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CFROM :BSAC FAX NO. :402-533-2722 Dec. 26 20ie 04:04PM P1 Dec, 26, 2018 2:53PM CITY OF BLAIR No. K25 P, 1 CITY OF BLAIR. - 2019 PET LICENSE APPU ATION If you live in flair City limits and own a dog(s) and/or cat(s), colrpl6te Lhls form and return Wlth check made payable to City of Blair * 218 S. Wh St. * Slain NB 68008 You meY legally own a eornhInaltioln of four (4) adult pets, but no more than three (3) adult dogs or three (3) iodulr cats per residential or dwrreiling Unit, LICENSE RENEWALS ARE DUE: March 15. 2Qj,g owner (Name: mb Ne- Gwner Addr+t wt . --iaAj city/state/zlpm, Bij2ir, NE 6$008 Phone # Drivers license # or Date of Birth LICENSE FEES: boa or CoU $1&00 Altered Dog or Cab $11.00 RePlAcerrrerit Fee for host raq: $a.00 An Additional Mal* Feo of $1.25 k h*a colleded to fund the ***PI ME READ CAREMLLY*** YOU ARE REQUIRED BY LAIN TO LICI=NSE YOUR PETQ,. Pallure to do so la a VIOIMlon ar Ck'tV rrdintncas 6.103 and voleOpg a pennity of rs fine up to 0150.00 par pot, PAT LICE14SES A NEWALS ARE DUE B)(3115120ifl. Trtn Clry sf'jatl recognize a mlcrochlp Identiftatlon dumber as the kenSC itillliber. It shall be unlawrul for etly dad ur cat to wear any lar.en$e or other clty ldenuficanon other thon that I§�ded by the City of Rlair for siurh dog or rat. The City of elnlr MqulN w proof of rables vpnGitlatlon, & Cat PET *1 ' Dog ❑ Cat ,.,Spayed/Neutered License Fee $ Pot Name a Ne t., Sex Color (a W ', -- geed 3 6 _; �2o Replacement $ — Declared Pgngerous or Potentially Dangerous Dog,, (i Y g N MICROCHIP # (If appllrAb)e) SUBTOTAL., $ __.. RARTFS VACCINATION DATE: t a,1n 1-7 � _ (3 yr) �— (I yr) City T;alg � � rU„A PET #2 0 Dag Q Cat ❑ Spayed/Neutered Feet Name Color A�e �...� Sex — wed * Declared Dangerous or Potentially Dangerous Dog; ❑ Y U N MICROCHIP ,# (If applicable,,) RABIES VACCINATION DATA -, , -_ (3 yr) PET #3 Ci D o g ❑ C a' t ❑ Spayed/Neutered Pet Name Ate Sex Color Breed"" Declared Dangerous or Potentially Dangerous Clog: ❑ Y MICROCHIP (If appllr-alale) RAOIES VACCINATION DATC: (3 yr) — License Fee $ Replacen7ant $ SUBTOTAL; $ - (i yr) City Tag #`-,- License Fee $ .. Replacement $ ❑-N SUBTOTAL; $ (I yr) ... City Tag # *PLEASE INCLUDE THE CM TAG NUM DER, IF THIN xS A RENEWAL ** (This fee IS dupe along With Licema Free if requeSting at the tlMa of Ilcerlso r1boow'+al.) *o*SEE K OF FORM FOR � to rare for anlMgjs,- ED SPECIFICL LICENSE U�'OUIRI $t+� ENTs Other ... 00Not Son d cP4;h by'May TOTAL ENCL S50 $ VISA / MC # Expires- eourity Code, Signatum m_ If you have questions, please contact City Hall at (402) 426-4191 or by Fax.- �402) 426-4195 � fir r �� r+ �h roc aka fi.toy .H.Ha.*.tip.*.s..+++4..t.+.++*,ft................................... NEW PJFT/NEW RE810JENT LICFNSING REQUIREMENTS (March 15I41efeb date not appkablefor newrieis/neivrn.ddenM) ■ Must be liWp ht 10 d oPowrlt �i - w Residents to B[Wr• A' Must at 6 med Wt of age � p X Must I"� lAer pets within 10 days of ppy/fin residency. 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: CAMPBELL, KEVIN L & CATHY A Spayed/Neutered Dog or Cat: $11.00 Owner Address: 1166 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) 426-5567 Drivers License #: ,_��,� �`. {.>��- or Date of Birth: 8/9/1956 Subtotal licensed pets from below: Replacement Tags from below:_ Name: Dodger Color: Black/White Spayed/Neutered: True Mirochip # ' Vaccination Date: 9/29/2017 DOB: Not on File Sex: Male Breed: Mix Breed Duration: 3 year vaccine Vaccine Exp: 9/29/2020 License Fee $ Replacement: ❑Y EIN City Tag # 1165 Total:/,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: Kayleen Camden Spayed/Neutered Dog or Cat: $11.00 Owner Address: 1270 Deerfield Blvd #126 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) 521-0454 Drivers License #: or Date of Birth: 5/17/1998 Name: Titian Color: Red Spayed/Neutered: False Mirochip # Vaccination Date: 8/17/2018 Subtotal licensed pets from below: Replacement Tags from below: DOB: 4/18/2018 Sex: Male Breed: Mix Breed Duration: 1 year vaccine Vaccine Exp: 8/17/2019 License Fee $ Replacement: ❑Y ❑N City Tag # 2451 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: Kathleen Caniglia Spayed/Neutered Dog or Cat: $11.00 Owner Address: 2572 Sunrise Dr 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) 319-7535 Drivers License #:G01280145 or Date of Birth: Subtotal licensed pets from below: Replacement Tags from below: Name: Bubba Color: Black Spayed/Neutered: True Mirochip # Vaccination Date: 4/18/2017 DOB: 1/11/2001 Sex: Male Breed: Domestic Shorthair Duration: 3 year vaccine Vaccine Exp: 4/18/2020 License Fee $ Replacement: ❑Y ON City Tag # 2131 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: Kathleen Caniglia Spayed/Neutered Dog or Cat: $11.00 Owner Address: 2572 Sunrise Dr 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) 319-7535 Drivers License #:G01280145 or Date of Birth: Subtotal licensed pets from below: Replacement Tags from below: Name: Jack DOB: 12/19/2015 Sex: Male License Fee $ Color: White/Black Breed: Australian Shepherd Replacement: Spayed/Neutered: True ❑Y ON Mirochip # City Tag # 2129 Vaccination Date: 4/18/2017 Duration: 3 year vaccine Vaccine Exp: 4/18/2020 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: Kathleen Caniglia Spayed/Neutered Dog or Cat: $11.00 Owner Address: 2572 Sunrise Dr 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) 319-7535 Drivers License #:G01280145 or Date of Birth: Name: Sophie Color: Black/Tan Spayed/Neutered: True Mirochip # Vaccination Date:1,0/-3/2615 Subtotal licensed pets from below: Replacement Tags from below: DOB: 8/28/2010 Sex: Female Breed: Belgian Tervuren Duration: 3 year vaccine Vaccine Exp: J0/3/2648 License Fee $ Replacement: ❑Y ON City Tag # 2130 Total: yeti CITY OF BLAIR - 2018 PET LICENSE APPLICATION I If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair a 218 S. 16th St. a Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2018 Owner Name:` r Owner Address: ��5 (o City/State/Zip: Blair, NE 68008 Phone # G)IF 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 3/15/2018, 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 City of Blair requires proof of rabies vaccination. An aaalttonal state Fee of $1.zb is imnq aonecma to tuna the NenrasKa uo9 & Cat PET #1 [ft]' Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name n tr Q,/ n7 r , gar e(. Aye Sex Color `�. 04 Breed * Replacement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # M 0 (If applicable SUBTOTAL: $ RABIES VACCINATION DATE: (jr- r % (3 yr) ' (1 yr) City Tag # TTa 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) _ We (1 yr) License Fee $ Replacement $ ** SUBTOTAL: $ City Tag # 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) (I yr) City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Donation to care for animals: $1 $3 $5 $10 Other, ***SEE BACK OF FORM FOR BREED SPECIFIC LICENSE REQUIREMENTS VISA / MC # Signature Do Not Send Cash by Mail TOTAL ENCLOSED $ Expires: Security Code: If you have questions, please contact City Hall at (402) 426-4191 or by Fax: (402) 426-4195 ++++++++++++++++++++++++++++++.....+++++++++++++++++++++++++++++++++++++++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15late fee date not applicablefor newpeis/new residents) Newly Acquired Pets: New Residents to Blair: ■ Must be licensed within 10 days of ownership ■ Must register pets within 10 days of 9 <OR> at 6 months of age if puppy/kitten residency. FRDM :DSAC FAX M0. :402-533-2722 Mar. 18 2019 10:12AM P1 CITY OF BL-AIR - 2 1n PET LICENN VER(FICATIC�N If you live in Blair City limits and own a dog(s) and/or cat(s), complete/verify this form and return with oheek made payablo 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 ants per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2019 LICENSE FEES: dog or Cat: $16.00 Owner Name: Misty Case Spayed/Neutered Dog or Cat; $11-00 Owner Address: 2i28 Davis Dr Replacement Fee for Lost Tag; $5.00 Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008 operotortnspettion program Phone #: (402) 719-7774 Drivers License #: or Date of Birth: It subtotal licenacel pets from belo,w: (►'�, Replacement Tags from below; Name: Starlord Colter: White/Grey, Spay eutered: e Mirochip # Vaccination Date: c DOB: 4/1I/201$ Sex; Male Breed: Domestic Shorthair Duration: �:- Vaccine Exp: License Fee Rcp cement: ❑Y RN City Tag* 2436 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: Christopher & Cassie Casey Spayed/Neutered Dog or Cat: $11.00 Owner Address: 2239 Meadow Dr Replacement Fee for Lost Tag: $5.00 Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008 4,- Operator Inspection Program Phone #: (402) - rM 4 f <Z- _ q, s `5- Drivers License #: 7 Z-2-o 7,- 2r -7 or Date of Birth: Subtotal licensed pets from below: 0� Replacement Tags from below: Name: Max DOB: 1/1/2016 Sex: Male License Fee $� Color: Golden Breed: Golden Retriever Repllaagcvement: Spayed/Neutered: True DY V1- Mirochip # City Tag # 2140 Vaccination Date: 3/29/2018 Duration: 3 year vaccine Vaccine Exp: 3/29/2021 L,a Total • 6 ° 03/16/2019 12:01 4024260101 HOLSTEIN VET CLINIC PAGE 02/02 2019 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT($), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE To: CITY OP BLAIR - 218 S. 16TH ST - BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT Na MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER ♦ZESIDENTIAL OR DWELLING UNIT, ***PLCASE READ CAREFULLY*** YOU ARE RE U112EC1 BY W TO LICENSE YpUR PETS Failure to do so is a violation of City Ordinances 6,103 and carries a penalty of a, flee up to $150,00 per pet. PET LICEN5E RENT WALS ARi pUE BY I5 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 la other than that issued by the City of Blair for such dog or cat, NEW PST LICENSING Must be licensed within 10 days of ownership (OR) at 6 months of age if puppy or kitten NEW RE5JQENTS TO 8LAIR Must register pets within 10 days of residency Owner Name spouse Owner ,Address City/State/Zip Phone * DL#orDOB 1DET # Pet Name: Maggie Age: 8Y µI Sex- Spayed Female Breed: Ibachshund Barb Cass 1S48 Colfax Street Blair, NE 68008 402-426-8535 color: Declared hangerous/Potelntially DangeVour, Drag Microchip ## 985112008092833 • 'u. if. '�i'!'�•�r': • ��;i. r. ib••r;: ii)' ii?qf.l.•�•„•.mrn•r• ',•,;e, ..., .• n•I�.• u.•iJi.:?::••„�.a;. i';..., :,,a,•.,.�� ...r,•:.: q.: t.,,e.n�,:, ��n�p;J•6i Babies Description: 1 YEAR Holstein Veterinary Clinic Dr. Lisa ,Schr•ttrn DVM & Dr. grista yQlstej0 ,0VM 718 South 19th Strut Blair, NE 0$008 102-426-,7387 402-426-0101 Fax hoIsteincliriic@grnaii.com NO City Tag # ir.ables lag YES 35795 LICENSE FEES Intact Dog or Cat: $16.00 0517MR11-1 Replacement Tag $ b.00 `fatal $ // �-J' FAXED 03-16-1911:08a BY TOTAL PAGES 03/16/2019 12:01 4024260101 HOLSTEIN VET CLINIC PAGE 01/02 2019 PET LICENSE VERIFICATION/APPLXCATION FOR CITY OF BLAIR IF YOU LIVE IN 13LAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT(S), COMPLETE THIS FORM AND RETURN,WITH A CHECK PAYABLE TO: ICI`f`Y OF BLAIR 218 S. 16TH 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 OATS PER, ♦ZESIDENTIAL OR DWELLING UNIT. ***PLEASE READ CAREFULLY"* Y U ARG ftE UIRED eY LAW TO LICENSE Yc7�1R PETS. Failure to do m is a violation of City Ordinances 6.103 and carrlm a penalty of a fine up to $150.00 per pet. PET LICENSE RENEWAL$ ARE bt1E BY 3 1S �019 The city shall recognize a microchip ID number as the lic.ense number. It shall be unlawful for any deg 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 RESIDhNTS TO BLAIR Must register pets within 10 days of residency Owner Name Spouse Owner Address city/state zip Phone # DL # or DOB PET # Pet Narne: Lucy Barg Cass 1548 Colfax Street Blair, NE 68008 402-426 -8535 Age: 12Y i Sex: Spayed Fernaie I-olor; Tan/Wht Breed: Chihuahua I[�eclared dangerous/PotentiaMly dangerous dQ� N01 YE8 Microchip # City Tag # � 01 Rapl'e IV ..^, 17<i, ', )(i `'i l<y ttt 4.;,� it,'(�`i �t 76%,' (is ,','N� • IinS-iiAw;�„a :i; ^;mil ';t, n E. "{!".r::; ,�,',r+IZionr;l�sl l•lr•Si. u;,t��. ,,,.I�1 ,i��f l)ir )Iloi:p. n5e.�;uc!PIJ.i es Tag '# a Rbi15006 .•• ":, rr. r1:: r .J_., P,e iI II ,.. {1, i,� ,l,�li1(v 1,, i�)•y� �Qill I.n:'F _ pi41G,. f, ln.l Rabies Description-. i YEAR Holstein Veterinary Clinic Dr. Lisa Schm m DVM & Dr. Krista Holstein Dvm 718 South 19th Street Blair, NE 68008 02-426-7387 402-426-0101 Fax holsteinclinic@gmail.com LICENSE FEES Intact Dog or Cat: $16.00 A d Dog o at: �1 . 0 Replacement Tag $5,00 Total S � I . 00 FAXED [ 03-'16-19 11:08a by TOTAL PAGES I !- '0-r 02/27/2019 09:15 4024260101 HOLSTEIN VET CLINIC PAGE 01/02 2019 PET LICENSE. VERIFICATION,/APPLICATION FOR CITY OF SLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /Ok CAT(S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF BLAIR, — 218 S. 16T" ST — BLAIR, NB 6$00$ YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT 0065 OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT, *'PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO 1,ICEN5E YOUR PE7$, Failure to d4 so is a violation of City Ordinances 6,103 and carries a penalty of as fine up to $150.00 per pet, PET LICENSE RENEWALS ARE DUE BY S/15/2019 The oily shall recognize a microchip ID number as the licenser umber, 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 1Q days of ownership (OR) at 6 months of age if PUPPY or kitten NEW RESIDENTS TQ BLAIR Must register pets within 10 days of residency T #k Pet Name: (Rose Age: 2V I sex: Spayed Female Breed: Domestic Sholrthair Color: Birn Tabby Declared Dangeroaus/Potentially Dangerous Dog Microchip -# Rabies Description: 1 YEAR Holstein Veterinary Clinic Dr. Lisa Schrum DVM & Dr. Krista Holstein DVM 718 South 19th Street Blair, NE 68008 402-42E-7387 402-426-0101 Fax hoisteinclinic@gmaii.com NO I YES City 'rag # Rabies Tang #) kA YEA LICENSE FEES Intact Dog or Cat; $16.00 Do(; cat;1�.0 Replocement Tags $5.Q0 Total $ FAXED 02-27-19 8:52a BY TOTAL PAGES of 02/27/2019 09:15 4024260101 HOLSTEIN! VET CLINIC PAGE 02/02 20191 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN FLAIR CITY LIMITS AND OWN A DOG(S) AND /OR GAT(S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF BLAIR 218 S. 16TK 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 UIRED BY LAW TO LICEN E YOUR PETS, Failure to do w is a violation of City Ordinances 6.103 and carries a penalty of a fine up to $�50,00 per pet. PE'r LICENSE RENEWALS ARE DllE BY 3/15/Z019. The city shall recognize a microchip ID number as the license number. It shall be unlawful for any dog or cat to wear any Iicanse or other city la other than that issued by the City of Blair for such dog or cat. NEW PET LICENSING Must be licensed within 1.0 days of ownership (OR) at 6 months of agto if puppy or kitten NEW REalDENT$ TO BLAIR Must register pets within 10 days of residency T # Pet Name: R ngo Age; 7Y sex: Neutered Maly Color: Brown Breed; Poodle X Declared Dangerous/Potenti;ally Dangerous; Dog NO YES; Microchip # Rabies Description: Holstein Veterinary Clinic Dr. Lisa Schrum DVM & Dr; Kr'ista Holstein DVM 718 South 19th Street Blair, NE 68008 402-426-7387 402-4.26-0101 Fax ho(steindinic@gmail,0orn City Tag # kabies Tag # 16748 M LICENSE FEES Intact Dog or Cat: $16.00 g or t: $11.0 Replacement Tag $5.00 Total $ l ' DO FAXED 02-2-7-19 8:53a BY TOTAL PACs ES 9 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: Molly Chedester Spayed/Neutered Dog or Cat: $11.00 Owner Address: 245 S 23rd St #1 Replacement Fee for Lost Tag: 9$5.00 Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008 Operator Inspection Program Phone #: (402) 426-5265 Drivers License #: or Date of Birth: I / - q z' Subtotal licensed pets from below: Replacernent Tags from below: Name: Beau Color: Cream Spayed/Neutered: True Mirochip # Vaccination Date: 1/20/2017 DOB: 7/14/2012 Sex: Male Breed: Mix Breed Duration: 3 year vaccine Vaccine Exp: 1/20/2020 License Fee $ Replacement: ❑Y[N City Tag # 1311 Total: FAX NO. :402-533-2722 Feb. 05 2019 04:30PM P1 FROM :BSAC Dec, 26, 2018 2:53PM CITY OF BLAIR No, 8225 P, 1 CITY OF BLAIR - 2019 PET LICENSE APPLICATION anf you Ilve In Blair pity limits Lind own a dog(S) and/or cat(rt), complete this form and rehurn with chefs: made payable to, Ci`tar Of Blair + 218 & 16th . 0 bllaire N9 68008 YOU MAY le WIV oWn a combination of f6ur (4) adult pieta, but no mom than throe (3) $dolt dog$ or three (1) adult Cats per reAldentlel or dw0)jlYtg unit, LIC15NSE RENEWALS ARE DUE: l4aM L Owner Name: GwherAddrese: City%State/bW Blair.. NE 60008 Phone DrIvatt Licenge # or Date of alrth -- - LICENSE FEES: Dole or Cats $16, 0 Altered Dog or tat. $11.00 RdPtlalc$nl eOt Fee for Loet tag: $5.00 An htldi[fo l Si 1>Rl Fee of $1.25 its belnu nnilec-terl' fn rand itwa *"'PLEASE WkLy*** Y00 ARE REQUIRE-P BY LAW To MtMSF vagft PaTs. Failure to do so Is a a101306h of City Oediaancae 6,103 010 carries a pens ty of flne tap to *I#D,UU per pot, P4T LICEIW)WI➢ RENEWALS ARE DUE AYALIE V19. ThO City _Qhmll W99017e a MICrOChlp Identlflctttlon number- as the license number. rt Shall hm uolaWFul for any dctd or cat to Wear any 11Conse or other chy 10eIltliIC30oo O&W than C1111t IssU(!d W OW City of Slatr For Such dog or fit, The city qr olalr regtllres proof of tables v luatlon, PET #1 a Dog A Cat ❑ Spayed/Neutered -.. Y Yn Pet NameMA e sex ] e- Celor '�... Br�eal�� nmowLBwnn Declared Dangerous Potentially Dangerous brig., U Y *N MICROCHIP #=Lt-pa� � � � Yfoppkablo) RAWS VACC,INAIION DATE: c' , (a yr) C (,� yr) rm PIET a►#2 Ll I309 0 Cat ❑ SPOyed/Neutered Pet Name Color m,� m Breed* Sept berlared l5angr?rous or PatQntiapy pangeraus Dog. Q Y MICROCHIP #,—,-...,(�f appli�l�le) Rl�gl$ VACCINATION DATE: (3 yr) _ 13'c Llcen, lams $ / o Replacement$ *� SUBTOTAL,', — City Tog License Fee $ Repplacllrnent ❑N SUBTOTAL„ $—.� (I yr) - laity Tag P ',r 3 ►rl D t7 g Q Cat ❑ Spayred/Neutered License Fee.. het Name Color BCeed * Sex Replacement $ Declared Dangerous ()r Potentially Dang(hrdus 1)ag: Q yY Ij N MICROCHIP # � (If applicable) SUBTOTAL: FABLES VACCINATION DATE (B yr) — (I yr) --- City'T>ryg # *PLEASE INC1110E THE Urf TAS NUM11pR IF yHI9 IS A RENEWAL, �. ** (This Me is doe along With l,ltense Fee if requesting at the time of Ilcarlce renewal.) Donation to care for m nlmmlls: _,_,,, $I �. $3 - $5 $1�" _ OtherSEE RACK OF PORM FOR PREFIa SPECIFIC LICENU I+EQUIM2IEML-NTs DO Not tend Cosh by'Nag TOTAL ENCLOSED $ VISA/ IVIC # �ftnaiure Expires: - Security Code; - If You have questionlhy P109se contact City Hall tit (402) 426-4191 or by Facer: (402) 426-4195 +c........ 4................................... 4++ NEW PaET/NLW11117 VINITUCENc3YNGRPQU��MFIV(l�h9lch�5lat�'�dtAl�n�'�pP/IG�b/e%rllerv�;t�j�pW/�,/flE�nts,? Mt Mustbe imnSW 1fn 10days aFomiet jjip g bo ire >o 00> at C, mood rs Of hie fr puppy/kftb�rl # Must r yls r pets Wfthlrt xQ flays of tmidency. 03/06/2019 11:54 4024260101 HOLSTEIN VET CLINIC PAGE 01/01 2019 PET LICENSE VERIFICATION/AP'PLICATION 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 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 $150.0o 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 10 days of ownership (OR) at 6 months of age if puppy or kitten NEW RrSIDENTS TO BLAIR Must register pets within 10 days of residency Owner Name Robert W. Choate �w 'Spouse owner Address 2271 Lincoln Street city/State/Zip Blair, NE 68008 Phone # 402-426-0414 DL # or DOB `— =T r# Pet Name: Frankie Age: 12X sex: Neutered Male--] Color: Apricot/Wh Breed: Poodle, Miniature Declared Dangerous/Potentially Dangerous Dog NO Microchip # City Tag # Rbie V1+>ik�tldVt�yy tl l , r ,t! ! r�,1 YI " I '� b 5 i r. Rabies Tag # 16766 Rabies Description: 3 YEAR Holstein Veterinary Clinic Dr. ,visa Sckrum DVM & Dr. Krista Holstein DVM 718 South 19th Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinic@)gmail.com LICENSE FEES Intact Dog or Cat: $16.00 'qirttterme-d g or cat: $1 0 Replacement Tag $5.00 Total S I 1 'lyo FAXED 03-06-19 11:44a BY TOTAL PAGES I / I��~ 2019 PET LICENSE VIERIFICATIO N /APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(5) AND /OR CAT(S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF BLAIR — 218 S. 16TH ST — 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 CAREWLILY' YPU ARE REQUIRED RY LAW TO LICENSE YQVR PETS, Failure to do sob a violation of City Ordinances 6.103 and carries Penalty of a fine up to $150-00 per pet. PET LICENSE The city shall recognize a microchip ID number as the license number. It shall be unlawful for any dog or cat W wear any license or other city ID other than that iAAued by the City of Blair for such dog or cat, NEW PET LICENSING Most be licensed Within 10 days of ownership (OR) at 6 months of age if puppy or kitten NEW RESIDENTS TO BLAIR Must register pets within 10 days of residency Owner Name Spouse owner Address City/State/Zip Phone # DL # or DOB 'PET 9 Clark Christian Mary Ann i-946 South Street Blair, NE 68008 402-594-4845 pet i4arne: Tinkerbell Age.- Sy Sex: Spayed FeM61e Color:. Breed- Domestic Shorthair Declared Dangerous/ Potentially Dangerous Dog N0 YES Microchip # City Tag Rabies Vaccination Date: .3 Rabies Tag # Rabies Description: 1 YEAR 3 YEAR Holstein Veterinary Clinic Dr. Lisa Schrum DVM & Dr. Krista Holstein DVAI 718 South 19th Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinic@gmail.com LICENSE FEES Intact I)og or Cat: $16.00 i Altered Dog or cat: $11. Replacement Tag $5.00 Total I ( - 0 03-08-19 2:18p BY NA 7, TOTAL PAGES CO/Zo OIFII-10 i3A HIMS-10H TOT0930zov Ts-bT 6TOZ/80/c3 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 SLAIRj NE 6$008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT COGS OR THREE (3) ADULT CATS PER RESIDENTIAL- OR DWELLING UNIT. ***PLEASE READ CAREFULLY*** YOU Aft f7EpUlRED BY LAIN �O LICENSE Y pETS. Failure to do so Is a violation of City Ordinances 6.103 and carries d panalty of a fine up to $150.00 per pat. PET LICENSE RENEWALS ARE D E BY R 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 otherthati 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 BlrAlft Must register pets within 10 days of residency owner Namle Spouse Owner Address City/State/Zip Phone # DL # or DOB -7ET # Clark Christian Mary Ann 1946 South Street Blair, NE 68008 402-594-4845 Pet Name: Missy Age: 13Y Sex: �Spa�yedF male Color: Breed: Domestic Declared Dangerous/Potentially Dangerous Dag N4 YE8 Microchip # pity Tag # Rabies Vaccination Date: � �j � � Rabies Tag # Rabies Description: 1 YEAR 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 holsteindinic@gmail,com LICENSE FEES Intact Dag or Cat: $16.00 Alfered Or cat: Replacement Tag $5.00 Total $ 11 ' d 0 FAXED 03-08-19 2:19p BY M 1 TOTAL PAGES E0/ELL 39dd OIHI-10 i3A HI31S-101-1 TOT09ZhZ0h T9:PT GTOZ/80/EO 2019 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT(5), 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 Or FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL. OR DWELLINGS UNIT. ***PLEASE READ CAREFULLY*** YOU ARE REGLLIIRED BY LAW TO-LICE�1$F YOUR PETS. Failure to do so is a violation of City ordinances 6.1o3 and rgrles a penalty of a fine up to $150.00 Per Pet. PET LICENSE RENEWALS ARE DUE BY 3/1 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 ICI 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 ULAIR Must register pets within 10 days of residency ET # Pet Name: Toby Age: 7Y Se c: Neutered Malt: Color: Breed: Sheltie Declared Pangerous/Potentially Dangerous Dog N YES Microchip # City Tag # u Ratites. Vaccination Cate: 3' c� ` 9 Rabies Tag # 1+6779 Rabies Description: 1 YEAR Y �AR Holstein Veterinary Clinic Dr. Lisa Schrurn DVM & Dr•. Krista LI'olstein DVM 718 South 19th Strut Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinic@gmail.Com LICENSE FEES Intact Dog or Cat; $16.00 Altered Dog or cat Replacement Tog $5.00 Total FAXED V 03-08-19 2:17p BY ^ ,f TOTAL PAGES lV� CO/To OJdd OIHI-10 loll NIaS-101-1 TUT09317Zuh TS:hT 6TUZ/80/C0 2019 PET LICENSE VERIFICATION/APPLICATION -FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOGS) AND /OR CAT(S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO; CITY OP BLAIR — 218 S. 16TH ST w- 13 LAI RY NE 68008 YOU MAY LEGALLY OWN A COMBINATION QP FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PEP RESIDENTIAL OR DWELLING UNIT. ***PLEASE READ CAREFULLY*** YOU RE RE IRED BY LAW TO LICENSE YOi,1R PETS Failure to do so is a violotion of City Ordinances 6,103 and carries a penalty of a fine up to $150,00 per pet. PET LiEENSE f�ENEWgLS ARE dUE BY 3I�5/2019. The city shall recognize a microchip 10 number as the license number. It shall be unlawful for any dog or cat to wear any license or other city 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 (()R) at 6 months of lge if puppy or kitten NEW RESIDENTS TO GLAIR Must register pets Within 10 days of residency Owner Name spouse Owner Address City/State/Zip Phone * DL # or DOB PET # Pet Name: Huddy Keith Christiansen Rosalee 935 Skyline ar Blair.. NE 68008 402-426-9701 Age: 7Y I sex: Neutered Male color: Tan anti White Breed: Chihuahua Mix Declared Dangerous/Potentially Vangerours Dog YES Microchip # Rabies Description: I YEAR Holstein. Veterinary Clinic Dr: Lisa Schrum DVM & Dr. Krista 1'lolsteirt DVM 718 South 19th Street Blair, NE 68008 402-426-7387 402-4�6-0101 Fax hoisteinclinic@gm"ail.com iail.com City Tag # Rabies Tag # 16245 YEAR LICENSE FEES Intact Dog or Cat: $16-00 Altered Dog or cat. $11.00 ReplacemL-nt Tug $S.00 Total $ � � ' Do - FAXED 02-22-191,27p BY � J� Z TOTAL PAGES 1" \ TO/To 39dd DINI-10 13A NI3IS_10H TUT096v3ov Eb:BT 6TU6/6Z/36 Dec 2718 11,29a Thone Animal Care 4024266808 p.2 CITY 4F BLAIR - 2'0.18 PET LICENSE APPLICATION If you live in Blair City limits and oven a dog(s) and:/or cat(s)' complete this form andreturn with check made payable to: . . City of.Blaiir • 218 S. 16th St. • Blair, NE 68008 YDu may legally awn 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; M rc �5 2M OwnerName: / .li {c) t I Go()1J� n ***PLEASE READ CAREFULLY*** Owner Address; I YOU ARE REQUIRED 6Y LAW TO LICENSE YOUR PETS. City/Statef Zip: Blair, NE 68008 Failure to do so is a violation of City ordinances CA09 and carries - Phone # `�� `'�nLo- 4Lla� i Drivers License # or Date of Birth LICENS� FEES: Dog or Cat: $18.00 Altered Dog or Safi: $11.00 Replacement Fee for Lost Tag: $5.00 An ads itional State Fee of $1.24 is being collected to fund the a penalty of a Pine up to $150.00 per pet. PET LIMSES RENEWALS ARE DUE 6Y 31151211113, The City shall recognize'a microchip Identiflcatlon number as the license number. I: shall he unlawful for any dog or cat to wear any llcenso or other city Identification other than that Issued by the City of Blair for such dog or cat. The City of Biair requires proof of rabies vaccination. 0 PE ' #i• 1 pog ❑ Cat ❑ Spayed/Neutered �n License Fee $ , -Pet a m Age `l Colo L�Z_, Breed** L' Sex tA\ Replacement $ Deciz red Dangerous or Potentially Dangerous Dog: 0 1Y N� MIC OCHIP # (If applicable) SUBTOTAL: $ RAB ES VACCINATION DATE; i �� lt-{-i a, (3 yr) 'x (I yr) City Tag # PET # 2 ❑ D a g❑ C a t ❑ Spayed/Neutered Pet Dame Agge Sex Color greed Deci red Dangerous or Potentially Dangerous Dog: ❑ Y MIC. OCHIPkT (If applicable) RABIES VACCINATION DATE: (3 yr) License Fee-,$ Replacement QN SUBTOTAL: (I yr) City Tag .# PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neuterred License Fee $ Pet Name, An Sex Color Breed :Replacement`' $ ** Decli,kred Dangerous'or Potentially Dangerous Dog: ❑ Y ❑ N MICA OCHIP #_ (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (I yr) _ City Tag # I *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.) Donatlofi to care for animals: $I $3. $5 $10 Other ***SEWBACK OF FORM FOR BRIrED'SPECIFIC LICENSE REQUIREMENTS Do Not Send Cash by Ma 1r TOTAL E N C L O S E D$ vi S at Mir # Expires: : Security Code: Sig If you have questions, please contact City Hall A (402) 426-41SI or by Fax: (402) 426-4195 NE PET/NEW RESIDENT LICENSING REQUIREMENTS(P9arch15late fee date not applicable (Or new peWneWIrsIdents) N wi A uired Pets: New Residerits to Blair: . Must be licensed within 10 days of ownership ■ Must register pets within 10 days of 9 <OR> at 6 months of age if puppy/Wtten 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 LICENSE FEES: Dog or Cat: $16.00 Owner Name: Monica Clark Spayed/Neutered Dog or Cat: $11.00 Owner Addres 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) 885-0288 Drivers License #: AAk t�\(�'-L2 or Date of Birth: Subtotal licensed pets from below: �1 Replacement Tags from below: Name: Peter DOB: Not on File Sex: Male License Fee $ t9 Color: Blue Merle Breed: Australian Shepherd Replacement: Spayed/Neutered: True ❑Y N Mirochip # City Tag # 1713 Vaccination Date: 711112"015 Duration: year vaccine i Vaccine Exp: 7/1112011 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: Monica Clark Spayed/Neutered Dog or Cat: $11.00 ._ Replacement Fee for Lost Tag: $5.00 Owner Address. Fee includes $1.25 for the Nebraska Dog and Cat 0 '; 1+ ' ° $' Operator Inspection Program City/State/ZIP: Blair, NE 68008 Phone #: (402) 885-0288 Drivers License #: q�im -i; or Date of Birth: Name: Darla Color: Red Spayed/Neutered: True Mirochip # Vaccination Date: §131/2014 17 Subtotal licensed pets from below: Replacement Tags from below: DOB: 1/1/2012 Sex: Female Breed: Australian Shepherd Duration: 3 year vaccine Vaccine Exp: License Fee $ Replacement: ❑Y �N City Tag # 1290 Total: 2019 7:30AM Fastenal NIBL No,6870—P. I Ma r, 29, Client ID: 5126 Client Name: Monica R. Clark Address: 1266 Deerfield Blvd. Apartment 338 Blair, NE 68008-$664 Phone: (402)885-0288 Tag Number: 6105 Lot Number: 18398 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: 6413 Patient Name: Darla Species: Canine Breed: Australian Shepherd Sex: Spayed Female Color: Red Markings: Birthday: 12/05/2012 Weight: 63.40 pounds on 4/12/2017 Microchip ID: Vaccination Date; Expiration Date". Staff Name: David E. Johnson DVM License Number' 1893 3/27/2019 312712022 Mar 1419 04;05p 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. 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 AR DUE: March 15, 2019 Owner Name: Owner Address:.�i� City/Statelzip: Blair, NE 68008 Phone # ".l c' ") ,A,) fir' ^ , �� 3 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 Included is a State Fee of $1.25 being co{lected to fund th ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BYLAW 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 3115/2018, 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 identincation other than that issued by the City of Blair far such dog or cat, The City of Blair requires proof of rabies vaccination. & Cat PST #1 t2b, Dog ❑Cat ,3,Spayed/Neutered License Fee Pet Name Pi ,rti Age Sex Color 16' :�� Breed's* , �'0 -Replacement $ Declared D ngerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: I -',j - I? (3 yr) ___ (1 yr) City Tag # PET #2 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ PColorame Breed Sex 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-0 Cat ❑ Spayed/Neutered License Fee $ Pet Narne LL Breedge Sex Replacement- $ ColorDeclared Dangerous or Potentially Dangerous Dog: ❑ Y Cl N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE.: (3 yr) (I yr) City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee Is due along with License Fee if requesting at the time of license renewal.) Donation to care for animals:' $1 $3 $5 $10 Other. ***SEE BACK OF FORM FOR BREED SPECIFIC LICENSE REQUIREMENTS Do Not Send Cash by Mai! 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 NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15late fee date notapplicaMe for new peWnewresidents) Newly Arnuired Pets New Reside is to Blair: it Must be licensed within 10 days Of o� ilQne Animal Care Of BI�Ipst register pets within 10 days of ■ <OR> at 6 months d age if puppy/kitten (402) 4213.3630 residency. 902 S. Hwy 30 Blair, NE 68008 Feb 19 19 10:27a Thone Animal Care 4024265808 p,1 CITY OF BLAIR - 2019 PET LICENSE VERIFICATION If you live in Blair City limits and own a dog(s) and/or cat(s), completelverify 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: John T And Elizabeth A Clarke Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $S.00 Owner Address: 2340 Fieldcrest Dr Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: BLAIR, NE 68008-3726 Operator Inspection Program Phone #: (402) 426-8853 Drivers License #: or Date of girth: 8/16/1966 Name: Athena Color: B1ackNWhite Subtotal licensed pets from below:_T_T__ Replacement Tags from below: DOB: Not on File Sex: Female Breed: Shih Tzu Duration: 3 year vaccine Vaccine Exp: 1127/2020 Thane Animal Care of Blair (402) 426.3630 902 S. Hwy 30 Blair, NE 68008 License Fee $ f j _ Q Replacement: ❑Y ❑N City Tag # 1906 Total:, 19� Y k"" i)d 1 C-4 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: Cheryl Clements Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Owner Address: 2021 Lincoln St Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008 Operator Inspection Program Phone #: (402) 426-4219 / Drivers License #: or Date of Birth: (e)._ �- �9 Subtotal licensed pets from below: Replacement Tags from below: Name: Piper DOB: Not on File Sex: Female License Fee $ Color: Black/Brown Breed: Mix Breed Replacement: Spayed/Neutered: True ❑Y ON Mirochip # City Tag # 100 Vaccination Date: 3/14/2017 Duration: 3 year vaccine Vaccine Exp: 3/14/2020 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: Cheryl Clements Spayed/Neutered Dog or Cat: $11.00 Owner Address: 2021 Lincoln St Replacement Fee for Lost Tag: $5.00 Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008 Operator Inspection Program Phone #: (402) 426-4219 J Drivers License #: or Date of Birth: / Name: Dakota Color: White/Brown Spayed/Neutered: True Mirochip # Vaccination Date: 3/14/2017 Subtotal licensed pets from below: Replacement Tags from below: DOB: Not on File Sex: Female Breed: Mix Breed Duration: 3 year vaccine Vaccine Exp: 3/14/2020 License Fee $ Replacement: ❑Y ON City Tag # 1400 Total: FROM :BSAC FAX 1,10. :402-533-2722 Jun. 14 201g Oi:26PM P1 CITY OF GLAIR - 2019 PET LICENSE APPLICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair • us S. ;LB"h 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 roldential or dwelling unit. LIMSE RENEWALS ME M, March 15, 2019 Owner NiAr"q* vsee 4_.n_%P_, Owner Address: �10;1 uu-v�w\6 clty/strata/zlp: Blair, NE 68000 Phone briverg Licaanae ## or Date of Birth LICENSE FEES, Ipag or Cat: $16.00 Altered Dog or Cat; $11.00 Replacement Fee for Lost Tag: $5,00 Is a `rT1$ tea of $1.25 Delnu ooliectiml ***PLEASE READ CARERJLLY*** YOU ARE REQUIRED BY LAW TO LIGLNSE YOUR PETS. PAllure to 4o so is a vkilMion of City ordinances 6A6A and carrleaa a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE M BY 3 J 116 =- The City shall recognize a microchip Identiflcatlnn number As the license number, it shall he tmlawful lot any clog or Cat to wear any licensee or other rlty itlentirICALlon other titan 1:1101BSUud by tho City of Blair for such dog oe cat. Tice City of Bkrir requires proof of tables vaccination. PET # 1 .Z1 Dog ©+Vat Q Spaye / eutered License Fee $ Pet Name C U1, Age Sex _ Colory��s\P Ryywvti ., 'reed * Replacement $_ ** Declared Dangerous or Potentially Dangerous MO U Y 19 N MICROCHIP # (If applicable) USTOTAI., $ S V RABIES DATE: i0 1` 0 �.� 1 (3 Yr) __', (1 yr) _ City Tag # l PET # 2 ❑ Dog © Cie t ❑ Spayed/Neutered License Fee $ Pet Name Age _....._ __._. Sex Color Breed** Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: t t Y ❑ N MICROCHIP ## (If applicable) SUBTOTAL: $ _ RAMES VACCINATION DATE: __.._ ......_.___ .. (3 yr) (1 yr) City Tag #_ PET #3 ❑ Deg ❑ Cat o Spayed/Neutered License Fee �,.-_..... Wet Name Age -.... Sex Color re-ead .* Declared Dangerous or Potentially' Dangerous Dog: ❑ Y�❑ N MICROCHIP it_ _ .. (If applicable) SUBTOTAL; $ RABIES VACCXNATION DATE: (3 yr) , (1 yr) ,- _ — City Tay *PLEASE INCLUDE THE CITYTAG NUMBER IF THIS IS A RENEWAL ** (This fea is due along with License Fee if requesting at the time of license renewal.) Donation to care for animals: _ $1 _ $3 _ $5 _ $10 _tither ***SEE BACK OF FORM FOR BREED SPECIPIC LICENSE REQUIRIEM15NTS VISA / MC 4. Signature Dot4otSend CaSll by Mail TOTAL ENCLOSED $ Expires: Security Codo: • . If you have questions, please contact City Hall at (402) 426-4191 or by Feat, (402) 420-4195 . *++-b k*.+++++....i..i.++++++.. ..**++++++t.........*........+++t.....+++++++...... NEW PErfiNEW1>ESIDENTLICENSINGREQUIREMENTS (M&M15lotefeedate nt•appllrable)brn0wpeWnewrr0entS) JNGWv Acquired ham: Now Rmidol is to Blab: ■ MLStt e is d Wthln ipdaysoroVdaghip ■ Must recgiorr pets within l days of T," _ ■ -<QR> et 6 mcn ti5 of age it puppy/IdttEn m§*nc 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 Dame: Michael Comstock Spayed/Neutered Dog or Cat: $11.00 gjl)7e,�- L C ` O (Ae. Replacement Fee for Lost Tag: $5.00 wner Address: 1262-DeePf #2.04 Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008 Operator Inspection Program Phone #: (402) 533-3781 Drivers License #: d-� g Name: Stella Color: White Spayed/Neutered: True Mirochip # 981020005724688 Vaccination Date: 6/10/2016 or Date of Birth: Subtotal licensed pets from below: /z,� Replacement Tags from below: DOB: Not on File Sex: Female Breed: Mix Breed .-" lele r) ( o(I(II e, Duration: 3 year vaccine License Fee $ , c� Replacement: ❑YII City Tag # 1538 Vaccine Exp: 6/- 12-01.8- )/ - / y _,-,) / Total: m 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: Curtis Cole Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Owner Address: 1538 Grant St Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008 Operator Inspection Program Phone #: (402) 990-9617 Drivers License #: or Date of Birth: Subtotal licensed pets from below: Replacement Tags from below: Name: Grizz DOB: 1/1/2012 Sex: Male License Fee $ Color: Black/Brown/Tan Breed: Mix Breed Replacement: Spayed/Neutered: True ❑Y ON Mirochip # City Tag # 1885 Vaccination Date: 6/18/2018 Duration: 3 year vaccine Vaccine Exp: 6/18/2021 Total: L"4 q y wm- i J CITY OF BLAIR - 2019 PET LICENSE VERIFICATION If you live in Blair City limits and own a clog(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: Tim & Melinda Cole Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Owner Address: 434 N 19th St Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008 Operator Inspection Program Phone #: (402) 943-9820 Drivers License #: Name: Chloe Color: Black Spayed/Neutered: True Mirochip # 038383527 Vaccination Date: 8/1/2016 or Date of Birth: 12/29/1986 Subtotal licensed pets from below: C' Replacement Tags from below: DOB: 6/27/2014 Sex: Female Breed: Mix Breed Duration: 3 year vaccine Vaccine Exp: 8/1/2019 License Fee $ 1 Repla ement: ❑Y City Tag # 2338 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: Tim & Melinda Cole Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Owner Address: 434 N 19th St Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008 Operator Inspection Program Phone #: (402) 943-9820 Drivers License #: or Date of Birth: 12/29/1986 Subtotal licensed pets from below: Q� Replacement Tags from below: 917() Name: Atlas DOB: 4/25/2014 Sex: Male License Fee $ Color: Black Breed: Labrador Retriever Replacement: Spayed/Neutered: True ❑Y I N Mirochip # 032319064 City Tag # 2337 Vaccination Date: 8/1/2016 Duration: 3 year vaccine Vaccine Exp: 8/1/2019 '�"- Total:& FROM :BSAC FAX NO. :402-533-2722 Jan. 23 2019 04:5OPri P1 00 CITY OF BLAIR. - 2019 PET LICENSE APPLICATION avable if you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with checkale p atv of Blair * 218 S.16th St. + Bialiry NE 68008 You may legally fawn a combination of four (4) adult pets, but no More than throe (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: Mari Owner Name' — owner Address: Q ball •, t�fi7' City/State/Zip; Blair, NE 68008 l C� Phone # 6a - Drivers License # or oate of Birth LICENSE FEES: Dog or Cat: $1e.00 Altered Dog or Cat; $I.1.00 Replacement Fee for Lost Tag: $5.00 ***PLEASE READ iCAREFULt]Y*** YOU ARE REQUXRED BY LAW TO LXCENSE YOUR PETS, Failure to do so is a violatlon of City ordlnanees 6.103 and carrieb a pEnnity of A fine tip to $1150,00 par pet, PET LICENSES RENEWALSARR DUE BY 3r1512WR The City shall recognlze a microchip identification number ago tha nconse number, n shall be unlawful for any dog or cat to wear any license or othe city Identification other than that issued by th0 City of $Ipir for such dog or cat- Tho City of Blair requires proof of rabim vnccinatian. -id uded is a Sly P'ee Of $1,25 being 0011 men do #und thb •��• po•�... , . ,.. , T _ __:_ ----- ..._.,M ---- PET #1 L,6 Dog ❑ Cat ❑ Spayed/Neutered ,.License Fee $w.ZLL.� A e Sex Pet Name - n Breed* -la' -- Zr t._ Rop/deement Color Declared Dangerous or Pot tially Dangerous Dog., ❑ Y J�N ,o MICROCHIP # (if applicable) SUBTOTAL: $ RABIES VACCINATION DATE; j(3 yr) � (I yr) --- Clay Tag # PET #'2 ❑ iaog ❑ Cat ❑ Spayed/Neutered Ocense Few $ Pet Name— 'Breed** Sex--Replacement$�_ ** Color (declared Dangerous or Potentially Dangerous Dog: 0 Y ❑ N MICROCHIP # (if applicable) SUBTOTAL: $ RABIES VA+CCINA-nON DATE; (3 yr) . -- (1 yr) — Clty TR9 PET #3 0 Dog Q Cat ❑ Spayed/Neutered A e ' Sox License Fee $_ Pet Name Breed* ,�eplaeernent $ CI or a Declared Dangerous or Potentially Dangerous Dog: ❑ Y a N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) _— (1 Yr) — City Tag # - *PLEASE INCLUDE THE Crry 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 scare far anlMals: $1 $3 $6 $10 Other ***SEE BACK OF FORM FOR BREED SPECIFIC LICENSE REQUIREMONTS —� Do Not send Cash by Mail TOTAL ENCLOSED $ VISA / MC # Expires: Security Code: �...,..,._ Signatureit you have questions, please contact CIty Hall at (402) 426-4191 or by Fax: (402) 426-4195 •8•.........-r-r.t......... E°'F..............+**ttt..... f....+4..................++. NEW PET/NEW R9SXDENT LICENSING REQUIREMENTS (Ma�l'i I �IdC� ert�r ats tappllcabl� f:ir rf0w pets/newrc�ia'c'nts) Newiv AWMIi'ed Pets., — ide tai td Irg. la Must bes licensed wMailln 1Q days of Fw_w hip M Must register pets within 1.0 days of ■ -<OR> at 6 monthg of age ff puppy/ 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 LICENSE FEES: Dog or Cat: $16.00 Owner Name: Tracie and Brent Conger Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Owner Address: 1909 Soren Dr Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008 Operator Inspection Program Phone #: (719) 464-5917 Drivers License #: 14 1 L�� or Date of Birth: 01/25/1973 Name: Sadie Color: ° i W- - , .... Spayed/Neutered: True Mirochip # 985112004- '�7- Vaccination Date: 08/04/2017 Subtotal licensed pets from below: Replacement Tags from below: DOB: 05/01/2014 Sex: Female Breed: Mix Breed Duration: 3 year vaccine Vaccine Exp: 08/04/2020 License Fee $ Replacement: ❑Y ON City Tag # 1893 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: Wilma Coon Spayed/Neutered Dog or Cat: $11.00 Owner Address: 1004 N 23rd Ave 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) 426-5150 Drivers License #: or Date of Birth: Subtotal licensed pets from below: Replacement Tags from below: Name: Hope Color: White Spayed/Neutered: True Mirochip # Vaccination Date: 3/1/2017 DOB: 2/27/2010 Sex: Female Breed: Maltese Duration: 3 year vaccine Vaccine Exp: 3/1/2020 License Fee $ 16 D® Replacement: ❑Y ON City Tag # 311 Total: % " 6 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: Christine & AkWm, Coontz Spayed/Neutered Dog or Cat: $11.00 OReplacement Fee for Lost Tag: $5.00 Owner Address: 758 S. 16th St #393 Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008 Operator Inspection Program Phone #: (402) 699-7846 Drivers License #: Name: Rocket Color: White/Grey Spayed/Neutered: True Mirochip # Vaccination Date: 1/5/2017 or Date of Birth:= 4 Subtotal licensed pets from below: Replacement Tags from below: DOB: Not on File Sex: Male Breed: Domestic Shorthair Duration: 3 year vaccine Vaccine Exp: 1/5/2020 License Fee $ Replacement: ❑Y ON City Tag # 2033 Total:° ", CITY OF BLAIR - 2019 PET LICENSE APPLICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair • 218 S. 16th St. • Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2019 Owner Name: pox_k 8 %f teu Owner Address: City/State/Zip: Blair, NE 68008 Phone # 5 15 - a 50-aR.Ui 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 included is a state Fee of ***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. to tuna the Nebraska DoQ tit Gat PET # 1 A D o g ❑ C a Spayed/Neutered License Fee $ 11 • ©0 Pet Name _ Aye Sex t✓ Color \,j .4--1 U Breed * Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y Z N., MICROCHIP # R%5121 oo51M4 ' 3B (If applica.SUBTOTAL: $ RABIES VACCINATION DATE: 03� 0 2/1 R (3 yr) !J�N yr) City Tag # `1 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 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 VISA / MC # Signature Do Not Send Cash by Mail TOTAL ENCLOSED $ 11. ©O 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 newpets/new/esidents) 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. 6.-- FROM :BSAC FAX HO. :402-533-2722 Mar. 15 2019 10:32AM P1 CITY OF FLAIR - 2019 PET LICENSE ADDITIONS If you live In Blair City limits and own a dog(s) and/or oat(s), complete/verify this form and return with check made payable to: City of Blair 218 S 16th St. a' Blair, NE 68008 You may legally own e th ar fihras- combination adult eat$ per dull renal or petv., but n dwelling unit three (3) adult dogs LICFENSE RENEWALS ARE DUE: March 15, 2019 owner Name: Heath & Heather Cottle Owner Address: 1728 South St City/State/ZIP: Blair, NE 68008--0000 Phone #: (402) 426-9850 Drivers License #:H12300588 or Date of Firth: 2/20/1979 I_ICEN51- FEES: Dog or Cat: $16.00 Spayed/Neutered Dog or Cat, $11.QO Replacement Fee for Lost Tog: $5.00 Fee includes $1.25 for the Nebraska cog and Cat operator InSpectlon Program Subffall licensed,pets Born bel�w��, 10 Replacement Tags from below: Total; Dog []Cat - - Spayed/Neutered License Fee $ Pet DOB Sex Pet Name Color Breed fh C �i�r' _ Declared Dangerous or Potentially Dangerous Dog' © Y l ' N Microchip # Rabies Vaccination Date 3 yr 01 yr ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Age Sex Color. �.._.._.._„�.� Breed �. Declared Dangerous or Potentially Dangerous Dog? ❑ Y I] N Microchip # Rabies Vaccination Date 03 yr ❑l yr ❑ Dog a Gat Pat Name Color L-1 Spayed/Neutered Breed Sex License Fee $ Declared Dangerous or Potentially dangerous Dog? ❑ Y ❑ N Microchip # Rabies Vaccination pate L13 yr ❑l yr j�AtA.' 0( CITY OF BLAIR 2019 PET LICENSE ADDITIONS If you live in Blair City limits and own a dog(s) and/or cat(s), complete/verify this form and return with check made pa able 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: Heath & Heather Cottle Owner Address: 1728 South St City/State/ZIP: Blair, NE 68008--0000 Phone #: (402) 426-9850 Drivers License #:H12300588 or Date of Birth: 2/20/1979 LICENSE FEES: Dog or Cat: $16.60 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: Total: Dog ❑ Cat Spayed/Neutered License Fee $ Pet Name t Pet DOB °' ij I Sex 1 Color Breed` I, 9 = 11.1 1 Declared Dangerous or Potentially Dangerous Dog? ❑ Y N �/ 13/aOJ Microchip # Rabies Vaccination Date �3 yr ❑1 yr ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Color Age Sex Breed Declared Dangerous or Potentially Dangerous Dog? ❑ Y ❑ N Microchip # Rabies Vaccination Date License Fee $ 03 yr 01 yr ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Pet DOB Sex Color Breed Declared Dangerous or Potentially Dangerous Dog? ❑ Y ❑ N Microchip # Rabies Vaccination Date 03 yr 01 yr CITY OF BLAIR - 2019 PET LICENSE VERIFICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete/verify this form and return with check made payable to: City of Blair * 218 S 16th St. * Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2019 LICENSE FEES: Dog or Cat: $16.00 Owner Name: Russell & Peggy Cowley Spayed/Neutered Dog or Cat: $11.00 Owner Address: 957 N 18th Ave 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) 426-5975 Drivers License #:G29012289 or Date of Birth: 12/17/1957 Subtotal licensed pets from below: a Replacement Tags from below: Name: Gizmo Color: Sable Spayed/Neutered: True Mirochip # Vaccination Date: 3/6/2017 DOB: 1/1/2007 Sex: Male Breed: Papillon Duration: 3 year vaccine Vaccine Exp: 3/6/2020 License Fee $ Replacement: ❑Y Gil City Tag # 66 Total: I 1 d �V Date of Rabies Vaccination: 09-13-18 Next Rabies Vaccination On: 09-13-19 VETERINARY CLINIC Thone Animal Care of Blair 902 S Hwy'30 Blair, NE 68008 402-426-3630 Certificate No: 1598 Previous Rabies Vaccination: OWNER OF ANIMAL Jessica Cox t9O8 S. 16th ave Blair, NE County: This is to certify... THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Coco SPECIES: Canine — SEX: F Color and markings... Brown Signed Dr. Leon Leishman Vaccinations done... , TAG NO: 004333 WEIGHT: 39.00 AGE: years - 9 License: 1971 09-13-18 LL Check up, DA2PPV+L 09-13-19 09-13-18 LL Check Up, Rabies I Yr, #004333 09-13-18 LL Bordetella, P13 (Intra-trac 3) 09-13-19 Rabies Vaccine Information... MFG BY: ZOETI SER.NO: 288170 LOT EXP: 08/27/19 ADM: SQ 02/21/2019 09:42 4024260101 HOLSTEIN VET CLINIC PAGE 01/01 2019 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF GLAIR, IF YOU LIVE IN 13LAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT(S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO, CITY OF BLAIR. — 218 S. 16TH ST — 8LAIRr NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREF (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL CAR DWELLING UNIT. ***PLV-ASE READ CAREFULLY"* YOU ARE RE UIREO 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 RFNEWALS ARE DUE BY 3 ss 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 glair 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 Mays of residency Owner Name Lisa Cox Spouse Terri owner Address 2004 Caiuble Creek Cirde City/state/Zip Blair, NE 68008 Phone # 402- aL # or DOS T oEl)o daa Vl kw pl,sSed Oaf) Pet Name: Piper Age: 4Y sex; Splayed Female Color: Tarn Bread: Chesapeake Declared Dangerous/Potentiallly Dangerous Dog ND YES Microchip # City Tag # -Ai ,r;� i;a a�a,' ,r �i `'R r 'l Rabies T'a9 # 16691 Rabies Description: I YEAR Holstein Veterinary Clinic Dr. Lisa .Schrum D'VM & Dr. Krista Holstein DVM 18 South 19th Street glair, NE 68008 402-426-7887 402-426-0101 Fax holsteindinic@gmail.com LICENSE FEES Intact Dog or Cat: $16_00 Altered or cat: $11.00 Replacement Tog $5.00 Total $it �_ FAXED 02-21-19 9:35a BY T0TA{ PAGES FROM : i35AC FAX N0. : 402-533-2722 Mar. 05 2019 03: 05PM P1 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 oheck made payable to: City of Blair * 219 S 16t;h 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 par residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 16, 2019 LICENSE FEES: Dog or Cat: $16.00 Owner Name: CCZAD, CHRISTOPHER P Spayed/Neutered Grog or Cat; $11,00 Owner Address: 214 JACKSON ST Fteplacement Fee for Lost Tag: $5.00 Fat Includes $1.25 for the Nebraska bog and Cat City/State/ZIP: BLAIR, NE, 68008--0000 operetorinspection Program Phone #: (402) 676-8753 Drivers License #: or Gate of Birth: 0/17/1966 Subtotal licensed pets .from. below: I. Replacement "tags from below: Name: Elwood Color, Black Spayed/Neutered. True Mirochip # Vaccination Date: 416/2016 DOB: Not on File Sex; Male Breed: Dachshund Duration: 3 year vaccine Vaccine Exp: 4/612019 License Fee $ Replacement; ❑Y 14N City Tag # 23 Totpl: I i p FROM :BSAC FAX NO. :402-533-2722 Jul. 25 2019 10:03AM P1 CITY OF FLAIR - 2019 PET LICENSE APPLICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair o 218 8. 160 St.. Blair, NIL; 68008 You Mary 1e94111y own a combination of four (4) adult pats, but no morn than three (3) adult dogs or throo (3) adult cats per ra;sidentiatl or dwelling unit, LICENSE RENEWALS ARE DOE: March 16, 201" Oariter Name; Owner Address- r Q �l f 0 c1tv/state/zip" Slair, E 68008 Phone # cC Priuerg License # or date of Birth LICENSE FEES: Dog or Cat: $1o.00 Altered Dog or Cat: $11.00 Replacement Foe for Lost Tag: $5.00 trtcludetl is it 5ltabg Fee of 1.25 baking Oollecl l to Rind th ***PLEASE DEAD CAREFULLY*** YOU ARE RRQUIREt By LAW TO LICENSE YOuR peTS, r:ailtire tO db so Irg tt ViOlddon of City Ordinances 6.103 and cdrrles n pOnalty 0 a fine up to $00.01) per prat, PUT LICENRe$ RENEWALS ARE DUE By CIA, The Clty shall recognize a r0crochlp Identiffcatlon number as the 11wrise number. It shall be unlawful for any dog or Cat to wear any licansq Qr other city Identification other Chan that Naued by the Clly r)r Blair for FOch dog or Cat, Tile City of 01hir requlrgsi PMf of rubles vaccination, PET # 1 Dog ❑ Cat `{Spayed/Neutered License Fee $ Pet Na e< A e Sex Color Breed * Xeplact�:ment $-- Declared Dangerous or Potentially Dangerous Dog: ❑ Y N ,r~� MICROCHIP -# If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (I yr) City Tag # �l PET #2 ❑ Dtog © Cat ❑ Spayed/Neutered Pet Name Color T Breed * Sex Declared dangerous or Potentially Dangerous Dog: ❑ Y MXCROCHIP # �(If applicable) RABIES VACCINATION DATE: _ (3 yr) License Fee $_- a ►u Replat6ment $ _- ** SUBTOTAL, $ (I yr) City Tag # _ �* PET #3 Q Dog ❑ Cat © Spayed/Neutered License Fee Pet Name Age eedP*_ SexCol- -- — tlared Dangerous or POtentlallyrD ngeroUS Dag; V Y © N � R�,�lat:emant $ Dec MICROCHIP # (If applicable) SUBTOTAL., $ RABIES VACCINATION DATE: (3 yr) � ` (I yr) __ City Tag *PLEASE INCLUDE THE CnYTAis NUMBER IF THIS I3 A RENEWAL ** (This fee is due along wlth License Faa if requesting at the time of license renewal.) Donation to care for animals, _ $5 _ $its tither SEE BACK OF PORM FOR BREED D SPECIFIC LICENSE RLQtUXREMENTS VISA / MC # _ Signature Do Not Sand Cash by U7nf! TOTAL ENCLOSED Expires;_..... Security It you have questions, please contact City hall fit (402) 426-4191 or by Fax. (402) 426.4195 NEW PET/NEW RESIDENT LICENSING REQUIREMENT$ (March 1r'IAtefee date notapplicaable1brneivpets/nf-w1agdents) hy-AS' Now Rsn dents tolair� _ ■ Nitlst be bbffisRW Within 10 days of ()Vesship ■ Mcregister pets within 10 days of "� ■ <oR at E months of age If puppy/Idt�n c,, 03/18/2019 17:09 4024260101 HOLSTEIN VET CLINIC PAGE 01/01 2019 PET LICENSE VERIFIILATION/APPLICATION FOR CITY OF BLAIR, IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR OAT(S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO; CITY OF BLAIR — 218 S. 16T14 6T — BL.AIR, NE 6$008 YOU MAY LEGALLY BUY No MORE THAN THR�E(3) ADULTDOGS Cart THHREO E (3) ADULT CATS PER RESrOUN AL OR DWELLING UNIT. ***PLEASE READ CAREFULLY*** YQU ARE REgQIRED RY LAW TO LICENSE YOUR pETs. Failuro to do so is a violation of City Ordinahces 6,1o3 and carries a penalty of a floe up to $150.00 per pet. PET LICENSE RENEWALS ARE DUE �Y 3/15/zQ1� The City shall recognize a microchip is number as the license number. It shall be unlawful for any dog or cat to Wear any license or other city ID other than that issued by the City of Blair for such dog or cat. NEW PET LICENSING Must be licensed within 10 days of ownership (OR) at 6 months of age if puppy or kitten NEW RESIDENTS TO BLAIR Mint register pets within 10 days of residency Owner Name Spouse Owner Address- city/Byte/zilp Rhone # nFT # Sean (Craig Clay 1241 Grant street Eclair, NE 680108 402-516-8998 Pet Name: Molly :Aga: n Sex: Sex: color: Bread; Aussie Declared Dangerous/Potentially Dangerous Dreg No YES Fr {Microchip # City "rag #aIb 0�'•,jiFic};.. eeyye� . I,. ., lrr•i IUY; "':7"' :•,q.i.u4 q�4,f,�� t',I,W.�1 �.�'Y.!:�y�l •}C;Lijli,x �tf�...�'Fr. •i7' y,i,.�y, ^.; "1. i`:aa�• y �'�'� 'i i.f •f•,i 'f: "4��Af�i�• ��f iP.'�']''.'�I. �1:�� r•l � A.� 9•.� g .F i6622 r:`9'n,'iit�.i�:i�iu'.`.r;"}.:,,• ifs{a�;.�,., •��I';��ii';I'laajil;i;� ��ri�l;I��•. .�fi�S!f!!;i'•�SII•'i. r„ ,. ,,. ..r �. ,;,. �� ,•._,i, ,c.',i: aP• ,�t i.lnijl:ivi••i�.71 � �. Ue:=d�•r: 1i::"...,,: f.,(„ 1�ataias De$ariptic�n: �"'�� YEAR, Holstein Veterinary Clinic FAXED Dr: Lisa Schrut-n DVM & Dr: KI- sta Holstein DVS _ 718 South 19th Street Blair, NE 68008 BY 102-426-7387 402-426-0101 Fax ''TQTAL PAGES holsteinclinic@a gmail.com LICENSE FEES Cat, $16.00 Altered aog or eat, $11.00 Replacement Tag $5.00 Total • 00 03-18-,19 3:22p 01/08/2019 16:35 4024260101 HOLSTEIN VET CLINIC PAGE 01/01 2019 PET LICENSE VERIFICATION/APPLICATION FOP, CITY OF BLA.IR. IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /bR 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 3 15/2019. The city shall recognize a microchip ID number as the license number. it shall be unlawful for any clog or cat to wear any license or other city ID other than that issued by the City of Blair for such dog or cat, NI=W PEA" LICENSING Must be licensed within 10 days of ownership (OR) at 6 months of age if puppy or kitten NEW RE$IDENT5 TO BLAIR Must register pets within 10 days of residency Owner Name Tanya Crilno spouse Dewey Spitler Owner Address 1433 Butler St. City/state/Zip Blair, NE 68008 Phone # 813-538-3554 DL # or DOB Pet Name: Tempe Age: BY Sex: Spayed Fern C+alQr: FalWn Breed: Puggle Declared Dangerous/Potentially Dangerous bag YES Microchip # 985112009538448 City Tag # sd l:^i.u;u;,l :a�a: ; s�ru3•.5rt�'i ..:I F.I �cpi•' i`fl}i`d� �`I�iui�.itllr�.i�r_h;fig'P!TIAIb�1011fW(i7`�ili{ti11D710I:�A01N lt jl i I ; ;S > „ $ . r;. ` rfr"tyfai�'p1 zi; ,1rioR1 P�y'I, Ki .G,loyy�.,�i.f}`oa•�S,�. ql ••g,{�',•.�• � ��y7�yipa �pB 1 ng}1 r pl �pli• �;i il••. •i�'.}�II nI. i. ilill ik•�,�i Imlil ,rqr :lrl.�'if !" T , .�•t'l`i 11�r' Ii�II �1ti1 o n�rt!� ii•' , I 1 8 f li!lrl6i�,ii�.jc�li M{I. rr.l•. 'V krl�I t i 7�1. 1t N � iI nt S i i�! '�'9„t.. c `� r9 il��l� I�•y 1;14 � �I�) i�I #' a'biesTaJig', Rabies Description: 1 YEAR, YEAR Holstein Veterinary Clinic Dr Lisa Schrum DVM & Dr, Krista Holstein DVM '71,8 South 19th Street Blair, NE 68008 402-42G-7387 402-426-0101 Fax holsteinclinic@gmail.com LICENSE FEES Intact Dog or Cat: $16.00 Alter. Dog or cat: $11.00 ReplaceMent Tag $5.00 Total $ _ 11 - 0 0 FAXED 01-08-19 4:28p 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: Brent Cuellar Spayed/Neutered Dog or Cat: $11.00 Owner Address: 2386 Fontanelle Blvd Replacement Fee for Lost Tag: $5.00 Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008--0000 Operator Inspection Program Phone #: (402) 426-7058 Drivers License #: or Date of Birth: Subtotal licensed pets from below: Replacement Tags from below: Name: Buddy Guy DOB: 3/16/2007 Sex: Male License Fee $ Color: Black Breed: _ Replacement: Spayed/Neutered: True ❑Y ON Mirochip # City Tag # 1049 Vaccination Date: 8/1/2015 Duration: 3 year vaccine i i-- � -ty Vaccine Exp: 8/1/2018 Total: o' J p"r t CITY OF BLAIR - 2018 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 15,2018 LICENSE FEES: Dog or Cat: $16.00 Owner Name: Brent Cuellar Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Owner Address: 2386 Fontanelle Blvd Fee includes $1.00 for the Nebraska Dog and City/State/ZIP: Blair, NE 68008--0000 Cat Operator Inspection Program Phone #: (402) 426-7058 Drivers License #:Not on file or Date of Birth: Not on file Subtotal licensed pets from below: Replacement Tags from below: Name: Bob DOB: Not on File Sex: Male License Fee $ Color: Tan Breed: Domestic Shorthair Replacement: Spayed/Neutered: True Dangerous Dog: DY ON Mirochip # Potentially Dangerous: City Tag # 1862 Duration: year vaccine Vaccination Dated/'I"�15 Vaccine Exp: 8/1/20w .._ - 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: Brent Cuellar Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Owner Address: 2386 Fontanelle Blvd Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008--0000 ( Operator Inspection Program Phone #: (402) 426-7058 Drivers License #: Name: Dax Color: Black Spayed/Neutered: True Mirochip # 985112007601330 Vaccination Date: 6/15/2016 or Date of Birth: Subtotal licensed -pets from below: Replacement Tags from below: DOB: 3/15/2010 Sex: Male Breed: i Duration.3 year vaccine Vaccine Exp: 6/15/2017 License Fee $ Replacement: ❑Y [IN' City Tag # 2121 Total: Jun 20 19 02:38p Thone Animal Care 4024266808 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. 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: ": c ., C I A,w Owner Address: m (0-7 �C' riiS 1 City/State/zip: Blair, NE 68008 Phone # `A0a ,-7a0 ,53(P j Drivers License # or Date, of Birth " I - 7 4 LICENSE FEES: Dog or Cat: $16.D0 Altered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Included is a State Fee of$1.25 being collected to fund the ***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 $15MU per pet, _ PET LICENSES RENEWALS ARE DUE BY 311512018. The City shall recognize a microchip identifcation nuriber 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. M PET #1 4 Dog ❑ Cal' 'payed/Neutered License Fee $ k-Q_ Pet Name _6eof Aye C Sex A Color.- c v\ Breed * _ _ Da G�\; Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: C _ -t` (3 yr) (I yr) X City Tag # PET #2 14 Dog ❑ Cat rD Spayed/Neutered License Fee $ 0Q Pet Name ti:S fie 4-."s i Age 5 Sex R Color __(rs Breed * ,tl�c Replacement $ ** Declared Dangerous Qr Potentially Dangerous Dog: ❑ Y °❑ N MICROCHIP # (If applicable) SUBTOTAL: RABIES VACCINATION DATE. r 6 - n „ (3 yr) (I yr) City Tag # * PET #'3 © Dog ❑ Cat Cl Spayed/Neutered Pet Name Aye Sex Color Breed * Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ License Fee $ Replacement $ ** ❑N SUBTOTAL: $ (1 yr) City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Donation to care for animals: $1 $ $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 If you have questions, please contact City Hall at (402) 426-4191 or by Fax: (402) 426-4195 NEW PETJNEW RESIDENT LICENSING REQUIREMENTS (March 151atefee datenot applicablefor newpe1y1bewresidents) Newly Acnuired Pets: New Residents to Blair: ■ Must be icensed within 10 days of ownership Must register pets within 10 days of • <OR> at 6 months of age if puppy/kitten Thone Animal Hospital residency. (402) 426-3630 902 S Hwy 30 Blair, NE 68008 2019 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY EMITS 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' YQU 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 tQ $150.00 per pet. PET LICENSE RENEWALS ARE DUE UY 3/15/2019. The city shall recognize a microchip ID number as the license number. It shall be unlawful for any dog or cat to wear any license or other city ID other than that issued by the City of Blair for such dQg or rat. NEW PET LICENSING Must be licensed within 10 days of ownership (OR) at G months of age if puppy or kitten NEW RE51DENT$ TO BLAIR must register pets within 20 days of residency Owner Name William Curry Spouse joy Owner Address 624 N I Ith City/state/Zip Blair, NE 68008 Phone # 402-533-1184 DL # or DOB PET# Pet Name: Maggie Age, 2V--7sex: Spayed Female Color: Brindle Breed; Lab Mix Declared Dangerous/Potentially Dangerous Dog NO YES Microchip # City Tag 0 llgl M 18 ww"s babies Ta g # '11 al - 7707 Rabies Description: V EA 3 YEAR Holstein Veterinary Clinic Dr. Lisa Schnnn DVM & Dr. Kristo Holstein DVM 718 South 19,h Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinic@gmall.com TO/To 39vd DINI-10 i3A N=S-101-1 LICENSE FEES Do 6.00 ere or cat: $1 Replacement Tog Total FAXED 01-23-19 2:19p BY TOTAL PAGES.. TOT097,17300 66:PT 6T83/6Z/T0 . 2019 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF 13LAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(5) AND /OR CAT(8), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLETO' CM OF BLAIR — 218 S. 16 TK ST — BLAIR, NE 68001D YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, 8VT NO MOR7 THAN THREr! (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL . OR DWELLING UNIT, ***PLEASE READ CAREFULLY*" YOU ARE RFQWREQIY-LAW T[5 LICEN5E YC�. Failure to do so Is a violation of City Ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSE RENEWALS The city shall recognize a microchip ID number as the license number. It shall be unlawful for any dog or cat to wear any license or other city ID other than that issued by the City of Blair for such dog or cat. NEW PET LICENSING Must be licensed within 10 days of ownership (OR) at 5 months of age if Puppy or kitten NEW RESIDENTS TO bLAIR Must register pet$ within 10 days of residency owner Name Spouse owner Address' City/State/Zip Phone # DIL # or DOB Holstein Veterinary Clinic Dr. Lisa.5c1-11-um pVm & or. Krista Holstein DVM 718 South 19th Street Blair, NE 68008 402-426-7387 402-426-0101 FaX holsteindinic@gmail-com TO/To �9vd DINI-10 13A N13iS-10H wimam Curry Joy N 11th 131air, NE 68008 02-533-1184 LICENSE FEES Intact Dog or Cat, $16.00 It red Do cat; $11.0 4. Replocament Tog $5.00 Total $ FAXED 01-23-19 2-19p BY TOTAL PAGES TOT09ZPZOP 96:bT 6T0i7,/CZ/T9 --/� 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 re .idential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2019 LICENSE FEES: Dog or Cat: $16.00 Owner Name: Bridgett Curtis Spayed/Neutered Dog or Cat: $11.00 Owner Address: 750 N 16th 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) 719-8535 Drivers License #: or Date of Birth: 4/7/1982 Name: Luna Color: White/Tan Spayed/Neutered: True Mirochip # Vaccination Date: 5/3/2016 Si,htotal IicenGed nr--ts f om below: _ Replacement Tags from below: DOB: Not on File Sex: Breed: Mix Breed Duration: 1 year vaccine Vaccine Exp: 5/3/2017 License Fee $ Replacement: ❑Y ON City Tag # 2040 Total: Date of Rabies Vaccination: 6/16/2017 Next Rabies Vaccination On: 6/15/2020 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 Bridgett Curtis 605 16th St. Blair, NE 68008 County: Washington THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Luna TAG NO: 020127 SPECIES: Canine WEIGHT: 11.70 SEX: Spayed Female AGE: 8Y Color and markings: White Signed Kent Rohrig, DVM License: 2002 Vaccinations done... 6/16/2017 KR LEPTO BOOSTER 6/16/2019 6/16/2017 KR RABIES 3 YEAR, #020127 6/15/2020 5/3/2016 DJM DHLPP ADULT BOOSTER 5/3/2018 5/3/2016 DJM RABIES 1 YEAR, #017897 Rabies Vaccine Information... MFG BY: BOSH SER.NO: 4150429A LOT EXP: 07/27/18 ADM: SQ 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: CURTIS, DAVID A & DAWN M Spayed/Neutered Dog or Cat: $11.00 Owner Address: 107 E RIVERVIEW DR 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 #: <NO PRIMARY PHONE> Drivers License #: or Date of Birth: Subtotal licensed pets from below: Replacement Tags from below: Name: Meili Color: White/Black Spayed/Neutered: True Mirochip # 985111000276015 Vaccination Date: [21126-5' DOB: [Not on File Sex: Female Bre4 Mix Breed Duration: 3 year vaccine Vaccine Exp: 312-11201-9 d,-, ,- I License Fee $ Replacement: ❑Y ON City Tag # 1406 1 � 0 Total: i C Blair Small Animal Clinic PC David E. Johnson DVM 1734 Front Street Blair, Nebraska, 68008 (402) 533-2722 Patient ID: 6871 Client ID: 2403 Patient Name: Meili "Maylee" Client Name: Dave & Dawn Curtis Species: Canine Address: 107 E. Riverview Drive Breed: Mixed Breed Blair, NE 68008 Sex: Spayed Female Color: White & Black Phone: (402)426-3017 Markings: Birthday: 08/24/2013 Weight: 20.70 pounds on 7/21/2017 Microchip ID: 985111000276015 Tag Number: 4479 Lot Number: 18334 Imrab Rabies Vaccine Producer: Merial K / MLV / R: Killed Virus Vaccination Date: Expiration Date: Staff Name: David E. Johnson DVM License Number: 1893 2/22/2018 2/22/2021 2019 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN $LAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT(S), COMPLETE THIS FORM AND RETURN 'WITH A CHECK PAYA13LE TO: CITY OF BLAIR — 218 S. 16-FH S►T — BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORU 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 111512019. 2019. The city shall recognize a microchip ID number as the license number. It shall be unlawful for any dog or cat to Wear any license or other city ID other than that issued by the City of Blair for such dog or cat. NEW PET LICENSING Must be licensed within 10 days of ownership (OR) at 6 months of age if puppy or kitten NEW RESIDENTS TO BLAIR Must register pets within 10 days of residency Owner Name Para Cushman Spquse Michael Owner Address 762 S. 13th Street City/State/Zip Blair,, NE 68008 Phone # 402-426-3286 DL # or DUO PET # Pet Name: Copper Age: 4Y sex: !'Neutered Male color: Buff Breed: 1a+r]Idendcodle Declared Dangerous/Potentially Dangerous Dog N-0 VIES city "rag # Mlicrochip # 985112001349982 �, �,f•7 ps n i'bi< � yxxMyp �y{J�p�� ¢¢((''��!! +�1. 'I rlt'i •4n' t01,411 l�#:TMtr?raf• .•'T._� t��a R._ i�.{�/(�, c".•.5?�I '�A1lr�q:: .1. I 7••;r;rii.. "'"I'r• I d' A �,G, 46yi"49 ;441 1 {ii{lit I.; CV`; „i�,�i.,iVil• (��!5�{: {lit'yit tll: •�yt 7{ },I dfy 4' p 1 14' 1 fiifl...,.1.44lk.f4f�l,'i14.M, lft.lii. r. ni :et 1 n li�;etrrf 14.•'..� 7# I rii�9 WM4t�tr_.�d."4•:t_..2tVl.i�_f ) nn 11�Sf1 !, k c. ,� i a i �iiii "'+n' .:A� S(}'9S)0�i�!?x i i(( �• tIiC,4 1'MVlijiry�p 17scp,9ti. 9 �I"L• i.7�.� t�•. t rt I} r' .��1 4ru'iI'y c 1 � I� '�4{�, 1; .. ��'iF'J,4 I.uA .1�iii.• l:��} 41 j Rabies Tag # 16+552 i� — Rabies Description: I YEAR r 3 YEAR Holstein Veterinary Clinic Dr. Lisa Schrrim DVM & Dr. Krista Holstein DVM 718 South 191h Street Blair, NE 68008 402-426-7387 402--426-0101. Fax helsteinclinic@gmail.ccm LICENSE FEES Intact Dog or Cat: $16.00 CA_Dd Replacement Tag $5.00 Total $ 11 . 0 V FAXED 01-22-19 2,21p BY TOTAL PAGES TO/To 39vd DINI10 i3A NI31S10H T3T093P30P 6Z:PT 6T03/Z7,/T0