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Bks. ( r y F a 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: Jenefer Backhaus Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Owner Address: 3053 Sunridge Cir Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008-0000 Operator Inspection Program Phone #: (402) 360-1435 Drivers License #: Name: Lily Color: Black Spayed/Neutered: True Mirochip # Vaccination Date 5/J3/201-6- g-, 1 or Date of Birth: Subtotal licensed pets from below: Replacement Tags from below: DOB: 7/1/2010 Sex: Female Breed: Yorkshire Terrier Duration: 3 year vaccine Vaccine Exp: 6/13/2019 License Fee $ Replacement: ❑Y ❑N City Tag # 808 Total: arty. 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: Jenefer Backhaus Spayed/Neutered Dog or Cat: $11.00 Owner Address: 3053 Sunrid a Cir Replacement Fee for Lost Tag: $5.00 g Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008-0000 Operator Inspection Program Phone #: (402) 360-1435 Drivers License #: or Date of Birth: 8/9/1969 Subtotal licensed pets from below: Replacement Tags from below: Name: Oliver DOB: 4/16/2015 Sex: Male License Fee $ Color: White/Tan Breed: Replacement: Spayed/Neutered: True ❑Y ON Mirochip # City Tag # 2144 Vaccination Date:-2/28/2018" Duration: 1 year vaccine n — i Vaccine Exp: 212812019 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: BACKMAN, RANDALL i SAVA kk Spayed/Neutered Dog or Cat: $11.00 Owner Address: 1217 COLFAX 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) 889-3876 Drivers License #: or Date of Birth: 2/4/1 85 Name: Walter Color: Silver Spayed/Neutered: False Mirochip # Vaccination Date: 4/16/2018 Subtotal licensed pets from below: Replacement Tags from below: DOB: Not on File Sex: Male Breed: Labrador Retriever Duration: 1 year vaccine Vaccine Exp: 4/16/2019 License Fee $ It,2LD Replacement: ❑YQN City Tag # 2372 Total: ME v Date of Rabies Vaccination: 09-11-19 Certificate No: 2067 Next Rabies Vaccination On: 09-10-20 Previous Rabies Vaccination: VETERINARY CLINIC OWNER OF ANIMAL Thone Animal Hospital Randy Backman 902 S Hwy 30 1,217 Colfax Blair, NE 68008 Blair, NE 68008 402-426-3630 County: This is to certify... THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Walter TAG NO: 005134 SPECIES: Canine WEIGHT: 0.00 SEX: M AGE: 23 months Color and markings... Silver Signed Dr. Joe DiMari License: 3258 2019 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF BLAIR, IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A IDOO(S) AND IOR CAT(S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF BLAIR — 218 S. 16TH ST BLAIR,, NE 68008 YOU MAY LECAI.LY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. ***PLEASE READ CAREFULLY*** YOU ARE RE U ftE6 BY LAW TC LICENSE YOUR PE )n Failure to do so 1s a violation of city Qrdlnances 6,100 and carries a penalty of a fine up to $150— per pet. PET LICENSE RENEWALS. ARE DUE BY 3/15 2019. The city shall recognize a microchip IQ number as the license dumber. 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 Gat, 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 4f residency Owner Name Spouse Owner Address City,/State/Zip Phone # DL # or DOB PET # Wes Baedke Lori 1150 Westritlge Drive Blair, NE 68008 402-426-5680 Pet Name: Sammy Inge: I.OY Sex: Neutered Male Color: Black and White bread: Italian Glreyho and Declared Dangerous/potentially Dangerous Dog NO YES Microchip # 034048836 Rabies description: 1 YEAR Holstein Veterinary Clinic Dr. Lisa Schnim DVM & Dr. Krista Holstein DVM 718 South 19th Street Blair, NE 68008 402"420-7387 402-426-0101 Fax hoisteinclinic@gmaii.c©m City Tag # Rabies Tag # 16667 3 LICENSE FEES Intact Dog or Oat: $16.00 Do or cat: $11.0 Replacemer)t Tag $5.00 Total $ 6 TO/TO 39Vd DINI10 i3A NIS1S101-1 TOTO9ZbZOtb 29:OT GT03/97,/TO FROM :BSAC FAX NO. :402-533-2722 Mar. 16 2019 10:24AM P1 CITY OF 13LAIR - 2019 PET LICENSE APPLICATION If you live in 13lair City limits and Own a dog(s) and/or cat(s), complete this foml and return with check made payable to: City of Blair • 218 S. 16th St. r Blain, NE 68008 You may legally own a combination of four (4) adult polo, but no more than three (3) adult dogs or three (3) adult rats per residential or dwelling unit, LICENSE RENEWALS ARE DUE: Owner Name: 4 owner Address: � "fa 1 I = i-L_l(I,.�V city/state/Zlp: Blair, NE 680 8 � Phone # YUA - L� 1 0- Drivers License # or date of Birth LICENSE FEES: Dog or Cat: $18.00 AltAred Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 ]included is a State Fee of $1.25 beina oolleCted to fund thi ***Pi.E/.SE READ CARERJLLY*w-*- YOU ARE REQUIRED 6Y LAW TO LICENSE YnUR PETS. l"trllure to da *o 1$ A violbkion of city ordinances e.ina And chafes a penalty of a fine up to $00.00 POr v6t. PET LICENSES RENEWALS ARE DUO BY 3/1gi2me. The COY Sltall remonize n microchip identification number as the-liconso number. It shall be unlawful for any dog or cat to wear any license or other clty it9wltifir:arlon m;hor i,han I'hbl, iFMjed by the r ally of Blair rnr �t�rh dt)g Or cat The City of ftle r'Mltlres proof of rabla vaccirlhdbn. PET #� ❑,� Spayefl/Ntered License Fee $ Color Breed* `n c i4i )( 'l f Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y �i N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) _Z (1. yr) .- City Tang #* PET # 2 ❑ Deg ❑ Cat l j 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 # PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Ace Sox Color reed * Replacement$. ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) _._- (I yr) City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A KEN LWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Donation to care for animals. _ $1 _ _,_ $S _ $S _ $10 Other ***SIFE BACK OF FORM FOR BREED SPECIFIC l XCENSE REQUIREMENTS VISA / MO 4 Signature Ov Not Send Cash by MaH TOTAL ENCLOSED $ Expires:._ Security Code: If you have questions, please contaot City Hall at (402) 426-4191 or by Fair: (402) 426-4195 ++++++.*.................... 4.....#A..........+44++....F....4+++++4++++t+.*+-r. NEWPIET/NEW RESIDENT UCENSING REQUIREMENTS (Marrh15late fEedatenvtapplloplerornewpeWnewr&idenli) pehsa: New ResidklR tCt Blab: ■r WUllri lO days of owne Chip ■ Must reglsto pals Wi fllh 10 days of ■ tOR at 6 months of,p If puppy/kftl*rn residency, 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 Owner Name: Kendra Baker Owner Address: 13136_-Un ln t City/State/ZIP: Blair, NE 68008 Phone #: (442)-763-7-754, Drivers License #: Name: Ash Color: White/Black/Brown Spayed/Neutered: True Mirochip # 9820000405760674 Vaccination Date: "I - - -1 i____ or Date of Birth: 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 Subtotal licensed pets from below: Replacement Tags from below: DOB: 12/28/2015 Sex: Female Breed: Unknown/Mutt Duration-j year vaccine Vaccine Exp: 12017 License Fee $ Replacement: ❑Y ❑N City Tag # 2030 Total: Holstein Vet Clinic 718 South 19th Street Blair, NE 68008 402-426-7387 FOR: Daniel Barber 1904 Colfax Street Blair, NE 68008 (402) 426-7068 Date For holsteinclinic@gmail.com Qty Description Printed: 09-03-19 at 4 52p Date: 09-03-19 Account: 9479 Invoice: 101874 Net Price 09-03-19 Ralph 1 Vaccinate & Mini Exam 18.00 09-03-19 1 Vangard Plus 5 26.25 09-03-19 1 Bronchi Shield - Oral Bordetella 21.00 09-03-19 1 Rabies Tag Replacement #16537 5.00 09-03-19 1 Frontline GOLD Canine < 22# 17.50 09-03-19 Visa payment -87.75 Merchant ID: 529000245365, Approval code: 165212, Transaction ID: 201976501 Ref #: 12939, Act #: ************4211, Exp: XX/XX, Entry: Contacticc, Card: VISA Your card balance is not available I AGREE TO PAY ABOVE TOTAL AMOUNT ACCORDING TO CARD ISSUER AGREEMENT X Old balance Charges Payments New balance 0.00 87.75 87.75' 0.00 Reminders for: Ralph (Weight: 21.0 Ibs - 4y) Last done 06-20-21 Denfensor 3 (3 Year Rabies) 06-21-18 09-02-20 Vangard Plus 5 09-03-19 09-02-20 Bronchi Shield - Oral Bordetel 09-03-19 01-31-20 Canine Influenza Next appointment for Ralph Qty 09-24-19 At: 10:30a With: Lisa Schrum, DVM Thanks for choosing us to take care of your pet's health care needsl 05/23/2019 18:16 4024260101 HOLSTEIN VET CLINIC PAGE 01/01 2019 RED' LICENSE VEft.IFICATIO1V.JAPP'LICATION FOR. CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT(S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF BLAIR - 218 S. 16T► ST - BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMEINATION OF FOUR (4) ADULT PETS, BUT'NO MORP THAN THREE (3) ADULT DOGS OR THREE (3) ADULT OATS PER RESIpr=NTIAL OR DWELLING UNIT. ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW' O'LICENSE YOUR PEWS, Failure to do so is a violation of Oty Ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet, PET LICENSE RENEWALS ARE DUE BY 3 1S 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 0 other than that issued by the City of Blair for such dog or cat, NEW PET LICENSING Must bO licensed within 10 days of ownership (OR) at 6 months of age if puppy or Kitten NEW RESMENTS TO BLAIR Must register pets Within 10 days of residency Owner Name Spouse owner Address city/State/Zip Phone # DL # or 008 Kirldr'a Barbra Josh 1029 S 16th AVE Blair, NE 68008 480^636-6037 Pet Name: Fume Aga: 1.0Y' DOB: 01-28-09 Sex: g Ooior: r l breed: Heelleir X Declared Dangerous/Poterntially Dangerous Dog NO YES Microchip 0 City Tag # � q �i�M.�tii��1/�'��'I�'i��t ; �� E• ,z�ll� '� J; .,� „,;.t t�l�l , .l:' n�: a J'; +.I � �i��` ��i" Ft'i. R.�J° �• Rabiras Tag # 169510 �.ii I'(!�° Y: � � � .i,' j Fig^ � j f. • ,�p..;;.jl�y ft ,I: ;ul;:��!yl�lii•'l•!;u. aw ,.i .�5:(ih',;.:I. Rr3bies l�esriptian: i YEAR 3 YEAR Holstein Veterinary Clini,c Dr, Lisa Schrum DVM & Dr, Kr isto Holstein DV,N,I '718 South j9th Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinic@gmall.com LICENSE FEES Intact Dog or Cat: $16.00 ,Altered or cat: $1 Replacement Tang $5.00 Total � (— FAXED 05.23-19 BY TOTAL PAGES w CITY OF BLAIR - 2019 PET LICENSE APPLICATION w3o-Je 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 r' II Owner Name: i'l t' Y Y' f Y`1 e S Owner Address: l i }�' City/State/Zip: Blair, NE 68008 V __ V. Phone # ?C,)�) - "'� `) Drivers License # or Date of Birth _ -)- ; .- 7 -/ LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11.00 R I t F e for Lost Ta w $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 3/15/2018. The City shall recognize a microchip Identlflcatlon 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. ep acemen a g. An additional State Fee of $1.25 is being collected to fund the Nebraska Dog & Cat Operator Inspection Progrc PET #1 ❑ Dog U Cat Spayed/Neutered License Fee $° Pet Name ,`3(,6e Ae-- Ae q . Ibl Sex f- Color.l,t,- < A Breedy* t,. � c�cl c� Replacement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑'N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: /% �' / / (3 yr) (1 yr) i' City Tag # .u' PET #2 ❑ 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 # PET #3 ❑ 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) _ (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 for newpels/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. V; ATION q j Date of Rabies Vaccination: 11/29/2018 Next Rabies Vaccination On: 11/29/2019 VETERINARY CLINIC Rohrig Animal Hospital 225 N. 3rd St. Arlington, NE 68002 402-478-4141 This is to certify... Certificate No: 0 Previous Rabies Vaccination: OWNER OF ANIMAL Cherri Barnes 758 S. 16th st Apt '3w Blair, NE 68008 County: Washington THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Sweetie TAG NO: 022871 SPECIES: Feline WEIGHT: 11.30 SEX: Spayed Female AGE: 8Y Color and markings: Black And White Signed DREW OLSON License: 3593 Vaccinations done... 11/29/2018 DO RABIES 1 YEAR, #022871 11/29/2018 DO FVRCP- C ADULT BOOSTER 11/28/2020 Rabies Vaccine lnf6rmaflo"n'... MFG BY: NOBIV SER.NO: 288171 LOT EXP: 09/27/19 ADM: SQ 02/15/2019 14:22 4024260101 HOLSTEIN JET CLINIC PAGE 02/02 2019 PET LICENSE vEkII=iCATION/APPLICATION PQR 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. 16rH ST - BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORE, THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City Ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSE RENEWALS ARE DUE BY 3/I5/2019. The city shall recognize a microchip 11) number as the license number. It Shall be unlawful for any dog or cat to wear any license or other city Ib other than that issued bythe City of Blair for Such dog or cat. NEW PET LICENSING Must be licensed within 10 dayS df bwnOrship (OR) at 6 months of age if puppy or kitten NEW RESII)ENTS TO BLAIR Must register pets within 10 days Of residency Owner Name Vicki Burr Spouse M Owner Address 1262 Deerfield Blvd #202 city/State/Zip Blair, NE 68008 Phone # 402-426-9684 DL # or DOB Pet Name: Zack Age: 5Y sex: Neutered Male color: BI,/Wt/E rn Breed: Min Aussie Declared Dangerous/Potentially Dangerous Dag YES Microchip # 985112001359068 city Tag # ;p RI ' o ,�p,ip�MiLmlffi" Rabies Tang # 16716 y( Yr: a Rabies Description: 1 YEAR E Holstein Veterinary Clinic Dr -Lisa Schrum DVM & Dr: ,Kristo Holstein DV9 78 South 19th Street Blair, NE 68008 402-426-7387 402-426-01.01 Fax holstleinclinic@gmai'l.com LICENSE FEES Intact Dog or Cat: $16.00 c 0 $5,00 F ii1 total FAXED 02-15-19 2:05p BY TOTAL PAGES � f" 02/15/2019 14:22 4024260101 HOLSTEIN VET CLINIC PAGE 01/02 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. 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 RE 01UIR�D BYLAW TO LICENSE YOUR PETS, Failure to do so is a violation of City ordinances 6,103 and carries a penalty ()fa fine up to $150.00 per pet. PET LICENSE RENEWALS A,RE 15UE 6Y 3 15 NS9" The city shall recognize a microchip ID Dumber 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 (Oa) at 6 months of age if puppy or kitten NEW RESIDENTS TO BLAIR Must register pets within 10 nays of residency Owner Name Vicki 113a ' ' Spouse x Owner Address JL262 Deerfield Blvd #202 City/state/Zip Blair, NE 68008 Phone # 402-426-9684 DL # or DOB Pet Name: Zoe} Age; Sy Sex: Spayed Felinale Color. Merle ' Breed; Min Aussie Declared Dangerous/Potentially Dangerous Dog YIES Microchip # '985112002000801 City Tag # � "t I"i\4'J' 4 9XPN >J I n i♦ ti+ 7y .. r '1'St� �� qa.�"._ •.�' It{'I d!J`"; 5;; r�ras ,�; � �; it r It i•i14;5 "LI I' f ` �;I r Rabies Tag . # 11671 �i {M1 L't 4iu 4 Ai II<HiLfl � � 4,.�'„ l l Y �t . Jf�l� i `f, a; ,ar�;i 4 ��• i ii� li , )��u, �4^?:,i{11"•,b,;;i :fL•'ti 4'�a, h.�'il'f lyA'�,.�.1 `II�I�,:��Wv�i �17. ?Gfi�..f?Vi:i:r lli,Vxl�i�,. '.,.a Rabies Description: 1 YEAR lyb# Holstein Veterinary Clinic Dr: Lisa Schrum DVM & Dr, Kristo Holstein DVM 8 South 19th Street Blair, NE 68008 402-426-7387 402-426-0101 Fax hoisteinclinic@gmail.com LICENSE FEES Intact Dog or Cat; $16.00 Dog r cat: $1 0 Replacement Tag $5.00 Total FAXED 02-15-19 2:00p BY TOTAL PAGFS•„ 2019 PET LICENSE VERIFICATION/APPLXCATION FOR CITY OF BLAIR, IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG($) AND /OR CAT(S), COMPLETE THI� FORM AND ReTURN WITH A CHECK PAYABLE TO: CITY OF BLAIR — 218 S. :t 6TH ST — BLAIR, NE 68008 YOU MAY LEGALLY OWN A COM13INATION OF FOUR (4) ADULT PETS, BUT NO MORF THAN THREE (3) ADULT'DOGS OR THREE ($) ADULT CATS PER RESIDENTIAL OR DWELLING liNIT, Pallure to do so is a violation of The city shall recog It shall be unlawful for any dQg or cat to wear any NEW PET LICENSING Must be licensed within I NEW RESIDENTS TO BLAIR Must register pets v Owner Name Spouse Owner Address City/State/Zip Phone art DL # or DOB PET # Pet Name: Belle *PLEASE READ CAREFULLY*** Ordinances 6,103 and carflin a penalty of a fine up to $150.00 per pet. NSE RENEWALS ARE DUE BY 31 . 1512019. ze a microchip ID number as the license number. sense or other city ID other than that issued by the,City of Blair for such dog or cat. days of ownership (OR) at 6 months of age if puppy or kitten thin 10 days of residency Sandy Baumberger 1379 Fieldcrest Drive Blair,, NE 68008 402-727-8107 Age: 13Y DOB-. 05-29-06 Sex: Spayed Female Color.- Grey Breed; bSh Declared Dangerous/ Potentially Dangerous Dog NO YES Microchip City Tag Rabies Tago 00 Rabies Description: I YEAR J (3 ftAP. Holstein Veterinary Clinic 'I Dr. Lisa Schrum DVM & Dr, Krista Holstdfti DVM 718 South 19th Street Blair, NE 68'008 1 402-426-7387 402-426-0101 Fax hoisteinc.linic@gmall.com LICENSE FEES Intact Dog or Cat: $16.00 Altered Dog or cat: Replacement Tag $.5,00 Total $ i L-00 FAXED 07-11-19 BY TOTAL PAGES To T0qj7 ZO/To 39vd DIFII-10 i3A NI31S-OH-1 V30V ZT:bT 6T9Z/TT/LO 2019 PET LICENSE - VERIFICATION/APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN SLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT($), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF BLAIR 218 S. 16TH ST — BLAIR, NE 6800E YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CAT$ PFR RESIDENTIAL OR DWELLING UNIT. ***PLFASE, READ CAREFULLY*** YOU ARE REQUIRED BY LAW TP UCENSE YOUR PETS. Failure to do so is a violation of Clty Ordinances 6.103 and carrle� a penalty of a fine up to $150.00 per pet. PET LICENSE RENEWAL 5 ARE DUE BY 3/3,5/2019. 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 thet 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 Mint register pets within 10 days of residency Owner Name Sandy Baumberger Spouse owner Address 1379 Fieldcrest Drive 0ity'JState/Zip Blair, NE 68008 Phone # 402-727-8107 OL # or DOB PET # Pet Name: Cleopatra 'I Age: DOB: 06-27-08 sex. Spayed Female. color: Calii/Wh Breed: Dlh Declared Dangerous/ IPotentiafly Dan ulrous Dog NO YES Microchip # .I I City Tag # d rjj"�� i 4 `1 Rabies Tag #Yli" Rabies Description: 1 YEAR,; 3 YEAR HolsteinVeterinary Clinic Dr. Lisa Schrum DVM & Dr, Krista Hdtst0n. DVM 718 South 190 Street Blair, NE 68008 402-42.6-7387 402-426-0101 Fax holsteindinicftmailxom FAXED 07-11-19 BY W- — TOTAL PAGES LICENSE FEES Intact Dog or Cat: $16.00 Dog or cat: $1 Replacement Tag $S.00 Total $.]i , 0 0 i"0/30 39bd DINI-10 13A NI31S-10H T9T093b300 3T:bT GT03/TT/L9 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: BEAMAN, RONALD G & NANCY Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Owner Address: 1015 N 28TH ST Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: BLAIR, NE, 68008--0000 Operator Inspection Program Phone #: (402) 426-5554 Drivers License #: or Date of Birth: Subtotal licensed pets from below: Replacement Tags from below: 0 Name: Gracie DOB: Not on File Sex: License Fee $ 11.6 Color: Grey Breed: Domestic Shorthair Replacement: Spayed/Neutered: True ❑Y ON Mirochip # City Tag # 1899 Vaccination Date: 6/9/2016 Duration: 3 year vaccine Vaccine Exp: 6/9/2019 Total W0 00 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: Eric Beaty Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Owner Address: 1060 Colfax St Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008 Operator Inspection Program Phone #: (402) 853-1753 Drivers License #:H12725379 or Date of Birth: 7/4/1984 Subtotal licensed pets from below: Replacement Tags from below: Name: Duke DOB: 1- Sex: Male License Fee $ Color: Black/Rust Breed: Rottweiler Replacement: Spayed/Neutered: False ❑Y ON Mirochip # City Tag # 1297 Vaccination Date: 1, 1F8f� 016 Duration: 3 year vaccine i 41 Vaccine Exp:�1 /-201'9 Total: Blair Small Animal Clinic PC David E. Johnson DVM 1734 Front Street Blair, Nebraska, 68008 (402) 533-2722 Rabies Certificate Patient ID: 10826 Client ID: 8029 Patient Name: Duke Client Name: Eric Beaty Species: Canine Address: 1060 Colfax Street Breed: Rottweiler Blair, NE 68008 Sex: Male Color: Black Phone: (402)237-9508 Markings: Birthday: 03/11 /2011 Weight: Microchip ID: Tag Number: 5095 Lot Number: 18398 Imrab Rabies Vaccine Producer: Merial K / MLV / R: Killed Virus Vaccination Date: Expiration Date: Staff Name: David E. Johnson DVM License Number: 1893 3/15/2019 3/15/2022 or- 0 F V, ICAT N ATI 0 NJ , JTMV VETERINARY CLINIC Holstein Vet Clinic 718 South 19th Street Blair, NE 68008 402-426-7387 This is to certify... PATIENT: Charley SPECIES: Canine SEX- F Color and markings... Go Icc, Signed Lisa Schrum, DVM 103 07-26-20 Vangard Plus 5 08-16-20 Defensor 1 (1 Year Rabies) I MR, � IT I M11 Certificate No: 0 Previous Rabies Vaccination: OWNER OF ANIMAL Tanya Becerra 776 N 15th St. Blair, NE 68008 County: TAG NO: 17179 WEIGHT: 24.20 AGE: 18 weeks License: 2310 MFG BY: ZOETI SER.NO: 328007 LOT EXP: 07-07-20 ADM: SQ o - '-(� a 1-1- /0 S-7 :C,CTNA,Tt0 RT1'*"tGA'T F-4, 0F1 ':'V- A Date of Rabies Vaccination: 01 -12-19 Certificate No: 0 Next Rabies Vaccination On: 01-12-20 Previous Rabies Vaccination: VETERINARY CLINIC OWNER OF ANIMAL Holstein Vet Clinic Tonya Becerra 718 South 19th Street Blair, NE 68008 402-426-7387 County: This is to certify... THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Libby TAG NO: 16630 SPECIES: Canine WEIGHT: 47.00 SEX: AGE: 6 months Color and markings... Signed Lisa Schrum, DVM License. 2310 Due Date / Vaccinations 01-12-20 Defensor 1 (1 Year Rabies) Rabies Vaccine Information... MFG BY: ZOETI SER.NO: 293134 LOT EXP: 11-29-19 ADM: SQ ? 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. 16TH 6T — BLAIR, MBE 68008 YOU MAY LEGALLY OWN A COM13INATION 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 R! tIUIREI7 BY •LAW TC1 LICENSE Y Uft PETS. Failure to do so Is a Violation of City Ordinances GA03 and carries a penalty of a find up to %S0,00 per pet, I'ET LICENSE RENEWALS ARE dUE BY 3/15/2019 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 dQg or cast. NEW PET LICENSING Must be licensed within 1Q days of ownership (OR) at 6 months of age if puppy or kitten NEW RESIDENTS TO GLAIR Mint register pets within 10 flays of residency PET # Pet Name: SiCOut Age: SY Sex: Neutered Malmo Color: Biack/TEIn Breed: Terrier X Declared Dangerous/Potentially Dangerous aog N YES Microchip # Rabies Description: 1 YEAR. Holstein, Veterinary Clinic Dr. Lisa Schrum DVM & Dr. Krista Holstein LI M 718 South 19th Street Blair, ICE 68008 402-426-7387 402-426-0101 Fax holsteinclinic@gmall.com City Tag # t Rabies Tag #'15$62 3 YEAR LICENSE FEES 117tact Dog or Cat: $16.00 oQir caer 9 t$ Repltrcement Tag $5.00 Total li}O FAXED 02-19-19 2:17p BY � n TOTAL PAGES J V TO/T0 30vd OINI10 13A NI31S10H TOT09i71ti30ti 96:bT 6TO3/6T/60 01/22/2019 13:59 4024260101 HOLSTEIN VET CLINIC PAGE 01/01 2019 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF BLAIR IF YOU LIVE ZN -BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT(S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF BLAIR — 218 S. 16TIl ST — BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, 13UT NO MORE THAN THREE (3) ADULT DQQ5 OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT - ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR _PETS. Failure to do 5o is o violatlon of City Ordinances 6,103 and carries a penalty of a fine up to $150.00 per Pet. PET LICENSE RENEWALS ARE DUE BY 3/15/2019, 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 20 days of ownership (OR) at 6 months Of age if puppy or kitten NEW RESIDENTS TO BLAIR Must register pots within 10 days of residency ;T # I Pot Name., Dylan Age; 8) x-, Neutered Male Color: Blu Merle Breed: Poodle X DeClared Dangerous/Potentially Dangerous Dog ?NO —)YES Microchip # City Tag # Rabies Description: Holstein Veterinary Clinic Dr. Lisa Schrum DVM & Dr Krista Holstein DVM -118 South 19th Street Blair, NE 68008 402-426-7387 402-426-0101 Fax hoisteinclinic@gmail.com v e-n 0 M et LICENSE FEES Intact Dog or Cat: $16.00 Altered �og or cat: $11.0 Replacement Tag $5.00 Total $ FAKED 01-22-19 131P BY TOTAL PAGES FROM :BSAC FAX NO. :402-533-2722 Apr. 08 2019 05:33PM 1`1 CITY OF BLAIR - 2019 PET LICENSE APPLICATION ff you live in Blair City limits and own a dog(s) and/or 0at(s), complete this form and return with check made payable to: City of Blair a 218 S. 1601 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 DICE: march 15, 2b19. Owner Name: J�lmar _ � Owner Address: City/state/Zip: Blair, NE 68008 Phone # -aCj.R, 6,313 Drivers License # or Data of Birth LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Oat: $11.00 Replacement Fee for Lost Tag: $5.00 Included is a Fee -of ik1.25 bairm enitattm tr. rTinarf the ***PLEASE READ CAREFULLY*** YOU ARE REQuIRRp BY LAW TO LICENSE YOUR PETS, inure to CIO SO i9 A violation OY City ordinaneeR 6.103 and carrie6 a ponaltY of a fine up to $130.00 per port. PET LICENSES RENEWALS ARE bUB 0Y ZLIV-� f n. The City shall mco4nize a microollip identification nuillbor as the. Ilcoriso number, Ib shall be unlawful for any dog or rat to wear any Iir,.on5o or other city identlficatlott other than that isqued by the City of Blair for such (lost at - cat. The City of Blair requires proof of ra01o9 vacdnadon, &Cat PET #1 ` Dag f;;,l Cat ❑ Spayed/Neutered � License Fee $ � Pet Name 00 Agge ' 1? Sex Color Breed * Replacement Declared Dangerous or Potentially Dangerous og: Cl Y vWN MICROCHIP # — _-(If applicable) SUBTOTAL: $ RABIES VACCINA`g0N DATE; 1 !� (3 yr) 1 Y City Tag # ;Z C� ,Ira PET #2 1) [log ❑ Gat ❑ Spayed/Neutered License Fee $� Pet Name A?e Sex �. Color � Breed, * Replacement $ * * Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION (SATE: (3 yr) _ (1 yr) __-. City `tag # PET #3 ❑ Dog Ci Cat ❑ Spayed/Neutered License Fee $� Pet Name Agee Sex Color reed * Replacement $ ** Declared Dangerous or Potentially Dangerous Dog; ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINA7I0N DATE„ (3 yr) _ (I yr) _ City Tarp # � �* *PLEASE INCL JOE THE CITY T46 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; $I $3 _ $5 _ $10 — Other_...,. ***SEE BACK OP FORM FOR BREED SPECIFIC LICENSE REQUIREMENTS VISA/ MO #_• 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 ........ 4......++tt...+t++..........4...t.*++tt**.++tt+4+++++t.......+*++t.... NEW PET/NEW RESIDENT LICENSING REQUIREMENTS(ftftb15/atelie,*tenot applicablefornewpeWnewffs/dent5j a Must be Within 10-NW-Rowde' dais awnet5tup ■ Must mgister pets within 10 days of fa <Oltn at 6 months of ff puppy/kl w Vic,, 2019 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT(G), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF GLAIR — 218 S. 16TH ST — BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, I3UT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT'. ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS Failure to do so is a violatlbh of City Ordinances 6.103 and carries a penalty of a fi6o' up to $150,00 per pet. PET LICENSE RENEWALS ARE 11UE BY 3/25�2Q19 The city shall recognize a microchip ID number as the license number. It shall be unlawful for any dog or cat to wear any license or other city ID other than that issued by the City of Blair for such dog or cat. NEW PET LICENSING Must he licensed within 10 days of ownership (OR) Ot 6 Months of age if puppy or kitten NEW RESIDENTS TQ BLAIR Must register pets within 10 days of residency. PCT # ret Name: Embra Age: 15y Sex: Female Breed: Chihuahua Declared Dangerous/Potentia Microchip # colors Tan 0"—"bies City Tag Rabies Description! - I YEAR Holstein Veterinary Clinic Dr: Lisa 5cfrr utn DVM & Dr. Krista .H'alstein DVS' 718 South 191h Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteindinic gmail,com TO/TO 39Vd DINI-10 13A NI3IS-101-1 FAXED gY TOTAL PAGES } LICENSE FEES or Cat, $16.00 Altered Dog or cat, $11.00 Replacement Tag $5,00 Total T3T093bZ0b t?C :bT 6TU3/8T/ITT Feb 06 19 09:37a Thone Animal Care 4024265808 P. 1 N CERTIFICATE OF, VACCINATION Date of Rabies Vaccination: 01-11-19 Next Rabies Vaccination On: 01-11-20 VETERINARY CLINIC Thane Animal Care of Blair 902 S Hwy 30 Blair, NE 68008 402-426-3630 This is to certify... Certificate No: 1719 Previous Rabies Vaccination. OWNER OF ANIMAL Bill Bennett 1146 N. 18th Ave, Blair, NE 68008 County: A , Li 3)-S THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: 'rA, Kin rinArW) Dwight '6 , - "-s ") SPECIES: Canine U WEIGHT: 33,00 SEX: N AGE: 5 months Color and markings... Yellow Signed Dr. Leon Leishman License. 1971 Vaccinations done... 01-11-19 LL Rabies Vaccination 111 Year), #004520 12-20-18 LL Check up, DA2PPV+L 12-20-19 11-15-18 LL Bordetella, P13 (Intra-trac 3) 11-15-19 Rabies Vaccine Information... MFG BY: ZOETI SER.NO: 293134, LOT EXP: 11129/19 ADM: SQ 7 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: BERGGREN, CHRISTOPHER C & LAURIE Spayed/Neutered Dog or Cat: $11.00 A Replacement Fee for Lost Tag: $5.00 Fee includes $1.25 for the Nebraska Dog and Cat Owner Address: 548 S 23RD ST Operator Inspection Program City/State/ZIP: BLAIR, NE, 68008--0000 Phone #: (402) 426-0679 Drivers License #:H12725215 or Date of Birth: 11/23/1962 Subtotal licensed pets from below: Replacement Tags from below:.,_ Name: Daisy Color: Tri-Color Spayed/Neutered: True Mirochip # 4451327364E Vaccination Date: 4/3/2017 DOB: Not on File Sex: Female Breed: Beagle Duration: 3 year vaccine Vaccine Exp.- 4/3/2020 License Fee $ Replacement: ❑Y E'N City Tag # 153 Total:_ FROM :95AC FAX 1,10. :402-533-2722 May. 21 2019 01:35PM P1 CITY OF BLAIR - 2019 PET LICENSE APPLICATION If you live In Blair City limits and own a dog(s) and/or eat(s), complete this form and return with check made payable bo: City of Blair . 210 S.160, St. a Blair, NE 68008 Yeu may 199ally own a combination of four (4) adult pots, but no more than three (3) adult dogs or three (3) adult cats per resldentiel or dwelling unit, LICENSE RENEW Owner Nomm 14? Owner Adtiress: c1ty/state/Yip: Eclair, NE 68000 000 Phone # ! 1a- 3 a. °_!12'� _f U Drivers License # or Date of girth LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5,00 ***PLEASE READ CAR9HAJ Y*** VOU ARE REgUaRED BY LAW T9 L[GENSE YOUR VETS, MUM to do So fA a VIOLA ton 0KRY Wdlnmhces 0,103 d6d carrigg E penalty of a ftp@ up to $150.410 perpet. PET UORMSES RENMALS ARE OUR OY 344U7aie_ The City dhall recognise 6 microchip idbnt1f1cat14n nUmbar as Cite licknse ntinlwr. It ohull be unlawful for any dog Or Ot to wear Nhy license or other city idantlncation other than that 19stiod by the City of Blair for such dog or cut. the Guy of olair requitYa6 proof of Mblat vacchlAti4n+ MEET *1 Dog © Cat Spayed/Neutered License Fee $11.-� Pet Nam Ae ex Color Brer~d * Replacement $ Declared Ganger us or Potentially Dangerous og: liY "AN MICROCHIP # ...... _ (If applicable) , SUBTOTAL: $ RABIES VACCINATION DATE: + (3 yr) (1 yr) City Tag # ram* PET # 2 D 0 11 © C a t Spay d/Ne;ut red � License Fee $�� Pet Name � pq�e � co(c�r geed * replacement $ ** Declared Dangerous or Potentially Dangerous Y N MICROCHIP # Iff applicable SUBTOTAL: $ RABIES VACCINATION DATE; t a UL�. , 91J (3 yr) (I yr) City Tag # f " i PET # 3 Q Dog L3 Cat Q Spayed/Neutered License Flee $ Pet Name Age __ Sex Color Breed** Replacement $ Declared Dangerous or Potentiailly Dangerous Dog: U Y 0 N MICROCHIP #.-,..- (1f applicable) SUBTOTAL: $ _ RABIES VACCINATION DATE: _-- (3 yr) (I yr) _ City Tag # *PLEASE INCI UDE THE CITY TAG NUMBER IF THIS 19 A RENEWAL, ** (This fee Is due along with License Fees If requesting at the time of license renewal.) Donation to care for animals: _ $1 _ $S _ $5 _... $10 Outer_..-. ***$eE BACK of FORM! FOR BREED SPIECIFIC LICENSE P-EQUIREMENTS VISA / MG # Signature Do Not Send Cash by Mall TOTAL ENCLOSED $ .. Expires: Seourity0ode;_,,,, If you have questions, please contact City Hall at (402) 426-4191 or by Pax: (402) 426-4195 �t+t+..f.++t+....+++++.. 44++++d+....+++.++...4+++.*.*++t+... ^her++++++++.,, i...p..*+++ NEW PETINEW IMSIDENTUCENSING REQUMEMEM S (A9ar215lata fee datenotappliMblefbrnr°wp+:"ewtW1dsn1F) Newiv uCu l Pam!— N W0nts to Mir: i4 I'A st be Yoalsea lnl iNn 10 days of om&ship to MuO mg6itar pets wtthln 10 days of ■ 90R> at 6 t hor"of age it puppyfMtt n residency. W9 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. 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. LICENSE RENEWALS ARE..pUE: March 15, 2019 Owner Name: Tr-ul k � �� 11r 4 E Owner Address:. City/State/Zip: Blair, NE 68008 Phone # 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 3/15/2019. 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 & Cat ram PET 1#r1 xbj Dog ❑ Cat Spayed Neutered License Fee $ Pet Na7 Aye I Sex Color ~f al' Breed * Replacement Declared Dangerous or Potentially Dangerous Dog: ❑ Y l N 9/ MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: 1 0 (3 yr) ✓ (1 yr) City Tag PET #2-11),d Dog ❑ Cat Spayed/Neutered License Fee $ Pet Name Acle , Sex �I a Q e — Color c —Breed** o Replacement $ Declared Dangerous or Potentially Dangerous bog: ❑ Y N MICROCHIP # (If applicable SUBTOTAL: $ RABIES VACCINATION DATE: 10 of (3 yr) — (1 yr) City Tag #_ -') n 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 Do Not Send Cash by Mail TOTAL ENCLOSED $ VISA / MC # Signature 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 151 tefeedatenotapplicablefornewpets/new residents) Newly Acquired Pets: New Residents to Blair: ■ Must be licensed within 10 days of ownership ■ Must register pets within 10 days of ■ <OR> at 6 months of age if puppy/kitten residency. Date of Rabies Vaccination: 01-30-18 Next Rabies Vaccination On: 01-29-21 VETERINARY CLINIC Valley View Vet. Clinic 19287 Conifer LN Council Bluffs, IA 51503 712-256-7387 This is to certify... Certificate No: 0 Previous Rabies Vaccination: 049732 OWNER OF ANIMAL BarbBilleter 318 Benton St Council Bluffs, IA 51503 County: Pottawattamie THAT I HAVE VACCINATED AGAINST RABIES THE! ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Asa TAG NIO; 061546 SPECIES: Canine WEIGHT: 68.00 SEX; S AGE: '14 years Color and markings: Fawn Signed Barbara Lee Rabies Vaccine Information... MFG BY: SER.NO: LOT EXP: AIM: License: Date of Rabies Vaccination:10-02-18 Next Rabies Vaccination On: 10.01-21 VETERINARY CLINIC Valley View Vet. Clinic 19287 Conifer LN Council Bluffs, IA 51503 712-256-7387 This is to certify... Certificate No: 0 Previous Rabies Vaccination: 051366 OWNER OF ANIMAL Barb8illeter 318 Bunton St Council Bluffs, IA 51503 County: Pottawattamie THAT I HAVE VACCINATED AGAINST RABIES THE: ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Pearl TAG NO: 065221 SPECIES: Canine WEIGHT; 75.60 SEX: S AGE: 7 years Color'and markings: White Signed Angela Richwine Rabies Vaccine Information... Licen-.se: MFG BY: MERI SER.NO: 282275 LOT EXP., 08/06/19 ADM: SQ 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. 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 TH♦Z,E (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. ***PLEASE READ CAREFULLY*"* YOU ARE REQUIRED BY LAW TO LICENSE YOUa PVg- Failure to do so Is a violation of City Ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSE RENEWALS ARE DUE BY 3/15/2019, 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_LICLNSING 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 Jim Sirrell Spouse owner Address 2449 Clark Street City'/State/Zips Blair, NE 68000 Phone # 402-426-8930 ID►L # or DOB Pet Name:Betty Age: ii,Y sex: Spayed Female Color: White/drag Breed: Eng Setter b6clared Dangerous/Potentially Dangerous Dog O YES , Microchip # 482C41132874 citr'rag # Yf �,i �L•c!;u;,��ii,r,T^"'>r,,, ;�••t�: � ,�,,,+r#%;I.i.i�,lr .I� ill: �' +�idi .•t•i'L;�fi�. .d•r �i.. �1 �1r l�r�'IJ'.�I r.I lie ILL �I`S IN Vf L�I�Ih�I-1� 4 !I �, ' •.t . h ¢.I:.,�� ,, ��h��5,�r_�: Rabies Tag # f 6714 Rabies Description; I. 3 YEAR Holstein Veterinary Clinic ,br. Lisa Schrum DVM & Dr. Krista Holstein DVM 718 South 19th'Street Blair, NE 68008 402-426-7387 402W426-0101 Fax holsteinciiniC@gmall.com LICENSE FEES Intact Dog or Cat: $16.00 Alter Dog o Gat: $11 R:eplocerncnt Tag $5.00 Total $ 11 M— FAXED •,• 02-15-19 11!53a BY . TOTAL P.AC,,ES R('� 30/ZIP 59Vd DINI-10 iDA NISIS-IOH T©T093030V 6T :ZT 6T03/51/ZU 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. 16TH ST — BLAIR,, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City Ordinances 6.103 and carries a penalty of a fine UP to $150.00 per pet. PET LICENSE RENEWALS ARE DUE BY 31 5/2029. The city shall recdgnize 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 otherthan 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 Jim Sirrell Spouse owner Address 2449 Clark Street Blair,, NE 68008 City/state/zip 10—hone # 402-426-8930 DIL # or DOB PET # Pet Name: GUS Age: iv--Fsex.- Neutered Male Color: White/Blk Breed: Eng Setter Declared Daingerous/Potentlailly Dangerous Dog 00 YES Microchip # 490F592171 City Tag 5igmg—N., k gv g r1j0h pli, Q'."n"'A: .... ......... 11 Rabies Tag 243 Rabies Description: YEA 3 YEAR Holstein Veterinary Clinic Dr. Lisa Schruni DVM & Dr. Krista Holstein DVM 718 South 191h Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinic@gmai1.com LICENSE FEES Intact Dog or Cat: $16.00 Dog car cat: $11,00 Replacement Tag $5,00 Total$ �, 100 FAXED 02-15-19 11:49a BY TOTAL PAGES ZO/TO DOVd DINI-10 i3A N=S-10H TOT093vzob 6T:3T 6TOZ/91/zo CITY OF BLAIR - 2019 PET LICENSE APPLICATION If you live in Blair City limits and own a clog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair • 218 S. 16th St. a Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2019 Owner Name: 4' . •� ti t ca K Owner Address: N city/state/zip: Blair,. NE 68008 Phone # Ligo - 1 y(--c7 Drivers License # or Date of Birth 0-7- 14' _ /YW 7 LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11.00 Re lacement Fee for Lost Tan: $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. P Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat PET # 1 , D o g ❑ Cat 0 Spayed/Neutered License Fee $ Pet Name_ (A - Age _ $ 3 Sex vy,\ Color—' Breede* Replacement$ Declared Dangerous or Potentially Dangerous Dog: ❑ Y .N MICROCHIP # I (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: / _ (3 yr) (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) _ M License Fee $ Replacement $ SUBTOTAL: $ (1 yr) City Tag # PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Acie 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 Do Not Send Cash by Mail TOTAL ENCLOSED $ VISA / MC # Expires: Security Code: Signature RAc 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/ldtten residency. 0-t3�r- VIJI CERTIFICATE OF VACCINATION Date of Rabies Vaccination: 07-30-18 Certificate No: 0 Next Rabies Vaccination On: 07-29-21 Previous Rabies Vaccination: VETERINARY CLINIC OWNER OF ANIMAL Graham Veterinary Clinic OQLx> A Randy l3jork 309 South Vine Street 3-1-9 -UVine—, Arthur, IL 61911 Art-lifff,--IL-61-91-1 217-543-2613 C—o—uh-ty—Moultrie— j This is to certify... THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Misty TAG NO: SPECIES: Canine WEIGHT: 84.90 SEX: S AGE: 12 years Breed: Retriever, Labrador Mix Color and markings... Yellow Signed Taylor Arlis Vaccinations done... 07-30-18 TCA Rabies Vaccine, 3 year Rabies Vaccine Information... License: 07-29-21 MFG BY: BI SER.NO: 4150434A LOT EXP: 08/24/18 ADM: M CERTIFICATE OF VACCINATION 3-WO Date of Rabies Vaccination: 07-16-18 Certificate No: 0 Next Rabies Vaccination On: 07-16-19 Previous Rabies Vaccination: VETERINARY CLINIC OWNER OF ANIMAL Graham Veterinary Clinic 0A A' Randy Bjork 0 Ol'i 309 South Vine Street —349-N-Vins- Arthur, IL 61911 -Arthur-JIL-61-91-1- 217-543-2613 This is to certify... THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Bruno TAG NO: SPECIES: Canine WEIGHT: 96.00 SEX: N AGE: 9 years Breed: Retriever, Labrador Mix Color and markings... Signed TaylofArlis Vaccinations done... 07-16-18 TCA Rabies Vaccine I year Rabies Vaccine Information... License: C)qo - 01 12-59 07-16-19 MFG BY: 131 SER.NO: 4130257A LOT EXP: 07/19/19 ADM: 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 Owner Name: Mandy Blackburn Owner Address: 449 River Rd City/State/ZIP: Blair, NE 68008 Phone #: (402) 590-4910 Drivers License #: Name: Henry Color: White/Brown Spayed/Neutered: True Mirochip # Vaccination Date: 04/06/2017 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 or Date of Birth: 01/27/1978 Subtotal licensed pets from below: Replacement Tags from below: DOB: Not on File Sex: Male Breed: American Pit Bull Terrier* Duration: 3 year vaccine Vaccine Exp: 04/05/2020 License Fee $ Replacement: ❑Y ❑N City Tag # 2249 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: Mandy Blackburn Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Owner Address: 449 River Rd Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008 Operator Inspection Program Phone #: (402) 590-4910 Drivers License #: or Date of Birth: 01/27/1978 Name: Fiona Color: White/Brown Spayed/Neutered: True Mirochip # Vaccination Date: 10/23/2017 Subtotal licensed pets from below: Replacement Tags from below: DOB: Not on File Sex: Female Breed: American Pit Bull Terrier* Duration: 3 year vaccine Vaccine Exp: 10/23/2020 License Fee $ Replacement: ❑Y ❑N City Tag # 2248 Total: Lt P_ 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: Mandy Blackburn Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Owner Address: 449 River Rd Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008 Operator Inspection Program Phone #: (402) 590-4910 Drivers License #: or Date of Birth: 01/27/1978 Subtotal licensed pets from below: Replacement Tags from below: Name: Chloe Color: White/Gold Spayed/Neutered: True Mirochip # Vaccination Date: 0-6/2142015 DOB: Not on File Sex: Breed: Domestic-Shorthair Y"lq" c Coo Duration: 3 year vaccine Vaccine Exp: 06/21/2018 License Fee $ Replacement: ❑Y [IN . City Tag # 2246 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: Mandy Blackburn Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Owner Address: 449 River Rd Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008 Operator Inspection Program Phone #: (402) 590-4910 Drivers License #: Name: Dude Color: Tri-Color Spayed/Neutered: True Mirochip # 1-s Vaccination Date: 04106f015 or Date of Birth: 01/27/1978 Subtotal licensed pets from below: Replacement Tags from below: DOB: Not on File Sex: Male Breed: Mix Breed Duration: yar vaccine Vaccine Exp: ,94106/2018 License Fee $ Replacement: ❑Y ON City Tag "415 ( Total: 2019 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /DR 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 rOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT, ***PLEASE READ CAREFULLY*** Y UARE RE IRED BY LA TO LICPN E YOUR PE7S, Failure to do so is a violation of City Ordinances 6.103 and carries a penalty of a f1he up to $1S0.00 per pet. PET LICENSE l�ENEWAI �S ARE D lE pY 3/15/2p15 The city shall recognize a microchip ID number as the license number. It shall be Uhlawful for ahy dog or cat to wear any license or other city IID 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 Td gLAIR Must register pets within 10 days of residency PET # Pet Name: Charlie Age: �7Y �!Sgexv.-�Netu�tered Male {Color: Black and Tan Breed: Mien Pin X Declared Dangerous/Potentially Daingelrous Dog YES Microchip # Rabies Description: 1 Holstein Veterinary Clinic Dr. Lisa Schrum DVM & Dr..K"rista Holstein DVM 718 South 1gth Street Blair, NE £8008 402-426-7387 402-426-0101 FaX holsteinclinic@gmail.com City Tag # < Rabies Tag # 46837 3 YEAR. LICENSE FEES Intact Dog or Cat: $16.00 og or cat: 0 Replacement Tag $5,00 Total $— FAXED 03-27-19 3:45p BY TOTAL PAGES y TO/TO 39Vd DINI-10 i3A NI3iS701-1 T©T09ZPZUb 99:9T 6TOZ/LZ/E0 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: BLAIR POLICE DEPT Spayed/Neutered Dog or Cat: $11.00 OReplacement Fee for Lost Tag: $5.00 Owner Address: 1730 Lincoln St Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008 Operator Inspection Program Phone #: (402) 426-4747 Drivers License #: or Date of Birth: Name: Duke Color: Black/Tan Spayed/Neutered: False Mirochip # Vaccination Date: 10/26/2017 Subtotal licensed pets from below:___ Replacement Tags from below: DOB: Not on File Sex: Male Breed: Belgian Malinois Duration: 3 year vaccine Vaccine Exp: 10/26/2020 License Fee $ Replacement: ❑Y EIN City Tag # 746 Total: WILLOW PARK VETERINARY CLINIC Page 1 / 1 415 EAST ERIE ST. C MISSOURI VALLEY, IA 51555 (712) 642-3815 Julie & Josh Bogardus s Client ID: 6814 13,536-County-Ro-ad-2� `1 /AJ c) I Invoice #: 154061 Blair, NE 68008 Date: 5/16/2018 Patient ID: 15274 L 'j Species: CANINE Weight: 124,00 pounds ,V/, � l Patient Name: Cooper Breed: GERMAN SHEPHERD Birthday: 10/30/2016 Sex: Neutered Description 5/16/2018 ANESTHESIA Inj. Extra Large Dog TUMOR REMOVAL EAR CLEANING - BILATERAL Left ear was the worse Reminder 03/31/2019 HEARTWORM EXAMINATION DHLPP & Bordetella Booster Interceptor Plus 50.1-100 Blue (6) Interceptor Plus 8.1-25lbs Grn ( 6 ) 02/28/2020 RABIES CANINE 3 YEAR BOOSTER Staff Name Quantity Total Jack D, Gochenour, D.V.M 1.00 $120.00 30.00 $180.00 1.00 $24.00 1.00 $0.00 Patient Subtotal: $324.00 Invoice Total: $324.00 Total: $324.00 Balance Due: $324.00 Previous Balance: $0.00 Balance Due: $324.00 MasterCard Card Number: ... XXXX4048: ($324.00) Less Payment: ($324.00) Balance Due: $0.00 FINANCE CHARGE applied to all accounts unpaid after 30 days. FINANCE CHARGE is computed by a periodic rate of 1.75% per month, which is an annual percentage rate of 21.0%. MINIMUM CHARGE $2.00. WILLOW PARK VETERINARY CLINIC jf Page 1 / 1 415 EAST ERIE ST. MISSOURI VALLEY, IA 51555 (712) 642-3815 Julie & Josh Bogardus Client ID: 6814 1a3 Oziutit o d 2 ) Invoice #: 153432 Blair, NE 68008 Date: 4/11/2018 Patient ID: 9675 ( Species: CANINE Weight: 59.40 pounds Patient Name: Lailal ` _ ) Breed: GERMAN SHEPHERD Birthday:11/01/2010 Sex: Spayed 4/11/2018 Description Wellness Exam DHLPP & Bordetella Booster HEARTWORM EXAMINATION Heartworm Negative RABIES CANINE 3 YEAR BOOSTER Interceptor Plus 50.1-100 Blue (6) Gentizol Otic Ointment 25 ml. Reminder 10/11/2018 Interceptor Plus 50.1-100 Blue (6) 04/11/2019 HEARTWORM EXAMINATION DHLPP & Bordetella Booster Annual Physical & Vaccinations 04/11/2021 RABIES CANINE 3 YEAR BOOSTER Staff Name Quantit Jack D. Gochenour, D.V.M 1.00 1.00 1.00 1.00 1.00 1.34 1.00 Patient Subtotal: Invoice Total: State Sales Tax Total: Balance Due: Previous Balance: Balance Due: VISA Card Number: ... XXXX3799: Less Payment: Balance Due: FINANCE CHARGE applied to all accounts unpaid after 30 days. FINANCE CHARGE is computed by a periodic rate of 1.75% per month, which is an annual percentage rate of 21.0%. MINIMUM CHARGE $2.00. Total $0.00 $34.00 $26.00 $0.00 $27.00 $73.83 T $26.99 T $187.82 $187.82 $7.06 $194.88 $194.88 $0.00 $194.88 ($194.88) ($194.88) $0.00 FROM :BSAC FAX NO. :402-533-2722 Jan. 24 2019 11:54AM P1 CITY OF BLAIR - 2019 PET LICENSE APPLiCATION If you live in glair City limits and own a dag(s) and/or cat(s), complete this form and return with check made payable to: City of Blair a 218 S. 16th St. *Eclair, NE 68008 You may legally own a combination of four (4) adult pats, fact no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: Marsh 15, 2019 Owner Name; 1-\)_tLL\4 — Owner Address: h � city/slate/zip: 81airf NE 68008 Phone #� Drivers License # or pate of i$irth LICENSE FEES: Drag or Cat: $16.i10 Altered Ding or Cat: $11.00 Reolaicement Fee for Lost Tag: $5.00 is a State Fee of ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO ILIrFNSE YOUR PETS. F0lture to do G0 is a Violation of City ordinances 6.103 and carries a pgnpltY of n fine up to $150.00 per pet. PET LICENSES RENEWALS ARE 13VE BY aj.15.2018. Tho City shall recognize a mitraehip identification number a5 the Ilcense number. It shell Us unlawful for any dog or cat to Wear Any licarism Or other dty Identification Other than that issued by the City of Blair for such dog or cat, The Cltvof Blair requirm proof of rablaa vaccination. PET #i Dag cat,Spaye Neutered License Fee $., --- Pet Name Age Sax REg Color Breed** Replacefn $ ** Declared Dainger us r Rq entially Dangerous Dog: ❑ Y Ci N � MICROCHIP #...,..__..,_ i l Y� (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: 6i l 1 0,)./. . XQD(3 yr) (I yr) City Tag # PET #2 Q Do T ..� ...' .....- . g ❑Cat ©Spayed/Neutered License Fee $ Pet Name Aq*e _..---.------.— Sex Color Breed * Replacement $ ... - ....,,.. Declared Dangerous or Potentially Dangerous Dog., Q Y © N MICROCHIP # (if applicable) SUBTOTAL: $ ._ RABIES VACCINATION DATE: (3 yr) (I yr) — City -Tag # * PET #3 d Dog ❑ Cat ❑ Spayed/Neutered Prot Name Aae Sex Color Breed * Declared Dangerous or Potentially Dangerous Dog: © Y MICROCHIP # (If applicable) RABIES VACCINATION DATE; (3 yr) M License Fee Replacement $ SUBTOTAL„ $ (I yr) — City Tag # * �r *PLEASE INCLUDE THE Cr7Y TAG NUMBER IF IHl$ IS A RENEWAL ** (This foo is +due along with Licenist Fee if requesting at the time of license eanewal[0 Donation to care for animals: $1 $3 -- . $5 $10 Other+ ***SEE BACK CIF FORM FOR BREED SI>ECIFZC LICENSE REQUIREMENTS fro Not Send (Gash by Mall TOTAL P-NCLOSED $ VISA / MC # Expires: Security Oode, ,Signature It you have questions, please contact City Hall at (402) 426.4191 or by Fax: (402) 426.4195 ++ttt t t.. t+t t ttt+t ttt+t+t t t......... t+ttt+t t++++++++++. .*+.....r......r+++++++++ NEW PETINEW RESIDENT LICENSING REQUIREMENTS (March 15late &v dote nvtwpA7ahk fornew peWn8wre0t,44) Newly Mulred Pets, 1 ffi tp 1jair�, ■ Must be llceruffJ vAhin 10 clays of a me►ship r Must reg!Aer nets within 10 days of ■ <OR> at 6 morift of age If puppy/Wen rmidenrry. , 2019 PET LICENSE VERIFICATION/APP'LICATION FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT(S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF BLAIR. — 218 S. 16T" ST — BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT, ***PLEASE READ CAREFULLY'** YOU ARE REQUIRED ) LAW TQ �YOUR PETS Failure to do 80 Is a violation of City Ordinances 6,1Qa and carries a penalty of a fine up to �150.00 per pet, PET LICENSE RENEWALS ARE DUE 8Y 3 15 -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 Qther city ID other than th,�C issued by the City of glair for such dog or cat_. NEW PET LICENSING Must be licensee! within 10 days of ownership (OR) at 6 months of age If puppy or kitten NEW RESIDENTS TO BLAIR Must register pets within 10 days of residency Owner Name Spouse owner Address City/State/Zip Phone # DlL#ar130B - PET # Lori Bogle Jim 568 South 23rd St Blair, NE 68008 402-278-1837 Pet Name: Reggie Age: 3Y sex: Neutered Male color. Tate and White Bread: Corgi Declared DangerOUS/Potenti$Ily Dangerous Dog ND YES Microchip # 9851IL2006057212 Rabies Description: (- 1 YEAR Holstein. Veterinary Clinic Dr. Lisa Schrum DVM & br. Krista Holstein DVM 718 South 19th Street Blair, NE 68008 402-426-7387 402-426-0101 Fax helsteinclinic@gmail.com City Tag #k -.. Rabies Tag # 16855 3 YEAR LICENSE FEES Intact Dog or Cat: $16.00 Dog or Gut: $11. Relalcrcement Tag $5.00 Total LCL FAXED 04-05-19 2:59p - 13Y TOTAL PAGES TO/TO DINI-10 13A NI315-10H TOT09Zb300 96:9T 6TO3/90/00 2019 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CATO), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF GLAIR - 218 S. 16T" ST - BLAIRj NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT 00GS OR THREE (3) ADULT CATS PER RESIDENTIAL OP DWELLING UNIT, 'PLEASE READ CAREFULLY*'"* YOU ARF REQUIRED BY LAW TO LICENSE YUUR PETS. Failure to do so is a violation of City Ordinances 5.103 and carries 0 penalty of a fine up to ,%M.00 per pet, PET LICENSE RENEWALS ARE DUE BY 3 A5 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 Narne Spouse owner Address City/State/Zip Rhone # DL # or DOB PET # , Sohn Borchardt Barb 2357 Clark Street Blair, NE 6800.8 402-426-8279 Pet Narne: Max Age: 4Y sex. Neutered Male Color: Browrl/Wt Breed: Lab Mix Declared Dangerolus/Potentially Dangerous Dog Microchip) # 985112005501095 Rabies Description: 1 YEAR Holstein Veterinary Clinic Dr, Lisa Schram DVAI & Dr. K'ristca Holstcirl DVM 718 South 19t6 Street Blair, NE 68008 402-426-7387 402-426-0101 Fax halsteinclinic@gmail.com YES City Tag # ._ Rabies Tag ## 14569 } 3 YEAR LICENSE FEES Intact Dog or Cat: $16.00 Altered Dog or Gat: $11 Replacement Tag $5.00 Total l ' V FAXED 03-12-19 1:17p BY TOTAL PAGES r TO/TO 39Vd DINI-10 13A HI=-101-1 TUT09ZbZ©b bZ:CT 6T©Z/ZT/CO Mar 22 19 11:10a Thone Animal Care 4024265808 p.3 CITY OF BLAIR - 2019 PET LICENSE VERIFICATION If you live in Blair City limits and own a dog(s) andlor cat(s), completalverify 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 orthree (3) adulteats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2019 LICENSE FEES: Dog or Cat: $16.00 Owner Name: Susan & Sarah Borgelt Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Owner Address: 507 IN 22nd St Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008 Operator Inspection Program Phone#: ENO PRIMARY PHONE> Drivers License #; or Date of Birth: Subtotal licensed pets from below: 0'0 Replacement Tags from below: Name: Chloe Color: Tan Spayed/Neutered; True Mirochip # Vaccination Date: 6/1812017 DOB: 1/1/2010 Sex: Female Breed. Pomeranian Duration: 3 year vaccine Vaccine Exp: 5/18/2020 Thone Animal Care of Blair (402) 426-3630 902 S. Hwy 30 Blair, NE 68008 License Fee $ Replacement: CIY ON City Tag # 2197 Total: /1,6h0 Mar22 19 11:10a Thone Animal Care 4024265808 p.2 CITY OF BLAIR - 2019 PET LICENSE VERIFICATION Iiyou live in Blair City limits and own a dogs) 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: Susan & Sarah Borgelt Spayed/Neutered Dog or Cat: $11.00 Owner Address: 507 N 22nd St Replacement Fee for Lost Tag: $5.00 Fee includes $1,25 for the Nebraska Dogand Cat City/State/ZIP: Blair, NE 68008 Operator Inspection Program Phone #: <NO PRIMARY PHONE> Drivers License #: or Date of Birth; Pywr Subtotal licensed pets from below: % Ou Replacement Tags from below: Name: Clyde Color: Tan Spayed/Neutered: True Mirochip # Vaccination Date: 9/17/2018 DOB: 7/6/2017 Sex: Male Breed: Staffordshire Bull "terrier* Duration: 1 year vaccine Vaccine Exp: 9/17f2019 Thone Anima) Care of Blair (402) 426-3630 902 S. Hwy 30 Bair, h!E 68C^8 License Fee $ & a c Replacement: ❑ Y MN - City Tag # 2467 Total: /1 DO kk C o" 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: Sharon Boudreau Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Owner Address: 758 S 16th, Unit 282 Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008 Operator Inspection Program Phone #: (402) 533-4648 Drivers License #:G29006465 or Date of Birth: 4/26/1943 C� l 0 Name: Butch Color: Tabby Spayed/Neutered: True Mirochip # Vaccination Date: 8/1 Subtotal licensed pets from below: I.�r Replacement Tags from below: DOB: 3/1/2011 Sex: Male Breed: Maine Coon jJ v 4 Duration: 1 year vaccine Vaccine Exp: 8/12/204' License Fee $ Replacement: ❑Y ,Y" City Tag # 264 �-o 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 Owner Name: Melanie Bowen Owner Address: 105 Hollostone Dr. City/State/ZIP: Blair, NE 68008 Phone #: (402) 533-8144 Drivers License # Name: Otis Color: White/Black Spayed/Neutered: True Mirochip # Vaccination Date: 12/28/2017 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 or Date of Birthk}r Subtotal licensed pets from below: Replacement Tags from below: DOB: 7/1/2016 Sex: Male Breed: Maltese Duration: 3 year vaccine Vaccine Exp: 12/28/2020 License Fee $ Replacement: ❑Y ON City Tag # 2049 Total: "/ L4.�' 4 Y?� CIj tf- P)S-41 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 Owner Name: Melanie Bowen Owner Address: 105 Hollostone Dr. City/State/ZIP: Blair, NE 68008 Phone #: (402) 533-8144 Drivers License #:G01234324 or Date of Birth: 3/10/1956 Name: Poncho Color: Black Spayed/Neutered: True Mirochip # Vaccination Date: 3/8/2017 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 Subtotal licensed pets from below: Replacement Tags from below: DOB: Not on File Sex: Male Breed: Chihuahua Duration: 3 year vaccine Vaccine Exp: 3/8/2020 License Fee $ / Replacement: ❑Y ❑N City Tag # 1755 Total: 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: Melanie Bowen Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Owner Address: 105 Hollostone Dr. Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008 Operator Inspection Program Phone #: (402) 533-8144 Drivers License #:G01234324 or Date of Birth: 3/10/1956 Subtotal licensed pets from below: Replacement Tags from below: Name: Gracie DOB: Not File Sex: Female License Fee $ _{ Color: Black/Brown Breed: Chihuahua Replacement: Spayed/Neutered: True ❑Y ON Mirochip # City Tag # 1754 Vaccination Date: 1-0/1,4/201.5--- Duration: 3 year vaccine Est w Vaccine Exp: 10/44/2018 le ' Total_ VETERINARY CLINIC Holstein Vet Clinic 718 South 19th Street Blair, NE 68008 402-426-7387 This is to certify... PATIENT: Gracie SPECIES: Canine SEX: S =0 Krista Holstein , DVM 03-10-18 Hwt Dog (Heartworm Test) 03-10-18 Vangard Plus 6 10-10-21 Denfensor 3 (3 Year Rabies) Certificate No: 0 Previous Rabies Vaccination: 13821 OWNER OF ANIMAL Melanie Bowen 105 Hollostone Dr Blair, NE 68008 County: Washington County �--639- ' 7 WEIGHT: -0-e- AGE: 7 years License: 3612 MFG BY: ZOETI SER.NO: 293117 m -OT EXP: 10-15-19 ADM: SQ Oct 10 19 02;40p Thone Animal Care 4024265808 p,1 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. 16k11 St:, a Blair, NB 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: AWAG (.r Owner Address: j j I �rct5r�� r1 17e CitylState/zip: Blair, NE 68008 Phone # Drivers License # or Date of Birth LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11.o0 Replacement Fee for Lost Tag: $5.00 Included is a State Fee of $1.25 ring 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 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3LIS12018. 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 Cityof Blair requires proof of rables vaccination. Cat PET #1 og ❑ Cat ;Spayed/Neutered License Fee $-fl--_ Pet Name etti , Aye Sex QQ C©lor --rrJ, �A-1�14-t Breed * Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: }0 %- ( (3 yr) era (1 yr) City Tag # PET #2 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Age Sex Color Breed * Declared Dangerous or Potentially Dangerous Dog: C1 Y MICROCHIP # (If applicable) RABIES VACCINATION DATE; (3 yr) y License Fee $ Replacement $. El SUBTOTAL: $ (1 yr) City Tag #_* PET #3 ❑ Dog Cl Cat O Spayed/Neutered License Fee $ Pet Name Aye Sex _ Color Breed `* Replacement $ Declared Dangerous or Potentially Dangerous Dog: ElY ❑ 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 RACK OP FORM FOR BREED SPECIFIC LICENSE REQUIREMENTS 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 +.+++-i-.+.-t .. ... .+* ++*++.+.+ f *++. ++.+It- .......... 4 ........................... t++ NEW PETINEW RESIDENT LICENSING REQUIREMENTS(March15late fee date notapplicablefor newpets/newresrdentsj Newly Agamred Pets: New REsident9 to Blair n Must be liceri<M within 10 days of otimt?rship ■ Must register pets within 10 days of In <OR> at 6 months of age if puppy/Idtten Thane Animal Hospiflillency. (402) 426-3630 902 S Hwy 30 Blair, NE 68008 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: Jesse & Heather Boyd Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Owner Address: 1311 Prospect Ave Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008 Operator Inspection Program Phone #: (315) 796-5411 Drivers License #: Name: Chloe Color: Black/White Spayed/Neutered: True Mirochip # OA116A236A Vaccination Date: 10/06/2017 or Date of Birth: M 01 7(__ Subtotal licensed pets from below: 11-00 Replacement Tags from below: DOB: 11/01/2007 Sex: Female Breed: Chihuahua Duration: 3 year vaccine Vaccine Exp: 10/06/2020 License Fee $ I ?-0'0 Replacement: ❑Y City Tag # 2226 Total: I I - N o. t1 �. 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: Jesse & Heather Boyd Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Owner Address: 1311 Prospect Ave Fee includes $1,25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008 Operator Inspection Program Phone #: (315) 796-5411 Drivers License #: Name: Thor Color: Tri-Color Spayed/Neutered: True Mirochip # 985112007198590 Vaccination Date: 04/06/2017 aAA(� or Date of Birth: 0S' 0-?- Subtotal licensed pets from below:1 > C7 Replacement Tags from below:? DOB: 11/01/2014 Sex: Male Breed: Basset Hound Duration:3 year vaccine . Vaccine Exp: 04/06/M-8 License Fee $ 11. Rep acement: ❑Y RN City Tag # 2227 Total: d , DO 05/18/2019 12:39 4024260101 HOLSTEIN VET CLINIC PAGE 01/01 2019 PEA" LICENSE VERIFICATION/APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN BLAIR oi'fY LIMITS AND DOWN A DOG(S) AND /OR CAT(S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO, CITY OF BLAIR 218 S. 167H 5T — 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' Yog 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 flne up to $$150.00 per pet. PET LICENSE RENEWALS ARE DUE 6Y 3 X. 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 Dr other city ID other than that issued by the City of Alair for such dog or cat, NEW PET LICENSING Must be licensed within 10 days of ownership (OR) at E months of age if puppy or kitten NEW RESIDENTS TO BLAIR Must register pets within 10 days of residency Owner Name Spouse Owner Address City/state/Zip Phone # CAL, # or D06 fT # ! Karen Boyd, 760 N 18th Ave #2A Blair, NE 68008 402-533-4771 L Pet Name: Raven Age: 14M DOB: 03-24-18 Sex: Spayed Female Color: 'Black .Breed: Staff.Terr ' 1\/A l y- Declared Dangerous/Potentially Dangeravis Dog NO YES Microchip #� Q 1 4y 2.`C it City Tag # � Rabies Tag # 169S6 vib, YEA 3 YEAR Rabies Description."1 Holstein Veterinary Clinic ,Dr. Lisa Schrum DVM '& ,Dr. Krista Holstein DVM 718 South 19th Street glair, NE 68008 402-426-7387 402-426-0101 FaX holsteinclinic@9mail.com LICENSE FEES Intact Dog or Cat: $16.00 '- Altered -�' Dog or cat; $11.00 Replacement Tag $5.00 Total FAXED 05-18-19 8Y TQTAL SAGES /� 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: Carl Bradley Spayed/Neutered Dog or Cat: $11.00 Owner Address: 758 S 16th Unit Replacement Fee for Lost Tag: $5.00 Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008 Operator Inspection Program Phone #: (402"05=8304 j Drivers License #: or Date of Birth: y Subtotal licensed pets from below: Replacement Tags from below: Name: Dixie DOB:)Not on File Sex: Female License Fee $ Color: Grey Spayed/Neutered: True Mirochip # Vaccination Date: 8/3/2016 Breed: Domestic Shorthair Duration: 3 year vaccine Vaccine Exp: 8/3/2019 Replacement: ❑Y ON City Tag # 1757 Total: 'rvi CERTIFICATE OF VACCINATION Date of Rabies Vaccination: 02-07-19 Next Rabies Vaccination On: 02-07-20 VETERINARY CLINIC Thone Animal Care of Blair 902 S Hwy 30 Blair, NE 68008 402-426-3630 This is to certify... Certificate No: 1759 Previous Rabies Vaccination: OWNER OF ANIMAL Timothy Bradley 758 S 16 St #164 Blair, NE 68008 County: THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Newton TAG NO: 004579 SPECIES: Feline WEIGHT: 9.13 SEX: N AGE: 9 months Color and markings... Orange Tig Signed Dr. Leon Leishman License: 1971 Vaccinations done... 02-07-19 LL Rabies Vaccination (I Ye4), #004579 02-07-19 LL Check up, FE-4way 02-07-20 Rabies Vaccine Information... MFG BY: ZOETI SER.NO: 293133 LOT EXP: 11/29/19 ADM: SQ FROM :BSAC FAX NO. :402-533-2722 Apr. 17 2019 12:03PM P1 CITY OF BLAIR - 2019 PET LICENSE VERIFICATION If you live in glair 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* V 8 S 1 Bth St.* Blair, NE 68008 you may legally own a combination of four (4) adult pot!A, but no rnoro than three (3) adult dogs or throe (3) adult oats per residential or dwelling unit. LICENSE RENEWALS ARE DUE; March 15, 2019 LICENSE FEES, Dag or Oat: $16.00 Owner Name: ERANZ, MICHAEL J & DAWN G Spayed/Neutered Dog or cat: $11.00 Replacement Fee for Lost Tag: $5.00 Owner Address: 824 N 24TH ST Fee Includes $1.2s for the Nebraska Dog and Cat City/State/ZIP: BLAIR., NE, 68008--1184 operator inspection Program Phone #t: <NO PRIMARY PHONE> Driver$ License #: or pate of Birth: _ _ .._...... ... - Subtotal iicensed-pets from -below. Replacement Tags from below: Name; Molly Color: Yellow Spayed/Neutered: True Mirochip # Vaccination Date: 912/2017 — D013;_Not owr File Sex-, Fernale Breed: Labrador lRetriever Duration: a year vaccine Vaccine Exp; 9/212020 License Fee $ Replacement: 13Y ❑N City Tag # 715 Total: l.(a 0 � 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: Brenda Breuer Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Owner Address: 245 E Arthur St Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008 Operator Inspection Program Phone #: (402) 459-0242 s Drivers License #: or Date of Birth: I ( I Subtotal licensed pets from below: Replacement Tags from below: Name: Oscar Color: Black Spayed/Neutered: True Mirochip # Vaccination Date: 4/17/2018 DOB: Not on File Sex: Male Breed: Mix Breed Duration: 3 year vaccine Vaccine Exp: 4/17/2021 License Fee $ Replac ment: City Tag # 1584 Total: I I 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: Brenda Breuer Spayed/Neutered Dog or Cat: $11.00 Owner Address: 245 E Arthur St Replacement Fee for Lost Tag: $5.00 Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008 Operator Inspection Program Phone #: (402) 459-0242 Drivers License #: Name: Wookie Color: White/Red Spayed/Neutered: True Mirochip # Vaccination Date: 4/17/2018 or Date of Birth: q I � 116 ii 0zt Subtotal licensed pets from below: I Replacement Tags from below: DOB: Not on File Sex: Male Breed: Siberian Husky Duration: 3 year vaccine Vaccine Exp: 4/17/2021 License Fee $ Rep�I,p' cement: ❑Y [�N City Tag # 1345 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: Stewart Brewer Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Owner Address: 552 N 19th St Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008--0000 Operator Inspection Program Phone #: (402) 533-8396 Drivers License #: or Date of Birth: 3 _ 9 s (`- Subtotal licensed pets from below: lk, ®D Replacement Tags from below: Name: Miley DOB: 04/011201.3 Sex: Female License Fee $ 111C3 0 Color: Black Breed: Mix Breed Replacement: Spayed/Neutered: True ❑Y [(N City Tag # 1324 Mirochip # Vaccination Date: 06/04/2015 Duration: 3 year vaccine G� 2Q ,2-0l' Vaccine Exp: 06/04/2018 2 0 2U z-j Total .p I I' �' Client ID: 4069 Client Name: Shannon & Stewert Brewer Address: 552 North 19th Street Blair, NE 68008 Phone: (402)533-8396 Tag Number: 4650 Lot Number: 18350A Imrab Rabies Vaccine Producer: Merial K / MLV / R: Killed Virus Blair Small Animal Clinic PC David E. Johnson DVM 1734 Front Street Blair, Nebraska, 68008 (402) 533-2722 Rabies Certificate Patient ID: 6524 Patient Name: Miley` Species: Canine Breed: Mixed Breed Sex: Spayed Female Color: Black Markings: Birthday: 02/17/2013 Weight: 17.90 pounds on 6/20/2017 Vaccination Date: Expiration Date: Staff Name: David E. Johnson DVM License Number: 1893 6/20/2018 6/20/2021 V q ' 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: Stewart Brewer Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Owner Address: 552 N 19th St Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008--0000 Operator Inspection Program Phone #: (402) 533-8396 Drivers License #: or Date of Birth: 3 ` a 6l " I9 -1 Subtotal licensed pets from below: Replacement Tags from below: Name: Cisco Color: Black Spayed/Neutered: True Mirochip # Vaccination Date: 10/07/2017 10--I DOB: 1-0/07l21.4 Sex: Male Breed: Mix Breed 1 1eaC Duration: 1 year vaccine Vaccine Exp: 10/07/2018 NAM License Fee $ Replacement: ❑Y IN City Tag # 2448 H Total: -TII, `j°- Client ID: 4069 Client Name: Shannon & Stewart Brewer Address: 552North 10thStreet Blair, NE88O08 Phone: (402)533-8396 Tag Number: 4800 Lot Number: 18378 |mrabRabies Vaccine Producer: Meria| Blair Small Animal Clinic PC David E.Johnson DVM 1734Front Street Blair, Nebraska, 68008 (402)583-2722 Patient ID: 10305 Patient Name: Cisco � Species: Canino Breed: Labrador Mix Sex: Neutered Male Color: Black Markings: Birthday: 10/03/2014 Weight: Microchip ID: Vaccination Date Expiration Dub*: Staff Name: David E.Johnson OVM License Number: 1803 i0/18/20i8 p q 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: Stewart Brewer Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Owner Address: 552 N 19th St Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008--0000 Operator Inspection Program Phone #: (402) 533-8396 Drivers License #: or Date of Birth: 3 - 9 9 ` 0 -71 Subtotal licensed pets from below: (�' (go Replacement Tags from below: Name: Sylvester Color: Grey Spayed/Neutered: True Mirochip # Vaccination Date: 07/12/2017 DOB: i,� d 1-- i3 aex: Male Breed: Domestic Shorthair Duration: 3 year vaccine Vaccine Exp: 07/12/2019 License Fee $ 11. 00 Replacement: ❑Y ON City Tag # 2179 Total, ' 00 Client ID: 4069 Client Name: Shannon & Stewert Brewer Address: 552 North 19th Street Blair, NE 68008 Phone: (402)533-8396 Tag Number: 0000 Lot Number: 18320 Imrab Rabies Vaccine Producer: Merial K / MLV / R: Killed Virus Blair Small Animal Clinic PC David E. Johnson DVM 1734 Front Street Blair, Nebraska, 68008 (402) 533-2722 Rabies Certificate Patient ID: 7842 Patient Name: Sylvester Species: Feline Breed: Domestic Shorthair Sex: Neutered Male Color: Gray Markings: Birthday: 03/21 /2013 Weight: 12.25 pounds on 7/12/2017 Vaccination Date: Expiration Date: Staff Name: David E. Johnson DVM License Number: 1893 7/12/2017 7/12/2019 2019 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMI`rS AND OWN A DOG(S) AND /OR CAT(S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO: ' CITY OP IILAIR — 218 S. 16TH 8T — 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 PRR RESIDUNTIAL OR DWELLING UNIT. ***PLEASE READ CAREFtaLLY"* YOU ARE REQUIRED BYLAW TO LICENSE YOUR p�TS. Failure to do so is a violation of City Ordinances 6,103 and carries a penalty of a fine up to $150,00 per pet, PET LICENSE RENEWALS ARE DUE BY 3/15/2019, The city shall recognize a microchip ID nurnber as the license number. It shall he unlawful for any dog or cat to wear any license or other city ID other than that issued by the City of Biair 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 Elizabeth Brice Spouse Owner Address 1457 Butler City/State/Zip Blair, NE 68008 Phone # 402-533-2351 DL #err DOB Pr:T # Pet Name: Tiny Age: fly sex: Neutered Male Colter: Apricot Breed: Poodle,T0y Declared dangerous/Potentially dangerous Dog NO YES Microchip # City Tag # 1p�WIRalbies Tag # 1931 c ,i.S,lsl,rliVe s�<rl4t,::. I Rabies Description: 1 YEAR' YEAR Holstein Veterinary Clinic Dr. Lisa Schrum DVM & Dr. Krista Holstein 1)VM 718 South 19th Street glair, NE 68005 402-426-7387 402.-426-0101 Fax holsteinclinicf gmail.Com ZO/ZO 30dd DINI-10 13A NIEIIS-101-1 LICENSE FEEL intact Dog or Cat: $16_00 DCred eo7rct: $11.0d Replacement Tag $5.00 Total $ �U)o FAXED 01-25-1910:55a BY r TOTAL FACES zoio9�tizot, 30:TT 6TG3/9�/io r "'z 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 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, 2019 Owner Name: k 4-- Owner Address: City/State/Zip: Blair, NE 68008 Phone # 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 3115/2019. 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 fund the Nebraska Dog & Cat Operator Inspection ram r PET # 1 , D o g ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name � Age _ Sex ".. Color 1111, 4 Breed * �. r..�- Rep/acement$ ** Declared Dangerous or Potentially Dangerous Dog: b Y N I MICROCHIP # (If applicable) SUBTOTAL: $ f RABIES VACCINATION DATE: 9 _ (3 yr) (1 yr) City Tag # PET #2 ❑ 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) _ PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Age Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ m row License Fee $ Replacement $ ** SUBTOTAL: $ (1 yr) City Tag # (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 (Mamb 15late fee date not applicablefor newpels/newresidents) Newly Acquired Pets: New Residents to Blair: ■ Must be lbensad within 10 days of ownership ■ Must register pets within 10 days of ■ <OR> at 6 months of age if puppy/1 residency. CERTIFICATE OF VACCINATION Date of Rabies Vaccination: 02-02-19 Certificate No: 0 Next Rabies Vaccination On: 02-02-20 Previous Rabies Vaccination: VETERINARY CLINIC OWNER OF ANIMAL Countryside Small Animal Rachel Brickey 1306 Stevenson 1014 State St. Fort Calhoun, NE 68023 Blair, NE 68008 402-468-4060 County: This is to certify... THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL 1pDQEESSCRIBED BELOW. Patient information... �cQr(U112�{ C"Y t f2C�) A PATIENT: Kilya TAG NO: 19-0123 SPECIES: Canine WEIGHT: 20.00 SEX: F AGE: 16 weeks BREED: Siberian Husky Color and markings... White Signed Kaycee Points Vaccinations done... License: 02-02-19 KNP Canine Rabies Vaccn, 1 yr, #19-0123 02-02-19 KNP Canine DA2PPL 02-02-20 Rabies Vaccine Information... MFG BY: ZOET SER.NO: 293119 LOT EXP: 20NOV19 ADM: Sq a „,a l 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: BROMAN, KARLA M Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Owner Address: 2438 FONTANELLE BLVD Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: BLAIR, NE, 68008--0000 Operator Inspection Program Phone #: (402) 533-9343 Drivers License #:G29011670 or Date of Birth: Subtotal licensed pets from below: Replacement Tags from below: � Name: Miss Kitty DOB: 8/22/2009 Sex: Female License Fee $ Color: Sffvef 1 .?' � 'i ;'. I (,B t � 4- Breed: Siamese Repkacement: Spayed/Neutered: True ❑Y ON Mirochip # 985112004038669 City Tag # 413 Vaccination Date: 2/28/201 t Duration: 3 year vaccine Vaccine Exp:/28/ 18 Total: CERTIFICATE OF VACCINATION Date of Rabies Vaccination: 03-17-18 Certificate No: 0 Next Rabies Vaccination On: 03-16-21 Previous Rabies Vaccination: 001843 VETERINARY CLINIC OWNER OF ANIMAL Thone Animal Care of Blair Karla Broman 902 S Hwy 30 2438 Fontenelle Blvd Blair, NE 68008 Blair, NE 68008 402-426-3630 County: This is to certify... THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Miss Kitty TAG NO: 003964 SPECIES: Feline WEIGHT: 0.00 SEX: S AGE: 8 years Color and markings... Linx Pt Signed Dr. Leon Leishman Vaccinations done... License: 1971 03-17-18 LL Rabies Vaccination (3 Year), #003964 03-16-21 03-17-18 LL Check up, FE-4way 03-17-19 Rabies Vaccine Information... MFG BY: ZOETI SER.NO: 262285 LOT EXP: 5/07/19 ADM: SQ R L ci- 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: BROMAN, KARLA M Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Owner Address: 2438 FONTANELLE BLVD Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: BLAIR, NE, 68008--0000 Operator Inspection Program Phone #: (402) 533-9343 Drivers License #:G29011670 or Date of Birth: Name: Sammy Color: White/Grey Spayed/Neutered: True Mirochip # 985112004186213 Vaccination Date: 2/28/2015 Subtotal licensed pets from below: 1, j t Replacement Tags from below: --- DOB: 3/17/2004 Sex: Male Breed: Orientaf Shorthair t>ille-,I i t Duration: 3 year vaccine Vaccine Exp: 2Y28/20-1-t License Fee $ 11 , l-P Rep cement: ❑Y N City Tag # 411 Total: / 1, () - ) CERTIFICATE OF VACCINATION Date of Rabies Vaccination: 03-24-18 Certificate No: 0 Next Rabies Vaccination On: 03-23-21 Previous Rabies Vaccination: 001844 VETERINARY CLINIC OWNER OF ANIMAL Thone Animal Care of Blair Karla Broman 902 S Hwy 30 2438 Fontenelle Blvd Blair, NE 68008 Blair, NE 68008 402-426-3630 County: This is to certify... THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Sammy SPECIES: Feline SEX: N Color and markings... Gry Wht Signed Dr. Leon Leishman Vaccinations done... TAG NO: 003984 WEIGHT: 13.40 AGE: 13 years License: 1971 03-24-18 LL Rabies Vaccination (3 Year), #003984 03-23-21 03-24-18 LL Check up, FE-4way 03-24-19 03-21-16 LL Fe 4Way (Rhino/Cali/Pant/Chia) 03-24-19 Rabies Vaccine Information... MFG BY: ZOETI SER.NO: 262285 LOT EXP: 5/07/19 ADM: SQ o C 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: BROMAN, KARLA M Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Owner Address: 2438 FONTANELLE BLVD Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: BLAIR, NE, 68008--0000 Operator Inspection Program Phone #: (402) 533-9343 Drivers License #:G29011670 or Date of Birth: Subtotal licensed pets from below: �t Replacement Tags from below: Name: Harley DOB: 5/16/2009 Sex: Male License Fee $ 11, 0 0 Color: Black/Tan Breed: Pembroke Welsh Corgi Replacement: Spayed/Neutered: True ❑YN Mirochip # 981020005495708 City Tag # 1233 Vaccination Date: 3/18/2017 Duration: 3 year vaccine Vaccine Exp: 3/18/2020 Total: i 1, 0 03/11/2019 13:52 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(S) AND /OR CAT(S), COMPLETE THIS rORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF BLAIR — 218 S. 16TH ST — BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City Ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet, PET LICENSE RENEWALS ARE DUE BY -3/15/2019. 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 otherthan 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 Alvin Brooks Spouses Charissa Owner Address 1965 Grant St City/State/Zip Blair, NE 68008 Phone # 402-669-7246 DL # or DOS P"T # Pet Name, Benny Age; 16W Sex: Male color: Brindle Breed,. Eng Bulldog Declared Dangerous/ Potentially Dangerous Dog 0 YES Microchip # city Wg # 0( oral,. dRabies Ina, a+r 0_ �;:"V— 6. 0111 '610, 1111 li .1 k I ;;o [' 11 � ; .'� � �t X:.; �1*51% It � ' " - "� N' M, IWil Tag 16794 Rabies Description: 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 LICENSE FEES I--- Intact (Ddg—or Cat- $16,PO Altered Dog or cat: $11,00 Replacement Tag $5.00 Total $ IFAXED 03-11-19 1:43p 13Y TOTAL PAGES 2019 PET LICENSE VERIFICATION/AP►PLICATION FaR CITY OF BLA,IR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT(S), COMPLETE THIS FORM ANO RETURN WITH A CHECK PAYABLI_ TO: CITY' OF BLAIR - 218 S. 16TH ST - BL.AIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS Failure to do so Is o Violation of City Ordinahces 6.109 and carries a Penalty of a fine up to $150.00 per pot, PET LICEN$f~ RENEWALS ARE DI E �Y/15/201� 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 )ET LICENSING Must be licensed within 1.0 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 PET # Pet Name: Zoey ,Age: Sex: Spayed F+em�lle Color: 1Nhifsrey Breed: Nalvanese Declared Dangerous/ Potentially Dangerous Dog NO YES Microchip # City Tag # F p'ff, ,r a E(..'°`il<' i !ales Ta #�' •� � c� '-�vr,M�t•G�n . iii� � �r� �� 1,(`•� � ,i �' � q {,iyyF{gq,`,�.l i�(jr,�' p ai%�99, `p1a��?; R s //�� t�G�sPa'.Ii..Nf1{sr°iS:J2!L41�� N .�Hr�v.i� 2 .r• r21a'i'rc;7�l•,Aru!.Ifr1•aSfii D Rabies Descriptloll Holstein. Veterinary Clinic Dr. Lisa Schrum DVM & Dr. Krista Holsteit7 pVM 718 South 19th Street Eclair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinic@gmail.com gmail.cam TO/To 39dd DINI-10 i3A fIIEI1S-101-1 3 YEAR FAXED L'19 TOTAL PAGES LICENSEFEES lrrtact Dog or Cat: $16.00 : $11,00 Replacement Tag $ q.00 Taal$ ��o 02-18-1.91:41p TOT093vzov OV:PT Ez®7,/BT/zO 05/02/2019 15:57 4024260101 HOLSTEIN VET CLINIC PAGE 01/01 2019 PET LICENSE VERIFICA►.T'ION/APP'LICATION 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 PAYAKE 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 OATS PER. RESIDENTIAL OR DWELLING UNIT. ***PLEASE DEAD CAREFULLY*'"* YOU Aft REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so iS a Vlolatlon of City Ordinances 6.103 and carries a penalty of a fine up to $150,00 per pet. PET LICENSE RENEWALS ARE DUE BY 15 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 he licensed within 10 days of ownership (OR) at 6 months of ago if puppy or kitten NEW RESIDENTS TO BLAIR Must register pets Within 10 days of residency Owner'Narne Jennifer Brown Spouse James Y Owner Address 1557 Oak Drive City/State/Zip Blair, NE 68008 Rhone # 402-960-3670 DL # or DOB "T # Pat Name: Tucker Age: 3Y DOB: 02-09-16 Sex: Neutered Male Color: Cream Breed: Goldendoodle DeCliared Dangerous/Potential;ly Dangerous Dog NU yes Microchip # r - �>: Rabies Deslcrip►tii0o; 1 YEAR City Tag 0 2-00 Rabies Tag # ifi91fi 3 YEAR Holstein Veterinary Clinic Dr: isa Schrum DVM & Dr, Kristo ,holstein DVM -718 South 19th Street Blair, NE 68008 402-426-7387 402-426-0101 Fax hClsteinclinicgmaii.com FAXED 05-02-19 BY TOTAL PAGES LICENSE FEES Intact Dog or Cat: $16.00 Altered Log or oat: $11.00 Replacement Tag $ 5.00 60 Total s I. I ` _ " .- 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: Micah Brown Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Owner Address: 1947 Park St Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008 Operator Inspection Program Phone #: (402) 960-5933 Drivers License #: or Date of Birth: 5/27/1988 Name: Wesley Color: White/Liver Spayed/Neutered: True Mirochip # Vaccination Date: 12/31/2016 Subtotal licensed pets from below: Replacement Tags from below: DOB: 10/21/2016 Sex: Breed: Pointer Duration: 3 year vaccine Vaccine Exp: 12/31/2019 License Fee $ Replacement: ❑Y ❑N City Tag # 2336 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: Micah Brown Spayed/Neutered Dog or Cat: $11.00 Owner Address: 1947 Park St Replacement Fee for Lost Tag: $5.00 Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008 Operator Inspection Program Phone #: (402) 960-5933 Drivers License #: or Date of Birth: 5/27/1988 Subtotal licensed pets from below: Replacement Tags from below: Name: Walter DOB: 4/26/2012 Sex: Male License Fee $ Color: Brown Breed: Labrador Retriever Replacement: Spayed/Neutered: True ❑Y ❑N Mirochip # City Tag # 2335 Vaccination Date: 8/1/2016 Duration: 3 year vaccine Vaccine Exp: 8/1/2019 1111MO 1F 03/07/2019 17:30 4024260101 HOLSTEIN VET CLINIC PAGE 01/07 2019 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOGS) AND /OR CAT(5), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO; CITY OF BLAIR — 218 S. 16T" ST — BLAIR,, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. *"PLEASE READ CAREFULLY' YOU ARE RrQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do 50 IS a V10latiOn of City Ordinances 6,103 and carries a ponalty of a fine up to $1S0,00 per pet. PET The city shall recognize a microchip ID number as the license number. It shall be UnlaWfUl for any dog or cat to weer any license or other city ID other than that 15SUed by the City of Blair for such dog or cat. NEW PET LICENSING Must be licensed within 10 days Of Ownership (OR) of 6 months of age lf.puppy or kitten NEW RESIDENTS Ty BLAIR Must register pets within 10 days of residency Owner Name Time Brown Spouse Lu Owner Address 174 Ryan Drive city/state/zip Blair, NE 68008 Phone # 402-426-2692 DL # or DOB Pr-T W Pet Name,- Charli Age: 6Y sex. Spayed Female Color; Cream Breed: Goldencloodle Declared Dangerous/Potentially Dangerous Dog Microchip # 005633030 City Tag Rabies Tag # 15267 Rabies Description; I YEAR Holstein Veterinary Clinic Dr. Lisa Schram DVM & Dr. Kristo Holstein DVM 718 South 19th Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinic@gm;ail.com LICENSE FEES Intact Dog or Cat: $16,00 6 Altered Dog cat: $11.00 ; or fD Replacement Tag $5.00 Total $ FAXED 03-07-19 1:28p BY TOTAL PAGES 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: Carroll & Tami Brundige-Huff Spayed/Neutered Dog or Cat: $11.00 Owner Address: 1222 Corey Dr Replacement Fee for Lost Tag: $5.00 Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008--2713 operator Inspection Program Phone #: (402) 426-4678 Drivers License #: or Date of Birth: 7/26/1960 Name: Indy Color: White/Brown Spayed/Neutered: True Mirochip # Vaccination Date: 3/1/2017 Subtotal licensed pets from below: Replacement Tags from below: DOB: Not on File Sex: Male Breed: Domestic Shorthair Duration: 3 year vaccine Vaccine Exp: 3/1/2019 License Fee Replacement: ❑Y1PN City Tag # 166 Total: I06 (� a vi --7 vy 'R T CA T EOF A'C. C t.NAT! t N Date of Rabies Vaccination: 02-12-18 Next Rabies Vaccination On: 02-12-19., VETERINARY CLINIC Holstein Vet Clinic 718 South 19th Street Blair, NE 68008 402-426-7387 This is to certify... Certificate No: 0 Previous Rabies Vaccination.: OWNER OF ANIMAL Rebecca Brunick -- Blair, NE 68008 County: THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... 3 PATIENT: Bacon TAG NO: 15774 1 1 SPECIES: Canine, KN' WEIGHT: 12.00 SEX: N AGE: 9years - I 1-11-oS7 Color and markings... Merle Signed Lisa Schrum , DVM Due Date / Vaccinations 01-22-16 Vangard Plus 5 02-12-19 Denfensor 3 (3 Year Rabies) Rabies Vaccine Information... License: 2310 MFG BY: ZOETI SER.NO: 230334 LOT EXP: 11 - 13-18 ADM: SQ -2019 PET LICENSE VERIFICATION/AP'P'LICATION' 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 PAYA@LE TO: CITY OF BLAIR, 218 S. 16TH BT — 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 CAREFVLLY*** YQU ARE REClUIRED BY LAW TO LICENSE Y„ UR PETS Fallure to do so is a violation of City Ordinances 5,103 and carries a penalty of a fine up to $150.00 per pet, PET LICENSE RENEWALS ARE L1UL 6Y 3/15/201� 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 PET # Pet Name: Ace Age: �tY sex: Neuii:ered Mali Breed, Aussie X Color: Black Declared Dangerous/potentially Dangerous Dog Microchip # Rabies Description: 1 YEAR Holstein Veterinary Clinic Dr. Lisa Schr mn DVM & Dr. Krista golstejxj UVM 718 South 19th Street glair; NE 68008 402-4216-7387 402426-0101 Fax holsteinclinic@gmaii.com YES City Tag # Rabies Tag # 15335 3 YE LICENSE FEES Intact Dog or Cat: $16.00 Altered or cat: $1 Replacement Tag $5.00 Total: S l f FAXED 02-08.19 4,19p BY KA TOTAL •PACs ES Z0/Z0 39dd DINI-10 13A NI31S-10H T0Z09ZbZ0b 66:9Z 6Z0Z/80/30 2019 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY, LIMITS AND OWN A DOG(S) AND /OR CAT(S), COMPLETIE THIS FORM AND RETURN WITHA CHECK PAYABLE TO; CITY OF BLAIR — 218 S. 16TH ST — BLAIRr NE 68008 YOU MAY LEGALLY OWN A COMBINATION or FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. ***PLEASE READ CAREFULLY*** YOU Aii� REQUIRED BY IAW TO LICEN$E YOUR PETS Failure to do so is a violation of City Ordlh-ances 6.103 and carries a penalty of a fine up to $150.00 per pet, 'PET The city shall recognize a microchip ID number as the license number. It shall be unlawful for any dog or cat to wear any license or other city ID other than that issued by the City of 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 BLAI R Must register pets within 10 days of residency PET # Pet Name: Tucker Age.- BY Sex: Neutered Male Breed-, Heeler X Color., Tan and White red Dangerous/Potentially Dangerous Dog microchip # 4B783C7DOE Rabies Description: C-1 YEA Holstein Veterinary Clinic Dr, Lisa Scliram DVM & Dr. Krista Holstein DVM 718 South 19th Street 131a,ir, NE 68008 402-426-7387 402-426-0101 Fax hoisteinclinic@gmail.com , YES City Tag # S Rabies Tag # 16414 3 YEAR LICENSE FEES Intact Dog or Cat. $16.00 Altered Dog or cat: $: Replawment Tag $5.00 Total $-U- 6 n FAXED 02-08-19 4:18p BY M TOTAL PAGES 30/Z0 39vd DINI-10 13A NIEJiS-101-11 TOT09ZV30P 66:9T 6T03/80/Z0 Date of Rabies Vaccination: 09-21-19 Certificate No: 0 Next Rabies Vaccination On: 09-20-20 Previous Rabies Vaccination: VETERINARY CLINIC OWNER OF ANIMAL Countryside Small Animal Danielle Buckley 1306 Stevenson 2233 Colfax Fort Calhoun, NE 68023 Blair, NE 402-468-4060 County: This is to certify... THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Missy TAG NO: 19-0937 SPECIES: Canine WEIGHT: 60.00 SEX: S AGE: 11 years BREED: Retriever, Labrador Color and markings... Yellow Signed Kaycee Points License: Vaccinations done... 09-21-19 KNP Canine Rabies Vaccn, 1 yr, #19-0937 09-21-19 KNP Canine DA2PPL 09-20-20 Rabies Vaccine Information... MFG BY: ZOET SER.NO: 354688A LOT EXP: 10NOV20 ADM: Sq Date of Rabies Vaccination: 09-21-19 Certificate No: 0 Next Rabies Vaccination On: 09-20-20 Previous Rabies Vaccination: VETERINARY CLINIC OWNER OF ANIMAL Countryside Small Animal Danielle Buckley 1306 Stevenson 2233 Colfax Fort Calhoun, NE 68023 Blair, NE 402-468-4060 County: This is to certify... THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Zeke TAG NO: 19-0936 SPECIES: Canine WEIGHT: 60.00 SEX: M AGE: 8 months BREED: Boxer Color and markings... Tan and White Signed Kaycee Points License: Vaccinations done... 09-21-19 KNP Canine Rabies Vaccn, 1 yr, #19-0936 09-21-19 KNP Canine DA2PPL 09-20-20 Rabies Vaccine Information... MFG BY: ZOET SER.NO: 354688A LOT EXP: 1 ONOV20 ADM: Sq i { R1 r ti 11 ; ,.. It } 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: Michael Buckley Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Owner Address: 2233 Colfax St Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008 Operator Inspection Program Phone #: (402) 639-8531 Drivers License #: or Date of Birth: 2/4/1983 Subtotal licensed pets from below: Replacement Tags from below: Name: Missy DOB: 6/12/2009 Sex: Female License Fee $ Color: Yellow Breed: Labrador Retriever Replacement: Spayed/Neutered: True ❑Y ❑N Mirochip # City Tag # 2407 Vaccination Date: 6/12/2018 Duration: 1 year vaccine Vaccine Exp: 6/12/2019 Total: FROM : BSAC FAX 1,10. :402-533-2722 Sep. 13 2019 03: 55PM P1 CITY OF FLAIR - 2019 PET LICENSE APPLICATION If you live in Blair City limits and own a dogs) and/or cat(s), WiTiplete this form and return with check made Payable to: City of Blair • 218 S.16m St. a Blair, NE 68008 You may legally own a +combination of four (4) adult peas, but no more than three (3) adult dogs or three (3) adult cats per rmidential or dwelling unit. LICENSE RENEWALS ARE OUL: rch 1r g, 2019 Owner Name. w to � r Owner Address: Clty/State/zip: Blair, nnN,, E 68008 Phone # "10t"71 to I - m- orluers 41cenda # or Date of Birth LICENSE FEES: Dog or Cat: $1&00 Altered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 ***PLEASE REAL? f,ARERILLY*** YOU ARE REQUIRED J$Y LAW Ytl LICPNSE YOUR PETS. raouee to d4 ma IQ a vi(d21tiion of City ordinimm 6,1,63 and carries a penalty of a tine up to $1,50.00 per pat, PET LICENSES RENEWALS ARE DUE pY 3LIUL1018, The City ahrli wgnize a miuochio Identification nunlbr'•r es Lhe license number. It shall he unlawful for any clog or cat to wear ally license or other city identificotlon other than that issued by th. City of einir for such dog a cat. TW CltY of Weir requirdi proof of rablen vtteinnaon. 71 PET #1Dog ❑ Cat 01 Spa*Neutered License Pee $� UUPet NamA ecoxle- *Rr3 /acementColor geed pDeclared Dangerous or Potentially DangerY 0i N MICROCHIP ,# (If applicable) SUBTOTAL,, $ RABIES VACCINATION DATE: (3 yr) � (1 yr) _ CRY Tag � �* PET #2 W Dog a Cat ❑ Spayed/Neutered (y License Fee $,- Pet Name Apse Sex Cofer Breed * . ROPlac6n7ent Declare dangerous or Potentially Dangerous Dog: 0 Y g N MICROCHIP # (If applicable) SUBTOTAL: � RABIES VACCINATION DATE: �l % /� _ . (3 yr) _X_ (I yr) City Taq #�* PET #3 ❑ Dog © Cat Ci Spayed/Neutered License Fee $ .-- Pet Name A�e Sex Color Breed * Declared Dangerous or Potentially Dangerous Dog; U Y ❑ N MICROCHIP # .(If applicable) SUBTOTAL, $ RABIES VACCINATION DATE: (3 yr) (I. yr) - city Tag # *PLEASE INCLUDE ttl@ CITY TAG NUMBER IF THIS 15 A RENEWAI ** ('This No is qua along with License Fee if requesting at the tima of license renewal.) Donation BACK OIP FORM FOR BREED SPECIFIC Orh�r LICENSE REQUIREMENTS � Do Not Send Cash t y man TOVAL ENCLOSED $ VISA / MC # Expires: _„.,, Socurity Code: Signature _ if you hove questions, please contact City Hall at (402) 426-4101 or by Fax: (402) 426-4195 NEW PET/NEW RESIDENT LICENSING REQUIREMENTS {h1�2�1�lal�fsaeda�noL2p�llCr7dleii7�RewdPt�/r?eWlesldents) N Aaouired__P p _ INew Residents t$Blair, ■ Mt 5t be limed within 10 days of ownership ■ Musk register pots within 10 days of ■ c4R;- at 6 months orage If puppy/Mten residency. :r% Feb 18 19 12;19p Thone Animal Care 4024265808 p•1 CITY OF BLAIR - 2019 PET LICENSE VERIFICATION If you live in Blair City limits and own a dogs) andlor 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: Don & Kelly Burdess Owner Address: 710 S MOTH ST City/State/ZIP: BLAIR, NE, 68008-.0000 Phone #: (402) 679-•3126 Ext: Don Drivers Ut-.- GA di - Nance; Angel Color: Red Spayed/Neutered: True Mirochip # Vaccination Date, 06/27/2016 LICENSE FEES; Dog or Cat: $16.00 SpayedINeutered 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 or Date of Birth: 06/25/1966 Subtotal licensed pets from below. Replacement Tags from below: DOD; Not on File Sex: Female Breed; Duration: 3 year vaccine Vaccine Exp. 05/2712019 Thone Animal Care of Blair (402) 426-3'630 902 S. Hwy 30 Blair, NE 68008 License Fee $ 1 .. Replacement: EIY ❑N City Tag # 2256 Total: May 1419 01:03p Thone Animal Care 4024265808 PA CITY OF BLA,IR - 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. 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. LICENSE RENEWALS ARE DUE: March 15, 2019 Owner Name: -9 �'Lb. owner Address: City/State/Zip; Blair, NE 68008 Phone # I/ ' Drivers License # or Date of Birth _ zI © /'5P 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 3/15/2018. 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 Cityof Bla Ir requires proof of rabies vaccination. lncluaeci is a Mate i-ee or si,;Lb Delnq collected to runcl the NeurasKa Voo tic (:at PET ## Do Cat spayed/ eutered License Fee $ i. Pet Name Aqe Sex Color t Breed " Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y—V, MICROCHIP # (If applicable), SUBTOTAL: $ RABIES VACCINATIONDATE: 1 - 2 - (3 yr) (I yr) City Tag # mrr., PET #2 Dog ❑ Cat C&Spayed/.Neutered j License Fee $ I1 Pet Name Ir Age S x Color Breed** .'R, il a Replacement $ ** Declared Dangerous or Potentially-1Qa ge MICROCHIP # C' �% L us Dog: ❑ Y: N f applicable SUBTOTAL: $ QC RABIES VACCINATION DATE: l- ' (3 yr) (I yr) City Tag # Y PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Aqe 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 Do Not Send Cash by Mail TOTAL ENCLOSED $ VISA / MC # Expires: Security Code: Signature It you have questions, please contact City Hail at (402) 426-419I or by Fax: (402) 426.4195 ............................................................... ..+........++++ NEW PET/NEW RESIDENT LWENSING REQUIREMENTS (March15late fee date notapplicablefornewpaNlnewresldents) NewlyAcauired Pets: New Residents to Blair: * Must be ricertsed gMthn 10 days of mnership X Must register pets within 10 days of m <OR> at 6 months of age if puppy/kitten Thone Animal Care ofbgpny. (402) 426-3630 902 S. Hwy 30 El!air. NE 68008 "V 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: Kathleen Burleson Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Owner Address: 2154 Nebraska St Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008--0000 Operator Inspection Program Phone #: (402) 533-2994 Drivers License #: or Date of Birth: 5/5/1964 Subtotal licensed pets from below: Replacement Tags from below: Name: Maggie Color: Black Spayed/Neutered: True Mirochip # Vaccination Date: 3/7/2017 DOB: 1/1/2013 Sex: Female Breed: Labrador Retriever Duration: 3 year vaccine Vaccine Exp: 3/7/2020 License Fee $ Replacement: ❑Y ❑N City Tag # 1547 Total: -. t 7 . 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: Kathleen Burleson Spayed/Neutered Dog or Cat: $11.00 Owner Address: 2154 Nebraska 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) 533-2994 Drivers License #: or Date of Birth: 5/5/1964 Name: Buster Color: Black Spayed/Neutered: True Mirochip # Vaccination Date: 3/7/2017 Subtotal licensed pets from below: 1 k Replacement Tags from below: DOB: 1/1/2013 Sex: Male Breed: Labrador Retriever Duration: 3 year vaccine Vaccine Exp: 3/7/2020 License Fee $ Replacement: ❑Y ON City Tag # 1548 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: BUTTERY, MICHAEL W & CARRIE L Spayed/Neutered Dog or Cat: $11.00 Owner Address: 1552 PARK 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) 618-8033 Drivers License #: or Date of Birth: 12/20/1975 Subtotal licensed pets from below: Replacement Tags from below: Name: Lucy DOB: Not on File Sex: Female License Fee $ Color: Black Breed: Labrador Retriever Replacement: Spayed/Neutered: True ❑Y ❑N Mirochip # City Tag # 18 Vaccination Date: 1/20/2018 Duration: 3 year vaccine I Vaccine Exp: 1/20/2021 Total: lJ�