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Q-PCXTYOF BLAIR - 2022 PET LICENSE APPLICATION n. If you live in Blair City limits and own'a dog(s) and/or cat(s), complete this form and return with check made payable to:,. City of flair @ 218 S 16th St a lair® 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. i LICENSE RENEWALS ARE DUE: March 1S® 2022. Owner Name, �'v I tL% 2-- Owner Address: city/state/zip: Blair,, ME 68008 Phone # 7 LICENSE FEES: Dog or Cat: $16.00 .0 1-M YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine tip to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 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. Replacement Fee for Lost Tag: $5.00 ................... . . . . . . T, i7a"O"w't-umna r- t PET #1 LA Dog D Cat Ile, ayed/Neutered License Fee $ IL !LIL Pet Name Bi� Spayed/Neutered '12,01 --�Lv% Sex F I lje-q j•--I _ Color - ILL 113r"', Breed** Replacement Declared Dangerous or Potentially Dangerous Dog: 0 Y CA N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: 04/4-olzb (yr) (1 yr) _,City Tag # iz PET #2 El Dog u Cat Ll Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed" Replacement$ Declared Dangerous or Potentially Dangerous Dog: 0 Y LJ N MICROCHIP # - (If applicable) SUBTOTAL., $ RABIES VACCINATION DATE: (3 yr) --- (I yr) — City Tag # PET #3 LJ Dog D Cat Ll Spayed/Neutered Pet Name Birthdate Sex Color Breed** Declared Dang&ous or Potentially Dangerous Dog: D Y MICROCHIP# : (If applicable) RABIES VACCINATION DATE: (3 yr) — W Peplacements I ,SUBTOTAL: $ (1 yr) — , City Tag # *PLEASE INCLUDE THE CITYTAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not Send Cash by Mail TOTAL ENCLOSED $ ---I . I I If you have questions, please contact Blair Police Department at (402) 426-4747 .......................................... 11-+++++4 ................................ NEWPET NEW RESIDENT LICENSING REQUIREMENTS (Malch 151%0. fee clate not applln5ble fornewpetsInew residents) Newly A ulred Pets: New Residents to Blair: w ,Must be licensed vdhIn 10 days of ownership I] Must register pets within 10 days of W <OR> at 6 months of age If puppy/kitten residency. Thone Animal Hospital (402) 426-3630 902 S Hwy 30 Blair, NE 68008 CITY OF GLAIR - 2021 PET LICENSE APPUCAT ON If you live in Blair City limits and own a dogs) and/or cat(s), complete this form and return with check made payable to: City of Blair a 218 S 16th St 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 1.5, 2021 Owner Name: --%-X.r- Owner Address: ! { a o city/State/Zip: Blair, NE 68008 Phone LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat. $11.00 Replacement Fee for Lost Tag: $s.o0 ***PLEASE READ CAJRLRR.LY* * 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 OUE BY 312512921. The City shall recognize a mcroohip 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 Blairrequires proof of rabiesvaccination. Wuded is a Shft Flee of $:L25 being collected t>A fund the Nebraska Dog & Cat Opefartor Inspection Program PET # 1 ❑ Dog Ef Cat CB� Spayed/Neutered License Fee $ Color Name, a ** 3� Birthdate 21 Sex %��..1 Replacement $_,--____ *� Declared Dangero or Potentially Dangerous Dog: ❑ Y YN MICROCHIP # IQ IY\ (If applicable) SUBTOTAL: $ _ 1k. RABIES VACCINATION DATE: 3-5,12 (3 yr) (1 yr) -_> Ci Ta # I t7r g PET #2 ❑ Dog 0 Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed** Replacement$* Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag PET #3 El Dog ® Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed*x 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 CrlYTAG NUMBER IF THISILS A RENEWAL ** (This Fee is due along with License Fee if requesting at the time of license renewal.) Lao Not Send Cash by Mail TOTAL ENCLOSED $� If you have questions, please contact Blair Police Department at (4A2) 426-4747 ..... .-Ft........ d-.+.-)--i..........+f...............++.t+.........++-1-........+++ NEW PET/NEW RESIDENT LICENSING REgUIREMENTS (MardrlS/clef rlaterx�t olicablefa newp /rlervr> id�fs) Newly Acquired nets: New Residents bo Blair. • Mist t�e rarsed W tin 10 days of mrletship ■ Must regster pets within 10 days of • <0R> at 6 mates of age it ptppy/ldtten residency. t•d 1396:0b ZZ90aeN CENS"" CITY OF BLAIR 2022 P T LI) PPLICA 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 s 218 S 16th St e lair® N E 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 RENEWLS"A 5. 2 "Mar ch 1022 ***PLEASE READ CAREFULLY"* Owner Name: YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. �L\ V owner Address: Failure to do so is a violation of City ordinances 6.103 and carries , L ' � "1 0, , a penalty of a fine up to $150.00 per pet. City/State/Zip: B air, NE 68008 PET LICENSES RENEWALS ARE DUE BY 3/15/2022. The City shall J# Phone # >J :,—J 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 Inciuded is a to Fee of $1.25 being collected to fund the Nebraska Otag & Cat Operaiar Xnspecdon Program ET #1 K Dog LJ Cat 1811 Spayed/Neutered License Fee $ -ZLV-L— P t "Y' 5:� Sex ry t Name-, Birthdate �hwlk7lj- 1h a),- C Ic lor Breed" Replacement $ D lared Dangerous or Potentially Dangerous Dog: E3 Y A N, MI ROCHIP # —(If applicable) SUBTOTAL: $ —&�Q� RA IES VACCINATION DATE: /1 - 7- Q-J (3 yr) (1 yr) ,City Tag # pj2�� Col 7u #2 LJ Dog LJ Cat Ll Spayed/Neutered ame Birthdate Sex Breed** red Dangerous or Potentially Dangerous Dog: Ll Y OCHIP --(If applicable) -S VACCINATION DATE: (3 yr) License Fee $ Replacement $ El N PET #3 Ll Dog LI Cat L1 Spayed/Neutered Pet Name Birthdate Sex Color Breed** I Declared Dang&ous or Potentially Dangerous'Dog: LJ Y LJ N MICROCHIP# '! (If,applicable) RABIES VACCINATION DATE: i (3 yr) -- SUBTOTAL: $ — (I. yr) -- City Tag # !License Fee $ Replacement $ $UBTOTAL: $ (I yr) i 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 Depaklment at (402) 426.4747 ...................................... 1++-l+++++-1 .................... .1 ........... N EW P ET/ N EW RESI D E NT LIC E N SI N G REQ U I RE M E NTS (March 15 late fee date not applIcable for new p6&lnew resident�) Newly Acaulred Pets: New Residents to Blair: El Must be licensed within 10 days of ownership N Must register pets within 10 days of M <OR> at 6 months of age if puppy/kitten residency. BbLv 9mr—PCft6t PC David E Jahrmar VVM &�Wv, Nanaska, fimAl pm--,,� --,�a `rz-� Ke� P-AaT 1132 '%VesMilge Uq-4a, S; Via, P-age a I I 263 TSM6 Daww 12UM21 X:4 tM �-pav-,jgpti,,r atny-4.1 cm Imen 71 "SO ,fir r?l MIT 1� IT j57 Came sex Spwjed Fema�e Vd-lioru&e, gap, "Nomm QMW" 'raw It 'E7xa7uMdb= Seenaral Da�i;b �E- Jobnson V1.77a ILTY11) W5.2B Reminder 10/19/2021 Brav(,,cto Arno. Fl(-a & Tick 44 -88# x dos(,, i l/ i 11 i f: i ° q r: 1",11 q; I i �,JGI OW4OW2 HeaOwwm Test - Sliap RT 3115,—p �lwge7 tomv L Antramma 1,i�#6TY2U24 RabwasMlmna�=i - Caftole TV 36,155,94, T515,. 94 pFew-mm Baia- V C ($55,94) RaftmorT IxUftw $MW. ai , �z -�p us at 402-633-2M. _�?l? f�- If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payab City of Tor e 218 S 16th St a Tor, NE 68008 You may legally own a combination of four (4) adult pets; but no,morq than three- (3).ad.ul$ gs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2022 , ***PLEASE *:�� FULLY Owner Name: �i � �� ¢awc. �'�� "�' YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS, Owner Address: ,r City .�. � Failure to do so is a violation of Ci 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 plyOne Li,rU%�-,il-�1 �, s`' R" t , `� recognize a microchip Identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city Identification other than that Issued by the City of Blair for such dog or LICENSE FEES: Dog or Cat: $16.00 cat, The City of Blair requires proof of rabies vaccination. Altered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Included is a State Fee of $1.25 being Collected to fund the Nebraska Dog & Cat Operatm, Inspection Program 7" L ,D o g ® C a t ® Spayed/Neutered License Fee $ � Pet Name_ r N Birthdate _� Sex I Color ** Declared Dan erous or P Breed" " i � � x � � ` � .Rep/acement ** otentiall Dan erous Dog: d Y O/N, MICROCHIP # Of applicable) SU TOTAL: $ RABIES VA P O -/ (3 yr) —(1 yr) . City Tag # T # 2 Dog J Cat Spayed/Neutered License Fee et Name ' Birthdate Sex Color � � �a t--Breed** , Replacement $ Declared Dan ero 6s or Potentially Dangerous og: ® Y E] N MICROCHIP # i, 1) ' , O' 3 �' (Tf applicable) SUBTOTAL: $ RABI� ATE: (3 yr) (� yr) City Tag # �� ` PET #3 0 Dog Ll Cat Ll Spayed/Neutered Pet Name — Birthdate Sex _ Color Breed** Declared Dangerous or, Potentially Dangerous Dog: LJ Y ® N MICROCHIP #' (If applicable) RABIES VACCINATION � DATE: _ (3 yr) Replacement $ ,969 S tl O i A L; $ (i yr) City Tag #. *.PLEASE -INCLUDE THE CITY TAG NUMBER IF THIS Ia A RENEWAL '** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not send Cash by Maii TOTAL If you ha4questlons, please contact Blair Police Department at (402) 426-4747 ,.. ............... a•...aF.... rti-•F..^C°-Fi^-i^°h.^C--0+_1...°i-.-I^°F..-t•°F.....i-....•4-...•F.......^F... -NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15/ate fee datenotapplicable fornewpets/new residents) Newly Acquired Pets: New Residents to Blair: Must be licensed within 10 days of ownership Fm Must register pets within 10 days of ® <OR> at 6 months of age if puppy/Idtten residency. �r n J f ep V loJ�v I/ 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 lair @ 218 S 16th St ® glair, NE 68008 You may legally.own a combination.af four (4) adult pets, but no.,mPre than.three-(3) adult dogs, or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March IS, 2022 . Owner Name: 0 fe-)AO Owner Address: I56 I WI b1JR S-t city/state/zip: Blair, NE 68008 Phone # y 0 a- C t 0 -1 ail 0 LICENSE FEES., s' Dog or r 1 ., 0 r ***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 L+: v, 0 ..�_ PET #1 'D� Dog ® Cat IM Spayed/Neutered License Fee $ . ()O Pet Name Abby Birthdate -:�1`4iv 41018 Sex F- Color _Two Breed** AAKN eggTg Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ® Y 19 N, MICROCHIP # PJA (If applicable) SSUBTOTAL: • 00 RABIES VACCINATION DATE: cl -04 -19 (.3 yr) (1 yr) City Tag # Qoa-y 69- r #2 ® Dog ® Cat ® Spayed/Neutered License Fee $ Pet Name Birthdate , Sex Color Breed** _Replacement $** Declared Dangerous or Potentially Dangerous Dog: ® Y CJ N MICROCHIP # - (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) —_. City Tag #_ T #3 II Dog ® Cat ® Spayed/Neutered !License Fee $ Pet Name Birthdate Sex Color _ Breed** I Rep/acement$ ** Declared Dangerous or Potentially Dangerous Dog: ® Y ® N MICROCHIP 4 _ : (If applicaule) ""'TO, AL: RABIES VACCINATION DATE: (3 yr) (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.) j. Not Send Cash by Mail TOTAL ENCLOSED$ 11,00 If you have questions, please contact Blair Police Department at (402) 426-4747 ........ F++-r-.-h.-I-^i°-9-.t•-h...-1-.-'r+i--i^i--F^I....i-°I-++-I. ,I^. .^t".+i-......fir. hid ........ -°F.i•...-F-, .. NEW PET/NEVI/ RESIDENTLICENSING REQUIREMENTS (March15/ate fee date not applicable for newpet3lnew reslden&) Newly Acquired Pets: New Residents to Blair: * Must be licensed within 10 days of ownership Ef Must register pets within 10 days of <OR> at 6 months of age if puppy/ldtten residency. ■ M :BSAC FAX NO. :402-533-2722 Jan. 05 2022 11:10AM CITY OF GLAIR - 2022 PET LICENSE APPLICATION If you live in Blair City limits and own a dog(5) and/or cat(s), complete this form and return with check made payable to: City of Blair • 21.8 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: �Y' 4 Owner Address: i-1�41 n drfi City/state/zip: Blair, NE 68008 Phone # L�`x�.--�'��ca —Cy R-6 LICENSE FEES: Dog or Cat: $16.00 Altered Dag or Cat: $11M00 ***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 DUB BY 3/15/Z022. The City shall recognize a microchip Identification number as the IICohse number. It shall be unlawful for any clog or cat to weal' 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 SU" Fee of $1,2s being eolleched to fund the Nebraska Dog & Cat Operator Inspection Program PET #1 g CI Cat Spayed/Neutered ��.� License Fee $ Pet Name. (� ,, � � Birt date Ce hex Lt . Color � �1�;� Breed** �,.,,�� Replacement$ ** Declared Dangerous or Potentially Dangerous Dog: D Y �k N MICROCHIP # ©y%sl- (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: ka*aa. z (3 yr) ,_ (1 yr) City tag # PET #2 0 Dog Li Cat 0 Spayed/Neutered Pet Name Birthdate Sex Color Breed*" Declared Dangerous or Potentially Dangerous Dog: D Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ License Fee $ Replacement $ U N SUBTOTAL: $ (1 yr) City Tag # PET #3 0 Dog L) Cat U Spayed/Neutered License Fee $ Pet Name Birthdate Seat Color Breed" Replacement $ Declared Dangerous or Potentially Dangerous Dog: D Y Q 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.) D of Send Cash by Mall TOTAL ENCLOSED $ C�L & If you h ve questions, please contact Blair Police Department at (402) 426-4747 +*+.++.*+**+++**.+++++**++++* ....... *+++++*+*.......................... **.++.+ NEW PET/NEW RESIDENTLICENSING REQUIREMENTS (Man~h 15/ate&L-date notappI/cable/brnewMb-lnewtasydents) Rawly A�onul�Pe� lyew Residlmts to Bi'#Ilrl ■ Must be llcensed wfthhi 10 days of owroship r Must regisber pets within 10 days of ■ <OR> at 6 months of age if puppy/btberi residercy. '`J Jan 06 22 12:25p p.1 Tune Animal Hospital (402) 426-3630 902 S Hwy 30 Blair, NE 68008 CITY OF BLAIR - 2021 PET LICENSE APPLICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair o 218 S 16th St • Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2021 Owner Name: C' 'Pe-n�� owner Address: i o 7 S lyal"' AV-e,- Wf y City/state/zip; Blair, NE 68008 Phone # -7-� _ S I I LICENSE FEES: Dog or Cat;: $16.00 Altered Dog or Cat: $11.00 Re (-cement Fee for Lost: Tag: $5.00 ***PLEASE READ CARERILLY*** YOU ARE RE<ZUIREO 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 aY 3J15/2021. The City shall recogrize 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 Included is a State Fee of $1.25 (being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET #1 2 Dog ❑ Cat 0 Spayed/ Neutered License Fee$ 11 °$ Pet Name Cl":jr,o- Birthdate 5=y-19 Sex !!Wj-y-Tl-e Color mac i - Breed * * I-. b " X Replacement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y LYN MICROCHIP ## (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: $' al (3 yr) (1 yr) X' City Tag #c..bt�Cl� PET #2 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Color Birthdate Sex Breed** Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag PET #3 D Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Color Birthdate Sex Breed** Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ _ RABIES VACCINATION DATE: (3 yr) (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 Nat Send Cash by Mail TOTAL ENCLOSED $ If you have questions, please contact Blair Police Department at (402) 426-4747 +++..++.+++++++.+.+++.++++++++++++++.++++++.+++++++++++++++++..++++++++* ++++++ NEW PETI NEW RESIDENT LICENSING REQUIREMENTS(Man'h15late ji-eeda(enotapplicable f)rnewpels/newr�jidenls) Newly Acquired Pets:. New Residents to Blair: ■ Must to lm>sed Wthn 10 days of omnarship IN Must register pets within 10 days of ■ <0R> at 6 month of ageif pt>ppy/W tten residEM• CITY OF BLAIR - 2021 PET LICENSE APPLICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair • 218 S 16th St * Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS 1ARE DUE: March 15, 2021 Owner Name: .i�.�1 h V V) Va V 1 C' Owner Address: 15 �5 S � 5 Ppt 211 city/state/zip: Blair, NE 68008 Phone # t551 IL4 -1 Ci 21 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 3/15/2021. 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. 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 ad 'D o g ❑ Cat Spayed/Neutered License Fee $ ' 11, 00 Pet Name bmaciQ Birthdate 12.0143 Sex F Color A W M Breed** Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ©'@ u� MICROCHIP # (If applicable) / SUBTOTAL: $ RABIES VACCINATION DATE: 2 2 (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 Pet Name Birthdate Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ ■W (1 yr) License Fee $ Replacement $ ** SUBTOTAL: $ City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not Send Cash by Mail TOTAL ENCLOSED $ If you have questions, please contact Blair Police Department at (402) 426-4747 ++++++++++++++++++++++.+.....++++++++++++++++++++++++++++++++++++++++++.....++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS(March 15late fee date not applicablefor newpets/new residents) Newly Acquired Pets: New Residents to Blair: ■ Must be lioensed witliin 10 days of ownership 0 Must register pets within 10 days of ® <OR> at 6 months of age if puppy/kitten residency. Countryside Small Animal 1306 Stevenson PO Box 119 Fort Calhoun, NE 68023 402-468-4060 Printed: 06-17-21 at 12:19p CLIENT INFORMATION Name Katie Perrigo (3267) Address 3341 Co Rd P 38 Omaha, NE 68112 Phone 402 305-5605 PATIENT INFORMATIO Name Ginger (9075) Species Canine Sex Female Breed Terrier, Staffordshire Birthday 12-01.13 Age 7y ID Rables 21-0008 C to Fawn Weight 77.00lbs o r Reminded (none) Codes_ Reminders for: Ginger Last done 02-04-24 Canine Rabies, 3 y 02-04-21 Ginger's weight history (In lbs) 02-04-21 77.00 MEDICAL HISTORY Date By Code Description 04-27-21 KNP PHONE FAXED HISTORY 712-262-8990 Patient Chart City (Variance) Photo 02.04-21 KNP RV3 Canine Rabies Vaccn, 3 yr, #21-0098 AGE Anal Gland Expression NT Nail Trim - partial EXAMV Examination w/ Vaccinations CHECKIN Patient check -in Rabies only owner will bring paperwork Age:7y Weight:77.00 SUBJECTIVE SECTION Rabies only owner will bring paperwork t-0N 3Jdd 301 SAd1NA00 £8Zb89bZM NN : l• azIL 00 Registration #: ES-2107605 Breed: Pit Bull DOB: 01/04/2019 Registered Since: 10/14/2019 Owner: Kathryn R Snelling 'pERRIGO. Omaha NE Registration Does Not Expire f Valld for the Life of the Animal This emotional 11 all IN 111pport animal was e r iii su° e _ Integral Part of a treatmentPrescribed by a physician or e - animals to travel and it veplan for Its handler. Federal laws s e mental health provider as an Rehabilltallon Acl of with their handlers. The Fair Housing °Ifleetly allow e reasonable acco 1973 8enereii re g Act and Sec motional support mmodation for an a quire That a buyer or renter of a res(denc e5be 04 °f the the buyer or renter regardless of the landlord'011ons I su granted a pport animal which allows the animal to live with requires that a(rilnes accommodate reasonable reolic . The Equal Em Y The Air CarflefAcceSs Ac! (49 U.S.C. 41705) accom PI°Yment Opponunlly Com 9ene�ep0 fly with an emotional support animal. modals an emotional supportmission y requires e federally granted fights Ihrough heown al in the workplace. Many state- reinforce ein(orce theyer, to se legal responsibility to the bearer of this PPII°able U.S. De a card, o laws- If You have questions concernin P rtmeni of us Ice yourslaf this (ord, y u should consult with the g Your The handier of this emotional support y General, or your attorney. , Iegat@usservlcea pportenimalma co ��EorFick lights and responsibilities, Nmg with any legal questions cot q ncerninehis/her ,nF4'REe�5�4 Good Samaritan Pet Doctor GOOD SAMARITAN 4847 N. 72nd St Omaha, NE 68134 PET DOCTOR staff@goodsampetdoc.com Ph 402.506,6911 Fax 402.315.1590 Patient: Ginger Owner: Katheryn Perigo Gender Species Breed Age Weight Female Canine Pitbull 9 Ys 1 M 30.3 kg Mucous Membrane Hydration Capillary Refill Time Pink Normal < 2 secs Services on 05/17/2021 - Kristin Engel, DVM Physical Exam Lungs Clear lung sounds. Abdomen Soft and non -painful. No enlarged organs or fluid noted. Gastrointestinal No significant findings. Oral Cavity Normal Coat and Skin Normal Orthopedic/Neurologic No pain or decreased range of motion appreciated. Heart/Circulation No murmurs or arrhythmia were heard on auscultation. Pulses were strong and synchronous. General Appearance BAR, interactive. Urogenital Bloody discharge from vulva Ears No significant findings. Eyes No significant findings. Pre -Op Vitals Respiration 30 Temperature 101.8 Mucus membranes pink- tacky Pulse 170 Capillary Refill Time (CRT) <2 Hydration slightly dehydrated- tacky MM Pre -surgical Results Leukocytosis. Bloodwork Pyometra Removal Pyometra removal The abdomen was exposed through a ventral midline incision and the distended uterus located. The uterus was carefully exteriorized without applying pressure or excessive traction. The uterus was isolated from the abdomen with laparotomy pads or sterile towels. Clamps and ligatures were placed as in an OHE except that the cervix was resected in addition to ovaries, uterine horns, and uterine body. The pedicles and enlarged vessels were ligated within the broad ligament with absorbable monofilament suture material and transected at the junction of the cervix and vagina. The vaginal stump was thoroughly lavaged. The incision was routinely with a buried suture pattern in the skin. Notes * Please continue previously prescribed medications as directed. E-Collar Elected Medications Medication Category Hydromorphone2 2.00 mg/ml Pre-Med Acepromazine 10.00 mg/ml Pre-Med Zetamine [Ketamine HCI] 100.00 mg/ml Induction Midazolam HCI 5.00 mg/ml Induction Meloxicam Tablets 7.50 mg/tab Analgesic Dose Time Given 1.5 ml 5/17 9:48 0.0909 ml 5/17 9:48 1.5 ml 5/17 9:58 1.8 ml 5/17 9:58 0.26 tab 5/17 16:49 Cefazolin 100.00 mg/ml Antibiotic 6.7 ml Cefazolin 100.00 mg/ml Antibiotic 6.7 ml Fluids Medication Rate Lactated Ringers Solution 303.00 ml per hour Prescriptions Medication Meloxicam Tablets 7.50 mg/tab Start tomorrow morning. Category Analgesic 5/17 10:42 5/17 12:33 Total Volume 1161.2 ml Dose Frequency Duration 0.25 tab Once a Day 5 Days Route IM IM IV IV By Mouth IV IV Route IV Route By Mouth N CITY OF BLAIR - 2022 PET LICENSE APPLICATIO If you live in Blair City limits and own a clog(s) and/or cat(s), complete this form and return with check made payable to: City of'Blair a 218 S 16th St a Blair,. NE 68008 You may legally,own a,combination of four (4) adult pets; but no.,more than thrqe-(3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March IS, 2022. Owner Name: N� Ck y C--Ck Owner Address: 212) /V, Jl- ' City/State/Zip, Blair, NE 68008 Phone # '-1, 0 a- 'Sa 3 -- 14 7 toS- I-ICENSE FEES: Dog or Cat: $16.00 nr Cat., t11-1-01) ***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. Lac ullet-dLuir A(AbP'--4-UUj I it A vie sae i included is a State Fee of $1.25 being C0hgEtjdy0'fijndMe NebrasKa License Fee $ PET #1 Dog Ll Cat Bir?�Spayecl/Neutered t h ate tar__ Pet Name —'C2 Replacement $ I 07 r Breed** Color - �OWAL,--" y Zy N, a � Danger�Gs Dog: rDeclared Dangerous or Potentially SUBTOTAL: $ applicable) MICROCHIP # (.3 yr) yr) _.City Tag # RABIES VACCINATION DATE: Fee $ T #2 0 Dog Ll Cat L) Spayed/Neutered PEPeLicense 'P Birthdate Sex t Name Breed** Replacement $ Color - Dangerous Dog: L3 Y Q N Declared Dangerous or PotentiallySUBTOTAL: $ MICROCHIP # - (If applicable) (1 yr) -- City Tag # RABIES VACCINATION DATE: (3 yr) d License Fee $ PET #3 Q Dog L3 Cat L3 Spayed/Neutere Pet Name Birthdate - Sex Replacement $ Color Breed" g: D Y L3 N Declared Dangerous or Potentially Dangerous Do (SUBTOTAL: $ (if applicable) MICROCHIP # (1 yr) City Tag RABIES VACCINATION DATE: (3 yr) *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, +' +++++ ......................................... P ..... 4. ........................ . QuIREMENTS (March 15 late fee date not aPPllcable fornewpet5lnew resOent�) NEW PET/NEW RESIDENT LICENSING RE ts to Blair: uIred Pets: Must register pets within 10 days of m Must be licensed within 10 days of ownership residency. to <OR> at 6 months of age if puppy/kitten Blair Small Animal Clinic PC David E. Johnson DVM 1734 Front Street Blair, Nebraska, 68008 (402) 533-2722 Rabies Certificate Patient ID: 9182 Client ID: 2279 Patient Name: Sophie Client Name: Mark &Gail Persson Species: Canine Address: 213 North 23rd Street Breed: Shepherd Mix Blair, NE 68008 Sex: Spayed Female Color: White Phone: (402)533-4765 Markings: Birthday: 12/07/2016 Weight: 50.00 pounds on 4/26/2019 Microchip ID: 985112007867657 Tag Number: 6626 Lot Number: 18502 Imrab Rabies Vaccine Producer: Merial K / MLV / R: Killed Virus Vaccination Date: Expiration Date: Staff Name: David E. Johnson DVM License Number: 1893 6/10/2021 6/10/2024 A -A 'I- 10 CITY OF BLAIR - 2022 PETICEN5E 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 y I City of Blair • 218 S 16th St • Blair, NE 6800 You may pally 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. txr Y„ LICENSE RENEWALS ARE DU ' March 5, 2022 ***PLEASE CAREFULLY*** Owner Name: y �i�� e r5 S�v" j-� YOU ARE REQUIRED BY LAW 70 LICENSE YOUR PETS. Owner Address: z 2 Failure to do so Is a violation of City ordinances 6.103 and carries a penalty of a fine up to $is0.o0 per pet. City/State/Zip, Blair, NE 6800 PET LICENSES RENEWALS ARE DUE BY 3/15/2022. The City shall Phone # eloz 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 cot The City of Blair requires proof of rabies vaccination. LICENSE FEES: Dog or Cat: $16.00 4 zf e _ i Ian Altered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Included is a State Fee of $1.25 wing collected to fund the Nebraska Dog & Cat Operator Inspection ai°d l PET #1 u Dog ❑ Cat ❑ Spayed/Neutered License Fee $ ��• Pet Name Birthdate -z i Se /n Color /.. / r Breed** A l Replacement i I Declared Dangerous or Potentially Dangerous Dog: ❑ Y N F, i $�MICROCHIP # DAD�SUBTOTA L: $_(If applicable) RABIES VACCINATION DATE: A/g2b (3 yr) (1 yr) City Tag #Ila 3 * PET #2 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed** Rep/acement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Birthdate Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: _ (3 yr) m (1 yr) License Fee Replacement SUBTOTAL: $ City Tag *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not Send Cash by Mail TOTAL ENCLOSED If you have questions, please contact Blair Police Department at (402) 426-4747 .........++++++.....+.+++++++++++++++++++++++++++++++++++++++++++.+++++++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15late lee dale not applkable lnrnew pets/newre&den(s) Newly Acquired Pets: New Residents to Blair: ■ Must be Ikffr within 10 days of ownership ■ Must register pets within 10 days of ■ <OR> at 6 months of age if puppy/kitten residency. If • i • • •••and/or• • • .•' i. .ile to: Cita ,: of Blair @ it d °{6, ht St Bi: ie 8008 You may legally own a combination of four (4) adult pets, but no•more than .three-(3) adult dens or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS AREDUE: March IS. 2022 Owner Name: Owner Address: '+ 04 et Phone--ity/State/Zip: Blair, 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 $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3/15/2022. The City shall recognize a microchip Identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city Identification other than that Issued by the City of Blair for such dog or cat. The City of Blair requires proof of rabies vaccination. Replacemente for 0 r� ��l ° +�' (�l .Y, is � ( , t �i! ► .^ ,�z s � ,�; � i" < 4i f� PET #1 V Dog Ll Cat Spa ed/Neutered License Fee _ L Pet Name W3 BirthdateM01 Sex _ Color I Breed** 1`Co i Rep/acement$ ** Declared Dangerous or Potentially Dangerous Dog: ® Y ® N, MICROCHIP # -- (If applicable) SQL TOTAL: RABIES VACCINATION DATE: EV - (3 yr) � � (1 yr) — --.,City Tag � ol * PET #2 Dog ® Cat payed/Neutered License Fee $ �_ Pet Name Birthdate ci 1 O Sex _M Color 0a,%6AfVctn1viWBreed** ►,A► i O& E WW—, 1- Replacement $ * Declared Dangerous or Potentially Dangerous Dog: ® Y ® N MICROCHIP # ` (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: � (u (3 yr) - (1 yr) e City Tag . § T #3 LJ Dog ® Cat ® Spayed/Neutered i License Fee $ Pet Name _ Birthdate Sex Color Breed** Rep/acement $ ** Declared Dangerous or Potentially Dangerous Dog: ® Y ® N MICROCHIP # : (if applicable)SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # ?` *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) If you have questions, please contact Blair Police Department at (402) 426-4747 NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15late fee date not applicable for newpets/newresldenls) Newly Acquired Pets: New Residents to Blair: 11 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. PNO vt C, —7 ce� 7 A-1-3 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:�� Owner Address: l 12 1 �� ',i� r ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. City/State/Zip: Blair, NE 68008 r , ,A / / , I (/, PET LICENSES RENEWALS ARE DUE BY 3/15/2022. The City shall Phone # c �' �v J� l�J 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: or Cat: $16.00 Altered Dog or'Cat: $11100 Repiacemerie Fee for Last B a9: $00-00 Included is a Mate Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program 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) _ Low (1 yr) License Fee $ Replacement $ SUBTOTAL:$ PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed** Replacement$ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ IN 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 Mari TOTAL ENCLOSED If you have questions, please contact Blair police Department at (402) 426-4747 ++++++.....++++++++++++++++++...............++++++++++++++++++......++++...... NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15late fee date not applicable fornewpets/new residents) Newly AMuuired Pets: New Residents to Blair: o Must be lioensed within 10 days of ownership o Must register pets within 10 days of • <OR> at 6 months of age if puppy/ldtten residency. 02/12/2022 11:05 4024260101 HOLSTEIN VET CLINIC PAGE 02/02 2022 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT(S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF BLAIR — 218 S. 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 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 3i15/2022. 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 pet6 within 10 days of residency Owner Name Spouse Owner Address City/State/Zip Phone # Pet Name: Cooper Age: 4Y DOB: 10-11-17 Breed: Aussie X Microchip # Sex: Male PLEASE INCLUDE CITY TAG NUMBER RABIES VACCINATION DONE ON Rabies Descrlption: i`- 1 YEAR Brett Pbtersen M 837 N 12th St Blair, NE 68008 531,209-0053 Color: Black and White Rabies Tag # 20103' IS IS A RENEWAL (IF AVAII-AIXE): # 02-12-22 3 YEAR Holstein Veterinary Clinic Dr, Lisa Schrum DVA4 Dr. Krists Ho/stein DVM 718 South 1911 Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinic@gmaii.com LICEMSE FEES or Cat: $16.00 Altered ` Dog or cat: $11.00 Replacement Tag $5.00 Total $ PETS 7� jflT ARE ON TNEACI"IVE POTENTIALLY DANC�f,'ROUS OR DANGEROUS DOG UST NEED TO (��GISTER DIRECTLYAT CITY NALL. 02/12/2022 11:05 4024260101 HOLSTEIN VET CLINIC PAGE 01/02 2022 PET LICENSE VERIFICATION/APPLICATION FOR.CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT(S), COMPLETE THIS FORM. AND RETURN WITH A CHECK PAYABLE TO: CITY OF BLAIR — 218 S. 16TH ST — BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER•RESIDENTIAL OR DWELLING UNIT. **`PLEASE READ CAREFULLY' YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. -THE CITY OF OI,AIR REQUIRES DROOF OF RABIES VACCINATION. Failure to do so is a violation of City Ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSE RENEWALS ARE DUE BY 3/15/2022, The city shall recognize a microchip ID number as the license number, It shall be unlawful for any dog or cat to wear any license or other city ID other than that Issued by the City of Blair for such 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 Brett Petersen Spouse Miki Owner Address 9 837 N 12th St City/State/Zip Blair, NE 68008 Phone # 531-209-0053 Aj Pet Name: Roscoe Age: 3V DOB:—06-01-18 Sex: Male Color: Black and Tan Breed: Dachshund Microchip # Rabies Tag # 20102 PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE): # RABIES VACCINATION DONE ON 02-12-22 Rabies Descriptlon: ri EAR 3 YEAR, Holstein Veterinary Clinic ,Dr. Lisa Schrum DVM ; Dr. Kr/sta Holstein DVM 718 South 191" Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinic@g,mail.com LICENSE FEES Doh or Cat: $16.00 ,4/tered Dog or cat: $11.00 Replacement Tag $5.00 Total $ I � " `� v. Pl;aTHAT ARE ON THE ACTIVE POTENTIALLY DANGEROUS OR DANGfRn(/S DOG LIST NEED TO REGISTER DIREGTLV AT CITYNALL. FAXED 02-12-22 BY 're�(a�6' q� ;;f.,•i.,,�, "ri'si'" i�� 1;4W' � � I .• i�' ! '^n,ea� 1. I;;,,;:,`yyar,, zip .' i-• �'( , ';i.c::r�''; �.:•o .'i?�--0n{t � alu h�liSl ��.l wY'�'"t�•`�s�� 9."''� I 1 p�• �„i�.l w1A,^I,,reg _. �� i�.a,:, ,r � g I �cu�,. •i rc t ' ry... I• . ,. � ai ., I:1�1.11:'\uki ,l:�i:, I•'�u;i'^I'�.44 it^L��,.r�il'ISJ/�,K4ih°f�,Py�ani!,I'�r:�f,tl'n�`;!',:'di?.J. it ,7•}�. �., i,.,I t,C'f': •'•:;l':�,, NIIe `i �:� �,lilul :; :l�.� I. 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: Al2P-,i Owner Address: City/State/zip: l`air® NE 68008 Phone # jU- �/S -q by 77-0 ,5v--w LICENSE FEES., Dog or Cat: $16.00 Replacement Fee for Lost Tag: $5.00 F 1 1 i 1-,-v4qW, ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW 1-0 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 Dog L3 Cat Spayed/Neutered License Fee $ Ca �h 6' Pet Na e Men -- Bil; ' ate Sex D16 ke- Color Breed** R6 Replacement $ Declare gDangerous or Potentially Dangerous Dog: LJ Y ) N, MICROCHIP # 1A10220 13, (If applicable) SUBTOTAL:$ RABIES VACCINATION DATE: Z-,-2 (3 yr) (1 yr) _� City Tag # -4ajL-* PET #2 LJ Dog L1 Cat 0 Spayed/Neutered Pet Name Birthdate Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: 0 Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: _ (3 yr) - PET #3 Ll Dog 0 Cat 13 Spayed/Neutered Pet Name Birthdate Sex Color Breed" — Declared Dang&ous or Potentially Dangerous Dog: 0 Y MICROCHIP# : (If applicable) RABIES VACCINATION DATE: (3 yr) - 71N Replacetnent$ —** SUBTOTAL:$ (1 yr) --- City Tag 1icense Fee $ Replacement $ L3 N I SUBTOTAL: $ (I yr) i - _. 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 $ ff 001 If you have questions, please contact Blair Police Department at (402) 426-4747 ......................................... I ..................................... NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 151ate fee date not applIcable fornewpeNlnew residents) Newly Acquired Pets: New Residents to Blair: M Must be licensed within 10 days of ownership N Must register pets within 10 days of W <OR> at 6 months of age if puppy/kitten residency. 4 CITY OF BLAIR PET LICENSE P M if you live in Blair City limits and own a clog(s) and/or cat(s), complete this forrn and return with check made payable to: You may legally.own a combination of four (4) adult pets; but no,more than-thre&(3) adult dogs rfr three (3) adult cats per residential or dwelling unit. LICENSE RENE CSCLS ARE CAE: March 15, 2022 Owner Name: n �'� f!? -P� ✓` -- Owner Address: o S City/state/Zip: Blair, ME 68008 Phone # Li f) '� ' S 3 3 D LICENSE FEES: Dog or Cat: $16.00 P 1i ri, =f; i 1` ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS, Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3/15/2022. The City shall recognize a microchip Identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city Identification other than that Issued by the City of Blair for such dog or cat, The City of Blair requires proof of rabies vaccination. Replacement. Fee for Lost Tan: $5.00 r � a ,�' .� � y, � �� ' i v :�! 1.' il4 ' � � � �. ' � I�— ,f �� i i �' ^ 1� �i, g � i�. - ,�J U i ( ��: �_ .i i '{ I PET Dog ® Cat *payed/Neutered License Fee � . 00 Pet N e Birthdate , 1� Sex Color Breed** � - Rep/acement $ Declared Dangerous r Potentially Dangerous Dog: ® Y N, 1:1MICROCHIP # (If applicable) , SUBTOTAL: RABIES VACCINATIO DATE: G� (3 yr) A— (1 yr) City Tag # T #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) _ W ET #3 0 Dog ® Cat ® Spayed/Neutered Pet Name Birthdate _ Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: ® Y El N MICR©CHIP # ! (If applicable) RABIES VACCINATION DATE: (3 yr) (1 yr) License Fee Replacement $ i,z OA g — City Replacement $ SUBTOTAL: $ (1 yr) __� City Tag #. *PLEASE INCLUDE THE CITY TACK NUMBER IF THIS IS A RENEWAL ** (This fee Is due along with License Fee if requesting at the time of license renewal.) ®o Not Send Wash by Mail TOTAL L If you have questions, please contact Blair police Department at (402) 426-4747 NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15/ate fee date notapolicable fornewpets/new residents) Newly Acquired pets New Residents to Blair: Must be lioensed within 10 days of ownership IN Must register pets within 10 days of <OR> at 6 montlis of age if puppy/kitten residency. IL I.N Thone Animal M.Osp t 1 902 S Hwy 30 Blair, NE 68008 402-426-3630 Printed: 05-11-21 at 2:10p FOR: Connie Peterson Date: 05-11-21 910 N. 14th Account: 4757 Blair, NE 68008 invoice: 99867 (402) 426-4738 Date For Qty Description Net Price 05-04-21 Sheila 1 Proin ER 18mg #21696 26.72 05-11-21 6 Iverhart Max Blue 12.1-25# Each #21821 33.24 05-11-21 6 Simparica Orange 20mg 11.1-22# #21822 82.44 05-11-21 1 Vaccination Exam 31.00 05-11-21 1 DA2PPV 23.20 05-11-21 1 Bordetella Oral 25.50 05-11-21 1 Rabies Vaccination (3 Year) 29.00 05-11-21 1 Thank You! II 0.00 05-11-21 Visa payment -251.10 Merchant ID: 4445046763017, Approval code: 71680 , Transaction ID: 1275577881 Ref #: 17617, Act* ************9157, Exp: XX/XX, Entry: Contacticc, Card: VISA Your card balance is not available I AGREE TO PAY ABOVE TOTAL AMOUNT ACCORDING,TO CARD ISSUER AGREEMENT X Old balance Charges Payments New balance 0.00 251.10 251.10 0.00 Reminders for: Sheila (Weight: 20.0 Ibs - 3y) Last done 05-10-24 Rabies Vaccination (3 Year) 05-11-21 05-11-22 DA2PPV 05-11-21 05-11-22 Bordetella, P13 Intra-trac 3 05-11-21 03-09-21 Hwt Dog (Heartworm Test) You Can Order Your Pet Supplies On' animalcareofblair.com. Like us on Facebookll VIC ,I 6: 8929 Fort St;:iOmai'ha NE 0j134 (402),444480.0,.� ACL)t %,A" 13 29 Breed PARS -ON RUSS TER MIX M 8c h, p �."��85�14,1,dO2190057 fdr ICAL HISTORY AS OF: 3/11/20 Naive , DANI Color BLACK & TAN Age 2Y 3/912020 dl! '6nt ASSE,$,6ED itTvpe i�I Weight: 16.60 Lbs. Treated by Tech f at,; i, r ia ha i'.,l 6 ID olmedicatl6ns i ii I N" Med:VAX 'DA0PV'MAH (Canine Distemper-Adenovirus-Hepatitis-Parainfluenza-Parvovirus Vaccine): 1 ML Total: 1 0? �6se Dirpq(iqpq: J. 00 dose once daily on 31912020 Route: SQ Al Med,.- kkCLM�IVIAR (Canine Parainfluenza-Bordetelia-Bronchiseptica-CanineAdenovirus,T.ypp,?,Vaqcine) 1 ML -. Total: 1.0 T1;ons: 1 00 dose once daily Vaccination given on 31912020 on 31912020 Route IN 50 MG/MLr"' Total: 1.60 ml Directions: -Route .;� By Mouth r'Med,,,PYR_/, 1,50mloncedaily on31912020 owly Weight: 16,60 Lbs. Treated by Vet: Treated by Tech,,,, AG, I . , '.` 0 SPAY i4Wb Resul lasons pia' no tll e ni ts/1:4 •,i HW-V A NTIGEN ai M I C R 0 0 Fo Q (1 P'LomM 'DA )"?0 Roalu., IN �Vl'pMedlcatlbt is' Oil ,,.;,Mbd,,.6,ARP,ROFEN.,2,5..25 MG Total: 1.00 tablet Directions: 1.00 tablet once daily on.3111.112-DjO., Robte,', By Mouth Med',"'�R�-rbRD"'Pl,,US';Q.-25 LBS DOGS 0-25 LBS Total: 1.00 tablet Directions: 1.00 tablet once daily Oop. dose . . j give .0mily. 1, time a month every 30 days for I months on 311112020 Route: By Mouth Medhll', R t L N PLUS ,`-.22 DOGS 0-22 Total: 1.00 dose Directions: 1,00 dose once daily, Ono. dose e t Ipp, Je, c, 1 skiiP 0blades every 30 days for I months on 311112020 Route: To Skin X, jl) 4'iij �'r �j )1,ei' L Q r L !,tl yj", ll [3), Or"o. d( rw..) J J: Animal Aftim'al I b#- A 13 1,8192 9:. ID B arcode IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII Page 1 of 2 You may legally.own a combination of four (4) adult pets; but no,more than three'(3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2022 Owner Name: Owner Address: city/state/zip.. Blair, NE 68008 1-pj Phone # L-Yi - L 22 11 PF 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/ 202 . The City shall recognize a microchip Identificatiot, 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, U Dog L] Cat D Spayed/Neutered License Fee $ 00 Pet Name k�110kf\0 Birthdate 4 Sex 10) Color u0W,V- I Breed** Replacement $ Declared Dang6robs or Potentially Dangerous Dog: Ll Y N, MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) _4. (I yr) --City Tag # - 3 .3()7—* PET #2 LJ Dog LI Cat D Spayed/Neutered License Fee Pet Name Birthdate Sex Color Breed** Replacement$ Declared Dangerous or Potentially Dangerous Dog: 0 Y LJ N MICROCHIP # (If applicable) SUBTOTAL:$ RABIES VACCINATION DATE: (3 yr) _ (I yr) __ City Tag PET #3 Ll Dog LJ Cat D Spayed/Neutered Pet Name Birthdate Sex Color Breed** Declared Dang&ous or Potentially Dangerous Dog: EJ Y 0 N MICROCHIP# : (If applicable) RABIES VACCINATION DATE: (3 yr) — 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.) M _J�v Not Send Cash by Mail TOTALENCLOSED$ /V'_ If you have questions, please contact Blair Police Department at (402) 426-4747, ......................................... l ..... 4 ................................ NEW PET/ NEW RESIDENT LICENSING REQUIREMENTS (March 151ate fee date not applicable for newpet71new resldent�) Newly &cguired Pets- New Residents to Blair: M Must be licensed within 10 days of ownership 19 Must register pets within 10 days of Ell <OR> at 6 months of age if puppy/kitten residency. r nt 8ou2 Phone Reminder Sortedli I ID Client Name Patient ID Patient Name Item ID/Description Peterson, Dustin &Calie (402) 369-3840 12864 Type Date Bruno IHRX Interceptor Heartworm Prev. Remind, L 7/18/2022 82 Rabies Vaccination - Canine Syr L 8/14/2022 86 Distemper Hep Lep Parvo-Annual L 8/14/2022 INTRA Intranasal Bordetella/Parainfluenza L 8/14/2022 151 Heartworm Test - Snap RT L 8/14/2022 Blair Small Animal Clinic PC Page 1 of 1 CITY OF BLAIR - 2021 PET LICENSE AP LICAT ON If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City Of Blair • 218 S 16th St e Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2022 Owner Name: 'l , Owner Address: ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. City/State/Zip: Blair, NE 68008 �..�. --? PET LICENSES RENEWALS ARE DUE BY 3/15/2022. The City shall Phone # 8 ' - A "` recognize a microchip Identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city Identification other than that Issued by the City of Blair for such dog or LICENSE PEES: Dog or Cat: $16.00 cat. The City of Blair requires proof of rabies vaccination. Altered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET # Dog ❑ Cat ❑ Spayed/Neutered License Fee $ i f�" _f Pet; Name Kf, i� � Birthdate I- °' a ,Sex Color R x . r � Breed** , . "'(A - Replacement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) SUBTOTAL: $ . RABIES VACCINATION DATE: `[ 22' Z `-1 (3 yr) ` (1 yr) City Tag #" 041ET #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 SUBTOTAL: $ (1 yr) City Tag # PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed** Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) I Do Not Send Cash by Mail TOTAL ENCLOSE If you have questions, please contact Blair Police Department at (402) 426-4747 ....+++++++++++++++.+.+++..+++.++++++++.......+++++....++++++++++++..++++..... NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15late fee date not applicable f0rnewpets/newre5ldents) Newly Acquired Pets: New Residents to Blair: • Must be licensed within 10 days of ownership m Must register pets within 10 days of • <OR> at 6 months of age if puppy/kitten residency. Phone: (402)212-4552 Tag Number: 7734 Lot Number: 18520 RABIES 3 YEAR BOOSTER SOUTH OMAHAANIMAL HOSPITAL 3540 Q STREET OMAHA, NE 68107 (402) 731-3606 Rabies Certificate Patient ID: 15864 Patient Name: NALA Species: CANINE Breed: SHEPHERD, AUSTRALIAN I Sex: Female Color: TRICOLOR Markings: Birthday: 04/16/2020 Weight: 34.60 pounds on 12/20/2021 Vaccination Date: 12/20/2021 Expiration Date: 12/20/2024 %j 01/29/2022 11:0 EI BUT NO M It shall be unlawful 4024260101 HOLSTEIN VET CLINIC PAGE 2022 PET LICENSE LIFICATION/APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG($) AND /OR CAT(S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF BLAIR — 218 S. 16TH ST — BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. 'PLEASE READ CAREFULLY*** to do so is a violation of City Ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSE RFNEWALS ARE DUE HY 8/15/20Z2- The city shall recognize a microchip ID number as the license number. y 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. ust be licensed within 10 days of ownership (OR) at 6 months of age if puppy or kitten aIR Must register pets within 10 days of residency Owner Name _ Rex Pfeil Spouse Kris Owner Address 1022 N 20th Ave Cir City/State/Zip Blair, NE 68008 Phone # 402-533-2044 Pet Name: CO pe U ('\ Age: 12Y Sex: Neutered Male Color: Tri �J DOB: 10-09-09 Breed: Beagle Microchip # Rabies Tag # 17614 PLEASE INCLUDE CITY AG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE I: # RABIES VACCINATION DONE ON 1 01-08-20 Rabies Description: I 1 YEAR ('3 YEAR Holstein Veterinary Clinic Dr. Lisa Schtum DVM : Dr. Krista Ho/stein DVM• 718 South 191' Street Blair, NE 68008 402-4 6- 387 402-426-0101 Fax hol tainclinic@gmail.com 19,001".11M LICENSFEt Es Intact Dog or Cat: $96.00 g or cat: $11.00 R&p/acement Tag $5.00 .i Total PETS THAT ARE ON THE ACTIVE POTENTIALLY DANGEROUS OR DANGEROUS DOG LIST NEED TO REGISTER DIRECTLY AT CITY HALL. FAXED 01-29-22 BY �li�llu)i: "I:G":� .;�%� :'ii ;' VI•�.Pt:'J1'e� li R•L" i 'y:^49f' y vi �••: . �ihi yfi:;;��%11iy��'v; f,<1:!ii��i��`rr �.,.; �•�,•{. i�r: ::�i ��u� .,.i�1�1: fA:ili�i:�M5:,1 .�I;'4: V%u:i �l. i�.��j 41i��. .�`i\n�� T Il f194 `�� .�� i.lit; 'q --)�6 0) CITY OF I - 2022 PET LICENSE APPLICATION I-'IY-d)-, V It 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; RENEWALSLICENSE ARE =:1 Owner Address-. � Blair,,:11; Phone #y LICENSE FEES., Deg 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 o • g.'L ;G t n, --tjnd me NebrasitaDoc. t operator PET #1 Dog ® Cat V Spayed/Neutered License Fee $ Pet Namely"" _ Birthdate ° Sex 0 Color N �� Breed** `� _Rep/acement *^` Declared Dangerous or Potentially Da erous Dog: D Y ®N, MICROCHIP # q?b1� k (J If applicable) SUBTOTAL: RABIES VACCINATION DATE: 8S a yr) -- (i yi,) City Tag # 1 _. T #2 Dog ® Cat Spayed/Neuter(ed License Fee $ ( � Pet Nat le Birthdate _ Z'I ex 5� , Color Breed** Replacement Declared Dangerous Potentiall Dan Brous "L3N` MICROCHIP C)�applicable) SUTOTAL: $ RABIES VACCINATION DATE: (3 yr) (i yr). __ City Tag # L5?19 * T #3 0 Dog 54 Cat bS Spayed Neutered !License Fee $ I Pet Name i t, Birthdate 4 ? Sex �M * b, Color Breed** _ —Replacement$ Declared Dangerous or Potentially Dangerous Dog: ®Y N ) (, t MICROCHIP # (If applicable) $UBTOTAL. Z? RABIES VACCINATION DATE: I '�v')' 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 Depaillment at (402) 426-4747 +++++++++++..+.. .... a-++.......+......+.l�+_l ..................................... NEW PET/NEW SIDENT LICENSING REQUIREMENTS (lVarch15late fee datenotapplicab/efornewpet71newresldents) Newly Aouired Pets New Residents to Blain - a 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. % CITY OF BLAIR - 2022 P T LICENSE APPLICATION IT you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair @ 218 S 16th St @ lair® NE 68008 You may legally oven 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 March 15, 2022 ***PLEASE READ CAREFULLY*** Owner Name: V YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS, Owner Address: 1 ")—b� 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: lair® NE 68008 Phone # 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 f Blair requires proof of raoles vaccination. , LICENSE FEES: Dog or Cat: $16.00 � Altered Dog or Cat: $11.00 k R Replacement Fee for Lost Tag: $5.00 Included is astatef@g of $1.25 being collected to fund the Nebraska Dog & Cat PET #1 W Dog Ll Cat El Spayed/Neutered License Fee $ Pet Name 12,o Birthdate ' & I'? Sex - I ) I - 'mzkL A,,A . -L Color _T,, ,w,-�, Breed" Replacement $ .51 De 1ared Dangerous or Potentially Dangerous Dog: LJ Y 31 N, HIP G" C) MI�ROC -(If applicable) SUBTOTAL:$ RAIES VACCINATION DATE: (3 yr) (1:yr City Tag - P Et #2 La Dog 0 Cat 3 Spayed/ eutered License Fee $ (J) - - Pet Birthdate T2 ) _ Sex 61 Color J�Breecl** kv"U /nikl;.Ault ie ly)jg Replacement $ It Decl red Dangerous or Potentially DangerousLi/Dog: Y 0 N MIC red # (If applicable) SUBTOTAL: $ RAB S VACCINATION DATE: -JDJO (3 yr) (1 yr) _ City Tag -PET W Dog LJ Cat W Spayed/Neutered ;,License Fee $ Pet Name = ilc Birthdate 1j,,2L,-12 Sex Breed" il)k ;,),,or Replacement $ Declared Dangerous or Potentially Dangerous Dog: LJ Y 0 N MICROCHIP # 7Q,!?/ (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (I yr) C i ty Tag # INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL fee is due along with License Fee if requesting at the time of license renewal.) ok If you have questions, please contact Blair Police Department at (402) 426-4747 ......................................... I ..................................... NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 151ate fee date notaqplloable fornewpet.91newresIdents) Newly Acquired Pets: New Residents to Blair: III Must be licensed within 10 days of ownership N must register pets within 10 days of m <OR> at 6 months of age if puppy/kitten residency. Blair Small Animal Clinic PC David E. Johnson DVM 1734 Front Street Blair, Nebraska, 68008 (402) 533-2722 Rabies Certificate Patient ID: 7905 Client ID: 6943 Patient Name: Athena Client Name: Haley Pierce Species: Canine Address: 1501 Butler Street Breed: Chihuahua mix Blair, NE 68008 Sex: Spayed Female Color: White w/ tan ears Phone: (402)619-6886 Markings: Birthday: 03/06/2015 Weight: 11.00 pounds on 4/27/2019 Microchip ID: 985112006565661 Tag Number: 5416 Vaccination Date: 11/23/2019 Lot Number: 18433 Expiration Date: 11/23/2022 Imrab Rabies Vaccine Producer: Merial MLV / R: Killed Virus Staff Name: David E. Johnson DVM License Number: 1893 Blair Small Animal Clinic PC David E. Johnson DVM 1734 Front Street Blair, Nebraska, 68008 (402) 533-2722 Rabies Certificate Patient ID: 8344 Client ID: 6943 Patient Name: Mocha Client Name: Haley Pierce Species: Canine Address: 1501 Butler Street Breed: Mixed Breed Blair, NE 68008 Sex: Neutered Male Color: Brown/White Phone: (402)619-6886 Markings: Mini Aussie/Husky Birthday: 08/11/2015 Weight: 48.60 pounds on 4/27/2019 Microchip ID: 985112007544979 Tag Number: 5819 Vaccination Date: 6/3/2020 Lot Number: 18445 Expiration Date: 6/3/2023 Imrab Rabies Vaccine Producer: Merial MLV / R: Killed Virus Staff Name: David E. Johnson DVM License Number: 1893 Blair Small Animal Clinic PC David E. Johnson DVM 1734 Front Street Blair, Nebraska, 68008 (402) 533-2722 Rabies Certificate Client ID: 6943 Patient ID: 10038 Client Name: Haley Pierce Patient Name: Willow Address: 1501 Butler Street Species: Canine Blair, NE 68008 Breed: Labrador Mix Sex: Color: Female Brown Phone: (402)619-6886 Markings: Birthday: 11/26/2017 Weight: 58.90 pounds on 4/13/2019 Microchip ID: Tag Number: 5745 Vaccination Date: 4/15/2020 Lot Number: 18445 Expiration Date: 4/15/2023 Imrab Rabies Vaccine Producer: Merial '1LV / R: Killed Virus Staff Name: David E. Johnson DVM License Number: 1893 Blair Small Animal Clinic PC David E. Johnson DVM 1734 Front Street Blair, Nebraska, 68008 (402) 533-2722 Amber Pierson 2467 Nebraska Street Apt. #4 Blair, NE 68008 Patient ID: 13550 Patient Name: Hem! Page 1 / 2 Client ID: 9080 Invoice #: 168645, Date: 6/15/2022 (531) 209-0778 Weight: 72.30 pounds Birthday: 06/02/2026 Species: Canine Sex: Male Breed: Beagle Mix ; I Description Staff Name Quanti Total 6/15/2022 Heartworm Test - Snap RT David E. Johnson DVM 1.00 $38.00 Alprazolam (Xanax) 2.Omg x tablet 60.00 $33.00 T Examination General 1.00 $30.00 Interceptor Plus 51-100# x dose 1.00 $11.50 T Credelio Tab 50.1-100lbs x dose (Blue) 1.00 $20.07 T Patient Subtotal: $132.57 Reminder 07/13/2021 Rabies Vaccination -Canine 1yr Distemper Hep Lep Parvo-Annual 06/15/2023 Heartworm Test - Snap RT Patient ID: 13551 Patient Name: Nova Species: Canine Breed: German Shepherd Mix Description 6/15/2022 Heartworm Test - Snap RT Examination General Distemper Hep Lep Parvo-Annual Interceptor Plus 51-100# x dose Credelio Tab 50.1-100lbs x dose (Blue) Reminder 06/15/2023 Heartworm Test - Snap RT Distemper Hep Lep Parvo-Annual 01/11/2024 Rabies Vaccination -Canine Syr Weight: 89.00 pounds Birthday: 06/02/2015 Sex: Male Staff Name Quantity Total David E. Johnson DVM 1.00 $38.00 1.00 $30.00 1.00 $40.00 1.00 $11.50 T 1.00 $20.07 T Patient Subtotal: $139.67 Order your pets supplies online now through our website www.blairsmallanimalclinic.vetsfirstchoice.com For questions contact us at 402-533-2722. �■� 02/12/2022 13:02 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. 16Ta 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 CAIREFULLY` YQU ARE RE6UIREDAYLAW10 LICENSE YOUR PETS, TWE CITY OF BLAIR REQUIRES PROO F RABIES VAA0 Failure to do so Is a violation of Clty Ordinances 6,103 and carries a penalty of a fine up to $150,00 per pet. PET LICENSE RENEWALS ARE DUE BY 3 15 2022, The City shall recognize a microchip ID number as the license number. It shall be unlawful for any dog or cat to wear any license or other city ID other than that issued by the City of Blair for such dog or cat. NEW PET LICENSING Must be licensed, Within 10 days of ownership (OR) at 6 months of age if puppy or kitten NEW RESIDENTS TO BLAIR Must register pets within 10 days of residency Owner Name Spouse Owner Address City/State/Zip Pet Name: Leia Age: 3Y Sex: Spayed Female DOB:—07-23-18 Breed: Ger Shep X Microchip # 985141002095161 PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A REN RABIES VACCINATION DONE ON 1 07-27-21 Rabies Description: / / 1 YEAR Barbara Pierson Eddie 915 N 28th St Blair, NE 68008 303-517-2417 Color: Cream Rabies Tag # 19359 (IF AVAILABLE): k 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 IN LICENSE FEEB Intact Dog or Cat: $16.00 A/terea�"� Dog or cat: $11.00 9 $5.00 00 Total,$ p S THAT ARE ON T EACTIVE POTENTIALLY DANGEROU OR DA GE OUS DOG LI NEED TO REG—IS'ISR DIRECTLYAT C HALL. FAXED 02-12-22 BY ,,. yli}ii �,{';rr,;!iv i,.�'�ti' I u ,(.i�i ��,tkf ;' ,�ni��{)ii't ;°�+�1�� `WL�i'ftn��w4' $ ro"�kk$"�„«`•.+` (• CITY OF BLAIR 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 OD Blair,, NE 68008 You may legally own a combination of four (4) adult pets; but no -more than three-(3) adult dogs or three (3) adult cats per residential or dwelling unit. ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS, Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3/15/2022. The City shall recognize a microchip Identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city identification other than that Issued by the City of Blair for such dog or cat, The City of Blair requires proof of rabies vaccination. LICENSE FEES., Dog or Cat: $16.00 Altered 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 �'D o g O- C a t A- Spayed/Neutered - License Fee $ Pet Name L< Birthdate -/ Sex J . :Color Breed** 11 is 1-� L� Replacement$ Declared Dang rous or Potentially Dangerous Dog: 0 Y 4A N, MICROCHIP # (If applicable) S T®TAL: $ JiBIES VACCINATION DATE: _it(.3 yr) r) City Tag # i+ °T #2 0 Dog ® Cat 0 Spayed/Neutered Pet Name Birthdate Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: 0 Y MICROCHIP # - (If applicable) RABIES VACCINATION DATE: ._ (3 yr) Replacement $ ON SUBTOTAL: $ (1 yr) City Tag #�* ET #3 Ll Dog 0 Cat 0 Spayed/Neutered !.License Fee $ Pet Name Birthdate Sex Color Breed** Rep/acement$ ** Declared Dangerous or Potentially Dangerous Dog: 0 Y 0 N MICROCHIP # (If applicable) 5U T 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 Mail TOTAL L 16 W If you have questions, please contact Blair police Department at (402) 426-4747 .....+i-i^^k..-F.i°.....+.......^M-L.......-F+...I9'r.....I•.............�......-F-I^^i,..-6-.i^... NEW PET/NEW RESIDENT LICENSING REQUIREMENTS(March 15late fee date not applicablefornewpets/newresidenI5) NewlyAcquired Pets: New Residents to Blair: Must be licensed within 10 days of ownership a Must register pets within 10 days of <OR> at 6 months of age if puppy/kitten residency. Blair Small Animal Clinic PC David E. Johnson DVM 1734 Front Street Blair, Nebraska, 68008 (402) 533-2722 Rabies Certificate Patient ID: 11356 Client ID: 6769 Patient Name: Cube Client Name: Erik & Kellie Plonkey Species: Feline Address: 757 N. 2nd Street Breed: _—Domestic Shorthair Blair, NE 68008 �'� Sex: Spayed Female j Color: Orange Phone: (402)826-7146 Markings: Birthday: 05/01 /2010 Weight: 12.37 pounds on 11/30/2020 Microchip ID: Tag Number: 0000 Vaccination Date: 4/1/2021 Lot Number: 18496 Expiration Date: 4/1/2023 imrab Rabies Vaccine ` Producer: Menial MLV / R: Killed Virus Staff Name: David E. Johnson DVM License Number: 1893 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 1% 2022 . Owner Name: A tt l etlwn ' OwnerAddress: City/State/zip: / lairs NE 68008 Phone # ***PLEASE READ CAREFULLY"* YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3/15/2022. The City shall recognize a microchip Identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city Identification other than that Issued by the City of Blair for such dog or I 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 inciuded is a Smote Fee of $1.25 Icing collected to fund the Nebraska Dog & Cat Operator Inspection Program t�P # 1 Ed Do Ll Cat Spaye /N utered License Fee $Wit! v U Pet N me C-' Birthdate Sex � L , Color _ Breed** �1 ��2�` Replacement $ 6 ( D cla ed Dangerous or Potentially Dangerous Dog: ®Y N, `3 HIP # _ I /1 610 a (If applicable) / SUBTOTAL: l VACCINATION DAT : -- (.3 yr) _/_ (1 yr) City lag # 90 t _ W Dog ® Cat Spa ed/Neutered , License Fee Pet a e - Birthdate / Sex , d' _ Col Breed** Rep/acement $ � �!� * * Declared , ngerous or PotentiallyDangerousDog: ® Y M, N MICROCHIP # 99,5'11a 0/052(If applicable) SUT TAL: $ RABIES VACCINATION DATE: icy .(3 yr) L/" (I yr) —___ City Tag ! �73 !L* 0T #3 LJ Do ® Cat t� Spayed/Neuter i License Fee $ _ Pet Name Birthdate Sex Color Breed** _ Rep/acement $ Declared Dangerous or Potentially rous Dog: ® Y ® N MICROCHIP # : (If applicable) IS) UB T O T AL: RABIES VACCINATION DATE: _ 3 yr) (i yr) i 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.) ®o Not Send Cash by Mail TOTAL ENCLOSED If you have questions, please contact Blair Police Depailment at (402) 426-4747 ....l-...i^-h...............=h..... r....-I"..I-+-1.....-r......-F..-i^....-"r^F...-0-°F-F+-i........ NEW PET/NEW RESIDENTLICENSING REQUIREMENTS (Marchl5/ate fee date not applicablefornewpets/newresldenI5) Newly Acquired Pets: New Residents to Blair: 0 Must be licensed within 10 days of ownership F1 Must register pets within 10 days of El <OR> at 6 months of age if puppy/kitten residency, Holstein Vet Clinic 718 South 19th Street Blair, NE 68008 402-426-7387 Printed: 02-24-22 at 1:53p CLIENT INFORMATION Name Juli Plugge (9577) Address 2009 Colfax Spouse Roger Blair, NE 68008 Phone 402 426-4025 PATIENT INFORMATION Name Jack Species Canine Sex Male, Neutered Breed Yorkshire Terrier Birthday 12-29-18 _ Age 3y ID 985112006866973 Rabies 17909 Color Weight 14.80lbs Reminded (none) Codes Reminders for: Jack Last done - Q4n2,82.3v. Denfens 3 3 Year Rabies)___________ _____04-28-20 06-08-22 _or g Plus 5 Van and 66--2� 06-08-22 Bronchi Shield - Oral Bordetel 06-08-21 Patient Chart Holstein Vet Clinic 718 South 19th Street Blair, NE 68008 402-426-7387 Printed: 02-24-22 at 1:52p CLIENT INFORMATION Name Juli Plugge (9577) Address 2009 Colfax Spouse Roger Blair, NE 68008s Phone 402 426-4025 PATIENT INFORMATION Name � Fritz Species Canine Sex Male, Neutered Breed Yorkshire Terrier Birthday 05-07-18 Age 3y ID 985112010573073 Rabies 17341 Color Black and Tan Weight 9.80 Ibs Reminded (none) Codes Reminders for: Fritz Last done 10 22-22 lie ensor 3 3 Year Rabies) ns 10-23-19 __w.�.,�.- 06-08-22 Vang lus 5 06-08-21 06-08-22 Bronchi Shield - Oral Bordetel 06-08-21 Patient Chart 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: :h1 C t <\ Owner Address: C) + S C` uk \ City/State/Zip: Blair, NE 68008 Phone # qbj q 4�30 :3,0-t � LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11.00 In ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3/15/2022. The City shall recognize a microchip Identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city Identification other than that Issued by the City of Blair for such dog or cat, The City of Blair requires proof of rabies vaccination. Replacement Fee for Lost Tag: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET # 1 Dog ❑ Cat Spayed/Neutered p� License Fee $ Pet Name ` I Birthdate Sex ►v� _ Color Breed** Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: I . -) - d3 40 (3 yr) ; (1 yr) City Tag #�* PET # 2 o g ❑ Cat Spayed/Neutered License Fee $ a Pet Name Birthdate jb,90 Sex_ Color h'A / Breed** rt� ..x(tl _Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y 0 N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: � � I -'� � (3 yr) (1 yr) City Tag # * PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed** Rep/acement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag #k *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.) uok01 Do Not Send Cash by Mail TOTAL ENCLOSED $ If you have questions, please contact Blair Police Department at (402) 426-4747 ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++.....+ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS(March 15late fee date not applicable for newpets/new residents) Newly Acquired Pets: New Residents to Blair: ■ Must be licensed within 10 days of ownership ■ Must register pets within 10 days of ■ <OR> at 6 months of age if puppy/kitten residency. Date of Rabies Vaccination: 02-21-22 Certificate No: 0 Next Rabies Vaccination On: 02-20-25 Previous Rabies Vaccination: VETERINARY CLINIC OWNER OF ANIMAL Countryside Small Animal Ericka Polzin 1306 Stevenson 2045 South St. Fort Calhoun, NE 68023 Blair, NE 68008 402-468-4060 County: This is to certify... THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Stella TAG NO: 22-0128 SPECIES: Canine WEIGHT: 50.60 SEX: S AGE: 23 months BREED: Terrier, Jack Russell Mix Microchip Number: 981020035640495 Color and markings... Red and White Signed ( \( Kaycee Points License: Vaccinations done... 02-21-22 KNP Canine Rabies Vaccn, 3 Yr, #22-0128 02-20-25 02-21-22 KNP Canine DA2PPL 02-21-23 08-17-20 KNP Canine Rabies Vaccn, 1 yr, #20-0649 06-11-20 *** Canine Bordetella Oral 06-11-21 Rabies Vaccine Information... MFG BY: ZOET SER.NO: 542135 LOT EXP: 14FEB23 ADM: Sq i� -1 � �01 CITY OF BLAIR PET LICIES 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 @ lair® 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. 3a LICENSE RENEWALS ARE DUE-. March 15,2022, ***PLEASE'READ CAREFULLY"* Owner Name: C r6 1 't (\ - 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, ME 68008 PET LICENSES RENEWALS ARE DUE BY 3/15/2022. The City shall Phone # Lqb 20q - 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 J§ Dog Ll Cat ASpayed/Neutered License Fee $ Pet Name- 0 Birthdate _3_�l Sex Color P&_ A A I 0_1 Breed** Replacement $ Declared Danb4ous or Potentially Dangerous Dog: n Y N, MICROCHIP # If applicable) SUBTOTAL: $ RABIES VACCIN� %TE: ;-2-L- _, (I yr) — City Tag L1 (3 yr) X PET #2 LI Ddg J Cat 0 Spayed/Neutered Pet Name Birthdate Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: 0 Y MICROCHIP # . —(If applicable) RABIES VACCINATION DATE:, (3 yr) — MR PET #3 L1 Dog LJ Cat EJ Spayed/Neutered Pet Name Birthdate Sex Color Breed" Declared Dang&ous or Potentially Dangerous Dog: LJ Y LJ N MICROCHIP# : (If applicable) RABIES VACCINATION DATE: (3 yr) - License Fee $ Replacement $ SUBTOTAL:$ (I yr) __ City Tag License Fee $ Replacement $ SUBTOTAL: $ (1 yr) - City Tag *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not Send Cash by Mail TOTAL ENCLOSED $ L-1 1- If you have questions, please contact Blair Police Department at (402) 426-4747 ......................................... 117 ..................................... NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15 late fee date not applIcable fornewpe&lnew residents). Newly Acquired Pets: New Residents to Blair: * Must be licensed within 10 days of ownership m Must register pets within 10 days of * <OR> at 6 months of age if puppy/kitten residency. 4 CITY OF BLAIR - 2021 PET LICENSE APPLICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair • 218 S 16th St • Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS AcR IE' DUE: March 15 2021 ***PLEASE READ CAREFULLY*** Owner Name: A U � i � � Pon �n YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Owner Address: W I Y • 1 �`D �) 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/E,,y68008 Phone # \�2'0 ®Y LO ® - 00 / (P PET LICENSES RENEWALS ARE DUE b r as the lice The Citymb 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 LICENSE FEES: Dog or Cat: $16.00 cat. The City of Blair requires proof of rabies vaccination. Altered Dog or Cat: $11.00 — Replacement Fee for Lost Tag: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET # 1 Dog ❑ Cat Pet Name YkAenct 3 Spayed/Neutered Birthdate 11 / ! 1 Sex F License Fee $11 - 00 _ Color �r®Wfl Breed** -) Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y N ', MICROCHIP # R 5 110 0 1 (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: iTTP 11112.11021 3 yr x (1 yr) City Tag # I PET #2 ® Q g ❑ Cat §d Spayed/Neutered License Fee $ . h a Pet Name A 1 10 Birthdate o 0 11- Se�x, Color o s Breed** o� OcX1 �t' Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y V K-7 N 1 MICROCHIP # 0 19(If applicable)• SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) W�"' 1 yr)_ City Tag # PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed** Rep/acement$ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # *PLEASE INCLUDE THE CITY TAG 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 $ 22 • 0 0 If you have questions, please contact Blair Police Department at (402) 426-4747 ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15late fee date not applicable fornewpets/new residents) Newly Acquired Pets: New Residents to Blair: ■ Must be licensed within 10 days of ownership ■ Must register pets within 10 days of ■ <OR> at 6 months of age if puppy/kitten residency. Blair Small Animal Clinic PC Client ID: Client Name: Address: Phone Tag Number: Vaccine: Producer: Rrand: pe: Manner of Administration: Staff Name: License Number: Doctor Signature: 8583 Austin Pond 691 N 27th St Blair, NE 68008 (620)660-0076 6634 Imrab Rabies Vaccine Merial Imrab 3 TF Killed Virus Subcutaneously David E. Johnson DVM 1893 David E. Johnson DVM 1734 Front Street Blair, Nebraska, 68008 (402) 533-2722 Rabies Certificate Patient ID: 12300 Patient Name: Athena Species: Canine Breed: German Shepherd Mix Sex: Spayed Female Color: Brown Markings: Birthday: 12/14/2019 Weight: 56.00 pounds on 11/12/2021 Microchip ID: Vaccination Date: 11/12/2021 Expiration Date: 11/12/2024 Lot Number: 18513 Drug Expiration Date: 2/24/2023 Blair Small Animal Clinic PC David E. Johnson DVM 1734 Front Street Blair, Nebraska, 68008 (402) 533-2722 Rabies Certificate Patient ID: 12908 Client ID: 8583 Patient Name: Franklin Client Name: Austin Pond Species: Canine Address: 691 IN27th St Breed: Goldendoodle Blair, NE 68008 Sex: Male Color: Blonde Phone: (620)660-0076 Markings: Birthday: 05/23/2021 Weight: 35.40 pounds on 9/2/2021 Microchip ID: Tag Number: 6713 Vaccination Date: 9/2/2021 Lot Number: 18508 Expiration Date: 9/2/2022 Imrab Rabies Vaccine Producer: Merial I MLV / R: Killed Virus Staff Name: David E. Johnson DVM License Number: 1893 12 Golden Retriever's name: FRANKLIN (Golden Doodle) GRRIN number: 21-12 Ca'e Last A g �trs'stered DHLP: 8-12-2021 Parvo: 8-12-2021 l:C Birth date or estimated age: DOB - 5-3-2021 where By: FORT STREET VETERINERIAN By: FORT STREET VETERINERIAN By: CAPITAL HUMANE SOCIETY, LINCOLN NE By: Due: 9-2-2021 Due: 9-2-2021 Due: 6-22-2022 Due: 5-3-2021 Sex: Male Click Here... - No responsibility shall be placed upon GRRIN regarding heartworms that did not appear on the heartworm test. HrtWrm Prevent: 8-12-2021 By: RACHEL & LUKE Due: 9-12-2021 JENNINGS Fecal: 8-12-2021 By: FORT STREET Due: 9-12-2021 Negative VETERINERIAN Rabies: By: Due: 9-2-2021 Rabies #: SPAYED/NEUTERED: Neutered - on 6/24/2021 @ CAPITAL HUMANE SOCIETY, LINCOLN, NE MICROCHIP # 985141003787127 Inserted on 6/24/2021 @ CAPITAL HUMANE SOCIETY, LINCOLN, NE Presently fed: PURINA PRO PLAN PUPPY, and amount: 2 CUPS TWICE A DAY. This feeding program should continue unless revised by a veterinarian. The reason this canine was rescued is as follows: BORN BLIND. BREEDER SURRENDER TO CHS IN LINCOLN This canine has been in the possession of Golden Retriever in Nebraska, Inc., since 6/28/2021 and has exhibited the following characteristics, all of which are made known to the prospective owner: FRANK IS BLIND, BUT ACTS LIKE A NORMAL PUPPY! HE LOVES TO PLAY AND CHEW, HE CAN GO UP AND DOWN STEPS, SLEEPS IN HIS KENNEL, AND LOVES TO SNUGGLE. Recommendations for continued care and training: Frank is a very special boy. Continuation with obedience training positive experiences and mental enrichment for him will be imperative. Care must be taken when he is playing because he cannot see body language cues from others. You both will need to be his eyes and his advocate. Grooming will be essential with his coat type. Daily brushing of his coat and weekly (or more) brushing his teeth. Positive correction and redirection for puppy like behaviors. Frank's next set of shots and Vet visit will be with your Vet. Make his appointment so that his vaccine schedule is kept as close to September 4th as you can. That will be his last round of puppy shots, lepto booster, rabies vaccine. You will also have to get his Heartworm and Flea & Tick meds for Sept 13th administer, and subsequent months' meds for year round protection for the rest of Frank's life. GRRIN Adoption Contract/Membership Form - Version 2.0 - December, 2020 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. LICENSE RENEWALS ARE DUE: Marc NIS, 2022, Owner Name: Owner Address: City/State/Zip: Blair, ME 68008 Phone 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 341patrj ;1--11111111111::::::::::: "I'll" ::: I - —nr0—ue-r-arcT-1MnCdon Proaram 'c - - F-U—C PET #1 QKDog EJ Cat Ll Spayed/Neutered License Fee $ I Pet Name ?,,00+,5 Birthdate -11151%9 Sex Color Breed" L-Abr,,,doame $ Declared Dangerous or Potentially Dangerous Dog: Ll Y RIN, �. MICROCHIP # V)102003%30ttl(If applicable) OTAL: $ -_s u RABIES VACCINATION DATE: i012-Alzo (3 yr) V" (I yr) City Tag # PET #2 LJ Dog LJ Cat LJ Spayed/Neutered Pet Name Birthdate Sex Color Breed" Declared Dangerous or Potentially Dangerous Dog: 0 Y MICROCHIP # - (If applicable) RABIES VACCINATION DATE: — (3 yr) _ Replacement L] N PET #3 LI Dog LJ Cat LJ Spayed/Neutered Pet Name Birthdate Sex — Color Breed** Declared Dang&ous or Potentially Dangerous Dog: L3 Y 0 N MICROCHIP# !' (If applicable) RABIES VACCINATION DATE: (3 yr) — — SUBTOTAL:$ (I yr) - City Tag !.License Fee $ Replacement $ I SUBTOTAL: $ (1 yr) City Tag #. *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not Send Cash by Mail TOTAL ENCLOSED $ -L�-o If you have questions, please contact Blair Police Department at (402) 426-4747 ......................................... 1- ..................................... NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15 late fee date not applIcable fornewpet5ll7ew resIden1s) Newly Acquired Pets: New Residents to Blair: all Must be licensed within 10 days of ownership N Must register pets within 10 days of M <OR> at 6 months of age if puppy/ldtten residency. CERTIFICATE OF VACCIIVA,TI0N Date of Rabies Vaccination: 10-23-20 Next Rabies Vaccination On: 10-23-23 VETERINARY CLINIC Thone Animal Hospital 902 S Hwy 30 Blair, NE 68008 402-426-3630 This is to certify... Certificate No: 2149 Previous Rabies Vaccination: OWNER OF ANIMAL Amber Pounds 2884 College Dr Blair, NE 68008 County: THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Boots SPECIES: Canine SEX: F Color and markings... Chocolate Signed Dr.Kamala Freeman Vaccinations done TAG NO: 006185 WEIGHT: 52.00 AGE: 15 months License: 3894 10-23-20 KF Rabies Vaccination (3 Year), #006185 10-23-23 10-23-20 KF DA2PPV+L 10-23-21 10-23-20 KF Bordetella Oral 10-23-21 11-11-19 JRD Rabies Vaccination (1 Year), #005271 Rabies Vaccine Information... MFG BY: ZOETI SER.NO: 389791 LOT EXP: 05-04-21 ADM: SQ i CERTIFICATE F VACCINATION THIS CERTIFIES THAT Name of Pet. T1 Animal Spay Neuter C, Date of Birth Inta 4970 N Radial Hwy. [] Breed r`., r' �;' � �6eu, Omaha, ATE 68104 ❑ Alte Color of MarMarkings402-553-3900 Date r' , well WAS VACC1 I ❑;Rabies: Serial # �— Tag No _= i Owner's Name t.t"" 7 year Rabies Vaccination Expiration Date ti ❑ 3 year Rabies Vaccination Expiration Date Street Canine Distemper ❑ Feline Distemper , I ❑Canine Hepatitis Feline Rhinotracheltis City State ZI P ❑ Canine Leptospirosis ❑ Feline Callicivirus t ; t p Aj t ❑ P Canine arainfluenza ❑ Feline Leukemia ` Phone n] Canine Parvovirus ❑ Stool Exam ❑ Canine Bordetella ❑ Heartworm Test By L_ Veterinarlan I 4AY 1-11 11Z . n0l CERTIFICATE OF VACCINATION THIS CERTIFICES THAT Name of Pet Animal Spay Neuter Clinic 4970 N W Radial Hwy. Omaha, NE 68104 402-553-3900 Owner's Name Street r City State Zip ---,77-77 Phone I Date of Birth- " ' Breed Color of Markings Date ❑ Intact Altere( ❑ Rabies; Serial # Tag No 1 year Rables Vaccination Expiration Date ❑ 3 year Rables Vaccinstlon Explrallon Date Canine Distemper E] Fellne Distemper Canine Hepatitis ❑ Fellne Rhinotracheltis Canine Leptosplrosls ED Fellne Callicivirus Canine Parainfluenza ❑ Fellne Leul(emla ❑ Canine Parvovirus ❑ Stool Exam Ej Canine Bordetalla He�rlworm Test By Vaterinarlan iD CD ®e �h CL \1 N 9:� CL �qp ® 6a' YRO mA Y Y" Y i ii 5 5 CERTMCATE OF VACCINAMN THIS CERTIFIES THAT i- f Animal Spay Neuter Clinic 4970 N W Radial Hwy. Omaha, NE 68104 402-553-3900 Owner's Name LA Street 14 i 1 71-177-1 City State Zip -16 II Phone Name of Pet Dateof Birth F] Intact Breed Sex Altered Color of Markings Date WAS VACCINATED AGAINST Rabies: Serial # _ Tag No 1 year Rabies Vaccination Expiration Date ❑ 3 year Rabies Vaccination Expiration Date r] Canine Distemper ❑ Canine Hepatitis ❑ Canine Leptosplrosls F1 Canine Parainfluenza ❑ Canine Parvovirus ❑ Cant ) ne Be rdatella F1 Heah,wqrrn Test Veterinarian E] Feline Distemper Feline RhInotrachellis Feline Callicivirus Feline Leukemia ❑ Stool Exam rwft � m � � � � � � � � � � � � � � - �. � � � �. OIQ N" m A 0 � � « / / i CERTIFICATE OF VACCINATION THIS CERTIFIES Name of Pet ( Date of Birth ( Animal Spay Neuter clinic i ❑ Intact 4970 N W Radial Hwy. Breed sex o Altered Omaha, NE 68104 Color of Markings 402-553-3900 Date WAS VACCINATED AGAINST Rabies: Serial f! s Tag No 1 year Rabies Vaccination y Expiration Date Owner's Name 3 year Rabies Vaccination Expiration Date ❑ Canine Distemper ❑ Feline Distemper Street ` Fj Canine Hepatitis ❑ Feline Rhinotracheitis `t f ❑ Canine Leptospirosis ❑ Feline Callicivirus City State ' Zip ❑ Canine Parainfluenza ❑ Feline Leukemia i` Canine Parvovirus ❑ Stool Exam ❑ Oanine Bordetelia Phone ❑ Heartwdrm Test By i Veterinarian i a u r �3 ~ 1: .uf ► iYa ► f ► RABIES VACCINATION CERTIFICATE Tag fee $: ADAPTED NASPHV FORM 59 Tag # Owner's Name &Address PRINT - use ballpoint pee or type Cert. Serial #: PRINT LAST FIRST MI TELEPHONE NO. STREET G ZIP i SPECIES: SEX: AGE: SIZE: PREDOMINANT BREED: COLORS: Dog Male ❑ Months ❑ Under20lbs. ❑ t! Cat ❑ Female , (� 20-50lbs. ❑ Years_—_❑ Other ❑ Altered >9Over 50 lbs. NAME: (Specify) DATE VACCINATED: PRODUCER: Veterinarian's # (First 3 Letters) License No. Month Day Year, PROD CT NAM etErtrt ti ti's'NaIW6 (Ole' rant) A VACCINATION EXPIRES: 1 yr. LicNacc. ❑ 01 082,6] .�C" Sitffltffi 3 yr. LicNacc �kRVI � ' Of - N. SKYLINE ROAD' Month Da Year y r,j�res AN INC 68M Vacc. Serial (Lot) No, �`" ^.AHNON02066 L' I VACCINATION RECORD Name ,NWABIES ❑ LYME DISEASE j",,CANINE DISTEMPER ANINE PARAINFLUENZA ANINE ADENOVIRUS 2 t�OQANINE PARVOVIRUS j ❑ CANINE CORONAVIRUS ANINE BORDETELLA i PTOSPIROSIS ❑ FELINE LEUKEMIA VIRUS ❑ FELINE PANLEUKOPENIA ❑ FELINE RHINOTRACHEITIS ❑ FELINE CALICIVIRUS ❑ FELINE CHLAMYDOPHILA h CXTY OF BLAIR - 02 �O)ET 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- (5) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2022. Owner Name: Owner Address: UDI5 city/state/zip: Blair, NE 68008 Phone # "LICENSE FEES., Dog or Cat: $16.00 '%L1 Alter9dA,-t1 ***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 3115L2022. The Cltyshall 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. M Replacement Fee for Lost Tag: $5.00 \Q Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat operator Inspection Program -4- PET #1 'X Dog Ll Cat D Spayed/Neutered License Fee$ Pet Name -LP 1A 'i Birthdate Sex At$ Color _)DQ C�� k- Breed** I)AAe,':-�AC�- Reolacemen r)inrlirinri Dangerous or PotentiAliv Dangerous Don: D Y 'M N MICROCHIPDATE: QS-fen (If applicable) SUBTOTAL:BIESVACCINA-R("I-jC),L0 (3 yr) (1 yr) _,City Tag # jO PET #2 EI Dog LJ Cat LI Spayed/Neutered Pet Name Birthdate Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: 0 Y MICROCHIP # - (If applicable) RABIES VACCINATION DATE: (3 yr) -- EJ N (I yr) Replacement $ —** SUBTOTAL.,$ Tag #— PET #3 LJ Dog LI Cat 0 Spayed/Neutered i License 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 $ _--I If you have questions, please contact Blair Police Depaill-ment at (402) 426-4747 ......................................... l ..................................... NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 151ate fee date not applIcable fornewpetFlnew resldent�) Newly Acquired Pets: New Residents to Blair: a Must be licensed within 10 days of ownership im Must register pets within 10 days of Ell <OR> at 6 months of age if puppy/kitten residency. Jan 11 22 11:43a p•1 CITY OF BLAIR - 2021 PET LICENSE APPLICATION Tf you live in Blair City limits and own a dogs) and/or cat(s), complete this form and return with check made payable to: City of Blair a 218 S 16th St • Blair, NE 68008 You may legally own acornbination 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:��i�`1 Owner Address: City/state/zip: Blair,, NE 68008 Phone # AL'' 7 LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so Is a violation of Cityordinances 8.1a3 and carries a penalty of a fine uptoS150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 311612021, The City shall recognize a microchip identification number as the license number. It shall be unlawful fnr any dog or cat to wear any license or other city identiflcatlon other than that issued by the City of Blair for such dog or cat. The City of Blair requires proof of rablesvaccination. Included is a State Fee of $1.25 being collectedto fund the Nebraska Dog & Cat Operator Inspection Program PET #1 ❑ Dog Cat V Spayed/Neutered License Fee $ Pet Nar� e 2, � wU':.Birkate Sex Color Breed** ° -N.A Replacement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y ,V N MICROCHIP # (If applicable) SUBTOTAL,: $ RABIES VACCINATION DATE: (3 yr) (1 yr) _,_ City Tag 4t,--j 9� PET #2 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed** Replacement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed** Replacement$ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (It 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 $ �\ L0 If you have questions, please contact Blair Police Departmeni at (402) 426-4747 +f....+t+++.++.+++++++i.++.++++a..................f+++++++++++.....+.++++.+++++ NEW PET/NEW RESIDENTLICENSING REQUIREMENTS (MaMr 15late !% date notapplrcablefornew,Ca°is/newresic--ne5) Newly Acquired Pets: few Residents to Blair: ■ Must be iansW riimn 10 quays of oNneship ■ dust register pets within 10 days of ■ <OR> at 6 months of age if puppyNtt m residency. w 01/13/2022 16:49 4024260101 i I VERIFICATIO IF YOU LIVE COMPLET CITY OF B YOU MAY I BUT No MORE THAN THREE (3) HOLSTEIN VET CLINIC PAGE 01/01 2022 PET LICENSE N,/APPLICATION FOR CITY OF RLAIR I BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT(S), THIS FORM AND RFTURN WITH A CHECK PAYABLE TO: AIR — 218 S. 16T" ST — BLAIR, NE 68008 :GALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, CULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. ***PLEASE READ CAREFULLY*** Failure to do so is a violation of City Ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. 1PET LICENSE RENEWALS ARE DUE BY 3 15 2022. The city shalll 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 wwithin 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 Marge Pridie Spouse Owner Address 731 N 14th Ave City/State/Zip Blair, NE 68008 Phone # 402-426-0614 Pet Name; ROXY Age: 10Y DOB: 04-12'-11 Sex: Spay' d Female I Color; Black and White Breed:' Terrier X Microchip # 985112009597992 Rabies Tag # 16811 PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE): # RABIES VACCINATION DONE ON 03-18-19 Rabies Description: 1 YEAR (�3 YEAR Holstein Veterin6ry Clinic D,-, Use Schrum DVM : Dr. Kr 718 South 191" Street BI, 402-426-7387 402-42( holsteinclinic@gm yta Holstein DVM i r, NE 68008 -0101 Fax IiI.COm LICENSE FEES. Intact Dog or Cat: $16.00 �-Aftetreo4l,o00 Replacement rag $5.00 Total $) L'U o PETS THAT ARC Q11 7 HE ACTIVE FOTEW1ALLY DANGEROUS_�R DANGEROUS D0 LIST NEED TO REGISTER DIRECTLYM FAXED 01-13-22 BY 1 1 t �� NI i� i "' `�� , ail CD�NI J n.1! I ill{ w i ! it t �nsl >✓� � n.11f r,�idui r,• ltiw q�31 ,( :IiD ..�ue ,1_L �j: 1! ��7 �ilt�id r�i :9. I��,� �1�. DA I,.�A!:, ��:��nri � �I f� i!Y 1, � ��tl rr4MIC. May 13 22 01:28p p.1 Thone Animal Hospitaf (402) 426-3630 902 S Hwy 30 Blair, NE 68008 Zo Z Z• CITY OF BLAIR - 2 PET LICENSE APPLICATION I( 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 s 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 I5�_2021, owner Name: Owner Address: city/Statelzip: Blair, NE 68008 LICENSE FEES; Dog or Cat: $E6.00 Altered Dog or Cat: $Z1.o0 Replacement Fee for Lout Tag: $5.0U yncluicled " ***PLEASE READ CAREMILLY*** 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 $150.00 per pet. PET LICENSES RENEWALS ARE DUEBY3/LSl2o21. TheCityshall recognize a microchip Identincatlon number as the license number. It shall be unlawful for any dog or cat to wear any license or other city Identlflcatlon other than that :ssued by the City of Blair for such dog or cat, The City of Blair requires proof of rabies vaccination. s a b—c Fee of IS1.25 being colected to fund the Nebraska Dog & Cat Operator inspection Program PET ##1 Dog ❑ Cat 'iI Spayed Neutere License Fee o0 Pet Name r 4 v�v, rv, Birthdate {x e��_ -�--- Breed * Replacement$* Declared Dangerous or Potentially Dangerous Dog: ❑ Y 2 N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: 7 -12- 2 2 (3 yr) (I, yr) X� City Tag # , PET #'2 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Birthdate Color Breed **`Sex 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) _.__ *p License Fee $ Replacement $ SUBTOTAL: $ (I yr) _ City Tag G yr) License Fee $ Replacements ** SUBTOTAL: $ City Tag # w. • ■ nv 1�u1*Inch it I ILLZI 1.5 A KWIlLWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not Send cash by Mail TOTAL ENCLOSED $ If you have questions, please contact Blair Police Department at (402) 4264747 +f..............i.........+++t++..............++.-t............................+ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS(Maehl51atef-e dale riotapplicablefcrnewMtgInewfaTi'ci<rjts) Newly Acpuired Pets- New Residents to Flair ■ Must be lensed wtt,tn io days or offs np ■ Must register pets within 10 da)55 of ■ <QR> at 6 mcnft of age if pu,-W/16ttr t residency.