee $ Pet Name � `" Birthdate , Sex _ Color Breed** c o Replacement $ ' Declared Dangerous or Potentially Dangerous Dog: rh Y ❑ N ;MICROCHIP # (If applicable) SUBTOTAL: $ . RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag * PET # ,❑ D o g 0 Cat Spayed Neutered License Fee $ Pet Name __ Birth ate Sexy Color u` s � �'� �� v� Breed** Rep/acement $ � ** Declared Dang rous or fYotentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: RABIES VACCINATION DATE: art L ? (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® $ '/76/ If you have questions, please contact Blair Police Department at (402) 426-4747 .......... .... ++++++...............++......++.+++.....++++++.....++.++++.++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15/ate fee date not applicable for newpets/newre5idents) Newly Ag paired 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/Ivtten residency. Countryside Small Animal Patient Chart 1306 Stevenson PO Box 119 Fort Calhoun, NE 68023 402-468-4060 Printed: 01-17-22 at 9:54a CLIENT INFORMATION Name Jeene Hobbs (541) Address 2018 Grant St. Blair, NE 68008 Phone 402 616-6936 PATIENT INFORMATION Name Kirby (5252) Species Canine Sex Male, Neutered Breed Spaniel, Cavalier King Charles Mix Birthday 09-06-15 Age 6y ID Rabies 20-0230 Color White and Tan Weight 23.40 Ibs Reminded 02-04-19 Codes Reminders for: Kirby Last done 03-12-23 Canine Rabies,3 y 03-12-20 03-25-22 Canine Bordetella Vaccination 03-25-21 03-25-22 Canine DA2PP-L 03-25-21 03-25-22 Heartworm Test, Antigen 03-25-21 Kirby's weight history (in Ibs) 03-25-21 23.40 03-30-20 23.50 03-12-20 23.00 03-16-19 24,25 MEDICAL HISTORY - Reminder View Date By Code Description Qty (Variance) Photo 03-25-21 KNP HWA Heartworm Test, Antigen Well negative KRJ BORD Canine Bordetella Oral DA2PL Canine DA2PP-L 03-12-20 KNP HWA Heartworm Test, Antigen Well SNAP - negative KRJ RV3 Canine Rabies Vaccn, 3 yr, #20-0230 BORD Canine Bordetella Oral DA2PL Canine DA2PP-L 03-16-19 KNP HWA Heartworm 'Test, Antigen Well negative KRJ Countryside Small Animal 1306 Stevenson PO Box 119 Fort Calhoun, NE 68023 402-468-4060 Printed: 01-17-22 at 9:54a CLIENT INFORMATION Name Jeene Hobbs (541) Address 2018 Grant St. Blair, NE 68008 Phone 402 616-6936 PATIENT INFORMATION Name Chester (4005) Sex Male, Neutered Birthday 04-01-14 (unknown) ID Color Orange and White Reminded 02-04-19 Reminders for: Chester Species Feline Breed Domestic Shorthair Age 7y (unknown) Rabies 21-0241 Weight 17.44lbs Codes Last done 03-23-22 Feline Rabies, 1 Y 03-23-21 03-23-22 Feline FVRCP Vaccination (CVRC 03-23-21 Chester's weight history (in Ibs) 03-23-21 17.44 05-12-20 17.00 05-07-20 18.25 03-16-19 13.75 MEDICAL HISTORY - Vaccination View Date By Code Description 03-23-21 KNP RV1 F Feline Rabies Vaccn, 1 Yr, #21-0241 CVRC Feline FVRCP Vaccination (CVRC) 03-12-20 KNP RV1 F Feline Rabies Vaccn, 1 Yr, #20-0231 CVRC Feline FVRCP Vaccination (CVRC) 03-16-19 KNP RV1F Feline Rabies Vaccn, 1 Yr, #19-0265 CVRC Feline FVRCP Vaccination (CVRC) 03-13-18 JJS RV1F Feline Rabies Vaccn, 1 Yr, #18-0308 CVRC Feline FVRCP Vaccination (CVRC) 03-07-17 JJS RV1F Feline Rabies Vaccn, 1 Yr, #17-0227 CVRC Feline FVRCP Vaccination (CVRC) 07-20-15 JJS RV1 F Feline Rabies Vaccn, 1 Yr, #15-0813 CVRC , Feline FVRCP Vaccination (CVRC) 07-18-14 JJS RV1F Feline Rabies Vaccn, 1 Yr, #14-0772 Patient Chart Qty (Variance) Photo Countryside Small Animal Patient Chart 1306 Stevenson PO Box 119 Fort Calhoun, NE 68023 402-468-4060 Printed: 01-17-22 at 9:55a CLIENT INFORMATION Name Jeene Hobbs (541) Address 2018 Grant St. Blair, NE 68008 Phone 402 616-6936 PATIENT INFORMATION Name Wicket (6872) Species Canine Sex Male, Neutered Breed Poodle, Miniature Birthday 06-27-17 Age 4y ID 990000001849681 Rabies 19-0264 Color Black Sable Weight 20.60 Ibs Reminded 02-04-19 Codes Reminders for: Wicket Last done 03-25-22 Heartworm Test, Antigen 03-25-21 03-25-22 Canine DA2PP-L 03-25-21 03-25-22 Canine Bordetella Vaccination 03-25-21 03-15-22 Canine Rabies, 3 y 03-16-19 Wicket's weight history (in Ibs) 03-25-21 20.60 03-12-20 18.00 01-16-20 17.00 03-08-18 15.25 MEDICAL HISTORY - Reminder View Date By Code Description Qty (Variance) Photo 03-25-21 KNP HWA negative KRJ BORD DA2PL 03-12-20 KNP HWA SNAP - negative KRJ Heartworm Test, Antigen Well Canine Bordetella Oral Canine DA2PP-L Heartworm Test, Antigen Well BORD Canine Bordetella Oral DA2PL Canine DA2PP-L 03-16-19 KNP HWA Heartworm Test, Antigen Well negative KRJ CITY OF BLAIR 2 PET LICENS ICATI If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made I I City of Blair ® 218 S 16th St e Blair, NE 68008 You may legally own,a combination of four (4) adult pets, but no more than three (3),adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2022 ***PLEASE R . M CAREFULLY*** Owner Name: YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Owner Address: IQ, 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 # 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 to Fee of $1.25 being collected to fund the Nebraska Dog & Cat operator Inspection Program ET #1 Dog J Cat ,Spayed/Neutered License Fee $ Dog Ll Birthdatelt—o')7 Sex et Name' _)I e Replacement $ olor 4&vA LJac_K Breed**(OLOC-1-mm-y'-L ��CA)Vverok eclared Dangerous or Potentially Dangerous Dog: LJ Y � N � 4q %S M g I V1 71'q (If applicable) SUBTOTAL:$ I 1,ROCHIP # c- C TMATI B �A7: I - (3 yr) �_ (1 yr) City Tag # 'T Ln 1P 1 PET i2 LJ Dog J Cat L3 Spayed/Neutered License Fee $ Pet Name Birthdate Sex Breed** —Replacement$ --,Color Declared Dangerous or Potentially Dangerous Dog: L3 Y Ll N MICROCHIP # (If applicable) SUBTOTAL:$ RABIES VACCINATION DATE: (1 yr) _ City Tag PET #3 LJ Dog J Cat LJ Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed" Replacement $ Declared Dangerous or Potentially Dangerous Dog: Ll Y 0 N MICROCHIP # (If applicable) SUB iOTAL: 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 (Match 15 late fee date not applicable for new 1xisInew resIdents) Newly Acquired Pets: New Residents to Blair: M Must be licensed within 10 days of ownership m Must register pets within 10 days of Ei <OR> at 6 months of age if puppy/kitten residency. Nancy Hoffman (# 22293) E2102 Nebraska Street Home Phone: 960-8623 (402) !Blair, NE 68008 Work Phone: 496-0700 (402) ext: Jan 06, 2022 Invoice Number 569245 �MaC (# B) Annual Exam: 04/19/2022 9 p�1es--allure—..__. -_SQx'. Male Neutered Rabies Vax: 01I0512025 DHPP: 04/18/2024 Age: 5 years andn nths old Bordetella: 06/27/2020 Breed: German Shepherd Lepto 4-Way: 01/06/2023 a Coat Color: (None) ! Weight: 104 lbs. HW Test: 10/10I2017 1 Rabies Tag Number: 22 0056 Rabies Serial Numbe SN 528097 Rabies Brand Name: Defensor 3 Tattoo #: Micro Chip #: i Date Code Descri tion Qt Price 6/2022 103 Office Visit 1 $ 60.00 109 Biohazard Fee 1 $ 3.25 307 Lepto 4-Way Vaccine Annual 1 $ 22,00 370 Rabies Vaccine - 3 year 11111 $ 24.00 488 Skin Scraping 1 $ 34.00 SIMP6 Simparica 120mg Canine 88.1 - 1321b� 1 $ 24.20 Total for Mac: $ 167.45 Dr. Dave Krueger Total Invoice: $ 167.45 Hospital Staff Previous Balance: $ 0.00 Total Amount Due: $ 167.45 5, VISA Credit Card $ 167.45 Total Payments - Thank you: $ 167.45 New Balance Due: $ 0.00 PRODUCT NOTES 'Visit zoetispetcarerewards.com to earn rewards with each purchase of an eligible Zoetis product - such as Simparica! RX Numb Code Description re Date Refills Left Mac (# B) 275303 SIMP6 Simparica 120mg Canine 88.1 - 1321b 0 Give 1 chew by mouth once a month for flea Contact Veterinarian if pet's condition changes! and tick prevention, Please remember: All medication refills need 24-48 hours to process. www.americananimal.net Invoice Number 569245 Page 1 of 1 Cashier: 192 'L CA ON CITY OF'BLAIR - 2022 PET LI E !k APP If you live in Blair City limits and own a clog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair e 218 S 16th St e Blair,, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit." R A, V LICENSE RENEWALS ARE DUE: March 15, 202 ***PLEASE READ CAREFULLY*** Owner Name: W 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 sis0.00 per pet. City/State/Zip: Blair, NE 68008 PET LICENSES RENEWALS ARE DUE BY 3/15/2022. The City shall Phone # 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 "Al 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 kInks'p'ecidion 10 '4"� PET #1 Dog Ll Cat date License Fee $ Pet Name 6 ej vn Birtdate "W) I 1 -1 Sex . Eh�xvbu Color Breed" O-ee I i,,L I L(�_"_ Replacement $ Declared Dangerous or Potentially Dangerous Dog: Ll Y U)N ZAICROCHIP # (If applicable) SUBTOTAL:$_L 50 BIES VACCINATION DATE: 0 (3 yr) (1 yr) _ City Tag # PET #2 LJ Dog LJ Cat J Spayed/Neutered Pet Name Birthdate Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: LJ Y MICROCHIP # —(If applicable) RABIES VACCINATION DATE: (3 yr) — PET #3 Ll Dog LJ Cat LJ Spayed/Neutered Pet Name Birthdate Sex C -.,I o r Breed" I b1c,'Jared Dangerous or Potentially Dangerous Dog: LJ Y i MY_'XffllD # (If applicable) kAREIES VACCINATION DATE: (3 yr) — License Fee $ Replacement $ Ll N SUBTOTAL:$ (1 yr) - City Tag # 70M License Fee $ Replacement $ SUBTOTAL:$ (I yr) - City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL (This fee is due along with License Fee if requesting at the time of license renewal.) f / I 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 (Match 151ate fee date not aPPllcable f0rnewpet.91neW residents) Newly Acquired Pets., New Residents to Blair: • Must be licensed within 10 days of ownership 0 Must register pets within 10 days of • <OR> at 6 months of age if puppy/kitten residency. Date of Rabies Vaccination: 01-10-22 Next Rabies Vaccination On: 01-09-25 VETERINARY CLINIC Thone Animal Hospital 902 S Hwy 30 Blair, NE 68008 402-426-3630 This is to certify... Certificate No: 0 Previous Rabies Vaccination: OWNER OF ANIMAL Rachael Hogberg 1372 Wilbur St Blair, NE 68008 County: THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Bella TAG NO: 007404 SPECIES: Canine WEIGHT: 50.00 SEX: S AGE: 7 years Color and markings... Black Signed Dr. Joe DiMari Vaccinations done... License: 3258 01-10-22 JRD Rabies Vaccination (3 Year), #007404 01-09-25 01-10-22 JRD DA2PPV 01-10-23 Rabies Vaccine Information... MFG BY: ZOETI SER.NO: 542135 LOT EXP: 02-14-23 ADM: SQ 03/15/2022 09:34 4024260101 HOLSTEIN VET CLINIC PAGE 01/0• 21022 PET LICENSE VERIFICATION/,APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT(S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO. CITY OF BLAIR 218 S. 16TH ST — BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT, ***PLEASE READ CAREFULLY*** YOU ARE BECIUIRED BY LAW TO ICENSE YOUR PETS. THE ITV OF BLAIR RE UIRES PROOF OF aABIES VACCINATION, Failure to do so Is a violation of City Ordinances 6,143 and carries a penalty of a fine up to $150.00 per pat. 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 Judi H011ing Spouse Matt Holiing Owner Address 710 N 18th Ave. Apt. 3D City/State/Zip Blair, NE 68008 Phone 402-504-2514 Pet Name-, Tigger Age: 11Y Sex: Neutered Male Color: Or.g Tabby DOB: 12-17-10 Breed: Domestic Microchip # Rabies Tag # PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE): # RABIES VACCINATION DONE ON 105.14-19 Rabies Description: 1 YEAR /""' '3 YEAR Holstein Veterinary Clinic Dr, Lisa Schrum DVM : Dr. Krlsta Holstein DVM 718 South 1911 Street Blair, NB 68008 402-4 26-7387 402-426-0101 Fax holsteinclinic@,gmail-com LICENSE FE - Intact Dog br Cat: $16.00 A/ red pog or cat: $11.00 Re ent Tag $6,00 Total $� PETS THATARE ON THE ACTIVE POTS• TIALLY DAN EROUS OR DANGERO DOG LIST Nf TO REGIS R DIRECT YAT CITYPIALL. FAXED 03-16-22 E3Y �:I L��f. (w,�i;lXgv .,■■y��I�� :�,(,/yy�1°` 1 ,; <II;'�N,'I FROM :BSAC FAX NO. :402-533-2722 Jun. 17 2021 01:47PM P1 CITY OF GLAIR - 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 516th St • Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult doge or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15. 2921 Owner Name: t Owner Address: A. A citylstate/zip: Blair, \NE 68008 f� i Phone # l.)1), W i,� a - 6 23.6 — LICENSIE FEES: bog or Cart $16.00 Altelre:d bog or Cart: $11.00 ***PLEASE READ CARMLLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Pasture to do to IW a violation of City ordinances 6.103 and carries a penalty of a fine up to *150.00 per pet. PET LICENSES RENEWALS ARE DUF RY 2LIUaQ - The City shall recognize a microchip Identification number as the license number, It shall be unlawful for any dog or cat to wear any ilcense or other dty identncation other than that Issued by the City of Malr for such dog or tat. Thr City of Blair r6quim proof of rablesVacdrlation. Replacement Fee for Lost Tag: $5,00 Included Is a Stabs Fee of $1.25 being collected W fund the Netlirasks Dog R Cat Operator Inspection Program PET #1 dog ® Cat s payed/Neutered License Fee $� Pet Name .. Birthdate Sex 1 e Color Breed** Replacement` $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y DJ N MICROCHIP # "i"—"-"`W (If applicable) SUBTOTAL: $ r RABIES VACCINATION DATE: N i 1(3 yr) —/ (1 yr) City Tau # PET #2 © Dog 0 Cat 0 Spayed/Neutered License Fee $ Pet Name Birthdate Sec Color Breed** Replacoment $ ** Declared Dangerous or Potentially Dangerous Dog; © Y © N MICROCHIP # (If applicable) SUBTOTAL. - RABIES VACCINATION DATE: ._-- (3 yr) (1 yr) City Tag # * PET #3 Q Dog ❑ Cat © Spayed/Neutered License Fee $ Pet Name Birthdate ___. _ .... Sex Color Breed** Replacement $ Declared Dangerous or potentially Dangerous Dog: 0 Y 0 N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) _, (1 yr) _ . City Tag # *pLE iI,SE 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 MaY TOTAL ENCLOSED $ If you have questions, please contact Blair Police Department at (402) 426.4747 ........ *..... ++++++++++++++*++++++++++++++++++++++*..++++.++++++++.+++ NEW PET/NEW RESIONNT i.ICENSING REQUIREMENTS (Mardi 15late twdate Mf,9p�liC0A(v fornewMWnewne deals) Mewly�AwA4Virgo s .p M iesldentd to Bielr. * 'Must beri wmd wltnln 10 dv of wimeitflip relsber pets within 10 days of ■ <OR> at 6 Months of age it puppy/ residency. CITY OF FLAIR ® 2022 PET LICENSE APPLIC TION If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair e 218 S 16th St e Blair,, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2022 ***PLEASE READ CAREFULLY*** Owner Name: li-k:Afy YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Owner Address: C-c) \ V� S-V — Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to siso.00 per pet. city/state/zip: Blair, NE 68008 PET LICENSES RENEWALS ARE DUE BY 3/15/2022. The City shall Phone # t8 — 10 5 — 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: $5,11110 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET #1 I Dog LJ Cat t:'Spayed/Neutered License Fee$ Pet Name U ttv Birthdate un-%< Sex - 5�� . — Color t'YN k V ecl Breed** 0-%�"6-ecA Replacement $ Declared Dangerous or Potentially Dangerous Dog: Ll Y 16 N MICROCHIP # — IQ 0 (If applicable) SUBTOTAL: $ RABIES,VA,CCINAT ')D I "-A _10 — (3 yr) City Tag #CL�L�C)L APATJE: �\i, yr) PET #2 L3 Dog L-J Cat LJ Spayed/Neutered Pet Name Birthdate Sex Color Breed" Declared Dangerous or Potentially Dangerous Dog: Ll Y Ll N MICROCHIP # (If applicable) RABIES VACCINATION DATE: — (3 yr) — (I yr) License Fee $ Replacement$ —** SUBTOTAL:$ — City Tag # PET #3 Ll Dog L) Cat Ll Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed** — Replacement$ Declared Dangerous or Potentially Dangerous Dog: Ll Y Ll N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: — (3 yr) — (1 yr) _ City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not Send Cash by Mail TOTAL ENCLOSED$ If you have questions, please contact Blair Police Department at (402) 426-4747 .............................................................................. NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15 late fee date not applIcable for newpely1new residents) Newly &cguired 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. 1IN �.CITY OF BLAIR -� 262 PET LICEN!�E APPLICATION If you live in Blair City limits and own a clog(s) and/or cat(s), complete this form and return with check made payable to: City Of Blair e 210 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. yaA DUE: March 15.®2 ***PLEASc1aF LICENSE RENEWALS ARE LY* Owner Name: �� Ytf I4, CH0 1 ` YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS, Owner Address: (':0 �. p (.>1 S T • _ 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 �t PET LICENSES RENEWALS ARE DUE BY 3J15/2022. The City shall Phone # �1oZ ` ' 1 ' C'�a 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 77°�—=- Replacement Fee for lost Taco: $5,10 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator ,nspection prn-carar!l PET ## 1 Dog ❑ Cat C/Spayed/N utered License Fee $ ,41'f0 c' Pet Namer-1161Z'LUj BirthdateM iLi0Sex [Ac�l�- Corr t , 1(Breed" ** s Replacement$ Declared Dangerous or Potentially Dangerous Dog: ❑ Y O-N MICROCHIP # (If applicable) SUBTOTAL: $ c1 RABIES VACCINATION DATE i (3 yr) yr) _City Tag #Ahw T #2 Ua/D o g ❑ Cat Spayed/Neutered License Fee $ C6l'Name !u ``- Birthdate 1A �i ex �e br b0i c--ce. Breed** ��.CT�� ..;� Replacement$ Declared Dangerous or Potentially Dangerous Dog: ❑ Y a NI � MICROCHIP # _ (If applicable) SUBTOTAL: $ �f'o A RABIES VACCINATION DATE: (3 yr) ��(1 yr) City Tag #-4c.4t PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Birthdate Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: . (3 yr) _ License Fee $ Replacement $ ❑N 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 Mall TOTAL ENCLOSE If you have questions, please Contiact Blair Police Department at (402) 426-4747 .....++++++....++++++++++++++++++....++++.+++++++++++++++++++++¢.++++++++¢+++¢+ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (Marchl5/ate fee date not applicable for newpets/newre5ldents) Newly Acquired Pets- New Residents to Blair: ■ Must be licensed within 10 days of ownership m Must register pets within 10 days of ® <OR> at 6 months of age if puppy/kitten residency. Client ID: Client Name: Address: Phone Tag Number: Vaccine: Producer: Brand: Type: inner of Administration: 7994 Alexis Holobek 10100 Woodcrest Dr Blair, NE 68008 (402)889-6680 6039 Imrab Rabies Vaccine Merial Imrab 3 TF Killed Virus Subcutaneously Staff Name: David E. Johnson DVM License Number: 1893 Doctor Signature: Blair Small Animal Clinic PC David E. Johnson DVM 1734 Front Street Blair, Nebraska, 68008 (402) 533-2722 Rabies Certificate Patient ID: Patient Name Species: Breed: Sex: Color: Markings: Birthday: Weight: Microchip ID: Vaccination Date: Expiration Date: Lot Number: Drug Expiration Date: 10749 Fozzy Canine Shih Tzu Neutered Male Black/White 08/01 /2010 15.40 pounds on 2/19/2022 11 /7/2020 11/7/2023 18473 7/3/2021 Client ID: 7994 Client Name: Alexis Holobek Address: 10100 Woodcrest Dr Blair, NE 68008 Phone: (402)889-6680 Tag Number: 6647 Vaccine: Imrab Rabies Vaccine Producer: Merial Brand: Imrab 3 TF Type: Killed Virus fanner 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: Vaccination Date: Expiration Date: Lot Number: Drug Expiration Date: 11632 Dixie Canine Fox Terrier Spayed Female White/Brown 06/17/2019 26.50 pounds on 6/16/2020 11 /20/2021 11 /20/2024 18514 3/11 /2023