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RClient ID: 8934 Client Name: Natascha Nething-Radnor Address: 3033 Westridge Drive Blair, NE 68008 Phone: (402)426-1758 Tag Number: 6806 Vaccine: Imrab Rabies Vaccine Producer: Merial Brand: Imrab 3 TF Type: Killed Virus anner of Subcutaneously Administration: Staff Name: David E. Johnson DVM License Number: 1893 Doctor Signature: .,al Clinic PC lnson DVM ront Street ;braska, 68008 +L)2) 533-2722 Patient ID: Patient Name: Species: Breed: Sex: Color: Markings: Birthday: Weight: Microchip ID: Vaccination Date: Expiration Date: Lot Number: Drug Expiration Date 13193 Ellie Canine Boxer Female ✓ tan/black 10/02/2021 15.00 pounds on 1/3/2022 933000320667525 1 /3/2022 1 /3/2023 18514 3/11 /2023 bCITY OF BLAIR!- A22 PET LICE NSE APPLICATION If you live in; Blair City limits and own a dog(s) and/or cat(s), complete thistform and return with check made City of Blair e 218 S 16th St a Blair,, ME 68008 You may legally own a combination of four (4) adult pets, but n®•more than three'(3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE 'l i Owner Name: f:�M'nA?ib city/state/zip: Blair, ME ;i,°f s , N Phone ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3/15/2022, The City shall recognize a microchip Identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city Identification other than that Issued by the city of Blair for such dog or cat. The City of Blair requires proof of rabies vaccination. LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cate $11.00 "eplacemont Fe` for Lost Tag: $5.00 Included is a, to Fee of $1.25 being collected to fund the Nebraska D ,& Cat Operator Inspection Program PE T #1 Do ® Cat Spayed/Neutered License Fee Pet Name to auv Blrthdate ,�/►- 9 Sex xbe , Dolor a� Breed** Replacement Declared Dan ei CIA or Potentially Dangerous Dog: ® Y N MICROCHIP # It 16VS 3 a-7q 3,7 1 (If applicable) SUBTOTAL: RABIES VACCINATION DATE: l z r9 (3 yr) (1 yr) City TagI'PE T #2 ® Dog ® Cat L3 Spayed/Neutered License Fee Pet Name Birthdate Sex Color Breed** Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: 0 Y L N MICROCHIP # (If applicable) SUTOTAL: $ RABIES VACCINATION DATE: , (3 yr) (1 yr) City Tag #� x PET #3 L1 Dog ® Cat ® Spayed/Neutered 1 License Fee Pet Name Birthdate r __ Sex _ Color Breed** Replacement $ _ ** Declared Dangeious or Potentially Dangerous Dog: ® Y ® N MICROCHIP* ; (If applicable) 5UBTOTAL-. $ RABIES VACCINA`ON 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 $/ d � If you have questions, please contact Blair Police Depailment at (402) 426-4747 NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15/ate fee date notappllcable fornewpeis/newresldenls) Newly Acqulred Pets: New Residents to Blair; III ' Must be licensed within,10 days ofownership ® Must register:pets within 10 days of <0Ra at 6 months of age if puppy/kitten residency. uo/2012022 12:14 4024260101 HOLSTEIN VET CLINIC PAGE 01/04 2022 PET LICENSE VEILIFICA,TION/A PPLICATION FOR CITY OF SL,AIR. IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOGS) AND /OR C4T(S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF BLAIR — 218 S. 16"H ST BLAIR, NE 66008 YOU MAY LEGALLY OWN A COMBINATION -OF FOUL (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 Akt E UIRED 8Y La,W To LICENSE YOUR PETS. THE CITY OF BLAIR REQUIRES PROOF OF RABIFS VACCINATION. Fallure to do so is a violation of City Ordinances 6.103 and carries a penalty of a floe up to $150.00 per pet, PET LICENSE RtNEWALS ARE DUE RY 3/1S/2022. The city shall recognize a microchip ID number as the license number. It shall be unlawful for any dog or cat to wear any license or other city ID other than that issued by the City of Blair for such dog Or cat. NEW PET LICENSING Must be licensed within 1.0 days of ownership (011) at 6 months of ague If puppy or kitten NEW RESIDENTS TO BLAIR Must register pets within 10 days of residency Owner Name Brent Ramsey Spouse Terri Owner Address 669 N 16th City/Sltsteaip Blair, NE 68008 Phone # 402-426-4887 Pet Nome: Little Reed Ape; t fY DOB: 03-01-11 Steed: Domestic Microchip # PLEASE INCLUIDE. CITY T, Sex: Neutered Male RABIES VACCINATION; DONE ON IF THIS IS A RENE' 105-1,11 22 Rabies Description: I 1 YEAR Holstein Veterinary gl,inic Dr. L/sa Schrum DIAM : Dr, Krlsta Ha/stein Dvm 718 South 19th Street Blain NE 68008 402-426-7387 402-426-0101 Fax hoisteinclinic@g mail.com a Color: Rabies tag # (IF AVAILABLE): # 3 YEAR UCEN ES FEES Intact Dog or'Cat: $16.00 A re og or oat: $ 1.00 $5.00 Total $ � l - ' �STHATAREONTNEACTIVEf'dTENiIALLYD/IN�aE1;gIJ5QR ', �N6bRdU5DOGl15TN1:'f,�TbREtfSTERDfRECTLYAj`CfTYNALI FAXED 05-2sJ-22 BY A ti �Y��(� S� I. IAA jsn�n}�.,i ■ 03/15/2022 16:23 4024260101 HOLSTEIN VET CLINIC PAGE 01/01 ■ ■ 2022 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT(S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF BLAIR — 218 S. 16TH ST — BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT, **'"PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY W TO LICENSE YOUR PET. . NE CITY OF BLAIR REQUIRES PROOF OF RABIES VACCINAT ON. Failure to do so Is a violation of City Ordinances 6.10a and carries a penalty of a fine up to $150,00 per pet. pFT LICENSE RENEWALS ARE DUE BY 15 2022. The'.city shall recognize a microchip ID number as the license number, It shall be unlawful for any dog or cat to wear any license or other city ID other than that issued by the City of Blair for such dog or cat., NEW PET LICENSING Must be licensed within 10 days of ownership (OR) at 6 months of age if puppy or kitten NEW RESIDENTS TO BLAIR Must register pets within 10 days of residency Owner Name Spouse Owner Address City/State/Zip Phone # Pet Name: SI.11mokey Age: 13Y DOB', —01-05-09 Breed: Microchlp # Sex' Spayed Female CITY TAG NUMBER IF THIS IS A RABIES VACCINATION DONE ON 103-15-22 Rabies Description: ( I Brent Ramsey Terri 669 N 16th Blair, NE 68008 402-426-4887 LICENSE FEES color: Intact I Dog or Cat: $16.00 ered Dog or cat: $11.00 Rabies,Tag # ,L (IF AVAILABLE): # Replacement Tag $5.00 Total $�- 3 YEAR PETS THAT ARE QN THEAGTIVE POTENTIAL4, DY ANGE OUS 0 DAN EROUS 0G L1$T NEED 7 REGISTER DIME LY A7 G TV HAL 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@9mail-com 01/10/2022 16:37 4024260101 HOLSTEIN VET CLINIC PAGE 2022 PET LICENSE VERIFICATION/APPLICA,TION FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(5) AND /OR CAT(S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF BLAIR — 218 S. 16TH ST — BLAIRf NE 68005 YOU MAY OWN A CM61NATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULTLDOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. ***PLEASE READ CAREFULLY*** YOU ARE REQU RED BYLAW 7 LICE N E YOUR PETS. THE CITY OF BLAIR RE UIRES PR OF OF ABIES 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 Z022. The city shall recognize a microchip ID number as the license number. It shall be unlawful for any dog or cat to wear any license or other city ID other than that issued by the City of Blair for such dog or cat. NEW PET LICENSING Must be licensed within 10 days of ownership (OR) at 6 months of age if puppy or kitten NEW RESIDENTS TO BLAIR Must register pets within 10 days of residency Owner Name Spouse Owner Address City/State/Zip Phone # Pet Name: Reggie Age: 18W Sex: Male DOB; W03-21 Breed: Eng Mast Microchip # 956000014156167 PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RABIES VACCINATION DONE gU-----_ 1 01-10-22 Rabies Description: ( I 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 hoisteinclinic@gmail,com Autumn Ramsey Ryan O'Malley 1987 Kellie Dr Blair, NE 68008 520-279-0320 Color: Brindle Rabies Tag # 20022 (lIF AVAILABLE): # 3 YEAR LI�NSE FEES Coa C-aat:r .filtered Dog or cat: $11.00 Replacement Tog $5.00 Total $ ' �D 'v PETS T TARE O THE AC7YVE POTENrlALCY D NGERO OR GANGER US DOG LIST NEED r0 REGI TER DlREC)LYAT CI HALL. 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 RENEW S ARE DU : Mar h,-15, 2022 Owner Name: l 1..�/�10, Owner Address: CJ �I —� �%�� City/State/Zip: Blair, NE 68008 Phone # ` 12Z— a;32Ao0(, LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11 00 ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3/15/2022. The City shall recognize a microchip Identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city Identification other than that issued by the City of Blair for such dog or cat. The City of Blair requires proof of rabies vaccination. Replacement Fee for Lost Tag: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET # 1 D o g ❑ Cat ❑ Spayed/Neutered License Fee $� Pet Name Caw I e Birthdate Sex Color Breed** Replacement$ ** Declared Dangerous or Potentially Dangerous Dog: LJY ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # a 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) _ License Fee $ Replacement $ ❑N SUBTOTAL: $ (1 yr) City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not Send Cash by Mail TOTAL ENCLOSED $ If you have questions, please contact Blair Police Department at (402) 426-4747 ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15late fee date not applicable for new pets/new residents) Newly Acquired Pets: New Residents to Blair: ■ Must be licensed within 10 days of ownership ■ Must register pets within 10 days of ■ <OR> at 6 months of age if puppy/kitten residency. , Gat® of Vaccination; 04.1 S-20 Next Vaccination on: 04-18.23. VETERINARY CLINIC Pet Vaicclnatlon Clinic. 2011 5,,120th St, Ornaha,,Ng ffi144 402�480-3393' Certificate No. 14502 Previous Vaccination: OWNER OF ANIMAL Stacia Randall 834 N 251h Ave Blair, K 68008 (402) 332A6068 This Is to certify,.. THAT I HAVE VACCINATED THE ANIMAL DESCRIBED BELOW AGAINST RABIES. Patient Information... PATIENT: Chewle TAG NO: 20330 SPECIES: Canine BREED: Terrier, Yorkshire Mix SEX: dale AGE: 3 years WEIGHT: 10.00lbs COLOR: Brawn MICROCHIP: MFG BY: ZOPTI, SERIAL; 347471, EXPIRES:07128/20, ADMIN: SQ Signed: tltj Mane Paull, D V M License: 1614 i Other`Vacclnotiona„s Vaccinated Py Vaccination Next due 04- 21 KD Canine DA2PP Vaccination, 1Y 04-06-22 03 1Q-1S ' JR ( Canine Rabies Vaccination; 1 Y, #192 (none) (oz .,t W76 03� 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 ***P, FosE Rya®CAREFULLv*** Owner Name: Owner Address: City/State/Zip: Blair, NE 68008 Phone # '16 a - oC.7 S LICENSE FEE§:` Dog or Cat: $16.00 Altered Dog or Cat: $11.00 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 Lest Tag: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program T # �W Dog ❑ Cat ❑ Spayed/Neutered License Fee $ U Pet Name 0 I, i vew" Birthdate 4. y.3 I Sex PA Color yj kA ,-, Breed** gee r,, wt Replacement $ * * Declared Dangerous or Potentially Dangerous Dog: ❑ Y ,V N MICROCHIP # a ?5 f of 063 Ll t-7 11 (If applicab SUBTOTAL: $ RABIES VACCINATION DATE: '-1 • -7 - 41 (3 yr) .k T (1 yr) City Tag #.�* PET #2 ❑ D 'a Cat k1 Spayed/Neutered License Fee $ Pet Name J'a.u.,rt .i BirthdateSex V-/- Color W k,, to / cUft Breed** " r T.6bH Replacement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) UBTOTAL: $ RABIES VACCINATION DATE: /o• *r) — (1 yr) City Tag _T `' * PET #3 ❑ Dog �b C at Spayed N uteri License Fee $ l Pet Name R � � � Bil- date � 3"Sex Vv� Color p, -� v� Breed** -,A t.d r v l "Io4 � Replacement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # 93�OW004 M90 (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: 1 b • (- j Jt fir) (1 yr) City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not Send Cash by Mail TOTAL ENCLOSE® If you have questions, please contact Blair Police Department at (402) 426-4747 ++++++++++++++++¢++++++++....................++++++++++++++++++++++++......... NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15late fee date not applicable fornewpets/new residents) Newly Acquired Pets: New Residents to Blair: • Must be licensed within 10 days of ownership m Must register pets within 10 days of • <OR> at 6 months of age if puppy/kitten residency. CITY OF BLAIR e 2022 PET LICENSE AP LXCATX®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 payable to: Blair o 218 S 16th St o Blair, ME 66008 ; > , You may legally 6Wh -A combination*oi tour:(4) adult pets, but no. more than ithrpq (3) adult dogs • •, 'or three (3) adult cats per residential or dwelling unit. LICENSE RENE ALA ARC DU ° March 15, 2022 Owner Name: 94"V)k e_`c Owner Address: tOL17 city/state/zip: Glair, NE 68008 Phone •# 4C6,;Z, 31 Z e6 -I _ LICENSE FEES: Dog or (Cat: $1 .00 Altered Dog or Cat: $11.00 *'� PCEAS CP,REFULL *** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do sods 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 Clty 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 Identificatlon.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 ffrt nd the'Nebraslsa Dog &(Cat Operator IInslxectilon (Program PET # 1 Dog ® C a t Spayed/IN utered License Fee $ l l Pet Name Birtlhdate 1� �� ��'Sel ( m � Color\�C`.�C-�� u> -ESA- Breed** _Replacement ** Declared Dangerous or Potentially Dangerous Do` : ® Y El N MICROCHIP # D� 9S (If applicable) �1���ii�L.: RABIES VACCINATION DATE: UI l � (3 yr) (1 yr) City Tag # PE W Dog El Cat Spayed Ne tered License Fee $ � 1 Pet Name r� Birthdate 6 1 liSex Color i u :,::" Breed** EVA-i Replacement $ ** Declared Dangerous `or Pote Ballyy Dangerous Dog: ®Y ® N MICROCHIP # `� C� L�4� [Z. (If applicable) SUBTOTAL-.$ RABIES VACCINATION DATE: '��-1� Z�_ (3 yr) (I 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: $ j RABIES VACCINATION DATE: (3 yr) (I. yr) City Tag # *PLEASE INCLUDE THE CITE( TAG NUMBER IF THIS IS A RENEWAL ** (This Fee is due along with License Fee it requesting at the time of license renewal.) Do Not Send Cash by Mail TOTAL ENCLOSED $ �2 `2 If you. have questions, please contact Blair Police Department at (402) 426-4747 . r.............................. �i- �i....ir.-r'*i-... �fr�i^....-�r.�•�'r�i°.....�i-........f��h..�fr�... NEW P.ETI-NEWRE-SIDENT-I_ICENSING,REQUMMENTS (March.151atefee -date not applicablefornewpets/newre5ldents) NewlyLAMuiuired Pets: New Residents to Blair, m .. Must be�licensedWffiin .10'days of ownership 0 Must register -pets within 10 days of.,-, n <OR>,-at,6 months of age if puppy/latten . residency. Date of Rabies Vaccination: 07-12-21 Certificate No: 0 Next Rabies Vaccination On: 07-11-24 Previous Rabies Vaccination: 18-0460 VETERINARY CLINIC OWNER OF ANIMAL Countryside Small Animal Kandice Rasmussen 1306 Stevenson 1047 N. 17th Ave 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: Finn TAG NO: 21-0519 SPECIES: Canine WEIGHT: 56.20 SEX: N AGE: 4 years BREED: Shepherd, Australian Microchip Number: 985112008046512 Color and markings... Tri Color Signed Kaycee Points License: Vaccinations done... 07-12-21 KNP Canine Rabies Vaccn, 3 yr, #21-0519 07-11-24 07-12-21 KNP Canine DA2PPL 07-12-22 04-04-17 KNP Canine Rabies Vaccn, 1 yr, *17-0382 01-21-17 JJS Canine Parvovirus Vaccination (CPV) Rabies Vaccine Information... MFG BY: ZOET SER.NO: 428366 LOT EXP: 9NOV21 ADM: Sq CERTIFICATE OF VACCINATION Date ofRabies Vaccination: 06-15-19 Certificate No: U Next Rabies Vaccination On: O0-14-22 Previous Rabies Vaccination: 16-0533 VETERINARY CLINIC OWNER QFANIMAL Countryside Small Animal KondeoeRaamumaen 1308SbaveDsnn 1O47N.17thAve Fort Calhoun, NE 08023 Blair, NE 68008 402-408-4060 County: This is to certhy— THAT |HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient [nfomnation.- PATIENT: Harley TAG NO: 1S'OSO1 SPECIES: Canine WEIGHT: 18.00 ' SEX: N AGE: 8yaara BREED: � Jack �emdm J k Russell Mix | Color and rnmddn8m.'Black and White --/26/2022 17:28 4024260101 HOLSTEIN VET CLINIC PAGE 01/010 2022 PET LICENSE 'VERIFICATION/APPLICATION FOR CITY OF GLAIR 117 YOU IJVE IN 13LAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT(S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO, CITY OF SILAIR - 218 S. 16'"' ST - BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) At)ULr DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT, ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW To LICENSE YOUR PEh, I E rn-Y OF BLAIR REQUIRES PROOF OF RABIES VMr ION. M_qPXC)F BLAIR Failure to do so is a violation of City Ordinances 6.103 and carries a penalty of a fine up to $j50.00 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 u)-ilawful 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 vAVM_Rick Rasmussen Spouse Owner Address Robbin 2053 Grant Street citylstate/Zip Blair, NE 68008 Phone# Pet Name: Tinker Age; 16Y DOB: -07,21-06 Sex: Spayed Female o . r:' brn'Tabby Breed: Domestic Longhair Microchip # Rabies Tag # PLEASE INCLUDE C1-T(Y�FAd-N-1JMAF-R IF T141S 19 A RENEWAL'(if AVAILABLE): # RABIES VACCINATION DONE ON 105-26-22 Rabies Description: 1 'YEAR 3 YEAR. Holstein Veterinary C ' finic Dr. Llso Schrum DVM - Dr, Krista Holstein VIA/K 718 South 19", Street glair, NE 68008 402-426-7387 402-426-0101 Fax hoisteiriclinic@'gmaii.corn. LICENSE FEES , Intact Dog or Cat; $16.00 CA Ite Dog o r cat. .$11.60 Dog or cat: $11,00 Total Pff A�7- ARE ON THE ACTIVE POTEN I 77ALLYDANGEROUS OR 0AIWEP .OIJS DOG LIST NEED TO REGISTER DIREGTLYAT CITY flAtL, FAX �- 0 05-26-22 BY CITY'OF BLAIR ® 2022 PET LICENSE APPLICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair e 218 S 16th St 9 Blair, NE 68008 You may legally own 2i combination, of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. j, 4V LICENSE RENEWALS ARE DUE: March 15 2022 ***PLEASE READ CAREFULLY*** Owner Name: YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Owner Address: ��Dn Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. City/State/Zip: Blair, NE 68008 PET LICENSES RENEWALS ARE DUE BY 3/15/2022. The City shall Phone # recognize a microchip Identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city Identification other than that Issued by the City of Blair for such dog or LICENSE FEES: Dog or Cat: $16.00 cat. The City of Blair requires proof of rabies vaccination. Altered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Included is a to Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET #1 Fif Dog Ll Cat dSpayed/Neutered License Fee $ Pet, N me CayL Birthdate,�-1`11-N Sex vy'We,, Breed" Replacement $ Declared Dangerous or Potentially Dangerous Dog: ®Y 1111N t M ROCHIP # 1 I � 003 Z77 � VM0 (If applicable) / SUBTOTAL: $ RABIES VACCINATION DATE: -7 p - 2-0 (3 yr) ✓ (1 yr) City Tag # YVA •LIU— PIET #2 Ll Dog Y C a t YS a d/Neutered License Fee $ a/l\1 ����Replacement$ Pt Nqmet &�C) Birthda�pe Color BreedF�' Declared Dangerous or Potentially Dangerous Dog: LJ Y Ll N MICROCHIP# n 1(K (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) — (1 yr) V City Tag #-L� PET #3 Ll D o g Ll C a t ' LJ Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed** Replacement $ Declared Dangerous or Potentially Dangerous Dog: LI Y LJ N MICROCHIP # (If applicable) SUBTOTAL:$ RABIES VACCINATION DATE: (3 yr) — (1 yr) — City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL (This fee is due along with License Fee if requesting at the time of license renewal.) '0 Do Not Send Cash by Mail TOTAL ENCLOSED $ If you have questions, please contact Blair Police Department at (402) 426-4747 .............................................................................. NEW PET/ NEW RESIDENT LICENSING REQUIREMENTS (March 15 late fee clate not applIcable for newpelslnew 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 0 <OR> at 6 months of age if puppy/kitten residency. CITY OF BLAIR - 2022 PET LICENSE APPLICATION If you live in Blair City limits and own a clog(s) and/or cat(s), complete this form and return with check made payable to: 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 RENEW LS ARE DUE- March 15 2022 Owner Name: '111;t Owner Address: V� City/State/Zip: Blair, NE 68008 — Phone # 10 - a``1-O / 9 LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11.00 ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3/15/2022. The City shall recognize a microchip identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city identification other than that Issued by the City of Blair for such dog or cat. The City of Blair requires proof of rabies vaccination. Replacement Fee for Lost Tag: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program _.._.................. PET #1 Dog X Cat XSpa ed/Neutered License Fee $ Pet Na I �� dat Birthe PI Sex Color Breed** Rep/acement $ ** Declared Dan erous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: 12-1"'7-9 (3 yr) (-yr) _City Tag # S PET #2❑ Dog X, Cat Spayed Neutered License Fee $ Pet Name Birthdate U7 Sex Color Breed** f-Dot-r, Rep/acement$ ** Declared Dangerous or Potentially Dangerous Dog: ❑ y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: {' -(p - &YZ.Q' (3 yr) %L (1 yr) City Tag #� IIG 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 $ 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 new pets/new residents) Newly Acquired Pets: New Residents to Blair: ■ Must be licensed within 10 days of ownership ■ Must register pets within 10 days of ■ <OR> at 6 months of age if puppy/kitten residency. Client ID: Client Name � Phone: Tag Number: Vaccine: Producer: Brand: aanncxor Staff Name: License Number: | Doctor Signature: 1757 Alicia &Gary Ray Blair, NE 68008 (402)870-0793 0000 |nnnab Rabies Vaccine W1orio| |nnnob3TF Killed Virus Subcutaneously /.' David E. Johnson OVM 1893 Blair Small Animal Clinic PC David E. Johnkn DVM 1734 Front Street Blair, Nebraska, 68008 Rabies Certificate Patient Name: Gilligan Species: Feline Breed: Domestic Shorthair Sex: Neutered Male Color: Tabby -Tan Birthday: 06/01/2020 Weight: 9.56 pounds on 5/29/2021 Microchip ID: 985141002703467 Vaccination Date: 12/17/2021 Expiration Date: 12/1712023 Lot Number: 18514 Drug Expiration Date: 3/11/2023 ~7��/� �'°'/ Blair Small Animal Clinic PC Page 1 / 1 David E.Johnson ovM 17a4Front Street Blair, Nebraska, 88008 � (402)533-2722 Client ID: 1757 Alicia & Gary Ray Invoice #: 18640 713N 16th8t Date: 1C20/2022 Blair, NE88OO8 /402> 870-0793 aray@wilkinsonindustries.com Patient ID: 4191 We Patient Name: Hutc; Birthday: 06/01/2007 Sex: Neutered Male Species: Feline Breed: Domestic Shorthair Descrilption Staff Name Quantity Total Patient Subtotal: $35.00 Instructions Your cat has had the final dose in the aer|eo, and may be considered fully protected from PoO|eVkopen|a^ Rh|mptrenheitua`and caHoiv|rusinfection. VVewill notify you when |timtime for booster vaccinations and other health maintenance needs. Reminder 01/06/2023 RabieeVacc|naUon-FeUne P~'00/2023 Rhino'CaUcj-Flu-PanLeu-Annua| Invoice Total: $35.00 Total: $35.00 Balance Due: $35.00 Previous Balance: $592.55 Balance Due: $627.55 Order your pets supplies online now through our mmhsmo mnww.ula|,amal|onima|clinio.vetenrsm»uiwe.com For questions contact z _ �3/ 6'� VET Li 15NSE' APPLXCATXON If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair a 218 S 16th St @ Blair, ME 6 You may legally own a combination of four (4) adult pets; but.n®more than three-(3) adult dogs or three (3) adult cats per residential or dwelling unit. cA 5 LICENSE RENEWALS ARE -c DUE: March 15, 2022 . **PLEASE FULLY*** Owner Name: 1_� (?���c,' t-P- (."Y\ r / YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Owner Address: 1ti "���- l IVY _ 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 # 1 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 FEESn' Dog or Cat: $16.00 Altered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program ET #1 Dog ® Cat i Spayed Neutered License Fee , :t Name 5o ] Birthdate b�/ti�'�'e Sex L — m* )lor _T�n) Breed** 1 `�y. Replacement$ �clareclDangerous or Potentially Dangerous Dog: ® Y 14 N ICROCHIP # _ (if applicable)SUBTOTAL: %BIES VACCINATION DATE: _ ?-1 (3 yr) (1 yr) City Tag # T #2 ® Dog ® Cat ® Spayed/Neutered et Name Birthdate Sex Color _ _ Breed** Declared Dangerous or Potentially Dangerous Dog: L7 Y MICROCHIP # - _(If applicable) RABIES VACCINATION DATE: _, (3 yr) -- Replacement $ ❑N SU TOTAL: $ (I. yr) .-- City Tag #* T #3 ® Dog ® Cat U Spayed/Neutered Pet Name Birthdate Sex _ Color Breed** Declared Dangerous or Potentially Dangerous Dog: D Y ® N MICROCHIP # ; (If applicable) RABIES VACCINATION DATE: (3 yr) (1 yr) 1 License Fee Replacement $ ,SUBTOTAL:$ 1— City g : *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) a �) T T 1° If you have questions, please contact Blair Police Department at (402) 426-4747 +++•a.+++++++++++++++...................+...+a............. .++++...+.+........... NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15late fee date not appllmble for newpets/newresldents) Newly Acquired Pets: New Residents to Blair: Must be licensed within 10 days of ownership N Must register pets -within 10 days of <OR> at 6 months of age if puppy/ldtten residency. 01/25/2022 08:54 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 d 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*** Y ARE REQUIBED QY LAW TQ LICENSE YOUR 1%TS THE C)TY OF B)d41R REQ,111RES PRfJOF OF RgQIES VACCINATION, Failure to do so Is a violation of City ordinances 6,103, and carries a penalty of a fine up to $150,o0 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 Stephanie Reuter Spouse John Owner Address 1075 North 14th Street City/State/ZIp Blair, NE 68008 Phonle # 402-350.2419 Pet Name: Camo Age: 14Y I Sex: Spayed Female Color: White/Brn DOB: 12-27.07 Breed: German SH Pointer Microchip •# Rabies Tag 19319 PLEASE INCLUDE GIN TAG NUMBER IF -THIS ISLA RENEWAL (IF AVAILABLE): # RABIES VACCINATION DONE ON 07-12-21 Rabies Description: 1 YEAR Holstein Veterinary Clinic Dr. L/sa Schrum DVM ; Dr, Krlsta Holstein DVM 718 South 1911 Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holstainclinic@gmail,com LICENSE „FEES Intact Dog or Cat: $16.00 to d Dog or cat: $11.00 Replacement Tag $5.00 Total PET TMAT ARE QN THE ACTIVE POTENTIALLY DAN�,fR0U5 OA DANGENOUS DOG LIST NEED TO REGISTER DIREGTLV AT CITY HAS FAXED 01-25-22 (BYyyy... t��a{�+�Y 4.4'r•. ti.�t�.7,{� +/ ii ';�7J :�i;+ U 4,'.f + °_ �;.''yr '�iu +;�tj:��l(f I'i� :'lir,�ix:J•i ?,u,� ;�':3�i 1�u.:� ,� l.wd�.;�}:.i�J �'� � i, J:=i'�'ti�1���; 1!:�4�7i� ± i%� �+}t� ;l {1��� L'S�°�� �'7;(::^ "+ u+.� ..l: .,a,�t; „i iTv,. +�•,:. M,.... AI;^.y++,_ � �, _. F,., al •.•'" t. . f �';}. 01/25/2022 08:54 4024260101 HOLSTEIN VET CLINIC PAGE 02/02 2022 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF GLAIR 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"'y YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. THE CITY OF GLAIR RE IRES PROLIF 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 t,ICENSE RENEWALS ARE DUE t3Y 3/7,5/2022. 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 Stephanie Reuter Spouse John Owner Address 1075 North 14th Street City/State/Zip Blair, NE 68008 P6',one # 402-350-2419 Pet Name: Rooty Age; 4Y Sex: Spayed Female Color: Liver and White DOB: 11-02-17 Breed: German SH Pointer Microchip # Rabies Tag 20056 PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE): # RABIES VACCINATION DONE ON 1 01-25-22 Rabies Description: 1 YEAR Holstein Veterinary Clinic 17r, Lisa Schrum DVM : Or, Kr/sta Holstein DVM 718 South 1911 Street Blair, NE 68008 402-426-7387 402-426-0101 Fax hoisteinclinic@gmail.com YEAR I= intact Dog or Cat: $16.00 Dog rfr cat: $11,00 Replacement Tag $5.00 Total $ '0-0 PETS TH9T ARE ON THEACTIVE POTENTIALLY DANGEROUS OR DANGEROUS DOG LLiMEED TO REC715fER D1REC]"LYAT C17*HALL V ) 1,: ` 70 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:' `. City/State/Zip: Blair, NE 68008 Phone # —WL LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11.00 ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so Is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3/15/2022. The City shall recognize a microchip Identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city Identification other than that Issued by the City of Blair for such dog or cat, The City of Blair requires proof of rabies vaccination. Replacement Fee for Lost Tag: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET # 1 Dog ❑ Cat OfSpayed/Neutered License Fee $ ,ems/ Pet Name Birthdate { ) :.t l- ex Color JT t . Breed** j7 r`d Replacement$ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y 0 N MICROCHIP # (If applicable) SUBTOTAL: $�>�� RABIES VACCINATION DATE: '2 � �14 (3 yr) (1 yr) City Tag # PET #2 Dog ❑ Cat Spayed/Neutered License Fee $ H a 00/ Pet Name k4 Birt datSex Color t Breed** rre Rep/acement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y N MICROCHIP # (If applicable) SUBTOTAL: $ I I RABIES VACCINATION DATE: ? <$. (3 yr) (1 yr) City Tag # PET #3 LA Dog ❑ Cat 4 Spayed/Neutered License Fee $ It,, Pet Na e d Birthdate ? _' a= I ? Sex Color " 17Breecl*;.t Rep/acement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y V N a MICROCHIP # (If applicable) SUBTOTAL: $ ( RABIES VACCINATION DATE:"'� 4 z . � � � . (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.) cu Do Not Send Cash by Mail TOTAL ENCLOSED $'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 applicablefor new pets/new residents) Newly Acquired Pets: New Residents to Blair: ■ Must be licensed within 10 days of ownership ■ Must register pets within 10 days of ■ <OR> at 6 months of age if puppy/kitten residency. .1 •1 M •L11 2022 PET LICENSE VERIFICATION/APPL.ICATION FOR CIT1Y 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 BLAIR REQUIRES PROOF OF RABIES VACCINATION. Failure to do so is a violation of City Ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet, PET LICENSE RENEWALS ARE DUE BY 3/15/2022. The city shall recognize a microchip ID number as the license number. It shall be unlawful for any dog or cat to wear any license or other city ID other than that issued by the City of Blair for such dog or cat. NEW PET LICENSING Must he licensed within 1.0 days of nwnershin (OR) at 6 months of age if puppV,or kitten NEW RESIDENTS TO BLAIR Must register pets within 10 days of residency Owner Name Julie Rogers Spouse Scott Owner Address 736 S 13th Street City/State/Zip Blair, NE 68008 Phone # 402-237-0290 Pet Name: Max Age: 12Y — DOB:—08-11-09 Sex: Neutered Male Color: Brown/Blk Breed: Yorkshire Terrier Microchip # Rabies Tag # 20251 PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE): # RABIES VACCINATION DONE ON 04-12-22 Rabies Description: SEAR 3 YEAR LICENSE FEES Intact Dog or Cat: $16,00 Altered Dog or,rat, $11.00 Replacement Tag $5.00 Total $ `/ PETS THAT ARE ON THE ACTIVE POTENTIALLY DANGEROUS OR DANGEROUS DOG LIST NEED TO REGISTER DIRECTLYAT CITY HALL. Holstein Veterinary Clinic FAXED 04-12-22 Dr. Lisa Schrum DVM : Dr, Krista Holstein DVM BY 718 South 1911 Street Blair, NE 68008 402-426-7387 402-426-0101 Fax FAX T® �P®@ 402-426-7144 holstei.nclinic@gmail.com. TO �19dd 0I1,1I-10 i�]A NI3iS-I01-1 TOT09ZbZ0b TE:ST ZZOZ/ZT/b0 03/28/2022 15:27 4024260101 VERIFI IF BUT NO MORE THAN HOLSTEIN VET CLINIC PAGE 2022 PET LICENSE ►TION/APPLICATION FOR CITY OF BLAIR I LIVE. IN BLAIR CITY LIMITS AND OWN A DOG($) AND /OR CAT(S), )MPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE T0. OF BLAIR — 218 S. 16TU ST BLAIR, NE 68008 1 MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, :E (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. **IP'LEASE READ CAREFULLY*** Failure to do sc is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. pFT•LICENSE RENEWALS ARE QUE—BY-31A-50-0-22- 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 M st register pets within 10 days of'residency Owner Name Julie Rohifing Spouse Charles Owner Address 1270 South 16th Street City/State/Zip Blair, NE 68008 Phone # 402-426-8339 p'g Pet Name: Sammie Age: 12Y DOB: 10-03-09 Breed: Aussie X Microchip ,# 4A376FO154 PLEASE INCLUDE CITY TAG RABIES VACCINATION Rabies Description Spayed Female ( Color: Black Rabies Tag # 17773 BER IF THIS IS A RENEWAL (IF AVAILABLE); # ON 1 03-05-20 1 YEAR '/ 3 YEA Holstein Veterinary Clinic Dr, Lisa Schrum DVM : or. Krista Holstein ,DVM 718 South 191" S reet Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteincli is@gmail-com LICENSE FEES /ntact Dog or Cat: $16.00 A�ered Do or cat: $1jfi.ff Rep/aceinent Tag $5.00 Total $ I .0c) PETS THAT ARE QN)Iff ACTIVE POTENTIALLY LIANGEROUS OR DANGEROUS DOG LIST Nf6D TO REGISTER DIRECTLY AT CITY HALL.. FAXED 03-28-22 BY v.�r�,: y�i .:.. �....�::��.""��!`'I`:r `,�:!c•V �;':':' 1.(.i'i�1i.,n�!II�.�:�v!' ..f D-x"P%�fi -4 7wQ 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: Ci of , lair e 218 S 16th St o Blair,, NE 68008 You may legallyo�vrt .cot; biliatl®n of four (4�) adult pets, but no more than three (3) adultd®gs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS AREDUE: March 15, 2022 Owner Name: ��''✓t� 01+ Owner Address: ! t-11- _�Ii _ ! , City/State/Zip: Blair, NE 6 008 Phone #' t° 0 LICENSE FEES: Dog or Cat: $16.00 Replacement, Lost Tag:$5.00 PET # 1 ❑ Dog *Cat "Spayed/Neutered Pet Name 6 0�,J C Birthdate Sex Color f;� r-')" ." Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: I -~ I � ,)(3 yr) _ ***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 Fee $� Replacement $ ** ❑N SU TOTAL: $ (1 yr) City Tag # _L `) P T #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) __ (I yr) City Tag # T #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) SU TOTAL: $ RABIES VACCINATION DATE: (3 yr) (I yr) City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not Send Cash by Mail TOTAL ENCLOSED .If you have questions, please contact Blair Police Department at (402) 426-4747 .... r+.+++.....++.+.+++¢+++..........++-r.....-o•....+++...++++++.....+++.....+++ NEW PET/'NEW RESIDENT LICENSING. REQUIREMENTS (March 15late fee date not applicable for new pets/new residents) Newly'Acquired Pets: � - New Residents to Blair: is Must belioensed.within 10 days of ownership n Must register pets within 10 days of <OR> at� 6 months of age if puppy/Idtten residency. 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: MYlarch 15 Z0221 Owner Name: (2 M C1 _*&QIcy Owner Address. C City/State/Zip., Blair, NE 68008 Phone # 40,,, _L1 ZI - 31 Fq o r �LoZqZ 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 Tan, t'.Szoo Included is a to Fee of $1.25 being collected to fund the Nebraska Dog Cat Operator inspection Prograrn PET #1 Dog J Cat Spayed/Neutered License Fee $ _.1 I_,o0 Pet Name L i l 0 Birthdate Sex Color Breed** l9ncMoind Replacement$ Declared Dangerous or Potentially Dangerous Dog: 0 Y W N MICROCHIP # AJZA ..- —(If applicable) SUBTOTAL: $ _L1 RABIES VACCINATION DATE:.3 1I Z� I 1/ 3 y") City Tag # 000 N (D TT@ V-11 1-w- �"t 5 �� y PET #2 LA Do� 0Cat Cj Spaye/Neutered License Fee $ 11-00 e- Pet Name qk-r ell . BirthdateIt 10M Sex F Color M _(''01(a - P)1o(,L1 ?/jj?,Rreed** i9oc FiT,,,,_(juij d No( Declared Dangerous or Potentially Dangerous Dog: 0 Y N MICROCHIP # -- N/A (If applicable) SUBTOTAL:$ t 1000 RABIES VACCINATION D y (3 yr) yr). --- City Tag # 00 0qb* PET #3 L1 Dog Ll Cat 0 Spayed/Neutered I License Fee $ Pet Name Birthdate Sex Color Breed" Replacement $ Declared Dang&ous or Potentially Dangerous Dog: LJ Y 0 N I MICROCHIP# '! -(If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: - (3 yr) __ (I 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 $ _LLjOG If you have questions, please contact Blair Police Department at (402) 426-4747 ......................................... l­ ..................................... NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15 late fee date not appllc�ble fbrnewpet�lneW resIdents) Newly Acquired Pets: New Residents to Blair: m Must be licensed within 10 days of ownership IN Must register pets within. 10 days of im <OR> at6months of age if puppy/ldten residency, Date of Rabies Vaccination: 03-07-22 Certificate No: 0 Next Rabies Vaccination On: 03-06-25 Previous Rabies Vaccination: 19-0260 VETERINARY CLINIC OWNER OF ANIMAL Countryside Small Animal Keala Roy 1306 Stevenson 2535 College Dr. Fort Calhoun, NE 68023 Blair, NE 68008 i 402-468-4060 County: This is to certify... THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Tinker Bell TAG NO: 22-0174 SPECIES: Canine WEIGHT: 14.41 SEX: S AGE: 7 years BREED: Dachshund, Miniature Mix Microchip Number: Color and markings... Tri Color Signed Kaycee Points License: Vaccinations done... 03-07-22 KNP Canine Rabies Vaccn, 3 Yr, #22-0174 03-06-25 03-07-22 KNP Canine DA2PPL 03-07-23 03-26-15 JJS Canine Rabies Vaccn, 1 yr,, #16-0379 02-10-15 JJS Canine DA2PP Rabies Vaccine Information... MFG BY: ZOET SER.NO: 535207 LOT EXP: 4APR23 ADM: Sq i� ' If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to i .of Blair e 218 S 16th St @ Blair,, NE 68005 You may legally own a combinatipn'of fouir (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: 4 YA Owner Address: ?75€ City/state/zip: Blair, NE 6800 Phone # GJ LICENSE FEES: Dog or Cat: $16.00 Replacement Fee for Lost Tag: $5.00 ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3/1S/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 WDog ® Cat Spayed/Neutered �� License Fee $ Pet Name c, d� Birthdate i i -- lk.-, Sex l opt ;'�` Color a Breed**Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ® Y LJ MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: , ) (3 yr) (1 yr) . _ City Tag # , T #2 ® Dog ® Cat payed/Neutered License Fee $ Pet Name (� ) Birthdate . r'3 Sex i' { Color (. Breed** . 1 a i, 'n ' L' Rep/acement $ Declared Dangerous or Potentially Dangerous Dog: ® Y ® N MICROCHIP #'W.5' I 13 c,, ; L �'3 2 L (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: i " - 1e � (3 yr) (1 yr) City Tag # ZC2 * PET #° ® � 3 Dog Cat payed/Neutered License Fee $ Pet Namr `4° e � ' ° Birthdate .)�l Sex Color 8 .. �S � � Breed** g���w� Replacement $ ** Declared gerous or Potentially Dangerous Dog: Ll Y ® N RABIES VACCINATION DATE: " ) 3 r 1 r City T: MICROCHIP # (If applicable) SU �` ' ( Y) ( Y) � 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 . .°B-i°......-F...•F-F-Ir..i-i--F.-H^1^.i^.+.^F...•F.a...I.....-F.-F•F.i-i-t-hi-........t-h.ia...•F...i-..-1.. NEW PET/NEW RESIDENT -LICENSING. REQUIREMENTS (March 15late fee date not applicable fornewpets/new residents) Newly'Acquired Pets: New Residents to Blair: * Must be lioensed.wMin 10 days of ownership ® Must register pets within 10 days of <OR> at,6 months of age if puppy/ldtten residency. >l- - l� If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: -City of Blair @ 218 S 1 th St 0 Blair, HE 68008 You mad' legally own a combination of four. (4) adult pets, but no more thanAhree (3) adult dogs ' or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS AREDUE: March 15, 2022 Owner Name: Owner Address: -- City/State/Zip: lair, HE 68008 Phone # -4 � _ i LICENSE FEES: • c or t .: a 0 • t Replacement Fee for Lost Tag: $5.00 •.. ***PLEASE MEAD CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3/15/2022. The City shall recognize a microchip Identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city Identification other than that Issued by the City of Blair for such dog or cat. The City of Blair requires proof of rabies vaccination. PET #1 ® , D o g l C a t Zf Spayed/Neutered � License Fee $ Pet Name s ' (f Birthdate N Sex Color O� Breed** 0 ` c Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ® Y ® N MICROCHIP # (If applicable): SUBTOTAL: $ RABIES VACCINATION DATE: µ (3 yr) (1 yr) City Tag #t* 7' #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) _ M (1 yr) License Fee $ Replacement $ ** PET #3 ® Dog Ll Cat ® Spayed/Neutered License Fee Pet Name _ Birthdate Sex Color Breed** Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ® Y ® N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) City; Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not Send Cash by Mail TOTAL ENCLOSED .If you have questions, please contact Blair Police Department at (402) 426-4747 ++++++.....++.................++++++..........+++++.+......a ....+++++......... NEW PET/NEW RESIDENT LICENSING. REQUIREMENTS (March 15late fee date not applicable for new pets/new residents) Newly'Acquired Pets: New Residents to Blair: >, Mast belicensed.within 10 days of ownership In Must register pets within 10 days of <OR> at-6 months of age if puppy/kitten residency. Feb 22 22 04:52p p,1 Ow 6 CITY OF BLAIR - 2021.PE - 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 to: City of 8iair • 21S S h6th St o Blair, NE 68008 payable 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 *** PLEASE RE4DCAREFULLY*** Owner Name: Owner Address: YOU ARE PEQUIRED BY LAW To LICENSE YOUR PETS. City/state/zip: Blair, NE 68008 Failure to do so is a VIOIatFon of City ordinances 6aca and carries phone # a ptrnalty of a fine up to $150.00 per pet, ��. 2 3`7 .7 -� PET LICENSES RENEWALS ARE DUE 8Y 5 recognize a microchip Identification nurnber asthe nse number, It LICENSE FEES: Dog or Cat; $I.6.00 shall be unlawful for any dog or cat to wear any license or other city Altered Dog or Cat: $11.0o Identification other than that issued by the City of Blair for such dog or cat. The Cityof Blalrrequires proof of rabies vaccination. Replacement Fee for Lost Tag: $5,00 Included Is a St Ae Fee of $1.25 being Collected tb fund the Nebraska Dog & Cat Operator Inspection Program PET #1 C$,Dog ❑ Cat l� Spayed/Neutered Pet Name -ALA n �, Birthdate , Color ?, Se)( License Fee $ 1 •UU Breed**1Y — r �''�" -P Declared Dangerous or Potentially Dangerous �9V ❑ Y l �'' t Replacement $ ** ❑ N MICROCHIP la RABIES VACCINATION DATE: 0 2 f applicable) SUBTOTAL: $ ? 7�_ (3 yr) � V (1 Yr) City Tag # PET #2 ❑ Dog Q Cat ❑ Spayed/Neutered Pet Name Birthdate License Fee $ Color Breed** �_ Sex Declared Dangerous or Potentially Dangerous 0 Y Replacement $ ** © N MICROCHIP #' (If applicable) RABIES VACCINATION DATE: SUBTOTAL: $ �_ (3 yr) (I Yr) City Tag PET #3 ❑Dog Cat ❑Spayed/Neutered Pet Name Birthdate License Fee $ Color Breed** Sex Declared Dangerous or Potentially Dangerous Dog; Rep/acement$ ** ❑ Y MICROCHIP # ❑ N (If appiicable) RABIES VACCINATION DATE: SUBTOTAL,: $ 3 r— *PLEASEINCWDE THE CITYTAGNUMBERIFTFlISISARENEWAL ** (This fee is (1 Yr) City Tag due along with License Fee If requesting at the time of license renewal,) LOo Not Send Cash by mail TOTAL ENCLOSED $ If you have questions, please contact Blair Police 'F f•I•F•F-F.+•1••F•!•....•F-F.......-F....+•i-i•-F+•F.t•h•F...•.....•Fi•i•.+•F•F.•F•i•....t•f•t•i•.t^Fi•.t..•F•I-•1. Department at (402) 426-4747 NEW PETINEW RESIDENT LWENSING RE.UIREMEN75 (Mairh t5ltaefc dat�not , e �y rtey eM hied poets: Wnewreslz�e7tS) N Must be'"WSW W iln 10 days a' MlerShlp ■ <0R> at 6 me nft oPaW rpuppy/idtt�en ,o ■ NauvRe 'de is Ida Blair- Must register pets ivimin 10 ciay5 Or rWdemy. 3 CITY OF BLAIR P PET LICI N�L SE A�ICA�O�� If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair • 218 S 16th St • Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2021 n �,� / ***PLEASE READ CAREFULLY*** Owner Name: f \ r �i j YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Owner Address: z (0 C i> /�iC lJ �� 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 3/15/2021. The City shall Phone # 53 1— 721— 6 /0 % recognize a microchip Identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city Identification other than that Issued by the City of Blair for such dog or cat. The City of Blair requires proof of rabies vaccination. LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET # 1 , Dog ❑ Cat X Spayed/Neute ed License Fee $_U et Na e c _ Birthdate 3 7/Z Sex olor Y�c�wt d�W ice— Breed** (�r��rcJ r Cc�l)iP. Replacement$ 5 'eclared Dangerous or Potentially Dangerous Dog: ❑ Y 14 N MICROCHIP # (If applicable SUBTOTAL: $ •60 RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # PET # 2� D o g ❑Cat $ Spayed red �— License Fee $ I 1 • ob Pet Name Birthdate 31M )�5 Sex �� ** Color v• -e, Breed** k5 ky Re,3/acement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y g N MICROCHIP # (If applicable) SUBTOTAL: $ Ho • 0O RABIES VACCINATION DATE: / ZZ- (3 yr) � (1 yr) _ City Tag #�*,^ PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed** Re,9/acement$ ** Declared Dangerous or Potentially;FDangerous 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 $ 32 - 00 If you have questions, please contact Blair Police Departme!^lt at (402) 426-4747 +++++++++++++++++++++++++++++++++++++++++++++++++++++++It•++++++++++++++++++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15late fee date not applicable for newpets/newre5idents) 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. CERTIFICATE OF VACCINATION Date of Vaccination• 04-01 222 Next Vaccination o : 03-31-26 VETERINARY CLINI Pet Vaccination Clinic 2911 S. 120th St. Omaha, NE 68144 402-480-3393 Certificate No. 26313 Previous Vaccination: 000559 OWNER OF ANIMAL Megan Fussell 2526 C0ege Dr Blair, NE 68008 (402) 72-1-8709 This is to certify... THAT I HAVE VACCINATED THE ANIMAL DESCRIBED BELOW AGAINST RABIES. Patient information... PATIENT: Layla TAG NO: 223475 SPECIES: Canine BREED: Border Collie Mix SEX: Spayed Female AGE: 8 years WEIGHT: 0.00 Ibs COLOR: Brown and White MICROCHIP: MFG BY: ZOETI, ERIAL: 497253, EXPIRES: 08/02/22, ADMIN: SQ Signed: Jul' oraback, DVM License:3094 Other Vac nations... Vaccinated By Vaccination oNextddue04-01-22 JR Canine Bordetella Vaccination, 1Y 04-01-22 JR Canine DA2PP Vaccination, 1Y r% = R T I F, ACE OF V A'Q [NATION Date of Vaccination 04-01-22 Certificate No. 26312 Next Vaccination o : 03-31-25 Previous Vaccination: VETERINARY CLINIC OWNER OF AIUIMAL Pet Vaccination Clinic Megan Russell 2911 S. 120th St. 2526 Collette Dr Omaha, NE 68144 Blair, NE 68008 402-480-3393 (402) 721-6709 This is to certify... THAT I HAVE VACCINATED THE ANIMAL DESCRIBED BELOW AGAINST RABIES. Patient information... PATIENT: Mila TAG NO: 223474 SPECIES: Canine BREED: Siberian Husky SEX: Female AGE: 4 years WEIGHT: 41.80 Ibs COLOR: Grey and White MICROCHIP: MFG BY: ZOETI, S IAL: 497253, EXPIRES: 08/02122, ADMIN: SQ Signed: Jul*aback, DVM License:3094 O, Other Vaccirf/at/Jons... Vaccinated By Vaccination JR Canine Bordetella Vaccination, 1Y04-01-22 bdue04-01-22 JR Canine DA2PP Vaccination,1Y 03-11-19 MP Canine Rabies Vaccination, 1Y, #00 12/31/2021 10:54 4024260101 HOLSTEIN VET CLINIC PAGE 01/01 2022 PET LICENSE VERIFICATION,/APPLICATION FOR CITY OF BLAIR Ir 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"* Y0UA"REQ_UjIkFD0Y W To LICENSE YOUR PETS. HF CI OF 8 R RE IRES P OOF OF RABIE VAC INATI N. Failure to do so is a violation of City Ordlnance$ 6.103 and carries a LICENSE: RENEWAL ARE DUE By penalty 2o22. fine up to $L50.00 per pet. The city shall recognize a microchip ID number as the license number. It shall be unlawful for any dog or cat to wear any license or other city ID other than that issued by the City of flair forsuch dog or cat. NEW PET LICENSING Must be licensed within 10 days of ownership (OR) at 6 months of age if puppy or en NEW RESIDENTS TO BLAIR Must register pets within 10 days of residency owner Name Spouse Owner Address City/State/Zip Phone # Pet Name: Willow Age: 2Y DOB: 08-03.19 Breed: Goldendoodle Sex: Spayed Female Microchip # 985112011511591 PLEASE INCLUDE CITY TAG NUMBER RABIES VACCINATION DONE ON Rabies Description: 1 YEAR IS A RENEI 11-02-20 Steve Ryan Linda 198 Arthur Blair, NE 68008 402-426-4609 Color: Rabies Tag # 18370 11F AVAILABLE): # 3Y Holstein Veterinary Clinic Dr. Lisa Schrum DVM ; ,Dr. Krista Holstein DVM 718 South 191' Street Blair, NE 68008 402-426-7387 402-426-0101 Fax hoistainclinic@gmaii.com LICENSE SE FEJES Intact Dog or Cat: $16.00 ltered D or cat:)00 Replacement Tag $5.00 Total $ I' G PETS THAT ARE ON THE ACTIVE p TO ENTIALLY DANGEROUQ DANGEROU DOG LIT NEED TO REG TER DI HILT 1 CITY LL 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 RENEW1A►�L�S AR DUE: March 15, 2022 Owner Name: r `►' 11 \ c� Owner Address: v Vt City/State/Zip: Blair, NE 68008 Phone # LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11.00 ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3/15/2022. The City shall recognize a microchip Identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city identification other than that Issued by the City of Blair for such dog or cat. The City of Blair requires proof of rabies vaccination. Replacement Fee for Lost Tag: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET #1 Dog ❑ Cat Spa ed/Neutered License Fee $ �� Pet Name l QomBirthdate - Sex F Color Breed** t Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: 0.11D, 2b?,l (3 yr) >�_ (1 yr) City Tag #a%:LLo* PET #2 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Birthdate Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Birthdate Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ ❑N Ork (1 yr) (1 yr) License Fee $ Replacement$ ** SUBTOTAL: $ City Tag # License Fee $ Replacement $ SUBTOTAL: $ City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not Send Cash hyMail TOTAL ENCLOSED $ If you have questions, please contact Blair Police Department at (402) 426-4747 ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS(March 15late fee date not applicable for new pets/new residents) Newly Acquired Pets: New Residents to Blair: ■ Must be licensed within 10 days of ownership ■ Must register pets within 10 days of ■ <OR> at 6 months of age if puppy/kitten residency. Blair Small Animal Clinic PC David E. Johnson bvM ,1734 Front Street Blair, Nebraska, 68008 (4 02) 533-2722 Will Ryan 1243 Colfax Blair, NE 68008 -Page 1 1 Client ID: 3074 Invoice #: 162333 Date:'4/23/2021 Patient ID: 9639 ' Patient Name: Shadow Species: Canine Breed: Labrador Mix Weight: Birthday: Sex: 60.30 pounds 02/05/2017 Female Description Staff Namb Quantity Total 4/23/2021 Examination General David E. Johnson DVIVI 1.00 $26.28 Intranasal Bordetella/Parainfluenza 1.00 $33.30 Distemper Hep Lep Parvo-Annual 1.00 $38.10 Heartworm Test - Snap RT 1.00 $37.31 Interceptor Plus 51 -100# x 6pk 1.00 $60.08 T Patient Subtotal: $196.07 Reminder 06/25/2017 Microchip Implant.& Enrollment Ovariollyste rectomy/S pay Canine <40# '0/2021 Rabies Vaccination - Canine Syr ./-3/2021 Interceptor Heartworm Prev. Reminder 04/23/2022 Heartworm Test -: Snap RT Distemper Hep Lep Parvo-Annual Intranasal Bordetella/Parainfluenza Invoice Total: $195.07 default Tax Rate: $4.21 Total: $199.28 Balance Due: $199.28 Previous Balance: $0.00 Balance Due: $199.28 Cash : ($200.00) Less Payment: ($200,00) Change Given: $0.72 Balance Due: $0.00 Order your pets supplies online now through our w ebsite www.blairsmallanimalclinic.vetsfirstchoice-com For questions contact us at 402-533-2722.