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FCITY 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: FECHNER, ADRIAN C & LORETTA M Spayed/Neutered Dog or Cat: $11.00 Owner Address: 1124 N 28TH 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) 533-2516 Drivers License #: Name: Bubba Color: Black/White Spayed/Neutered: True Mirochip # Vaccination Date: 11/28/2016 or Date of Birth: Subtotal licensed pets from below: Replacement Tags from below: DOB: Not on File Sex: Male Breed: Mix Breed Duration: 3 year vaccine Vaccine Exp: 11/28/2019 License Fee $ Replacement: ❑Y ON City Tag # 1285 Total: CITY OF BLAIR - 2019 PET LICENSE VERIFICATION , 5 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: FEES, LARRY J & MARY T Spayed/Neutered Dog or Cat: $11.00 Owner Address: 541 N 10TH 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) 426-5372 Drivers License #:'` % " or Date of Birth: 9/2/1958 Name: Missy Color: Black Spayed/Neutered: True Mirochip # Vaccination Date:: 223/2017 Subtotal licensed pets from below: Replacement Tags from below: DOB: 9/13/2013 Sex: Female Breed: Domestic Shorthair Duration: 3 year vaccine Vaccine Exp: 2/23/2019 License Fee $ Replacement: ❑Y N City Tag # 1797 Total: ff ®o Blair Small Animal Clinic PC David E. Johnson DVM 1734 Front Street Blair, Nebraska, 68008 (402) 533-2722 Rabies Certificate Patient ID: 7279 Client ID: 78 Patient Name: Missy Client Name: Mary Fees Species: Feline Address: 541 North 10th Street Breed: Domestic Longhair Blair, NE 68008 Sex: Spayed Female Color: Black Phone: (402)426-5372 Markings: Birthday: 08/10/2013 Weight: 11.06 pounds on 2/15/2018 Microchip ID: Tag Number: 000 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 2/21 /2019 2/21/2021 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: FENNE, KAREN Owner Address: 645 N 24TH ST City/State/ZIP: BLAIR, NE, 68008--0000 Phone #: <NO PRIMARY PHONE> �� �� '1� yj. � — Drivers License #:H13727422 or Date of Birth: 8/26/1947 Name: Patches Color: Blue Merle Spayed/Neutered: True Mirochip # 4B145F4DOA Vaccination Date: 3/2/2018 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: ,/, 6 0 Replacement Tags from below: DOB: Not on File Sex: Male Breed: Australian Shepherd Duration: 3 year vaccine Vaccine Exp: 3/2/2021 License Fee $ / If , 6)CI Replacement: ❑Y ON City Tag # 1484 Total: / /, 06 02/28/2019 16:51 4024260101 HOLSTEIN VET CLINIC PAGE 01101 2019 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF BLAIR IF YOU,LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND JOR CAT(5), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY*OF BLAIR —'218 S. 16TH ST BLAIR, 111E E8008 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 RF5IDENT}AL OR DWELLING UNIT. ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW 10 LICENSE YOUR PETS Pallure to do sty is a. violation of City Ordinances 6,103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSE RENEWAL 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 rather that, that issued by the City of Blair for such dog or cat. NEW PET LICENSING Mast be licensed within 10 days of Ownership (OR,) at 6 months of age if puppy or kitten NEW RESIDENTS TO FLAIR Must register pets Within 10 days of residency Owner Name Brian & Marita Fernau spouse Ashley 402-278-0236 Owner Address 1541 Oak Drive City/state/Zip Bla , NE 68008 Phone # 402-426-E448 bL # or DOB 'T # I LICENSE FEES Pet Name: Gabs Intact Age: 3Y, sex: Sprayed Female Color., Fawn Dog or Cat: $10.00 Breed. Eng Mast Altered Declared Dangerous/Potentially Dangerous Dog NO y�B aQg or cat; $11.(7t7 Microchip # 985112006OS6667 City Tag # `" b � Rep'Tp pry $5,00 Rabies Tag # 14988 libi}:�yfy��i. tj;;�� �;l.;�it 1 t I ' 'i� . °' .ol � • • � t �' �� ' i Ile Rabies Description: i YEAR YEA Total $� Holstein Veterinary Clinic Dr: Lisa Schrurn DVM & Dr, Krista holstein DVM "718 South 191h Street Slair, NE 68008 02-426-7387 402-426-0101 Fax ho1s'te1ndinic@gmai1,com FAKED 02-28-19 4:45p 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 - . �00 �: Owner Name: Cheston B And Erin E Field hayed/Neutered Dog or Cat$11 "e -facem-ent Fee -for Lost Tag: $5.00 Owner Address: 2271 Cedar Cir Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: BLAIR, NE 68008-0000 Operator Inspection Program J Phone #: <NO PRIMARY PHONE> Drivers License #: or Date of Birth: 12/3/1980 Subtotal licensed pets from below: Replacement Tags from below: Name: Bella DOB: 111/2015 Sex: Female License Fee $ 11 Color: Tri-Color Spayed/Neutered: True Mirochip # Vaccination 11/14/2016 Breed: Australian Shepherd :-3 year -vaccine Vaccine Exp: 11114/2018 Replacement: OY ON City Tag# 2124 t — Total: tl' Thone Animal Care of Blair 902 S Hwy 30 Blair, NE 68008 402-426-3630 FOR: Erin Field 2271 Cedar Cr. Blair, NE 68008 (402) 426-7040 Date For Qty Description INVOICE Printed: 11-17-18 at 8:47a Date: 11-17-18 Account: 2750 Invoice: 82767 Net Price 11-17-18 Bella 1 Check up, DA2PPV+L 36.00 11-17-18 1 Rabies Vaccination (3 Year) 28.00 Old balance Charges Payments New balance 0.00 64.00 0.00 64.00 Reminders for: Bella (Weight: 36.4 Ibs - 4y) Last done 11-16-21 Rabies Vaccination (3 Year) 11-17-18 11-17-19 DA2PPV+L 11-17-18 You Can Order Your Pet Supplies On animalcareotblair.com, Like us on Facebook!! 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 ("d or three (3) adult cats per residential or dwelling unit. I LICENSE RENEWALS ARE DUE: March 15, 2019 LICENSE FEES: Dog or Cat: $16.00 Owner Name: FIELDING, JULIA MANDEL Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Owner Address: 924 N 28TH AVE Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: BLAIR, NE, 68008--0000 Operator Inspection Program Phone #: (402) 350-3456 Drivers License #: or Date of Birth: $ Subtotal licensed pets from below: Replacement Tags from below: Name: Olive DOB: Not on File Sex: Female License Fee $ Color: Tan Breed: Border Terrier Replacement: Spayed/Neutered: True ❑Y INN Mirochip # City Tag # 2238 Vaccination Date: 01/09/2017 Duration: 3 year vaccine Vaccine Exp: 01/09/2020 Total: It 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: Jan Fitzler Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Owner Address: 2315 Fieldcrest Dr. Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008 Operator Inspection Program Phone #: (402) 238-2930 Drivers License #: or Date of Birth: 9/3/1943 j Subtotal licensed pets from below: G Replacement Tags from below: - 1-w- 1 Name: Coco Puff DOB: Not on File Sex: Female License Fee $ Color: Blonde Breed: Lhasa Apso Replacement: Spayed/Neutered: False ❑Y ON Mirochip # a � oo" )— .,. City Tag # 1491 � b� Vaccination Date: 1'117/2015 Duration: 3 year vaccine : Vaccine Exp: -14/7/2018 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: 'ac Owner Address: twq f)c+-r1 city/state/zip: Blair, N�'rE68008 D_ a — Phone # Y= b Drivers License # or Date of Birth o7 0), LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Induded 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 $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. PET # 1 Dog ❑ Cat W Spayed Neutered License Fee $' Pet Name %' A ' Ace Sex F_ Color k e. I qlrCAVBreed * Replacement $ ** Declared Dangerous or lJotentially Dangerousbog: Y ;d N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) �_ (i yr) City Tag # A,. PET # 2 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Ace Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ PET #3 LI Dog ❑ Cat ❑ Spayed/Neutered Pet Name An Sex Color Breed * Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ M ■W (I yr) (1 yr) License Fee $ Replacement $ SUBTOTAL: $ City Tag # License Fee $ Replacement $ SUBTOTAL: $ City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) 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 (Marrh 15/ate fee date not appliwblefor newpets/new residents) Newly Aoquired Pets: New Residents to Blair: ■ Must be Iio� within 10 days of ownership ■ Must register pets within 10 days of ■ <OR> at 6 months of age if puppy/kitten residency. FROM :BSAC FAX NO. ! 402-533-2722 Mar. 01 2019 11: 49AM P1 CITY OF BLAIR - 2019 PET LICENSE VERIFICATION If you live in Blair City limits an<I own a dQg(s) and/or cat(s), complete/verify this fore, and return with check made payable to; City of Blair * 218 S 16th St * Blair, NE 68008 You may legally own a comhinAtion.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 DUF,„ March 15, 2019 LICENSE FEES: Dog or Cat: $16.00 Owner Name: FLYNN, KATHLBEN 0 Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag $5,00 Owner Address: 907 FLYNN DR Fee includes $1.25 for the Nebraska Dog and Cat Oity/State/.ZIP: BLAIR, NE, 68008--0000 operator Inspection Program Phone #/: ,<NO PRIMARY PHONE> Drivers License #: Name: Eve Color: White/Grey Spayed/Neutered; True Mlrochip #1: Vaccination Date: 6/21/2016 or Date of Birth: 11/1911933 Subtotal licensed pets from below: Replacement Tags from below: DOB: 6/10/2008 Sex: Female Breed: Domestic Shorthair Duration: 3 year vaccine Vaccine Exp., 6/21/2018 ..._('0 11A I Q 618 License Fee $ i I, Repl cement: ❑Y I City Tag # 374 Total-.JL� 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, 13UT 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 Clty ordinances 6.103 and carries a ponnIty of a fine up to $150.00 per pet. PLT LICENSE RENEWALS ARE DUE HY 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 LICEN5ING.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 Michael FoiBey Spouse Sally Owner Address City/State/Zip 1664 Park Street Blair, NE 68008 Phone # 402-426-3204 DL # or DOB 'SET 1 Pet Name, Moxie Age; 3Y sex. Spayed_Female Color; Salt and Pepper Freed. Yorkie X Declared Dangerous/Potentially Dangerous Dog NO YES Microchip # City Tag # :.:_;-.r„,,,,,..,,•��:r.,,,::r.�,.,,:•,;.,;..,�r,a,x,?,���.,�,n.u,..,nrda;,lu.i•I;���;,an,;a,;rq:,:. „ :..,,;:-:,: I<.r,. ;,.R•�bY,e 1�a�cln;at�a;n•biaterr..1VJr'0'OI�:J�t^I¢Vl��til �il� �',,��/( ';i�rilr ,�:- ,;n,:;yl;l,,,•_• ,.•a:.-.:�a.: ,.., ,.,,: l�.i r,,.,, , :'t::., ::=,::ita?, �Piiii�7p:irnn , o,i;u�„ndlr�?? Robles Tag # 16083 ••,i , •i,•; i:: ,, •� � t il;li •. •,' �' 6:yr, :^'4,�:1�I;: "' :��',hrl;��i •,1 • > a,i r' l i i .�•:, r,. ;c.t i,�l:ulj�„• Rabies Description: YEAR Holstein Veterinary Clinic Dr, Lisa SchruP7 DVIf & Dr. Krrsta Holstein DVM 718 South 19th Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinci1nic@gmaiI.com LICENSE FEES Intact Dog or Cat: $16.00 Do;Altered r cat: $11 Replacement Tag $5.00 Total $ - 0 6, FAXED 03-12-19 8:45a BY 71 TQTALPAGES TO/TO 39Vd SII,II-10 i3A HIEIIS-101-1 TOT09ZhZop 99:60 6Tt3Z/ZT/£0 Sep 27 19 03:45p Thone Animal Care 4024265808 P.1 Thone Animal Hospital (402) 426-3630 902 S Hwy 30 Blair, NE 68008 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:��f31s�Ce— Owner Address: city/state/zip: Blair, NE 6800$ Phone #�- Drivers License # or pate of Birth 1 IQ 1 DOg1 LICENSE FEES; Dog or Cat: $16.00 Altered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 tuncl 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 RY 3/15/2018. The Cityshall recognize a microchip identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city identification other than that Issued by the City of Blair for such dog or cat. The City of Blair requires Proof of rabies vaccination. . f r_iul PET #1 12 Dog ❑ Cat L--Spayed/ Neutered License Fee $ 11. 490 Pek Name - kit Ad Sex Ale Color Breed** I H cc , Sh,& eplaeement $ ** Declared Dang ous or Potentially Dangerous Dog: ❑ Y XN MICROCHIP # (If applicable) SUBTOTAL; $ 11. RABIES VACCINATION DATE: - -/ 9 (3 yr) (1 yr) _ City Tag # �`; 1 f 'PET #2 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Aqe _ Sex Color Breed Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ PEA" #'3 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Ale . Sex Color Breed * Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ License Fee $ Replacement ❑N SUBTOTAL: $ (I. yr) City Tag # } License Fee $ Replacement $ ** ❑N (I yr) 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 Wash by Mail TOTAL ENCLOSED $ Expires: Security Code: If you have questions, please contact City Flail at (402) 426-4191 or by Fax: (402) 426-4195 .............. .....+++.f....................................................... NEW PET/ NEW RESIDENT LICENSING REQUIREM ENTS (March 15late fee datenot applicable (or newpeLsJnewresidants) Newly Acquired Pets: NSW Residents to 131air: • Most be Ilcense within 10 days of ownership ■ Must register pets ivlthin 10 days of • <OR> at 6 months of age if puppy/kitten residency, 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 - US S, 16TH ST - BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION or FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT ROCS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. '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 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 thatissued by the City of Blair for such dog or cat. NEW PET LICEN,5IN6 Must be licensed within 1p days of ownership (OR) at 6 months of age if puppy or kitten NEW RESIDENTS TO 13LAIR Must register pets within 10 days of residency owner Name Cindy Fox Spouse Owner Address 2019 South Street City/State/Zip Blair, NE 68008 (Phone # 402-210-6143 DL # or 000 PET # Pet Name. Nerve Age: SY sex: Neutered Male Color: Red and Whig Breed: Husky Declared Dangerous/Potentlaily Dangerous Doi NCB) YES Microchip # City Tag # a , Tag # 16640 Rabies Description: YEA 3 YEAR Holstein Veterinary Clinic Dr. Lisa Schrum DVM & Dr. Krista Holstein PVM 718 South 19th Street Blain, NE 68008 402-426-7387 402-426-0101 Fax halsteinclinic@gmail.com LICENSE FEES Intact Dog or Cat; $16.00 Altered Doi o .00 Replacement Tag $5.00 Total FAXED 01-17-19 1:31p BY TOTAL PAGES r, Z9/I9 39bd DINI-10 13A NI3iS-10H TOT09ZbZDb ZO:PT 6TO3/LZ/TB CITY OF BLAIR - 2019 PET LICENSE APPLICATION -?--1 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. • 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: mu V), t m Owner Address: City/State/Zip: Blair, NE 68008 Phone # — Drivers License # ot(D:ate oi ii—rth} LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11.00 Rep I t F f Lost Ta a $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. acemen ee or g. Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET # 1 �! Dog ❑ Cat Spay d/Neutered License Fee $ Pet Na e � Ag ex ** Color # _ r Breed * Rep/acement $ Declared ang u or Potential Dangerous Dog. ❑ Y ❑ N , MICROCHIP # `` 1 � �1 C (If applicable) SUBTOTAL: $ �— RABIES VACCINATION DATE: (3 yr) X (1 yr) City Tag # mm 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 Acie 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 # 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 $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 15late fee date not applicable for newpet5lnewresidents) Newly Acguired 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. CERTIFICATE OF VACCINATION Date of Rabies Vaccination: 2/25/2019 Next Rabies Vaccination On: 2/24/2022 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 Aaron Frahm 16733 County Rd 15 Herman, NE 68029 County: Washington THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Emma TAG NO: 023169 SPECIES: Canine WEIGHT: 80.50 SEX: Spayed Female AGE: 6Y Color and markings: Chocolate v_ Signed /�"� /���� MATTHEW MERKWAN Vaccinations done... License: 3689 2/25/2019 MJM RABIES 3 YEAR, #023169 2/24/2022 2/25/2019 MJM DHLPP ADULT BOOSTER 2 YR 2/24/2021 10/4/2013 DMP BORDETELLA ANNUAL BOOSTER 10/4/2014 10/4/2013 DMP RABIES 1 YEAR, #013870 Rabies Vaccine Information... MFG BY: NOBIV SER.NO: 288171 LOT EXP: 09/27/19 ADM: SQ e .. 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: FRAHM, KEVIN L & CAROL A Spayed/Neutered Dog or Cat: $11.00 Owner Address: 355 S 21 ST 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) 533-1071 Drivers License #: or Date of Birth: 7/19/1964 Name: Gracie Color: Black/Tan Spayed/Neutered: True Mirochip # Vaccination Date: 2/8/2018 Subtotal licensed pets from below. Replacement Tags from below: DOB: Not on File Sex: Female Breed: Doberman Pinscher Duration: 3 year vaccine Vaccine Exp: 2/8/2021 License Fee $ d" Replacement: ❑Y ON City Tag # 583 Total: If 9® � ya 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: FRAHM, ROBERT D & PEGGY Spayed/Neutered Dog or Cat: $11.00 Owner Address: 1133 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) 426-3316 Drivers License #: & 29 00 222 `71 or Date of Birth: Name: Ebony Color: White Subtotal licensed pets from below: Replacement Tags from below: DOB: Not on File Sex: Female Breed: Labrador Retriever Spayed/Neutered: True 1 Mirochip #4 1 i 0 - I Vaccination Date: 10/25/2017 Duration: 3 year vaccine Vaccine Exp: 10/25/2020 License Fee Replacement: ❑Y ON City Tag #'Po Tota I : A e 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. 161h 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: Ll" reA0('' Owner Address: (Q aL-21ST S �vcci- City/State/Zip: Blair, NE 68008 Phone # `( 0'Z - 0 x1t �"- Drivers License # or Date of Birth vv�3 2 5 OS 1q LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11.00 Re lacement 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. p Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat PET # 1 ld Dog ❑ Cat hd Spayed/Neutered License Fee $ Pet Name G raLc-�c- Age (9 Sex Color GN&x 1. Breed** 'I`; r u L,c.. Replacement $ * * Declared Dangerous or Potentially Dangerous Dog: ❑ Y WN MICROCHIP #i i `i 5 kAL� (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: i 3 o--lE (3 yr) ;{ (1 yr) City Tag #* PET #2 ❑ 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 # PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Acle Sex Color Breed" Replacement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # *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 $ 1 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 15late fee date not applicablefor new pets/newre5idents) Newly Acquired Pets: New Residents to Blair: ■ Must be licensed within 10 days of ownership ■ Must register pets within 10 days of 111111 <OR> at 6 months of age if puppy/kitten residency. CERTIFICATE OF VACCINATION Date of Rabies Vaccination: 09-30-17 Certificate No: 0 Next Rabies Vaccination On: 09-29-20 Previous Rabies Vaccination: 14-1049 VETERINARY CLINIC OWNER OF ANIMAL Countryside Small Animal Whitney Frederick 1306 Stevenson 622 N 21 st Street Fort Calhoun, NE 68023 Blair, NE 68008 402-468-4060 County: This is to certify... THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Gracie TAG NO: 17-1070 SPECIES: Canine WEIGHT: 98.60 SEX: S ' AGE: 6 years BLEED etriever, Labrador Color and markings... Black Signed Kaycee Points License: Vaccinations done... 10-09-18 KNP Canine DA2PPL 10-09-19 09-30-17 KNP Canine Rabies Vaccn, 3 yr, #17-1070 09-29-20 10-03-13 *** Canine Rabies Vaccn, 1 yr Rabies Vaccine Information... MFG BY: ZOET SER.NO: 164037 LOT EXP: 26Dec17 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: FREDERICKSEN, JOEL D & VIRGINIA M Spayed/Neutered Dog or Cat: $11.00 Owner Address: 1435 SOUTH 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 #: <NO PRIMARY PHONE>� Drivers License #: or Date of Birth: Subtotal licensed pets from below: —i& Replacement Tags from below: Name: Pearl DOB: Not on File Sex: Female License Fee $ Color: Cream Breed: Unknown/Mutt Replacement: Spayed/Neutered: False ❑YN Mirochip # City Tag # 2314 Vaccination Date 12018 Duration: 1 year vaccine Vaccine Exp: ,,,3/S/20-1' Total: CERTIFICATE I'OTVA'CC IN A'TJ-0N Date of Rabies Vaccination: 3/9/2017 Next Rabies Vaccination On: 3/8/2020 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: 014111 OWNER OF ANIMAL Greg Friedmeyer 228 E Riverview Dr. Blair, NE 68008 County: Washington THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Princess TAG NO: 019529 SPECIES: Canine - kcf -tencrlee- WEIGHT: 13.30 SEX: Spayed Female AGE: 11Y Color and markings: Black and White Signed DONNA MERTZ, DVM License: 3630 Vaccinations done... 6/14/2018 DO BORDETELLA ANNUAL BOOSTER 6/14/2019 6/14/2018 DO DHLPP ADULT BOOSTER 6/13/2020 3/9/2017 DJM RABIES 3 YEAR, #019529 3/8/2020 3/9/2017 DJM LEPTO BOOSTER 6/14/2019 Rabies Vaccine Information... MFG BY: BOEH SER.NO: 4150429A LOT EXP: 07/27/18 ADM: SQ (Lx- "t'l CERTIFICATE OF VACCINATION. Date of Rabies Vaccination: 4/24/2019 Next Rabies Vaccination On: 4/23/2022 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: 017409 OWNER OF ANIMAL Greg Friedmeyer 228 E Riverview Dr. Blair, NE 68008 County: Washington THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. -r, Patient information—, PATIENT: Bella TAG NO: 023478 SPECIES: Canine - VlVi WEIGHT: 48.00 SEX: Spayed Female AGE: 4Y Color and markings: Black and White Signed DAVID EATON Vaccinations done... License: 2951 4/24/2019 DCE RABIES 3 YEAR, #023478 4/23/2022 4/24/2019 DCE LEPTO BOOSTER 4/23/2021 4/24/2019 DCE BORDETELLA ANNUAL BOOSTER 4/23/2020 6/14/2018 DO DHLPP ADULT BOOSTER 6/13/2020 2/27/2015 DJM RABIES I YEAR, #015696 2/27/2015 DJM DHLPP PUPPY #4 1/30/2015 DJM DHLPP PUPPY #3 Rabies Vaccine Information... Date of Rabies Vaccination: 4126/2019 Next Rabies Vaccination On: A/25/202'e-,- NAP hwp.�- Rohrig Animal Hospital ,225 N. 3nJ St. Arflng�on, NE 68002 402-478-4,i/41 ),hig is to mfify... Certificate No: 0 Previous Rabies Vaccination: 0VU N E R OF A N HVI A L Monica Friedmeyer 22-8-F—Riverview. -Dr--- Rlair, NE 68008 County: Washinqtan 711-1,All HAYF VACTIMATED AG-,,,'MjH5T FlAfflES'H-l—r ANIMAL DESCRIBED BELOW. Patient TAG NO: 023490 Es r� IN Ah -r INFIGHT- 32.50 F. r I F R: 0,q n i n e ma�e Black an(� Tr an. ),T 10 N PJrez.-n3e: 2951 D ,I a 01 D -,� I a — 'N 2E,rE10 0 DHLPP ADULT BOOSTER 2'Yk 1; / 2 G'f 2.1 I'VE 41� !ij, r)?,) IT FJJPPY 44 ri 12 A/ -0 17 RABIES I Y-PAR. llll� 4- 0" 1116 2 , -, 0 ;- 4On i 2 8 8 FROM :BSAC FAX HO. :402-533-2722 Mar. 21 2019 03:12PM P1 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 +0f Blair a 218 S. 161h St. 0 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 ro$Idential or dwelling unit. LICENSE RENEWALS ARE 4DU� E: March 15,� 2 Owner Name: 1. r! li 1�� 0J Y� _ Owner Address: .(1 I g U fa"' tla, City/State/zip: Blair, NE 6PP8��0/09 PhoneyU1„"i� 1--- _ Drivers License it or Date of Birth — .... LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat; $11,00 Replacement Fee for Lost Tag: $5.00 Anallueo Is a wrare ree oI *t*PLeASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS, Fbilum Lei do so Is a violation of Clt;y ordtnpnCeb 6.103 and carries a Penalty or 9 fiRe pp W $150.00 per pat. PET LICENSER RENEWAL$ ARE DUk 0Y 3/15/2010 'l he Cityshall recognize a microchip 10antifiroij(n} ilurabur or, the license number. It shall be unlawful for My QCg ur Cut to wear any license or other city Ifhntinralloo other than that issued by the City of Blair for such (Jorj or Cat, TM City bf 6fair requires proof of rabies vaccination. PET #i Dog ❑ Cat )4 Spayed/Neutered License Fee $�LQ� Pet Name Abe ( iy Se Color Breed Declared Dangerous or Potentially Dangerous Clog: U Y A N MICROCHIP # (If appllcablej, SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) _� (I yr) _ City Tag #`, `* PET #, .p Qg ❑ Cat 1Spayed/Neutered eSex License Fete $ Pet Name Color j, reed, R8placel7ent$� ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y N MICROCHIP # f applicable) SUBTOTAL: $ RABIES VACCINATION DATE: I. 1 I (3 yr) (I, yr) City Tag # PIET #3 ❑ Dog ❑ Cat 0 Spayed/Neutered License Fee $ Pet Name .----_._...,,,._..... .. Age Sex Color Breed** Repllacen7ent $ ** Declared Dangerous or Potentially Dangerous Clog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) ..... (1 yr) City Tang # �* *PLEASE INCLUDE THE Cri'Y 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 POR BREED SPECIFIC LICENSIw REQUIREMENTS VISA / MG 4 Signature Do Not Send Dash by Mail TOTAL ENCLOSED $ —_ Expires: Security Code: _._ if you helve questions, please contact City Hall at (402) 426.4191 or by Pax: (402) 426.4195 ....................................... 4.4......++++++t+t+t+4.4.......+++++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS lffaat i5late fm date not appliwblo fornewxWnewtmydw7t ) idly IP1Vl111113W EMS -Now Residents to BI la rl it MIE,t be tOettserJ Wtliin Id days ofawrtQsldpT R Musk register peg within 10 days of R <QR> at 4 morn is of age if puppy/kitten reddency. 2019 PEA' 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. 1ETH 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 railure 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 CLUE BY 3115/2019 The city shall recognize a microchip tD 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 P'LT LICENSING Must be licensed within 10 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 PET # Pet Name: Shiloh Age: 12 Sex. Spayed Female Color: elreed: Italian Greyhound Declared Dangerous/Potentially Dangerous bog Microchips # Rabies Description: . X YEAR Holstein Veterinary Clinic Dr. Lisa Schrum DVM &, Dr, r(rista Holstein DVM 718 south 101h Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinic@a gmail.cbm 'YES City Tag # Rabies Tag # 16684 3 YEAR LICENSE FEES Intact Dog or Cat: $1&00 pt7$), Dog.00 Replacement Tag $5.00 Total ` ► o FAXED 02-04.19 2;10p BY TQTALPA0EN TO/TO 39dd 0INI-1D 13A NI3IS-101-1 TOTOKVZ©b T5:bT GTBZ/b©/Z© L3 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: Travis & Kathleen Furchert Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Owner Address: 828 Meadow Dr Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008--1168 Operator Inspection Program Phone #: (402) 380-3268 Drivers License #: or Date of Birth: Name: Zues Color: Red Spayed/Neutered: True Mirochip # Vaccination Date: 3/15/2018 Subtotal licensed pets from below: Replacement Tags from below: DOB: 1/1/2014 Sex: Male Breed: Doberman Pinscher Duration: 3 year vaccine Vaccine Exp: 3/15/2021 License Fee $ Replacement: ❑Y ON City Tag # 1647 1tiMF