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SIf you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check mai City of Blair ',o 218 S 16th St a Blair,, NE 68008 You may legally:own a,cornbination of four (4) adult pets, but no,more than .three,(3).adult dog or three (3) adult cats per residential or dwelling unit. n **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 LICENSE FEES.- Dog or Cat: $16.00 f cat. The City of Blair requires proof of rabies vaccination. Altered Dog or Cat: $11.00 L neplacennent Fee f6if Lost Tag. $5.00 Included is a State Fee of $1.25 being collected to feed the Nebraska Dog & Cat Operator Inspection Program T D g g T Cat LJ Spayed/Next r d License Fee $ t Name JA Birthdate` -� for _ '_ Breed** Replacement ** clared Dang r us or Potentially Dangerous Dog: ® Y L-1 N ICROCHIP # �If applicable) SB TOTAL: $ BIES VACCINATION DATE: Y 3 r z (I yr) City Tag #�* =-- ( Y) Z ® 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) -- MR ET #3 LJ Dog ® Cat ® Spayed/Neutered Pet Name Birthdate _ Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: 0 Y ® N MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ License Fee $ Replacement $ . SU TOTAL: $ (I yr) .-- City Tag # l License Fee $ _ Replacement $ SUBTOTAL: (I yr) _ i City Tag #* *PLEASE INCLUDE THE Cn Y TAGS NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) � 1,/ fn Not Send Cash by Mail TOTALENCLOSED If you Pave questions, please contact Blair Police Department at (402) 426-4747 NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15/ate fee r/ato not applicable.fornewpets/newre5/dents) 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. 14 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 o 218 S 16th St a 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. LXCENSE RENEWALS ARE DUE: March 15, 2022 Owner Name: kllkv)f�,r Owner Address: uy)dc'n 'A—v City/State/Zip.- 'Blair, 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 cat. The City of Blair requires proof of rabies vaccination. Replacement Fee for Lo-it-1--ag: $5.00 v Tiki" r?,q- X PET #1 Dog D Cat A Spayed/Neutered License Fee $ Pet Name Al �i� Birthdate 31 Sex Color ba)4 / Breed** I _a� Replacement $ Declared Dangerous or Potentially Dangerous Dog: LJ Y 0 N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: jm&9 (3 yr) yr) City Tag # x 117117. PET' # 2 _rg Dog Ll Cat WSpayed/Neutered License Fee Pet N Birthdate Sex Ja Color uj in Breed** Ia!2 —Replacement$ Declared Dangerous or Potentially Dangerous Dog: 0 Y A N MICROCHIP # —(If applicable) SUBTOTAL: $- RABIES VACCINATION DATE: Waa ZoLl (3 yr) v"' (I yr) __ City Tag # PET #3 D og L3 Cat )d Spayed/Neutered I License Fee $ Pet Name 1-0 Sex Birthdate "I 1, 5 ! Color (A-v Breed** Replacement $ Declared Dangerous or Potentially Dangerous Dog: b Y P1 N I MICROCHIP# (If applicable) SUBTOTAL-.$ RABIES VACCINATION DATE: j . 1 (3 yr) 1-- (1 yr) I City Tag #7777� *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 l5latefee date t7otappllcable,fornewpeislnewresldents) Newly Acquired Pets., New Residents to Blair: * Must belicensedwithin 10 days of ownership :R Mua register pets within 10 days of * «Ra at 6 months of age if puppy/ldften residency. CXTY OF BLAIR - 26 LAP 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 0 218 9 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. 4 LICENSE RENEWALS ARE DUE: March 15. 2022, ***PLEASE READ CAREFULLY*** Owner Name: 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: Blairr NE 68008 Phone # ,, ° " ✓ ' PET LICENSES RENEWALS ARE DUE BY 3/1512022. 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 ty of Blair requires proof of rabies vaccination. LICENSE FEES Dog or Cat: $16.00 Altered Dog or Cat: $11.00 Replacement Fee for Lost Taal: �S.00 Included is a to Fee of $1.25 Ding collected to fund the Nebraska Dog Cat Operator Inspection Program PET 1 D o g � C a t Spayed/Neutered ; . License Fee $ Pet Name" � Birthdate/0-421h.117 Sex •, Color ' 1 Breed**L, ,j, sFi, Replacement $ Declared Dangerous or Potentially Dangerous Dog: 0 Y w! MICROCHIP # —(If applicable) SU TOTAL: $ 6 BABIES VACCINATION -PATE:, —(1 yr) -City ,Tag # 'k 6 � ET #'2 _ � L D o g 0 Ca t ® Spayed/Neutered . License Fee Pet Name :) r t r ° Birthdate . Sex ; � � r ' ** ;I<x Color � � � � � E lk� � � ° Breed � � �� __ Replacement � — eclared Dangerous or Potentially Dangerous Dog: El Y N , ICROCHIP # (If applicable) SU TOTAL: $ RABIES VACCINATION DATE: �4,� = �� r�� (3,yr) y r(1 yr) ._ City Tag � ret T 0Dog 0Cat ii Spayed/Neutered I License Fee Name Birthdate Sex Color Breed** _ Rep/acement$ ** Declared Dangerous or Potentially Dangerous Dog: 0 Y 0 N MICROCHIP # _(If applicable) $UBT TAL: $ RABIES VACCINATION DATE: (3 yr) .—, (1 yr) _, City Tag *PLEASE INCLUDE THE CM TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) DoNot Send Cash by Mail TTL. L If you have questions, please contact Blair Police Department at (402) 426-4747 .....•Fi-.PF.'....I-L•...-b..t.-F-I•-'r.ei-.^i-i°i^-t^'F..iv++tl-•h-9^....f^.......er..^I•.=F..... ........................................ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15/ate fee date not applicable fornewpet5/newresldents) Newly Acquired Pets: . New Residents to Eclair: Must be licensed within 10 days of ownership IN Must register pets within 10 days of <OR> at 6 months of age if puppy/Idtten residency.. CITY OF BLAIR ® 2022 PET LICENSE APPLICATXON 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: -Cityoflair o 218S 16thSto Blair, NE68008 You may legally own a combinati6h,of four (4) adult pets, but no more than three (3);adult dogs, or three (3) adult cats per residential or dwelling unit. LXCENSE RENEWALS ARP DUE,: March 15, 202 f') Owner Name: I / (V,/' U , � Owner Address: J City/State/Zip: Blair,, NE 68008 Phone lw(:� V 109 �JCERSE FEES: Dog or Cat: $16.00 Altered Don or Cat: It.11.00 Replacement Fee for Lost Tag: $5.00 — ........ . . . . . . . . . . . . ***PLEASE READ CAREFULLY"* YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 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 LJ Cat Ll Spayed/Neutered License Fee $ Pet Nam & Birthdate��4 Sex Color )-/� A( K j f5&24"j Breed**b I Replacement $ Declared Dangerous or Potentially Dangerous Dog: LJ Y J N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: d1,&2!2 Jyr) X (1 yr) _ City Tag PET #2 LJ Dog LJ Cat Ll Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed** Replacement $ Declared Dangerous or Potentially Dangerous Dog: LJ Y LJ N MICROCHIP # _(If applicable) SUBTOTAL:$ RABIES VACCINATION DATE: (3 yr) — (1 yr) _ City Tag # PET #3 LJ Dog LJ Cat Ll Spayed/Neutered Pet Name Birthdate Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: Ll Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ 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 15 late fee date not applicable for newpetslnew residents) NewlyLAcguired Pets: New Residents to Blair: m: - Must be,lioensed.wiffiin .10 days of ownership W Must register pets within 10 days of m <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 dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair e 218 S 1 th 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 JI - ()- V, Owner Address: 17 OG; S city/state/zip: Blair, NE 68008 Phone # q02- ' L5E3�'-gL29' LICENSE FEES: Dog o. 0 `h ***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 ET #1 Dog ❑ Cat ❑ Spaye / utered License Fee $ 14 , oe Pet Name "-2" Fi^�d- Birthdate u2 z ref _ Sex /h Color MA C 9 Breed** Replacement$ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y M N MICROCHIP # 9, SJ C Z Qbl �, 49 ' (If applicable) SUBTOTAL: $ 00 RABIES VACCINATION DATE: (3 yr) '— (1 yr) City Tag # crt�l.T 6 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) _ (1 yr) License Fee $ Replacement $ R 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 CnY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) ®o Not Send cash by Mail TOTAL NCL®SE $ 16.ob If you have questions, please contact Blair Police Department at (402) 426-4747 ++++++++++-r++++++++++.+++++++++++++++++++++++++++++++++++++++++++++++++++++++. NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15late fee date not applicable for newpe&lnewresldents) Newly Acquired Pets: New Residents to Blair: ® Must be lioensed within 10 days of ownership ® Must register pets within 10 days of ® <OR> at 6 months of age if puppy/kitten residency. 03/04/2022 12:02 4024260101 HOLSTEIN VET CLINIC PAGE 01/04 2022 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) ANb /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 UNTO. ***PLEASE READ CAREFULLY*** YOU ARE UIRED BY LAW T LICENSE YOUR P TS. THE CITY OF BLAIR RE UIR@ PRO F OF R BIES VAC (NATION. Failure to do so is a violation of Oty Ordinances 6,103 and carries a penalty of a fine up to $150.00 per pet. 4 PET LICI NSE RENEWALS ARE DUE BY 3 15 2022. The city shall recognlze 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 o�'kitten r for such dog or cat. NEW PET LICENSING Must be licensed within 10 days of ownership (OR) at 6 months of age if puppy NEW RESIDENTS TO BLAIR Must register pets within 10 days of residency Owner Name Spouse Owner Address City/State/zip Phone # Pet Name: Sunshine Age; BY DOB: 07-01-13 Breed: Border X Sex: Spayed Female Nlichaela Schenkelberg Brandon Boesch 734 S 21 st ST Blair, NE 68008 402-960-4775 Color: Black Microchip # 985112002973844 l Rabies Tag # 20144 Pi r=esF INCCLIDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE(: # RABIES VACCINATION DONE ON 103.04-22 Rabies Description: ( 1 YEAR ) 3 YEAR Holstein Veterinary Clinic Dr. 1 sa Schrum DVM ; ,Dr. Krista Holstein DVM 718 South 1911 Street Blair, NE 68008 402-426-7387 402-426-0101 Fax hoisteinclinic@gmail.com L ' 'NSE ES Intact. Dog or Cat: $16.00 e d E)j or cat:;$11,00 Replacement Tag $6.00 (',Total $ 00 Pei$ THAT AR I ON THE A . VE P01fNTIALLY AM909V OR DANGEROUS DOG HST NEED TO REGISTER DIRECTLY AT GITY HALL. 03/04/2022 12:02 4024260101 HOLSTEIN VET CLINIC PAGE 02/04 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 comaINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREE" (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL. OR DWELLING UNIT. ***PLEASE READ CAREFULLY*** YQU ARE R OUE^ IRED BY LAW TO LICENSE YOUR PETS. THE CITY OF BLAIR REQUIRES PROQF 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 olrlk kitten for such dog orcat- ItPET LICENSING Must be licensed within 10 days of ownership (OR) at 6 months of age if puppy NEW RESIDENTS TO BLAIR Musi register pets within 10 days of residency Owner Name Michaela Schenkelberg Spouse Brandon 'Boesch Owner Address 734 S 21st ST City/State/Zip Blair, NE 68008 Phone # 462-96074775 Pet Name: Sprout Age: 2Y Sex: Neutered Male pOB: �03-24-19 Breed: Domestic Longhair Color: Gray Microchip # 985141003117158 Rabies Tag # PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE): # RABIES VACCINATION DONE ON 103-04-22 Rabies Description: C,,. 1 YEAR) 3 YEAR Holstein Veterinary Clinic Dr. Lisa Schrum DVM : Dr. Krista Holstein DVM 718 South 1911 Street Blair, NE 68008 402-426-7387 402-426-0101 Fax. holsteinclinic@gmail,com LICENSEEES Intact Dog or Cat: $16.00 or cat: $11.00 Replacement Tag $5.00 Total $ PETS THAT RE ON THE ACTIVE POTENTIALLY DANG ROUS OR DANGEROUS DOG LIST N ED TO R G STER DIRECTLYAT CITY HALL L A 1 9 21& P EIT�tL ICC *EN SIEOAIP PIL +1C A T 10 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 City of Blair @ 28 S 16th St ® Blair, NE 6008 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 # q66 , �7`1-7W �o'l LICENSE FEES: Dog or Cat: $16.00 r 1 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. Pteplacerrsant 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 �-Xl[, Spayed/Neutered License Fee $ I, L, 00 Pet Name Birthdate 3b -�(,S Sex � W1n� Breed** M� Replacement $ �, c;c� ** ed Dangerous or Potentially Dangerous Dog: ❑ Y VL N CHIP # (If applicable) SUBTOTAL: $ 1.0� `t-��-20 I-� B S VACCINATION DATE: (3 yr) (1 yr) City Tag # # 2 � Dog ❑ Cat $,Spayed/Neutered License Fee $ bb -Oo am+- ��c-- Birthdate " 30-13 Sex - Breed" Replacement $ , OD red Dangerousor Potentially Dangerous Dog: ❑ Y NOCHIP jDe # (If applicable) SUBTOTAL:$ a).bb ES VACCINATION DATE: &`S 0 (3 yr) `- (1 yr) _ City Tag ? PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed** Replacement $ ** Declared Dangerous or Potentially Dangerous Dog; ❑ Y ❑ N MICROCHIP #_ (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not Send Cash by Mail TOTAL E C L S E $ °,a. by If you have questions, please contact Blair police Department at (402) 426-4747 +++++"....++++++++++++.........+++++.+++++++++++++++++++a"+++++.+..a"++++++.+++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15late fee date not applicable for newpets/newresldents) Newly Acquired Pets: _ New Residents to Blair: ® Must be licensed within 10 days of ownership ® Must register pets within 10 days of • <OR> at 6 months of age if puppy/kitten residency. 3 13 CERTIFICATE OF VACCINATION. Date of Rabies Vaccination: 09-25-20 Next Rabies Vaccination On: 09-25-23 VETERINARY CLINIC Holstein Vet Clinic 718 South 19th Street Blair, NE 68008 402-426-7387 This is to certify... Certificate No: 0 Previous Rabies Vaccination: 15472 OWNER OF ANIMAL Bob Schoby 2924 Westridge Blair, NE 68008 County: THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Bella TAG NO: 18303 SPECIES: Canine WEIGHT: 15.00 SEX: S AGE: 7 years Color and markings... White/Tan Signed Krista Holstein , DVM Rabies Vaccine Information... License: 3612 MFG BY: ZOETI SER.NO: 401524 LOT EXP: 04-27-21 ADM: SQ CERTIFICATE OF VACCINATION Date of Rabies Vaccination: 09-25-20 Next Rabies Vaccination On: 09-25-23 VETERINARY CLINIC Holstein Vet Clinic 718 South 19th Street Blair, NE 68008 402-426-7387 This is to certify... Certificate No: 0 Previous Rabies Vaccination: 15473 OWNER OF ANIMAL Bob Schoby 2924 Westridge Blair, NE 68008 County: THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Mya TAG NO: 18304 SPECIES: Canine WEIGHT: 20.50 SEX: S AGE: 7 years Color and markings... Sable/Whit Signed Krista Holstein, DVM License: 3612 Rabies Vaccine Information... MFG BY: ZOETI SER.NO: 401524 LOT EXP: 04-27-21 ADM: SQ 10 CITY OF BLAIR - 2022 PET LICENSE APPLICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair a 218 S 16th St 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: M 6" J,J -v Owner Address: city/state/zip: Blair, NE 68008 Phone # 902 cl 1-3 H 2— 6 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 [�gq ❑ Cat Y Spayed Neutered License Fee $ Pet Name vi I i n Birthdate ` Sex Color 'BIZA - ; /vie .i bf Breed*0t1 A' Replacement$ �** Declared Dangerous or Potentially Dangerous Dog: ❑ Y � N MICROCHIP # L /A _(If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: ��_ (3 yr) X (1 yr) City Tag # PET # 2 1 Dog ❑ Cat N' Spa e /Ne tered License Fee $ Pet Named n Birthdate a IL Sex r}1/,� I�� Color C' tiro (5Breed** yi', In -Fz_ i ) Replacement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y �d' N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: ��' 2-1 (3 yr) _X (1 yr) City Tag # PET #3 Dog ❑ Cat 0 Spaye /Ne tered License Fee $ , U -j Pet Name _ �J Birthdate Sex w1r� Color r r' Breed** Rep/acement$ ** Declared Dangerous or Potentially Dangerous Dog:r❑ Y 4 N MICROCHIP # W 1 '33l- 8 0 :�Q (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) X 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 Senn 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/newresldent5) Newly AMuired Pets: New Residents to Blair: ■ Must be licensed within 10 days of ownership 0 Must register pets within 10 days of ® <OR> at 6 months of age if puppy/kitten residency. .-, 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, E 68008 E �' `, You may legally own a combination of four (4) adult pets, but no more than three (3) adi It doggy , $ I - or three (3) adult cats per residential or dwelling unit.I LICENSE RENEVVA S ARE DUE: March 15, 2022 ***PLEASE READ CAREFULLY*** Owner Name: YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS a Owner Address: t `—i�' �' iJ� Failure to do so is a violation of City ordinances 6.103 andca�ries a penalty of a fine up to $150.00 per pet. City/State/Zip: Blair® NE 68008 >� PET LICENSES RENEWALS ARE DUE BY 3/15l2022. The City shall Phone # iG�� 141 a 1` 20 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 vaceit�atjgn , . y LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $S.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET # 1 P�C Dog ❑ Cat Spayed/Neutered License Fee Ai Pet Name P1 Birthdate I �� Sex f Cbl r S,�r Breed** 1-6? �p Replacement$ Dec red Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICR CHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # y PET 2 ❑ Dog El Cat ❑ Spayed/Neutered � „ t Na a Birthdate Sex v: for Breed** Declar d Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICR CHIP # (If applicable) RABI S VACCINATION DATE: (3 yr) (1 yr) PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Birthdate Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ M' License Fee $ Replacement $ License Fee $ Replacement $ SUBTOTAL: $ . (1 yr) City Tag # * * *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not Send Cash by Mail TOTAL ENCLOSE® $ 7 k i ll If you have questions, please contact Blair Police Department at (402) 426-4747 ++++++++++++++++++++++++++++++.....++++++++++.+++++++++++++.....++++++++++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS(March 15late fee date not applicablefornewpets/new residents) Newly Acquired Pets: New Residents to Blair: • Must be licensed within 10 days of ownership 0 Must register pets within 10 days of ® <OR> at 6 months of age if puppy/kitten residency. CERTIFICATE OF VACCINATION Date of Rabies Vaccination: 04-21-21 Next Rabies Vaccination On: 04-20-24 t Certificate No: 0 - I Previous Rabies Vaccination: VETERINARY CLINIC OWNER OF ANIMAL Thone Animal Hospital Ryan Schroeter 902 S Hwy 30 2020 Fieldcrest Dr Blair, NE 68008 Blair, NE 68008 402-426-3630 County: This is to certify... THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Mae TAG NO: 006652 SPECIES: Canine WEIGHT: 63.00 SEX: S AGE: 7 years Color and markings... Silver Signed Dr.Kamala Freeman Vaccinations done... License: 3894 04-21-21 KF Rabies Vaccination (3 Year), #006652 04-20-24 04-21-21 KF DA2PPV+L 04-21-22 04-21-21 KF Bordetella Oral 04-21-22 Rabies Vaccine Information... MFG BY: ZOETI SER.NO: 446459 LOT EXP: 12-14-21 ADM: SQ 03/08/2022 BUT It shall be un NEW PET Lli 09:29 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, 0 MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. "PPLEASE READ CAREFULLY*** IRE REQ.VIRED BY LAW TO LICENSE YOUR PETS. THE CITY OF BLAIR REQUIRES PROOF OF RABIES VACCINPNJjPN Failure to do so is a violation of Clty Ordinances 6.102 and carries a penalty of a fine up to $150.00 per pet. PET LICENSE RENEWALS ARE DUE BY 311512022, The city shall recognize a microchip ID number as the license number. for any dog or cat to wear any license or other city IA other than that issued by the City of Blair for such dog or cat. NG, Must be licensed within 10 days of ownership (OR) at 6 months of age if puppy or kitten FO BLAIR Must register pets within 10 days of residency Owner Na '13 Andrew Schuler Spouse Terran Owner Ad&: ss 214 Sky Blue Dr City/State/ ;'p Blair, NE 68008 Phone 402-689-4182 IV; rp Pet Name: UIC@" i Age: 7Y Sex: Neutered Male Color: grind/Wht DOB: 05-19- Breed: Am I ulldog Microchip # Rabies leg # 17395 E CITY TAG NUMBER IF THIS 1S A RENEWAL. (IF AVAILABLE): # PLEASE INCLLI RABIES VAC NATION DONE ON 1 11-19-19 Rabies Description: 1 YEAR Wol ;ein Veterinary Clinic Dr. Lisa i, chrum DVM : Or Krista Ho/stein DVM 718 uth 191h Street Blair, NE 68008 40 426=7387 402-426-0101 Fax 0 steinclinic@gmail.com 3 YEAR LICENSE FEES /n6ct Dog or Cat: $16.00 Dog •d1Replacement Tag $51.00 Total $ PETS rNATARE ON TF(EAC1IVE POTENTIALLY DAN SEROUS OR DANGEROUS DOG UST NEF_D TO REGISTER DIREMYAT CITYHALL. FAXED 03-08-22 BY :}:e }•i:srv.i,i'. �i:?:Ar.;: �:,i'4•,�•l::ru!:... ,;.n�L,i-!i:i:i ii5i..,,.!�Pf�,li ilif ��;+1:.11, i,d.('r ��iiry - `:�i'�: "i��';kl,t`. is j�: S%Piiy.04..1i1 rr('•l att`�'�Nrl,�u,y;�,�lp l�lq:; i.�ir...:J1F �''�:i��-° '':i;. �,h�rii .r r;� '.�l}"'rf�..u;p!� .rGFna.�•a.. egC,.aut.t,i .A,!II''.9 ;F: 03/08/2022 09:29 4024260101 BUT It shall be unl NEW PET LI( NEW RESIDE Owner Nar Spouse Owner Add City/State/ Phone # eet Name: HOLSTEIN VET CLINIC PAGE 02/02 2022 PET LICENSE VE:RIFICATION/'APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOGS) AND /OR CAT(S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO. CITY OF BLAIR, — 218 S. 16T" ST — BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, D MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. 'PLEASE READ CAREFULLY*** )U AM -REQUIRED BY LAW TO LICENSE YOUR PETS. THE CITY OF BLAIR REQUIRES PROOF OF RABIES VACCINATION FallUre 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. Oul 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, 4SING; Must be licensed within 10 days of ownership (OR) at 6 months of age if puppy or kitten TS TO BLAIR Must register pets within 10 days of residency Andrew Schuler Terran 214 Sky Blue Dr Blair, NE 68008 402-689-4182 Age: 10Y i Sex: Spayed Female Color: DOB: —10-09 1 Breed: Mastiff i Microchip # i Rabies Tag # 19630 PLEASE INCLU E CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE'): # RABIES VAGG NATION DONE ON 11.18-21 Rabies Description: � YEAR 3 YEAR HOIsib in Veterinary Clinic Dr. Lisa chrum, DVM Dr Krlsta Ho/stein DVM 718 S' uth 1911 Street Blair, NE 68008 40 ,-426-7387 402-426-0101 Fax oistd.inclinic@gmaii.com LICENSE FEES Intact Dog or Cat: $16.00 Altered Do r cat: $11. 0 Replacement Tag $5.00 7ota1$, ��. i LC �V CITY OF BLAIR 2 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 mad( City of Blair o 218 S 16th St a Blair,, N E 68008 You may legallyown a combination of four (4) adult pets; but no,more than three,(3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2022. *wner Name: &wner Address: it) .1 q A/ Jg"Au e- - City/State/Zip: Blair, NE 68008 Phone # '4 0 2. - 42 (.-'41491 LICERSE FEES., Dog or Cat: $16.'Lit Kai? ded Fr. I ' Pet Na Color Declan MICRO ***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: $5.00 kcsoe. Won rogram 1 UR Dog LJ Cat 0 Spayeo/Neutered License Fee e E '-v ,,, Birthdate 71.3)/W6Sex 13 e_'X Breed** Lckb Replacemen I Dangerous or Potentially Dangerous Dog: LJ Y 31 N p # (If applicable SUBTOTAL:$ qACCINATION DATE:.?//q 0-11 (3 yr) V (I yr) — City Tag # 1 7 7 PET #2 0 Dog L) Cat Li Spayed/Neutered License Fee$ l Como 0 Pet Name M a c- Birthdate Sex M(, I c. Color �, e- � lo uj Breed** /_ v- b Replacement $ Declared bangerous or Potentially Dangerous Dog: LJ Y 0 N MICROCHIP # - —(If applicable) SUBTOTAL., $ RABIES VACCINATION DATE: ?? /Y �r /,2v-�20 (3 yr) (I yr) City Tag #_2_7_&__* I I PET #3 0 Dog LI Cat Lj Spayed/Neutered i License Fee $ Pet Name Birthdate Sex Color Breed** Replacement$ Declared Dang&ous or Potentially Dangerous Dog: LI Y EJ N I MICROCHIP# !' (If applicable) 5uB'rOTAL: $ 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.) 11� Do Not Send Cash by Mail TOTAL ENCLOSED$ d 7,0 I i 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 appllnable fornewpetylnei* le5ldent5) Newly Acquired Pets: New Residents to Blair: m, Must be licensed wkhin.10 days of ownership 0,,,,'Mus ' t registerpets within 10 days of w . <OR> at 6 months of age if puppy/[&en residency. , �j 01/27/2022 18:00 4024260101 HOLSTEIN VET CLINIC PAGE 01/02 2022 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN P,LAIR CITY I IMT.TS AND OWN A DOG(S) AND /OR CAT(S), COMPLETE THIS FORM AND RETURN W1I H A CHECK PAYABLE TO: CITY OF BLAIR — 218 S. 16TH ST — SLAIR, 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 UNTT- BUT NO ***PLEASE READ CAREFULLY*** ailu a 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 D E BY 3 15 2022, The city shall recognize a microchip ID number as the license number. s.• 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 ust be licensed within 10 days of ownership (OR) at 6 months of age if puppy. dr kitten NEW RESIDENTS O KAIR Must register pets within 10 days of residency Owner Name Tim Shaeffer Spouse Jenny Owner Addres 1062 N 28th St City/State/Zip Blair, NE 68008 Phone # 402-658-4878 Pet Name; IROMI v LICENSE FEES Age: 10M Sex: Female Color: Gold =Cat-$16.00 DOB: 04-02-21 o Breed: Golden Re riever Altered Dog or cat: $11.00 Microchip # Rabies Tag # 19353 PLEASE INCLUDE CI TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE): # Replacement Tag $5.00 RABIES VACCM AT ON DONE ON 07.23-21 _ _- Total $� Rabies Descript on: 1 YEAR 3 YEAR PETS AT ARE ON "rHE CTIVE POTENTI LLYDANGEROUSOR DANGERnUS DOG LIST NRfD TO REGISTER DLRECTLYAT CITY HALL. Holsteim Veterinary Clinic Dr. Liss Scr AVM ; Or, Krista Holstein DVM 718 South Wh Street Blair, NE 68008 402 42 -7387 402-426-0101 Fax h Is einclinic@gmail.com FAXED 01-27-22 BY �tN'';1Y ,'tid'. ��"'R�i^VY.+.q •; lh4 ��'.:��(ta.�a�•. 1b iGS, 'f 't. ••:�1714• ,? ' =nu;h'i si ', f.cvf-yi•,IS 1!. q , olm:w; 7 + N. /onee u �i''r,'ifj;�'ii6;�iaV��,�jiL �. i.. `i�:4f%iM1G ��n �il:� �,�+��C; •. ;��1 ;1�1ip .�., 7�4 f�� 6';i �i b�:Al:^if3 F•�i. 01/27/2022 18:00 4024260101 HOLSTEIN VET CLINIC PAGE 02/02 2022 PET LICENSE V E RIFICATION/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 M RE THAN THREE (3) ADULT pOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT, ***PLEASE READ CAREFULLY**' Y U E IRED BY LAW TO LICEN E YOUR PET THE CITY OF BLAIR RE UIRES PRO F OF RABIES VACCINATION, ailu a 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 LICFNSE RENEWALS ARE DUE BY 3 15 2p22. The city shall recognize a microchip ID number as the license number. It shall be unlawful for ny 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 ust be licensed within 10 days of ownership (OR) at 6 months of age if puppy or kitten NEW RESIDENTS b FiLAIR Must register pets within 10 days of residency Owner Name Tim Shaeffer Spouse .fenny Owner Address 1062 N 28th St City/State/Zip Blair, NE 68008 Phone # 402-659-4878 Pet Name: Age: 13Y DOB:—07-04-08 Breed: Shah Ts Microchip # PLEASE INCLUD RABIES V Rabies R Sax: Spayed Female Color: White/Tan Rabies Tag # 18018 TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE): # DONE ON 1 0643-20 1 YEAR ( 3 YEAR Holstedn Veterinary Clinic Dr Lisa Schrl, m DVM : Dr. Krista Ho/stein DVM 718 ScutScuth loll Street Blair, NE 68008 402 42 -7387 402-426-0101 Fax hol teinclinic@gmail.com LICENSE.EEES Intact Dog or Cat: $16-00 Altered Dog or cat: $11.00 Replacement Tag $5.00 Total $ 11 PEU THAT ARE N THE ACnVE POTENVA LY Q—ANG910Q1 OR D.4NGE US DOG LIS NEED TO REGISTER DIR aD AT CITY HALL. U11 01/29/2022 12:48 4024260101 HOLSTEIN VET CLINIC PAGE 01/01 2022 PET LICENSE E IFICATION/APPLICATION FOR CITY OF BLAIR. IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT(S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF BLAIR - 218 S. 16TH ST - GLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. BUT NO It shall be un Owner Name Spouse Owner Addres city/State/zip phone # Pet Name. Age: 10Y DOB: ^-12-03-11 Breed: Golden Microchip # RABIES V Rabies D ***PLEASE READ CAREFULLY' RE I tE U ED BY LAW TO LICENSE YOUR PETS. THE CITY OF BLAIR REgUIRES PROOF OF 13ARIES VACCINATION. railt re to do so is a violatlon of City Ordinances 6.103 and carries a penalty of a fine up to $150,00 per pet. PET LICENSE RENEWALS ARE DUE BY 3 15 ap22. The city shall recognize a microchip ID number as the license number. 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. NG Must be licensed within 1.0 days of ownership (OR) at 6 months of age if puppy or kitten fo LAIR Must register pets within 10 days of residency Dr. Lisa Scht 718 Soul 402 4.' hl Mary Shanks Rockford 1850 Park St I.. Blair, NE 68008 402-426-8208 LICE ME FEES Sex; Spayed Female Color: Gold Intact Donat: 0 ' riever Do0 Rabies Tag # 16951 ry TAGS NUMBER IF THIS IS A RENEWAL (IF AVAILABLE): # Replacement Tag' $5.00 ON DONE ON 05-15-19 Total $ Y 1 YEAR YEAR Veterinary Clinic 7 DVM : Dr, Krista Holstein DVM 191' Street Blair, NE 68008 •7387 402-426-0101 Fax ,1nclinic@gmail-com pgn THAT ARE ON THE ACTIVE POTENTIALLY DANGERD�IS OR n AgEROUS DOG LIST NEED TO REGISr6 DIRECTLYAT CI 'T� HALL. FAXED 01-29-22 BY ;b� ¢iol r ?� � i {l yinr�� +`iiiS�ll +� r�"'L; Ffl +"� 1 jt�f'�� _f! !� �7"Yr n ��'. tp •f� , . i;f , . ; tliid:�l;rnYr' f 11fn�e, ,, k 03/02/2022 15:32 4024260101 It shall be u NEW PET I NEW LESIf Owner N Spouse Owner A( HOLSTEIN VET CLINIC PAGE 01/01 2022 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF SLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT(S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF BLAIR — 218 S. 16 TH ST — BLAIR, NE 68008 "I ATION OF FOUR (4) ADULT PIFTS, N (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. ..,AD CAREFULLY*** 1E CITY OF BLAIR REQUIRES PROOF F BABIES VACCINATION i .';,�� '• •;� '03 and carries a penalty of a fine UP to $150,00 per pet. LS ARE DUE BY 3/1512022, ID umber as the license number, n city ID otherthan that issued by the City of Blair for such dog or cat, �,,,-;.-aersh)p (OR) at 6 months of age if puppy or kitten of residency 31 1. Stacy Shearman Scott 1960 Grant St. 7 City/State/Zip- Phone # Blair, NE 68008 402-651-5347 , et Name: Husker Age.- 13Y DOB: 02-27-09 Sex: Neutered MaleColor: Tan Breed: Dash Mix Mix Microchip # Rabies Tag# 20141 PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE): # RABIES VACCINATION DONE ON 03-02-22 Rabies Description, YEAR 3 YEAR Holstein Veterinary Clinic Dr Lisa Schrum ,014114 : Dr. Krish? Alolsfafn DVM 718 South 1 91h Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinic@gmaij.com UCENS�-FW Inteet Dog or Cat: $16"00 sled Dog 00 Replacement Aby $6.00 - Total $Aln— PrTS THAT ARE ON THEACT1VCPOTENTIALLY DANGEROUS 0 DANGEROUS DOG LIST NE(LZQ R�GISTeR DIRECTLY AT CITY H1,1 ■� 02/22/2022 09:06 4024260101 HOLSTEIN VET CLINIC {. 2022 PET LICENSE VERSFICATION/APPLICATION FOIL CI7"Y OF BLAIR IF YOU LIVE IN BLAIEZ 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. 161" 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 P1:11 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 RY 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 Stacy Shearman Spouse Scott Owner Address 1960 Grant St. City/State/Zlp Blair, NE 68008 Phone # 402-651-5347 Pet Name: Herbie Age: 9Y DOB: 06.27-12 Sex: Neutered Male Color: TO Color Breed; Beagle Microchip # Rabies Tag # 20120 PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (ir AVAILABLE): # RABIES VACCINATION DONE ON 02-22-22 Rabies Description: CYEAR") 3 YEAR Holstein Veterinary Clinic Dr, Lisa Schrum DVM : Dr. Krista Holstein DVM 718 South 1916 Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinic@ gmail,com LICENSE FEES . Intact Dog or Cat: $16.00 Altered og or cat: $11.00 placement Ta $5,00 I Total $ y �• �'� PETS THAT ARE ON THE ACTIVE POTENTIALLY DANGEROUS OR DANGEROUS DOG LIST NEED TO I TER DIRECTLY AT CITY HALL FAXFD 02-22-22 BY •"i!;r;:a:.yc,;,.: rl'�i'i,, •, ,..,�; ,; ,,,,:�„ Lei �,iti�j ,itiE::ue..),;,.,,a+;+ia: •bp'.^,iiioia�G"' in i4'S:i!7::!v,;`:'" 97', +l i;;-.�r,...,, �iil?�'I:r ...I .::.w-LiilaN�.n�::P,-';1 ��Mr vl�yhr�yl°t..�,. iit),��.., ...� 01/15/2022 08:55 402426010 VERIFICATIO IF YOU LIVE II CITY OF I YOU MAY BUT NO MORE THAN THREE (3) Failure to do so is a The city sha It shall be unlawful for any dog or cat to �A NEW PET LICENSING Must be licensed NEW RESIDENTS TO BLAIR Must regist HOLSTEIN VET CLINIC PAGE 01/01 2022 PET LICENSE Qi 4/APPLICATION FOR. CITY OF BLAIR BLAIR CITY LIMITS AND OWN A DOGS) AND /OR CAT(S), THIS FORM AND RETURN WITH A CHECK PAYABLE To: AIR — 218 S. 16TH ST — BLAIR, NE 68008 GALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, ,ULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. **PLEASE READ CAREFULLY*** n 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 7022. recognize a microchip ID number as the license number. ar any license or ocher city ID other than that issped by the City of Blair for such dog or cat. rithin 10 days of ownership (OR) at 6 months of age if puppy or kitten r pets within 10 days of residency Owner Name Elwin Shepard Spouse 1403 Colfax St Owner Address Blair, NE 68008 City/State/Zip "hone # 402-533-3006 Pet Name: Winnie LICENSE FEES Age: 17M Sex: Spayed Female Color: Yellow Intact DOB:—07-25-20 Dog or Cat: 16.00 A/tere�l Breed: Lab D or cat: $1 0 Microchip # 985141002843745 Rabies Tag # 20033 PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE): # Replacement rag $5.00 RABIES VACCINATION DONE ON 1 1 01-15-22 Rabies Description: 1 Holstein Veterinary Clinic Dr. Lisa Schrum DVM Dr. Kr'sta Holstein DVM 718 South 191h Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinic@ gm�ail.cOM Total $ PETS THAT ARE (]N THE ACTIVE PQTENTIALLY DANGEROUS OR D NGEROUS DQ IST NEED TO R GlSTER DIRECT �YAT CITY HALLx 03/15/2022 17:49 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 — BLAIRr N6 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 YQUR PETS THE CITY OF BLAIR REQUIRES GRdoF OF RABIES VACCINATION Failure to do so is a violation of City Ordinance5;•6,103 and carries a penalty of a fine up to $1S0,00 per pet. PET LICENSE RENEWALS ARE DUE•0Y 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 IPbone # Allison Shepardson Adolph 2005 Cauble Creek Circle Blair, NE 68008 605-691 -4098 Pet Name: 1140jo Age: 17M DOB: 10-20-20 Sex: Neutered Male Color: Cream Breed: Fr Bulldog Microchip # 985141003657699 Rabies Tag # 20157 PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE): # RABIES VACCINATION DONE ON 03.09-22 Rabies Description: 1 YEAR Holstein Veterinary Clinic Dr Lisa Schrum DVM ; Dr. Krista No/stein DVM 718 South 19th Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinic@gmail.com LICEN E�FEES Intact Dog or Cat: $16.00 Altered -,, or cat: $11.00 Replacement Tag $5.00 Total $, PETS THAT ARE ON THE ACTIVE POTENTIALLY DANGEROUS OR DANGEROUS DOG LIST NEED rQ REGISTER DIRECTLYAT CITY HALL, FAXED 03-15.22 BY --Av$ FAX TO BPD @ 402-426-7144 V5' .�,a CITY OF BLAIR'- 2022 Pli�LXCENSE APPLICATION J If you live in Blair City limits and own a clog(s) and/or cat(s), complete this form and returnwith check made payable to: City of Blair ® 218 S 16th St o lair® ME 68008 , You may legallyowaa combination of four (4) adult pets; but no,more than three,(3) adult dogs or three (3) adult cats per residential or dwelling unit. LXCENSE RENEWALS ARE DUE:. March 15,,2022 4wner Name: +wner Address: .4, a city/state/zip: Blair, ME 68008 Phone # LXCENSE FEES-. Dog or Cat: $16.00 An jj Replacement Fee for Lost Tag., $5.00 11 L*XAWM W _Y_L12"%XX-'11M1&1V-j ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3115/2022. The City shall recognize a microchip Identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city Identification other than that Issued by the City of Blair for such dog or cat, The City of Blair requires proof of rabies vaccination. "I PET #1 Dog 0 Cat LI Spayed/Neutered P License Fee $ Pet Name 1. Birthdate Color h- 4Breed" /z, Replacement$ Declared Dangerous or Potentially Dangerous Dog: U'Y q;,, 'N MICROCHIP # �Ijjf applicable) SUBTOTAL:$ RABIES VACCINATION DATE: 1/ (3 yr) _ (1 yr) _ City Tag PET #2 LJ'D'og Ll Cat LJ Spayed/Neutered License Fee " Pet Name i c� Birthdate Sex I Color r Breed" Replacement $ r) 4- 44 H M n n V 1743 N I Declared Dangerous or U CH lay alIqUIUUa VU F .,- MICROCHIP# —(If applicable) SUBTOTAL: I RABIES VACCINATION DATE: :Z,, T, (3 yr) 4_ (I yr) —_ City Tag I i PET #3 LJ Dog 0 Cat 0 Spayed/Neutered I License Fee 1Pet Name Birthdate Sex lColor Breed** Replacement $ IDeclared Dang&ous or Potentially Dangerous -Dog: L! Y El N 111 MICROCHIP # (If applicable),_, SUBTOTAL: $ IP — (3 yr) I—— C" Tag # j RABIES VACCINATION DATE: — (1 yr) , I Ity _ *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not Send Cash by Mail TOTAL ENCLOSED'$ If you have questions, please contact Blair Police Department at (402) 426-4747 ....................................... 1.++ ............................... + ...... NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 151ate fee date not applicable fornewpe&lnew resIdents) Newhr Acquired Pets- New Residents to Blair: * Must be licensed within 10 days of ownership 1 Must register pets within 10 days of * <OR> at 6 months of age If puppy/Idtten residency. 03/04/2022 12:02 4024260101 HOLSTEIN VET CLINIC PAGE 04/04 2022 PET LICENSE VERINAT'ION/APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN BI AIR 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' • YO ARE REQUIRED BY LAW TO LICENSE YOUR PETS. 7HE CCIY OF BLAIfi REQUIRE PROOF ,V GIN, Failure to do so is a violation of City Ordinances 6.101 and carries a penalty of a fine up t to $15000 per pet, PET LICENSE RENEWALS ARE DUE BY 3/1512022. The city shall recognize a microchip ID number as the license number. It shall be unlawful for any dog or cat to wear any license or other city In other than that issued y h f City oforBlair for kitten such dog or cat. NEW PET LICENSING Must be licensed within 10 days of ownership (OR) monthsof agepuppy NEW RESIDENTS TO BLAIR Must register pets within 10 days of residency Owner Name Zach Shirk Spouse Kasie Thallas Owner Address 2224' jacksoni Street City/$tate/Zip Blair, NE 68008 Phone # 402-307.0302 ,fl Pet Name: Rosie Age: 6V Sex: Spayed Female Color: Brown/Whit ' DOS: 05-18-15 Bre Aussie Microchip # Rabies Tag # 17065 PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE): # RABIES VACCINATION DONE ON 106-27-19 Rabies Description: . 1 YEAR Holstein Veterinary Clinic Dr, Lisa Schrum DVM : Dr, Krista Holstein DVM 718 South 191h Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinic@gmai(.com YEAR LICE, SN E FEES Intact Dog or Cat,: $16.00 A Dog r cat: $11.0 Replacement Tabf� $5.00 t o i$ �`a0 T to �— PET$ THAT ARt:ONTHE AcrIVEPOTENTIAUVDANGERQ SOR DANGEROUS DOG LIST NEED TO REGISTER DIAECILYAT T1' HALL, 03/04/2022 12:02 4024260101 HOLSTEIN VET CLINIC PAGE 03/04 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 PAYABI-E TO: CITY OF BLAIR — 21,8 S. 16TH ST BLAIR, NE 68008 YOU MAY I-EGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. ***PLEASE READ CAREFULLY*** YOU ARE RE UIRED BY LAW TO LIC 5 YOUR PETS, THE LITY OF BLAIR Ri UIR{ S PRQOF OF RAPIDS VACCINATION. Failure to do so is a violation of City Ordinances 6.103 and carries a penalty of a fine up to $1S0.00 per pet. PET LICENSE RENEWALS ARE DUE 8Y 15 202z. The city shall recognize a microchip ID number as the iicense number. It shall be unlawful for any dog or cat to wear any license or other city ID other than that issued by the City of Blair for'such dog or cat. NEW PET LICI NSING Must be licensed within 10 days of ownership (OR) at 6 months of age if puppy or kitten NEW RESIDENT$ TO BLAIR Must register pets within 10 days of residency Owner Name Zach Shirk. Spouse Kasie Thallas Owner Address 2221 Jackson Street City/State/Zip Blair, NE 68008 Phone # 402-307-0302 ti 6 Pet Name: Jax , zy Sex: Neutered Male Color: Tri Color Age!DOB: 11-24-19 Breed: Aussie X Microchip # 985112011517950 DE CITY TAG NUMBER IF THIS IS A REN RABIES VACCINATION DONE ON 105-03-21 Rabies Description: 1 YEAR Rabies Ta'g # 19116 (IF AVAILABLE): # 3-YEAR Holstein Veterinary Clinic Dr. Lisa Schrum DVM : Dr. Krista Holstein DVM 718 South 1911 Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinic@gmail,com LICENSE FEE$. Intact Dog or Cat: $16,00 Dog�9)00 Replacement Tag $5.00 Total $`� T PETS THAT ARE ON'fHE ACTIVE POTENTIAOY OANGeNUS OR b NGEROUSDOGLIST''N EDTOR-6ISTERDIRECTLYAr ITYHALL 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 DUES March 15, 2022 Owner Name:��C C t�l Il Owner Address: 1'� IS , 15t) 19 City/State/Zip: Blair, NE'6r8008 Phone # L�. - 42J y -At) 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 4 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ 11 CJ—) Pet Name _ Birthdate +r Sex_ Color Breed** Y?M Rep/acement$ ** Declared Dangerous or tentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE:oZ - %-Ca (3 yr) y/'<— (1 yr) City Tag # PET #2 ❑ Dog ACat ❑ Spayed/Neutered License Fee $ Pet Nam 7-U Birthdate GYr,5 i Sex Color Breed** D tin Replacement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) _ (1 yr) City Tag # U PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed** Replacement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not Send Cash by Mail TOTAL ENCLOSED $ If you have questions, please contact Blair Police Department at (402) 426-4747 ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (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. Mar 2522 12;41 p IN CERTIFUCATE.-OF VACCINATION Date of Rabies Vaccination: 02-07-22 Next Rabies Vaccination On: 02-06-25 VETERINARY CLINIC Thone Animal Hospital 902 S Hwy 30 Blair, NE 68008 402-426-3630 This is to certify... Certificate No: 2619 Previous Rabies Vaccination: OWNER OF ANIMAL Jessica Shumake 736 S. 13th st. Apt #17 Blair, NE 68008 County: THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Snowy TAG NO: 007488 SPECIES: Feline WEIGHT: 0.00 SEX: S AGE: 2 years Color and markings.., White/Orng Signed Dr, Joe DiMari Vaccinations done... License: 3258 02-07-22 JRD Rabies Vaccination (3 Year), #007488 02-06-25 02-07-22 JRD Fe 4Way (RhEno/Ca111PanUCh1a) 02-07-23 02-08-21 KF Rabies Vaccination (1 Year), #006396 Rabies Vaccine Information... MFG BY: ZOETI SER.NO: 542135 LOT EXP: 02-14-23 ADM: SQ Mar 25 22 12:41 p P. 1 CERTIFICATE ,OF VACCINATION Date of Rabies Vaccination: 01-04-21 Next Rabies Vaccination On: 0 1 -04-24 VETERINARY CLINIC Thone Animal Hospital 902 S Hwy 30 Blair, NE 68008 402-426-3630 This is to certify... C-) Certificate No: 699 Previous Rabies Vaccination: 003572 OWNER OF ANIMAL Jessica Shumake 736 S. 1 3th st. Apt # 17 Blair, NE 68008 County: THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... I PATIENT: Tizze SPECIES: Feline SEX: N Color and markings... Black Signed Dr, Joe DiMari Vaccinations done... TAG NO: 006311 WEIGHT: 13.00 AGE: 5 years License: 3258 02-07-22 JRD Fe 4Way (Rhino/Cali/Pant/Chia) 02-07-23 01-04-21 JRD Rabies Vaccination (3 Year), #006311 01-04-24 08-08-18 LL Check up, FE-4way 02-07-23 08-08-16 LL Rabies Vaccination (1 Year), #002862 Rabies Vaccine Information... MFG BY: ZOETI SER.NO: 402242 LOT EXP: 07-20-21 ADM: SQ 'kv 1-1��w 4,q- CITY 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 City Of Blair a 218 S 16th St 9 Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARR/E� DUE: March 15 2, 022 Owner Name:1� Owner Address: U� �n taw- City/S tate/zip: Blair® NE�j 1817'0q� Phone # 1W l- LICENSE FEES: Dog. ®r 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 Blalr 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 T # 11. Dog ❑ Cat Spayed/Neutered �1 License Fee $ �lC\I et Nam Birt date Sex _ of r �_ Breed** Y Replacement$ ** _ '77,Yl Dec ared Dangerous or Potentially Dangerous Do . ❑ Y N MIC OCHIP # _ (If applicable) SUBTOTAL: $ �* City Tag #TTq RA ES VACCINATION DATE: �T� (3 yr) (1 yr) �Fee #' 2 ❑ Dog ❑ Cat ❑ Spayed/Neutered License $ j�:�E Name Birthdate Sex Color Breed** Replacement$ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: _ (3 yr) (1 yr) City Tag # PET ##3 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed** Replacement$ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not Send Cash by Mai! 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. 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. f 1 LICENSE RENEWALS ARE DUE: March 15, 2022. Owner Name: �`i`��l � d /t �f Owner Address: //�4 , e 1,4 t `3 �f City/state/Zip: Blair, NE 68008 Phone # �6y - 533 ' A% j S LICENSE 4' Dog or Cat:60 ill 'R (Wr ***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. Repiaceme"t Fee for Lost —1 ag: $5.00 �. y ' +.°: `' -? •sb .: �, q;� 1n ii '�►, Hi ray ,Y �� t �3f ,� �, �i{1 ill A'M- ;li T. Dog ElCat Spayed/Neutered License Fee $ -/� a� e Name w,, (� e Birtdate Sex _ /�/�a RT ��w6� ** Replacement o or Breed $ ,'e tared Dangerous or Potentially Dangerous Dog: ® Y 'P N �Ni CROCHIP # (If applicable) SU T TAL: $ 11,06 BIES VACCINATION DATE: (3 yr) "o _ (1 yr) City Tag # ET #2 Dog ® Cat Q3 Spayed/Neutered License Fee $ // r0 i N P t Name 1-1a,^ �v Birthdate a as Sex Ili olor oar o /<, l Breed** _ Replacement $ eclared Dangerous or Potentially Dangerous Dog: Y ® N MICROCHIP # (If applicable) SUBTOTAL., (�'GD RABIES VACCINATION DATE: _ /;z:,�(3 yr) __4_ (1 yr) City Tag 2_* T #3 99 g ® Cat 1�1 Spayed/Neutered i License Fee $ Pet Name frq V", Birthdate 6� uAo Sex 1411 Color 61., 15,-aoo, Breed** �r� 11�T Replacement$ x* Declared Dangerous or Potentially Dangerous Dog: 13 Y U N MICROCHIP # �SS51I ioe,)-�sii 4q I I (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: /;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.) Do Not Sergi Cash by Mail TL CL 3 5 ' d0 If you have questions, please contact Blair Polio Department at (402) 426-4747 NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15/ate fee date not applicable fornewpets/newresidenig) Newer Acquired Pets: New Residents to Blair: Must be Hoensed within 10 days of ownership .. Must register pets within 10 days of IN <OR> at 6 months of age if puppy/kitten residency. Date of Rabies Vaccination: 12-28-21 Certificate No: 0 Next Rabies Vaccination On: 12-27-24 Previous Rabies Vaccination: VETERINARY CLINIC OWNER OF ANIMAL Countryside Small Animal Tony Silva 1306 Stevenson 1154 Nebraska 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: Franklin TAG NO: 21-0932 SPECIES: Canine WEIGHT: 18.00 SEX: N AGE: 16 months BREED: Dachshund Mix Microchip Number: 986141002484941 Color and markings... Black and Brown Signed Kaycee Points License: Vaccinations done... 12-28-21 KNP Canine Rabies Vaccn, 3 yr, #21-0932 12-27-24 12-28-21 KNP Canine DA2PPL 12-28-22 12-18-20 KNP Canine Rabies Vaccn, 1 yr, #20-1012 10-30-20 KNP Canine DA2PP Rabies Vaccine Information... MFG BY: ZOET SER.NO: 462989 LOT EXP: 22FEB22 ADM: Sq m,il CITY OF BLAIR - 2022 PET LICEN E APPLICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair @ 218 8 16th St e Blair,, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. `° LICENSE RENEWALS ARE DUE: March 15, 2022 ***PLEASE READCAREFULLv*** Owner Name: ! � t 6 &-,, iL r l 4 YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Owner Address: V `9 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 6 008 PET LICENSES RENEWALS ARE DUE BY 3/15/2022. The City shall Phone # recognize a microchip Identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city Identification other than that Issued by the City of Blair for such dog or cat. The City of Blair requires proof of rabies vaccination. LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 included is a Mate Fee of $1.25 being collected to fund the Nebraska Dog & Cat operator Inspection Program PET # 1 111 Dog D Cat Dyed/Neutered License Fee $ -I / U Pet Name x Birthdate Sex ;eiz A/ ** Colon , _ Breed** Replacement$ Declared Dangerous or Potentially Dangerous Dog: D Y 4, N MICROCHIP # (If applicable) SUBTOTAL: $ RABS VACCINATION DATE: .5 -1 Z/ _-- (3 yr) (1 yr) City Tag #; ' # 2 D Dog D Cat D Spayed/Neutered License Fee $ Pet `Name Birthdate Sex Color Breed** Replacement $ Declared Dangerous or Potentially Dangerous Dog: D Y D N JCROCHIP # (If applicable) SUBTOTAL: $ —'RABIES VACCINATION DATE: _ (3 yr) (1 yr) City Tag # PET #3 D Dog D Cat D Spayed/Neutered License Fee $ Pet Name Birthdate o Sex ** Color Breed** Replacement $ Declared Dangerous or Potentially Dangerous Dog: D Y D N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: __ (3 yr) (1 yr) City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not Send Cash by nail TOTAL ENCLOSED $ If you have questions, please contact Blair Police Department at (402) 426-4747 ..............++++++....++t++'....F.++++++....+++++++++++++++++.......+++++.+++ NEW PET/ NEW RESIDENT LICENSING REQUIREMENTS (March15/ate fee date not applicablefornewpets/new residents) Newly Acquired Pets: New Residents to Blair: ® Must be lioynsed Within 10 days of ownership N Must register pets within 10 days of ® <OR> at 6 months of age if puppy/kitten residency. Date of Rabies Vaccinatiow 06-27-21 Next Rabies Vaccination On: 05-26-24 Certificate No: 0 Previous Rabies Vaccination. 18-0396 VETERINARY CLINIC OWNER Ul- ANIMAL Countryside Small Animal Arlene Smith 1306 Stevenson 1048 S. 13th Apt 203 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:, Smokey TAG NO,., 21-04ZO SPECIES: Canine WEIGHT. 11.72 SEX: N AGE: 12 years BREED, Chihuahua Microchip Number: Color and markings.. Blue and Tan Signed Kaycee Points License: Vaccinations done... 05-27-21 KNP Canine Rabies Vacen, 3 yr, #21-0420 05-26-24 05-27"21 KNP Canine Bordetella Oral 06-27-22 05-27-21 KNP Canine DA2PPL 05-27-22 04-11-17 JJS Canine Rabies Vaccn, 1 yr, #17-0432 Rabies Vaccine Information... MPG BY: ZOET SER.NO-. 428366 LOT EXP: 9NOV21 ADM., Sq 12/30/2021 13:10 4024260101 HOLSTEIN VET CLINIC 2022 PET LICENSE ;VERIFICATION/APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT($), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE To: CITY OF BLAIR — 218 S, 16TH ST -- BLAIR, iVE 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. PAC ***PLEASE READ CAREFULLY`** YOU ARE REQUIRED MY 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 I!] 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,l0 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 I Denise Smith Spouse Bob Owner Address 153 East Baronage Drive City/State/Zip Blair, NE 68008 Phone # V`4 -ee t'- 4102 (0 q 0 t05 80 Pet Name: Allie Age: 4Y Sex: Spayed Female DOB: 06-04-17 Breed: Papillon tplor: Tri Microchip # 985112010030583 Rables Tag #.19707 .. PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE): # RABIES VACCINATION DONE ON 12-30-21 Rabies Description; 1 YEAR rr3 YEAR LICENSE FEES Intact Dog or Cat: $16,00 =11--rodl Replacement rag $5.00 Total $ ` I �- ��"" P�STHAT�QREDNTHEACTIVEPOTEf�ITIALLVDANGEROU50R DANGEROUS DOG LIST NEED TO RE�fSTER DIRECTLYAT CITY N� Holstein Veterinary Clinic Dr. Lisa Schrum DVM Dr. Kr/sta Holstein DVM 718 South 19th Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinic@gmail.com 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 payabl City of Biair o 218 S 16th St o Wair® HE 68008 You may legally own a combination ®t four (4) adult pets, but n® more than three (3) adult dogs or three (3) adult cats per residential or dwelling unite LICENSE RENEWALS ARE D En. March 15, 2022 q,•";,er am, Owner Address: City/State/Zip: 31tli i E 78i 08 Phone LICENSE FEES., Dog or Cat, 4,1:..00 5:.„ 1. 0 0 Pteplacernent Fee for Lost Tag., $5.00 ***PLEASE READ CAREFULLV*** YOU ARE REQUIRE® BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 311512022. The City shall recognize a microchip identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city Identification other than that Issued by' the City of Blair for such dog or cat, The City of Blair requires proof of rabies vaccination. T Dog ® Cat Spayed/Neutered License Fee $�� Pet Name - Yt--Birthdate ' ' Q Sex (I \ �, Color - — Breed** ,. Replacement $ Declared Dangero s or Potentially Dangerous Dog: ® Y MICROCHIP # C If applicabl SUBTOTAL., $ RABIES VACCINATION DATE: v (�� (h yr) �6 Tag # 01/28/2022 4024260101 HOLSTEIN VET CLINIC PAGE BUT NO It shall be unlawful Ifor 2022 PET LICENSE LIFICATION/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. 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' 01/0 0 e to do so is a violation of City Ordinances 6,103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSE RENEWALS ARE DUE BY 3115/2022. The city shall recognize a microchip ID number as the license number. ny 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. /lust be licensed within 10 days of ownership (OR) at 6 months of age if puppy or kitten LAIR Must register pets within 10 days of residency Owner Name Brian Smith Spouse Maggio Owner Address 2287 Fieldcrest City/State/Zip Blair, NE 68008 Phone # 402-332-9986 Pet Name: SO hi Age: 10Y DOB: 06-20-11 Sex: Spayed Female Color: Black and Tan Breed: in Pin Microchip # Rabies Tag •# 16888 PLEASE INCLUDE CITN TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE): # RABIES VACCINATION DONE ON 04-19-19 Rabies Descripti n: 1 YEAR 3 YEAR Holste Dr, Lisa Sot 718 SOL Veterinary Clinic DVM : Dr, Krista Holstein DVM 191" Street Blair, NE 68008 7387 402-426-0101 Fax inclinicGgmai).com LICENSE FEES Intact Dog or Cat: $16.00 Dog cat: $11.0 Replacement Tag $5.00 Total $ ~—' PETS THATARE ON THEACTIVE POTENTIALLY DANGEROUS OR DANGEROUS DOG LIST NEED TO REGISTER DIRECTLY AT CITY HA4-4 FAXED 01 -28-22 BY ' Ip•r :y �rl.� , r••r •rl! •� . r�, �.A rgN:;VIM :':h:lu'n14.�.�.d.,A-�vl'19I1y^I•(tSl.irl".l'J: iFnk1�$I'1•�fill III i;wli;r •i�:. L y.. , r„ r;,15,,,_;_.i�a.�„ r•;�ai�re}iSi�j�:ilia„•Iin•7ij:;iblS�;�,a�71��au i'K'y�4J9LY1 11,�.If'•II:`Vfl'r��•�. , 'r. tGNt(()Iir;(nY%3i:�:��' i,.r: y;�A:d!I,. µliV, aa��.. f� e. �•i91k�i�l�ts1 f;�;t ,• niu.!�',;'��;.:;1,i D 01/28/2022 09:50 4024260101 HOLSTEIN VET CLINIC PAGE 02/02 2022 PET LICENSE E IFICATION/APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT(S), COMPLETE THIS FORM ANO RETURN WITH A CHECK PAYABLE TO: CITY OF BLAIR — 21.8 S. 161r" ST -- BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO M RE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. ***PLEASE READ CAREFULLY*** yo RE E UIRFD BY LAW TO L ENSE YOUR PETS. THE CITY F BLAIR RE UIRES PROOF OF RABIES VA CINATION, FailL re 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 microchlp ID number as the license number. It shall be unlawful for iny 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 ust be licensed within 10 days of ownership (OR) at 6 months of age if puppy or kitten NEW,RESIDENTS O SLAIR Must register pets within 10 days of residency Owner Name Brian Smith Spouse Maggie Owner Address 2287 Fieldcrest ; City/State/Zip Blair, NE 68008 Phone # 402-332-9986 Pet Name: Age: 7Y DOB: 11-28-14 Breed: Min Pi Microchip # 98 11 PLEASE INCLUD 111 RABIES VACCIIIIA' Rabies Sqx: Spayed Female Color: Bik Tan 107970239 Rabies Tag # 16889 TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLEI: # ,N DONE ON 04-19.19 i lTu Holst(),ih Veterinary Clinic Dr. Lisa S hr m DVM : Or. Krista Holstein DVM 718 South 1911 Street Blair, NE 68008 402 42 -7387 402-426-0101 Fax hol einclinic@gmail.com YEAR LICENSE FEES Intact Dog or Cat: $16.00 Dog(!t)00 fleplacement Tag $5.00 Total $' ` Ql PETS TWA. ARE ON THEAGTIVE POTEN'I1(1 LLY DANGER�ILIS OR DANGEROUS. DOG LIST NEE'P TO REGISTER DIRECTLY AT CITY HALL You malf 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: // 'z A0-e J—, OwnerAddress: `� (/ �O Q �1 ✓ R l ��✓ Y IA: Blair,, ;iai a Phoneq G� LICENSE FEES: Dag or Cat: t t, 1?0 t< ; r d Do ` it *"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. 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 ®Cat Spayed/Neutered License Fee `�� Pet Name Birt date4 _ Sex ® Col�Dag -� Breed** 7 Z-� — Rep/acement eclares or Potentially Dan erous Dog: Q Y 0 N MICROCHIP # S I i A 0 t Cc) s`t ` Y(If applicable) SUBTOTAL: RABIES VACCINATION DATE: - (3 yr) ✓ (1 yr) City Tag # _ T #2®D 09 Cat Spayed u ered /06 License Fee $ Pet Name 1� Bi date Sex Color Breed** 5 &�? N eo� Rep/acement$ ** Declare Dangerous or Potentially Dangerous Dog: ®Y N MICROCHIP # j Y'I 6 J0 0 3) b3O (If applicable) SU TOTAL: RABIES VACCINATION DATE: ,!1 _ �!� (3 yr) —� (1 yr) -- City Tag # T #3 0 Dog ® Cat ® Spayed/Neutered I 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.) \60 ®o Not Send Cash by Mail L off, If you have questions, please contact Blair Police Depailmetnt at (402) 426a4747 NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15/ate fap date notappllcable fornewpet.9117ewresldentq) Newly Acquired Pets: New Residents to Blair: * Must be licensed within 10 days of ownership 19 Must register pets within 10 days of <OR> at 6 months of age if puppy/kitten residency. If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: 1 Cott' of Blair a 218 S 16th St o Blair, ME 68008 You may legally own a combination of four (4) adult pets; but no,more than three, (3) adult dogs or three (3) adult cats per residential or dwelling unit. "- ,I �b LICENSE RENE ALS ARE DUE: March I,202,2� Owner Name: i ` ,? 0 „f Owner Address: ` r- _ 3 i City/State/zip: lair, 68008 m t� N i Phone # � ,�j ***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. Altered Dog or Cat: $11.00 Replacement Fee Include-1 is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program >t ® 0 g D Cat U Spayed/Neutered License Fee $ Pet Name Birthdate ut , o Sex + Color ' .,. x. ,s 9 Breed" i} I _ Replacement $ m tROCHIP lared Dangerous or Potentially Dangerous Dog: D Y N #77 (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: z � i i i '(3 yr) ' (1 yr) -City Tag # T # d Dog ®Cat ® Spayed/Neutered License Fee $ _ � Pet' Name Birthdate =;Ea i �` Sex F _ Color I %> �,�� _ Breed**Replacement$ :x* Declared Dangerou or. Poten taly D nab pus Rog: ®Y N MICROCHIP # i . - ) `406fplicabe)y SUBTOTAL: RABIES VACCTNATIO TE' x t� 1 (3 yr-) (1 yr) City Tag # ��* V R ' #3 LJ Dog ® Cat LI Spayed/Neutered Pet Name _ Birthdate Sex Color Breed" Declared Dangerous or Potentially Dangerous Dog: ® Y MICROCHIP # : (If applicable) RABIES VACCINATION DATE: _ (3 yr) _ W � License Fee $ Replacement ** SUBTOTAL: (1 yr) _ , City Tag # *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.) DoNot send Cash by man T T L L s If you have questions, please contact Blair Police Department at (402) 426-4747 ......................................... I ...................................... NEW PET/NEW RESIDENT" LICENSING REQUIREMENTS (March 15late fee date notappllcable fornewpets/newresldenis) Newly Acquired Pets: New Residents to Blair: Must be licensed within 10 days of ownership a Must register pets within 10 days of <OR> at 6 months of age If puppy/kitten residency. 03/15/2022 15:16 4024260101 HOLSTEIN VET CLINIC PAGE 03/03 2022+ PET LICENSE VERIFICATION/APPLICATION FOR, CITY OF BLAIR IP YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT(S), COMPLETE THIS FORM AND RETURN WITW 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' RE UtRED BY W TO LICEN E YOUR PETS. THE CITY QF BLAIR RE UIRES PROOF OF RABIES VACCINATION YOU ARE p to $150,00 per pet, Failure to do so is a violation of Clty Ordinances 6.103 and carries a penalty of a fine u PET LICENSE RENEWALS ARE DUE BY 3 15 2022. The city shall recognize a microchip ID dumber as the license number, by the City It shall be unlawful for any dog or cat to wear any license or other city ID other than that Issued of:Blalr For such,dog or cat - NEW PET LICENSING Must be licensed within 10 days of ownership (OR) at 6 months of age if pupil, .�or,kitten NEW RESIDENTS TO BLAIR Must register pets within 10 days of residency Owner Name Kelli Sonderu ;:4 N 4;, Spouse owner Address 11003 Co Rd 18 City/State/Zip Blair, NE 68008 Phone # 402.426-4051 ; J C_I ENSE.•FEIES Intact Pet Name: Max Age: 12Y Sex: Neutered Male Color: DOB;-03-08-10 Dog or Cat: $16.00 .41 ere Breed: Australian Shepherd, Dog or cat; $11.00 Microchip # Rabies Tag # 17893 l4epto ement, $5.00 PLEASE INCLUDE CITY TAG NUMBER IF TINS IS A RENEWAL (IF AVAILABLE): # RABIES VACCINATION DONE ON 04-21-20 OU Total $ Rabies Description: 1 YEAR 3 YEARONr iQANGt_1WLJS EACTIVEPOTENTIALLY2ANGEROUSOB G LIST_NEED TO REGISTER DIRECrLYATCITY ALL. Holstein Veterinary Clinic Dr. Lisa Schrum ,DVM : Dr. Krista H0/8tein OVM 718 South 1916 Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinic@gmail.com FAXED 03-16-22 BY lmnmm�),(�11� {i r��'i,'i'k �tuV�: �°lr! {,i�7�}1{ii ,i i,4si � I!'iie.,l d;'�� .44��rvr•+;,.'t¢a .Y. r.. 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 combinationpresidential but dw more lling unit, three (3) adult dogs or three (3) ado cats er LICENSE RENEWALS ARE DUE: Much 15,20 owner Name: owner Address: ° City/state/zip: Blair, NE 68008 Phone # LICENSE FEES: Dog or Cat: $16.00 11 00 ***PLEASE BEAD CAPJ54A.LY*** YOU ARE REQUIRED By LAW TO LICENSE YOUR PM - Failure to do so l$ a violation of City ordlnanes 6.103 and carries a penalty of a fine UP to $150.00 per pat PET LICENSrs RENEWALS ARE DUE BY Wj 5L2=- The City shall shall be unlawfu►ororany doge rlon Cattowears y license or other rcity identification other than that Issued by the City of Blair for such dog or cat, The City of Blair requires prwf of rables vaccination. Altered Dog or Cat. $ Replacement Fee for Lost 709: $5.00 Included is a State Fee of $1.25 being CdkKted to fund the Nebraska Dog 8L Gat Opll"v Lisp 01rl Program PET # 1 �k Dog ❑ Cat 0 Spayed/Neutered License Fee $_ Pet Name Birthdate z,, Sex M Breed*Replacement ** Color � ❑ y � N Declared Dangerous or Potentially Dangerous Dog: SUBTOTAL: $ '00 MICROCHIP # (If applicable) * RABIES VACCINATION DATE: k-a - - l (3 yr) 'A (1 Yr) City Tag # PET #2 ❑ Dog 0 Cat 0 Spayed/Neutered License Fee $,�..� Pet Name Birthdate Sex ** Color Breed** Replacement $� Declared Dangerous or Potentially Dangerous Dog: ❑ Y U N MICROCHIP # i (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) ______ (1 yr) _ — City Tag # PET #3 U Dog ❑ Cat O Spayed/Neutered License Fee $� Pet Name BirthdateSex Color .Breed** Replacement $ Declared Dangerous or Potentially Dangerous Dog: 0 Y ❑ N SUgT07AL: $ MICROCHIP # (if applicable) RABIES VACCINATION DATE: _ __ (3 yr) (1 yr) City Tag # �* AL ** (This fee is dueUDE Talong w with License Fee iTHIS requesting at the time of license renewal.) TOTAL ENCLOSED $ Do Not Send Cash by Mall if you have questions, please contact Blair Police Department at (402) 426-4147 +++++++++++++++++++++++++++++++++++++++++++++++*++++*+++*+++++++++++++++++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15late f&e dat,,- not ap# 1 Rb/e forkew pel5 "MYd&MV ■ Must be ker" wMtin 10 days of bhp ■ Must r>=g4ster pets within ! 0 days of ■ <0R> at 6 ffm tts of age W PuPPN/WJ2n residency' 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 e Blair, NE 68008 You may legally own a combination of four (4) adult pets, but nomore than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15._2022 ***PLEASE READ CAREFULLY*** Owner Name: a✓n&? f1 YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Owner Address: t:7I06 'wo ( Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $1S0.00 per pet. City/State/Zip: Blair, NE 68008 PET LICENSES RENEWALS ARE DUE BY 3/15/2022. The City shall �n `" c-1 Phone # � ' a /} o b 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 P T # 1 ❑ Dog Cat Spayed/Neutered License Fee $ r P Name_ - Birthdate Sex__ Co or J i Breed**eL Replacement$ ** De lared Dangerous or Potentially Dangerous Dog: ❑ Y N (, MI ROCHIP # _(If applicable) RA IES VACCINATION DATE: - L (3 yr) 121YA I2 (1 yr) SUBTOTAL: $ i ) City Tag # r N(P T #2 ❑ Dog Id Cat Spayed/Neutered License Fee $ 1 vPje Nam r+ Birthdate Sex Co or k .: Breed** 6 Replacement$ ** De lared Dangerous or Potentially Dangerous Dog: ❑ Y N ws MI ROCHIP # (If applicable) SUBTOTAL: $ 1 1 v . RABIES VACCINATION DATE: (3 yr) j 7l121 (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 CI Y 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 .jam.® If you have questions, please contact Blair Police Department at (402) 426-4747 ++++++++++++++++++++++++++.+++++++++.++++.++.+++++.++++++++++++++.++.+++.... . NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March15/ate fee date not applicable fornewpets/new residents) Newly Acquired 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. Holstein Vet Clinic 718 South 19th Street Blair, NE 68008 402-426-7387 Printed: 12-30-21 at 4:17p CLIENT INFORMATION Name Katie Sorensen (8485) Address 1760 Butler Blair, NE 68008 Phone 402 306-9266 PATIENT INFORMATION Name Cleo Sex Female, Spayed Birthday 06-02-13 ID Color Seal Reminded (none) Reminders for: Cleo 12-14-22 Defensor 1 (1 Year Rabies) 12-14-22 Felocell3 ',peciez Feline Breed Siam/Him Age 8y Rabies Weight 11.80lbs Codes Last done 12-14-21 12-14-21 Patient Chart 12 Holstein Vet Clinic 718 South 19th Street Blair, NE 68008 402-426-7387 Printed: 12-30-21 at 4:17p CLIENT INFORMATION Name Katie Sorensen (8485) Address 1760 Butler Blair, NE 68008 Phone 402 306-9266 PATIENT INFORMATION Name Olivia Sex Female, Spayed Birthday 04-13-15 ID Color Blk & Wht Reminded (none) Reminders for: Olivia 12-14-22 Defensor 1 (1 Year Rabies) 12-14-22 Felocell3 Species Feline Breed Domestic Shorthair Age 6y Rabies Weight 15.00lbs Codes Last done 12-14-21 12-14-21 Patient Chart I & 64�tV 775 � LlY CITY OF BLAIit - 2022 PET LICENSE ,APPLICA►TI®N 34 If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair a 218 S 16th St @ Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult,do.gs . 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 # C�r�. ��ii e X `✓. LICENSE FEES: flog or Cat: $16.00 AI d D 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 $15o.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. og . Pep!acemert Fee for Lost Tag: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog $e Cat operator inspection Program ET # 1 �.Dog X C a t pa /. eu Bred Pet Nam Bi hdate Sex Color G c' .; ' F' Breed" Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applipa4lle) RABIES VACCINATION DATE: (3 yr)_ License Fee Replacement $ SUBTOTAL: $ (I, yr) City Tag # I diaS t PET #2 Do [ Catpayed/N'cered License Fee $ Pet Na e ' - (' Bil P�a'ieSex _ --Relacement --* Color Breed* -- p $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y N MICROCHIP #— (If appli �) SUBTOTAL: $ 1 RABIES VACCINATION DATE: _ ~ yr) (1 yr) City Tag # -� PET #3 Dqg "�at ❑Spay Itered —� License Fee $ Pet Name V�<—_ Birthda** Sex Replacement $** Color _ Breed -- -- Declared Dangerous or Potentially Dangerous; Dog: Y ❑ N MICROCHIP # � ' � ' )(i�� —_(If applicable) SUBTOTAL: RABIES VACCINATI N DATE: �_. (3 yr) — (1 yr) City Tag # 2 *_ *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) DoNot Send Cash by Mail T TAL LSE If you have questions, please contact Blair Police Department at (402) 426-4747 ..... a............................++-r+ r.....)'-+j.............++.+•a++++++.++.+... NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March ISiate fee date not applicable fornewpets/new residents) Newly Acquired 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. 12/20/2021 15:26 4024260101 HOLSTEIN VET CLINIC PAGE 04/04 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. 16TH ST BLAIRf NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. ***PLEASE READ CAREFULLY*** YOU AR E UIRED BY W TO LICENSE YOUR PETS. THE CITY OF QLAIR REQUIR95 PROOF OF BA131ES VACCI TION. Fallure to do so Is a violation of City Ordinances 6A03 and carries a penalty of a fine up to $150,00 per pet. PET LICENSE RENEWALS A E 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 GLAIR Must register pets within 10 days of residency Owner Name Spouse Owner Address City/State/Zip Phone # Pet Nam(lF: Addie Age: 4Y I Sex: Spayed Female DOB: 03-14-17 Breed: Lab Microchip # 985112007964135 PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RABIES VACCINATION DONE ON 106-16-21 Rabies Description: 1 YEAR Shirley Stadler 750 Garfield Blair, NE 68008 402-426.4741 Color: Yellow Rabies Tag # 19259 (IF AVAILABLE):,# 3 YEAR Holstein Veterinary Clinic Dr, Lisa Schrum DVM Dr. Krista Holstein DVM 718 South 1911' Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinic@gmail.com LICENSE EEFA Intact Dog or Cat; $16,00 cat: $11,00 ,Replacement rag $5.00 Total $ . \ �v PFTS THAT ARE ON THE ACTIVE POTENTIALLY DANGEROUS OR DANGEROUS DOG LIST NEED TO REGISTER DIRECTLYAT CITY HALL, 12/20/2021 15:26 4024260101 HOLSTEIN VET CLINIC PAGE 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. 03/04 ***PLEASE READ CAREFULLY' YOU ARE REQUIRED 8Y LAW TO LICENSE YOI!(t PETS. THE PITY OF GLAIR E�EQUIRES PROOF OF Rp,81F5 VACCI APL TION• Failure to do so is a violation of City Ordinances 6.103 and carried a penalty of a fine up to $150.00 per pet. pET UCENSE RENEWAIS ARE Q E 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 Gity 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 Shirley Stadler Spouse Owner Address 750 Garfield City/State/zip Blair, NE 68008 Phone # 402-426-4741 Pet Name: Age: 9Y Sex: Neutered Male Color: Gold DOB: 05-30-12 Breed: VIs/Mix Mlorochip # 986112003702723 Rabies Tag # 17722 PLEASE INCLUDE CITY TAG NUMBER Ir THIS IS A RENEWAL (ir AVAILABLE): # RABIES VACCINATION DONE ON 102-18-20 Rabies Description: 1 YEAR Holstein Veterinary Clinic or, Lisa Schrum DVM : Dr. Krista Holstein DVM 718 South 191h Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinic@gmail.com LICENSE ffEES Intact Dog or Cat: $16.00 r7/te ored$l 0gReplacement Tag $5.00 Total $ PETS ATAREONI'HF-ACTIVEPC)TENTIALLYDAN(;OQUSOR U DAN6EI2QUS DOG LIST NEED TO REGIS r DIRECTLYAT CITY HALL 12/20/2021 15:26 4024260101 HOLSTEIN VET CLINIC PAGE 01/04 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 T0: CITY OF BLAIR — 21'8 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 L10EI�SE YOUR PETS 7HE GITY OF BLAIR RECtUIRE PROOF OF RABIES VACCIN 7A ION. Failure to do so Is a violation of Clty Ordinances 6,103 and tattles a penalty of a fine up to $150,00 per pet. PET LICENSE RENEWALS ARE bUE BY 3 15 2022. The city shall recognize a microchip I0 number as the license number. It shall be unlawful for any dog or cat to wear any license or other city Ib 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 Shirley Stadler Spouse Owner Address 750 Garfield City/state/Zip Blair, NE 68008 Phone # 402-426-4741 � I , • �-.^ / / //fie A . �-�(� � 1 �7 Pet Name 1 Sophie Age: 15M DOB: 09-03-20 Sex: Spayed Female Color: Lt Yellow Breed: Lob Microchip # 985141002U3921 Rabies Tag # 19683 PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL. (IF AVAILABLE): # RABIES VACCINATION DONE ON 12-20-21 Rabies Description: 1 YEAR Y AR Holstein Veterinary Clinic Dr, Lisa Schrum DVM ; Dr. Kriste Holstein DVM 718 South 191h Street Slair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinic@gmail.com LICENSE S Intact Dog or Cat: $16.00 Iter d Do or cat: $11.00 Replacement Tag $5.00 Total $ � 0-0 PETS THAT ARE ON THE ACTIVE POTENTIALLY DANGERdUS_Q DANGfROU� DOG LIST Nt Ep 70 REGISTER Q_JRECTLYAT CITY HALL - 12/20/2021 15:26 4024260101 HOLSTEIN VET CLINIC PAGE 02/04 2022 PET LICENSE Q� VERIFICATION/APPL.ICATION 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 T0: CITY OF BLAIR — 218 S. 16TH S? — BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MOVE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. *q'*PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS, I HE CITY OF BLOB REgU1RE5 PROOF OF RABIES VACCINATION. Failure to do so Is a violatio P ET The city shall recognize n of City Ordinances 6.103 and Carries a penalty of a fine up to $150,00 per pet. LICENSE RENEWALS ARE DUE BY 3 15 2022. 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 Clty 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 Shirley Stadler Spouse Owner Address 750 Garfield City/State/Zip Blair, NE 68008 Rhone # 402-426-4741 Pet Nam . Gypsy Age: Sex: Spayed Female Color: Gray DOB: (none) Breed: Domestic Shorthair Microchip # Rabies Tag # PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE): ,# RABIES VACCINATION DONE ON 1 01-19-21 Rabies Description: �1 YEAR �3YE�AR Holstein Veterinary Clinic Dr. Lisa Schrum DVM ; Dr. Krista Holstein DVM 718 South 191h Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinic@ gmail.com LICENSE F intact Dog or Cat: $16.00 e d Do or cat: $11.0 Replacement Tag $5.00 Total $ " 1 . `" EFSTHATAREONTHEACfIVEP T NTIALLYDANFROUSOR pANGEROUS 0061IST NEED TO REG.I TER DIRELTLYAT CITY HALL, 02/05/2022 10:42 4024260101 HOLSTEIN VET CLINIC PAGE 01/02 2022 PET LICENSE V ERIFICATION/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 M RE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. ***PLEASE READ CAREFULLY**' YO E REQUIRED i3V W TO LICENSE YOUR PETS. THE ITY OF BLAIR RE IRES PROOF OF RABIES VACCINATION. I:ailul a 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 9Y 3 15 Z022. The city shall recognize a microchip ID number as the license number. Itshall be unlawful for ny dog or cat to wear any license or other city IA other than that issued by the City of Blair for such dog or cat. NEW PET LICENSI G I A ust be licensed within 10 days of ownership (OR) at 6 months of age if puppy or kitten NEW RESMENTS_ 0 E LAIR Must register pets within 10 days of residency Owner Name Spouse Owner City/State/zip Phone # Pet Name: Age: 9Y DOB: 03-12-12 Breed: Lab Mb Microchip # PLEASE INCLUDE RABIES V Rabies Hoist i Dr. Lisa Sc 51 718 So A 402 ; hl Iff Sex: Neutered Male TAG NUMBER IF THIS IS A RENE' 1N DONE ON 05-19-21 1 YEAR Veterinary Clinic 7 DVM : Dr. Krista Holstein AVM 19t" Street Blair, NE 68008 -7387 402-426-0101 Fax :inclinic@gmail-com - Teresa Stamper Thomas 2989 Ravae lane Blair, NE 68008 402-289-7848 a Color: Black Rabies Tag # 19172 (IF AVAILABLE): # LICENSE Intact Dog or Cat: $16.00 /tare Dog or cat: $11 Replacement Tay $5.00 Total $670 GETS THAT ARE' ON THE ACTIVE POTENTIALLY DANGEROUS OR DANGEROUS DOG LIST NEED TO REGISTER DIRECTLYAT CITY HALL. FAXED 02-05-22 BY u��)(,L-r.ii*,l. .Fls�`':.�I,?' ' y�;i :•::/••�1;19?t•9'!�"�` n ru�l '�{�'s"p��I;!1�i j�I . i, l•�.:N a"., : 1.1i• (I!y::dE f:{l� I/�I�i�'kY'4��ilb': Y•�k : ��14, i�:Ij i: y�il.(�G<�iMllf t.,-��1Y'4�f1 A.. :r�ii• �;I. X�� li l'tIJ!', 1 v r 1�'S'V ll I;•�1� r I I �:,ll.��ij,:j•, 02/05/2022 10:42 4024260101 HOLSTEIN VET CLINIC PAGE 02/02 BUT NO M it shall be unlawful NEW PET LICENSI Owner Name Spouse Owner Add City/State/Zip Phone # Pet Name; Ki Age: 9Y DOB: 08-27-12 Breed: Shep I Microchip # RABIES VACCI Rabies Holst i Dr. Lisa Sc V 718 So A 20 2022 PET LICENSE FICATION/APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT(S), COMPLETE THIS,FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF BLAIR — 218 S. 16TIl ST — BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, AN THREE (3) ADULT DOGS OR THREE (3) ADUI-T CATS PER RESIDENTIAL OR DWELLING UNIT. ***PLEASE READ CAREFULLY*** JUIREn BY LAW TO LICENSE YOUR PETS. THE CITY OF BLAIR._REQUIRES PROOF OF RABIES VACCINATION. to do so is a violation of City Ordinance$ 6.103 and carries a penalty of a fine up to $150.00 per pet. ' PET LICENSE RENEWALS ARE DUE BY 3 I5 2022. 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 toe 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 Teresa Stamper Thomas 2989 Ravae Lane Blair, NE 68008 a 402-289-7848 �1 V LICENSE FEES Sex: Spayed Female Color: Blk/Gr Intact Dog or Cat: $16.00 • Doat� Rabies Tag # 7AG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE): # Replacement Tag $5.00 •1 N DONE ON 09.10.19 (Jv Total $ 1 YEAR 3 YEAR Veterinary Clinic 7 DVM : Dr. Krista Holstein DVM 191h Street Blair, NE 68008 -7387 402-426-0101 Fax ;inclinic@gmail.com PETS 1 N T ARE ON THEACTIVE POTENTIALL NGEROUS 0 DANGEROUS DOG LIST NEED TO REGISTER DIRE(:TLYAT CITYNALL CERTIFICATE OF VACCINATION � "%2(o�Z ,(yline Veterinary Clinic 1315 N. 205th Street Elkhorn, 0 NE .68022 402-933-6800 www.skylineveterinaryclinic.com Owner JONI STANDISH 1220 PARK ST BLAIR, NE 68008 402-278-1452 cz:D Date' FEB 2 22 Time: 15:37, ( �, T a $ A� � Patient Name: BLUE Species: CANINE Breed: MIX, LAB Color: BLACK & WHITE Gender: MN DOB: SEP 27 20 Weight: 60 lbs Rabies Tag: 220245 1D1: NO CHIP ID2: 211990 nace,rinflnn (',i%/Pn Fxnirps Manufacturer Lot / S/N BORD/ PARA/ ADENO 2- INTRAN ... I FEB 2 22 1 FEB 2 23 Merck I 541455A DA2PP VACCINE I FEB 2 22 1 FEB 2 23 LEPTO 4 WAY VACCINE I FEB 2 22 1 FEB 2 23 02171261 RABIES VACCINATION I FEB 2 22 1 FEB 2 25 1 nobivac 518868 I hereby certify that this animal has been vaccinated in accordance with the manufacturers recommendation for the vaccine used on the above date. 1�1 DR SAMANTHA RYAN License Number: 3000 * Items marked with an * were not administered at this facility. <D Feb 15 22 08;46a Thone Animal Hospital (402) 426-3630 902 S Hwy 30 Blair, NE 68008 CITY OF GLAIR - 2021 PET LICENSE APPLICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete this farm and return with check made payable to: City of Blair • 218 S 16th St * Blair, NE 68008 You may legally own a Combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential Or dwelling unit LICENSE RENEWALS ARE DUE: March 15 2021 Owner Name; 3 fat, Owner Address: _ 771yl-t S�_ City/state/Zip: Blair, NE 68008 Phone # LICENSE FEES: Dog or Cat: $16,00 Altered Dog or Cat: $11.00 Replacement Fee for bust Tag: $s.00 Included is a State Fee of ***PLEASE READ YOU ARE "QUIItED BY LAW To LICENSE YOUR PETS, Failure to do so Is a vlotation of City ordinances 6.1o3 and Carries a PerraitY of a fine up to S350,00 per pet, PET LICENSES RENEWALS ARE DUE 9Y 5/1512021, The Cityshall recognize a microchip Identification number as the license number, it shall he unlavhul 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. $1,25 berLg tlolledied to fund the Nebraska Dog & Cat Operator Inspection program *PLEASE INCLUDE THE Cary TAG NUMBER IF THIS IS A RENEWAL. ** (This fee is due along with License fee If requesting at the time of license renewal,) DOMOt Send Wash by Mail TOTAL ENCLOSED If you have questions, please contact Blair Police Department at (402) 426-4747 ....+......f++++.....-F+.......... .....-F. .-F..+-lN. i• .....-1-t-F............. ....... NEW PET/NEW REsxpENTLZCENs.INGREQUIREMENTS (MaTh15/at2feedal6rmt-Wca*fn newpef1newres10L-f?j5) NBw Acgyined Pets' New Ressidents to Blair ■ hit.tst be lioersed Within 10 days or P ■ must register pets within 10 day pr ■ <OR> at 6 months of age it puppy/!dtleri resideficy. ■ ■OM :BSAC FAX NO. :402-533-2722 Feb. 01 2022 08:24AM P1 CITY OF BL AIR - 2022 PET LICENSE APPLICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair a 21L8 516th S: a Blair, NE 68008 You may legally.'pwn a combinatldn' of four (4.) adult pets, but no more than- three (3)ad . u I ltdoge ' or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: M_q1 the Owner Name: V Owner Address: City/State/zips Blair, NE 68008 Phone # V X ?, y i �3 . 0119 7-,. - ***PLEASE READ CAAEFULLY*** YOU ARE! RliQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances O.so3 and, Carries a penalty of a fine UP to $1,80.00 per pet, PET LICENSES RENEWALS ARE DUE BY VIE2 U2.. The city shall recogbe unimful foranydog caon t to anyllcenae or otherber as the 11cen5e city shallcity Identification other than that Issued by the city of Blair for such dog or cat. The City of @fair requires proof of rabies vaccination. LICENSE FEES: Dog or Cat: $16.00 " �^ Altered Dog or Catt. $11-00 -Replacement,F-ee fmr-LDst'F�g--$5:00 - ., eluded is a State Fee of $1.25 being collected to fund the Nebraska I" & Cat operator inspection Program PET # 1 0 ❑ C a t� Spayed Neutered License Fee — Pet Name tom_ Birthdate 1 Sex Color Breed*'� Replacement $ Declared Danger s o Potentially Dangerous Dog: ❑ Y N SUBTOTAL; $ MICROCHIP # (If applicable) RABIES VACCIN 71ON DATE. , °I (3 yr) � (1 yr) City Tag # PET #2 Neutered Dog ❑ Cat Spayed/Neutered License Fee $ Pet Name._ Color Birthda am r**- _Replacement$ Breed ** Declared Dangerous or Potentially Dangerous og: ❑ Y N applicable) SUBTOTAL; $ MICROCHIP #_.. RABIES VACCIN _ _(If TION DATE: �� 1 _ (3 yr) )L (1 yr) City Tag PET #3 LJ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Color Birthdate Sex _ Breed** RQ p $----*�` /acernent Declared Dangerous _ _. or Potentially Dangerous Dog: ❑ Y p�N MICROCHIP # —.—(If applicable) SUBTOTAL., $ RABIES VACCINATION, DATE: _ (3 yr) _,_-. (1 yr) City Tag # *PLEASE INCLUDE THOCITY TALI NUMBER IF TH S 19 A RENEWAL , ** (This fee Is due al ng with License Fee if requesting at the time of license renewal.) Do1votSend Cash by Mal/ TOTAL ENCLOSED $ If yc u have questions, please contact Blair Police Department at (402) 426-4747 *+*++++++++.....++t+++++...++++.++-r•.....+++++...++++++...++t+++.....+++++�� r+ NEW PET/NEW RE 51DENT LICENSING REQUIREMENTSPAgW(Merrfi 15/ale fee date notdop/lcab/e h�rncwts/nesNresidcnlsJ AMWred ffi: �I.ew Residents to B•laln, i Must be licensa within 10 days of ownership is Must register pets within 10 days of Y ■ <OR> at 6 moliths of age if puppy/kitten residency. L) 12/17/2021 11:26 4024260101 HOLSTEIN VET CLINIC PAGE 01/07 2022 PET LICENSE C� 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 T0: 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 REQUIRIED BY LAW TO LICEN E YOUR PETS. THE CITY OF BLAIR RE UIRE 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 $1.S0.00 per pet. PET LICENSE RENEWALS ARE DUE BY 3 15 2022. The city shall recognize a microchip ID number as the license number. It shall be unlawful for any dog or cat,to wear any license or other city ID other than that issued by the City of Blair for such dog or cat. NEW PET LICENSING Must be licensed within 10 days of ownership (OR) at 6 months of age if puppy or kitten NEW RESIDENTS TO BLAIR Must register pets within 10 days of residency Owner Name Spouse Owner Address City/State/Zip Phone # A -1--»i Roger Steinbaugh 816 WASHINGTON Blair, NE 68008 402-426-4550 Pet Nara : Dutchess Age: 2Y DOB: 08-21-19 Sex: Spayed Female Color: w T� Breed: Spaniel, Springer Microchip # 985141001672656 Rabies Tag # 18432 PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE): # RABIES VACCINATION DONE ON 12-12-20 Rabies Description: 1 YEAR 3 YEAR Holstein Veterinary Clinic Dr. /lsa Schrum DVM : Dr. Kr%sta Holstein DVM 718 South 191h Street Blair, NE 68008 402-426-7387 402-426-0101 Fax, . holstainclinic@gmail.com LICENSE FEES Intact Dog or Cat: $16.00 =Itere4fo Replacement Tag $5.00 Total $ � I PEiS THATARE ON THERM E POTENTIALLY D EROUS OR DAN6F&PUS DOG LI5T NEED TQ REGISTER OIREG7i YAT CITY HALL. FAXED 12-17-21 8Y �?Y2 FAX TO BPD �@ 402-426-7144 113 CITY OF L L 0- L.J 1" If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair ® 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 �✓ 7 4, ***PLEASE READ CAREFULLY*** Owner Name: "/ > �� G � � YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Owner Address: d' / iT� 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 State Fee of $1.25 being collected to fund the Nebraska Dog tip Cat Operator Inspection Program E# Dog ❑Cat j Spayed/Neutered A License Fee $00 i t _�±et ame �44 _� Bi hdate - r-- Sex Colo Breed C / �f�,��,v Replacement $ i ? { Decl red Dangerous or Potentially Dangerous Dog: ❑ Y N { MIC 0 C H I P # W l�rPAo �� f (If applicable) SUBTOTAL: $ tl ; P ES VACCINATION DATE: 1,o (3 yr) �,% (I yr) ___— City Tag # � a PE #2 Dog ❑ Cat Spayed/Neutered License Fee $ -r Pet ame Birthdate i-Sex -1. r Asi 24 jilf— Breed** Replacement $ Declared Dangerous or Potentially Danger Dog: ❑ Y 1W N ,o MICROCHIP # /�i2� df applicable) /` SUBTOTAL: $ i RABIES VACCINATION DATE: c W " _ (3 yr) '✓ (1 yr) City Tag #- '1c 950 PET #3 ❑ Dog ❑ Cat. ❑ Spayed/Neutered License Fee $ Pet Name _ irthdate Sex Color jot Breed* Re meet Declared Dangerous orntially Danger o og: ❑ ❑ N MICROCHIP #f (If app IC SUBTO RABIES VACCINATION D T (3 r) (1 yr) Ci 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 fornewpets/newresldenls) 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/Idtten residency. i ® LICATI If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair • 218 S 16th St • Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit LICENSE RENEWALS ARE DUE: March 15, 2021 Owner Name: 3 Owner Address: ' 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 311512021. 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 Stabs Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET # 1 r7) Dog ❑ Cat 0 Spayed/Neutered License Fee $ I '- Pet Name_ Birthdate i Sex i\1 Color '3 i! vm Breed** � �Oc' I : Rep/acement$ ** E'f Declared Dangerous or Potentially Dangerous Dog: ❑ Y N 1 MICROCHIP # 11i .. �( �t-f i iLi (If applicable) SUBTOTAL: $ tx RABIES VACCINATION DATE 3 y) (_ ".? h" r yr) am_ City Tag ( PET #2 ❑ Dog f>l Cat Spayed/Neutered r License Fee $ �� Sex r z BiAdate _ i i �f d6lor }; a_. is P- i ; Breed" Replacement $ ** lo i peclared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N . MICROCHIP # - - (If applicable) SUBTOTAL: $ ) RABIES VACCINATION DATE: I 1 t (3 yr) (1 yr) City Tag # PET #3 ❑ Dog CJ Cat 0 Spayed/Neutered License Fee $ f` Pet Name k t t.. Birthdate t`. Sex 1— Color geed" Rep/acement$ ** Declared Dangerous or Poteri ly Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: 1 r, _ (3 yr) (1 yr) City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not send Cash by Mail TOTAL ENCLOSED $ If you have questions, please contact Blair Police Department at (402) 426-4747 ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15/ate fee date not applicable fornewpets/new residents) Newlv Acouired 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. 03/09/2022 17:03 4024260101 HOLSTEIN VET CLINIC PAGE 02/02 2022 PET LICENSE VERIFICATION/APPLICA.TION. 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 GLAIR — 218 S. 16TH ST — BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADUI:r DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. ***PLEASE READ CAREFULLY*** YOU ARE REQ IRED BY W TO LICE E YOUR PET . THE Gi rY OF GLAIR RE UIRES PROOF OP RABIES VACCINATION Failure to do so is a violation of City Ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSE RENEWALS ARE DUE BY 3LISJ2022. The city shall recognize a microchip ID number as the license number. It shall be unlawful for any dog or cat to wear any license or other city 10 other than that issued by the City of Blair for ten such dog or cat. NEW PET LICENSING Must be licensed within 10 days of ownership (OR) at 6 months of age if puppy or NEW RESIDENT$ TO BLAIR Must register pets within 10 days of residency Owner Name Spouse Owner Address City/State/Zip Phone # Pet Name: Daisy Age: 3Y DOB: 03-20-18 Breed: Goidendoodle Microchip # Pi FABE INCLUDE CITY T, Sex: Spayed Female NUMBER IF THIS IS A RABIES VACCINATION DONE ON 107-11-19 Rabies Description: 1 YEAR Kelly Storjahalnn Mike 346 E. Baronage Dr. Blair, NE 68008 402-426-2664 Color: Gold Rabies Tag # 17108 IIF AVAILABLE); # —II 3 YEAR Holstein Veterinary Clinic Dr, Lisa Schrum DVM : Dr. Krlstg Ha/stein DVM 718 South 1911 Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinic@gmail.com LICENSE FEE-6 Intact Dog or Cat: $16.00 A�ered D g or to $11.0 Replacement Tag $5.00 I , Total $_ PETS r_HAj,6RE ON THE ACTIVE POTENTIALLY D NGEROUS 0R DAWERO DD�NfE—D TD REGIsTEA DIRECTLYAT GITYHALL• FAXED 03-09-22 BY i � ,1��,�� w/� i� ,i,lir i � I � �,li: °!��^•�.,$rF � 71)ir r. .','rn Ih i,14it. � ai?��)� �4 ",�. ,'.-;. �; �•!;'. �a, iJ. it !,. Vti C., i l.. PAGE 01/02 03/09/2022 17:03 4024260101 HOLSTEIN VET CLINIC 2022 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF BLAIR IF You'LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT(S), COMPLUE THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF BLAIR — 218 S. j,6TH ST — BLAIR, NE 68008. YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE. (3) ADULT CATS PER RESIDENTIAL OR DWELLING ***PLEASE READ CAREFULLY*** YOU ARE E UIRED BYLAW TO LICENSE YO1 ID PETS. THE CITY OF B IR RE UIRES PROOF OF RABIES VACCINATION. Failure to do so is a violation of City Ordinances 6,103 and carries a penalty of a fine up to $150,00 per pet. PET LICENSE RENEWALS ARE DUE BY 3 15 2022. The city shall recognize a microchip Ib 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: Herky Age: 10Y — DOB: 11-01-11 Breed: Dachshund Sex: Neutered Male Microchip # PLEASE INCLUDE CITY TAG RABIES VACCINATION DONE ON IF TM IS A RENE Fol6-21 Rabies Description: 1 YEAR Kelly Storjahann Mike 346 E, Baronage Dr. Blair, NE 68008 402-426-2664 Color: Rabies Tag # 18820 (IF AVAILABLE): # 3 YEAR Holstein Veterinary Clinic Dr. Lisa Schrum DVM : Dr. Krista Holstein DVM 718 South 191h Street Blair, NE 68008 402-426-7387 402-426-0101 Fax hoisteinclinic@gmail.com UMNSE kEE—S Intact Dog or Cat: $16.00 Do r( at: $11. 0, Repla nt Tag $6,00 Total I ' "D PETS 'rAT ARE ON THE ACTIVE P TENTIALL ANGERO OR DANGE'RQUS DOG LLLT NEED TO REGISTER DIR-ECTLYAT dw HALL, (LIt �t 7(1�1)1 A 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 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: ) " t k " C V\' Owner Address: _ r "i (" ok `1 — 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 T Dog ❑ Cat Spayed/Neutered License Fee $ 1 Pet Name c- j®_ Birt date Sex i Color _ it,t.' __ Breed** t. Replacement$ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y N MICROCHIP # (wy i4 I t f� i °z- (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: 7-I _ (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 # ET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Birthdate Sex Color _ _ Breed** _ Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: _ (3 yr) _ W License Fee $ Replacement $ SUBTOTAL: $ (1 yr) City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not Send Cash by Mall TOTAL ENCLOSE® 0,00 If you have questions, please contact Blair Police Department at (402) 426-4747 NEW PET/NEW RESIDENT LICENSING REQUIREMENTS(March 15late fee date not applicablefor newpets/newresldents) Newly Acquired Pets:. New Residents to Blair: • Must be licensed within 10 days of ownership m Must register pets within 10 days of • <OR> at 6 months of age if puppy/kitten residency. F t CITY OF BLAIR ® 2022PET 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 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, 2022 Owner Name: Ma K K<�+u+z—naji 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 # 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.®® cat. The City of Blair requires proof of rabies vaccination. ® Altered Dog or Cat: $11.00 — Repl?cernent Fee for Lost Tan: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog 6c Cat Operator Inspection grogram ET ## 1 ��og ❑ Cat ❑ Spayed/Neut red License Fee $ �- Pet Name_ Birthdate ball ZD Sex Color _ Breed** k" Replacement ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # _^ (If applicable) SUBTOTAL: $ RABIESVAC ATI INN DATE: 0 2DW (3 yr) (1 yr) _ City Tag # j00f` "# h PET ##2 Dog ❑ Cat ❑ Spayed/ Neute ed License Fee $ Pot Name vt Birthdate I S x ' C for Breed** Eo __.Replacement$ ** Declared D gerous or Potentially Dangerous Dog: ❑ Y ❑ N *ROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION ,RATE: C(`J (3 yr) (1 yr) City Tag # 0(7 ET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color v Breed** �i _ 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 ENCLOSE $ If you have questions, please contact Blair Police Department at (402) 426-4747 ....:".... ++++++......... ++. +. +........................ ++++. +.............. +. + NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March15/ate fee date not applicable fornewpv lnewre5idenis) Newly Acquired Pets: New Residents to Blair: in 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 - PET LICENSE APPLICATION�r. 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 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 A E DUE: March 15, 2021 Owner Name: rJ" �% '� �, �\ Q Owner Address: /fj-g � City/State/zip: Blair, NE 68008 Phone # �16 2, - =s o Drivers License # or Date of Birth LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat; $11.00 14 LU Replacement Fee for Lost Tag: $5.00 ` ' Included Is a State Fee of $1,25 being collected to fund the A: ***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 $160.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3/1512021. The City shall recognize a microchlp 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 Blalr requires proof of rabies vaccination. & Cat PET # 1 4 Dog ❑ Cat &,Spayed/Neutered License Fee $ Pet Name It!(,' c- Birthdate ,�- - . Sex Color , x-,b �% Breed** s-4 Replacement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y �Q N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: , (3 yr) (1 yr) City Tag # `1 PET #'2 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed** Replacement$ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed** Replacement$ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE:. (3 yr) (1 yr) City i ag # *PLEASE INCLUDE THE CITY TA© NUMBER IF THIS IS A RENEWAL ** (This fee Is due along with License Fee if requesting at the time of license renewal.) VISA / MC # Signature Do Not Send Cash -by Mail TOTAL ENCLOSED $ Expires: - Security Code: If you have questionsi -please contact City Hall at (402) 426-4191 or by Fax: (402) 426-4195 ++..++++.*+....**+.....+++.++.......**.*........++++++......++f.+.*++++.....++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15/ate fee date notappllcable fornewpely1newre5ldents) Newly Acquired Pets: New Residents to Blair: ■ Must be licensed within 10 days of ownership ■ Must register pets within 10 days of n <OR> at 6 months of age If puppy/kitten residency, May 10 :2 09;07a p,1 Thone Animal Hospital (402) 426-3630 902 S Hwy 30 Blair, NE 68008 ZOLZ CITY OF BLAIR - 2492 PET LICENSE APPLICATION If you five in Blair City hmit$ 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 $t • 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,L Owner Address: City/state/zip: Blair, NE 68008 Phone # 4() Z' 2_—+� V[p A LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 ***PLEASE READ YOU ARE REQUIRED BY LAW TO LICENSE: YOUR PETS, Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet PET LICENSES RENEWALS ARE OUE BY ajAALZg21. 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 c'y identlHcation other than that Issued by the City of Blair for such dog or cat. The City of Blair requires proof of rabies vaccination. Included is a State Fee of $1.25 being colkxted bo fund the Nebraska Dog & Cat Operator inspection Program PET #1 Dog ❑ Cat 14 Spayed/Neutered License Fee $ �1 i CMG Pet Name G" _ Birthdate �� .) Sex - erv�rnl } Color Rtcxc. _ Breed** _��*jz��( ` s& Replacement$ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y A N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: S - 4s 2b (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) (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: $ 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 $ 11. If you have questions, please contact Blair Police Department at (402) 426-4747 ......... a..........4........................................................... NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15/atefa- ct& notapplicaAe fornewpej,/newrr�5jifaq 5J Newly Acquired Pets' New Residents to Blair: ■ Must be III Wu7n 10 days cr um-le�tp � Mt.lst r ggtsf r pets tvlthln 10 days of ■ <0R> at 6 monft of age iFp_NMtle~l n adency,