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T0 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 �DUUE: March 15, 2022 , m Owner Name: I �. I ', I r7.� f � Owner Address: L I _SLJ to i:Lb C f — city/state/zip: Blair, NE 68008 Phone # % ZZ du / 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: $5.0n Included is a Mate Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program FIET # Dog ❑ Cat / Spay 'Neutered License Fee $ ADJA Name P-�` % Birt date J t t c Sex for I nl� Breed** L_IAI_� 1 AA, _ Replacement $ U D eclared Dangerous or Potentially Dangerous Dog: Lf Y� N / CROCHIP # (If applicable) SUBTOTAL: 6IES VACCINATION DATE: Z" Z, (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 Pet Name Birthdate Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ License Fee $ Replacement $ * * SUBTOTAL: $ (1 yr) City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) C� `� Do Not Send Cash by Mail TOTAL ENCLOSED V� If y u have questions, please contact Blair Police Department at (402) 426-4747 .+++.++++++++++++.....+++++++++.++.....++++++.....++++++.......+++.....>•¢.++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (Marchl5/ate fee date not applicable fornewpets/new residents) Newly Acquired Pets: New Residents to Blair: • Must be licensed within 10 days of ownership N Must register pets within 10 days of • <OR> at 6 months of age if puppy/kitten residency. /11/2022 11:14MI FAX 4025332723 BLAIR SMALL ANIMAL 0 0001/0001 CITY OF BLAIR - 2022 PET LICENSE APPLICATION payable to; If you live in Blair City limits and own a dog(s) and/or cat(s), complete this formreturn City of Blair a 218 S 16th St • Blair, NE 68008 K3143.—d 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: MarCl 15, Owner Name:��— owner Address: city/state,/zip: Blair, NE 68008 _ Phone #rJ' LICENSE PEES: Dog or Cat: $16.00 C t• $14 00 ***PL-ASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW To LICENSE YOUR PETS. Failure to do 90 is a violation of City ordinances 6.103 and carries a penalty or a fine up to $150.00 per Pet - PET LICENSES RENEWALS ARE DUE 0Y 3/a S12022. The City Shall recognize a microchip, Identification number as the license number. it shall be unlowful for any dog or cat to wear any license or other city IdentIflcatl0n other than that Issued by the City of Blalr for such dog or cat. The City of Blair requires proof of rabies vaocinatlon. Altered Dog or a . -—IReplacertent- Fee for Lost Tag-.-- $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspecdon ' Program PET #'1 ,Dog ❑ Catpayed/Neutered License Pee $ ti mad a Pet Name, ' Bifthd* a S Re /acement$ ** Color Breed p Declared Dangerous or Potentially Dangerous Dog: ❑ Y N SUBTOTAL: $ MICROCHIP # f applicable) —�* ,i. RABIES VACCINATION DATE; 'w1'� (3 yr) 1 (1 yr) City Tag#�-? .n µ PET #2 ❑ Dog 0 Cat 0 Spayed/Neutered License Pee $ Pet Name Birthdat* Sex Rep/acement$ ** Color Breed Declared Dangerous or Potentially Dangerous Dog: le ❑ N SUBTOTAL: $ MICROCHIP # applicable) RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag #� PET �#3 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate _— Sex ** Color Breed** Rep/acement $ Declared Dangerous or Potentially Dangero (If applicable) ) N SUBTOTAL: $ _ MICROCHIP # 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.) DolVotSend Cash by Mail TOTAL ENCLOSED $ If you have questions, please contact Blair Police Department at (402) 426-4747 •F-F*t...Fah•F•I.........++t++............-F...t...........i-.....+*t+.•F.............. NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (MWOt 15/ale fee date notappll:27b/E k7rnew peWnewl>°S/derJts) fL""'�'"ne Must register pM within 10 days of ■ Must be lioe��ed Wthin 10 days of ownershlp. residency. • <OR> at 6 months of age W puppy/Id m ." , 03/17/2022 14:29 4024260101 HOLSTEIN VET CLINIC 2022 PET LICENSE ". VERIFLCATION/APPLICATIQN FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT(S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF BLAIR — 218 S. 16TH ST — BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. 0 ***PLEASE READ CAREFULLY*** YOU ARE REQI,IIRED BY LAW TO LICENSE YOUR PETS, THV GI'11f F BLAIR RE UIRES PROOF Of RABIES V INATION. 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 SY 311512022• The city shall recognize a microchip ID number as the license number. It shall be.unlawfui 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 Linda Taylor Spduse,'. ©weer Address 2016 Cauble Creek Circle City/State/Zip Blair, NE 68008 Phone # 402-390-0533 Pet Name: WONSEB. Age: 11Y DOB:—04-30-10 Sex: Spayed Female. Color: White/Gray Breed: Pekingnese Microchip # Rabies Tag # 17332 PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A. RENEWAL (IF AVAILABLE): # RABIES VACCINATION DONE ON 10-17-19 Rabies Description: 1 YEAR EAR LICENSE FEES Intact Dog or Cat: $16.00 Alta og or at: $11.00 ep acement Tag Total �Jrf PETS THAT ARI= ON THE ACTIVE POTENTIALLY DANGEROUS OR DANGEROUS OQG LIST NEED TO REGISTER DIRECriKAT CITY HALL. Holstein Veterinary Clinic Dr, ,Lisa Schrum DVM : Or, 016ta Holstein DVM 718 South 191h Street Blair, NE 68008 402-426-7387 402-426-0101 ' Fax holsteinclinic@gmail.com FAXED 03-17-22 BY A, rtl �r2e{�rft;��!l�ulnw`ti�iuh�"It+,� i'�ti?1M•i 03/17/2022 14:29 4024260101 HOLSTEIN VET CLINIC 2022 PET LICENSE VERIFICATION/APPLICATIONFOR CITY GOF) BLAI0 IF YOU LIVE IN BLAIR CITY LIMITS AND OWN AD () AND `r• COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF BLAIR — 218 S. 16TIA ST •- BLAIR, NE 6800& YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, 13UT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR=b,WELLING PAGE 02/02 ***PLEASE READ CAREFULLY*** � YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. THE CITY OF'RLAIR REQUIRES PROOF OF R�1g�E,S VA9CINAT►ON. Failure to do so is a violation of City Ordinances 6.103 and catries a penalty of a fine up to $150.00 pe'r pet. PET LICENSE RENEWALS ARE DUE BY 3/15/2022. The city shall recognize a microchip ID number as the license number. It shall be unlawful for any dog or cat to wear any license or other city ID other than that issued by the City of Blilr for such dog or gat. NEW PET LICENSING Must be licensed within 10 days of ownership (oR) at 6 months of age if pup'py-or kitten NEW RESIDENTS TO BLAIR Must register pets within 10 days of residency, Owner Name Linda Taylor Spouse Owner Address 2016 Caluble Creek Circle Pity/State/Zip Blair, NE 68008 ,r Phone # 402-390-0533 r Pet Name: Schwartz Age; 13Y DOB: 09.17-08 Sex: Male Color: Black and White Breed: Pekingnese 1 Microchip # Rabies Tag# 17331 PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE). # RABIES VACCINATION DONE ON 10-17-19 Rabies Description: 1 YEAR C3 YEAR �a. Holstein Veterinary Clinic Dr, Lisa Schrum DVM Dr. Krista Ho/stein DVM 718 South 191h Street Blair, NE 68008 402-426-7387 402-426-0101 Fax hoisteinclinic@gmaii.com LICENSER PEES to r Cat: $1 6.00 Altered Db 11.00 Replacement Tag 1 CT(L $5.60 _Total-C� PETS THATARE ON THEACTIVEPOTENTIALLYDANGEROUS OR DANGEROUS DOG LIST NEED TO REGISTER DIRECTLYAT CITY HALL. FAXED 03-17-22 BY V RD vtc 41 1-1-7Z CITY OF BLAIR 2022 PET LICENS�DjIP LqCATION 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 e 218 S 16th St @ Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: Larch 15, 2022 Owner Name: Owner Address: city/State/zip: {lair, NE 680 Phone #t-1 0. ), .- ta., 4 (t% - G 6 LICENSE FEES: R `I' Replacement ***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. T # 1 Dog ❑ Cat 4'Spayed/, N utered _ License Fee $ 11 , 00 vo Name_ c Birthdate 2 i Sex i Co(v C.. Breed** L1 it r��f _l�.t, _i_� Replacement$ ared Dangerous or Potentially Dangerous Dog: ❑ Y 4N JCBIES ROCHIP # c, 1� (If applicable) SUBTOTAL:$ VACCINATION DATE: (Ca. = I / (3 (yr) / Y, (1 yr) City Tag ,# Ar ET #2 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ et Name Birthdate Sex olor Breed** Replacement$ ** eclared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N - ICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) __ (1 yr) City Tag #�* PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed** Replacement$ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) ®o Not ,Send cash by Mail TOTAL C L S CC If you have questions, please contact Blair Police Department at (402) 426-4747 ++++++.+++++.....r+++++.........+..............++++++++++++++++++++++++.....+ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15/ate fee date notapplicable fornewpets/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. 12 5� I Ind 902 S Hwy 30 Blair, NE 68008 402-426-3630 Printed: 07-20-21 at 10:03a FOR: Melissa Templar Date: 07-20-21 1113 North 28th St Account: 9782 Blair, NE 68008 Invoice- 101487 (402) 616-6194 Date For Qty Description Net Price 07-20-21 Kowe 6 Spectrum Orange 2-8# #23404 48.00 07-20-21 3 Effitix 5 -10.9 #23405 39.00 07-20-21 1 Examination 41,00 07-20-21 1 Betagen Topical #23406 11.00 07-20-21 Cash payment -140.00 07-20-21 #EFB Cash Refund 1.00 Old balance Charges Payments New balance 0.00 139.00 139.00 0.00 Reminders for: Kowe (Weight: 7.6 lbs - 17m) Fast done 06-23-24 Rabies Vaccination (3 Year) 06-24-21 06-24-22 DA21PPV 06-24-21 06-24-22 Bordetella, P13 Intra-trac 3 06-24-21 02-18-22 Hwt Dog (Heartworm Test) 02-18-21 You Can Order Your Pet Supplies On animalcareofbiair.com. Like us on Facebookil CITY OF BLAIR - 2022 PET LICENSE APPLICATION , If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair • 218 S 16th St • Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit LICENSE RENEWALS ARE DUE: March 15 2022 i @ Owner Name: Qr 6" 16'ila Owner Address: fflvd City/State/Zip: Blair, NE 68008 Phone # A lal � -Cage 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 Cityshall recognize a microchip identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city Identification other than that issued by the City of Blair for such dog or cat. The City of Blair requires proof of tables 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 LY Dog ❑ Cat LYSpayed/Neutered License Fee $ Pet Na Birthdate 0 Sex Color Breed** 'kP I M Replacement$ ** Declared Dangerous or Potentially Dangerous Dog ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: -17 (3 yr) (1 yr) City Tag # �* PET # 2 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Birthdate Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Birthdate Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ License Fee $ Replacement $ ❑N W SUBTOTAL: $ (1 yr) City Tag # License Fee $, Replacement $ * * SUBTOTAL: $ (1 yr) _ City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not Send Cash by Mail TOTAL ENCLOSED $ 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 lioensed within 10 days of ownership ■ Must register pets within 10 days of ■ <OR> at 6 months of age if puppy/kitten residency. JI CITY OF BLAIR - 2022 PET Ud44 If you live in Blair City limits and own a dog(s) and/or cat(!), complete this form and return with check made payable to: City of Blair a 218 S 16th St a Blair, NE 68008 Yoia 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 u it.Pi At NA V5 l LICENSE RENEWALS IIARE DUE: March \ 11!5,�2022 Owner Name: efJ Ut 0l 7� - / , eg, o —'P�. o dyL,- J� O_V Owner Address: 2- 3 1 � (sra.-Vt + C -r City/State/Zip: Blair, NE 68008 Phone# 40Z- R68-202 ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. � n g Failure to do so is a violation of City ordinances 6.103 and cagr a penalty of a fine up to $150.00 per pet. i 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 City of Blair requires proof of rabies vaccina, 'on. ; a -1A a t1l #"I LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET #1 1Dog Li Cat t�Spayed/Neutered License Fee $ '� l Pelt Name VL"O` Birthdate oq 2b08 Sex Fem4t C for pS e. _ Breed** 6 \ e- Ik ee l of M � x Replacement $ D clared Dangerous or Potentially Dangerous Dog: ❑ Y Ld N M CROCHIP # 9 9 L- D Q 6A&ZT� 6 (If applicable) SUBTOTAL: $ BIES VACCINATION DATE: q 12-�1 2020 (3 yr) ✓ (1 yr) City Tag # V PET # 2 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name_ Birthdate Sex Color _ Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # _ (If applicable) RABIES VACCINATION DATE: (3 yr) _ License Fee $ _ Replacement $ ❑N PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Birthdate Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # _ (If applicable) RABIES VACCINATION DATE: (3 yr) -- SUBTOTAL: $ (1 yr) City Tag # License Fee $ Replacement $ _ SUBTOTAL: $ (1. yr) City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not Send Cash by Mail TOTAL ENCLOSED � 0 � If you have questions, please contact Blair Police Department at (402) 426-4747 ........-.4.++++........+....++...........................+.++++++++++.++...... NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15late fee date not applicable fornewpeis/new residents) Newly Acquired Pets: New Residents to Blair: ® Must be licensed Wthin 10 days of ownership ® Must register pets within 10 days of <OR> at 6 months of age if puppy/kitten residency. C D Z O Z 0 o + rn o o o 3 5 0 v w o (a cn -o Z O O �. m WL z D > m cn (n �� m w w � p a w m m a a Cmn Q cn DO w Qrn L µ a Q n Cm CO O No c co m Cad CD m ' y o 41 V = Q 4Q 1`1 C�7 CL a w <` m o O m T D D --I .� m ;CD co y S (D CD CD w m -=G o a�a� �� m CD CD zoo 20 VP c t\i I m m m m m m 'o D D D D D D n c r Z r c r Z z Z Z Z Z m N n Z m m m m W� m m m m m m 0 = r m Z m O O m O m of 'SO C> O m m 1 0 m x< z �o Zn m m (�� cn --7o I << -� c cn z DD< O O z , m m o c Oo < c ao c m I _ S m M tt�� v C u)� m fn 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 , i. or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE IJE: Marc 022 Owner Name: Z 8) 1 M I W1014 Ps A +Pn A Owner Address: 4 liz City/State/Zip: lair, NE,158008 0 an LICENSE FEES: Dog or Cat: $16.00 hifararl! nnn nr rqt! Oki I _nn ***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 3/1512022. 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 City of Blair requires proof of rabies vaccination. Replacement Fee for Lost Tag: $5.00 Included is a to Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET #1 L11 Dog cat )(Spa ed eutere License Fee $fLo-0-12 1 , Pet Nagle Birthdate $ex Color i m4fA0' 1/'/,t 1A, A P Breed" 1 cement $ Declared-ba'n'gerou- s �r'gotenfially an, LJ Dangerous Dog: ❑ Y LJ N 0q,? MICROCHIP r_11R0C)�qn If applicable) SUBTOTAL., $ RABIES VACCINATION DATE:() yr) _,V _ (1 yr) _ City Tag # 9* PET #2 LJ Dog J Cat L] Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed" Replacement$ Declared Dangerous or Potentially Dangerous Dog: LJ Y LJ N MICROCHIP # —(If applicable) SUBTOTAL:$ RABIES VACCINATION DATE: (3 yr) — (I yr) — City Tag # PET #3 LJ Dog LJ Cat LJ Spayed/Neutered License Fee,$ Pet Name Birthdate Sex Color Breed** — Replacement$ Declared Dangerous or Potentially Dangerous Dog: LJ Y LJ N MICROCHIP # I —(If applicable) SUBTOTAL:$ RABIES VACCINATION DATE: i �— (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 $ 100— 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 fornewlvty1new residents) Newly Agguired Pets: New Residents to Blair: • Must be licensed within 10 days of ownership m Must register pets within 10 days of • <OR> at 6 months of age if puppy/kitten residency. CITY OF BLAIR - 2022 PET LICENSE APPLICATION �. If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair • 218 S 16th St • Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2022 Owner Name: ! Owner Address:'` City/state/zip: Blair, NE 68008 r Phone # LICENSE FEES: Dog or Cat: $16,00 Altered Dog or Cat: $11.00 ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3/15/2022. The City shall recognize a microchip Identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city identification other than that issued by the City of Blair for such dog or cat. The City of Blair requires proof of rabies vaccination. Replacement Fee for Lost Tag: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET #1 Dog ❑ Cat Spayed/Neutered License Fee $ Pet Name Uy" � , � �) U ` - Birthdate � " 1 `� � �s Sex Color i i i,! Breed** ' ;: : a� C Rep/acement $ * * Declared Dangerous or Potentiallv Dangerous Dog: ❑ Y ❑ N MICROCHIP # _ / _(If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: . _ � (3 yr) (1 yr) City Tag # `: ` I * PET # 2 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Birthdate Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Birthdate Sex Color _ Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ ■W (1 yr) (1 yr) License Fee $ Replacement $ SUBTOTAL: $ City Tag # * License Fee $ Replacement $ SUBTOTAL: $ City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not Send Cash by Mail TOTAL ENCLOSED $ If you have questions, please contact Blair Police Department at (402) 426-4747 ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS(March 15late fee date not applicable for newpets/new residents) Newly Acquired Pets: New Residents to Blair: ■ Must be lioensed within 10 days of ownership ■ Must register pets within 10 days of ■ <OR> at 6 months of age if puppy/kitten residency. WX 01/21/2022 17:03 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), COMPLIEfE THIS FORM AND RETURN WITH A CHECK PAYABLE T0= CITY OF BLAIR - 218 S. 16TH ST - BL.AIR, NE 68008 YOU MAY LEGALLY OWN A COM131MATION 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 RE RE UIRED 13Y LAW TO LICENSE YOUR pp`rr,. 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 $IS0,00 per pet. PET LICENSE RENEWALS ARE DUE BY 3 t5 2022 The city shall recognize a microchip ie number as the license number. of Blair for such dog or cat. It shall be unlawful for any dog or cat to wear any license or other city ID other than that issued by the City 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 Maggio Thomas Spouse Matt Owner Address 2044 Northridge Circle City/State/Zip Blair, NE 68008 ''hone # 402-278-0260 Pet Name: MoIIY Age: 6Y Sex: Spayed Female Color: Gold DOB; 03-07-15 Breed: Goldendoodle Microchip # 985112004611481 1 Rabies Tag # 17187 PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE), It RABIES VACCINATION DONE ON 108-22-19 Rabies Description: 1 YEAR Holstein Veterinary Clinic Dr. Jisa Schrum DVM ; Or. Krista Holstein DVM 718 South 1 91hStreet Blair, NE. 68008 An9_d9R-710 402-426-0101 Fax holsteinclinic@gmail,COM W LICF:MSE-EEES Intact Dog or Cat: $16,00 ,4I erad Dog cat: $11. Replacement Teg $5.00 Total $.—. PETS THA r ARE ON YHE ALTJVOTENTI LLY DAN EROUS OR i III c .l i 321 PPLICATION CITY OF BLAI 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 0f 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 I or three (3) adult cats per residential or dwelling unit. a LICENSE RENEWALS ARE DUE; March 15, 2022 Owner Name: Owner Address: 22 5 1 �j f ` city/state/zip: Blair, NE 66006 Phone # L2 b- 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 i D o g ❑ Cat OSpaynd/rxieutered License Fee $ 00 Pelt Name Birthdate o a Sex 11,t, Breed** Replacement$ ** ll' '04clar d Dangerous or Potentially Dangerous Dog: ❑ Y ,�( N ' `MICR CHIP # (If applicable) SUBTOTAL: $ > l DO �° BIER VACCINATION DATE: /'tg-/6, -,��> (3 yr) ✓ (1 yr) City Tag # '� PET #2 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ `' Pet Name Birthdate Sex Color _ Breed** Replacement$ ** s , � Decla d Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ JBT�S VACCINATION DATE: (3 yr) _ (1 yr) City Tag # PET # 3 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed** Replacement$ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not Send Cash by Mall TOTAL ENCLOSED 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 0 Must register pets within 10 days of ® <OR> at 6 months of age if puppy/kitten residency. CITY OF BLAIR - 2021 PET LICENSE APPLICATION w s 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: 0 ,r► r!��d, �t c�_ Owner Address: 9 0 5 (0 > L. J J� (I V City/State/zip: Blair, NE 68008 Phone # L� ' — �i " _ L `� 9 Drivers License # or Date of Birth LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS, Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3,/15/2021. The City shall recognize a microchip Identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city identification other than that Issued by the City of Blair for such dog or cat, The City of Blair requires proof of rabies vaccination, Induded is a State Fee of $1.25 being collected to fund the Nebraska Dogilk Cat Operator Inspection Program PET # 1 D o g ❑ Cat ' Spayed Neutered License Fee $ Pet Name Birt date C Z S xTt r� LSD. Color 17-3 jj="P g— Breed** Replacement$ Declared Dangerous or Potentially Dangerous Dog: ❑ Y N MICROCHIP #R585 11 OC,19'4 1 (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: �J zrsl (3 yr) _,X,._ (1 yr) City Tag # * PET # 2 Dog ❑ Cat Spayed/Neutered License Fee $ t Pet Name e- Birth ate f I Sex �dlt,r 1 Color Breed**a 1 ttnrl;.�_ Bap/acement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y AN i MICROCHIP # qS) 5- AZ b 9 :4 -? b (If applicable) SUBTOTAL: $ ! ,,,, RABIES VACCINATION DATE: " Z (3 yr) X (1 yr) City Tag # {pL* PET #3 Pet Name _ Color ❑ Dog ❑ Cat ❑ Spayed/Neutered Birthdate Sex Breed** License Fee $ Replacement $ — * * Declared Dangerous s og: �tTi� (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.) cUn!,.'e� i¢qJ aIOW 0 vn Nmc„ -.nlccm . . ,zicm.,w„.w„rneor,,. vnrt,^+xigi ra,;,=, SE® $ 78-873/014 MICHAEL D. THORNBURG LORA K. THORNBURG 402.426-5309 805 N. 24TH AV Dnlc BIAIR, N order of ` EAT WESTE W W W.GREATWESTERNBANK.COM MEMBER FDIC _ i -- 9221 Security Code: Z� i Fax: (402) 426-4195 +++++++++++++++++++++ o for new pets/newres/dents) thin 10 days of 1:0 9 i1408 ? 3 41: 60000 40 98 ?n' 9 2 2 L 1W CERTIFICATE OF VACCINATION Date of Rabies Vaccination: 05-15-21 Next Rabies Vaccination On: 05-14-24 VETERINARY CLINIC Holstein Vet Clinic 718 South 19th Street Blair, NE 68008 402-426-7387 Certificate No: 0 Previous Rabies Vaccination: OWNER OF ANIMAL Michael Thornburg 805 N 24th Ave Blair, NE 68008 County: This is to certify... THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Callie TAG NO: 19165 SPECIES: Canine WEIGHT: 11.60 SEX: S AGE: 3 years Color and markings... Signed Lisa Schrum, DVM License: 2310 Rabies Vaccine Information... MFG BY: ZOETI SER.NO: 402242 LOT EXP: 07/20/21 ADM: SQ If you live in Blair City limits and own a clog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair a 218 S 16th St ® Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2022 "-) --- . ***PLEASE READ CAREFULLY*** Owner Name: c A) ���%� ( 0 1 p� I YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Owner Address: �7) l Q _ 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 �• j l PET LICENSES RENEWALS ARE DUE BY 3/15/2022. The City shall Phone # ("� �) �) 6� 1 -) k ` rrecognize a microchip Identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city Identification other than that Issued by the City of Blair for such dog or LICENSE FEES: Dog or Cat: $16.00 cat, The City of Blair requires proof of rabies vaccination. Altered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program ET # 1 Dog C a t Spayed/Neutered License Fee $ I Pet Name Bi hdate b ISex Color Breed** r r ;Jig�y ���'� �f Replacement $ ** Declared Dangerous lr Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: .3-5-2-2- (3 yr) (1 yr) L/ City Tag # * PET #2 ❑ Dog X Cat 11i Spa ed/Neutered . License Fee $ Pet Name Birthdate Sex _ Color Breed** " -sue_ Replacement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # _(If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: 3 'S'2 Z (3 yr) (1 yr) / City Tag # `.w PET #3 ❑ Dog 'M Cat ❑ Spayed/Neutered F License Fee $ Pet Name Birthdate Maw Sex Color 2- Breed** Replacement $ ** Declared; Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUIBTOTAL: $ RABIES VACCINATION DATE: 3 (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 INCLOSED $ 33,06 If you have questions, please contact Blair Police Department at (402) 426-4747 +.-a+++.....................++++++..........+++++++++++++++++++++.++....+.+++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15late fee date not applicable fornewpet5/newre5identSJ Newly Acquired Pets: New Residents to Blair: • Must be licensed within 10 days of ownership N Must register pets within 10 days of • <OR> at 6 months of age if puppy/kitten residency. 71 •MINE I Iror,191TIPPROM 902 S Hwy 30 Blair, NE 68008 402-426-3630 Certificate No: 3180 Previous Rabies Vaccination: 1%, W Nivil I rwANIVil Shawna Tierney 833 North 26th Ave Blair, NE 68008 County: I 's s to certify T I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. za- ki-If rID; "C' PATIENT: Ryder TAG NO: 007585 SPECIES: Feline WEIGHT: 0.00 SEX: N AGE: 4 years WA�_� HT9417�11 .1 03-05-22 DM Rabies Vaccination (1 Year), #007585 03-05-22 DM Fe 4Way (Rhino/Call/Panl/Chla) 03-05-23 Rabies Vaccine Information... MFG BY: ZOETI SER.NO: 542135 LOT EXP: 02-14-23 ADM: SQ ^ Blair, NE 68008 402-426-3630 This is to — IWNER OF ANIMA Shawna Tierney 833 North 26th Ave Blair, NE 68008 County: I PATIENT: Talli TAG NO: 0075Bri. SPECIES: Feline WEIGHT: 0.00 SEX: S AGE: 4 years 03-05-22 []N1 Rabies Vaccination (IYeor).#OO7588 03-05-22 OyN Fe4VVav(Rh|no/Ca|yPenNChka)O3-O5'23 ff-PRORWRO 911191PEN 902 S Hwy 30 Blair, NE .11 .1 . 1 This is to certify... Certificate 1• 3182 OWNER OF ANIMAL Shawna Tierney 833 North 26th Ave Blair, NE 68008 County: WillowNO: 007587 SPECIES: Feline WEIGHT: 0.00 SEX: S AGE: 4 years Signed Dr. Donna Mertz Vaccinations done... 03-05-22 DM Rabies Vaccination (1 Year), #007587 03-05-22 DM Fe 4Way (Rhino/Cali/Pant/Chla) 03-05-23 Rabies Vaccine Information... MFG BY: LOT EXP: i ADM: R Thone Animal Hosl (402) 426-3630 902 S Hwy 30 Blair, NE 68008 CITY OF BLAIR - 202APET LICENSE APPLICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair • 218 S 16th St * Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2021 Owner Name: `' i"t ;'';' 'i i N r \'4 Owner Address: w a l' cityfstate/zip: Blair, NE 68008 Phone # q 6( 2 - 21C - -• 921 LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO L[CENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a Fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3115/2021. The Cityshall recognize a microchip identlflcation 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. Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET # 1 ❑ Dog ;' Cat Spayed/Neutered License Fee $ Pet Name Birthdate -7-13 -15 Sex 1UQj-C-- Color C r r7c:yc Breed** , ; ri Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ® N MICROCHIP ## (If applicable) SUBTOTAL: RABIES VACCINATION DATE: l =,Z (3 yr) (1 yr) C City Tag # PET #2 ❑ Dog 4' Cat 0 Spayed/Neutered License Fee $ 11 Pet Name Sxj e j Birthdate -(0 , 6Sex i, n 1 ,i- Color gic~c Breed** 0s,)-A Replacement$ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y t N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: )-,5- -), {3 yr) (1 yr) — _ City Tag PET #3 ❑ Dog CI 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 CITYTAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not send Cash by Mail. TOTAL ENCLOSED $ If you have questions, please contact Blair Police Department at (402) 426-4747 ++++++++++++....++++++++++...... +++++t+++++++.....f t+f++++.+*+..........++++++ NEW PETJNEW RESIDENT LICENSING REQUIREMENTS (Marrs 15/atef date not applicable for new peLslnewresJr�enfs) Newly Acquired Pets: New Residents to Blair. ■ Must be lba-isecl Wd in 10 days of owne ship ■ Must register pets Within 10 days of ■ <0R> at 6 m aMs of age iF puppy/Idtben reside)y. d9 :0o zz 90 uar Thane Animal Hospital (402) 426-3630 902 S Hwy 30 Blair, NE 68008 CITY OF BLAIR - 204 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 Biair • 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: f Ld.r l: r�- ° ,• �� `� Owner Address; jg7e ✓: b'`' f ,,,--�-• citylstate/zip: Blair, NE 8008 Phone # LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 ***PLEASE MD 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 311612021, The Cityshall recognize a microchip Identification number as the license number. It shall be unlawful For any dog or cat to wear any license or other city Identification other than that issued by the City of Blair for such dog or cat. The City of Blair requires proof of rabies vaccination. Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET #1 0 Dog ❑ Cat ❑ Spayed/Neutered License Fee $ ► L •C-G Pet Name h(. Birthdate l i Sex vkat-e. Color / t ,.: Breed** ;x, /c Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y 2 N MICROCHIP •# (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: _1-' �2 (3 'yr) (1 yr)_ City Tag # PET #2 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed** Replacement ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) . (1 yr) _ City Tag PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered 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 NUM BER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Nat Send Cash by Mail TOTAL ENCLOSED $ If you have questions, please contact Blair Police Department at (402) 4264747 ++++++++++++++++++#...++-I.+++.++++++++++++++++++-F....+f++++++++++++++++-F....I-+++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (Mardi 15fate feedate natapplicablefarnew�ts/newresidents) Newly Acquired Pets: New Residents to Blair: ■ Must be licensed Whn 10 days of oNrer§iip ■ Must register pats within 10 days of ■ <OR> at 6 months cf age if puppy/16tten residency. Z•d d9t:00 ZZ 90 uep 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: �a1A2 Owner Address: % yn'2 City/State/Zip: Blair, NE 68008 Phone # L? " JXZ 7 ej 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 #1 Dog ❑ Cat ❑ Spayed/Neutered License Fee $ NameZ6t Birthdate ` S x _ _ ** r Breed** ix0 Replacement $ De lared Dan erous or Potentially Dangerous Dog: ❑ Y 2 N , M ROCHIP # (If applicable) SUBTOTAL: $ IES VACCINATION DATE:(3 yr) X (1 yr) City Tag # POET #'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) _ POET ##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 70rk (1 yr) (1 yr) License Fee $ Replacement $ SUBTOTAL: $ City Tag # License Fee $ Replacement $ c, • *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not Send Cash by Mail TOTAL CL SE If you have questions, please contact Blair Police Department at (402) 426-4747 .........++++.+....................++++++++++++++++++++++++++++++...........+ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March I5/ate fee date not applicable for newpets/newresldents) Newly Acquired Pets: New Residents to Blair: ® Must be lio=nsed within 10 days of ownership 0 Must register pets within 10 days of ® <OR> at 6 months of age if puppy/Idden residency. ■ 02/08/2022 16:01 4024260101 HOLSTEIN VET CLINIC PAGE 01/02 2022 PET LICENSE Q� VERIFICATION/APPLICATION FOR. CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOGS) AND /OR CAT(S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF BLAIR — 218 S. 16T" ST — BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL- OR DWELLING UNIT. ***PLEASE READ CAREFULLY'' YOU &IRE REQUIRED BY LAW TO LICENSE YOU EIS. THE CITY OF BLAIR RE0,y1RE5 PR OF OF RABIES VACCINATION. Failure to do so is a violation of City Ordinances 6.103 and tarries a penalty of a fine up to $150,00 per pet. PET LICENSE RENEWALS ARE DUE BY 3 15 2022. The city shall recognize a microchip ID number as the license number, It shall be unlawful for any dog or cat to wear any license or other city ID other than that issued by the City of Blair for such dog or cat. NEW PET LICENSING Must be licensed within 10 days of ownership (OR) at 6 months of age if puppy or kitten NEW RESIDENTS TO BLAIR Must register pets within 10 days of residency Owner Name Don Trevarthen Spouse Dixie Owner Address 1152 South Street City/State/Zip Blair, NE 68008 phone # 402�960-4340 Pet Name: Dory 0 v '• LI SE FEES Age: 3Y Sex: Spayed Female Color: Merle -DOB, 06-01-18 Dog or Cat',�16.00 Breed: HEELER/AUSSIE A ere Do or cat: $1 .00 Microchip,# 9851120'10634102 Rabies Tag # '19493 Replacement Tay PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE): # $5.00 RABIES VACCINATION LONE ON 09-18-21 ' 1 _ Total $1 Rabies Description: (A YEAR) 3 YEAR Holstein Veterinary Clinic Dr. Lisa Schrum DVM : Dr. Krista Ho/stein DVM 718 South 1911 Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinicC gmail.com PETS THAT RE ON THEACTIVE POTENTIA LY DANGE OUS OR UANGEROU$ DOG LIST NFED TOROISTER DIRELTLYAI CITY HALL, FAXED 02-08-22 BY ��, I i^1!ii; J; ��',�� ��.,l��lt t��/r ril�i`����C��,�°�j"s3i��t;T,�'i;l,..��"�pC.y:ihr�•yi�N{�)� 02/08/2022 16:01 4024260101 HOLSTEIN VET CLINIC PAGE 02/02 2022 PET LICENSE VERIFICATION/APPLICATION FOR CITY cOF) BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OW ( ) COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF BLAIR — 218 S. 16TH ST — BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT, ***PLEASE READ CAREFULLY*** YOU ARE REQUIRE BY LAW TO LICEhl. ES YOU PETS• TH ITY OF B IR RE IRES PR OF OF RABIES VA INATION. Failure to do so is a violation of City Ordinances 6,143 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. r for It shall be unlawful for any dog or cat to wear any license or other city ID other than months of age at issued by e City puppy of of rlk kitten such dog or cat. NEW PET LICENSING Must be licensed within 10 days of ownership NEW RESIDENTS TO BLAIR Must register pets within 10 days of residency Owner Name Don Trevarthen Dixie Spouse 1152 South Street Owner Address Blair, NE 68008 City%State/Zip "hone # 402-960-4340 Pet Name: Tinker Belle Age: 5Y Sex: Spayed Female Color: Black and Tan DOB:—04-01-16 Breed: Min Pin Microchip # Rabies Tag # 20065 PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE): # :��:d RABIES VACCINATION DON,t'6N -\�01-27-22 Rubies Description: �( 1 YEAR ) 3 YEAR Holstein Veterinary Clinic Dr. Lisa Schrurn DVM : Dr. Kristo Holstein ,DVM 718 South 19th Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinic@gmail-com 0 LIGESUSUEES. hitact Dog or Cat' $16.00 Altered Dog or cat: $11.00 H p/ cement. 0 $5.00 Total $_ PTSTHATAR7E ROUSEN 0ENAYOR DAN , OUS D 3 LIST NEE'Q TO REGISTER DIRECTL T CITY LL. N/ 01/27/2022 16:25 4024260101 HOLSTEIN VET CLINIC PAGE 02/02 2022 PET LICENSE ERIFICATION/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 BLAXR — 218 S. 16TH ST — BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO O E THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. 'PLEASE READ CAREFULLY'' Fail 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 microchip ID number as the license number. It shall be unlawful fol 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 LICEN IN Must be licensed within 10 days of ownership (OR) at 6 months of age if puppy or kitten NEW RESIDENTS TO BLAIR Must register pets within 10 days of residency Owner Name Don Trevarthen Spouse Dixie Owner Addre&s 1152 South Street City/State/Zip Blair, NE 68008 Phone # 402-9604340 Pet Name; Thike ICU — r Belle Age: 5Y DOB:—04-01-16 Sex: Spayed Female Color; Black and Tan Breed: Min Pin Microchip # Rables Tag # 20005 PLEASE INCLUDE CITY TAG NUMBER iF THIS IS A RENEWAL (IF AVAILABLE): # RABIES VACCINATION DONE ON 01.27-22 Rabies Descripti n: 1 YEAR 3 YEAR Holst Dr. Lisa S 718 SI Veterinary Clinic 7 DVA4 Dr. Krista Holstein DVM 191h Street Blair, NE 68008 -7387 402-426-0101 Fax ,,inclinic@gmaii.com LICENSE FEES Intact Dog or Cat: $16.00 /tered Do r cat: $1 .00 Replacement Tag $6.00 1 ,V Total $� PETS THAT ARE ON THE ACTIVE POTENTIALLY DAN�iF jVj OR DANGEROUS DOG LIST NEED TO REGISTER DIRECTLY AT CITY U&L. FAXED 01-27-22 BY illi?fj�u7a-;a"�:L"'.;,1l.;!�"•:�)pf,X1,;aT,,�l, {'Q•';r•-�/' 'F ?prF.�Ki;'r:„:r,i�,:art�ii^4'p:ay;1.;�1'N'.;;fl, 1s'�ai' Q`.F`'a��`'�.i•..�'':�'%' R-%.�r7q.'.'.. ,^ik,+u.Idtiii nG��'``��I11�!f' 01/27/2022 16:25 E i BUT NO O E 4024260101 HOLSTEIN VET CLINIC PAGE 2022 PET LICENSE tIFICATION/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 4P 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*** 01/02 0 � Fail 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 microchip ID number as the license number. It shall be unlawful foi any dog or cat to wear any license or other city ID other than that issued by the City of Blair for such dog or cat. NEW PET LICENSING Must be licensed within 10 days of ownership (OR) at 6 months of age if puppy or kitten NEW RESIDENTS TO BLAIR Must register pets within 10 days of residency Owner Name Don Trevartheln Spouse Dixie Owner Address 1152 South Street City/State/Zip Blair, NE 68008 Phone # 402-960.4340 i Pet Name: Lie m Age: 7Y DOB: 02-10-14 Sex; Male Color: Grey Breed: Irish Wolf Microchip # Rabies Tag # 19334 PLEASE INCLUDE CIT r TAG NUMBER IF THIS IS A RENEWAL (IF AVAILAIBLEY # RABIES VACCINATION DONE ON 07-16.21 3. Rabies Description: A 3 YEAR Hoist Dr. Lisa S 718 Si 40Id' Veterinary Clinic 7 DVM : Dr, Kr/sta Ho/stein DVM 1911 Street Blair, NE 68008 -7387 402-426-0101 Fax )inclinic@gmail.com LICENSE. FEES CO ta7� DCat: $16.00 Altered Dog or cat: $11.00. cement 8 $6.00 Total ` ' bD PETS T14ATARE ON THEACTIVE POTENTIALLY MkQ980US OR PANCiEROUS DOG LIST NEED TO REGISTER DIREMX AT CITY HALL, i 1 01-11411 S{, dJ� +lttcurw sl Y03/17/2022 16:57 4024260101 HOLSTEIN! VET CLINIC PAGE 01 2022 PET LICENSE I ,.� VERIFICATION/APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND 0 N A DOG(S) AND /OR CAT(S), COMPLETE THIS FORM AND RETURN W TH A CHECK PAYABLE TO: CITY OF BLAIR — 218 S. 16r" ST a- BLAIR, NE 68008 YOU NAY BUT NO MORE THAN THREE(3) ADULT LADULTY OWN A COMBINATI�11 OF FOUR (4) DO S OR THREE (3) A ULT CATS PER RESIDENTIAL OR DWELLING UNIT. ***PLEASE READ CAREFULLY*** Failure to do so Is a violation of City Ordinances 6,103 and rries a penalty of a fine up to $1S0.00 per pet. The city shall recognize a microchip ID n mber 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 ownershi (OR) at 6 months of age if puppy or kitten NEW RESIDENTS TO BLAIR Must register pets within 10 days of res dency Owner Name Spouse Owner Address City/State/Zip Phone # Todd Trimpe Sarah 1 N 10th Street lair, NE 68008 402-426- 1360 . at Name: Stella Age: 5Y DOB: 12-25-16 Sex: Spayed Female Color: Blue Breed: German Shepherd Microchip # 985112008180641 Rabies 7 ag # 19339 PLEASE INCLUDE CITY TAG NUMBER, IF THIS IS A RENEWAL (IF AVAILABLE), # RABIES VACCINATION DONE ON 07-17-21 Rabies Description: 1 YEAR,s 3 YEA19 Holstein veterinary Clinic Dr. Lisa Schrum DVM : Dr. Krista Holstein DVM 718 South 1911, Street Blair, NE 68008 402-426-7387 402-426-0101 Fax hoisteinclinic@gmail.com LICENSE FEES Intact Dog or Cat: $16.00 Altered Dog or cat: $11.00 Replacement Tag $5.00 Total $�1 PETS THAT ARE ON THE ACTIVE POTENTIALLY DANGEROUS OR DANGEROUS DOG LIST NEED TO REGISTER DIRECTLYAT CITY HALL 03/17/2022 16:57 4024260101 HOLSTEIN VET CLINIC PAGE 02,,.. 2022 PET LI ENSE VERIFICATION/A.PPLICATI ill FOR CITY'OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND 0 N A DOG(S) AND /OR CAT(S), COMPLETE THIS FORM AND RETURN W TH A CHECK PAYABLE TO: CITY OF BLAIR — 218 S. 16T" T — BLAIR, NE 68008 YOU MAY Y OWN A COMBINATIOr I OF FOUR (4) ADULT PETS, BUT NO'MORE THAN THREE (3) ADULT L DOGS OR THREE (3) A ' UL CATS PER RESIDENTIAL OR DWELLING UNIT. *44PLEASE READ CAF EFULLY*** YOU ARE REQUIRED BYLAW TO LICENSE YOUR PETS THE CITY 0 13LAIR REQUIRES PROOF OF RABIES VACCINATION. Failure to do so is a violation of City Ordinances 6.103 and c rrles a penalty of a fine up to $150.00 per pet. PET LICENSE RENEWALS ARE I UE BY 3 15 2022. The city shall recognize a microchip ID n imber 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 ownershir (OR) at 6 months of age if puppy or kitten NEW RESIDENTS TO BLAIR Must register pets within 10 days of res dency Owner Name Todd Trimpe Spouse Sarah Owner Address 521 N 10th Street City/State/Zip fair, NE 68008 Phone # 402-426-1360 t . (- k at Name: Beorn -71 Age: 3Y DOB: 02.04-19 Sex: Neutered Male Color: SlackandlTan Breed, German Shepherd Microchip # 985112011151482 _ Rabies g # 19338 PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AV-AABLE); # RABIES VACCINATION DONE ON 07.17-21 Rabies Description: 1 YEAR 3 YEAFRI Holstein Veterinary Clinic Dr, Lisa Schrum DVM ; Dr. Krista Ho/stein DVM 718 South 19111 Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinic@gmail.com LICENSE FEES Intact Dog or Cat: $16.00 Altered Dog or cat: $11.00 Replacement Tag $5.00 o� Total $__� PETS THAT ARE ON THE ACTIVE PQTENTIALLY DANGEROUS OR DANGEROUS DOG LIST NEED TO REGISTER DIRECTLYAT CITY HALL. CITY OF BLAIR - 2022 PET LICENSE APPLICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City f Blair a 218 S 16th St a Blair® NE 6808 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2022 Owner Name: S�Y\ 4 Akot 6 I C I O u* Owner Address: 1709 SDI 4\ S City/State/zip: Blair, NE 68008 Phone # U o) - U,1 (, - S 7q iv LICENSE FEES: Dog or .; +1 1 Altered Do or L ;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 3/1512022. 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 City of Blair requires proof of rabies vaccination. Replacement Fee for Lost Tag: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET #>¢ 1 Dog ❑ Cat O-Spayed/Neutered License Fee I I , 0 c7 Pet Name Birthdate Sex . Frma�l,( Color j-, - (,o t ur- Breed** w k)( Replacement $ * * Declared Dangerous or Potentially Dangerous Dog: ❑ Y 11i31-N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: 7/ i a 0 (3 yr) --,k (1 yr) City Tag #. 8' o PET #2 C�J' Dog ❑ Cat P-Spayed/Neutered License Fee $ Pet Name A jAtcus Birthdate Rio aofzSex Ma I-( Color (o c v- ti I, Breed** B or roc r- Co l I r e Replacement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y -a N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: jj2 I ,1)o (3 yr) _L� (1 yr) City Tag # I I 19 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 Casa by Mail TOTAL ENCLOSED a). oa If you have questions, please contact Blair Police Department at (402) 426-4747 .....+++++.+++++++++..++++.+++++.++++++++.....++++++++++++++++++.....+. ++. +... NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15/ate fee date not applicable for newpe&lnewresidents) 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. O re If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair a 218 S 16th St a Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) ad or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2022 Owner Name: WM, k tA0 (-y Z Owner Address: �� � co11t Gl ( o'y- . city/state/zip: Blair, NE 68008 Phone # ;010- WIIN �11 ***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 $iS0.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3/1S/2022. The City shall recognize a microchip Identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city Identification other than that Issued by the City of Blair for such dog or cat. The City of Blair requires proof of rabies vaccination. LICENSE FEES: Dog or Cat: $16.00 ✓Altered Dog or Cat: $11.00 Replacement Fee for Lost Tag: "5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET #1 Dog ❑ Cat Spayed/Neutered License Fee $ �--- 1 I me \ v�5��v Birthdate env iAmA n Sex _ ola � vw �Ih c. Breed** o)cvivwr, 1yio0"(A%�c(A Votnt(yReplacement$ ** d Dangerous or Potentially Dangerous Dog: ❑ Y A N TP CHIP # N JR (If applicable) SUBTOTAL: $ _ RABI S VACCINATION DATE:,- 2 Lvl' (3 yr) �_ (1 yr) City Tag y=� PE #2 Dog ❑ Cat Spaye /Neutered License Fee $ 1 Pet ame L► Birthdate 01-A zoo , Sex " Col e A- v�ty(' Breed** (.�,� (AV\vAo\ Replacement$ ** De ared Dangerous or Potentially Dangerous Dog: ❑ Y N MI ROCHIP # K) I YA (If applicable) SUBTOTAL: $ i IES VACCINATION DATE: 'L ql 101,1 (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 ENCLOSED $ 11.,,"O- If you have questions, please contact Blair Police Department at (402) 426-4747 ..........+->•........-F..#........-h.....-F-Fi-....4.....-i--Fi-i-....i•.-F..i--I•i--9.......... NEW PET/NEW RESIDENT LICENSING REQUIREMENTS Newly Aoauired Pets: ® Must be licensed within 10 days of ownership • <OR> at 6 months of age if puppy/ldtten (March 15late fee date not applicable for newpets/newresident) New Residents to Blair: Must register pets within 10 days of residency. F 3 CERTIFICATE OF VACCINATION Date of Rabies Vaccination: 02-09-21 Next Rabies Vaccination On: 02-09-24 VETERINARY CLINIC Twin Creek Animal Hospital 4006 Twin Creek Dr Bellevue, NE 68123 402-505-9033 This is to certify... Certificate No: 8257 Previous Rabies Vaccination: 18-0127 OWNER OF ANIMAL Brady Tucker 11817 S. 31 st St Bellevue, NE 68123 County: THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Lilly SPECIES: Canine SEX: S BREED: Chihuahua COLOR: Tan and White TAG NO: 21-002277 WEIGHT: 12.75 AGE: 8 years MICROCHIP: A Signed obok. Katie Olson, DVM Licensee Vaccinations done... 02-09-21 KO DA2PP, 3yr Booster 02-09-24 02-09-21 KO Rabies Canine, 3yr, #21-00227702-09-24 09-10-20 KO Bordetella Oral 09-10-21 09-10-20 KO Leptospirosis Vaccine, 1yr 09-10-21 09-20-13 *** Rabies Canine, 1yr 09-20-13 *** DA2PP, 1yr Booster 09-20-13 *** Bordetella, Injectable Rabies Vaccine Information... MFG BY: ZOETI SER.NO: 419390 CERTIFICATE OF VACCINATION Date of Rabies Vaccination: 08-23-19 Next Rabies Vaccination On: 08-22-22 VETERINARY CLINIC Twin Creek Animal Hospital 4006 Twin Creek Dr Bellevue, NE 68123 402-505-9033 This is to certify... HIP1111m, kyllm�iUl T"IN 01301c, 11 7U.�§ Certificate No: 5045 Previous Rabies Vaccination: OWNER OF ANIMAL Brady Tucker 11817 S. 31 st St Bellevue, NE 68123 County: PATIENT: Buster TAG NO: 19-0563 SPECIES: Canine WEIGHT: 64.20 SEX: N AGE: 8 years BREED: Pointer, German Shorthair MICROCHIP: COLOR: Brown and White Signed Katie Olson, DVM License'. LTFITRUIT.U150TIT-TITaTIT-39 08-23-19 KO Leptospirosis Vaccine, 1 yr 08-22-20 08-23-19 KO DA2PP, 3yr Booster 08-22-22 08-23-19 KO Rabies Canine, 3yr, #19-0563 08-22-22 06-05-18 KO Leptospirosis Vaccine Initial 06-05-18 KO DA21PP, lyr Booster 06-05-18 KO Rabies Canine, lyr, #18-0853 Rabies Vaccine Information... MFG BY: ZOETI SER.NO: 343370A LOT EXP: 18AUG20 ADM: SQ CITY OF BLAIR 022 PEqTCXC Eb PQP(L-01 C A T 10 N If you live in Blair City limits and own a ddg(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 RENEW LS ARE DUE: March 15, 2022 Owner Name: - 1 y Owner Address:i t City/state/zip: Blair NE C8008 Phone # LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11.00 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 Dog ❑ Cat Spayed/ a d License Fee $' t Na Birt date , Sx for% Breed** Replacement$ ** I D Glared Dangrots,or Po entill)r Danger Dog:"❑ Y ❑ N ) ` M CROCHIP # _t � _ 1' .i I�f applicable) BIES VACCINATION DATE: � ` (3 (1 SUBTOTAL: $ City Tag yr) yr) —FAET #2 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed** Replacement$ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) _ (1 yr) City Tag , PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed** Replacement$ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # *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 ENCL SED 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/newre5idenls) 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/kdtten residency.