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Mtt Y 3 t i CITY OF BLAIR ® 21022 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 J,, You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs t , or three (3) adult cats per residential or dwelling unit. W-M 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. Ld D o ❑ Cat ❑ Spayed/Neutered �� License Fee $ .� Pet Name_ 61 Birthdate 110-12AN ex Color Breed** _Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ NK40agap MICROCHIP # �1810app3�,�s91 (If applicable) aUBTOTAL: $ �r- RABIES VACCINATION DATE: :' s (3 yr) _.._Cl. yr) " City Tag # Q04W* 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) License Fee $ Rep/acement$ -** SUBTOTAL:$ PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed** Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUB@TO°TAL: $ 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 Mall TOTAL ENCLOSE® jLJL If you have questions, please contact Blair Police Department at (402) 426-4747 .°F..i--h.....^h..i-.......+i-.•Fi--F.f-F.. ^F....P.... ....................................... NEW PET/NEW RESIDENT LICENSING REQUIREMENTS(March 15late fee date not applicablelbrnewpets/new residents) Newly Acquired Pets: New Residents to Blair: ® Must be licensed within 10 days of ownership m Must register pets within 10 days of . • <OR> at 6 months of age if puppy/kitten residency. m CITY OF •• ■Y2alPET 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 City of Blair a 218 S 16th St a Blair,. NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2022 Owner Name: -ZG Uh M a k n tA Owner Address: 191-7 So✓ �-� �� __ city/state/zip: Blair, NE 68008 Phone # 71L- M- 07.1 _ LICENSE FEES: Dog or Cat: $16.00 Alt d Do or Cat• $11 00 ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3/15/2022. The city shall recognize a microchip Identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city Identification other than that Issued by the City of Blair for such dog or cat. The City of Blair requires proof of rabies vaccination. ere g Replacement Fee for Lost Tag: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska flog & Cat Operator Inspection Program i?nR* ;4 Dog ❑ Cat h Spayed/Neutered License Fee $ame _ Birthdate �� Sex Male —Breed** LAWix _Replacement$ ed Dangerous or Potentially Dangerous Dog: ❑ Y AN 4wift CHIP # 421 00h w o011 6411 _(If applicable) SUBTOTAL: $ S VACCINATION DATE: 3 Ib ZI (3 yr) X_ (1 yr) City Tag # 28H I PE11 #2 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pme Birthdate _ Sex or Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ W (1 yr) License Fee $ Rep/acement $ ** PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate Sex s ** Color _ Breed** Replacement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP #:� (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) 1 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®$ I. If you have questions, please contact Blair Police (Department at (402) 426-4747 ++++++++++++++++++++++++++++++++++++++++++di•++++++++++++++++++.1++++++++++++.i•+++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March15/ate fee date notapplic�blefornewpets/newre5idents) Newer 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. Y CERTIFICATE OF VACCINATION Date of Rabies Vaccination: 03-16-21 Next Rabies Vaccination On: 03-15-24 VETERINARY CLINIC Thone Animal Hospital 902 S Hwy "30 Blair, NE 68008 402-426-3630 Certificate No: 0 Previous Rabies Vaccination: OWNER OF ANIMAL Gabby Degagne 1517 South St Blair, NE 68008 County: This is to certify... THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Auggie TAG NO: 006540 SPECIES: Canine WEIGHT: 60.00 SEX: N AGE: 3 years Color and markings... Red and White Signed Dr. Joe DiMari License: 3258 Vaccinations done... 03-16-21 JRD Rabies Vaccination (3 Year), #006540 03-15-24 03-16-21 JRD Bordetella Oral 03-16-22 03-16-21 JRD DA2PPV 03-16-22 Rabies Vaccine Information... MFG BY: ZOETI SER.NO: 470342 LOT EXP: 5-10-22 ADM: SQ CITY OF BLklk 2022 PET LICE '__�E '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 awn a combination of four (4) adult pets, but no more than three -(3) adult dogs. or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2022 ***PLEASE READ CAREFULLY*** Owner Name: (',i �.� ,�l ✓ 1' 1C YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. � 1 Owner Address: COAL `'C + `i Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $is0.00 per pet. City/State/Zip: Blair, NE 68008 (` ) [ � PET LICENSES RENEWALS ARE DUE BY 3/15/2022. The City shall Phone # Iz 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 'P'eplacame��t Q �VI U-f2ut:ia'�: &j.v.r�® Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program T #1 Dog ❑ Cat ❑ Spayed/Neutered License Fee $ to 0 0 Pet Name Birthdate Sex _ ** Color Breed** ok ; i"o ; ems, --Replacement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y O 1N D MICROCHIP # UO K, If plicable) SUBTOTAL: $ lln Q RABIES VACCINATION DATE: �f3 yr) (1 yr) City Tag # �`L' PET # 2 Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name . + It d Birthdate � v2u Sex y ** Color i4 t 4w , n Breed** C 1 Ck 7 - \�t Replacement $ II D ❑ Y Fn Declared Dangerous or Potentla y Dangero s og. MICROCHIP # `ISM, v LO C' L I 1 S t �► If applicable) TOTAL: $ �D _ RABIES VACCINATION DATE: 'a ? `.3 yr) S B (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) _ License Fee $ Replacement $ ❑N SUBTOTAL: $ !tk_ (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 $ µ: If ou have questions please contact Blair Police Department at (402) 426-4747 ....++++++++++++.....++++++++++++.....++++++.....++++++++++¢+++.++•....++++++. NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15late fee date not applicable fornewpets/new residents) Newly Acguired 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. -� 1 ; CITY OF BLAIR - 2022 PET LICENSE APPLICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair e 218 S 16th St o Blair, NE 68008 You may legally.own a combination of four (4) adult pets, but no more than three (3) adult dogs' or three (3) adult cats per residential or dwelling :unit. LICENSE RENEWALS ARE DUE: March 15. 2022 Owner fume: Owner Address: City/State/zip: Blair, ME 68008 Phone #�:22S — LICENSE FEES: Dog or Cat: $16.00 Alt d Do or Cat: $i1 Do ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries, a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3/15/2022. The City shall recognize a microchip Identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city Identification other than that Issued by the City of Blair for such dog or cat. The City of Blair requires proof of rabies vaccination. ere 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 ET #1 0"Dog ® Cat artpayed/Neutered �, License Fee $ ` Pet Name C� w ' .� ' irthdate T / Sex t $ReplacemenColor reed** Declared Dangerous or Potentially Dangerous Dog: ® Y N MICROCHIP # � d z5'n (If applicable) SUBTOTAL: $ ` ems_* RABIES VACCINATION DATE: Syr) (1 yr) City Tag # L� PET #2 ® Dog ® Cat ® Spayed/Neutered Pet Name Birthdate Sex Color Breed** Declared Dangerous or Potentially'Dangerous Dog: L-3 Y MICROCHIP # _ (If applicable) RABIES VACCINATION DATE: (3 yr) _ License Fee $ _______ Replacement $ ** LlN SUBTOTAL: $ (i yr) City Tag # T #3 Ll Dog LEI Cat LJ Spayed/Neutered License Fee $ Pet Name Birthdate _ Sex lacement Re ** Color Breed** p $ Declared Dangerous or Potentially Dangerous Dog: ® Y lJ N MICROCHIP # (If applicable) SUBTOTAL; $ _-- RABIES VACCINATION DATE: (3 yr) _ (1 yr) City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not Send cash by Mail TOTAL C L S E If you have questions, please contact Blair Police Department at (402) 426-4747 +++++++++.....++...+++.++.++.....+++.++.+.-e•..+++.++.+.+.++.+.+++++..-r++....... NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15/ate fee date notapplicable fornewpets/newresidentV Newly AMufred Pets New Residents to Blair: • Must be licensed Wthin 10 days of ownership is Must register pets within .10 days of • <OR> at 6 months of age if puppy/kitten residency. CERTIFICATE OF VACCINATION Date of Rabies Vaccination: 3/2/2021 Next Rabies Vaccination On: 3/1/2024 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: OWNER OF ANIMAL Michael Marsh 1251 S. 16th St. Blair, NE 68008 County: Washington THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Carly TAG NO: 026907 SPECIES: Canine%r..'-& : Ali WEIGHT: 50.50 SEX: Spayed Female AGE: 2Y Color and markings: Brown And White Signed GRANT LITTLE, DVM License: 4022 Vaccinations done... 3/2/2021 GL RABIES 3 YEAR, #026907 3/1 /2024 2/17/2020 JAN RABIES 1 YEAR, #024796 Rabies Vaccine Information... MFG BY: NOBIV SER.NO: 419390 LOT EXP: 09/14/21 ADM: SQ 4to C,TTYOF "� ►�t(--iilAliN If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair a 218 S 16th St • Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3). adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2022 ***PLEASE READ CAREFULLY*** Owner Name: ` , ` -r_ rr, , i> _µ YOU ARE REQUIRED 8Y 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, N 68008 Ewa PET LICENSES RENEWALS ARE DUE BY 3/15/2022. The City shall Phone #� " TI—LL ---- recognize a microchip Identification number as the license number. It i ` shall be unlawful for any dog or cat to wear any license or other city f — I g ��. 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 Mate Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program M 0 P # 1! o g❑ �C a tSpayed/Neut eyed License Fee $v Pet Colo ame'- ' Birthdate Sex Breed** - , � �;.�- , �-Replacement $ ** DecI red Dangerous or Potentially Dangerous Dog: ❑ Y � - j Wo MIC OCHIP #�'� " 2(If applicable) ' (3 (1 yr) SUBTOTAL: $ r City Tag # ES VACCINATION DATE: Yr) go, # 2 ❑ Dog ❑ Cat ❑ Spayed/Neutered ame Birthdate Sex Breed** red Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered B'rthdate Sex License Fee $ Replacement$ _** SUBTOTAL: $ (1 yr) City Tag # License Fee $ Pet Name Color Breed** Replacement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y ® N MICROCHIP # _(If applicable) RABIES VACCINATION DATE: (3 yr) ** 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.) ®® Not Send Cy ash 6 Mail TOTAL ENCLOSED L-01 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) Newly Agguired Pets: New Residents to Blair: ® Must be lioensed within 10 days of ownership m Must register pets within 10 days of • <OR> at 6 months of age if puppy/kitten residency. / 5 CITY OF BLAIR v 2022 PET LICENSE APPLICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair a 218 S 16th St ® Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. 1 %. LICENSE RENEWALS ARE DUE: March 15, 2022 ***PLEASE READ CAREFULLY*** Owner Name: ` Vl OL r -I Q ✓�. C , 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 # I L r7 )1-( `� v` 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: $ +.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat operator inspection Program PST 1 Do ❑ Cat ,tVSpaZ /�,Ngutered License Fee $ 00 .> Pet 'Name e� _ Birthdate � Sqx ** i Breed** \ Ilt� Replacement$ Colo �Zcefiangerous ��?�"Decl or Potentially Dangerous Dog: ❑ Y N It-CCHIP # (If applicable) SUBTOTAL: $ RABS VACCINATION DATE: 1 (3 yr) (1 yr) City Tag # T� fia r ° i& # 2 ❑ Dog � Ak Cat Spaye /NeuterSex License Fee $ ; ..< et Name_ ryt Birthda*t* Breed" - Re /acement$ Colon' ���� �. ,�-Nfti�C- p p4 Decl "red Dang� us or Pot tially Dangerous Dog: ❑ Y N MIOCHIP # _(If applicable) SUBTOTAL: $ `-RABIES VACCINATION DATE: c CJ (3 yr) (1 yr) City Tag #�® PET #3 ❑ Dog Cat 'I Spare /N utered License Fee $ `� ,C )U Pet Name , Birthda*te -) - Sex !_ �e lacement ** Color Breed mv-LYj� �_ `- u�- p $ Declared Dane rous or Pote tially Dangerous Dog: ❑ Y N MICROCHIP # (If applicable) SUBTOTAL: $ UU RABIES VACCINATION DATE: Dv (3 yr) �� (1 yr) City Tag # 12 C *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$ -I If you have questions, please contact Blair Police Department at (402) 426-4747 ++++++++++++.+++++++++++.....++.+.+.++++++++...........r+++++........+++++++.+ NEW PET/ NEW RESIDENT LICENSING REQUIREMENTS(March 151atefeedate not applicablefornewpetsInewresidenis) Newly Acquired Pets: New Residents to Blair: is 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. CITY F 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 o 218 S 16th St o Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2022 Owner Name: �1 Imo_ _ 11 S Owner Address:�� city/state/zip: BI iir, NE 68008 Phone #�) LICENSE FEES: Dog or Cat: $16.00 Alt d Do or Catt $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. ere g . Replacement Fee for Lost Tag: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Gat Operator Inspection Program PET 1 ® D o g. C C a t ,�iSpa e /N utered License Fee $ � Pet Name + Birthdate I Sex Color Breed** Rep/acement$ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y i rN MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: 1 (3 yr) _ (1 yr) Cam'' City Tag PET # 2 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Birthdate Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # __(If applicable) RABIES VACCINATION DATE: (3 yr) _ PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Birthdate Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) ■W License Fee $ Replacement $ SUBTOTAL: $ (1 yr) City Tag #� License Fee $ Replacement $ ❑ N� SUBTOTAL: $ (1 yr) City Tag # IS A RENEWAL uestina at the time of license renewal.) Cash by Mail TOTAL ENCLOSED $ ** ;e contact Blair Police Department at (402) 426-4747 :EM ENTS (March 15 /ate fee date not applicable for new petOnew re5idenN) New Residents to Blair m Must register pets within 10 days of residency. Blair Small Animal Clinic PC David E. Johnson DVM 1734 Front Street Blair, Nebraska, 68008 (402) 533-2722 Rabies Certificate Patient ID: 9580 Client ID: 7477 Patient Name: Piper Client Name: Stephanie Martens Species: Canine Address: 867 No 11th st Breed: Border Cc - Blair, NE 68008 Sex: Spayed Fe—s--; Color: white/brow-r- Phone: (402)426-9496 Markings: Birthday: 05/10/2017 Weight: 78.80 pounds cr _2 Microchip ID: Tag Number: 6214 Vaccination Date: 1/9/2021 Lot Number: 18473 Expiration Date: 119/2024 Imrab Rabies Vaccine Producer: Merial MLV / R: Killed Virus Staff Name: David E Jc�nscn DVM License Number: 1893 i RABIES VACCINATION CERTIFICATE NASPHV FORM 51(revised 2007) RABIES TAG # Owner's Name & Address Print Clearly MICROCHIP # LAST FIRST M.I. TELEPHONE # Martens Stephanie 14024269496 71 NO. STREET CITY 867 N. 11 st Blair, Ne 6800B SPECIES Dog [] Cat 0 Ferret ® Other: spec Animal Control License AGE SIZE MonthsE]Under 20 lbs.El 7 Years [X� 20 - 50 lbs. [ SEX Male Over 50 lbs. Female Neutered 1 Yr 3 Yr Ot er PREDOMINANT BREED domestic short hair PREDOMINANT COLORS/MARKINGS hlack/rev ANIMAL NAME Mia DATE VACCINATED Product Name: Veterinarian's Name: Defensor 3a Dr. David Gordon 212 20 Manufacturer: Month / Day / Year (First 3 letters) License Number: 3587 1 Yr USDA Licensed Vaccine NEXT VACCINATION Veterinarian's signature 3 Yr USDA Licensed Vaccine DUE BY: 4 Yr USDA Licensed Vaccine Address: 1680 - Omaha L Street (NE) 12410 K Plaza, Omaha, NE, 68137 2/28128 ED Initial dose Booster dose Month / Day / Year 407286 Vaccine Serial (lot) Number ' RABIES VACCINATION CERTIFICATE w*spnvFORM sz(revised zvnr) owner's Name &Address Martens Stephanie NO.. STREET A SPECIES AGE COLORS/MARKINGS Cat x 4 Years QX 20 - 50 lbs, Over 50 lbs. omestic short hair oranu tabby Ferret EX Male Female ANIMAL NAME other: speci Neutered Lily D E VACC N ED Product Name: Dr. David Gordon _t2Q__ _ZjZ9 Manufacturer: License Number: 3587 Month / Day / Year (First 3 letters) F-11 Yr USDA Licensed Vaccine NEXT VACCINATION a3 Yr USDA Licensed Vaccine eterinarian's signature Address: 1680 - Omaha L Street (NE DUE BY: [:]4 Yr USDA Licensed Vaccine 2128123 0 initial dose Booster dose | Month / Day /Year | 407286 ) _ � �--`��una�e�d(Iot)NumUer \ Blair Small Animal Clinic PC David E. Johnson DVM 1734 Front Street Blair, Nebraska, 68008 (402) 533-2722 Rabies Certificate Client ID: 7477 Patient ID: 12860 Client Name; Stephanie Martens Patient Name: ZiyahSpecies: Address: 867 No 11th st Feline Blair, NE 68008 Breed: Domestic Shorthair Sex: Spayed Female Color: Black Phone: (402)426-9496 Markings: Birthday: 06/14/2021 Weight: 4.06 pounds on 8/14/2021 Microchip ID: Tag Number: 000 Vaccination Date: 8/14/2021 Lot Number: 18507 Expiration pate: 811412022 Imrab Rabies Vaccine Producer: Merial MLV / R: Killed Virus Staff Name: David E. Johnson DVM License Number: 1893 3 OPi If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair a 218 S 16th St e Blair® NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult clogs or three (3) adult cats per residential or dwelling unit. . —aD LICENSE RENEWALS ARE DUE: (March 15. 2022 ***PLEASE READ CAREFULLY*** Owner Name: �— A*,— A, 9, �`/ YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. ®Weer Address: l J�V r �Y 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 cat. The City of Blair requires pro o of rab' vaccination LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11.00 f eplacement Fee for Lost Tag: $ .00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET #1 Ll Dog Cat Spayed/Neutered License Fee $ D� Pet Name ' Birtdate Sex ___ ** Color �_(_ Breed** r a"V Replacement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE. U" 2- (I yr) '� (1 yr) City Tag # �* ET # 2 ❑ Dog ❑ Cat ❑ Spayed/Neutered �t Name Birthdate Sex )lor _ Breed** _ 2clared Dangerous or Potentially Dangerous Dog: ❑ Y ICROCHIP # (If applicable) 4BIES VACCINATION DATE: (3 yr) ■W License Fee $ Replacement $ SUBTOTAL:$ (1 yr) City Tag # PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate Sex ** Color Breed** Replacement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y 0 N MICROCHIP # (If applicable) I SUBTOTAL. $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not Send Cash by Mail TOTAL ENCLOSED $ 11, 03 If you have questions, please contact Blair Police Department at (402) 426-4747 .+.¢++.+......+...+++++.....++++++++++++++.++.++++++............. o•......... e• NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15late fee date not applicablefornewpets/newresidenis) Newly Acquired Pets' New Residents to Blair: • Must be lioensed within 10 days of ownership n Must register pets within 10 days of • <OR> at 6 months of age if puppy/kitten residency. ,n Client ID: 4302 Client Name: Angel & Rodney Martin Address: 2039 Soren Drive Blair, NE 68008 Phone: (402)533-2595 Tag Number: 00 Lot Number: 18445 Imrab Rabies Vaccine Producer: Merial t MLV / R: Killed Virus Blair Small Animal Clinic PC David E. Johnson DVM 1734 Front Street Blair, Nebraska, 68008 (402) 533-2722 Rabies Certificate Patient ID: 11828 Patient Name: Tater Species: Feline Breed: Domestic Shorthair Sex: Spayed Female Color, black Markings: Birthday: 06/08/2018 Weight: Microchip ID: Vaccination Date: Expiration Date: Staff Name: David E. Johnson DVM License Number: 1893 6/10/2020 6/10/2022 03/04/2022 15:26 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. 16'•" ST — BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT [TOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. ***PLEASE READ CAREFULLY' YOU ARE RE RFD BY LAW TO LICENSE YOUR PE S. YHE CITY OF BLAIR RE UIRES PROOF OF RABIES VACCINATION. Failure to do so is a violation of City Ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSE RENEWALS ARE DUE BY 3 IS 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 Patty Martin Owner Name Spouse . Dan Owner Address 2309 College.. -Dr City/State/Zip Blair, NE 68008 Phone # 402-533-8700 111 t . 11 A Pet Name: Jasmine Age: 4Y DOB: 05-19.17 Sex: Spayed Female Color; Tabby Breed: Domestic Microchip # Rabies Tag # PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A.RENEWAL (IF AVAILABLE); # RABIES VACCINATION DONE ON 03-04-22 Rabies Description: 1 YEAR 3 YEAR Holstein Veterinary Clinic Dr, Lisa Schrum OVM : Dr. Krista llolsteirl DVM 718 South 1 91hStreet Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinic@gmail.com LICENSE FEES Intact Dog or Cat: 8.00 /tered Do or cat: $11. Replacement Toy $5.00 lTotal $�'Ck: � PETS THATAREONMEACTIV POTENTIALLY DANGER V$OR DA_N EROU5 DOG LIST NEED TO REGISTER DIRECTLY AT CITY H. 4L�: 01/10/2022 15:37 4024260101 HOLSTEIN VET CLINIC PAGE 01/01 2022 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT(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 RECIUIRED BY LAW TO LICENSE YOUR PETS. THE CITY F LAIR RE UIPES PROOF OF 81ES VACCINA7iON. 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 flair for ten 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 70 BLAIR Must register pets within 10 days of residency Owner Name Spouse Owner Address City/State/Zip Phone # Fatty Markin Dan 2309 College Dr Blair, NE 68008 402-533-8700 Pet Name: Dillon Age: 10Y bOB: 06-17-11 Sex: Neutered Male Color: Black and White Steed: Siberian Husky Microchip # 98512100925910850 lies Tag # 20021 PLEASE INCLUDE. CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE): # RABIES VACCINATION DONE ON 01-10-22 Rabies Description: 1 YEAR 3 Y AR Holstein Veterinary Clinic Dr, Lisa Schrum DVM : Dr, Krists 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 ogor $1: 1.catOq Rep acement Tag $6.00 \ \ lc�c Total $ PETSTHATAREQJVTHEACaffEENTIALLYDANGEROUSOR DANGEROUS 00G L ST NEED TO 1tEGIS ER O1REG7LY AT CITY HALL, /15/2022 3:34 PM FAX 4025332723 BLAIR SMALL ANIMAL 20001/0001 l . K CITY OF BLAIR - 2022 PET LICENSE APPLICATION 3 I S If you live in Blair City limits and own a dogs) and/or cat($), complete this form and return with check made payabi to: City of Blair * 218 S 16th St • Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: M�,i LM 2022 Owner Name: ¢ �, �� ���, c, 6, Owner Address: �2 city/state/zip: Blair, NE 68008 _ Phone # 4 02 - 2 .; cl - 90-t 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 $0 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 3/18/2022. The City shall recognize a microchlp identification number as the license number. It shall be unlawful for any dog or cat to wear any licensa or other city Idenbficelon other than that Issued by the City or Blair for such dog or cat, The City of Blab require9 proof of rabies vaccination. Replacement Fee for Lost Tag: $5.00 Induded is a State Fee of $1.25 being collected to fund the Nebrasle Dog & Cat Operatior InSPectlon Program PET #1 ❑ Dog Cat Spayed/Neutered License Fee $ Pet Name 11; Birth ateZ Sex !'.4- Color Breed** Rep/ncement $. ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y Q N MICROCHIP # q 9 51 l 4 22 � Of applicable) SUBTOTAU $ RABIES VACCINATION DATE: 1 y- l - 2-1 f3-yr) 2 ! r (1 yr) City Tag # * PET # 2 Dog O Cat j Spayed/Neutered License Fee $ Pet Name r" BirthdateSex 4 c- Color Breed** Replacement $ Declared Dangerous or Potentiall Dangerous Dog: ❑ Y ❑ N MICROCHIP # 8 I y I L%C� I � �.� (If applicable) SUBTOTAL; $ RABIES VACCINATION DATE: S -5'7 1 (3 yr) City Ta - (X yr) �— ty 9 , PET # 3 ❑ Dog ❑ Cat 0 Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed** Replacement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) 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.) Po Not Send Cash by Mall TOTAL ENCLOSED $ If you have questions, please contact Blair Police Department at (402) 426.4747 NEW PET/NEW RESYDENT LICENSING REQUIREMENTS (Hardy 15lale /be dale (ot ap#1Gable Aornew pei%1newfa50 ?t9) Newly ACUl fired BUA beau RwWer a to Main a Must be loert9ed within LO days of a+vnevp ■ Must register pets within 10 days of ■ <OR> at 6 months of aW if puppy/iften mddffq. CM OF BLAIR - ., : . PILIG l6N 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 0 Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than ,three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15. 2022 ***PLEASE READ CAREFULLY*** Owner Name: � YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Owner Address II �� ` �l < I Y Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $is0.00 per pet. City/State/Zip: Blair, NE 68008 �( PET LICENSES RENEWALS ARE DUE BY 3/15/2022. The City shall Phone # 2 S-� recognize a microchip Identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city Identification other than that Issued by the City of Blair for such dog or cat. The City of Blair requires proof of rabies vaccination. LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET # 1 ''� o g ❑ Cat Spayed/Neutered License Fee $ " [eclared Name �� Birthdate�hSex t or ti! Breed** �-k ��"�--r �� Replacement $' ` ** Dangerous or Potentially Dangerous Dog: ❑ Y 14, NCROCHIP # _(If ap Il,�c ble) SUBTOTAL: $ �'j BIES VACCINATION DATE: � - I `fi n 1�j 3 yr _ (1 yr) City Tag # �� V" r PET #2 Dog Li Cat ❑ Spayed/Neutered License Fee $ ' �'C° �IPet Na e f +2 z, Birthdate L,`i-Z --Ltex Colors Breed Replacement$ ** Declared Dangerous or Potentially Dangerous Dog: ff Y l�j N MICROCHIP # (If apIi le) SUBTOTAL: $ RABIES VACCINATION DATE: bg 3 r (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: 1 (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 $ OC) If you have questions, please contact Blair Police Department at (402) 426-4747 +++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++.i-++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March ISlate fee date notapplicable fornewpetylnewresidents) Newly Acquired Pets: New Residents to Blair: Must be licensed whin 10 days of ownership ® Must register pets within 10 days of <OR> at 6 months of age if puppy/k tten residency. �0 Date of Rabies Vaccination: 03-12-21 Certificate No: 1449 Next Rabies Vaccination On: (none) Previous Rabies Vaccination: VETERINARY CLINIC OWNER OF ANIMAL Thone Animal Hospital Kathy Matzen 902 S Hwy 30 1415 Park St Blair, NE 68008 Blair, NE 68008 P 402-426-3630 County: This is to certify... THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... ' J PATIENT: Oscar TAG NO: 006526 SPECIES: Canine WEIGHT: 11.30 SEX: M AGE: 11 years.' Color and markings... Tan White Signed Dr.Kamala Freeman License: 3894 Vaccinations done... 03-12-21 KF Rabies Vaccination (3 Year), #006526 03-11-24 06-01-18 LL Check up, Rabies 3YR, #004120 - 03-11-24 05-25-17 LL Check Up, Rabies 1 Yr, #003429 04-05-16 LL DA2PPV 04-05-17 04-05-16 LL Bordetella, P13 (Intra-trac 3) 04-05-17 Rabies Vaccine Information... MFG BY: ZOETI SER.NO: 470342 i 4 04/08/2022 8:33 AM FAX 4025332723 BLAIR SMALL ANIMAL 2 0007/0007 pL.ICATION �w �O'..PET LICENSE Ap with k made payable to: Cm OF B�+I� , ~ K'pti(s) complete this form and return chi vwn�a dogC. /° ' it NE 68008 if you live in Blair' limits and o S 16th S.t,�!►a , City of B1 ilk "' ore than. three (3) adult dogs of four. (4) aduli,'P ls, but p0 snit You'may legally own a corntiin er residential or dwelling or three (3) adult cats p r �2 ***PLEASE READ CAREFULLY*** LI apt NENEWA ARE'DUIE� YOUR PETS. '. - �"N Vi ' A l � I $On Yo its p� YPU ARE REquIRM BY LAW TO LI 'CitV nvn es 6103 and carrieS ©, Owner Name: r C jG• GY Failure do 90 Is a violation 00 p Pet. ICU a Penstty et' a fine up to Shall Owner Address: -me city w :; . 8'a�rr, N� 6g�08 PET {.1crNSES RENEWALSfAp�epUember as the number. It Gity/State/ P p ?� ,3 recognize a mlcroch►p do or cat to wear any IlCcnsc or other city p Z, shall be unlawful for any g t issued by the City of Blab for such do9 or Rhone # Identlflcatlon ol8fairother are4uawP1DOf of Tablesvac:dnoon. cat. 'the City LICENSE FEES: Pog or Cat: $16.00 11.00 " " — Altered Dog or Cat: $ S 00_., . - -- - — - torInspeCdOn Program Replacement Fee for Last Tatg'.fug the Nebra*dCa � $` Cat Opp Included is a State Fee of $1•25being collie Neutered License Fee PET # � Dog ❑Cat hdatpe e / Sex es `Replacement $ _** Pet Nam -- Breed" Y L N Color `� �— —� Dangerous Dog' SUBTOTAL= $ Declared Dangerous or Potentially (If applicable) MICROCHIP # o1 (S yr) yr) —.—� City Tdg' RABIES VACCINATION DATE: S t Spayed/Ne tered LiC,ense Fee $--•�-i--� PET #2 � D o g gifthdate � m Replacement$ Pet Name ,,. 4��.��-----�--- Breed** g-. ❑ Y SUBTOTAL: $ Declared Dangerous or Potentially Dangerou o--* (If applicable) City Tag # MICROCHIP # (3 yr) (1 yr) l--- RABIES VACCINATION DATE. License Fee $ ❑ Do ❑ Cat ❑ Spayed/Neutered PeEt N # e g Birthdate ��- Sex Replacement $ �** Color Breed** ❑ Y ❑ N Declared Dangerous or Potentially Dangerous applicable) C3 SUBTOTAL: —�—� (1 yr) MICROCHIP # (3 yr) �— City Tag # RABIES VACCINATION DATE: *PLEASE INCLUDE 'THE CITY TAG NUMBER IF TW 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) 426-4T47 ' n°S/denGs ..................+.r++a•+•�t++++�rt+++++Ma/r�h z5/ale lee d to not PpllcaVe Jornew� 1-17ew +d n j +++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS P M MUst rC9lster Pcts wRhin 10 days of 0 Must be Ileensed vein 10 days of mi)ershlp residency. 0 <OR> at 6 months of age )f puppy/ktw_n CITY OF BLAIR — 2022 PET LICENSE APPLICATION de payable to: If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check City of Blair • 218 S 16th St • Blair, NE 68008 You may legally own a combination -of four (4 � adult pets, but no dwelling uhLti `three (3) adult dogs. or three (3) adult cats p LICENSE RENEWALS ARE DUE: March IS, ZQZ2 owner Name: V1.01r1rF` ai I Owner Address: 111✓r� r i S b r — city/state/Zip.. lair\, NE 68008 Phone LICENSE FEES: Dog or Cat: $16.00 C t• 11 00 ***PLEASE READ cAREFULLY*** YOU ARE' REQUIRED BY LAW TO LICENSE YOUR PETS- raiiure to do so is as violation of City ordinances 6.103 and carries a penalty of a fine up to $150.Oo per pet. PPT LICENSES RQNeWALS ARE DUE BY 3/U S/2022. The City shall recoonlYe a mlcrochlp Identification number as the license number, It shall be unlawful for any dog or cat to wear any license or other cityIdentification other d cat. yhe City r Blair recluldres proof ed bof the vacdnation. such dog er Altered Dog or a . $ _.. Replecemer:t Fee fbr••L• oat Tag: $5.00 Included is a State Fee of $1.25 being collectedto, fund the Nebrasl® & Cat Operator Inspection Program PET # 1 ❑ Dog Cat Spayed/Neutered License Fee $ I Pet Name Birthdate 0 (o Sex Replacement$ 5.0 ** Color Breed Declared Dangerous or Potentially Dangerous Dog: ❑ Y N MICROCHIP # -•--- (If applicable) SUBTOTAL: $ - RABIES VACCINA"IiON DATE: - C72 o (3 yr) _ (1 yr) X. City Tag PET #2 ❑ Dog Q Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed** Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N SUBTOTAL: $ MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # _ pET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ _ Pet Name Birthdate Sex ** Color Breed** Replacement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: ('3 yr) (1 yr) City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee If requesting at the time of license renewal.) Do Not Send Cash by Mall TOTAL ENCLOSED $ 16.00 441p If you have questions, please contact Blair police Department at (402) 426-4747 ++++++++++++**++++++++++++**.+++++++++*****..+++++++++****+++++.....-•r**++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (Maros XSIaef date n�ota�pp�l b/e&newpets/newros/dents) N'�` ly�°��. ■ Must later pets within 10 days of ■ Must be lioFised within 10 daysofownership. register ■ • <OR> at 6 monft of age if puppy/ldtten residency. r 77A7 /RA / 1AIP—VC ON CITY OF B , 2022 PET LICENS APPLI IT 4 If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair 9 218 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. e LICENSE RENEWALS ARE DUE: March 15, 2022 ***PLEASE READ CAREFULLY*** Owner Name: 41 J('�;tv YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. 6.103 Owner Address: Failure to do so is a violation of City ordinances 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 It Phone # recognize a microchip Identification number as the license number. shall be unlawful for any dog or cat to wear any license or other city Identification other than that Issued by the City of Blair for such dog or LICENSE 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 $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program P. T #1 *'Dog L3 Cat J Spayed eute!red e 0 License Fee$ ��LLL J /11 �L �z Pet ame Birthdate sex e — Colo �?, I Breed" Replacement$ Decl red Dangerous or Potentially DangerQukq: Ll Y -161 L) �))o MIC OCHIP #e -",(applicable) ) 0 N SUBTOTAL:$ RAB -ES VACCINATION DATE: 6W TTn' -6 z; 0 (3 yr) ; " (I yr) City Tag # ' 6k I j 17 PEA #2 LJ Dog 0 Cat J Spayed/Neutered License Fee $ Pet'Name Birthdate Sex of r Breed" eplacement $ R ared Dangerous or Potentially Dangerous Dog: LJ Y Ll N OCHIP # (If applicable) SUBTOTAL: $ IES VACCINATION DATE: -- (3 yr) _ (1 yr) - City Tag # PET #3 Ll Dog Ll Cat LJ Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed** Replacement $ Declared Dangerous or Potentially Dangerous Dog: 0 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 aW11r,361e for newpet5lnew residents) Newly Acquired Pets: New Residents to Blair: • Must be licensed within 10 days of ownership N Must register pets within 10 days of • <OR> at 6 months of age if puppy/kitten residency. l : CITY OF BLAIR ® 2022 PET LICENSE APPLICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City Of Blair a 218 S 16th St 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: v I LP Mt~ lil.6 V,C w ��(,,j L YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. 11 Owner Address: — � G%a %C { Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $1S0.00 per pet. City/State/Zip: Blair, NE 68008 ,� � � �� .®r/ PET LICENSES RENEWALS ARE DUE BY 3/15/2022. The City shall Phone # '' L U 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 # Dog ❑Cat 'Spayed/Neutered License Fee $ 1 -9 Pet dame v _ Birthdate MOM Sex _ c� - � ** Color hocK Breed** Replacement$ Declared Dangerous or Potentially Dangerous Dog: ❑ Y N MICROCHIP # (If applicable) SUBTOTAL: $ f .00 RABIES VACCINATION DATE: 0'7l J.20.2( (3 yr) `X (1 yr) City Tag # :_7,j�� PET # 2 ❑Dog ❑ Cat spayed/Neutered License Fee $ Pet Name _ Birthdate Sex MA ke Color - e ....— Breed** 120Vk4?St �b�af hid✓Rep/acement$ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y �i'N MICROCHIP # (If applicable) SUBTOTAL: $ l l RABIES VACCINATION DATE: 0):,) 1 (111 yr) (1 yr) City Tag #' PET #3 Dog 1 ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name 11 Birthdate 06 2G Z Sex A k e_ Color 131v,� ! t3�ca�U,yi_ Breed** i Irv, Replacement$ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y MIN MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr)_ City Tag #moo *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 $ . -00 If you have questions, please contact Blair Police Department at (402) 426-4747 .....+++++++++++++++++,r+++++++++++.... r++++.++++++++.+++.+++++++++++..... r++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15/ate fee date notapplicable fornewpets/newresidents) Newly Acquired Pets: New Residents to Blair: ® Must be lioensed within 10 days of ownership m Must register pets within 10 days of • <OR> at 6 months of age if puppy/kitten residency. Client ID: Client Name Address: Phone 8655 Kyle McAndrew 1444 Colfax St Blair, NE 68008 (402)415-7716 Blair Small Animal Clinic PC David E. Johnson DVM 1734 Front Street Blair, Nebraska, 68008 (402) 533-2722 Patient ID: Patient Name: Species: Breed: Sex: Color: Markings: Birthday: Weight: Microchip ID: 12900 Sally Canine Rottweiler Female Black/Brown 06/26/2021 42.00 pounds on 11/29/2021 Tag Number: 6756 Vaccination Date: 10/5/2021 Vaccine: Imrab Rabies Vaccine Expiration Date: 10/5/2022 Producer: Merial Lot Number: 18508 Brand: Imrab 3 TF Drug Expiration Date: 1/20/2023 oe: Killed Virus Manner of Subcutaneously Administration: Staff Name: David E. Johnson DVM License Number: 1893 Doctor Signature: Client ID: Client Name: Address: Phone Tag Number: Vaccine: Producer: -and: pe: Manner of Administration: Staff Name: License Number: Doctor Signature: 8655 Kyle McAndrew 1444 Colfax St Blair, NE 68008 (402)415-7716 6348 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: 12468 Riley Canine Labrador Mix Spayed Female Black 08/04/2009 59.00 pounds on 8/9/2021 985121006701657 3/31 /2021 3/3U2024 18490 7/3/2021 Blair Small Animal Clinic PC / David E.Johnson DVM 1734 Front Street � Blair, Nebraska, 68008 ' 12470 Client Name: Kyle McAndrew Patient Name: Myles Address: 1444 Colfax St Species: Feline Breed: Domestic Shorthair Blair, NE 68008 Sex: Neutered Male Color: Tabby - Gray Phone: (402)415-7716 Markings: Birthday: 01/01/2015 Weight: 15.80 pounds on 8/9/2021 Microchip ID: Tag Number: 0000 Vaccination Date: 3/31/2021 Vaccine: Imrab Rabies Vaccine Expiration Date: 313112023 Producer: Merial Lot Number: 18490 Brand: Imrab 3 TF Drug Expiration Date: 7/3/2021 ie: Killed Virus manner of Subcutaneously Staff Name: David EJohnson DVM License Number: 1893 Doctor Signature: olkeminder Letter R Sorted Type Datz At ID Client Name Patient ID Patient Name Item ID/Description 8655 McAndrew, Kyle Phone: (402) 415-7716 12468 Riley INTRA Intranasal Bordetella/Parainfluenza L 8/9/2022 86 Distemper Hep Lep Parvo-Annual L 8/9/2022 151 Heartworm Test - Snap RT L 8/9/2022 82 Rabies Vaccination - Canine Syr L 3/31/2024 12470 Myles 100 Rhino-Calici-Flu-PanLeu-Annual L 8/9/2022 176 Feline Leukemia Vac -Annual L 8/9/2022 84 Rabies Vaccination - Feline L 3/31/2023 12900 Sally 280 Microchip Implant & Enrollment L 6/26/2022 38 Ovariohysterecto my/S pay Canine >40# L 6/26/2022 INTRA Intranasal Bordetella/Parainfluenza L 10/5/2022 86 Distemper Hep Lep Parvo-Annual L 10/5/2022 82 Rabies Vaccination - Canine 3yr L 10/5/2022 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: McZe-e Owner Address: keme., City/State/Zip, Phone # Blair, NE 68008 L4 0 -z' - -10 � - IIIY5� LICENSE FEES: Dog or Cat: $16-00 ;5 Replacement Fee for Lost Tag: $5.00 ***PLEASE READ CAREFULLY' YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS, Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 31 S/ 2022. The City shall recognize a microchip Identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city Identification other than that Issued by the City of Blair for such dog or cat, The City of Blair requires proof of rabies vaccination. PET #1 a Dog LJ Cat C4 Spayed/Neutered License Fee Pet Name � Birthdate -H(WI k-1. Sex VYNC6t Color VKC� K;�- Breed** Lcr,b Mix Replacement Declared Dangerous or Potentially Dangerous Dog: Q Y *� N, jo� MICROCHIP # — --(If applicable) SUBTOTAL:$ RABIES VACCINATION DATE: "zo'7-0 y (3 yr) -;/ (I yr) _,City Tag # PET #2 N Dog LI Cat tZ Spayed/Neutered License Fee $ VAN') 0, 00 Pet Name W�ftSkivi.. Birthdate ilzzl10 Sex MCke- - M5 Color B)IckCV- Breed** Lc�-JQ K Replacement$ Declared Dangerous or Potentially Dangerous Dog: El Y V N MICROCHIP # - (If applicable) S U TOTAL: $ -LWNW—� I - 00 RABIES VACCINATION DATE: (3 yr) (1 yr) --- City Tag #-Q2-Zq(8* PET #3 Q Dog L] Cat 11 Spayed/Neutered !,License Fee $ Pet Name Birthdate Sex Color Breed** —Re acement $ Declared Dang&ous or Potentially Dangerous Dog: LJ Y 0 N I 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 lVot Send Cash by Mail TOTALENCLOSED$ 'Z2.00 If you have questions, please contact Blair Police Department at (402) 426-4747 ......................................... I ..................................... NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15 late fee date not applicable fOr newpet�lnew msldent5) Newly Acquired Pets: New Residents to Blair: m Must be licensed within 10 days of ownership N Must register pets within 10 days of N <OR> at 6 months of age if puppy/ldften residency. CERTIFICATE OF VACCINATION Ridgeview Animal Hospital 18142 Wright Street Omaha, NE 68130 402-333-3366 &Crj I- __ r Date: MAR 14 22 Time: 10:58 c7twi'maJ �'o-y-litaJ Owner Patient KATHLEEN & JESSE MCBEE Name:STU 715 N 31 ST ST Species: CANINE BLAIR, NE 68008 Breed: MIX, LABRADOR Color: BLACK 402-709-1553 Gender: MN DOB: APR 22 17 Weight: 61.5 lbs Rabies Tag: 200787 ID1: 985112011102446 ID2:192068 - - r;­_ h A � ni ifnnfi i rar I of /R/N LEPTO 4 WAY VACCINE MAR 3 22 MAR 3 23 1 MERCK-NOBIVAC 02171265 BORD-PARA-ADENO 2- INTRA N ... MAR 3 22 MAR 3 23 1 MERCK- INTERVET i 00541455A RABIES VACCINATION 3YR MAR 19 20 1 MAR 19 23 zoetis 350891b DA2PP 3YR VACCINE MAR 12 21 1 MAR 12 24 MERCK - NOBIVAC I 02121875A I hereby certify that this animal has been vaccinated in accordance with the manufacturers recommendation for the vaccine used on the above date. 0, 6,0-f CAO"-c jqe'e're DR. CORINNA BELL License Number: 3401 * Items marked with an * were not administered at this facility. CERTIFICATE OF VACCINATION Ridgeview Animal Hospital 18142 Wright Street Omaha, NE 68130 402-333-3366 qevlew eti'd),nal Yz Owner KATHLEEN & JESSE MCBEE 715 N 31 ST ST BLAIR, NE 68008 ON 402-709-1553 DOB: JAN 22 20 Weight: 46.5 lbs Rabies Tag: 211731 r)—rinfinn Date: MAR 14 22 Time: 10:59 Patient Name: WINSTON Species: CANINE Breed: MIX, LABRADOR Color: BLACK Gender: MN IDI: 985141002327265 ID2: 200493 Pvnirinz hAnni ifnnfi irp-r I nt /.,;/N DA2PP VACCINE 1 YR JUN 7 21 JUN 7 22 LEPTO 4 WAY VACCINE i JUN 7 21 JUN 7 22 BORD-PARA-ADENO 2- INTRA N ... I JUN 7 21 JUN 7 22 1 MERCK- INTERVET 1 00541441 c RABIES VACCINATION 3YR I JUN 7 21 i JUN 7 24 1 MERCK 1 464480 I hereby certify that this animal has been vaccinated in accordance with the manufacturers recommendation for the vaccine used on the above date. DR. MCKENZIE RIESSELMAN License Number: 4042 * Items marked with an * were not administered at this facility. j" 0 V 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 9 218 S 16th St * Blair, NE 680018 V I You may legally own a combination of four (4) adult pets, but no more than three (3) adult d 95 or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2021 ***PLEAM REM CAREFULLY*** V % YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. ii4 Owner Address: i'�'i v o 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 311512021. The City shall Phone # 41' 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 nquires 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 colleiled to fund the Nebraska Dog & Cat operator Inspection Pmgram I PET #1 " FJ'DI" og 0Cat '-a-8payed/Neptered License Fee $ Pet Name I Birthdate iZ-, Sex Color 'V \: Breed** Replacement Declared Dangerous or Potentially Dangerous Dog: 0 Y MICROCHIP vl kli'y � " I (If applicable) SUBTOTAL:$ c"'k jrl � ' RABIES VACCINATION DATE: 1-2\ (3 yr) — (I yr) — City Tag PET # "Dog 0 Cat Uk5payed/Neptered License Fee $ 1 0 X1 Pet Name_j:��,,-,,.z-lj, — BirthdateLLi.,4-JN Sex ("(-'k Color A� I �11` r4 Breed" [\),A'V-� Declared Dangerous or Potentially Dangerous Dog.,)Q-)Y 0 N MICROCHIP #' OZ- applicable) SUBTOTAL:$ RABIES VACCINATION, DATE. (3 yr) _ (1 yr) — City Tag PET #3 LI Dog L) Cat LI Spayed/Neutered Pet Name Birthdate Sex Color Breed" Declared Dangerous or Potentially Dangerous Dog: LI Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) — W (1 yr) License Fee $_ Replacement $ SUBTOTAL:$ — City Tag # *PLEASE INCLUDE THE CITY TAGNUMBER 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 (Mardi 15 late fee date not applicable for newpely1new residents) N@Mft AMuired Pets: New Residents to Blair: • Must be k)ffised within 10 days of awroship E Must register pets within 10 days of • <OR> at 6 months of age if puppy/Mm residency. 10:0 7 7 % Va,-n�ers,rom zsbiCa nia Pag z5 ,, FARMERS Farmers Smart Plan i4()met DeCidrations IN SU Gt ANf 12 Po& y Number: 32965-39-06 E(ja.di:+e; 6/I126211201 AR1 Ep.r,Wi n: 6/ 1/20221201 Add f.'omed lnsurad(s): Chddene PAc6reAii Jer_ qph N%8, 1440 Fieidcre=t Dr 81aii. HEGSGOa3722 e-mn7 Imu,,u „rimaJ mrii Address(E;): Prop¢rty Inset etl: 1440 EdO&—t Df 61air, NEGPI)0II-3722 Uiidervrdpen 6y� Farrne*s ln5urance 6*xhange 6301 Oarensmoulh Ave. NJoodf-d Hills, CA 91367 Description o/Property Ymuro}CarrinuciGon 2011 A�uj Rv'ot 0 Ccnstruciionif id „d sd 0,, Frame PrcvPuna,}, G r Occueir-d rP 3�y i7es) R-1Type C 5Hrv,1lr; Nu bc""fu,k1, 1 R,,of Sw 1 u,o61T,pn 6're Rcui �,r..+.e 'zt alTrh'ivt ,o.r•y,1 rf,,. T71ew,n IKtr�iu7 [t Ll�i'Rc, tl ii\,t �,n1 i41c�1, ; 3�(5JL �I�edUT O,�11 r�u�.r1rCUv i,x'�i � iYle Property Coverage A ,uert]ge L'�-n't ,"n, crag, LAmii _C - ")ij rtp 'i73L Sr1U t�tera ,3 R,., �urer�t Coll to,, f,3S,OF,JJ Ce—,-J, W, 4,Jrr ,Wc—, j,4U,di G.,e -sye0 $ty,4„ate niur_s $�5,0CN] C —,,D L..s if S7d,Cff) 00bility co erage Cfrern=. ilm11 Crr,eay.jr. Li=.-1 Cu_�,-aq E V r.onax U,rb'i1Y I f.I06i?J fnk�:. F ,c.I.es1( rt -is t,,; Gihe,� 1.1 v"o Oarvrrm�,.et�ne V ,licy tier. 323ei53S'-0fi Nur_x#iaxzas° t.3ar,uct y m a�x>itxail k:�1]J ae [ns�a; IJ-Ii l/25/2021 P;a9s. t ai3 Declarations (continued) Additionot Coverage Options to : rxke L'*rnt 6 ,veru9P l.wYti1 d,, 1E,....... ....n..... j f ; 03/24/2022 12:36 4024260101 HOLSTEIN VET CLINIC PAGE 01/02 VERIFI IF BUT NO MORE THAN Failure to do It shall be unlawful for any dog NEW PET LICENSING Must be NEW RESIDENTS TO BLAIR M 2022 PET LICENSE ATION/APPLIICATION FOR CITY OF BLAIR OU LIVE IN BLAIR CITY LIMITS AND,OWN A DOG(S) AND /OR CAT(S), COMPLETE THIS FORM AND RETURN WU,-H A CHECK PAYABLE T0: r OF BLAIR ^ 218 S. 16TIl St - BLAIR, NE 68008 OU MAY LEGALLY OWN A COMBINATION 1 F FOUR (4) ADULT PETS, TREE (3) ADULT DOGS OR THREE (3) ADULT CATS PEP, RESIDENTIAL OR DWELLING UNIT. ***PLEASE READ CAREFULLY*** is a violation of City Ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET I IGENSE RENEWALS ARE DUE BY 311V _2 , city shall recognize a microchip ID number as the license number. r cat to wear any license or other city ID other than that issued by the City of Blair for such dog or cat. licensed within 10 days of ownership (OR) at 6 months of age if puppy or kitten ist register pets within 10 days of residency Owner Name Kelsey McCaig Spouse Owner Address 1070 James Drive I City/State/Zip Blair, NE 68008 i Phone # 402-278-1897 1 _® Pet Name: Willy I Age: 7M DOB: 07-30-21 S6x: Neutered Male i Color: lBrown Breed: Lab/Poodle i Microchip # ! i Rabies Tag # 19632 PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE): # I RABIES VACCINATION DOME ON , 17-19-2I i Rabies Description: � YEAR 3 YEAR Holstein Veterinary Clinic Dr. Lisa Schrum vVM 1 : Dr. Krista Holstein DVM 718 South 19t" Street Blair, NE'68008 402-426-7387 ;402-426-0101 Fax holsteincliric@gmail.Com LICENSE PPI✓S Intact Dog or Cat: $16.00 to e Dog r cat: $11.00 Replacement rag $5.00 Total O� PETS THAT A N THE A IVE POTENTIALLY D N EROUS OR DANGEROUS DOG LIST NEED TQ REGISTER OIRECTLYAT CITYHALL. FAXED 03-23-22 BY '�.f: �: .f'•:I'. p:l�� :�� .. iti i�.0 � Lt �" it ��Ila;' '`.�•f't'4`✓f1'���:'�;�iJ,iid;E?;L�l;��:,,,::I�,.:;•��•�., '�!. t(NI,;�,:,.;;�<;;i;, ''.i]Il,�,. Apr ;"A(„o-;,.fr,:,.,., ';fa4,:;•c.p/l.I�?^Q,i�Ljp6H>�"nt%�;n aAair`i{t''Y!?!t(,o•;, thy. .;,•�� .fii• ,.�;' i;'ri�.1:'�.'1u:�JH;1�E�t�. +;,�..�u_ PAGE 02/02 03/24/2022 12:36 4024260101 VERIFI IF BUT NO MORE THAN HOLSTEIN VET CLINIC 2022 PET LICENSE ATION/APPLICATION FOR CITY OF BLAIR OU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT(S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO: if OF BLAIR — Alts S. 46T" ST — BLAIR, NE 680178 OU MAY LEGALLY OWN A COMBINATION'OF FOUR (4) ADULT PETS, IREF (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT, ***PI.EASE'READ CAREFULLY*** Failure to do s�o 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 pr 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 b� 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 Kelsey McCaig Spouse Owner Address City/state/Zip Phone # Pet Name: Benny Age: 14M DOB: 01-18-21 Breed: Border X 1070 James Drive Blair, NE 68008 402-278-1897 i 18} Neutered Male Microchip # 985141002539903 PLEASE INCLUDE CITY TAG NUMBER Ir THIS IS A RABIES VACCINATION Rabies Description: ON 105-14-21 i Color: ;Black and White Rabies 'Tag # 19162 (IF -AVAILABLE): # 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.com , , LICENSE FEES /ntect Dog or Cat: $16.00 /ere D g or cat: $11.00 Replacement Tag $5.00 Total $ ,\ "�' P T THAT ARE. ON rHFCTlVE P07E'Nrl LLY D NGEROUS DANC��ROUS DOG L15T NEED TO REGISTCR DIRECTLYAT CITY FAXED 03-23-22 BY ,�';��'�Y,}��il.. L/ :rr:i(Ry'..."1 ` r..�iii�f�.n� ��•��:�:�� 1^1,i;��!: .'��"'. ',j.� �i.. <',�.nr117 .�i.� i=frj ldti:,,i�,fi;%��iilt iir'+��":,V'>•,ijlj h�. '4?.I ;'iai4 :. n..; �..1}; •`'i:,` �,iYji,r,i,� .,�,,ni n� di' ,eu. •<�,_, ; •'.,.tl:'�pa �mf? ;;if; tirT `� .,,� ,.i,r;E"ru'' , -r :••::,, arrG6; i;��� CITY OF BLAik�XCATI 22 . . .:. If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made City of Blair ® 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) aault cogs . or three (3) adult cats per residential or dwelling unit. . 9 — IT LICENSE RENEWALS ARE DUE: march 15, 2022 Owner Name: L1'�AS'lY! & (�11• aka __ Owner Address: o It nl M Of City/State/Zip: Blair, NE 68008 Phone # 401. V5. 011401 ***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 T #1 Dog ❑ Cat Spayed/Neutered License Fee $ it Pet Named _ Birthdate 2 of Sex +tw6ite Color Breed** bDXCV-- AkmiY Replacement $ ** wy Declared Dangerous or Potentially Dangerous Dog: ❑ Y ld N MICROCHIP # (If applicable) SUBTOTAL: $ City Tag # ; RABIES VACCINATION T 3 2+022. (3 yr) (1 yr) PET # 2 Dog ❑ Cat ±(Spayed/Neutered License Fee $ Pet Name Da1cl& _ Birthdate Y71PA024 Sex -Fem hk, Color :MnI M aL&; m Breed** i, Replacement $ Declared Dangerous or Pote tially Dangeroustog: ❑ Y ErN MICROCHIP # ? (If applicable) SUBTOTAL: $ RABIES VACCINA N DAT :� `? ' O _ (3 yr) (1 yr) -k�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 $ Z'Z• ®y If you have questions, please contact Blair Police Department at (402) 426-4747 .....++++.+.............++++++..........+.++++++++++++++++++++++-a+++a .....+++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15late fee date not applicable fornewpets/newresldents) Newly Acquired Pets: New Residents to Blair: ® Must be licensed within 10 days of ownership ® Must register pets within 10 days of ® <OR> at 6 months of age if puppy/kitten residency. 0 Date of Rabies Vaccination: 06-23-21 Next Rabies Vaccination On: 06-23-22 VETERINARY CLINIC Holstein Vet Clinic 718 South 19th Street Blair, NE 68008 402-426-7387 This is to certify... Certificate No: 0 11.6-pi•m%T?fk1-k-1 &WAI"v U OWNER OF ANIMAL Michaela McCarty 390 Ryan Dr. Blair, NE 68008 County: PATIENT: Oakley TAG NO: 19273 SPECIES: Canine WEIGHT: 51.60 SEX: F AGE: 16 weeks Signed Krista Holstein , DVM WFITITI--im", 7 FT t reTal W. License: 3612 MFG BY: ZOETI SER.NO: 455011 LOT EXP: 02/08/22 ADM: SQ CERTIFICATE OF VACCINATION Date of Rabies Vaccination: 03-16-22 Next Rabies Vaccination On: 03-15-24 VETERINARY CLINIC Wayne Veterinary Clinic 610 Thorman Street Wayne, NE 68787 402-375-2933 This is to certify... Certificate No: 0 Previous Rabies Vaccination: OWNER OF ANIMAL Michaela McCarty 390 Ryan Dr Blair, NE 68008 County: THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Myles TAG NO: 220731 SPECIES: Canine WEIGHT: 0.00 SEX: S AGE: 7 years Color and markings... Tan Signed _:= Melissa Heithold License: 3405 Vaccinations done... 03-16-22 MTH Bordatella/Canine 03-16-23 03-16-22 MTH Rabies Canine 2 Yr. Booster, #220731 03-15-24 Rabies Vaccine Information... MFG BY: NOBIV SER.NO: 518868 LOT EXP: 3JAN23 ADM: SQ 02/23/2022 12:17 4024260101 HOLSTEIN VET CLINIC 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. 16" 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. PAGE 01/01 ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. THE CITY OF BLAIR REQUIRES PROOF OF RABIES VACCINATION. Failure to do so is a violation of City Ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSE RENEWAL5 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 1.0 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 Cameron McCombs Spouse Marina • Owner Address 1933 Butler Ave City/State/Zip Blair, NE 68008 Phone # 435-668-3870 ret Name: Buster 741 Age: 4Y DOB:—11-01-17 Sex:' Male Color: Whit Brn Breed; Poodle X Microchip # Rabies Tag ## 17990 PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE): # RABIES VACCINATION DONE ON 06-02.20 Rabies Description: I YEAR r('3- YEARS Holstein Veterinary Clinic Dr. Lisa Schrum DVM : Dr: Kr%sta Holstein DVM 718 South 1911 Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinic@gmail.com LICENSE FEES Intact Dog or Cat., $16.00 Altered Dog or Gat, $11.00 Replacement Tag $5.00 oa Total $ /PETS THATARg ON THEACTIVE POTENTIALLY DANGEROUS OR DANGEROUS DOG 1-15T NEED TO REGISTER DifteCTLYAT CITY HALL. FAXW 02-23-22 BY �`Y�/t�r � h© r��•(��/( n(( il{� n, � � � yn, • i fc �i dc�f >r'd1f1 r tl y., ff IQr I`ll V�1 "�CWI%��1 02IM; 4; ul%. ,• f 41r(. S 7�1 v .. .{ to �Fl Hfil i B dt�,�rj ryliti �h���r��iL ° .Ya, ):�1 � I d `r i,} } p } p SE APPLicATiON t •',. xi,,. � , LXCEN 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 o 218 S 1 th St @ Blair,, NE 68008 You may legally own a combination of four (4) adult pets, but n®,more than :three (3) adult dogs or three (3) adult cats per residential or dwelling unit. i LICENSE RENEWALS ARE DUE; March 15. 2022, ***PLEASE READ CAREFULLY*** Owner Name. Z r1 n �C rn b F1 YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. ®caner Address: �~� I Sochi, -- _— Failure to d0 so is a violation of City ordinances 6.103 and carries " A a penalty of a fine up to $150.00 per pet. City/State/Zip: 'flair, E PET LICENSES RENEWALS ARE DUE BY 3/15/2022. The City shall Phone # qO2- - 71th ,_ Q 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 Cato $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 -T Dog ® Cat (Spayed/Neutered License Fee •LI - bo _ Pet Name Birthdate ,c>l - Z2_Da Sex Color _'2� Breed** 3 o re-�r L& t 'c- Replacement $ Declared Dangerous or Potentially Dangerous Dog: ® Y Ep N, MICROCHIP # 4 1) 0,) : � zl so 3 6 2 2_ _(If applicable SUBTOTAL: $ - RABIES t�A�CINATION DATE: n 3 � a , LL (3 yr) _�( (1 yr) ,City Tag � 3 2 I T #2 ' Ll Dog ® Cat ® Spayed/Neutered Name Birthdate Sex Ir Breed** fared Dangerous or Potentially Dangerous Dog: ® Y ROCHIP # ___(If applicable) ,IES VACCINATION DATE: (3 yr) PET #3 LJ 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 Replacement SUBTOTAL: $ (I yr) City Tag Replacement $ SUBTOTAL: $ (1 yr) _ 1 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 lVot Send Cash by Mail TOTAL ENCLOSED $ !LL)DA 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 fornewpeisInewresidents) Newly Agguired Pets' New Residents to Blair: • Must be licensed within 10 days of ownership is Must register pets within 10 days of • <OR> at 6 months of age if puppy/kitten residency. Date of Rabies Vaccination: 03-03-22 Next Rabies Vaccination On: 03-02-25 VETERINARY CLINIC Countryside Small Animal 1306 Stevenson Fort Calhoun, NE 68023 402-468-4060 This is to certify... Certificate No: 0 Previous Rabies Vaccination: 19-0250 OWNER OF ANIMAL Liz McDermott 2151 South St Blair, NE 68008 County: THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Miss Fly TAG NO: 22-0168 SPECIES: Canine WEIGHT: 43.60 SEX: S AGE: 5 years BREED: Border Collie Microchip Number: Color and markings... Tri Color Signed Kaycee Points License: Vaccinations done... 03-03-22 KNP Canine Rabies Vaccn, 3 Yr, #22-0168 03-02-25 Rabies Vaccine Information... MFG BY: ZOET SER.NO: 535207 LOT EXP: 4APR23 ADM: Sq 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, 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, Au"A I ***PLEASE READ CAREFULLY*** Owner Name: YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Owner Address'' I 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 recognize a microchip Identification number as the license number. It Phone # shall be unlawful for any dog or cat to wear any license or other city Identification other than that Issued by the City of Blair for such dog or cat. The City of Blair requires proof of rabies vaccination. LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat operator Inspection Program PET Dog ❑ Cat ®Spayed Neutered License Fee $ r k Birthdate Sex Breed**Rep/acement $ ngerous or Potentially Dangerous Dog: Y , N SUBTOTAL: $ e MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) ="� (1 yr) City Tag # - Ila Cat spayed/Neutered License Fee $ PET #2 Dog Pet Name O _ BirthdateV-74SexColor 1� ' Breed** Rep/acement $ Declared Dangerous or Potentially Danger❑ Y U--'N MICROCHIP # (If applicable)—�Zu SUBTOTAL: $ RABIES VACCINATION DATE: 9_� .%_1 (3 yr) (1 yr) City Tag # PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthda** Sex Replacement$ ** Color Breed Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ 3 r 1 r City Tag #_ RABIES VACCINATION DATE: ( Y) ( y) g *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 Sent/ Cash by Mail TOTAL ENCLOSED If you have questions, please contact Blair Police Department at (402) 426-4747 ++++.+.....r+++++.....+.....++...............++++++++++++++++++............... NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15late fee date not applicable for newpel5/newre5idenis) Newly Aoquired Pets'' _ New Residents to Blair: • Must be licensed within 10 days of ownership mMust register pets within 10 days of • <OR> at 6 months of age if puppy/kitten residency. f Holstein Vet Clinic 718 South 19th Street Blair, NE 68008 402-426-7387 Printed: 03-09-22 at 4:39p CLIENT INFORMATION Name Erin McGinn (8382) Address 675 N 24th St Blair, NE 68008 Phone 402 981-7540 PATIENT INFORMATION Name Lucy Sex Female, Spayed Birthday 04-15-20 ID 985141002127874 Color Red and White Reminded (none) Reminders for: Lucy 07-12-24 Denfensor 3 (3 Year Rabies) 07-13-22 Vangard Plus 5 07-13-22 Bronchi Shield - Oral Bordetel MEDICAL HISTORY - Vaccination View Date By Code 07-07-20 KKH 410005 410009 09-09-20 KKH 410005 4RAB1 07-13-21 KKH 410005 410009 4RAB3 Patient Chart Species Canine Breed Cav KC Spaniel Age 23m Rabies 19324 Weight 21.50lbs Codes Last done 07-13-21 07-13-21 07-13-21 Description Qty (Variance) Photo Vanguard Plus 5 Bronchi Shield - Oral Bordetella Vanguard Plus 5 Defensor 1 (1 Year Rabies), #18266 Vanguard® Plus 5 { Distemper} Vanguard® B ORAL { Bordetella } Defensor 3 { 3Y RABIES}, #19324 Holstein Vet Clinic 718 South 19th Street Blair, NE 68008 402-426-7387 Printed, 03-09-22 at 4:38p CLIENT INFORMATION Name Erin McGinn (8382) Address 675 N 24th St Blair, NE 68008 Phone 402 981-7540 PATIENT INFORMATION Name Zoey Species Canine Sex Female, Spayed Breed Eng Bulldog Birthday 07-31-19 (unknown) Age 2y (unknown) ID 985141002132499 Rabies 18829 Color Weight 52.30lbs Reminded (none) Codes Reminders for: Zoey Last done 01-19-24 Denfensor 3 (3 Year Rabies) 01-19-21 11-16-22 Bronchi Shield - Oral Bordetel 11-16-21 01-19-22 Vangard Plus 5 01-19-21 MEDICAL HISTORY - Vaccination View Date By Code 02-03-20 *** 410005 03-31-20 *** 4RAB1 09-23-20 KKH 410009 01-19-21 LS 410005 4RAB3 11-16-21 LS 410009 Patient Chart Description Qty (Variance) Photo Vanguard Plus 5 Defensor 1 (1 Year Rabies) Bronchi Shield - Oral Bordetella Vanguard Plus 5 Defensor 3 (3 Year Rabies), #18829 Vanguard® B ORAL { Bordetella ) L11'2 -71,_)_ 2_ CITY OF BLAIR - 2022 PET LICENSE APPLICATIM W 'I 92-_165, If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payalb?, citv of Blair a 218 S 16th St @ Blair., NE 68008 You may legally own a combination of four (4) adult pets; but no,more than three-(3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15. 2022, Owner Name: ZfLto Owner Address: ub city/state/zip: Blair, NE 68008 Phone # 24( 0 LICENSE FEES-. Dog or Cat: $16.00 17 WiTiN ***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 $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3/15/2022. The City shall recognize a microchip Identification number as the license number. it shall be unlawful for any dog or cat to wear any license or other city Identification other than that Issued by the City of Blair for such dog or cat. The City of Blair requires proof of rabies vaccination. PET #1 Do g 0 Cat spayecVpeutered License Fee$ Pet Name -V n ('03 Birthdate Sex Color i, i,A Breed** Replacem ent$ Declared Dangerous or Potentially Dangerous Dog: Y 1\1, MICROCHIP # (If applicable) SUBTOTAL: $ jto_�Q RABIES VACCINATION DATE: (a, 1 0 (3 yr) �:X (1 yr) — City Tag # _aleazp PET #2 Dog LJ Cat ,',ASpayed/ eutered License Fee $ 0 Pet Name ae _ Sex Color Breed** u_t Replacement $ _LL,A n Declared Dangerous or Potentially Dangerous Dog: Q Y 'XN MICROCHIP # - —(If applicable) SUBTOTAL:$ Lo o C­' TION DATE (3 yr) yr) Co cj-z�;' RABIES VACCINATION L City Tag #,Z, T1 PET #3 L3 Dog L] Cat U Spayed/Neutered ILicense Fee $ Pet Name Birthdate Sex Color Breed** Replacement $ Declared Dang&ous 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 $ If you have questions, please contact Blair Police Department at (402) 426-4747 ......................................... ..... 4 ................................ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 151ate fee date not aopllcable fornewpetsInew residents) Newly Agquired Pets: New Residents to Blair: * Must be licensed within 10 days of ownership ni Must register pets within 10 days of * <OR> at 6 months of age if puppy/kitten residency. �22 P-�T(L'XWCENS� APPLICATION 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 check made payable to: City of Blair @ 218 S 16th St e Blair,. NE 68008 You may legallyown a combination of four (4) adult petsbut no,more than three-(3) adult dogs C., or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15 2022 Owner Name: Ke-c c Owner Address: j c-) ' -I City/State/Zip: Phone # Mair, NE 68008 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 Identification other than that Issued by the City of Blair for such dog or cat, The City of Blair requires proof of rabies vaccination. Replacement Fee for Lost Tag: $5.00 Included is a to Fee of $1.25 being collected to fund the Nebraska Dog& Cat Operator Inspection Program A PET #1 L-1 Dog 6 Cat d"S-p aaye�/Neutered License Fee Pet Name Birth�afd--T-11- i Sex f-(-,�V r)(fl Color Breed" L> h (' -I 1' 10 1` Replacement $ d ;1 r Declared Dangerous or Potentially Dangerous Dog: 0 Y LI N, IV MICROCHIP # (If applicable) SUBTOTAL _L RABIES VACCINNION PATE: 6 -Z' I (3 yr) yr) / City Tag # 2 LJ Dog Cat spayed*6t—e F60 License Fee $ 1 et Name r,-'Ch(-) Birthdate ryl ck I e- - Color 'ei I ( -a t'), ) Breed** Dc.aAic 131 Replacement $ Declared Dangerous or Potentially Dangerous Dog: LJ Y El N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VAQqINATIONQATF: j 1 (3 yr) — (I yr) City Tag #'2-1) 1 7 PET #3 CA Dog D Cat CA License Fee $ 0 Pet Name Birthd6td- I " 2W/Sex Breed" eft Replacement $ Declared Dangel'OLIS or Potentially Dangerous Dog: LJ Y LJ N MICROCHIP# : (If applicable) SUBTOTAL: $' RABIES VACCTNATTQN DATE: lj - 2-<,A -2 1 (3 yr) X.- - (1 yr) , — City Tag #00 2 v,-' 2 *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 ...... k' ............................... NEW PET/ NEW RESIDENT LICENSING REQUIREMENTS (March 151ate fee date not applicable fornewpet71new residents) Newly Acquired Pets: New Residents to Blair: * Must be Iloensed within 10 days of ownership IN Must register pets within 10 days of * <OR> at 6 months of age if puppy/kitten residency. 02/26/2022 10:32 4024260101 HOLSTEIN VET CLINIC PAGE 2022 PET LICENSE VERIFTCpTION/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 — GLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION or FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT DOGS OR T11REE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. ***PLEASE READ CAREFULLY*** YOU ARE qE UIRED pY LAW TO LICENSE Y UR PET5.7HE CITY F BLA1R RE UIRES P OOF OF RABIES VACCINATIQN. Failure to do so is a violation of City Ordinances 6.103a nd carries � 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 ch dog or cat. NEW PET LICENSING Must be licensed within 10 days of ownership (OR) at 6 months of agepuppy or NEW RESIDENTS TO BLAIR Must register pets within 10 days of residency Owner Name Spouse Owner Address City/State/Zip Phone # Heather McKinnis 5 200 Lordes Court Blair, NE 680.08. A 402-4274566 Pet Name: Cali Age' 3Y Sex: Spayed Fert�ale Color: Brindle DOB: 07-12-18 Breed: Boxer Microchip # Rabies Tag # 17377 PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE): # RABIES VACCINATION DONE ON Rabies Description: 1 YEAR \ 3 YEAR Holstein Veterinary Clinic Dr. L%sa Schrum DVM : Dr, Krista Ho/stein DVM 718 South 19th Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinic@9rnail-com LIC NSE F F.6 Intact Dog or Cat: $16.00 g or cat: $11.00 Replacement Tag $600 Total $ PEUS DOG LIST TO THATARE C)N THEA . IVE Por NTIALLY DANGEROUS_, DANGERONEED REGI5IER TCIT DIRECTLY Y H LL- CITY OF BLAIR - 2022 PET LICENSE APPLICATIM 3 -jy-)�- 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 - 1 or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS =ADUE: -m-a—rch-11-1-2022 Owner Name: CIL( -7 R - k Owner Address: Z O-V City/State/Zip: Blair, NE 68008 Phone # q 0 2 Al UAL- � 2- Cb0 LICENSE FEES-. Dog or Cat: $16-00 d Replacement Fee for Lost Tag: $5.00 ***PLEASE READ CARERJLLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 311512022. The City shall recognize a microchip Identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city Identification other than that Issued by the City of Blair for such dog or cat, The City of Blair requires proof of rabies vaccination. PET #1 Dog FJ Cat Spaye,' License Fee $ , Muttered Pet Name jo BirthdateI- Sex eplacement $ -L' , R Color Breed Declared Dangerous or Potentially Dangerous Dog: ®Y W"N, MICROCHIP # (If applicable) TDTAL". $ RABIES VACCINATION DATE: -),o)- 1 (3 yr) — (I yr) City Tag # PET #2 0 Dog LI 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) _ WX (1 yr) Replacement$ —** PET #3 LJ Dog LI Cat LJ Spayed/Neutered i License Fee $ Pet Name Birthdate Sex Color Breed" Replacement $ Declared Dang&ous or Potentially Dangerous Dog: Ll Y Et N I MICROCHIP #--!' --_(If applicable) $1JOTOTAU $ RABIES VACCINATION DATE: (3 yr) i (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.) I III Do Not Send Cash by Mail TOTAL ENCLOSED $ 11 0 If you have questions, please contact Blair Police Department at (402) 426-4747 ...................................... I ......... f ................................ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 151ate fee date n0taPP11cable f0rneWpet51neWre-r1dent,) Newly Acquired Pets: New Residents to Blair: * Must be licensed within 10 days of ownership E4 Must register pets within 10 days of * <OR>at6months ofage ifpuppy/kitten residency. CITY OF BLAIR, - 2022 PET LICENSE APPLICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair • 218 S 16th St • Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2022 Owner Name: ��� � \ l `(� �- � c' . r ),. Owner Address: ")5 S 5 city/state/zip: Blair, NE 68008 Phone # L- . `V71' 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- fanure to do so Is a violation of CRY ordlnpnpo% 6.103 and carries a Penalty of a fine up to $150.00 per pet: PET LICENSES RENEWALS ARE DUE BY 3/1512022 The City shall recognise 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 fhat Issued by the City of Sla1r for such dog or Cat, The ply of Blair requires proof of rabies vacdnatton. Replacement Fee for Lost Tag: $5.00 included is a Stabe Fee of $1.25 bei" colkodo to fund the Nebraska Dog & Cat Operator Inspection Program PET # ]. ❑Dog *cat a t ILateS-k-0-5 Spayed/Neutered License Fee $ 1� Pet Name l''l', ���Bi Sex - Color a l\{ �a,a�.� breed** � s �r.��'r Replacement $� ** Declared Dangerous or P tentially Dangerous Dog: ❑ Y �3,N MICROCHIP # (If applicable) SUBTOTAL: $1 OQ RABIES VACCINATION DATE:��zo4.t-- (1 yr) City Tag # PET #2 ❑ Dog ❑ Cat Q Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed** Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $� Pet Name Birthdate Sex Color Breed** Replacement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee it requesting at the time of license renewal.) TOTAL ENCLOSED $ Do Nor Send Cash by Mall If you have questions, please contact Blair Police Department at (402) 4264747 +++++++++++++++++++++++++++++++++++++++++++++++.h+++++++++++++++++++..++++++.++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (14ar(t is A& mvdate not app7pble&rlewpets/newre91d61N) Newly Acauired Pets: New Residents to Blair. ■ Must be imised wfthil 10 d4s of owrleship ■ Must register pets within 10 days of ■ <OR> at 6 months of age W puppy/Ivtom reWency. /04/2022 1:46 PM FAX 4025332723 BLAIR SMALL ANIMAL 0 0001/0001 CITY OF BLAIR - 2022 PET LICENSE APPLICATION % If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair a 218 S 16th St a Blailrr 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 uniL LICENSE RENEW ARE DUE: -h 15, 222 Owner Name:�- Owner Address: city/State/zip: Blair, NE 68008 Phone # 0 O a, -Zqo 32511 ' LICENSE FEES: Dog or Cat: $16.00 Alt d Do or Cat• 4111 00 ***PLEASE READ CAR�.fl1LLY*** YOU ARE R!QUIRED 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 Identincation number as the license number. It shall be unlawful for any dog or cat to wear any peens- 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 vaccIPWon- ere g . Replacement Fee for Lost Tag: $5.00 Inducted is a Stffi* Fee of $1.25 being eoliecio" fund the NdNaslm Dog & cat Operator (inspection Program PET # 1 �f P o g Cl Cat Spayed eutered License Fee $ Pet Name IC I _ — Birthdate o Sex F- �" ^** C_ ** Color Ql�� I� Breed t� - P $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y N Replacement eel MICROCHIP # 20� (If applicable) I, SUBTOTAL: $ RABIES VACCINATION DATE: to (3 yr)1 yr) City Tag # PET # 2 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate _ Sex Color Breed** Replacement Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ _* RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $� Pet Name Birthdate Sex Replacement$ * * Color Declared Dangerous or Potentially Dangerous Dog: ❑ Y d 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 Mall TOTAL ENCLOSED $ if you have questions, please contact Blair Police Department at (402) 426-4747 +•*++*.++++.++++•r+++++++++++•r+++++•+H++++++++++++++++++++++++++++.+++*++++++.+++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS(Merdh15/atefee date notapa/c�b�ernrnewpe&11xw asid&7t5) N New ResidaLIJAto Blair. in Must be rlwa wittlt'I 10 days G WW" ■ Must regisMr pets within 10 days of ■ <0R> at 6 rno t)s oFage If puppy/btten ► Y- 01/17/2022 15:36 4024260101 HOLSTEIN VET CLINIC P4 2022 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF BLAIR IF YOU LIVE N BLAIR CITY- LIMITS AND OWN A DOG(S) AND /OR CAT($), COMPLET THIS FORM ANp R ETURN WITH A CHECK PAYABLE TO: CITY OF BLAIR — 218 S. 16TH ST —BLAIR, NE 68008 YOU MAY I EGALLY OWN A COMBINATION OF FOUR (a) ADULT PETS, BUT NO MORE THAN THREE (3) ibVLT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. ***,PI_EASE READ CAREFULLY" O YOU ARE REQUIRED BY LAW.T LICENSE YOUR PETS THE CITY OF GLAIR Rl CIUIRES PROOF OF RABIES VACCINATION Failure to do so Is a,violati 3n of City Ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet, PET LICENSE RLNEWALS.ARE DUE BY 3/15/2022 j The city shal recognize,a microchip ID number as the license number. It shall be unlawful for any dog or cat tow ar 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 ithin'10 days of ownership (OR) at 6 months of age if puppy or kitten NEW RESIDENTS TO BLAIR Must r.'egist: pets within 10 days of residency ! Owner Name Katie McQue6n' Spouse Mike Owner Address 926 N 24th Str et • City/State/Zip i Blair, NE 68068 Phone # I '402- Pet Name: Joey snD Age: 13Y i Sex: Neute ed Male Color: Tan/Bik DOB: 09.12-08 i Breed: Terrier X • I I ; Microchip # Rabies Tag # 17815 I PLEASE INCLUDE CITY TAG NUMBER IF !NIS IS A RENEWAL (IF AVAILABLE): # RABIES VACCINATION DONE ON 03-18-20 Rabies Description: 1 YEA 3 YEAF; Holstein Veterinary Clinic FAXED Dr. Lisa Schrum DVM : Dr. Kris t Holstein DVM 718 South 1911 Street Blair, NE 68008 BY 402-426-7387 402-426- 101 Fax holsteinclinic@gmai..com 01-17-22 LICENSE FEES Intact bogor Cat: $16.00 I19 Dog �or cat: $11.00 Replacement lag $6.00 Total i 01/17/2022 15:36 4024260101 HOLSTEIN VET CLINIC PAGE 02/02 2022 PET LICENSE VERTFICATI N/APPLICATION FOR CI IF YOU LIVEN BLAIR CITY LIMITS AND OWN A DOG(S) AND COMPLE E THIS FORM AND RETURN WITH A CHECK PAW CITY OF BLAIR — 218 S. 1.6TH ST -- BLAIR, YOU MAY EGALI-Y OWN A COMBINATION OF FOUR (4) AD BUT NO MORE THAN THREE (3) DULT DOGS OR THREE (3) ADULT CATS PER RE Failure to do so Is a The city sha It shall be unlawful for any dog or cat to �A NEW PET LICENSING Must be licensed NEW RESIDENTS TO BLAIR Must regist ***PLEASE READ CAREFULLY*** on of City Ordinances 6.103 and carries a penalty of a PET LICENSE RENEWALS ARE DUE BY S 15 2022. I recognize a microchip ID number as the lic ear any license or other city ID other than that is within 10 days of ownership (OR) at 6 mont it pets within 10 days of residency Y OF BLAIR >R CAT($), LE TO: E 68008 T PETS, DENTIAL OR DWELLING UNIT. up to $150.00 per pet. nse number. ued by the City of Blair for such dog or cat. s of age if puppy or kitten Owner Name Katie McQue n Spouse Mike Owner Address 926 N 24th Stiee't City/State/21p Blair, NE 68Q08 Phone # 402- 1 i r l ,- e„ % /An A, -� - /' ' 1 Pet Name: Dean Age: 6M DOB: 06-28-21 Sex: Neu eyed Male Color: Breed: Great Pyr Mix I Microcbtp # Rabies Tag # PLEASE INCLUDE CITY TAG NUMBER 11 THIS IS A RENEWAL (IF AVAILABLE): # RABIES VACCINATION DONE ON m06-21 Rabies Description: 1 YE 3 YEAR Holstein Veterinary Clinic Dr. Lisa Schrum DVM ; Dr, K'ta Holstein DVM 718 South 19th Street BI ir, NE 68008 402-426-7387 402-42 -0101 Fax holsteinclinio g ail.Com LICENSE PIvES Intact Dog or Cat: $16.00 t e , Doyf or cat: $11.00 Replacement Tag $5.00 Total $ 1 1 to - PETS THAT ARE 0/Y T_HE ACTIVE POTENTIALLY DANGEROUS OR D NGEROUS DOG LIST NEED TO RE ISTER DIRECTLY AT oryHALL: FAXED 01-17-22 BY i ,y"�.•Sr�4rys: S, �a ,. { "f�h �� � .I;°' ( d , q �,ir�'!•{rl'i?,,un':�c'i ;1 Ji;�s• �1t S'ciln'q. e:t, �'SI!^.'.:c �. ggyy l(pA, );s jl al. I�,i� e; li.l�'l�. li�jlNjLL.. :!°dif8 i'{1rLlh�yl"it ,u I.II{�i, i 1 ,rrex� hl {P ��• r�. � iTI K� �i ,l 03/15/2022 11:29 4024260101 HOLSTEIN VET CLINIC PAGE 02102 2022 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF' BLAIR IF YOU LIVE IN BLAIR CITY I-IMITS AND OWN A DOG(S) AND /OR CAT(S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF BLAIR - 218 S, 16T" ST - BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED 6Y LAW TQ LICENSE YOUR PETS. THE CITY OF 0 IR REQUIRES OF OF RABIES VACCINATION. Failure to do so is a violation of City Ordinances 6,103 and carries a penalty of a fine up to $3,50,00 per pet. PET LICENSE RENEWALS ARE DUE BY 3 I5 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: l0 days of residency Owner Name Spouse Owner Address City/State/Zip Phone # Jim McWilliams Darla 17142 Colfax Blair, NE 68008 Pet Name: Scooter Age: 4Y Sex; Male I ,Color; Tan and White DOB: —10-23-17 Breed'. Jack Russ X Microchip # Rabies Tag # 19049 PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE): # RABIES VACCINATION DONE ON 04-07-21 Rabies Description: I YEAR =3YEPACRM--�:I, 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@gmaii.com LICENSE FEES Intact Dog or Cat: $16.00 E,/r--dl:$1. Replacement Tag $5.00 Total $_ lamema PFTS THAT ARE oN THE ACTIVE Po1"CNTIALLY DANGEROU$-QR DAN,3f R US DOG LI51 NEED TO REGISTER DIREC7IYAT CITY FAXFD 03-15-22 BY �':i��Pil ��1:!f'!.'�,;;�I��;�co`r+,�.l.{.�.. :r}!'`�•��y,�lr r�r:�a,;,. 'il, " '+n'r!nruris..-^;1;.(gr �!F:r, •��Yis''.tn,jl:a!6,:�:q1U'jyl:,?r!!Ifi!�:ii��:';i:r;:S'i;9���l�rp. •�i,•��%.!I. wit<1 :I�': ti I� .. 'i i. �. � I�{i'u71fY.:i I.I ":i,f;'il�l�.;.l �'l� 4 ., i.i ■ 03/15/2022 11:29 4024260101 HOLSTEIN VET CLINIC PAGE 01/2. ■ 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. �0*.*PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICEN$F. YOUR PETS. THE CITY F tjLAIR RE VIBES DROOP 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 311512022. 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 Jim McWilliams, Spouse Darla Owner Address 1742 Colfax City/State/Zip Blair, NE 68008 Phone # Pet Name: Murphy Age: 17W Sex: Male Color: Gold DOB: 11-11-21 Breed: Golden Retriever Microchip # 985141003661630 Rabies Tag # 20167 PLEASE INCLUDE CITY TAG NUMBER It^ THIS IS A RENEWAL (IF AVAILABLE): # RABIES VACCINATION DONE ON 03-15-22 Rabies DescriptionsK17EAR 3 YEAR Holstein Veterinary Clinic Dr, Lisa Schrum AVM : Dr, K'rista Holstein DVM 718 South 191h Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinic@gmall.com LICENSESE FEES 0" Intact Dog or Cat: $16,00 Dog or cat: $11.00 Replacement Toy $5.00 Total $ 16 PETS THAT A .EON THE ACTIVE POTENTIALLY DANGEROO OR DANGEROUS 00 ! IST NEED TO REGISTER DIRECTLYAT C11 Y HALL. FAXED 03-15-22 BY it:p FA' tt 0 `i ikkt L; 2+- !� 7 }r�' WI'!r }i i i,� t � Fi.l � 1 �i ?•, .I�1 � iai h•, ;���li �`�•,n .l, i •�.t iI; <: x I �...' nl (1 WI � � •rc {: V'v B"y CITY OF BLAIR - 2022 PET IXCEN'S�_ APPLICAT106 If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair a 218 S 16th St s lair® NE 68008 You may legallyown 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. 6 LICENSE RENEWALS ARE DUE: March 15, 2022. ***PLEASE FULLY*** Owner Name: 011VOCk IAM YOU ARE . REQUIRED BY LAW TO LICENSE YOUR PETS, Owner Address: U nwoas)- 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 # C6 ) 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 # 1 &Dog EJ Cat EJ Spayed/Neutered License Fee $ Name Birthdate [PDQWsex r W Breed" AI(silrUt —Replacement$ 14, e lared Dangerous or Potentially Dangerous Dog: LJ Y LJ N, MI RO HIP# —(If applicable) aP, SUBTOTAL: $ #- BIES VACCINATION DATE, —(3yr).-X— (1yi)_-City -\ - Tag -4 'T __7 I -JET #2 tWDog LI Cat 0 Spayed/Neutered License Fee $ Pet Name MR Birthdate 16 1.. Sex 2 colorWtMCL � Breed ** . I aa Replacement $ Declared Dangerous or Potentially Danger*mDog: 0 Y 0 N MICROCHIP # (If applicable) SUBTOTAL: $ __7 —77 RABIES VACCINATION DATE: (3 yr) (I yr) — City Tag # PET #3 L3 Dog J Cat El Spayed/Neutered Pet Name Birthdate Sex Color Breed" Declared Dang&ous or Potentially Dangerous Dog: LI Y MICROCHIP# : (If applicable) RABIES VACCINATION DATE: (3 yr) — 71-pri, Replacement $ I ,5UBTOTAL: $ (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 ...... I ................................ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 151ate fee date not applicable for newpetsInew resIdent's) Newly Acquired Pets: New Residents to Blair: • Must be licensed within 10 days of ownership IN Must register pets within 10 days of • <OR> at 6 months of age if puppy/kitten residency. CITY OF 5 W 2022 PET LICENSE APPLICATZON 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: , .C> 'of Blair a 218 S 16th St a Biairp ME 6.8008:. You may legally own a combination of flour:(4) adult pets, but no, more than ;tbre®; (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15. 2022 Owner Nacre: ItA e j. Owner Address: PhoneCity/State/Zip: Blair,, ME 68008 LICENSE $16.00 Wfarc-d nnr;--Tr ratt! ***PLEA!§ READ FULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3/15/2022. The City shall recognize a microchip identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city Identification .other than that Issued by the City of Blair for such dog or cat, The City of Blair requires proof of rabies vaccination. Replacement Fee for Lost Tag: $5.00 Included is a State Fee of $1.25 being collected to fund the'Nebraslo Dog & Cat Operator Inspection (Program PEA' #1 Dog Ll C at AS Spayed/Neutered License Fee $ Pet Name Anr6e Birthdate r Sex Color ow Breed** L !A _Rep/acement $ ** Declared Dangerous or Potentially Dangerous Dog: ® Y Ll N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: -3 & 10 (3 yr) k (1 yr) City Tag # �* ET #2 Dog ® Cat ,'Spayed/Neutered License Fee Pet Name Or'--o Birthdate I Sex � Color WZ mkt Breed** <; k; k' 4 yyl Replacement Declared Dangerous or Potentially Dangerous Dog: ® Y ® N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: c 4 j (3 yr) (1 yr) City Tag #* PEA" #3 ® Dog LI Cat ® Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color . Breed** Replacement ** Declared Dangerous or Potentially Dangerous Dog: ® Y ® N MICROCHIP # (If applicable) SUBTOTAL: RABIES VACCINATION DATE: (3 yr) (I yr) City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This tee is due along with License Fee if requesting at the time of license renewal.) Do O T L ENCLOSED ,If you. have questions, please contact Blair Police Department at (402) 426-4747 NEW PET/'NEW RESIDENT- LICENSING, REQUIREMENTS (March 15/atefee -date not applicablefor,newpets/newresidents) Newly'Arquired Pets: New Residents to Blair: Must be licensed.within W days of ownership o Must register pets within 10 days of * <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 force and return with check made payable to: City ®f Blair e 218 S 1 th St @ Blair, NE 68008 You may legally.own� combination of four (4) adult pets; but no.,more than three,(3) adult dogs 'or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE PUE: March 15, 2022 . Owner Name: j Owner Address: ///;.1 9 114 ia ZZ, — City/State/Zip: Blair., NE 68 # zl-al,- 4FX ty .2 S's"% LICENSE FEES: i t I ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3/15/2022. The City shall recognize a microchip Identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city Identification other than that Issued by the City of Blair for such dog or cat, The City of Blair requires proof of rabies vaccination. Replacement Fee, for Lust Tag: $5.00 Included is a State Fee of $1.25 beig collected to fund the Nebraska Dog & Cat Operator Inspection Program T #-0 Dog ® Cal t ®' Spayed/Neutered License Fee $ e '�SexBirthdatePet Name . ^�* CBreed* *Replacement$ ;Declared l5angerous or Potentially Dangerous og ® Y 0 N, t (If applicable) S�16TTALe $ � 2 RABEVACCINATION DE IOS AT .3 (3 yr) (1 yr) City Tag #44 r' e ET #2 LJ Dog IJ ,Cat ® Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color _ Breed** Rep/acement$ Declared Dangerous or Potentially Dangerous Dog: ® Y LJ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) -- City Tag #_ ET #3 CI 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) _ WE f Wl Replacement $ U11iTO T AL: $ (1 yr) T 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 IVot Send Cash by Mail TOTAL ENCLOSED $ // If you have questions, please contact Blair Police Department at (402) 426-4747 #.........+-F •h . .. . . . ..... . .+i-^h it+. .. im ^h.... •M in -F eF. .+ ............................... NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15/ate fee date not applicable for newpeLs/newre5/dents) Newly Acquired Pets: New Residents to Blair: • Must be licensed within 10 days of ownership R Must register pets within 10 days of • <OR> at 6 months of age if puppy/kitten residency. IL64 ly W6 Y--/ y - �� KA. I TU:-OTV1AC,.C.jN8T1:0A: Date of Rabies Vaccination: 04-14-22 Certificate No: 0 Next Rabies Vaccination On: 04-14-23 Previous Rabies Vaccination: VETERINARY CLINIC OWNER OF ANIMAL Holstein Vet Clinic Carlos Mendoza 718 South 19th Street 2143 Nebraska St Blair, NE 68008 Blair, NE 68008 402-426-7387 County: "-f (){� This is to certify... THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: 011i 6"TAG NO: 20258 1w ') 'n SPECIES: Canine WEIGHT: 7.20 SEX: M AGE: 16 months Color and markings... Signed Krista Holstein , DVM License: 3612 Rabies Vaccine Information... MFG BY: ZOETI SER.NO: 553917A LOT EXP: 04/25/23 ADM- SQ 7 Feb 17 22 11:05a p,1 Thone Animal Hospital (402) 426-3630 902 S H Wy 30 Blair, NE 68008 CITY OF BUIR - 2M PET LICENSE APPLICATION If you live in Blair: City limits and own a clog(s) and/or cat(s), complete this form and return with check made payable to: Ciity of Blair • 218 S 16th St • Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit: LICENSE RENEWALS ARE DUE. March 15, 2021 owner Name: "Q`CY\YY�JJI Owner Address: row k-\jf—. City/Statelzip: Blair, NE 68008 Rhone LICENSE FEES: Dag or Cat: $16.00 Altered dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 ***PLEASE READ CAREPULLY**;i YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so Is a vioiatlon of City ordinances 6.103 and carries a penally of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY3r15i2021. The City shall recognize a microchip Identification number as the license number. It shall he unlawful for any dog or cat to wear any license or other city identification other than that Issued by the City of Blair for such dog or cat. The City of Blair requires proof of rabies vaccination. Included is a Statte Fee of $1.25 being collected to fund the Nebraska Dag & Cat Operator Inspection Program PET #1 14 Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name tie Birthdate -Cl �W Sex " Color�C�u zc_ �. Breeds* Replacement$ ** Declared Dangerous or Potentially Dangerous og: ❑ Y JV N MICROCHIP # (If applicable) SUBTOTAL: $ 1U1 RABIES VACCINATION DATE: (9 - ZO • 7-0 (3 yr) �_ (1 yr) City Tag # PET #2 Dog ❑ Cat �q Spayed/Neutered License Fee $ Pet N_ Birthdate (0 11 11 Sex �uv�oti�e Colorame 1, Breed** Replacement$ ** Declared Dangerous or Potentially Dangerous Dog; 0 Y N MICROCHIP # (If applicable) SUBTOTAL: $ 11 •00 RABIES VACCINATION DATE: LDb�l (3 yr) _ (I yr) City Tag PET #3 ❑ Dog ❑ Cat ❑ .Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed** Rep/acemeRt$ ** Declared Dangerous or Potentially Dangerous Dog; El Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (I yr) __ City Tag # *PLEASE INCWDE THE CTTYTAG NUMBER IF THIS ISA RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewai.) Do Not Send Cash by Mail TOTAL ENCLOSED $ 2.4. 00 If you have questions, please contact Blair Police Department at (402) 426-4747 +++.+a-++.++++.t+.+++........ •....++.+++................... -.*.......+......++-r NEW PET/ NEW RESIDENT LICENSING REQUIREMENTS(Maid1151aiefag date notaoplicabetErnewpels/newresh�hih;) Newly Acquired Pets: New Residents to Blair: A Mist be licatsed vM in 10 days of aw -es ip ■ Must regisber pets within 10 days of 11111 <OR> at 6 months of age if puppy/Idtten residency. 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: :2l '.� '-4 owner Address: `� 2 �) L C l CL-d City/State/Zip: Blair, NE 68008 LICENSE FEES.- Dog or Cat: $16.00 Altered Dog or Cat: !M.D0 ***PLEASE READ CAAEFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances E.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 Iu- eluded is a State Tree of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program T Dog ® CatSpayed/Neutered License Fee $ (� t Name 1, Birthdate i 13 - Sex b y Rep/acement for3r,, Breed* j11",�I .0 r�rr•;i . tl u� �< clared Dangerous or Potentially Dangerous Dog: ® YN, , E i `I CROCHIP # �� ' � i L( ( 00 /o (If applicable) SUBTOTAL: $ BIES VACCINATION DATE: i �a -15 i�ai L (B Yr) ayr) City Tag `ITT T 2 ® Dog ® Cat ® Spayed/Neutered License Fee $ _ Pei Name Birthdate Sex _ Crslor Breed** Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: EJ Y LJ N MICROCHIP # • (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) _ (1 yr) — City Tag # PET 3 L3 Dog ® Cat ® Spayed/Neutered Pet Name Birthdate Sex Color Breed" Declared Dangerous or Potentially Dangerous Dog: D Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ WE � Replacement $ SUBTOTAL: $ (1 yr) T 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.) c' 10 Do Not Send Cash by Mail TOTAL U.—.— If you have questions, please contact Blair Police Department at (402) 426-4747 NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15late fee date notapplicadle fornewpets/new residents) Newly Agguired Pets New Residents to Blair: ® Must be licensed within 10 days of ownership Ell Must register pets within 10 days of <OR> at 6 months of age if puppy/ldtten residency. OEM Blair Small Animal Clinic PC David E. Johnson DVM 1734 Front Street Blair, Nebraska, 68008 (402) 533-2722 Page I / 1 Shelley Mertlik Client ID: 1429 �q_summft'_Drlv� Invoice #: 160134 NE 68008 Date: 11/13/2020 Open Invoice Patient ID: 12194 Weight: 10.81 pounds Patient Name: Gunnar Birthday: 08/22/2020 Species: Canine Sex: Male Breed: Poodle Mix DqMqpj!2n Staff Name 2antity Total /2020 Examination General David E. Johnson DVM 1.00 $26.28 Rabies Vaccination -Canine lyr 1.00 $29.66 Distemper Hep Lep Parvo-Annual 1.00 $37.10 Intranasal Bordetella/Parainfluenza 1.00 $31.68 Interceptor Plus 8.1 - 25# x dose 1.00 $7.95 T Patient Subtotal: $132.67 der '2021 Distemper Hep Lep Parvo-Annual Rabies Vaccination - Canine 3yr Intranasal Bordetella/Parainfluenza Invoice Total: $132.67 default Tax Rate: $0.56 Total: $133.23 Balance Due: $133.23 Previous Balance: $0.00 Balance Due: $133.23 Order your pets supplies online now through our website www.blalrsmallanimalclinic.vetsfirstchoic�.com For auestions rnnt;ant im nt .vo CXTY OF BLAXR - 2022 PET UICENSE �OP'LkATXON 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 o 218 S 16th St @ Blair, ME 68008 You may legally own a combination of four (4) adult pets; brat 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 Nam®: , _. '�" C, 11 , � .9 'A YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS, Failure to do so is a violation of City ordinances 6.103 and carries Owner Address: a penalty of a fine up to $150.00 per pet. ciiv/state/zip: Blair, ME 68008 PET LICENSES RENEWALS ARE DUE BY 3/15/2022. The City shall `o recognize a microchip Identification number as the license number. It Phone # shall be unlawful for any dog or cat to wear any license or other city Identification other than that Issued by the City of Blair for such dog or cat, The City of Blair requires proof of rabies vaccination. LICENSE FEES. Dog or Cat: $16.00 Altered Dog or Cat- $11.00 Replacement Fee for Lost Tag: $5.00 Included is a to Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program P�T #1 0, Dog Lj Cat 14 Spayed/Neutered License Fee Pe Name -$ Birthdate Sex A" 7 Breed** Replacement $ De�larecl Dangerous or Potentially Dangerous Dog: U Y 0, N, MlC ROCHIP # --(If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: -Jr) _ (3 yr) (i yr) ,City Tag # 0- tt # 2 LJ Dog LJ Cat LJ Spayed/Neutered Pet Name- Birthdate Sex Color, Breed** 7 Declared Dangerous or Potentially Dangerous Dog: CI Y MICROCHIP # - (If applicable) RABIES VACCINATION DATE: (3 yr) — W (1 yr) Replacement$ —** PET #3 LJ Dog Ll Cat 0 Spayed/Neutered i License Fee $ Pet Name Birthdate Sex Color Breed" Replacement$ Declared Dang&ous or Potentially Dangerous Dog: LJ Y L3 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 $ K If you have questions, please contact Blair Police Department at (402) 426-4747 ......................................... I ....... I ............................... NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March J51ate fee date not applIcable fornewpet5lnew resldent;) Newly Acquired Pets: New Residents to Blair. .. im Must be licensed within 10 days of ownership F1 Must register pets within 10 days of, M <OR> at 6 months of age if puppy/kitten residency. Date of Rabies Vaccination: 06-18-20 Next Rabies Vaccination On: 06-18-23 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: 003441 OWNER OF ANIMAL Jenny Meyer 1834 Grant St Blair, NE 68008 County: THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Yogi TAG NO: 005847 SPECIES: Canine WEIGHT: 92.50 SEX: N AGE: 4 years Color and markings... Chocolate Signed Dr. Joe DiMari Vaccinations done... License: 3258 06-25-21 KF DA2PPV+L 06-25-22 06-25-21 KF Bordetella Oral 06-25-22 06-18-20 JRD Rabies Vaccination (3 Year), #005847 06-18-23 07-10-19 JRD Check up, DA2PPV+L 06-25-22 07-07-18 ILL Bordetella, PI3 (Intra-trac 3) 06-25-22 Rabies Vaccine Information... MFG BY: ZOETI SER.NO: 401524 LOT EXP: 04-27-21 ADM: SQ 2� 09 CITY OF BLAIR' PET LICENSE A L If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair a 218 S 16th St 6 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, Owner Name: Owner Address: city/state/zip: Blair, ME 68008 Phone # cl)y'� U%V kocol LICENSE FEES". Dog or Cat: $16.00 Replacement Fee for Lost Tag: $5.00 ***PLEASE READ CAREFULLY"* YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3115/ 202 . The City shall recognize a microchip Identification number as the license number, It shall be unlawful for any dog or cat to wear any license or other city Identification other than that Issued by the City of Blair for such dog or cat. The City of Blair requires proof of rabies vaccination. P T #1 LJ Dog 0 Cat 4 Spayed/Neutered License Fee $ 00 Name Birthdate Sex r Breed** &,e . Replacement$ ared Dangerous or Potentially Dangerous Dog: Ll Y N, ROCHIP # —(If applicable) SUBTOTAL: $. RA IES VACCINATION DATE: kk`AL17_\ _(3yr) _ (1yr) City Tag # TTQ P #2 Ll Dog D Cat D Spayed/Neutered Pe,7tNarrle Birthdate Sex Co r Breed** -Declared Dangerous or Potentially Dangerous Dog: 0 Y LJ N MICROCHIP # - (If applicable) RABIES VACCINATION DATE: — (3 yr) __ (I yr) License Fee $ Replacement $ SUBTOTAL:$ City Tag # PET #3 Ll Dog J Cat Lj Spayed/Neutered I License Fee $ Pet Name Birthdate Sex Color Breed** Replacement$ Declared Dang&ous or Potentially Dangerous Dog: Ll Y Ll N, I MICROCHIP # :' (If applicable) I 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.) '(NO imi Do JVot Send Cash by Mail TOTAL ENCLOSED $ \\',00l If you have questions, please contact Blair Police Department at (402) 426-4747 ......................................... ..................................... NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 151ate fee date not applicable fornewpet5lnew resIdents) Newly Acquired Pets: New Residents to Blair: ® Must be licensed within 10 days of ownership ni Must register pets within 10 days of • <OR> at 6 months of age if puppy/ldtten residency. "N, Alexandra Miller 238 South 15th Street Blair, NE 68008 Patient ID: 13110 Patient Name: Jill Species: Feline Breed: Domestic Shorthair Desch tt°n 11/11/2021 Examination General Rhino-Calici-Flu-PanLeu-Annual Rabies Vaccination - Feline Blair Small Animal Clinic PC David E. Johnson DVM 1734 Front Street Blair, Nebraska, 68008 (402) 533-2722 Page 1 / 1 Client ID: 8888 invoice #: 165471 Date: 11 /11 /2021 (641) 451-0807 allyangell@yahoo.cam Weight: Birthday: Sex: Staff Name guantitt David E. Johnson DVM 1.00 1.00 1.00 Patient Subtotal: 11.00 pounds 11 /08/2018 Spayed Female Total $26.28 $31.04 $29.66 $86.98 Instru� ctions Your cat has had the final dose in the series, and rnay be vrhenritr�s utliyc fcr boaC trr vac Gina icr and cati� r health Rhinotracheitus, and calicivirus infection. vve will notify y m, 19nance needs. Reminder 11/11/2022 Rhino-Calici-Flu-PanLeu-Annual 11 /11 /2023 Rabies Vaccination -Feline Invoice Total: $86.98 Total: $86.98 Balance Due: $86.98 Previous Balance: $0.00 Balance Due: $86.98 VISA Card Number: ... XXXX0087: Less Payment: Balance Due: $0.00 Order your pets supplies online now through our website www.blairsmallanimalclinic,vetsfirstchoice.com For questions contact us at 402-533-2722. Blair Small Animal Clinic PC Client ID: Client Name: Address: Phone: Tag Number: Vaccine: Producer: Rend: e: Manner of Administration: Staff Name: License Number: Doctor Signature: 8888 Alexandra Miller 238 South 15th Street Blair, NE 68008 (641)451-0807 0000 Imrab Rabies Vaccine Meriai Imrab 3 TF Killed Virus Subcutaneously David E. Johnson DVM 1893 David E. Johnson DVM 1734 Front Street Blair, Nebraska, 68008 (402) 533-2722 Patient ID: Patient Name Species: Breed: Sex: Color: Markings: Birthday: Weight: Microchip ID: Vaccination Date: Expiration Date: Lot Number: Drug Expiration Date: 13110 Jill Feline Domestic Shorthair Spayed Female black 11 /08/2018 11.00 pounds on 11 /11 /2021 11/11/2021 11111/2023 18513 2/24/2023 03/03/2022 11:01 402426 101....... „.,,,.. „.,.„HOLSTEIN„VET. CLINIC ........ ...........................PAGE ©1 „ ,,,,,,,,,. 2022 PETLICENSE '■ .'V'ERIFICATION/APPLICATION FOR CITYOF FLAIR 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 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, ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS THE CITY OF BLAIR REQUIRES PROOF OF RABIES VACCINATION. Failure to do so Is a violation of City Ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet, PET LICENSE RENEWALS ARE DUE BY 3/1512022. 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 Address 1002 South St City/State/Zip y Y°) Blair, NE 68008 f. Phone # 402-426-2805 Pet Name: Nellie AU Age: 5Y ')OB: 04-07-16 Sex: Spayed Female Color: Tan/Black Breed: Chihuahua Microchip # 985112008167155 Rabies Tag # 17122 PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE), # RABIES VACCINATION DONE ON 07-17.19 Rabies Description: 1 YEAR 3 "� —/ Holstein Veterinary Clinic' Dr. Lisa Schrum DVM ; Dr, Krista Holstein DVM 718 South 191h Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinic@gmail.com LICENSE FEES Intact Dog or Cat: $16.00 Dog or cat: $11.00 Replacement Tag $5.00 Total $ PETS THAT ARE ON THE ACTIVE POTENTIALLY DANGEROUS OR DANGEROUS DOG LIST NEED TO REGISTER DIRECTLYAT UTY HALL. CERTIFICATE OF VACCINATION Date of Rabies Vaccination: 12-28-20 Next Rabies Vaccination On: 12-28-21 VETERINARY CLINIC Holstein Vet Clinic 718 South 19th Street Blair, NE 68008 402-426-7387 Certificate No:.0 Previous Rabies Vaccination: OWNER OF ANIMAL Avery Misfeldt ,2 --23-80TOW-StreetA d, °'' -�' \waterloo;-NE--68069-- r Izz f' County: ` t� V This is to certify... THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Maizey V 1 TAG NO: 18459 SPECIES: Canine WEIGHT: 25.30 SEX: F --r5 AGE: 17 weeks Color and markings... Gold Signed Krista Holstein , DVM License: 3612 Rabies Vaccine Information.... MFG BY: ZOETI SER.NO: 389791 LOT EXP: 05/04/21 ADM: SQ I- . If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair • 218 S 16th St e Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2021 w� Owner Name: Owner Address: City/State/Zip: Blair, NE 68008 Phone # 1l 1 r2 — 4 Drivers License # or Date of Birth %' A LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Included is a State Fee of ***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 3115/2021. 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. fund the Nebraska Dog & Cat PET # 1 Dog ❑ Cat ❑ Spayed/Neutered Pet Name Birthdate Sex Color Breed** Declared Dangero i r PQtenti�ally D ngerous Dog: ❑ Y MICROCHIP # . r i" � L� pplicable) RABIES VACCINATION DATE: i (3 yr) 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) _ License Fee $- Replacement$ ** ❑N ■U SUBTOTAL: $ (1 yr) City Tag # (1 yr) License Fee $ Replacement $ SUBTOTAL: $ City Tag # PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed** Replacement$ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) VISA / MC # Signature Do Not Send Cash -by Mail TOTAL ENCLOSED $ Expires Security Code: If you have questions, please contact City Hall at (402) 426-4191 or by Fax: (402) 426-4195 ++++++++++++++++++++++++++++++++++++.....r+++++++++++++++++++.++++++++++++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15/ate fee date notapplicable fornewpets/newresidents) Newly Acquired Pets: New Residents to Blair: a Must be licensed within 10 days of ownership N Must register pets within 10 days of • <OR> at 6 months of age if puppy/ktten residency.