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ACITY OF BLAIR - 2019 PET LICENSE VERIFICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete/verify 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, 2019 LICENSE FEES: Dog or Cat: $16.00 Owner Name: ADAMS, CHAD MICHAEL Spayed/Neutered Dog or Cat: $11.00 Owner Address: 435 N 22ND ST Replacement Fee for Lost Tag: $5.00 Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: BLAIR, NE, 68008--0000 Operator Inspection Program Phone #: (402) 719-1654 Drivers License #:H12143421 or Date of Birth: 12/8/1977 Subtotal licensed pets from below: Replacement Tags from below: Name: Ace DOB: Not on File Sex: Male License Fee $ / Color: Black/Tan Spayed/Neutered: True Mirochip # 981020005686559 Vaccination Date: 12/24�/2015 Breed: German Shepherd Dog Duration: 3 year vaccine Vaccine Exp: 12/24/20'f8 ,, J` Replacement: Y ❑N City Tag # 1607' IZ Total: CITY OF BLAIR - 2019 PET LICENSE VERIFICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete/verify 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, 2019 LICENSE FEES: Dog or Cat: $16.00 Owner Name: ADAMS, CHAD MICHAEL Spayed/Neutered Dog or Cat: $11.00 Owner Address: 435 N 22ND ST Replacement Fee for Lost Tag: $5.00 Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: BLAIR, NE, 68008--0000 Operator Inspection Program Phone #: (402) 719-1654 Drivers License #:H12143421 or Date of Birth: 12/8/1977 Name: Schatzi Color: Liver Spayed/Neutered: True Mirochip # 98102000517532 Vaccination Date 6/-2011; Subtotal licensed pets from below: Replacement Tags from below: DOB: Not on File Sex: Female Breed: German Shorthaired Pointer Duration: 3 year vaccine Vaccine Exp: 6/612019 License Fee $ Replacement: ❑Y ON City Tag # 1129 Tota I : J CITY OF BLAIR - 2019 PET LICENSE VERIFICATION. If you live in Blair City limits and own a dog(s) and/or cat(s), complete/verify 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 15,2019 LICENSE FEES: Dog or Cat: $16.00 Owner Name: Edward & Crystal Adams Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Owner Address: 1916 Lincoln St Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008-0000 Operator Inspection Program Phone #: (402) 426-1396 Drivers License #: or Date of Birth: 11/7/1962 Subtotal licensed pets from below: Replacement Tags from below: Name: Billy DOB: Not on File Sex: Male License Fee $— Color: Golden Breed: Pekingese Replacement: Spayed/Neutered: False OY ON Mirochip # City Tag# 1360 Vaccination Date: 1/29/2018 Duration: 3 year vaccine Vaccine Exp: 1129/2021 Total: "J JI CITY OF BLAIR - 2019 PET LICENSE VERIFICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete/verify 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 15,2019 LICENSE FEES: Dog or Cat: $16.00 Owner Name: Edward & Crystal Adams Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Owner Address: 1916 Lincoln St Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008-0000 Operator Inspection Program Phone #: (402) 426-1396 Drivers License #: or Date of Birth: 11/7/1962 Subtotal licensed pets from below: Replacement Tags from below: Name: Gidget DOB: 12/1/2015 Sex: Female License Fee $ Color: Golden Breed: Mix Breed Replacement: Spayed/Neutered: True [3Y 0N Mirochip # City Tag# 2278 Vaccination Date: 112-9/2b�18 Duration: I year vaccine Vaccine Exp: _112-91204T Total: e, � ✓ � per. y"f t t t & {EF CITY OF BLAIR - 2019 PET LICENSE VERIFICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete/verify 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, 2019 LICENSE FEES: Dog or Cat: $16.00 Owner Name: Edward & Crystal Adams Spayed/Neutered Dog or Cat: $11.00 Owner Address: 1916 Lincoln St Replacement Fee for Lost Tag: $5.00 Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008--0000 Operator Inspection Program Phone #: (402) 426-1396 Drivers License #: or Date of Birth: 11/7/1962 Subtotal licensed pets from below: Replacement Tags from below: Name: Bella DOB: Not on File Sex: Female License Fee $ Color: Black Breed: Dachshund Replacement: Spayed/Neutered: True ❑Y ❑N Mirochip # City Tag # 1813 Vaccination Date: 2/6/2017 Duration: 3 year vaccine Vaccine Exp: 2/6/2020 Total: FROM : BSAC FAX NO. :402-533-2722 May. 31 2019 12:©©PM P1 CITY OF BLAIR - 2019 PET LICENSE APPLICATION If you IIVe in Blair City limits and own a dog(s) and/or cat(s), cornplete this form and return with check made payable to: (City of Blair 0 248 S, :.6th Stm • 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- MaMh � Qt Ow"ar Namo: 5'.- Owner Address:;_ ' 1— citylStata/zip: Blair,, NE 68008 Phone # N.m (. Dtiverrs License # or Date of Oirth LICENSE FEES: Dog or Cat: $16.00 Altered Dog or eat: $11.00 Replacement Fee for Lost Tag; $$,00 Included is a Stat8 RSP of $1.2- Fu4nn r it .1 #_ a.—.i ,a.._ ***PLEM READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Valium to do &D Is a viplbtion of City ordiryAnces 6.103 and thrries It penalty of a fine tip to $150.00 pep pet. PET LICENSES RENEWALS ARE DUE ey 3 jV2=. Tho. City shall recognize a mlcroohip Identlfre8tion nunlbel, as t,ho license. number. It shall bo unlawrUl for any (ipg or cat to wear ally Ilcensr, ur other oit/ Irldntificatlon other then that Issued by the City of Blair for such dog or cat. The City of RISIr r"tilres proof of rablas wccinhtlon. PET #1 , ❑ bog Cat ,`8payed/Neutered �, Licens;e Fee Pet Na e A e sex. Color �� Breed* Replacement Declared Dangerous or Potentially Dangerous bog: Ci Y ❑ N MICROCHIP # � (If applicable) SUBTOTAL: $ — RABTf SVAC 'NATION DAT Ma. 1��- (3 Yr) {1 Yr) --V'�-, City Tag # �1 PET #2 f J Dog ¢f Cat ;dSRayed/Neutered Pat Col NtM5��Breed** AliSex Declared Dangerous or Potentially [dangero_us Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: t (3 yr) YVlr7 ice— License Fee $ —Replacement $_- ©N SUBTOTAL: $ (I yr) - City Tag # PET #3 ❑ pog J Cat 0 Spayed/Neutered License Fee Pet Name ASex , _. Color �* —. reed Replacement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N — MICROCHIP # (If applicable) SUBTOTAL: $ —, RABIES VACCINATION DATE: (3 yr) (i yr) _ City Tag #* *PLIEASE INCLUDE THE QTY TAO NUMBERIF TINIS IS A RENEWAL ** ('this fee is Niue along with License Fee if requesting at the time of license renewal,) Donation to care) for animals! _$10 Other***SEE BACK 4F FORM FOR BREEDSP'ECIPIC LICENSE RECZ IU REMENTS 0o riot send cash by mall TOTAL ENCLOSED $ VISA / MC # Signature Expires' _,. , Security Code: _ If you have questions, please Contact City Hall at (402) 426.4191 or by FOx: (402) 426-4195 +*.+++t+.....++t i-4....+++4+++*..++* * °F+++* .++t++k++*+++. ..++*..... .4....... .. NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (n tCh .t,slate lb- date notgpplka¢/e fnr nowpaWnewrr sidnnts) ■ be lia�q VAin 10 days of owrlelship Must Aster petswithin ib days of ■ <OR> at 6 months of age if puppy/Wen resiclancy. FROM :BSAC FAX NO. :402-533-2722 May. 30 2019 01:5BPM P1 CITY OF BLAIP - 2019 PET LICENSE APPLICATION If you live in Blair City limits and own a dog(s) and/or cat(s), comply this form and return with check made payable to; City of Flair • 218 S.16th St. * Blair, NE 68008 You may legally own ab CoMWARtioil of four (4) adult pots, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. UCENSP BE Owner Name, owner A.ddresst city/Mate/zip: Blair, NE �6800f841 I� Phone #W (i� ! 7 Privers License # or Data of girth LICENSE PEES: Clog or Cat: $16,00 Altered Dog or Cat: $11.00 Replacement Fee for Lost Tag; $5,00 Included Is a StRft Fee of $1.29 bei>rku collected to fund 0 ***PLEM READ CA"FUL,L Y*** YOU ARE ne$UNRED BY LAW TO kXCINNSR YOUR PETS. Fal►ura to do so is a Violatfoo of city Ordinances 6,10a and carries Q rAgP'W 10 P fins YAP to $16ti0,04 per Rat, PE;txG�nEE$ RgN4WALS A9E pU9 9Y =511016. Tha Uty ahall recopiza a mlcrimp IUentirlcatron number as the 110Ase number. It shall bo urAwful for any dog or cat to wear any license or other city idbrltificat M other than that issuad bV the My of Blair for such dog or cat. iha City of Alair repulrM Prone Z rabley Yflctmnt9on, PET #1 g [�1 Cat ri4a5. Neu �d License Pee $ C0IQrPet Name fled * Replacement $� * Declare Dangerous or Potentially Dangerous Dag: Q N MICROCHIP 4, If applicable SUBTOTAL; $ __......._..... RABIES VACCjtNA-RON DATE; { yp) (1 yr) --_ CkV Tag # * PET #2 ® bog ❑ Cat 0 Spayed/Neutered LiCrgose Fee $ Pet Name Acute Sex Color _...... ....... geed* Replacement Declared Dangerous or Potentially Dangerous Dog: Q Y Q N MICROCHIP # (If applicable) SUATOTAL: $ RAEIES VACCINATION DATE: _------........ (3 yr) (I yr) . City TBtq #�>k PET #3 0 Dog a Cat ❑ Spayed/Neutered License Fee $� Pet Name Aq a ... Sex Color Breed * 'Replacement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y d N MICROCHIP # (If applicable) SUBTOTAL: $ _-.....-..... _ RABIES VACCINATION DATE; (3 yr) _ (I yr) _ City Tip! # �* *PLWE INCWDE THE C,'[1V' TAG IVIJMDER IF TNI$ Is A Ri=NIEWA.L ** (Thin flee Is due along with License Pee If MiIuesting at the time of license renewal.) Donations to Care for animi s; _ $I —0 $$ _ $B — $11fI ***SEE BACK OP FORM ERR BREED SPECIFIC LICENS9 REQUIREMI=NTS ". OoNor Send Cash by mail TOTAL EN1 LOSED - VISA / MC # �— _._ Security Code: $Ignature . _.. It YOU have queatlans, 010ass contact City Mall at (402) 426-4191 or bV Fax: (402) 426-44195 ................... P+4....}.F...++.+++......+.................................... NEW PET/NEW'"SIDEN'>!' I.ICENSING REQUIREMENTS (Nk/W 151at>d too o*.not4ppllcapierarnewpekWowresidm,r g) i11RlIAtllcllt:pluired lNew Redd®n gib ■ Mt i t>e within 10 drays ofownell;hip ■ Must r£gl' 6 peg wR Bin 10 days of ■ <0R> at6 moriihs of age ff puppy/ifittCrr re ddenW. Date of Rabies Vaccination: 08-02-19 Certificate No: 0 Next Rabies Vaccination On: 08-01-20 Previous Rabies Vaccination: VETERINARY CLINIC Countryside Small Animal OWNER OF ANIMAL Bi,8jt*njffiaF-9KPTter 6 1306 Stevenson Fort Calhoun, NE 68023 P-.0-.-BGX-233— Blair, NE 68008 402-468-4060 County: q This is to certify... THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: 2019-1102 "Hope" TAG NO: 19-0754 SPECIES: Canine WEIGHT: 0,00 SEX: S BREED: Spaniel, Cocker Mix AGE: 6 years Color and markings... Tan Signed Kaycee Points License: Vaccinations done... 08-02-19 KNP Canine Rabies Vaccn, 1 yr, #19-0754 08-02-19 KNP Canine DA2PPL 08-01-20 Rabies Vaccine Information... MFG BY: ZOET SER.NO: 306872 LOT EXP: 4FEB20 ADM: Sq EMEN1%1U0 STE& PAIWNaU�= BRd0pC13rCAVACCINE r � V.. Wd r d %r_"71entLi,e g 'y MR MUSA CANINE DISTWER. ACEN , ADENOIARUSTYPE2- 9 .N. VACCINE m.!It 2""' CITY OF BLAIR - 2019 PET LICENSE APPLICATION - If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair • 218 S. 16th St. • Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEW S ARE DUE: March 15, 2019 Owner Name:I A-AUA lar __ Owner Address: City/state/zip: Blair, NE 68008 Phone# 5.7—r!63—ZkO9 Drivers License # or Date of Birth q 1 I IN 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 3/15/2019. 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. Included is a State Fee of $1.25 being collected to fund the Nebraska Dog tic Cat operator inspecnon Program PET # 1 I� Dog ❑ Cat (payed/Neutered License Fee $ Pet Name io- K Age P-m Sex Malmo Color Breed" �I( olcten J!�XMeNlp,y' Replacement $ ** Declared Dangerous or Potentially Dan erous Dog: ❑ Y ®`N MICROCHIP # "�N 11 �� O'l 60(, 7� (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: I D j t 2,6i (3 yr) (1 yr) ;' City Tag # PET #2 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name _ Acle Sex Color Breed** Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Acie Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ M (1 yr) License Fee $ Replacement $ ** SUBTOTAL: $ City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Donation to care for animals: $1 $3 $5 $10 Other, ***SEE BACK OF FORM FOR BREED SPECIFIC LICENSE REQUIREMENTS VISA / MC # Signature Do Not Send Cash by Mail TOTAL ENCLOSED $ Expires Security Code: If you have questions, please contact City Hall at (402) 426-4191 or by Fax: (402) 426-4195 ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ 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. i VETERINARY CLINIC & FARMACY P.C, iDi E. 1DTH • OA LANID, P E ?-8045 (402) 825-5202 FAX t4021 rye 5. 5424 Drs. Stewart Hartwell, James Unwin, Pat Maline, and Kellie Wise Small Animal Vaccination History 2/8/2019 Client ID: 9271 Client Name: Stephane Aguilar Address: 1080 N 25th Ave Blair, NE 68008 Telephone: (575) 693-2684 Microchip ID: 985 112 009 506 453 Rabies Tag: 181983 Patient ID: 111724 Name: Hank Species: Canine Breed: Retriever, Golden Sex: Neutered Male Color: Weight: 54 Birth Date: 6/2/2018, 8 Mos. 0 Wks, 6 Days I hereby certify that above animal has been examined and found to be free of all disease. The following vaccinations are current, Vaccination Date Given Date Due KENNEL COUGH, MUCOSAL 1/23/2019 1/23/2020 RABIES CANINE 1 YEAR BOOSTER 10/11/2018 10/11/2019 DHLPP ANNUAL (Dist&Parvo) 10/11/2018 10/11/2019 Sincerely, Drs. Stewart Hartwell, James Unwin, Pat Maline & Kellie Wise WK EMM I Date of Rabies Vaccination: 1/21/2019 Certificat6 No: 0 Next Rabies Vaccination On: 1/20/2022 Previous Rabies Vaccination: VETERINARY CLINIC OWNER OF ANIMAL Rohrig Animal Hospital Ragene Allen ,, a, 225 N. 3rd St. 750 N 18th ave apt 1 B ou Arlington, NE 68002 Blair, NE 68008 402-478-4141 County: Washington This is to certify... THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Milo TAG NO: 023009 SPECIES: Felfne OL WEIGHT: "1,2.50' SEX: Neutered Male AGE: 3Y- Color and markings: Yellow Tabby Signed MATTHEW MERKWAN License: 3689 Vaccinations done... 1/21/2019 MJM FVRCP- C ADULT BOOSTER 1/20/2021 1/21/2019 MJM RABIES 3 YEAR, #023009 1/20/2022 Rabies Vaccine Information... MFG BY: NOBIV SER.NO: 288171 LOT EXP: 09/27/19 ADM: SQ 2019 PET LICENSE V'ERIFICA°TION/APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG($) ANO /OR CAT(S), COMPLETE THIS FORM AND RMRN WITH A CHECK PAYABLE To, � CITY OP BLAIR 218 S. 16T" S7 - BLAIR, Nll� 68008 YOU MAY LEGALLY OWN A COMBINATION DF FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) AOUOT CATS PFR RESIDENTIAL OR DWELLING UNIT I ***PLEASE READ CAREFULLY*** j YOU ARE kE UfRED HY LAW70 LICENSE YOUR PETS, Failure to do so is a violation of City Ordinances 6.103 and Catries a penalty of a fine up to $150,00 per pet, PE3 LICENSE RENEWALS ARE DUE BY 3 15 24T9. The City shall recognize a microchip ID dumber as the license number, it shall be Unlawful for any dog or tat to wear any license or other city ID other than that issued by the City of Blair for su�'h dog or cat, NEW PET Ll ENSiNG Must be Iicel Iced within 7 b diys Of OWnership (OR) at 6 months of age if puppy or kitten, NEW RESIDENTS TO BLAIR Must register pets within 10 days of residency Owner Name Charlotte Alley Spouse Toni Ov4rrger Address451 S 16th St. Apt. 206 C;Yty/State/°2ip Blair, NE 613008 Phone * 402-547-1763 PET #1�tlntoct I. - �FE Pet Name: Sugar Age: 4Y DO$: 05-29-15 Clog or Cat: $16.00 Sexy Spayed Female Collor: �I Breed. hih/Poo o ,orcat'; $11.00 Declared Dangerous/Potentially Dangerou,s t)ag ND YES l3ep/c�ee�rr�nt Tpg Microchip # 98i511�B114066310 CityT $5.d0 I I.r hr;P7J1C �' :..,,.,:,, �►',ic�o t,� •,'.�;',,,,,.;,.,,, . , ,.,,:.� ,• �;,,,;,.�,�i,:,yy,�„l Moab ,. babies Besarrl�ti�lrti: �A 3 YEAR ' Holstein Veterinary Clinic WAXED Dr. Lisa Schr•zirn DVM & Dr. K�r ista Llotsteirl 1)VM 06-CJ1-19 716 South 1.9th Street Blair, NE 68008 BY 402-426-7387 402-426-0101 Fax To°rALPAGES i hol ste i nd in !C@ gmaH,com TO/T0 39dd DINI-ID iDA NI3iS-10H TOT09Zb300 cq :60 6TOZ/T0/90 2019 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT(S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF BLAIR 218 S. 16Y" ST — SLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, 5VT NO MORE THAN THRVE (3) ADULT DOG$ OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. ***PLEASE READ CAREFULLY"* YOU ARE RE UIRED gY LAW LICEN5E YOUR PE7S. Failure to do w Is a violation of city Ordinances 6,103 and carries a penalty of a fine up to $?Bu,u0 i,ur pet, PET LICENSE RENEWALS ARE DUE BY - 15 2U14. 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 5LAIR Must register pets within 3.0 days of residency owner Name Spouse owner Address City/State/Yip Phone ## DL # rsr DOB holstein Veterinary Clinic Dr. Lisa Schrum DVM & Dr. ,Kristca ffolstein DVM 718 South 1910 Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteindinici'igmail.cam Z0/T0 39Vd DINI-10 13A NI3IS-101-1 Charlotte Alley Toni 451 S 16th St. Apt, 206 Blair, NE 68008 402-547-1763 LICENSE FEES intact Dog or Cat: $16.00 Do or cat: t1 0 Replucement lay $ 5.00 Total b 1� FAXED 1 01,30-19 4:4Sp BY TOTAL PAGES I I () /^' TOT093030P bT:LT 6TO3/0C/T0 2019 PST LICENSE VERIFICATION/APPLICATION FOR CITY F FLAIR IF YOU LIFE 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 BL,AIR — 218 S. 16TH ST — BLAIRr 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 OWELLIN�a UNIT, ***PLEASE READ CAREFULLY*** YOU NDE RE tU RED BY LAW TO LI EN5E YO R 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 LICFNSE RENEWALS ARE DUF BY M158019, The city shall recognize a microchip 10 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 by the City of Blair for kitten uch dog or cat, NEW PET LICENsiNO Must be licensed within 10 days of ownership (OR) at 6 months of,age if puppy NEW RESIDENTS TO GLAIR Must register pets within 10 days of residency Owner Name spouse Owner Address city/ State/zip Phone # I )L # or DOB Holstein Veterinary Clinic Dr, L sa Schrurn DVM & Dr; Kristo Holstein DVM 718 South 19th Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteincliniciDgmail.com i7,0/Z9 SJad SINI-10 1311 NIDIS-10H Charlotte Alley Ton! 451 S 16th St. Apt. 206 Wair, NE 68008 402-547-•1763 FAXED BY TOTAL PA0r5 LICENSE FEES Intact Dog or Oat: $16.00 Altered g or cat: 1 I) Replacement Torgl Total 01-30-19 4:46p TaT©9i;bZ©b bT:LT 6T13z/0E/T0 06/08/2019 10:22 4024260101 HOLSTEIN VET CLINIC PAGE 01/01 2019 PET LICENSE 'V'ERIFICATION/APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(5) AND /OR CAT($), 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 REQUJRED BY LAW Td Llt€NSE YdUE7 PETS. Failure to do so Is a Violation of City Ordinances 6.1W and carries a penalty of a fine up to $150.00 per pet, PET LICENSE RENEWALS ARE DUE BY 3/15/2019. The city shall recognize a microchip ID number os 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 wlthln 10 days of ownership (CAR) at 6 months of age if puppy or kitten NEW RESIDENTS TO BLAIR Must register pets within 10 days of residency Owner Name Toni Alley Spouse Owner Address 1704 Park Street city,/State/Zip Glair, NE 68008 Phone # 402-332-9666 DL # or DOB V00043002 PET # Feet Namm Diego Age: 9M DOB:—09-08-18 sex: Neutered Mlle Color: Orange Breed: Dsh Declared Dangerous/Potentially Dangerous Dog 0 YES Microchip # City Tag # M� '.,i ' 1, ;, ,,'i;:;c�'gi'nna ,c,r,.;,.- �:ptfr':�`-i">'.'• ,,.,.cri�i�� ,TN /;atac�liiih��;°,�:,.:r Ra b les Tag # ��I NI'l lfr'p. 0 '14 9,W!' ifR Jc9 �^i'!717 �Y �7V+i ;,IaP;;a•,q.;)✓, TI 11yl "rlZi t h i °i ..�' • �' f. 1 �) tl, 'M; "f7 •�.Y�ei,^ :.�Ll:ot `I,.y�: ;r:rv' ,1, I�Ih! ! , I t 1• u ;i a_..iAI,L..�,,yy,LB�..I .,�, ;!';� I�t{jiu,; G; I;1L;,(f r., ; It ?' �J�:si{ ,L.� ;;,pi;,l su�•;f:ll ��1 ,l• +I� �;ilV',�r,1 "•4.il.l '�1. �. I.I.IIt�t ��Il ,I,i 7C't.U:v'�t; ili�fl�tpi:i^IIL UV�tC1Y s.r: ,Ae 7i Rabies Description: EA 3 YEAR Holstein Veterinary Clinic Dr. Lisa Schrum DVM & Dr. Krista Holstein DVM 718 South 19th Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinic@gmall.com FAXED 06-08-19 BY TOTAL PAGES LICENSE FEES Intact Dog or Cat: $16.OD q Dog$� .00 Replacement Tag $5.00 �� Total T CITY OF BLAIR - 2019 PET LICENSE APPLICATION - t 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, 2019 -71 Owner Name: 10 K - I A Owner Address: / r ( S City/State/Zip: Blair, NE 68008 Phone # - Drivers License # or Date of Birth i (!Lj f oI 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 311512019. 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. Included is a State Fee of si.zb being collected to tend the Nebraska Doq & Gat PET # 1 - D o g ❑ Cat Spayed/Neutered License Fee $ Pet Name L ti 14 Age Sex _ Color V 1 Breed"* % k 'A1, Replacement $ Declared Dangerous or Potentially. Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ _ RABIES VACCINATION DATE: i l 2 (3 yr) (1 yr) City Tag # PET #2 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Age Sex Color greed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ (1 yr) License Fee $ Replacement $ SUBTOTAL: $ City Tag # ** PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Age 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.) Donation to care for animals: $1 $3 $5 $10 Other. ***SEE BACK OF FORM FOR BREED SPECIFIC LICENSE REQUIREMENTS VISA / MC # Signature Do Not Send Cash by Mail TOTAL ENCLOSED $ Expires: Security Code: If you have questions, please contact City Hall at (402) 426-4191 or by Fax: (402) 426-4195 ++++++++++++++++++++++++++++++++++++.....+++++++++++++++++++++++++++++++++++++ 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/l&en residency. 3-- CITY OF BLAIR - 2019 PET LICENSE VERIFICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete/verify 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, 2019 LICENSE FEES: Dog or Cat: $16.00 Owner Name: David & Mandy Allison Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Owner Address: 582 S 16th St Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008 Operator Inspection Program Phone #: (402) 659-2885 Drivers License #: 1, i Z&QV- — or Date of Birth: Subtotal licensed pets from below:____ Replacement Tags from below: Name: Shadow DOB: 06/01/2013 Sex: Male License Fee $ Color: Black Breed: Shih Tzu Replacement: Spayed/Neutered: False 091N Mirochip # 986112000670590 City Tag # 2204 Vaccination Date: 03/05/2018 Duration: 3 year vaccine Vaccine Exp: 03/05/2021 Total: CITY OF BLAIR - 2019 PET LICENSE VERIFICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete/verify 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, 2019 LICENSE FEES: Dog or Cat: $16.00 Owner Name: David & Mandy Allison Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Owner Address: 582 S 16th St Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008 Operator Inspection Program Phone #: (402) 659-2885 Drivers License #: or Date of Birth: Subtotal licensed pets from below: Replacement Tags from below: Name: Nala DOB: 02/01/2017 Sex: Female License Fee $ Color: Tan/Black Breed: Mix Breed Replacement: Spayed/Neutered: False [3Y ON Mirochip # City Tag # 2206 Vaccination Date: 03/06/2018 Duration: 3 year vaccine Vaccine Exp: 03/05/2021 Total: CITY OF BLAIR - 2019 PET LICENSE VERIFICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete/verify 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, 2019 LICENSE FEES: Dog or Cat: $16.00 Owner Name: ANDERSEN, PAUL A & MARIANN R Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Owner Address: 2028 CAUBLE CREEK CIR Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: BLAIR, NE, 68008--1838 Operator Inspection Program Phone #: (402) 533-2509 Drivers License #: or Date of Birth: 3/22/1968 Name: Charlie Color: White Spayed/Neutered: True Mirochip # Vaccination Date: 6/29/2017 Subtotal licensed pets from below:_ Replacement Tags from below: DOB: 3/2/2013 Sex: Male Breed: Mix Breed Duration: 3 year vaccine Vaccine Exp: 6/29/2020 License Fee $ Replacement: ❑Y ❑N City Tag # 1332 Total: ( (' Jan 21 19 04:21 p Thone Animal Care 4024266808 PA CITY OF GLAIR , 2019 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 1S, 2019 Owner dame: Owner Address:��r City/State/Zip.- Blair, NE 68008 Phone # y(),L% S�, V Drivers License # or Date of girth _ /,31. LICENSE FEES: Dog or Cat: $16.4o Altered Dog or Cat: $11.o0 Replacement Fee for Lost Tag: $5.00 Included is a State Fee of $1.25 being collected to fund the ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS Failure to do so is a violation of City ordinances 6A03 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 311512018. 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 ❑ Cat Pd Spayed/Neutered License Fee $ Pet Name l � Age Sex !�-�r.�tT' Color ('_{ ,� �r, c Breed** -- i r Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y C� N MICROCHIP # CtS5I 12(20 1,�03-1 (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE:j S _ (3 yr) _� (I yr) City Tag # �. ` _ PET #2 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Age Color Breed** Sex 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 Agee ^ 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.) Donation to care for animals. $1 $3 S ***SEE BACK OF FORM FOR BREED SPECIFIC LICENSE REQUIREMENTS Other Do Not send Cash by Mail TOTAL ENCLOSED $ VISA / MC # Expires: Security Code: Signature If you have questions, please contact City Hall at (402) 426.4191 or by Fax: (402) 426-4195 -h.... -...........++*............r•....t+t.+-r-+.+t+kt+-h..........4.... ....*..... NEW PET%NEW RESIDENT LICENSING REQUIREMENTS (March 15late fee date not applicablefor newpets/newresidenrs) Newl A ulredl Pets: New Residents to Blair: ■ Must be liceised vAthn 10 days of ownership r Must register pets within 10 daysThonL-nlmal Care of Blair 0 <OR> at 6 months of age if puppy/kitten r&sidency, (402) 426-3630 902 S. Hwy 30 Blair, NE 68008 ,r CITY OF BLAIR - 2019 PET LICENSE VERIFICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete/verify 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, 2019 LICENSE FEES: Dog or Cat: $16.00 Owner Name: ANDERSEN, SANDRA A Spayed/Neutered Dog or Cat: $11.00 Owner Address: 1035 N 27TH ST Replacement Fee for Lost Tag: $5.00 Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: BLAIR, NE, 68008--0000 Operator Inspection Program Phone #: (402) 426-9374 � 1. Drivers License #: or Date of Birth: .-) Subtotal licensed pets from below: Replacement Tags from below: Name: Gracie / DOB: Not on Fill; Sex: Female License Fee $ Color: Tan 'Breed: Mix Breed Replacement: Spayed/Neutered: True ❑Y ❑N Mirochip # 986112005520830 City Tag # 1625 Vaccination Date: 10/8/2015 Duration: 3 year vaccine f Vaccine Exp: 10J8/2018 .t, Total: CITY OF BLAIR - 2019 PET LICENSE VERIFICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete/verify 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, 2019 LICENSE FEES: Dog or Cat: $16.00 Owner Name: ANDERSEN, SANDRA A Spayed/Neutered Dog or Cat: $11.00 Owner Address: 1035 N 27TH ST Replacement Fee for Lost Tag: $5.00 Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: BLAIR, NE, 68008--0000 Operator Inspection Program Phone #: (402) 426-9374 Drivers License #: or Date of Birth: Name: Davey Color: Black Spayed/Neutered: True Mirochip # 985112001610072 Vaccination Date: 11/13/2017 Subtotal licensed pets from below: Replacement Tags from below: DOB: Not on File*x: Male I Breed: Mix Breed Duration: 3 year vaccine Vaccine Exp: 11/13/2020 License Fee $_ Replacement: ❑Y ON City Tag # 1626 Total: Client ID: 8040 Client Name: 8umnenAnderaen Address: 73(1Guuth 13UlAot 11 � Blair, NES8808 Phone: (402)MVOAq Tag Number: 5113 Lot Number: 18398 |nnnab Rabies Vaccine Producer: N1*r|a| Blair Small Animal Clinic PC David E.Johnson OVM / y 1734Front Street Blair, Nebraska, 68008 Rabies Certificate / . Patient ID: 1O865 Patient Name: �� karma Species: Conine Breed: American Pit Bull Sex: Female Color: Black Markings: Birthday: 03/27/2014 Weight: 60.90 pounds on 3/28/2019 Microchip ID: Vaccinat ion Date: Expiration Date: Staff Name: David E.Johnson DVM License Number: 1893 3/28/2020 3/28/2O10 07/11/2019 16:22 4024260101 HOLSTEIN VET CLINIC PAGE 01/01 2019 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG($) AND /OR CAT(S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF BLAIR - 218 S. 16TH ST - 9LAlRy NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT DOGS OR THREP (3) ADULT CAT$, PER RESIDENTIAL OR DWELLING UNIT. 'PLEASE READ CAREFULLY' YOU ARE uwmv-_WLrO UC0�r: YOUR PETS. Fallure to dQ 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,3/25/2019. 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 Caryn Anderson Spouse Torn Owner Address 753 N 16th St City/State/Zip Blair, NE 68008 Phone # 402-426-3404 DL # or DOB # ' Pet Name: Walter James (Wally) Age: ' SY DOB: —07-16-13 Sox. Neutered Male Color, Black Breed." Blue Heeler Declared Dangerous/Potentially Dangerous Dog NO YFS Microchip # City Tag 0 Rabies Tag # 15053 Rabies Description., I YEAR rool YEAR��> Holstein Veterinary Clinic Dr. Lisa Schrum DVM & - Dr. Krista Holstein DVM 718 South 19th Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinic@gmail.com FAXED 07-11-19 BY TOTAL PAGES LICENSE FEES Intact Dog or Cat: $16.00 0'"- Altered Dog or cat: $11.00 ReplCreement Tog $5.00 Total $ 11 CITY OF BLAIR - 2019 PET LICENSE VERIFICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete/verify 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, 2019 LICENSE FEES: Dog or Cat: $16.00 Owner Name: Joseph & Wife Anderson Spayed/Neutered Dog or Cat: $11.00 Owner Address: 2372 Lincoln St City/State/ZIP: Blair, NE 68008--0000 Phone #: (402) 426-4023 Drivers License #: Name: Buddy Color: Golden Spayed/Neutered: True Mirochip # 985112009666683 Vaccination Date: 06/25/2018 Replacement Fee for Lost Tag: $5.00 Fee includes $1.25 for the Nebraska Dog and Cat Operator Inspection Program ti or Date of Birth: Subtotal licensed pets from below: Replacement Tags from below: DOB: 12/19/2017 Sex: Male Breed: Mix Breed Duration: 1 year vaccine Vaccine Exp: 06/26/2019 License Fee $ Replacement: ❑Y ON City Tag # 2414 Total: 02/25/2019 12:44 4024260101 HOLSTEIN VET CLINIC PAGE 02/02 2019 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN KAIR CITY LIMITS AND OWN A DOG(S), AND /OR CAT(S), COMPLETE THIS rORM. AND RETURN WITH A CHECK PAYABLE TO:, CITY OF BLAIR - 218 S. 16-r11 ST - SLAIRr NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR.(4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (�) ADULT, CATS PER RESIDENTIAL OR DWELLING UNIT. ***PLEASE READ CAREFULLY' YOU ARE REQUIKO aY LAW TO LICENSE YOUR PEI� Failuto to do so is a violation of city ordinances 6.103 and carries a penalty of a fine up to $150A0 per pet. PET LICENSE RENEWALS ARE D EBY3/15/2019. The city shall recc)UnIze a microchip ID number as the license number. It shall, be uhlaWfUl 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 5 months of ago If puppy or kitten NEW RESIDENTS TO BLAIR Must register pets within 10 days of residency Owner Name Roger Anderson Spouse Penny Johnson)' Owner Address 1233 - Kristin Circle city/state/Zip Blair, NE 68008 Phone # 402-278-1613 DIL It or DOB r # Pet Name; DaW Age: 2v--�Se x-. Neutered Male Color; LJ, Breed: -Pomeranian Declared Dangerous/ Potentially Darigerous Dog' NO') YES Microchip # 985112008167168 --9 cityya Rabies Vaccination Dates 10 Rabies Tag 0 19491 Rabies Description: 1 YEAR 3 YEAR Holstein Veterinary Clinic Dr, Lisa Schrum DVM & Dr. Kristc Holstein DVM' '.8 South jq,h Street Blair, NE 68008 402-426-7387 402 ' -426-0101 Fax holsteinclinic@gmail..com LICENSE FEES - Intact Dog or Oat: $16-00 Dog or cat: $11.00 Replocement Tag $5.00 Total --------------- - : l-oe Clc��k_L� TAXED 02-25-19 12-36P BY TOTALPAGES 02/25/2019 12:44 4024260101 HOLSTEIN DIET CLINIC PAGE 01/02 2019 PET LICENSE VERIFICA'TIt7N/A.PPLICATION FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(5) AND /OR CAT(5), COMPLETE THI$ FORM AND RETURN WITH A CHECK PAYABLE TO: CLT'1( 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 THRE) (3) ADULT CAT$ PER RESIDENTIAL OR DWELLING UNIT. ***PLEASE READ CAREFULLY*** YOU, ARE REQUIRED BY LAW TO LICtNSE YOUR PETS. Failure to do so is a violation of City OrdihahCes 6.103 and Carries a penalty of a fine up to 5150.00 per pet. PET LICENSE RENfrWAlS ARE DUE BY 3 15 2 19. The. City shall recognize a microchip ID number as the license number. It shall be unlawful for any dog or Gat 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 G months of age if puppy or kitten NEW RESIDENTS TO BLAIR Must register pets within 10 days of residency T # Pat Name: aenny Blue Age: 6Y sex:. Spayed Female Color: Tri Breed.- Aussie Declared Dangerous/Potentlally Dangerous Dog NO � YES Microchip # City Tag # Rabies Vaccination Date: Rabies Tang # 16129 Rabies Description: I YEAR, 3 YEA Holstlein Veterinary clinic Dr. ,Lisa Schrum DVM & Dry Krzsto Holstein DVM '18 South 191h Street Blair, NE 68008 402- 426-7387 402-426-0101. Fax holsteinclinic@gmaiI.com LICENSE FEES Intact [log or Cat: $16.00 ,Altered Dog or cat, $11.00 Replacement Tag $5.00 Total $�,�� have (ilav-K- (Z) FAXED 01�25-19 12:36p BY TOTAL PAGaES ' Mar 08 19 11:55a Thone Animal Care 4024266808 p.1 CITY OF GLAIR - 2019 PET LICENSE ,APPLICATION If you live in Bfalr City limits and own a dog(s) and/or cat(s), complete this Form and return with check made payable to: City of Blair • 218 S. 1.6r1 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 I , 201 owner Name: '&Y Yt l fgill(�s�`` Owner Address: city/State/zip: Blair, NE 68008 Phone# L00 V J — j1215cJ Drivers License # or bate of Birth l� / 5Y 5: LICENSE FEES: Dog or Cat: $16.o0 Altered Dog or Cat: $ii.00 Replacement Fee for Lost Tag: $5.00 Included is a State Fee of $125 being collected to fund the ***PLEASE READ CARERILLY*** YOU ARE REQUIRED BYLAW TO LICENSE YOUR PETS. Pallureto do so Is a violation of City ordinances 5.103 and carries a Malty of a fine up to 050.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3115120ifl. The City shall recognize a mlcroch'p Identification number as the license number. It shall be tnlawful 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 regiiires proof of rabies vaccination. & Cat PET # 1, & D o ❑ Cat a Spayed/Neutered License Fee Pet Name Wall.M Color Breed* L Sex Replacement $ Declared Dangerous or Potentially Dangerous Dog, ElY N MICROCHIP # (If applicable) SUBTOTAL: $ I RABIES VACCINATION DATE: 2(� (3 yr) }S _ (1 yr) City Tag # a PET #2 0 Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Age Sex Color Breed`11 — 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 ColName Breed e Sex Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) License Fee $ — Replacement $ ❑N SUBTOTAL: $ (1 yr) City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee If requesting at the time of license renewal.) Donation to care for animals: _EE$1 $3 5 10 Other ***SEE BACK OF FORM FOR BFZD SPECIFIC LICENSE REQUIREMENTS VISA / MC # Signature Do Not Send Cash by Mail TOTAL ENCLOSED $ Expires: _ Security Code: If you have questions, please contact City Hall at (402) 426-4191 or by Fax: (402) 426-4195 +++++++ ++++++ ++++ .E + * ++++++ ++++4... +++. +++++++i• ++++ + 4• ++ a. ++++ ++++++ ++ ++++++ ++ •p . ++ + NEW PETJNEW RESIDENT LICENSING REQUIREMENTS (March15late feedate notapplicablefor new pets/newresidents) Newly Acquirgd Pets New Resldents to Blair N Must be licensed within 10 days of ownership ■ Must register pets within 10 days of 0 <OR> at 6 month of age if fxlppyNQen residency, CITY OF BLAIR - 2019 PET LICENSE ADDITIONS If you live in Blair City limits and own a dog(s) and/or cat(s), complete/verify 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, 2019 Owner Name: ANDERSON, THOMAS D & KRISTINE A Owner Address: PO BOX 114 ❑ Dog ❑ Cat Pet Name Color ❑ Spayed/Neutered Breed LICENSE FEES: Dog or Cat: $16.00 Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Fee includes $1.25 for the Nebraska Dog and Cat Operator Inspection Program Sex Declared Dangerous or Potentially Dangerous Dog? ❑ Y ❑ N Microchip # Rabies Vaccination Date License Fee $ ❑ 3 yr ❑ 1 yr CITY OF BLAIR - 2019 PET LICENSE VERIFICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete/verify 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, 2019 LICENSE FEES: Dog or Cat: $16.00 Owner Name: ANDERSON, THOMAS D & KRISTINE A Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Owner Address: PO BOX 114 Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: BLAIR, NE, 68008--0000 Operator Inspection Program Phone #: (402) 533-1021 /1 P-� ® Drivers License #: or Date of Birth: �/ � y/o � � a/ � Subtotal licensed pets from below: �l Replacement Tags from below: Name: Milo Color: White Spayed/Neutered: True Mirochip # 981020021465966 Vaccination Date: 6/17/2016 DOB: Not on File Sex: Male Breed: Mix Breed Duration: 3 year vaccine Vaccine Exp: 6/17/2019 License Fee $ . Ub Replacement: ❑Y ON City Tag # 827 Total : l/ , 0D CITY OF BLAIR - 2019 PET LICENSE VERIFICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete/verify 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, 2019 LICENSE FEES: Dog or Cat: $16.00 Owner Name: ANDREASEN, DANIEL T Spayed/Neutered Dog or Cat: $11.00 Owner Address: 2352 LINCOLN ST Replacement Fee for Lost Tag: $5.00 Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: BLAIR, NE, 68008--0000 Operator Inspection Program Phone #: (402) 426-2477 Drivers License #:G2901442 or Date of Birth: 8/9/1949 Name: Rocky Color: Grey Spayed/Neutered: True Mirochip # Vaccination Date: 1-191017 C� eA4 6ou-P-4ft (9j, ,)�w S 0-,� d ro 0LV1� �S Subtotal licensed pets from below: Replacement Tags from below: DOB: 3/28/2016 Sex: Male Breed: Domestic Longhair Duration: 1 year vaccine Vaccine Exp: 4119104$�� 3- 31-0 License Fee $ t' Replacement: 'Y [IN City Tag # 1506 Total:' 66 V11 COO (WA V� OJ e�-k A � (� Uj Ck IS cio, (y IUqt U ��x (Ro Date of Rabies Vaccination: 03-31-18 Next Rabies Vaccination On: 03-31-19 VETERINARY CLINIC Countryside Small Animal 1306 Stevenson Fort Calhoun, NE 68023 402-468-4060 Certificate No; 0 Previous Rabies Vaccination: 17-0446 OWNER OF ANIMAL Daniel Andreasen 2352 Lincoln St. Blair, NE 68008 County: This is to certify... THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Rocky TAG NO: 18-0398 SPECIES: Feline WEIGHT: 16.00 SEX. N AGE: 9 years BREED: Domestic Longhair Color and markings... Grey Tabby Signed Jeri Sill License: 1986 Vaccinations done... 03-31-18 JJS Feline Rabies Vaccn, 1 Yr, #18-0398 03-31-19 03-31-18 JJS Feline FVRCP Vaccination (CVRC) 03-31-19 Rabies Vaccine Information... MFG BY: ZOET SER.NO: 262281 LOT EXP. 16Apr19 ADM: Sq z abed YU dH WdOt,:e 1• 6 60Z 6 6 qaq CITY OF BLAIR - 2019 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, 2019 Owner Name: LaCa, _+sir�-'�I faod, Owner Address: .5 oq 4S. I d �h ;J+. City/State/zip: Blair, NE 68008 Phone # °jt)q' g-.2'7 s-'909//6 Drivers License # or Date of Birth 3 �-W 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 3/15/2019. 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. Included is a Slate Fee of $1.25 being collected to Lund the NebrasKa DM tip Cat PET #1 Doq ❑ Cat Spayed eutered Y License Fee $ Pet Name ,q C - Aye �Sex �l d Color T I Cep (6r Breed* �j.y. Replacement $ Declared Dangerous or Potentially Dangerous Dosou Dos g ❑ Y( N MICROCHIP #,q,(2 Q0Q (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: I (3 yr) _X (1 yr) City Tag # PET #2 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Aye Sex Color Breed * Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ IN (1 yr) License Fee $ Replacement $ * * SUBTOTAL: $ City Tag # PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Aye 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.) Donation to care for animals: $1 $3 $5 $10 Other ***SEE BACK OF FORM FOR BREED SPECIFIC LICENSE REQUIREMENTS VISA / MC # Signature Do Not Send Cash by Mail TOTAL ENCLOSED $ Expires: Security Code: If you have questions, please contact City Hall at (402) 426-4191 or by Fax: (402) 426-4195 ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15late fee date not applicablefor newpets/new residents) Newly Acquired Pets: New Residents to Blair: is Must be licensed within 10 days of ownership ■ Must register pets within 10 days of ■ <OR> at 6 months of age if puppy/kitten residency. Certificate of Vaccination Date of Vaccination: 12-03-18 VETERINARY CLINIC Ralston Veterinary Clinic 6880 S 78 Street Ralston, NE 68127 402-331-6322 OWNER OF ANIMAL Will Linger 10525 Adams Dr Omaha, NE 68127 659-5754 This is to certify that I have vaccinated the animal described below against Rabies. Patient information PATIENT: Ace SPECIES: Canine SEX: Neutered Male WEIGHT: 25.70 Microchip number: 956000003865382 TAG NO: 111836 BREED: Beagle AGE: 5Y COLOR: Tricolor Vaccine type: RABIES MFG BY: ZOETI SER.NO: 293126 LOT EXP: 6NOV19 ADM: SQ Signed Dr. Eryn Forbes Reminders 06-18-15 Bordetella Oral 12-02-21 Canine Rabies (3 yr) 12-26-20 Distemper-Parvo Combo (3 `yr) 08-14-15 Stool Examination 01-02-19 Flea and Tick Prevention 12-03-19 Heartworm-Tick Disease Screen`` 12-03-19 Canine 01-02-19 Heartgara Plus 272 Mcg (51 (001`'_ 05-20-21 Senio'r'Diagnostic > 7yrs - F' 12-03-19 Preventive Care Exam & Vaccine County: Omaha -Douglas License number: Ralston Veterinary Clinic 6880 S 78 Street Ralston, NE 68127 402-331-6322 Printed: 07-02-19 at 10:15a CLIENT INFORMATION Name Will Linger (6506) Address 10525 Adams Dr Omaha, NE 68127 PATIENT INFORMATION Name Ace Sex Male, Neutered Birthday 05-22-14 ID 956000003865382 Color Tricolor Reminded 10-13-15 HEALTH HISTORY SUMMARY Date Diagnosis Spouse Ivy Species Breed Age Rabies Weight Codes Canine Beagle 5y 111836 25,70 Ibs Patient Chart 12-03-18 Diet Recommendation KMS: 12-03-18 at 8:33a: Owner states its an organic line from Purina 12-03-18 DENTAL CLEANING RECOMMENDED EF: 12-04-18 at 8:52a: Grade 2, cleaning recommended 12-03-18 Parasite Prevention Recommended KMS: 12-03-18 at 8:33a: Getting HG and FL 12-27-17 Parasite Prevention Recommended ER: 12-27-17 at 10:32a: O not needing any preventions today. 11-04-15 DECIDUOUS TEETH, RETAINED 12-10-14 NEUTER MEDICAL HISTORY Date By Code Description Qty (Variance) 08-12-14 OTC EMAIL Eminders Email MSS Reminder Message: MSS Reminder EMail to w.linger@live.com Subject: Appointment Reminder Hello, Ace has an appointment at 3:20p on August 14, 2014. Please arrive 10 minutes early for check in. If you are unable to keep this appointment please call us to reschedule. If you are going to be 10 mins or more late for the 3:20p appointment, please call us as we may need to reschedule. Ralston Vet 402-331-6322. 08-14-14 MM VISIT Patient check -in MM -wellness exam and Puppy VAX Age:12w Weight:8.20 Pulse:72.00 CRT: <2 secs, Y� cs te, CITY OF BLAIR - 2019 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. 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 ARE DUE: March 15. 2019 Owner Name: owner Address: city/state/zip: Blair, NE 68008 Phone # Lr LL (cl 7 — ±/--LL7 Drivers License # or Date of Birth f I2 "-' "00 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 311512019. 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 rables, vaccination. included is a to Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator! IrSPeCtilOn ram PET #1 Dog El Cat "0 Spayed/Neutered License Fee Pet Name Age Vex' �Lt�-�0) Color h ctr- k" r! I-) L 1 Breed** Y, kepldcement Declared Dangerous or Potentially Dangerous Dog: L3 Y 0 N I MICROCHIP #%5 Ila t�a 3116 3,32 (If applicable)- "f, Ay,, SUBTOTAL: $ RABIES VACCINATION DATE: U 01 t(-11 (3 yr) — (I yr) City Tag I TTn r PET #2 0 Dog 0 Cat 0 Spayed/Neutered Pet Name A?e — Sex Color Breed * Declared Dangerous or Potentially Dangerous Dog: 0 Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) — W (I yr) License Fee $ Replacement $— * * SUBTOTAL: $ — City Tag#—* PET #3 L3 Dog U Cat 0 Spayed/Neutered License Fee Pet Name An Sex Color Breed Replacement$ Declared Dangerous or Potentially Dangerous Dog: Ll Y LJ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) — (I yr) — City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee Is due along with License Fee if requesting at the time of license renewal.) Donation to care for animals: ®1 ® _$5 -$10 Other ***SEE BACK OF FORM FOR BREED SPECIFIC LICENSE REQUIREMENTS Do Not Send Cash by Mal! TOTAL ENCLOSED$ VISA / MC # Signature Expires: Security Code: ') C- ("", y If you have questions, please contact City Hall at (402) 426-4191 or by Fax: (402) 426-4195 .............................................................................. NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (Maroh 15 laie fee date not applicable fornewpety1new residents) Newlv Acaulred Pets: New Residents to Blair: • Must be 11offised within 10 days of ownership 0 Must register pets within 10 days of • <OR> at 6 months of age if puppy/Id m residency. 02/28/2019 12:45 40242GO101 HOLSTEIN VET CLINIC PAGE 02/02 2019 PET LICENSE VERIFICATION/APP'LICATION FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(5) AND /OR CAT(S), COMPLETF 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 or TOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR UWELL'(NG UNIT. ***PLEASE READ CAREFULLY"* YOU ARE REQUIRED 8Y LAW TO LICENSE YOUR PET$.. Failure to 6 Sty Is a violation of City Ordinoncos 6.103 and carries a ponalty of a fine up to $150.00 per pet. PET LICENSE RENEWALS ARE DUE BY 3 15 2019. The city shall recognise 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 rusty 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 Bust register pets within 10 days of residency owner Name M+erri ,AushermOn Spouse 932 State Ave #7 Owner Address City/state/Zip Blair, NE 68008 Phone alk 402-215-2940 DL # or DOB r �T Pet Name,- Fisher Age: 1115M Sex: Neutered Male Color: Breed-, Chihuahua Mix Declared Dangerous/PotentiallyDangerousDangerous Dog Dangerous/Potentially NO YES Microchip # 4w„�. in ivnn; �' # 16725 Ralaies ag p,Ve �� Rabies Description: I YeAk 3 YEAR LICENSE FEES Intact Dog or Cat, $16.00 Altered Dog or cat; $11.01) Replacerrrent Tag $5.00 Total $ ti l Holstein Veterinary Clinic FAXED 02-28-1911:21a Dr. Lisa Schrum DVN & Dr. firfsta Hbh,,tein DVM BY "18 South 19th Street Biblir; NE 68008 402-426-7387 402-426 '0101 Fax TOTALPAGES holsteindinicftm�,i.l.com �