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HFROP'I : BSAC FAX HO. :402-533-2722 Aug. 15 2019 03:44PM P1 CITY OF BLAIR - 2019 PET LICENSE APPLICATION If you live in Blair City limits and own a dag(s) and/or cat(s), complete this form and return with cheek made payable Co: City of Blair o 218 S. 161h St. * Blair, NE 68008 You may legally own a combination of four (4) adult its, but no More than three (3) adult dogs or three (3) adult cage per residential or dwelling Unit. LICENSE RENEWALS ARE DIVE; rct '(�4" `2ig Opuner Namot r y Owner Address: 1 r W!, d clty/Stato/zip: Blair, NE 68008 Rhona# -qo-' I (a- UriverS Licence # or parse of girth LICENSE FEES: Dog or Oat: $16.0o Altered Dog or Cat: $11.00 Rapllatement Fee for 1! ost tag.- $5.60 7n l ***PLRA5FRFAD CARERJLLV—* YOU ARE RE41U;RED BY LAW To LIORNSE YOUR PETS, Fallara to 110 30 ib a Ylolation of city ardinances 6409 and cprrlas a penalty Of a fins up to *150.00 per pqt, PEr LICENS6r RENEWAL$ ,ARE DUE PY 3 1G/ZW- Thu Clty shall reOgnize a mlerochip tdentiflcation number at the IleeMu numhar, It •hall be unlawful for any dog or cat to wrar any iirense or other city identification other than that ImUud by thr, City of Blair for surll dog or cat. 7Fie City of eledr requires proof of rABles vaccination. c udocl a ma ibe rueI►f iy2S beln aoltect+atl >bo fklnd t>he Nebraska C�it Opera r TnspeCtion P ta�� /Neutered License Fee $ PET #1 . � Do , U Cat � Spa _". �l Pet Na a - Sex Color Breed* f?aplacem�nt $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y V N MICROCHIP #--" (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: L/ ! I C .29 (3 yr) _&� (I yr) __ City Tag # PET #2 Q Dog lj Cat U Spayed/Neutered License Fee, $� Peat Name_ Color Breed,* "Sex Replacethent $ * * Declared Dangerous or Potentially Dangerous Dog: 0 Y U N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATI DADATE: (3 yr) (1 yr) - City Tog #�* PET #3 U Dog Q Cat U Spayed/Neutered License Fee $_ Pet Name AV* —m—- Sex __�.�� _� Color - Breed Replacemtynt $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (if applicable) SUBTOTAL: $ RABIES VACCINA'i`TON DATE: _.. _ _ (3 yr) ._ . {1 yr) City Tag *PLEASE INCLUDIE THE CM TAG NUMBER,XF THIS I5 A RENEWAL ** (This fee is due along ulflth License, Fee if requesting at the time of license renewal.) Donation to care for animals: $I _ $3 $S _ ***SEE BACK OF FORM FOR BREED SPRXPIC LICENSE REQUIR MENTS � Other Do Not Send cash by Man 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 ++++++•fi+++•M++++++++#++++t++++++.+....+++++++*.#.++++++-E++++-F+++++.++++4++++.+++� + NEW Pt:T/NEW RESIDENT t.ICENSING REQUIREMENTS (March JSlate fee dart' notapp/imb/e t6rnewpeL0?eyitas/dents) ■ Mud be w('fI* ii day5ofo �Ip ■ MusL'regi rpetswithin10dayself it <OR> at 6 months of age if puppyAtten rt5ldency. N. 2019 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF GLAIR 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. 16 " ST — BLAIR, NE 68008 YOU MAY,LEGALLY OWN A COM13INATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT DOGS OR THRVE (3) ADULT CATS PER RE'SiOENTIAL OR DWEI-LING UNIT, ***PLEASE READ CAREFULLY"* YOU ARE RE UIRED BY LAW TO LICENSE YQijR 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 LICEN5E RENEWALS ARE OUE �Y 3 15 �Qi9• The city shall recognize a microchip ID number as the license number. It shall be unlawful for any dog or cat to wear any licerise or other city I0 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 gLAIR Must register pots within 10 days of residency Owner Name Sprouse Owner Address city/State/Zip Phone # DL # or DOB PET * Connie Hagedolrn 860 S HWY 30 Blair, NE 6S008 402.426-8635 Pet Name: Luna _ Age: $Y Sex-, Splayed Eeim lla color: Brclwn/01k Breed: Dachl/Terr Declared 1Dangerous/Potentially Dangerous does NIC! YES Microchip # Rabies Description! 1 YEAR Holstein Veterina r Clinic Dr. Lisa Schrum DVM & Dr. Krista Holstein D'( M 718 South 19th Street Blair, NE 68008 402-42 -7387 402-426-0101 Fax hOlsteirlclinic@gmail.c©m City Tea ## Rabies Tag # 14982 YE FAXED BY TOTAL. PAGES LICENSE FEES lntocf Dog or Cat: $16.00 D g o�CaV$l 0 Replacement Tag $5.00 Total 02-18-19 2:52p 30/30 39vd DINI-10 iEA 1,II3iS_1OH TOZO9ZOZOP 69:bT 6ZOZ/8t/Z0 2019 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF GLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT(S), OD,MPLEI'E THIS rOR•M AND RETURN WITH A CHECK PAYABLE TO: CITY OF BLAIR — 218 S. 16Y" 5T — BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. ***PLEASE READ CAREFULLY' YOU A REQUIRED 9Y LAW 7a LICENSE YOUR PET Failure W do so is a violation of city Ordinances 6.103 and carries a penalty of a fine lip to $150,pD per pet. PET LICENSE RENEWALS ARE DUE BY 3 1S Zd19. The city shall recognize a microchips 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 kitten dog or cat. NEW PET LICENSING Must be licensed within 10 days of ownership (OR) at 6 months of age if puppy Q NEW RESIDENTS TO BLAIR Must register pets within 10 days of residency Owner Name spouse owner Address city/state/Zip phone # aL # or DOB Connie Hagedorn 860 S HWY 30 Blair, NE 6B008 402-426-8635 Pet Name: King Age, 7Y Sex. Neutered Male Collor: 13rown/13[k Freed: Pug X _ Gecl—are ti panyerous/Patentialiy'bangerous —Do g NOw'� Y68 Microchip # Rabies Description: I YEAR Holstein Veterinary Clinic Dr, Lisa Schnim DVM & Dr. ,'rlsta. Holstein DVM 718 South 191h Street Blair, NE 68008 402-426-7387 402-4,26-0101. Fax hoisteindinic@gMaif,ram City Tay # Rabies Tag # 14981 e._r m TOTAL PAGES LICENSE FEES Intact Dog or Cat: $16.00 C)Qg or cat: $11 Replocemerit Tay $5.00 Total $ ,_, °�, 02-18--19 2'52p, ZU/T© 39vd OINI70 13A NI31S-101-1 TOT893bZOP 69:bT 6TO3/81/30 04/08/2019 16:28 4024260101 HOLSTEIN VET CLINIC PAGE 01/01 VIFRIWIC,qTIO 2019 PET 1,ICENSE IF YOU LIVE I N/APPL.ICArjo COMIL�Tt THIS ANDITS AND OWN ly �� xiY 01F CITY OF 13LAxlt aETURN WIT A t)OG(5) AND /ORS) BLAIR SUT No MORE rNAN rHRER 3 18 $- 16TH H A CHECK PAYABLF T0; XPE OU MAY LWGAI LY OWN A COMt3INATION OF FbUlt 4 () aDt1Lr bbc �4Ar8. NE �g04$ `�---- ^ S OR THREh (g) AD LT CATS p At?UI 7 PE7S, RESDEN7IAL pR DWELLINr UNIT'. * *PkEA5E REAd CAREF Fatlura to do sb Is a Vlofation ¢p ARE UfR> BY UkLY City Ordinances TO LICENSE YOUR taF , PET I NSE RE 1V� 03 ancJ carries a it shall be unla -he city shall reco WALS ARE DUE sY malty of fine up to $aSo,00 wful for any do Qr cat gnize a fYliCrpChi XS 2M Per net. NEW i'�7110ENSING � t to wear ahy licr:nse or P ID humber as NEW RES1pE Must be license o er city ID other than that Issued b Nrs To a d within 1 p da the UCLInSe urttber. LAIR M�rst registor Ys 4f ownership (OR) at 6 m0hths of Y the City of Blair for such do �--,—_ pets Within 10 days of residency, owner Nagt�e age if PuPPY or kitten R or cat. Sandy Hal! 'DWner'4�ddrr�s�s Cifiy/ to a/Zi Kevin P 34Q E Earon Phone # "age Dr aNE 680()8 � #' or Diq� 402-426-4912 !payed Female ,eciared Daingerous/potentially Dangerous Dog abies Description: [olstein veterinary clinic Lisa Schrum DVM & Dr. Krzsta Holstein ovm ' 8 South 19th Street Blair, NE 68008 402-426-7387 402-426-0101 Vay, hoisteinclinic@gmaii.com FAXED 1 04-08-19 BY• TOTAL PAGES \- 110EN5EfEEs Intact Dog or Cat. $16.00 Bred Dog o at: $11. 0 Replacement Tag $5.00 Tote $ � t � �D —/4v// CITY OF BLAIR - 2019 PET LICENSE APPLICATION -77 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. 1611:h St. • Blair, NE 68008 0, 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: Z4 )')MIn /-461G} Y✓�Jt� Owner Address: 3aC�,6— Dg, City/State/Zip: Blair, NE 68008 Phone # Q A/C, Drivers License # or Date of Birth LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11.00 Re lacement Fee for Lost Tarn $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 m PET #1 I' Dog ❑ Cat 4 Spayed/Neutered License Fee $ Pet Name 7�nnj Aqe Sex Color �C�� Breed * i rc ►4 c+�j �u�7e r(ut- Rep/acement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP #,q 9512 I W?,ci ]%�)70 (If applicable SUBTOTAL: $ 8.00 RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # 26, 13 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) _ PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Aye Sex Color Breed * Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ ❑N ❑N (1 yr) (1 yr) License Fee $ Replacement $ SUBTOTAL: $ City Tag # License Fee $ Replacement $ SUBTOTAL: $ City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) 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 15/ate fee date not applicable for newpet51new residents) Newly Acquired Pets: New Residents to Blair: ■ Must be licensed within 10 days of ownership ■ Must register pets within 10 days of ■ <OR> at 6 months of age if puppy/kitten residency. f'p 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: Jeanne Halsey Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Owner Address: 758 S 16th St, Unit 181 Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008 Operator Inspection Program Phone #: (531) 205-1892 Drivers License #:V00712525 or Date of Birth: 6/16/1946 Subtotal licensed pets from below: Replacement Tags from below: Name: Zeus Color: Black Spayed/Neutered: True Mirochip # OA1350OC69 Vaccination Date:_776/2a DOB: Not on File Sex: Male Breed: Mix Breed Duration: 3 year vaccine Vaccine Exp: 7161-2fl1-8 License Fee $ Replacement: ❑Y ON City Tag # 1293 Total: 06/10/2019 16:16 4024260101 HOLSTEIN VET CLINIC PAGE 01/01 2019 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT($), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO' CITY OF BLAIR, — 218 S. 16TH ST — BLAIR, NE 68006 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) AOUI-T 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 3115/2039. 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 3ordaynl Halstead Spous6 Jacob Howell ,Owner Address 2266 Hickory Circle City/State/zip Blair, NE 68008 Phone '# 712-355-0353 DL # or DOB `T # Pet Nalrne: Maizy Age: 5 M Dom. 12-27-18 sex: Female Coion I3rown/wht Breed: Basset Hound Declared Dangerous/IPotentially Dangerous Dog NO YES Microchip # City Tang # j' iiti i,'� ' 1i lute..: a.' _ ;I�'' ' r,i l • p.:!i.!,.ra's,r,•.,,,, ::.,rl:l,r'�i,•:t..r: i,,';I i...'!''��,. �llll•,;i�i:�.�t,i,:t �lilM.lri I i,t, ' di i.r, � I rl , .., �":••ira:;�,:•rcY::,'tu:I.iOI:L'r.'1L•I:��I!a!'4;Ii:C�JJI, rv; .T,ll,. _ ;.I„I.• �_,7 :: •,Milo °ii r�!'i,r.;�, ',nr. l•r:: ivrl s_ ;: a b•', r ,d . i ;: .L •.i, ,I:. in ° !b.','!; ' •1'?Jtii!;i;�,;°I II!1•� , JI• - I.,I:,!' 1,�..r �a B,'.'n�li�. �l(I S ih�8' Rabies "fag # 11026 R,a'hles Description; ,A B YEAR Holstein Veterinary Clinic Dr. ,Lisa Schrum DVM & Dr. ,Krfsta Holstein DVM -71_8 South 19th Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinic@gmail.com FAXED 06-10-19 BY Wff TOTAL PAGES V1 LICENSE FEES D,?Inpet----,, at: $16 Altered Dog or cat: $11.00 Replacement Tag $5.00 Total 03/11/2019 16:42 4024260101 HOLSTEIN VET CLINIC PAGE 01/01 2019 PET LICENSE VERIFICATION /APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT(S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TD: CITY OP BLAIR — 219 Si 16T" ST — BLAIR, NE 68008 YOU MAY UGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) AbULT CATS PER RESIDENTIAL OR DWELLING UNIT. ***PLEASE READ CAREFULLY"* YOU ARE REQUIRE LR—V LAW TO LICENSE YOUR PETS. Failure to do so is a violation of city Qrdinances.6,103 and tarries a penalty of a fine up to $150.00 per pet, PET LICENSE RENEWALS ARE DUE BY 3/1512019. The city shall recognl2e a microchip ID number as the license number. It shall lie 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 Spouse Jordayn Halstead Jacob Howell Owner Address 2266 Hickory Circle City/State/Zip Blair., NE 680ft Phone # DL * or DOB 711.2-355-0353 ,T Pet Name: Mack Age: 2y Sex: Male Color: Brown Breed- Pit Bull Declared,Dangerous/Potentially Dangerous g o — No YES Microchip # -City —Tag Pli a Rabies Tog # 16407 Rabies Description. 3 YEAR Holstein Veterinary Clinic Dr. Lisa Schnan DVM & Dr. KristaHolstein DVM 718 South 19th Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclin1cftmail.com LICENSE FEES og o ..Cat. $16.00 Altered Dog or cat: $11.00 Replacement Tog $5.00 Total $- � 6,D-10. FAXED 03-11-19 4:05p BY TOTAL PAGES �Z_ ( 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: $1 0o Owner Name: Jim Hamilton Spayed/Neutered Dog or Cat: 11.00 Replacement Fee for Lost Tag: $5.00 Owner Address: 3020 College Dr Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008 Operator Inspection Program Phone #: (402),4@@-921-3 Drivers License #:G01146820 or Date of Birth: 12/25/1946 Subtotal licensed pets from below: Replacement Tags from below: Name: Sissy Color: White/Black/Brown Spayed/Neutered: True Mirochip # 986112005272504 `: Vaccination Date: 10/7/2017 DOB: t�i°I Sex: Female Cam /,' �,3 i 0 Breed: Dash and Duration: 3 year vaccine Vaccine Exp: 10/7/2020 License Fee $ Replacement: ❑Y ON City Tag # 1138 M Total: K 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 Owner Name: Stephanie Hamilton Owner Address: 839 N 25th Ave City/State/ZIP: Blair, NE 68008 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 Phone #: (702) 284-8745 Drivers License #: 132 (Q .-7 10 0 or Date of Birth: Subtotal licensed pets from below: Replacement Tags from below: Name: Rollins Color: Black Spayed/Neutered: fps®--'T r tl,P Mirochip # j Vaccination Date: 10/31/2017 DOB: Not on File Sex: Male Breed: Great Dane Duration: 3 year vaccine Vaccine Exp: 10/31/2020 License Fee $ t I Replacement: ❑Y III City Tag # 2330 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: Stephanie Hamilton Spayed/Neutered Dog or Cat: $11.00 Owner Address: 839 N 25th Ave Replacement Fee for Lost Tag: $5.00 Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008 Operator Inspection Program Phone #: (702) 284-8745 Drivers License #: 14, 3 2 (o'7 l oo or Date of Birth: e)( i ti /,3 I Subtotal licensed pets from below: ) Replacement Tags from below: Name: Carter Color: Black Spayed/Neutered: True Mirochip # Vaccination Date: 6/10/2015 .)(-—(" 1 ! S I DOB: Not on Fil4 Sex: Male Breed: Domestic Shorthair Duration: 3 year vaccine Vaccine Exp: _6/10/201$ License Fee $t I _ Replacement: ❑Y ON City Tag # 2329 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: Peter & Ronna Hammer Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Owner Address: 1215 Voss Cir Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008--0000 Operator Inspection Program Phone #: (402) 533-4591 Drivers License Name: Jazz Color: Black Spayed/Neutered: True Mirochip # 44194F7A64 Vaccination Date: 1/18/2017 or Date of Birth: 5/29/1973 Subtotal licensed pets from below: Replacement Tags from below: DOB: 6/1/2003 Sex: Male Breed: Mix Breed Duration: 3 year vaccine Vaccine Exp: 1/18/2020 License Fee $ Replacement: ❑YN City Tag # 124 Total• f 1 , � b FROM :BSAC FAX N0. :402-533-2722 Jul. 03 2019 05:19PM P1 'CITY OF BLAfR - 2018 PET LICENSE E APPLICATION if you live in Blair City limits and own a dag(s) and/ref cat(s), complete this farm and return with chKK made paYclble to: Cky of Blair • 218 S.161'dt 1t. o 810ir, NE 68008 You may legolly own a cambinatilm of four (4) adult Imo• but no morethan an threg (3) adult dogs or throe (3) adult t:nte pw ir"klenual or dtn *111ny utilL LICIFN59 RENEWALS ARE DUE-- March At-ZW Owner Nor+: Owner Addrew. cityJstatel,zip: Blair, NE 680011 Phone Drivers Lirmnse #ter Date OF Birth UCENSE FEES. Dog or Cflt: $16-00 Altered Dog Bt Celt: *11-00 Replacement FIN folr Lost Ta An addluot al SbM* Fee of $1,25 Is being W ***PLtASE READ FULLY*** YOU A11e1 REQUIRED BY LAW TO LICIINSIE YOUR PETS. pallors to do $0 IN a violation of oity ordlnancea 6,103 and Wrrt" o ponalty of a rive up to $150-po por pat, pqT LIC69261111 pOMItWALS ARE DUE BY ILLS IM. The Ctly shall reed ntze a MIMhlp idantiocattan oumber as the IIC9n3a number, It ehal! b0 Unlawful f�r any doll or cat to weer any license or other city Iddntlfrc0lon ather;than that Issued N the city of Blair for such dog or Cat. The City of ollllr mclulrna probfof radian vaorinatlon, PET # 11 Dog Li Cat Q Spayed/Neutered License Pea Ili 1 ii� Pet Name , t �- A Q ,W Y, S- Sex 1 � �+ i� em�nt Color �rf1d p ** Declared Dangerous or Potentially Dangerous 1564, Y 'UN MICROCHIP # _.�. ..�m � -- (if applicable $UBT+OTAL: � W. RABIES VACCINATION DATE; f (3 yr) (I yr) City Tel$ Lcm� PET #2 u DogQ Cat o Sprayed/Neutered License Fiala � Pat Name .. --- oreedge -� Sex �—� �— Replacements��,..� ** Color Declared Dangerous or Potentially Dangerous Dog; Q Y Q N MICROCHIP # I.(If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: _ (3 yr) — (I yt) . City Tag # ['ET #3 U Dog U Cat © Spayed/Neutered Ocense Pee Pet Name _ AV* mm - -- Sex Realacement fi— ** Color-- geed Declared pangeraus pr Potentially langeroias Dog; Q Y G7 N ±U19Tt�'1�AL, _ MICROCHIP #_ (if applicable) CI Ta # RABIES VACCINATION DATF: _......-��._ (3 yr) ._, (1 yr) _„_ y 9 *pLeME INCLUDE 1"p, aW TAG 1iUNINER If 1"415 I5 A iINR1NAL ** (This flee Is dine along witty 1.1ce mm P1O If 1*4uesflng at he time of lic0"I'm renewal.) -- ***SEE BACK OF R R, PRIED SPE�FIC LICENSE RE, IRENNEN'�$ oo Not Send Casa By Mal! TOTAL ENCLOSED OSED VISA / MO # Expires', Sbouriiy Code, , Signature if you have questions, plflsoo co"Wt City Hill at (402) 426M41191 or by pax: (402) 426"4119S 4**.+***.fi+i.. h'M{''F...4........'4.. i" i" F*t*#..ard+*......i'a'i'a'..'f+."l'*'M'#. ................... naVU IIEI/NEiN RESIDENT L11CONSING REQUIREMENTS (Marcp t47latw(eedOn�tapp!l l� �[7fIlPW pawrmw Wdenls) ■ Must be I{t l Wthb 10 Of ip Must r+:giater pets within l0 days of ■ <OR> at 6 months of age r puppylW b ri $15.00 to Amd OW F 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: Wade Hanes Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Owner Address: 2057 Front St Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008 Operator Inspection Program Phone #: (402) 426-9632 Drivers License #: or Date of Birth: Subtotal licensed pets from below: Replacement Tags from below: Name: Zeba Color: Black/Tan Spayed/Neutered: False Mirochip # Vaccination Date: 6/18{201'6-- DOB: 1/25/2014 Sex: Female Breed: Bullmastiff Duration: 3 year vaccine Vaccine Exp: 6/1.81'018 License Fee $ Replacement: ❑Y ON City Tag #-46, 1j " Total: ty 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: HANSEN, ARLAN F & MARY ANN Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Owner Address: 821 N 14TH AVE Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: BLAIR, NE, 68008--0000 Operator Inspection Program Phone #: (402) 426-8096 Drivers License #:G31000489 or Date of Birth: 12/4/1937 Subtotal licensed pets from below: Replacement Tags from below: a 1i 0 Name: Jasper DOB: Not on File Sex: Male License Fee $ Color: Grey Breed: Standard Schnauzer Replacement: ❑Y ON Spayed/Neutered: True Mirochip # City Tag # 1070 Vaccination Date:.61,24/2015 Duration: 3 year vaccine Vaccine Exp: 6i24,5i .,/ 2 i Total: CERTIFICATE OF VACCINATION Date of Rabies Vaccination: 08-02-18 Next Rabies Vaccination On: 08-01-21 VETERINARY CLINIC Holstein Vet Clinic 718 South 19th Street Blair, NE 68008 402-426-738 7 Certificate No: 0 Previous Rabies Vaccination: OWNER OF ANIMAL Arlan Hansen 821 N 14th Ave Blair, NE 68008 County: This is to certify... THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Jasper TAG NO: 16234 SPECIES: Canine WEIGHT: 21.40 SEX: N AGE: 7 years Color and markings... Krista Holstein , DVM License: 3612 Due Date / Vaccinations 08-02-19 Bronchi Shield - Oral Bordetel 08-02-19 Vangard Plus 5 08-01-21 Denfensor 3 (3 Year Rabies) Rabies Vaccine Information... MFG BY: ZOETI SER.NO: 262285 LOT EXP: 11-13-18 ADM: SQ 2019 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF.BLAIP. 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 — BLAIRy 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 qR DWELLING UNIT, **`PLEASE READ CAREFULLY*** YOU ARE REQUIRED BYLAW TO LICENSE YQUR PETS. Failure to do so is a violation of City Qrdinances 6.103 and carries a penalty of a fine up to $750.00 per pet. PET LICENSE RENEWALS ARE GLUE BY 3/15/2219. 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 lb 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 Dame Carol Hansen Spouse Todd Owner Address 1953 Colfax St City/State/Zip Blair, NE 68008 402- Phone # DL # or DOB PET # I Pet Name: Harley Age: 1,2y' Sex: Neutered Male Color: Tri Color. Breed: Lab Mix Declared Dangerous/Potentially Dangerous Dog NO YES Microchip # City Tag # ,,, to , . ° M .. 6r I'r � �d' 1 fE1G,'I ��,, P '! ' `' !° a Il.: eg i� �"•'rf.il.L.. t�yJ � Yii � u I -�IT_. ��,yy�71�1i Rabies Tag #k 15-170 1il'J �'filf ff(TI17f l I �li 1fN1M1114�I1M i�tf� t>r i,.lilli fi�illd�lti8ti;' iaU �° ,I � i°1'� l`YI $fl;'! 1. °!. � 011f4' °R� , •,lh; ��r. ;?t{41n�'I,.;W.!'I:� Rabies Description; 1 YEAR. 3 YEAR Holstein Veterinary Clinic Dr. Lisa Schrum DVM & Dr. K'risto Holstehi DVM 718 South 19th Street Blair, NE 68008 402-426-7387 402-426-0101 Fax helsteirlclinic@gmaiLcorn LICENSE FEES Intact Dog or Cat: $16.00 /" Altered Dog or cat: $11.00 Replacement Tag $5.00 Total $► 6 FAXED 02-22-19 3:11p BY M'7� . TOTAL PAGES Za/TO 39Vd OINI-10 13A HI31S-10H T©T093bZUh 03:9T 6T03/371/30 2019 PET LICENSE VERIFICATION,/APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY ' LIMITS AND OWN A DOG(S) AND /0R, CAT(S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO; CITY OF BLAIR — 218 S. 16" 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' Y��,.ARE REQUIRED BY IAW TO LICENSE YOUR PETS. Failure to do so is aviolation of City Ordinanct,,s 6,103 and carries a penalty of 4 fine up to $150,00 per pet. PET LICENSE RENEWALS ARE DUE BY 3/15/2019. The city shall recognize a microchip ID number as the license number, It shall be unlawful for any dog or cat to wear any license or other city ID other than that issued by the City of Blair for such dog or cat. NEW PET LICENSING Must be licensed within 10 days of owriorship (OR) at 6 months of age if puppy or kitten NEW RESIDENTS TO BLAIR Must register pets within 10 days of residency Owner Name Carol Hansen Spouse Todd Owner Address 1953 Colfax St cav/state/Zip Blair,, NE 68008 Phone # 402- DL # or DOB 'AE—T# Pet Name: Maggie Age: fly sex: Spayed Female I Color: Tan Breed: Hound Declared Dangerous/Potentiall)f bangerous Dog Nd 7 YES Microchip # Eit—y Tog # it IS §10iVil, ki��Mv ga '01 amoul 'a NT 10 Or zl Rabic s Ta g 15746 Rabies Description: I YEAR 3 YEAR, Holstein Veterinary Clinic :,6r. Lisa Schrum DVM & Dr. krista Holstein DVM 718 South 19th Street 1319ir, NE 68008 402-426-7387 402-426-0101 Fax hoisteinclinic@gm,ail.com i7,0/ZO 39Vd DINI-13 L3A Fl13-LS-10H LICENSE FEES Intact Dog or Cat: $16,00 Altered Dog or cat: $1 Replocement Tag $5.04 Total► FAXED 3,12p BY Z' TOTAL PAGES T0T097,VZ0V OZ:ST 6TOi7S/6Z/60 01/29/2019 16:43 4024260101 HOLSTEIN VET CLINIC PAGE 01/01 2019 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A p0G(5) AND /OR CAT(S), COMPLETE `PHIS 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 MORI; 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 15 a violation of City Ordinances 6J03 and carries a penalty of a fine up to $150,00 per pet, PET LICENSE RENEWALS ARE D IE BY 311V 019, The city shall recognize a microchip ID number as the license number. It shall be unlawful for any dog or cat to Wear any license or other city ID other than that issued by the city of Blair for such dog or cat. NEW PET LICENSING Must be licensed within 10 days of ownership (OR) at S months of age if puppy or kitten NEW RESIDENT$ To FLAIR Must register pets within 10 days of residency Owner Name Carol Hansen Spruce Todd Owner ,Address 1953 Colfax St City/State/Zip Blair, NE 68008 Phone '# DL # or DOB PRT # Piet Name: Rudy Age: 13Y sex: Male Color: Liver and White Breed: German Wirehair Declared Dangerous/Potentiallly Dangerous bog YES Microchip # Rabies Description: 1 YEAR• Holstein Veterinary Clinic ,Dr. Lisa Schrum DVM & Dr. Krista Holstein .DVM 718 South 19th Street Blair, NE 68008 102-426-7387 402-426-0101 Fax holsteincjinic@gmall.com City Tag # Rabies Tag # 16675 LICENSE FEES Dog or Cat: $16.00 Dog or Gat: $11.00 Replacement Tag $.5.00 Total $ FAXED 01-29-19 4:31p BY TOTAL PAGES 02/19/2019 10:47 4024260101 HOLSTEIN VET CLINIC PAGE 01/01 2019 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND JOR 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*** MARE !EgWgQIXIA�-ALTO �iGENSE YOUR Failure to do so is a violation of City ordinances 6.103 and carries a penalty of fine up to $150,OD per pet. PET LICENSE RENEWAIs ARE )DUE BY 3/� 5/Zd19. 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 Holstein Veterinary Clinic Dr. Lisa Schrum DVM & Dr. Krista..Holstein DVM 718 South 19,h Street B! NE 68008 402-426-7387 402,i-42'6"0101 Fax 7 holsteindinicOg'm" ail'.Com LICENSE -FEES Intact Dog or Cat: $16.00 Altered Dog or cat: $ 11,00 I?eplaceraent Tag $5.00 Totol $ 11 FAXED 02-19-19 10:32a 13Y TOTAL PAGES 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: Owner Address: City/State/Zip: Blair, NE6800 1�hh Phone # 2A 9Ll I V Drivers License # or Date of Birth () I" 0q— LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Included is a State Fee of $1.25 being collected to fund_th ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Paiiure to do so is a violation of City ordinances 6AUS and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3/1512018. The City shall recognize a microchip icentiftcation 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 fo- such dog or cat. The City of glair requires proof of rabies vaccination. & Cat ram PET #1 �, Dog ❑ Cat tiSpayed/Neutered License Fee $ i l� ��' Pet Name��_ A - * C.��S Sex �'tfY1C,4.IC ** Color Name w C Breed Replacement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y 5d N 0� MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: /— -1 (3 yr), (I yr) City Tag # PET # 2 0 Dog Cl Cat ❑ Spayed/Neutered License Fee $ Pet Name Color An Sex 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 Ll Dog ❑ Cat D Spayed/Neutered License Fee $ Pet Name Color Acie Sex 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 TAD 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) 426-41.95 ++++++++++++++++++++++*.+++++++++++++++++++++++fi+++.+.++++++++.++++++++++++++* NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15late fee date not applkab/efor newpets/newresrdents) Newly Acquired Pets: New Residents to Blair: 19 Must be I�censed within 10 days of ownership ■ Must register pets within 10 days of n <OI> at 6 months of age if puppy/kitten residency. Z'd 80899Z17ZOt eai o lewiuy euogi d69:Z0 61, 86 Uef 2019 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF BLAIR IF YOU LIVF IN BLAIR CITY LIMITS AND OWN A DOG(5) AND /DR CAT(5), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TQ; CITY OF BLAIR — 2:18 S, 16TH ST — BLAIR, NE 6S008 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 Clty Ordinances 6.103 and carries a penalty of a fine up to $150.p1) per pet. PET LICENSE RENEWALS ARE DUE 8Y ,BJ15/2019, The city shall recognize a microchip ID number as the license number. It shall be uniawful 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 Lisa Hansen) Spouse Owner Address 758 S. 16th1 Street # 462 City/State/Zip Blair, NE 68008 Phone # m _ C1L �# ar aCMB PET # Pat Name: Chaz Age: 21C Sex: Neutered Male Color: White Breed: Chi/Dach Declared Danglerous/Potentially Dangerous Dog N YES Microchip # City Tag* e� " g C, I f rmo„;al,e� ui ,h o�.k.�ioa n+s ,ir.±oai �s+,l•f�'„a�„a�� r � dSP11�G.�n�a�:El�,v,�, Rabi+aa DesGriptian: 1 YEI�R �, � `YEAR Holstein Veterinary Clinic Dr, Lisa Schr orn DVM & Dr. K'rista Holstein DVM 718 South 191h Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinic@gmail.com TO/TO 39Vd UINI-10 i3A NI3iS-10H LICENSE FEES Intact Dog or Cat: $16,00 Altered Do 1 o Replacement Tag $5,00 Total �J•Q0 FAXED 01-10-19 2:08p BY TOTAL PAGE$ TOT093P3OP 60:9T 6TB3/UT/T© FROfI : DSAC FAX 1,10. :402-533-2722 Mar. 09 2019 12: 33PM P1 CITY OF FLAIR - 2010 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 w 218 8 16th St. w 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 16, 2016 LICENSE FEES: D8g ors Oat: $16.00 Owner Name: Lynda Spayed/Neutered [dog or Cat: $11.00 Owner Address: 2243 Lincoln St `'` Replacement Fee for Lost Tag: $5.00 Fee includes $1,25 for the Nebradat Dog and Cat City/State/ZIP, Blair, NE 68008--0000 operator Inspettion Program Phone #: (402) 253-9354 [Drivers License #: or C7ate of Birth: Name, Little Sweetie Color: Black/White Spayed/Neutered: True Mirochip # 98511200-7850990 Vaccination Date: 3/16/2018 .. .Subtotal lke.ns,ed pots from below..___ Replacement Tags from below:_ DcOB: 3/16/2015 Sex: Female Breed: Domestic Shorthair Duration: year vaccine Vaccine Exp: 3/16/2020 License Fee $_ ) Rep ernent: ❑Y RN City Tag # 2107 Total; -I, W 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: Maurice & Dixie Hansen Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Owner Address: 1364 South St Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008 Operator Inspection Program Phone #: (402) 426-3829 Drivers License #:H13899381 or Date of Birth: Subtotal licensed pets from below: Replacement Tags from below: Name: Amazon DOB: 01/01/2010 Sex: Female License Fee $ Color: Black/White Breed: Chihuahua Replacement: Spayed/Neutered: False ❑Y ON Mirochip # City Tag # 2432 Vaccination Date: 07/27/2018 Duration: 1 year vaccine Vaccine Exp: 07/27/2019 Total: Mar 30 19 08:08a Thone Animal Care 4024265808 p,1 Thane Animal Care of Blair (402) 426-3630 9D2 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. 160' St. • Blair, NIE 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 152019 Owner Name: ' l 'r yr l l(� n"P AI, Owner Address: y` � �-1 . city/State/Zip: Blair, NE 68008 phone # r�t► , / Drivers License # or Date of Birth ,V �d��j — �y LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Car: $11.00 Replacement Fee for Lost Tag: $5.00 'PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS, Pailure 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 3t15/24218. The City shall recognize a microchip identlfi<atlon number as the Ilcense 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, 111clucieo is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET #� Dog qq Cat ❑ Spayed/Neutered License Fee $ Pet Name II Aye [o r.� Sex f Color Breed* 1, A ,; KY.-( k r gp/acement$ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y N Uo� MICROCHIP # (If applicable) UBTOTAL: $ 1 RABIES VACCINATION DATE: , 1 f (3 yr) (1 yr) City Tag # "j'`i PET # 2 ❑ Dog 0 Cat ❑ Spayed/Neutered License Fee $ Pet Name Age Sex Color Breed * Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name AR Sex Color Breed * Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y d N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (I yr) City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS RENEWAL ** (This fee is clue 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 PORM 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 ++++++++++++++++++++++++++.+++++*++++.++++++....+++•r++++.i ....a. *++++.++++++f+++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS(March l5late fa- datenot applirablefor newpeWnewre5identsJ Newly Acquired Pets: New Residents to Blair: x Must be licensed within 10 days of ownaship Is Must register pets within 10 days of 0 <OR> at 6 months of age if puppy/kitt:en residency. CITY OF RLAIR - 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 152019 Owner Name: Owner Address: city/state/zip: Drivers License # or Blair, NE 68008 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 B.103 and carries a penalty of a fine up to $150,00 per pet. PET LICENSES RENEWALS ARE DUE BY 3/15/201ii, The City shall recognize a microchip Identification number as the license number. It shall be unlawful for any dog or cat to raezr any license or other city Identification other than that issued by the City of Blau for such dog or cat. The City of Blair requires proof of rabies vaccination. Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat OperdtorInspectilon Program PET #'1 19 Dog ❑ Cat ❑ Spayed/Neutered License Fee '$ V9. Pet Name, ° U A�e l \ M S '('Y'� 9 Color tV v Breed "* h�O.0 i]�r Replacement$ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y 19 N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: -1 _t (3 yr) (1 yr) X_ City Tag # J, V 1S PET #'2 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name ATe Sex Color Breed * _ Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) ,_ License Fee $ Replacement$ ** SUBTOTAL: $ (1 yr) _ City Tag # PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Age Sex Color Breed''* Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ iRABIES VACCINATION DATE: (3 yr) (I yr) City Tag # *PLEASE INCLUDE THE CITYTAG NUMBER IF THIS ISA 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 Maif TOTAL ENCLOSED $ Expires: Security Code: If you have questions, please contact City Hall at (402) 426-4191 or by Fax: (402) 426-419S .................. a-++++tt.........4t........*.*t........ hit*.....f..tt+ttf..... NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (Maros .ISlate fee date not applicable fornewpe&lnewrnsdsnt5) Nawly Acquired Pets: New Residents to Blair: ® Must be licatsed wi(tlin I0 days of ownership N Must register pets within 10 days of Is <OR> at 6 months of age if puppy/kitten residency. g'd e0999317ZO117 eaeo iewluy euoq I d69:ZO 61. 91, UI3r FROM :BSAC FAX NO. :402-533-2722 Mar. 14 2019 04:19PM P1 �1il�t•11111NC1°"i'�h14%+4 4rM,n5t114^r cylq`unarTvo. mfll' . i .. .• .. t•' ' I:. i ll 0'19 f' T � IGW�gE ADDITIONS able to, CITY OF BLAIR - completelveriry this form and return with check made pay awe nndlor cat(s), * glair, NE 6800$ of Bla►r * 21 S S 16ti $t' but no more than three (3) adult dogs If you live in Blair city limits anGit� a dog( ) own a combination of four l era�sidIt ent al or dwalling unit You maY legally or threw (3) adult cats p Dog 6.00 I �— FEES• or Cat: 1$ LIGENSE RENEWALS ARE DUE' Mart;h 15, 2019 owner Name:'1'ory Hansen owner Address: 665 N 3rd St CitylState/Z{P: Slair, NE 680081-0000 Phone #: (4n) 740-8936 Drivers 1-ieense#:029014651 or Date of Dirth: 5122/1rJli�t LICENSR or Cat' $11.00 Spayed/Neutered 1) Lost Tad: $ 5.00 Replacement Fee for Fce includes $1.25 for the Nebraska Dog nod Cat operator inspection Program ..Subtotal•licelnsed..pets..fronvboioW:..Ii A'D Replacement Tags from below: - Total: ._. — .—...—. •-- --- '— — -- — —_.— --- $`��_ Dog ❑ Cat U Spayed/Neutered Lioense Fee Pet Name Pet DOB Sex �f1,1\ewe Breed„ Color .��....,-.—�- Declared Dangerous or Potentially Dangerous Dog? 11 Y'R N _ `� yr Cad yr Microchip #� • Rabies Vaccination Date _ /7l 9_ .. El Dog 0 Cat ❑ Spayed/Neutered License Fee $ , Pet Name Age — Sex Color greed Declared Dangerous or Potentially Dangerous Dog? 0 Y ❑ N Microchip # Rabies Vaccination Date —_ 03 yr ❑1 yr 0 Dog ❑ Cat 0 Spayed/Neutered License Feb $ Pet Name _— Pet DOB '_ Sex Color _ Breed Declared Dangerous or Potentially Dangerous Dog? 11 Y 0 N Microchip # Rabies Vaccination Date 03 yr ©1 yr CITY OF BLAIR - 2019 PET LICENSE VERIFICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete/verify this form and return with check made payable to: City of Blair * 218 S 16th St. * Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2019 Owner Name: Sara Tuttle Hanzlik Owner Address: 1216 Nebraska St City/State/ZIP: Blair, NE 68008--0000 Phone #: (402) 426-1855 Drivers License #: Name: Daisy Color: Tri-Color Spayed/Neutered: True Mirochip # Vaccination Date: 3/21/2615 j-. ( LICENSE FEES: Dog or Cat: $16.00 Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Fee includes $1.25 for the Nebraska Dog and Cat Operator Inspection Program or Date of Birth: 12 '�S Subtotal licensed pets from below: Replacement Tags from below: DOB: Not on File Sex: Female Breed: Mix Breed Duration: 3 year vaccine Vaccine Exp: License Fee $ Replacement: ❑Y ON City Tag # 1232 Total: \ 1 106 CITY OF BLAIR - 2019 PET LICENSE VERIFICATIONS 1"l 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: Sara Tuttle Hanzlik Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Owner Address: 1216 Nebraska St Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008--0000 Operator Inspection Program Phone #: (402) 426-1855 Drivers License #: or Date of Birth: 1 Z Name: Ruca Color: Black Spayed/Neutered: True Mirochip # Vaccination Date: 1/261204-6,11 Subtotal licensed pets from below: Replacement Tags from below: DOB: Not on File Sex: Female Breed: Chihuahua Duration: 3 year vaccine Vaccine Exp: I.26%2019 License Fee $ ) 1. y Replacement: ❑Y ON City Tag # 1608 Total: 1(1,00 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 p yabe to City of Blair • 218 S. 161" 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. A ✓R LICENSE RENEWALS ARE DUE: March 15, 2019 Owner Name: Owner Address: City/State/Zip: Blair, NE 68008 Phone # Drivers License # or Date of Birth t " LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3115/2019. The City shall recognize a microchip identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city Identification other than that Issued by the City of Blair for such dog or cat. The City of Blair requires proof of rabies vaccination. Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat PET # 1 ❑` Dog ❑ Cat p 'Spayed/Neutered License Fee $ Pet Name J x e ° A Sex I ,° Color ��,' Breed * ep/acement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N I MICROCHIP # (If applicable SUBTOTAL: $ ` �' s; RABIES VACCINATION DATE: €� (3 yr) (1 yr) City Tag # ` -.; { PET #2 Dog ❑ Cat ® Spayed/Neutered License Fee $ Pet Name , Aye 77-1) -1 7 Sex Color i, Breed ,y"r /,.p Replacement Declared bangerous or Potentially Dangerous Dog: ❑ Y -N x MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: - —0 -- 1 (3 yr) (1 yr) City Tag #mac.' PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Aqe Sex ** Color Breed** Replacement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Donation to care for animals: $1 $3 $5 $10 Other ***SEE BACK OF FORM FOR BREED SPECIFIC LICENSE REQUIREMENTS Do Not Send Cash by Mail TOTAL ENCLOSED $ VISA / MC # Expires: Security Code: Signature a If you have questions, please contact City Hall at (402) 426-4191 or by Fax: (402) 426-4195 ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15late fee date not applicable fornewpets/new residents) Newly Acquired Pets New Residents to Blair: ■ Must be licensed within 10 days of ownership ■ Must register pets within 10 days of ■ <OR> at 6 months of age if puppy/kitten residency. Date ofVaccination: 10-0349 Next Vaccination on: 10-02-22 VETERINARY CLINIC Pet Vaccination Clinic 2811 S.12Uth St. Omaha, NE 68144 402~480'3393 Certificate No. 11407 Previous Vaccination: OWNER OF ANIMAL Heather Hardy '`".....~.~.~. (531)215-3241 ` (')` 0 fe�'> e- \).�k This ishooertify.' THAT I HAVE VACCINATED THE ANIMAL DESCRIBED BELOW AGAINST RABIES. Patient informaUon— PATIENT: BooBoo '~l TAG NO: SPECIES: Canino BREED: SEX: Spayed Female - AGE: WEIGHT: 0.00Km COLOR KXFGBY: 2OET|. SER|AL:311024B. EXPIRES: 02%25/28.. ADM|N: S2 Signed: J Jul! Other V000inobono- Vaccinated By Vaccination Next due 19O4OO Chihuahua 10yemm Brown and White 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: HARMAN, THOMAS K & LINDA K Spayed/Neutered Dog or Ckt: $11-.—Ov Replacement Fee for Lost Tag:�5.00 Owner Address: 1105 N 20TH AVE CIR Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: BLAIR, NE, 68008-4207 Operator Inspection Program Phone #: (402) 427-3035 Drivers License #:06012282 or Date of Birth: 3/13/1959 Subtotal licensed pets from below:�_ Replacement Tags from below: (: Name: Indiana P DOB: Not on File Sex: Female License Fee $� Color: Black Spayed/Neutered: True Mirochip # 981020006474870 Vaccination Date: 5/22/2017 Breed: Labrador Retriever Duration: 3 year vaccine Vaccine Exp: 5/22/2020 Replacement: ❑Y ®,N City Tag # 1930 Total: 00 CITY OF BLAIR - 2019 PET LICENSE VERIFICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete/verify this form and return with check made payable to: City of Blair* 218 S 16th St. * Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2019 Owner Name: Renae Hatch Owner Address: 1272 Deerfield Blvd Apt 131 City/State/ZIP: Blair, NE 68008 Phone #: (402) 870-2759 Drivers License #: Name: Zoey Color: Tri-Color Spayed/Neutered: True Mirochip # Vaccination Date: 1/31/2018 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 or Date of Birth: 11/8/1990 Subtotal licensed pets from below: Replacement Tags from below: DOB: Not on File Sex: Female Breed: Mix Breed Duration: 3 year vaccine Vaccine Exp: 1/31/2021 License Fee $ Replacement: ❑Y 0 City Tag # 2286 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: Renae Hatch Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Owner Address: 1272 Deerfield Blvd Apt 131 p Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008 Operator Inspection Program Phone #: (402) 870-2759 Drivers License #: or Date of Birth: 11/8/1990 Name: Midnight Color: Black Spayed/Neutered: True Mirochip # Vaccination Date: 1/31/208 '_3 - - 19 Subtotal licensed pets from below: 1 Replacement Tags from below: 1)0134 Not on File Sex: Female License Fee $ Breed: Domestic Shorthair Duration :l,year vaccine Vaccine Exp: 1I31/2049 Replacement: ❑Y ON City Tag # 2287 Total: FROM :PSRC FAX N0. '402-533-2722 May. 01 2019 11:13RM P1 CITY OF BLAIR - 2019 PET LICENSE APPLICATION If you liye in glair City limits and own a dog(s) and/or cat(s), complete tills fgrin and return with check made payable to: City of Blair a 218 S.16th St. 0 tapir, NE 68008 You may legally awn or three ( ) adult four atsp4 )adult riee. ttirl or dweliir y nit. but no re than three (3) adult 4095 LICVINBE RENEWALS ARE DUE: M11 -11 019 fawner NaMcs* Owner Address: Citvlstate/zip: Blair, NE 6800$ eln ( r Rhone # Drivers License # or Date Of Birth LICENSE FEES. Drip or Cat: $16.01) Altered Dog or Cat: $11.00 Replacement Fee far Lo9t Tang: $5 :00 *Pl..l=4% REAL! CAREMY*** YQU ARE RVII Rep BYLAW 10 LICENSE YOUR PETS. rallur9 to do ao 14, a violation of city ordiaanCes 6.103 end carrleS a Penalty of a fine up to $190,00 pctpet• PET LICRNSES REN9wALS ARE DUE 0Y 3115/20 11. 'rho City Shall rer:49nizd 0 microchip Identintatl,)n number as the lictlnse r umbdr. Tt un1twrul for any or tat to er city Identification other than t�e that e )squad by E City of [41d1r for sl such dog or cat. The Clty of EIalr requiros proof of rtrbl� vacelndti4rt. & Cat witmey PET #1 ElOog VCat Spayed/Neutered Llcerl e+ Fee e Sex IMP �e- Col Name Breed* �` —Replacement $* Declared Dangerous or Potentially Dangerous dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL- $ �1�.... RABIES VACCINATION BATE: 41(3 1 yr) _ City Tag # PET #2 Q Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Ag Sex .� Replacement $ ** Color — Breed . Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL; $ � RABIES VACCINATION DATE: _.._ (3 yr) — (I yr) _ City Tag PET #3 ❑ Dog Q Cat Q Spayed/Neutered License Fee $ pet Name ••AV* — Sex • Replacerltenf $ . . Cdlc�red Declared pangerous or Potentially dangerous Dog: ❑ Y ❑ N MICROCHIP # - _ _ (If applicable) RABIES VACCINATION DATI=: — (3 yr) — -SUBTOTAL., $ (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•) bortetlon to care for animals: _ $1 �_ $3 _ $5 _ $10 _ Othe ***SEL BACK OF FORM FOR BREED SPECIFIC LICENSE REQuiREMENTS Do Not Send Cash by May TOTAL ENCLOSED $ _— VISA / MO #, Expires' ......_ Security Code_ _....•• , ., Signature . . _ _.,.. If you have questions, please colntaet City Hall at (402) 426-4191 or by Fax: (402) 426-4195 tt+++++++d-dF......++++++....++++++......#+++.k+ttlh++++.....+++t+4........+t+++ 1 NEW WrINEW RESIDENT UCENSIN© REgUXREMFNTS (Neirct 15/atefee date nptep llo We tbrnewpeN0PW1Videyils) Newly AmUdrsNl Pets', ■ Np st be kmsed Wttliln 10 days of ownership ■ Must reWistor pets within Iddays of sl <CR> at 6 months of age W Iuppy/dtlen rtliderlcy. o 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: Havenridge, Stephanie and James Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Owner Address: 509 River Rd Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008--2509 Operator Inspection Program Phone #: <NO PRIMARY PHONE> Drivers License #: or Date of Birth: 06/26/1984 Subtotal licensed pets from below: �- Replacement Tags from below: Name: Zuloo Color: Black Spayed/Neutered: True Mirochip # Vaccination Date: 11/10/2018 DOB: 01/01/2012 Sex: Female Breed: Mix Breed Duration: 3 year vaccine Vaccine Exp: 11/10/2021 License Fee $ Repla ement: ❑Y [XN City Tag # 2413 Total: Wo 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: Havenridge, Stephanie and James Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Owner Address: 509 River Rd Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008--2509 Operator Inspection Program Phone #: <NO PRIMARY PHONE> Drivers License #: Name: Diesel Color: Gekerk31acK Spayed/Neutered: True Mirochip # Vaccination Date: 08/27/2016 or Date of Birth: 06/26/1984 Subtotal licensed pets from below:_ Replacement Tags from below: DOB: 01/01/2016 Sex: Male Breed: Mix Breed Duration: 3 year vaccine Vaccine Exp: 08/27/2019 License Fee $ Repla ement: ❑YIl City Tag # 2412 Total: 02/23/2019 09:50 4024260101 HOLSTEIN VET CLINIC PAGE 01/01 2019 PET LICENSE VERIFICATION/APP"LICATION FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS ANO OWN A DOG(S) AND /OR CAT(S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF BLAIR — 218 S, 16TH ST — BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT No MORE THAN THREE (3) ADULT DOGS OR. THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Fallure to do so is a violation of City Ordinances 6.103 and carries a penalty of a flna UP to $150,00 per pet, PET LICENSE RENEWALS ARE DUE GY 3115/2019. The city shall recognize a microchip la 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 lieented within 10 days of ownership (OR) at 6 months of age if puppy or kitten NEW RESIDENTS `170 BLAIR Must register pets within 10 days of residency Owner Name Deb Hawkins spouse Owner Address 2319 Washington Street City/State/Zip glair, NE 68008 Phone # 402-699-5470 DL # or DOB Pet Name: Roddy Age: BY sex: Neutered Male Color: White Freed: Min Poodle Declared Dangerous/Potentially Dangerous Dog 0 YES Microchip # City Tag # MAN �fi rr•.1.� Pi . i� ' � r'j1 Del i}i1 rao Rabies Tag # {t d IV{ r l��iidl^IISi.�tol L!Il.t�7 Rabies Description: • 1 YEAR AR Holstein Veterinary Clinic Dr. Lisa Schrum DVM & Dr. Krista Holstein ,DVM 8 South 19th Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinic@gmail.com LICENSE FEES Intact Dog or Cat: $16.00 Do Or Gat- $11.0 Replacement Tag $5.00 Total t FAKED 02-23-19 9:37a BY TOTALPAGES ` 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: HAYDUK, ROBERT A — Spayed/Neutered Dog or Cat: $11.00 Owner Address: 1757 FRONT 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) 426-9588 Drivers License #: Name: Shelby Color: Black/Brown Spayed/Neutered: True Mirochip # Vaccination Date: 11/30J. 0-f5 or Date of Birth: 4/23/1958 Subtotal licensed pets from below: Replacement Tags from below: DOB: Not on File Sex: Female Breed: Mix Breed Duration: i year vaccine Vaccine Exp:',,1413�2018 License Fee $ Replacement: ❑Y ON City Tag # 1784 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: Bill and Kelly Rae Haynes Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Owner Address: 2255 South St Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008 Operator Inspection Program Phone #: (402) 312-1425 Drivers License #:V00233389 or Date of Birth: 2/27/1995 Name: Abbie Color: WhrtWeBrown: i Spayed/Neutered: True Mirochip # 985111000126007 Vaccination Date: 2V20/201- � 1-1 r Subtotal licensed pets from below: Replacement Tags from below: DOB: Not on File Sex: Female Breed: American Bulldog* Duration: 3 year vaccine Vaccine Exp: 2/20/201'5 License Fee $ Replacement: ❑Y ON City Tag # 1650 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: Bill and Kelly Rae Haynes Spayed/Neutered Dog or Cat: $11.00 Owner Address: 2255 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 operator Inspection Program Phone #: (402) 312-1425 Drivers License #: or Date of Birth: m Name: Leo Color: White/Brown Spayed/Neutered: True, Mirochip # 985112005369536 Vaccination Date: 2/20/2016 Subtotal licensed pets from below: Replacement Tags from below: Irfb-lY DOB: Not on File Sex: Male Breed: American Bulldog* Duration: 3 year vaccine Vaccine Exp:,-2/20/2019 .v 41- License Fee $ Replacement: ❑Y ON City Tag # 1651 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: f0 � -A --;7,' eV) Owner Address: fij 1 *V\' city/state/zip: Blair, NE 68008 Phone # _� b ` 761P 11 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 inauuen IS a State Fee of $1.Z5 being collected to fund the ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a vlolation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY a/15/2018. The City shall recognize a microchip ldentificatlon number as the license number, It shall be unlaw',ul for any dog or cat to wear any license or other dty iden:lficatlon other than that Issued by the City of Blair for such dog or cat. The City of Blair requires proof of rabies vaccination. Cat PET #1 4 Dog 0 Cat ❑ Spayed Neutered License Fee $�� Pet Name L b i 0� Aye Sex Color \ ,k) \A k4- Breed * wpk 12 Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: -22 (3 yr) _ (1 yr) City Tag # ?f03* PET #2 ,� Dog ❑ Cat C1 Spayed/Neutered License Fee $ � Pet Name Age �(� �n Sex,r�I� Color Breed.* bb-�au,4Am1/i 4,psimiv Replacement$�� ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y JXJ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) X_ City Tag # L7 W PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Aye Sex Color Breed * Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: U Y Cl N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag •# *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** ('This fee is due along with License Fee if requesting at the time of license renewal.) Donation to care for animals: $1 $3 $5 $10 Other ***SEE BACK OF FORM FOR BREED SPECIFIC LICENSE REQUIREMENTS VISA / MC # Signature Do Not Send Cash by Mail TOTAL ENCLOSED $ Expires: Security Code: It you have questions, please contact City Hall at (402) 426-4191 or by Fax: (402) 426-4195 +++++++++++++++++++++++++++++++++++++++4•+++++++++++++++++++++++.1•+++++�++++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS(March 15Jate fee date notappllcablefornewpets/newresrdenis) NewlyA_guired Pets: New Residents to Blair: lK Must be licaised within 10 days cf ownership N Must register pets within 10 days of m <OR> at 6 monft of age if puppy/kitten Thone Animal Hospital residency. (402) 426-3630 902 S Hwy 30 Blair, NE 68008 I.'d 90999ZbZ017 e.1e0 leLuiuV auoyl dL9:7,0 61. 9Z lo0 2019 PET LICENSE VERIFICATION/APPLICATION 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: 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. ***Pf-EASE READ CAREFULLY*** YOU ARE REQUIRED BY l AW TO LICENSE YOUR PETS. Failure to do so is a violation of City Ordinances G.103 and tleVIO$ a penalty of a fine up to $150.00 per pet. PET LICENSE RENEWALS ARE DUE BY 3/15/201s. 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 clog 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 Christie Hearn Spouse Mike Smith Owner Address 2416 Elm Street city/statelziip Blair, NE 68008 Phone # 402-981-5510 DL # or DOB PET # Pat Name: zeus Age: 2Y sex. Neutered Male Color: Dk Brindle Breed: Fr Bulldog Declared Dangerous/Potentiaity/ Dangerous Dog NO YES microchip # 985112007455992 City Tag # O i' l � u ; `fit' s f qq ddQQf e rl � �, 11V �t;.d�€li 5o ip { i'• <1•� 4�y iY' � F ..1. � ; � 19. � ��' 9 Rabies Tag # 16001 )f Rabies Descriptions. 1 YEAR YEAR'. Holstein Veterinary Clinic Dr. Lisa Sc1irmn DVM & ar, Kr-rsta Holstein DVM 718 South 10th Street�blair, NE 68008 ' 402-426-7387 402-426-0101 Fax holsteindiniciDgmail,com LICENSE FEES I,ttua Dog or Cat: $10.00 AItLred Dog or cat: $� 1 Replacement Tag $5.00 Total $„_„ ! , "� FAXED 02-13-19 4:23p BY TOTAL PAGES Za/Z,O 39vd OINI-10 i3A NI31S-10H T9T0971VZ13V GZ :9T 6T®Z/61/Z0 2019 POET LICENSE VERIFICATION/AP'PLICATION FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT(S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF BLAIR — 21$ 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 CAREFl, MY' 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 3/15/201J. The city shall recognize a microchip I❑ number as the license number. It shell 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) it 6 months of age if puppy or kitten NEW RESIDENTS TO BLAIR Must register pets within 10 days of residency Owner Name Christie Hearin Spouse Mike Smith Owner Address 2416 Elm Street City/State/Zip Blair, NE 68008 Phone # 402-981-5510 DL #' or DOB PET # I Pet Name: Oreo Age: 17W sex: Neutered Male color: Black and' Waite Freed: Domestic Shorthair Declared Dangerous/Potentially Dangerous Dog NO YES Microchip # City Tag # S- 17•y ,rm . I• I:Julf N rf( lll�li! • � ! � lt. I L7 C . Aj Rabies Tag # Rabies aescriptian: YEAR 3 NEAR Holstein Veterinary Clinic Dr. Lisa Schrum DVM & Dr, Krisra Holstein DVM 718 South 19th Street Blair, NE 68008 402-426-7387 402-,4216-0101 Fax hoisteinclinic@gmail.com 30/Z0 SJdd OIHI-10 13A NIEIIS-101-1 LICENSE FEES Intact Dog orl 16.00 Altered Dog or cat: $11- Replacement Tag $5.00 Total t,,k,,,, 00 FAXED 02-13-19 4:23p By, ` , TOTAL PAGES Z0Z09ZbZ0b 63:9Z 6Z0Z/6Z/Z0 12/13/2018 18:06 4024260101 HOLSTEIN VET CLINIC PAGE 01/01 2019 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT($), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF BLAIR — 218 S. 167" S'T — SLAIllt., Nr; 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 PEP, RESIDENTIAL OR DWELLING UNIT. '"PLEASE READ CAREFULLY' YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Fallure to do so is � 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 dQg 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 4f 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 Christie Hearn Spouse Mike Smilth Owner Address 2416 Elm Street City/State/zip Blair, NE 68008 ff Phone # 402-981-SSIO DL # or DOB P=T # f Pet Name: Zeus Age: 23M se c: Nelutered Male color: Dk Brindle Breed: Fr Bulldog Declared Daingerous/Potentially Dangerous Dog NQ YES Microchip # 9$1100745992 pity Tad # '' IRabies . �,. „ 1 �.a t >:Oil' T2Ig # i6Qt�i 99ili� � x .'fiii✓,'yl;ppl' � ?� , i �� I� � 7i � �';dhE'r�Ill 'fI I E"° Siia i o6+ IS (Rabies Description: i YEAR (23 YEAR Holstein -Veterinary Clinic Dr: Zisa .Schrum DVM & Dr. Krista Holstein DVM 718 South 19th Street Blain, NE 68008 . 402-426-7387 402-426-0101 Fax hoisteinclinic@gmail.com LICENSE FEES Intact Doe or Cat: $16.00 — ,Altered Dog or cat: $11.00 Replacement Tag $5_00 Total $ ` f �� FAXED 12-13-18 5:24p BY TOTAL PACES 02/15/2019 14:37 4024260101 HOLSTEIN VET CLINIC PAGE 01/01 2019 PET LICENSE V'ER,IFICATION/APPLICATION 15OR 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 = 21.8 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 DWEI,I,ING UNIT. ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of Clty Ordinances GJ03 and carries a penalty of a fine up to $150.00 pot pet. PET LICENSE RENEWALS ARE DUE BY 3/15/2019, The city shall recognize a microchip ID number as the license number. It shall be unlawful for any dog or cat to wear any IlCehse or other city IQ other than that issued by the City of Blairfor such dog or cat. NEW PET LICENSING Must be licensed within 10 day$ 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 Jane Heinrich Spouse Milt Owner Address 1019 Stone Creek Drive City/Stake/Zip Blair, N8 168009 Phone # 402-426-9573 DL # or DOB T # Pet Name: Bailey Age: 3Y sew: Spayed Female color: Creams areed: Goldendoodle Declared Dangerous/Potentially Dangerous Dog D YES -D� Microchip # 985112006056778 (City Tag # W11" Rabies Tag # 14521 i, � �II�� i'. �i` : inet i� t Rabies DeSeription: 1 YEAR. E Holstein Veterinary Clinic Dr. Lisa Schrum DVM & Dr. Krista Holstein DVM '1l8 South 191h Street. gliair, NE 68008 402-426-7387 402-426,'-0101 Fax holsteindinic@grrraif.'Com LICENSE FEES Intact Dog or Cat: $16.00 6og;;ed - $11 Replacement Tag $5.00 Total $ ! "0 TAXED 02-15-19 2:28p BY TOTAL. PAGES f /^ G -.j CITY OF BLAIR - 2019 PET LICENSE VERIFICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete/verify this form and return with check made payable to: City of Blair* 218 S 16th St. * Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2019 LICENSE FEES: Dog or Cat: $16.00 Owner Name: Christopher & Cynthia Heng Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Owner Address: 2047 Northridge Cir Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008--0000 Operator Inspection Program Phone #: (402) 533- " ;'% 9 "/ Drivers License #: R L) K ,-S 32- or Date of Birth: 10/24/1955 Name: Felix Color: Black/White Spayed/Neutered: True Mirochip # Vaccination Date: 3/14/2016 Subtotal licensed pets from below: /, d 1 Replacement Tags from below: DOB: 12/31/2016 Sex: Male Breed: Domestic Shorthair Duration: 3 year vaccine Vaccine Exp: 3/14/2019 License Fee $ Replacement: ❑Y ON City Tag # 627 Total: /. �U 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 & Cynthia Heng Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Owner Address: 2047 Northridge Cir Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008--0000 Operator Inspection Program Phone #: (402) 5 =8 7 � 3 3 . 1 YY Drivers License* --' -2 or Date of Birth: 10/24/1955 Subtotal licensed pets from below: ' 'I(, Replacement Tags from below: Name: Uno DOB: 2/19/2006 Sex: Male License Fee $ % de) Color: Tri-Color Breed: Beagle Replacement: ❑Y ON Spayed/Neutered: True City Tag # 630 Mirochip # Vaccination Date: 1/20/2017 Duration: 3 year vaccine Vaccine Exp: 1/20/2020 Total: . 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. 16t" St. • Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2019 Owner Name: Owner Address: Ill city/state/zip: Blair, NE 68008 Phone # q()) -�� _ U' g S 1 Drivers License # or Date of Birth i (1 s / LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3/15/2019. The City shall recognize a microchip Identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city Identification other than that Issued by the City of Blair for such dog or cat. The City of Blair requires proof of rabies vaccination. Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat PET # 1 ❑ Dog 0( Cat k Spayed Neutered License Fee $ Pet NameM /let PO Ac 9 Sex SO&Lt Color Breed** 0,15 L4 Replacement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $. RABIES VACCINATION DATE: c (3 yr) (1 yr) k City Tag # 3 PET # 2 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Aye Sex _ Color Breed * Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Aye Sex Color Breed * Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ ■W License Fee $ Replacement $ * * SUBTOTAL: $ (1 yr) City Tag # (1 yr) License Fee $ Replacement $ SUBTOTAL: $ City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Donation to care for animals: $1 $3 $5 $10 Other ***SEE BACK OF FORM FOR BREED SPECIFIC LICENSE REQUIREMENTS VISA / MC # Signature Do Not Send Cash by Mail TOTAL ENCLOSED $ Expires: Security Code: If you have questions, please contact City Hall at (402) 426-4191 or by Fax: (402) 426-4195 ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15late fee date not applicable for new pets/newre5idents) Newly Acquired Pets: New Residents to Blair: ■ Must be licensed witliin 10 days of ownership ■ Must register pets within 10 days of ■ <OR> at 6 months of age if puppy/kitten residency. *** RABIES CERTIFICATE ** Gentle Doctor Animal Hospitals 8911 Grant Street 15230 W. Maple Road 12031 Blondo Street Omaha, Nebraska 68134 Omaha, Nebraska 68116 Omaha, Nebraska 68164 402-397-4344 402-445-4400 402-493-9650 Owner: George Henry 758 South 16 Street Apt 213 Blair, NE 68008 Patient: Ginger Species: _ . Feline Breed: Dmh Weight: 13lbs. Color: Grey Tab Sex: FS_ Microchip: Date Given: 01/08/2019 Duration: 1 Year Due Date: 01/08/2020 Tag Number: 19-0012 Serial No.: 18053 Vaccine Type: Killed Vac. Name : Purevax Producer: Merial I hereby certify that I have vaccinated this animal in accordance with the company's recommendation for the vaccine used on the above date. x Signature : r� m Dr. Taylor Morrison Mar08 19 10:48a Thone Animal Care 4024266808 PA CITY OF BLAIP W 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 Namel t owner Address: city/statelzip: Blair, NE 68008 Phone# Lt69-q`1C1-�-l32 _ Drivers License # or Date of Birth -4 i!05Tla(, Z to q LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11.00 Replacement Fee for Lost Tag; $S.00 ***PLEASE READ CAREFULLY*** YOU ARE REQUIRI:b 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 /15/201Q. The City shall recogn�ze a microchip Identification number as the license number. It shall he unlawful for any dog or cat to wear any license or other city identificatlon other than that issued by the City of Blair for such dog or cat. The City of Blair requires proof of rables vaccination. Included Is a 5'tate Fee of 1.25 being collected to fund the Nebraska D99 & Cat Operator Inspection P ram PET #1 > Doo ❑ Cat ❑ Spayed Neutered License Fee $ Pet Name__, x;t g Aq e Sex Color _ w►,' _ / �,-z,, Breed * ll Replacement $ Declared Dangerous or P Potentially Dangerous Dog: ❑ Y X N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: _ 3-3-Jq (3 yr) (1 yr) ^�� City Tag # � � 'BT # 2 11 Dog ❑ Cat ❑ Spayed/Neutered Pet Name Color Breed ,* — Sex Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP #— (If applicable) RABIES VACCINATION DATE: (3 yr) License Fee $ Replacement $� ❑N SUBTOTAL; $ (I yr) City Tag # PET #'3 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Ace Sex Color Breed Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) License Fee $ Replacement $ ** SUBTOTAL; $ (1 yr) City Tag #• *PLEASE INCLUDE THE: CITY TAG NUMBER IF THIS IS A RENEWAL *"' (This fee is due along with License Fee if requesting at the time of license renewal.) Donation to case for animals; $1 $3 $5 $10 Other ***SEE BACK OF FORM FOR BREED SPECIFIC LICENSE REQUIREMENTS VISA ! MC # Signature Do IV& 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 +14•++++.1•+i-++•1-+++++++++.1.++++++++4.+++++++-h+++++++++•E++++++++++++++++++++++.++++++ NEW PE:7jNEW RESIDENT LICENSING REQUIREMENTS (March 15late fee date not applscablefor newpets/newresidents) NewiyAaiuired Pets, blew Residents to Blair: 9 Nkist be licensed within 10 days of ownership ■ Must register pets within 10 da s of N <DR> at 6 months of age if puppypitien residency. Tyhone Animal Care of Blair (402) 426-3630 902 S. Hwy 30 Blair, NE 6808 2019 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN BLAII, CITY LIMITS AND OWN A DOG(S) AND /oft CAT(S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO. CITY OF BLAIR - 218 S. 16TIl 57 - BLAIR,, N5 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN 'THREE (3) ADULT !?QO$ OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT, 9' PLEASE READ CAREFULLY*'' YraW ARE REQUIRED BY LAW TO LICENSE YOU PETS. Failure to do so is a violation of City Ordinances 6.10 and carries a penalty of a fine up to $150.00 per pet. PET LICENSE RENEWALS ARE DUE BY B S5 �019, The city shall recognize a microchip ID number as the license number. it shall be unlawful for any dog or cat to wear any license or other city Ill other than that issued by the city of glair for such dog or cat. NEW PET LICENSING Must be licensed within 10 days of ownership (OR) at F month$ of age if puppy or kitten N5W RESIDENTS TO BLAIR Must register pets within 10 days of residency Owner Name Spouse Owner Address City/State/Zip pt>torrZe # � DL # or POB PET # Vicki Herman 1965 Grant St Blair, NE 68008 402-426-3571 Pet Name: Luci Age: 19M hex: Spayed Fcuter: Wh/Blk 0reetl. • Havalinese i0eclared Dangerous/Potentially Dangerous Ctag 1W0 YES Microchip # Rabies Description: 171OWM Holstein Veterinary Clinic Dr. Lisa Schnan DVM & DA ,Kr!sta R01stein DVM 718 South 19th Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinic@gmail.Com City Tag # d Rabies 'II•'ag # LICENSE FEES Intact Dog or Cat: $16.00 ere D4 or Gat: $11. Replacement Tag $5.00 Total '$r uo— FAKED 02-18-19 1:37p BY TOTAL PAGES T©/TU 39ad DINI-10 i3A N=S-101-1 TOT89ZbZ©b Lb:bT 6TBZ/8T/Za 05/06/2019 16:25 4024260101 HOLSTEIN VET CLINIC PAGE 01/01 2019 PET LICENSE VERIFICATIONJAPPLICATION FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) ANb /bR CAT(S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF BILAIR, 218 S. 1,$TH ST BLEAR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADUT PETS, BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT, ***PLEASE READ'CAREFULLY*** YOU ARE H0,QIRED BY LAW TO LICENSE Yt7U PB ETS Failure to do so Is a violation of City Ordinances 6,1.03 and carries a penalty of a fine up to $150,00 per pet. PET LICENSE RENEWALS ARE DUE BY 3115/2019. The city shall recognize a microchip ID number as the license number_ it shall be unlawful for any dog or cat t4 wear arty license or other city ID otherthan that issued by the City of Blair for such dog or cat. NEW PET LICENSING Must be licensed within 10 days of ownership (OR) at 6 months of age if puppy or kitten NEW RESIDENTS TO BLAIR Must register pets within 10 days of residency Owner Name Ke(li Hermlanlson*• Spouse Owner Address 1429 Lincoln Street City/Mate/Zip Blair, NE 68008 Rhone # 402-427-3231 DL * or DOB PIET # Pet Name.- Newman Age; SY Sex: Male Breed: Min Poodle Declared Dangerous/Po Microchip # Rabies Description: DOB.- 03-15-14 Color. Copper ally Dangerous Dog Holstein Veterinary Clink Dr: Lisa Schrum DVM & Dr. Krista Holster DtiM 718 South 1916 Street Blair, NE 68008 $02-426-7387 402-426-0101 Fax holsteincilriic@gmail.com YES City Tag # � Rabies Tag # 16924 3 YEAR LICENSE FEES ntact D4 or at: $16.0 Altered Dog or cat: $11.00 Replacement Tag $5.00 Total $ �U FAXED 05-06-19 BY TOTAL PAI"aES 1 f1J' �Xf t poll CITY OF BLAIR - -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 15,201-&doll LICENSE FEES: Dog or Cat: $16.00 Owner Name: HIGHFILL, ALEX C & AMANDA A Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Owner Address: 622 N 21 ST ST Fee includes $1.00 for the Nebraska Dog and Cat Operator Inspection Program City/State/ZIP: BLAIR, NE, 68008--0000 Phone #: <NO PRIMARY PHONE> Drivers License #:H12882281 or Date of Birth: 10/20/1986 I Subtotal licensed pets from below: pL) Replacement Tags from below: Name: Bella DOB: Not on File Sex: Female License Fee $ Color: Grey Breed: Weimaraner Replacement: Spayed/Neutered: True Dangerous Dog: OY ON Mirochip # 042124895 Potentially Dangerous: City Tag # 135 Vaccination Date.�902 14 Duration: 3 year vaccine Vaccine Exp: 9J /20' 7 Total: 5 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: ?., ;fir/ Owner Address: 9 �C' 144"Ju-a r City/State/Zip: Blair, NE 68008 Phone # 1!`0 4 - & 5-1 ® y -�t X Drivers License # or Date of Birth l j / 10 Z t. LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11.00 Replacement Fee for Lost Tact: $5.00 ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3/15/2019. The City shall recognize a microchip Identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city Identification other than that Issued by the City of Blair for such dog or cat. The City of Blair requires proof of rabies vaccination. Included is a State Fee of $125 being collected to fund the Nebraska Dog & Cat operator Inspection Program PET # 1 a Dog ❑ Cat Spayed/Neutered License Fee $ i r j. Pet Name Acl* ��Sex Color 6 $ ec, Breed �er Replacement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y iC N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: f t (3 yr) (1 yr) City Tag # 2 �6 PET #2 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Aye Sex ** Color Breed * Replacement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Aye Sex Color Breed * Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ 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 (Marchl5/ate tee datenotapplicablefornewpets/new residents) Newly Acquired Pets: New Residents to Blair: ■ Must be licensed within 10 days of ownership ■ Must register pets within 10 days of ■ <OR> at 6 months of age if puppy/ktten residency. Date of Rabies Vaccination: 06-01-18 Next Rabies Vaccination On: 05-31-21 VETERINARY CLINIC Countryside Small Animal 1306 Stevenson Fort Calhoun, NE 68023 402-468-4060 This is to certify... Certificate No: 0 Previous Rabies Vaccination: OWNER OF ANIMAL Rachel Highfill 820 Meadow Dr, Blair, NE 68008 County: THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Wrigley TAG NO: 18-0648 SPECIES: Canine WEIGHT: 82.40 SEX: S AGE: 8 years BREED: Weimaraner Color and markings... Silver Signed Kaycee Points License: Vaccinations done... 06-17-19 KNP Canine DA2PPL 06-16-20 06-01-18 KNP Canine Rabies Vaccn, 3 yr, #18-0648 05-31-21 Rabies Vaccine Information... MFG BY: ZOET SER.NO: 236501 C I LOT EXP: 11 Dec18 ADM: Sq Sep 28 19 09:61 a Thone Animal Care 4024265808 PA 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 * 21.8 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: Owner Address: L-,!S--q �Jc`�. I SALA_ �A cityistate/Zip: Blair, NE 68008 Phone # J ai - -4A 03c'-.1 Drivers License # or Date of Sirth � 1 C) LICENSE FEES: Dog or Cat:: $16.00 Altered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 IS a State Fee ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR Mrs. 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 DUB BY 3LASL2016. 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 fund the Nebraska Doa & PET #1 Dag ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Nam t-,ry3p:5 AgeSex Color Breed * AWjr%ea _ Replacement$ *x Declared Dangerous or Potentially Dangerous Dog: ❑ Y N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE:! ,'-a-)!� (3 yr) (1 yr) City Tag #— I,,.. PET #2 ❑ Dog CI Cat ❑ Spayed/Neutered Pet Name A�e _ Sex Color Breed Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ W (1 yr) License Fee $ Replacement$. ** SUBTOTAL: $ City Tag ai# PET #3 0 Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Aq e 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 C[TY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Donation to care for animals: 1 $3 $5 _ $10 other ***SEE BACK OF FORM FOR BREED SPECIFIC LICENSE REQUIREMENTS Do Not Send Cash by Mail TOTAL ENCLOSED $ VISA / MC # Expires: Securiiy Code: Signature If you have questions, please contact City Hall at (402) 426-4191 or by Fax: (402) 426-4195 +++-I-++-I. ++ +++++++++++++.E+ ++++++++++-I• ++++++++++++++++++ +++a. ++++++++++++++++-F ++++ NEW PET/NEW RESSIDENT LICENSING REQUIREMENTS(March 15late fee date not app/icablefor newpets/newnsldents) Newly Acquired Pets: New Residents to Blair: III Must he licensed within 10 days of ow-ffshiip ■ Must register pets within 10 days pf N <qR> at 6 months of age if puppytkitten residency. I'fl ne Animal Hospital (402) 426-3630 902 S Hwy 30 Blair, NE 68008 MAR-11-2019 14:17 FrowUline Transport 4023323303 To:4024264195 Pagle:2,2 V Ci t -IN Date of Vaccination: 03-15-18 Certificate No. 35 Next Vaccination on: 03-14-21 Previous Vaccination* VETERINARY CLINIC OWNER OF ANIMAL Pet Vaccination Clinic Tracy Hineman 2011 S. 120th St. $50 N 14th St Omaha, NE 08144 Blair, NE 68008 A02-480.3393 (402) 714-2703 This is to certify... THAT I HAVE VACCINATED THE ANIMAL DESCRIBED BELOW AGAINST RABIES Patient information — PATIENT: Kitty TAG NO: SPECIES, Feline GREED; SEX: Spayed Female AOE: WEIGHT: 0.00 lbs COLOR, MICROCHIP: MFG BY: ZOE `/' tdpnto Pa-gi, 4VK4 License: IX4 Othor Vaccinations.., 002469 Domestic Shorth-sir 4 years Black and White IvIAR-11-2019 14:16 Frurn:Uline Transport 4023323303 To:4024264195 Page:1/2 Date of Vaccination, 03-15-18 Cgrtificate No. 34 Noxt Vaccination on: 03-14-21 previous Vaccination; VETERINARY CLINIC owNEk OF ANIMAL Pat Vaccination Clinic Traoy Hinernan 2911 S. 120ih St, 860 N 14th St Omaha, NE 66144 Blair, NE 68008 402-480-3393 (402) 714.2793 This is to certify... THAT I HAVE VACCINATED THE ANIMAL DESCRIBED BELOW AGAINST RASIES. Patient information... PATIENT: Bella TAG NO: 002468 SPECIES: Oonine BREED, Chihuahua Mix SEX: Spayed Female AGE: 6 years WEIGHT: 0,00 lbs COLOR: Fawn MICROCHIP; MFG BY, ZOETI, SVML,4f9614, I "R 41S-yo? 8, --"IN, 80, ;�� 14 Signtd: se: 161 Othor Vaccinations... GAiT��aNm9 ' CITY OF BLAIR 2018 PE T 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. 2018 Owner Name: Owner Address: City/State/Zip:B�lair, NE 68008 Phone # ` 1u'i �`,OA VA C1 �rc� Drivers License # or Date of Birth �i OS 01 LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11.00 t T • $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 3/1512018. The City shall recognize a microchip Identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city Identification other than that Issued by the City of Blair for such dog or cat, The City of Blair requires proof of rabies vaccination. Replacement Fee for Los ag. An additional State Fee of $125 is being collected to fund the Nebraska Dog & Cat Operator Inspection Progra PET # 1 ®° Dog ❑ Cat � eutered License Fee $_ Pet Name rt) Sex ** A�e Color f D Breed—, t C . o Replacement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y ® SUBTOTAL: $ jjv— MICROCHIP # (If applicable) RABIES VACCINATION DATE: ° IL� ; 2- I (3 yr) t,-� (1 yr) City Tag # o_v PET #2 ❑ Dog LO Cat S aged Neutered License Fee $ --1� u A e Sex ColoPet r 1 Breed* rV1 ` k Replacement $ Declared Dangerous or Potentially Dangerous Dog;ca❑ble ®IN SUBTOTAL: $ MICROCHIP # (If pp ) City Tag # RABIES VACCINATION DATE: - .. i`A ' 2-- 9 (3 yr) (1 yr) PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Ay* Sex Replacement $ ** Color Breed Declared Dangerous or Potentially Dangerous Dog:cL3 ❑ N SUBTOTAL: $ MICROCHIP # ( If applicable) ) City Tag # RABIES VACCINATION DATE: ( Y) (1 yr ) *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if reguesting at the time of license renewal.) Donation to care for animals: $1 i$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 fleNe Rde not esidents to Blair: iornewpets/newresidenis) Newl A uired Pets: ■ Must register pets within 10 days of ■ Must be lioensed within 10 days of ownership residency. ■ <OR> at 6 months of age if puppy/kitten CERTIFICATE,O,F VACCINATION Date of Vaccination: 03-15-18 Next Vaccination on: 03-14-21 VETERINARY CLINIC Pet Vaccination Clinic 2911 S. 120th St. Omaha, NE 68144 402-480-3393 Certificate No. 35 Previous Vaccination: OWNER OF ANIMAL Tracy Hineman 850 N 14th St Blair, NE 68008 (402) 714-2793 This is to certify... THAT I HAVE VACCINATED THE ANIMAL DESCRIBED BELOW AGAINST RABIES. Patient information... PATIENT: Kitty TAG NO: 002469 SPECIES: Feline BREED: Domestic Shorthair SEX: Spayed Female AGE: 4 years WEIGHT: 0.00 Ibs COLOR: Black and White MICROCHIP: MFG BY: Z1614,jC RE 8 22/1 DMI ' S SignL Monte Pa 1i, D M License: 1/ff14 Other Vaccinations,.. 'CERT'IFICAT"E -QF VACCINATION Date of Vaccination: 03-15-18 Certificate No. 34 Next Vaccination on: 03-1 21 Previous Vaccination: VETERINARY CLINIC OWNER OF ANIMAL Pet Vaccination Clinic Tracy Hineman 2911 S. 120th St. 850 N 14th St Omaha, NE 68144 Blair, NE 68008 402-480-3393 (402) 714-2793 This is to certify... THAT I HAVE VACCINATED THE ANIMAL DESCRIBED BELOW AGAINST RABIES. Patient information... PATIENT: Bella TAG NO: 002468 SPECIES: Canine BREED: Chihuahua Mix SEX: Spayed Female AGE: 6 years WEIGHT: 0,00lbs COLOR: Fawn MICROCHIP: 1 1 X d AD IN: SQ. MFG BY: ZOETI, SE 7aL > 2 614, PI S: //18, Signed 4'nt Gli, 1/M License:161,4. Other Vaccinations... I y 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: _ `" __.= & Tonya Hipnar Owner Address: S332-St Hwy133- City/State/ZIP: Blair, NE 68008--0000 Phone* ( - . "= -09 14 o-2 - 0 ' 3 " Drivers License #:G29007312 or Date of Birth: Name: Max Color: White Spayed/Neutered: True Mirochip # Vaccination Date: 3/29/2017 LICENSE FEES: Dog or Cat: $16.00 Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Fee includes $1.25 for the Nebraska Dog and Cat Operator Inspection Program Subtotal licensed pets from below: 11 Replacement Tags from below: DOB: 1/1/2014 Sex: Male Breed: Lhasa Apso Duration: 3 year vaccine Vaccine Exp: 3/29/2020 License Fee $'r 9 Replacement: ❑Y ZN City Tag # 1409 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: Tonya Hipnar Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Owner Address: 9332 St Hwy 133 Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008--0000 Operator Inspection Program Phone #: (07a-N v,?- ° --3`70 Drivers License #:G29007312 or Date of Birth: Name: Jacobi Color: Brown/Tan Spayed/Neutered: True Mirochip # Vaccination Date: 5/21/2016 Subtotal licensed pets from below: i( Replacement Tags from below: DOB: 1/1/2008 Sex: Female Breed: Mix Breed Duration: 3 year vaccine Vaccine Exp: 6/21/2019 License Fee $ Replacement. ❑Y M,N City Tag # 673 Total: i jib 06/08/2019 10:32 4024260101 HOLSTEIN VET CLINIC PAGE 01/01 2019 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT(S), COMPLETE THIS 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 BYLAW IQ LICENSE YOUR PETS, Failure to do so is a Vi6atlon of City Ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSE RENEWALS ARE DUE BY 313.5/7019, 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 hs of age if puppy or kitten NEW RESIDENTS To BLAIR Most register pets within 10 days of residency Owner Name Helen Hoer, Spouse , John Owner Address 1227 Adams St. City/State/Zip Blair,, NE 68008 Phone * 402-660-8866 DL # or DOB PET # Pet Name. Tonka Age: 9Y DOB. 05-22-10 Sex: Neutered Male Color, Dark Tiger Breed: Dsh Declared Dangerous/Potentially Dangerous Dog NO YES Microchip # City Tag# 0 Rabies Tag# M "'EM" m Rabies Vescriptilon: 3 YEAR Holstein Veterinary Clinic Dr. Lisa Schrum DVM & Dr. Krista Holstein DVM 718 South 19th Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinic@gmail.com LICENSE FEES Intact Dog of Cat: $16.00 tered Q Or cat: $ 11.0 Replacement Tag $5,00 Total $ \\'oo FAXED 06-08-19 BY TOTAL PAGES v 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: Nancy Hoffman Spayed/Neutered Dog or Cat: $11.00' Replacement Fee for Lost Tag: $5.00 Owner Address: 2102 Nebraska St Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008 Operator Inspection Program Phone #: (402) 960-8623 Drivers License #: or Date of Birth:'_ Subtotal licensed pets from below: Replacement Tags from below: Name: Mac DOB: 10/15/2016 Sex: Male License Fee $ v Color: Tri-Color Breed: German Shepherd Dog Replacement: ❑Y ON Spayed/Neutered: True Mirochip # 985112008167709 City Tag # 2112 Vaccination Date: 2/26/2018 Duration: 3 year vaccine Vaccine Exp: 2/26/2021 Total: CITY OF BLAIR - 2019 PET LICENSE VERIFICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete/verify this form and return with check made payable to: City of Blair * 218 S 16th St. * Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2019 LICENSE FEES: Dog or Cat: $16.00 Owner Name: Mark And Beth Holdridge Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Owner Address: 1222 Westridge Dr Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008-0000 Operator Inspection Program Phone #: (402) 429-3521 Drivers License #:H12710500 or Date of Birth: 1/21/1970 Subtotal licensed pets from below: Replacement Tags from below: Name: Chevelle Color: Brindle Spayed/Neutered: True Mirochip # 985112006955476 Vaccination Date: 6/3/2016 DOB: Not on File Sex: Female Breed: Greyhound Duration: 3 year vaccine Vaccine Exp: 6/3/2019 License Fee $ Replacement: ❑Y P(N City Tag # 1939 Total: A Go , r yj ` . 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: Dana Holler Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Owner Address: 1952 Nebraska St Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008--0000 Operator Inspection Program Phone #: (402) 215-9091 Drivers License #: or Date of Birth: 5/19/1964 Name: Kiki Color: Brindle Spayed/Neutered: True Mirochip # Vaccination Date: 3/30/2018 Subtotal licensed pets from below: Replacement Tags from below: DOB: 1/1/2015 Sex: Female Breed: Boxer Duration: 3 year vaccine Vaccine Exp: 3/30/2021 License Fee $ Replacement: ❑Y ❑N City Tag # 1686 Total: L tF 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: Judi Holling Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Owner Address: 710 N 18th Ave, Unit 3D Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008 Operator Inspection Program Phone #: (402) 504-2514 Drivers License #: or Date of Birth: 7/15/1957 Name: Tigger Color: Tabby Spayed/Neutered: True Mirochip # Vaccination Date: 6/4/2016 Subtotal licensed pets from below: Replacement Tags from below: DOB: 1/1/2011 Sex: Male Breed: Domestic Shorthair Duration: 3 year vaccine Vaccine Exp: 6/4/2019 License Fee Repllaement: ❑Y INN City Tag # 1490 ICJ 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: Emily Hollis Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Owner Address: 346 S 20th St Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008 Operator Inspection Program Phone #: (402) 960-7762 Drivers License #:H12589218 or Date of Birth: 10/29/1982 Subtotal licensed pets from below: , Replacement Tags from below: Name: Sir Chapman DOB: Not on File Sex: Male License Fee $ 0 Color: Cream Spayed/Neutered: True Mirochip # 981020005718563 Vaccination Date: 5M12015 Breed: Mix Breed Duration: 3 year vaccine Vaccine Exp: 51281-2018`" Replacement: ❑Y ON City Tag # 1690 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: Michael & Vicky Holmstedt Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Owner Address: 1318 Colfax St Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008--0000 Operator Inspection Program Phone #: (402) 426-3087 Drivers License #: or Date of Birth: Name: Lily Color: Black/Brown Spayed/Neutered: True Mirochip # Vaccination Date: 05/22/2018 Subtotal licensed pets from below: Replacement Tags from below: DOB: 01/31/2013 Sex: Female Breed: Mix Breed Duration: 1 year vaccine Vaccine Exp: 05/22/2019 License Fee $ Replacement: ❑Y ON City Tag # 2404 Total: FRDM :BSAC FAX NO. :402-533-2722 _ _ Feb. 20 2010 10:38AM P1 CITY OF BL,AIR 2018PET LICENSE ADDITIONS If you live in Blair City iimo and own a d09(8) and/or ost(s), oomplete/verify this form and return with oherk made Payable to; City of glair * 218 S. 1$th St. * Blair, NE 68008 You MAY legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats par residential or dwelling unit. LICENSE RENEWALS ARE DUE, March 15,2010 Owner Name: Sandra HQloubek -�, YU � Owner Address: mat': 7 ^ City/State/ZIP, Blair , NE 68008--0000 Phone #: (402) 238-5843 Drivers License #: Qr Date of Birth: LICEN$E FEES, Dog or Cat: $16,00 Spayed/Neutered Dog or Cat: $91,00 Replacement Fee for Lost Tag: $s.00 Feb Includes $1.00 for the Nebraska Dog and Cat Op©rator inspection Program Subtotal licensed pets from below, -AU - Replacerment Tags from below. Total: d/Neutered License Fee $ Pet Name �� Pet bQB2) Sex Color _--_}IC��1� breed* t e k Declared Dangerous or Potentially dangerous Dog? El Y% N Microahlp # __ Rabies Vaccinat'on Date �q 1 Yr . , � © Dog []Cat El Spayed/Neutered License Fee $ Pet Name Age _, � Sex Color Ereed** FROM !DSAC FAX NO. :402-533-2722 Feb. 27 2019 12:23PM PI CITY OF BLAIR - 2019 PET LICENSE VERIFICATION If you live in Blair City limits and own a dogs) and/or cat(s), complete/verify this form and return with check made payable to: City of Blair" 218 t 1 Oth St. * Blair, NE 68008 You may legally own a combination of four (4) adult pets, but n6 more than three (3) adult dogs, or three (3) adult cats per resldontlal or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2019 LICENSP 511:15S. Dog or Cat; $16,vv Owner Name: Sandra Holoubek Spayed/Neutered Dog or Cat., $11.00 Replacement Fee for Lost Tog; $5,00 Owner Address: " 2290 WrigI.-tt St,: #208 Fee Includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008--0000 operator inspection Program Phone #; (402) 238-5843 "!z (I Drivers License or Date of Dirth; --j <) Subtotal'ticensed-pets from Wow-, - Replacement Tags from below: Name: Hannah Color, Brindle Spayed/Neutered: True Mlrochlp # Vaccination Date; 3124/2016 DOB., 312512000 Sex: Female Breed: Mix Breed Duration: 3 year vaccine Vaccine Exp; 3/2412019 License Fee Replacement; 0Y [3 N City Tag # 1433 Total: CITY OF BLAIR - 2019 PET LICENSE VERIFICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete/verify this form and return with check made payable to: City of Blair * 218 S 16th St. * Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2019 Owner Name: Audra Holstein Owner Address: 768 S 16th St, Apt 464 City/State/ZIP: Blair, NE 68008 Phone #: (402) 719-2201 Drivers License or Date of Birth: LICENSE FEES: Dog or Cat: $16.00 Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Fee includes $1.25 for the Nebraska Dog and Cat Operator Inspection Program Subtotal licensed pets from below: Replacement Tags from below: Name: Fred DOB: Not on File Sex: Male Color: Black Breed: Domestic Shorthair Spayed/Neutered: True Mirochip # Vaccination Date: 3/2/2018 Duration: Vaccine Exp: 3/2/2020 License Fee $ Replacement: ❑YVN City Tag # 2309 Total: 2019 PET LICENSE V'ERIFICATION/APP'LICATION 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 $LAIR. — 218 S. 16" ST -- BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUL? (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 REQU{RFD BY L&W TO Ll. EN�UR PETS, Failure to do so is a violation of city Ordinances 6,103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSE RENEWALS ARE DUE BY 3 i5 2019. The city shall recognizes a microchip ILA 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 0 cat. NEW PET LICENSING Must be licensed within 10 days of ownership (OR) at b months of age if puppy or kitten NEW RPSIDENTS TO BLAIR Must register pets within 10 days of residency Owner Name spouse owner Address City/state/Zip Phone # DL # or DOB Krista Holstein 2237 Wright Street Stair, NE 68008 402-616-7785 PET # pet Name: Finley Age: 22M Sex: Female Color: Gold Breed-. Golden (Retriever peciared Dangerous/potentially Dangerous Dag N0 YVS Microchip # 985112008334127 +,,'ras �'4td�..a d.( fin „{'' �'?�:,,,t�tsa;du�lt •a u�;�.�•ti.r.�.J Ptabies Description: 1 YEAR Holstein Veterinary Clinic Di: Lisa ,Schrum DTfM a Dr: ,Krista Holstein DVM 718 South 191h Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinicf tmail-cOm City 'rag # � ` L Rattles Tag ## 16194 I "N ?NA TOTAL PAGES LICENSE FEES Intact Dog or Gat: $16,00 Dog or cat: $11.00 Replacement Tag $5.00 Total 01-24-19 5 :43 p P TU/TU 39bd OINI-10 13A NI3iS-10H TUT993b3db 6b:LT 6TO7,/bZ/Ta 03/07/2019 17:30 4024260101 HOLSTEIN VET CLINIC PAGE 02/07 2019 PET LICENSE VERIFICATION /APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT(S), COMPLETE THIS FORM AND RETURN WITH A CHOCK PAYABLE TO: CITY OF BLAIR - 218 S. 16TH ST - BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to dp$Q 15 a violation of City Ordinances 6,103 and Carrle5. a penalty oFa fine up to $150.00 per pet. PET LICENSE RENEWALS ARE DUE BY 3/15J2019. The city shall recognize a microchip ID number as the license number. It shall be unlawful for any dog or cat to wear ahy 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 RFSIDFNTS TO BLAIR Must register pets within 10 days of residency Owner Name Ashley Hopple Spouse Adam Hopple Owner ,Address 211 Jackson Street City/State/Zip --P—hane Blair,, NE 68008 # 402-8711-8560 DL # or DOB PET # Pet Name-, Pebbles Age; 7Y Spayed Female Color: Tan 13reed: Chow/Lab Declared Dangerous/ Potentially Da ing eroui —Dog —( " S YES I Y, Microchip # City Tag erv'l Mce FJ�IRabies Tkml--5'11�� Tag # IL4301 Rabies Description: I YEAR 3 YEA Holstein Veterinary Clinic Dr. Lisa Schrum DVM & Dr. Krista Holstein DVAI 718 South 19th Street Blair, NE 68008 02-426-7387 402-426-0101 Fax hoIste!nclinic@grnaiI.com LICENSE FEES Intact Dog or Cat: $16.00 Altered---, or cat: $11,00 Replacement Tag $5.00 ' Total FAXED 03-07-19 4,31p BY TOTAL PAGES 03/07/2019 17:30 4024260101 HOLSTEIN VET CLINIC PAGE 03/07 2019 PET LICENSE VERIFICATION/APPLICATIQN FOR CXTY 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. 161-" 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 BEAD CAREFULLY*** YOU ARE R£QUIitED eY LAW TO LICENSE YC7UFt 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 numberas 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 Ashley Hopple Spouse Adam Hopp►le owner Address 211 Jackson Street City/State/Zip Blair, NE 68008 Phone ai# M 402-871-8560 DL # or POB 01ET #. Pet Name; Bam-Bam Age: 6Y sex: Neutered Male color: White Breed: Lab MIX Declared Dangerous/Potentially oang+erouis Dog NO YES Microchip # City Tag # �' yy �: 1 , rI,S 1, , • �I! ♦ i 1 1 AI ) 1)IV,i h',i t;!;b,' ; a i.....;,:!'' I'�4� 1+1 Ili1' Rabic s7a�/� # 14302 9 Rabies Description-, 1 YEAR YEAR Holstein Veterinary Clinic Dr. Lisa Schrum DVM & Dr, KKrista Holstein ,DVM 718 South 19th Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinic@gmaii.com LICENSE FEES Intact Dog or Cat: $16.00 CoAIter'edr cat: $11.00 Replacement Tog $5.00 Total $ FAXED 03-07-19 4:30p 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: Kevin & Lisa Horak Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Owner Address: 664 N 2nd St Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008--0000 Operator Inspection Program Phone #: (402) 278-0290 Drivers License #: or Date of Birth: Name: Brandi Color: Golden Spayed/Neutered: True Mirochip # Vaccination Date: 7/1/2017 Subtotal licensed pets from below: Replacement Tags from below: DOB: 1/1/2013 Sex: Female Breed: Labrador Retriever Duration: 3 year vaccine Vaccine Exp: 7/1/2020 License Fee $ Replacement: ❑Y ON City Tag # 1286 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: Kevin & Lisa Horak Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Owner Address: 654 N 2nd St Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008--0000 Operator Inspection Program Phone #: (402) 278-0290 Drivers License #: Name: Bernadette(Bernie) Color: White Spayed/Neutered: True Mirochip # Vaccination Date: 1,0/20/-�017 , or Date of Birth Subtotal licensed pets from below: Replacement Tags from below: DOB: Not on File Sex: Female Breed a _b. Duration: 1 year vaccine Vaccine Exp: 1,0/20/201_5... License Fee $ Replacement: ❑Y ON City Tag # r.2398 r 3 � k Total: f d 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: Steven & Michelle Widhalm-Hosch Owner Address: 806 N 24th Ave City/State/ZIP: Blair, NE 68008--0000 Phone #: (402) 533-2119 Drivers License #: Name: Echo Color: Black/White Spayed/Neutered: True Mirochip # Vaccination Date: 10t�t or Date of Birth: LICENSE FEES: Dog or Cat: $16.00 Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Fee includes $1.25 for the Nebraska Dog and Cat Operator Inspection Program Subtotal licensed pets from below: Replacement Tags from below: DOB: 11-6°/20'14"Sex: Female Breed: Domestic Shorthair 2016 Duration: year vaccine ,- I Vaccine Exp: 1Q/2&/2Qf8 1 License Fee $ Replacement: ❑Y ON City Tag # 1630 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: Steven & Michelle Widhalm-Hosch Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Owner Address: 806 N 24th Ave Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008--0000 Operator Inspection Program Phone #: (402) 533-2119 Drivers License #: Name: Lucky Man Color: Tabby Spayed/Neutered: True Mirochip # 985121007785788 Vaccination Date: 311°4120 "-/h19 - or Date of Birth: 4/13/1966 Subtotal licensed pets from below: Replacement Tags from below: DOB: 3/ 361201-3,Sex: Male Breed: Domestic Shorthair Duration: year vaccine Vaccine Exp: 3IJA/2048 License Fee $ Replacement: ❑Y ON City Tag # 989 Total: p- A-- 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: Steven & Michelle Widhalm-Hosch Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Owner Address: 806 N 24th Ave Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008--0000 Operator Inspection Program Phone #: (402) 533-2119 Drivers License #: Name: Little Sister Color: Tabby Spayed/Neutered: True Mirochip # 985121006653703 Vaccination Date: 4/5/201-6 or Date of Birth: Subtotal licensed pets from below: Replacement Tags from below: DOB: 9/24/2010 Sex: Female Breed: Domestic Shorthair Duration: year vaccine Vaccine Exp: AM20" License Fee $ Replacement: ❑Y ON City Tag # 990 Total: 07/12/2019 15:21 4024260101 HOLSTEIN VET CLINIC PAGE 01/01 2019 PET LICENSE VERIFICA.TION/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 CHLCK 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 THRIrE (3) ADULT DC)GS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. ***PLEASE READ CAREFULLY"* YOU ARE,RECIUIRED BY LAW TQ LICENSE YOUR PETS. Failure to do SO is a violation of City Ordinances 6,103 aqd carries a penalty of a fine up to $1$0.00 per pet. PET LICENSE RENEWALS ARE DUE f3Y 3 S5 Zq% 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 NFW RESIDENTS TO BLAIR Must register petty within 10 days of residency owltuer Name Kiley Huber spouse Nate owner Address 2010 Fieldcrest Dr city/State/Zip 131Bir, NE 68008 Phone # 402-426-3499 taL # or DOS T # Pet Name." Marlowe Age, 3Y sexa 'Spayed Female greed: Fr Bulldog DOB: 06-24-16 Color", Blue Declared Dangerous/Potentially Dangerous Dog i NO I YES Microchip # 085112007412259 Rabies Description: 1 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 city Tag # Rabies Tag # 15905 1_4 FAXED 07-12-15 BY TOTAL PAGES LICENSE FEES Intact Dog or Cat: $1.6.00 altered Dry 0 Replacement Tag $5.00 Total 1 � J FROM :BSAC FAX NO. :402-533-2722 Mar. 05 2019 04:22PM P1 Dm A. 2018 2:53PM CITY OF KAIR No, 8225 P, I CITY OF BLAIR - 2019 PET LICENSE APPLICATION If ycw live in Blair City limits and own a dog(s) and/or r-at(s), camplete this forth and return with check mare {payable tot City of Blair 9 2.18 S. Ifith St. # S19dry NE 68008 you moV legally own a combination of four (4) ndult pets, but: no mdre than throe (1) Od(Ult dugs or three (3) adult cata per residential oN dwelling Unit. LICENSE RENEWALS ARE DUE! r 9— Owner flame; (11, 1 Wt LI Own er Addresai 101 th I S/ t iy city/'state/zlp. Blair, No 68008 l� Phone # HO(I\" bsl� Drlu+ers 11cenaet lit 6r DatA of Ritth LICtENSE FEES.- Ong or Ot, $iR,,00 Altered vog or twat: $j:t,00 Reel, came nt Poe for Lost Tag: $5.00 An additional else Fee of 11.25 is [alma vollectnd bu fond **'*pL EWigC0IiKjI,1y*-** YOU ARV REQUIRED RY LAW TO LiCt;fdSL YOUR PETS. Ealhlrg 46 do tga 10 a Vlolatlan AF City oe4wbhGas 6,103 and carries a penalty of a fine tip to rrar 130, pliT I,ICENVIN RVNEWALS ARE DUE 6)( Ujfr jW&. Tha Cib1 situp reconolze a mlcrorhip IdentlRcatlon number as the Ilcense number. 7t ehall ba VA[ONrul ftlt any dog or rat, bo wear any IlcGlpsti or other tlty Identikation othat than th-at KAM by tho City of Blair for ttuch dap or cat. The cttyor4lplr rmgalr" proof of vables vaccination, PET # 1 Dog Q C Iqt A Spayed/Neutered Licisno e, Fee $ Pet Name AgL, I Sox Color breed "* Replacement$ � - Decial•ed Dangerous or Potentially Dangerous Dog: li Y N MICROCHIP #� _.-- T (If appllc4b SUBTOTAL; $ RABIES VACCINA-17TON DATE: Yr) I- (I yr) . .. CityXag #(—d 5 -) � PEA' #2 )6 t) o q �i Car >�Spayed/Nauteradd � I p License fee $ poi: eta` v U ex j r�ld C+�iar � Breed�v Declared Dangerous or Potentially Dangerous Dog: L Y N MICROCHIP # t applic l�le) SUOTOTAL: $ RABIES VACCINAT ON DATE: klerVPL (3 yr) � (1 yr] Cif/ Tag �'—* PET #3 � 6 © Cot Spay 4ftutered License Fee $ Pet Name � l bye mvSS x l!1 1 Color � w. " t —�ld � Replacement $ s� � Declarer) Dangerous or Potentially Dangerou D0 : 0 Y � N MICROCHIP � W _ (If applIcable) SUUTOTAL." $ _. RAWS VACCINATION DATE., Q 3l *�l- D' P yr) _ (t yr) , atj/ Tag # *PURSE INCLUDE WIF CM TAO NUMPER1PTHIS IS A RENEWAL ** (This fee Is due along with License Fee if requesting at tha Billie of Ikeose raviowaQ Donation to ttbre for 1dhlittals,. _., $1 _.., $3 .� _. $5 $10 Other ***M 13ACK OF FOR14 FOR 81113EG SPECIPM LICENSE kNQUil�l/E�NTS 00Hui'Send' Cotph by Malt TO irnuiML ENCLOSED $ VISA / Mc # Expires: 88r,.urity Corm: If you have questionsi pleaee Contact City Hail at (402) 426-4191 or by Fax., (402) 426-405 **,I,+`l-4,41+ ++4.++++++++++++++++.+�w+++ttt�r�r+++t+t++++++++++++++++++ NFW PFr/NLW RESTDEN T IICF!NSXNi9 REQ> T,PXMEhITS (Klatch 1514ty � da►- not ap�limbles fvrnervpd08ivt�lrY'ents) 4!(Y IIl NI" ealdagw to Blalro Mu be lioa+�sed In o days of pwi�et �Ip R MuaC Pb-g ,5 el, psth; within 10 clay; of M FOR-, ht 6 n'onths of agp W puppy/kn@n thiclency, Blair Small Animal Clinic PC x . David E. Johnson DVM 1734 Front Street Blair, Nebraska, 68008 (402) 533-2722� 1 Rabies Certificate Patient ID: 2334 Client ID: 1229 Patient Name: Gracie Client Name: Denny & Mary Hughes Species: Canine Address: 2038 Jackson Street Breed: Maltese Blair, NE 68008 Sex: Spayed Female Color: White Phone: (402)426-5451 Markings: Birthday: 05/04/2008 Weight: 9.37 pounds on 10/19/2017 Tag Number: 4741 Lot Number: 18373 Imrab Rabies Vaccine Producer: Merial K / MLV / R: Killed Virus Vaccination Date: Expiration Date: Staff Name: David E. Johnson DVM License Number: 1893 8/14/2018 8/14/2021 �or� Blair SmaUAnimal Clinic PC�- ou�� David E.Johnson DVM ' 1734Front Street Blair, Nebraska, 68008 (402)533-2722 +4 r / Rabies Cert ificate / �< ° Patient ID: 2333 Client ' |D' 1229 Patient Name: Maggie Client Name: Denny QMary Hughes Species: Canine Address: ' 2038J�ckuonS�oo� Bread: Maltese Blair, NES80U8 Sex: Spayed Female Color: White Phone: (402)420-5451 Markings: Birthday: 05/04/2008 Weight: 7.03pounds on8/15/2Oi7 Tag Number,._ 47AQ_ Lot Number: 18373 |nnnab Rabies Vaccine Producer: Mohe| K/MLV/R: hJ|l edVlma Vaccination Date: Expiration Date: Staff Name: David E.Johnson QVM License Number: 1803 8/14/2021 8/14/2018 l 4 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 (-, I f I 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: qu�1 Owner Address: City/State/Zip: Blair, NE 68008 // Phone # �q()p)A15'ow3b 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 311SL2019. The City shall recognize a microchip identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city Identification other than that Issued by the City of Blair for such dog or cat. The City of Blair requires proof of rabies vaccination. Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat PET # 1 a Dog ❑ Cat 4�d Spayed/Neutered License Fee $ Pet Color a Breed>r* Lot 10 Replacement $ ** Declared Dangerous or Poten ally Dangerous Dog: ❑ Y D' N MICROCHIP # I - (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: i Y (3 yr) ,(1 yr) City Tag # PET #2 2 Do ❑ Cat -Er Spayed/Neutered License Fee $ Pet Name 5 C Age �_ Sex �_ Color Breed" ao Sh Replacement ** Declared Dangerous or Potentially Dangerous Dog: ❑ N MICROCHIP # ` ' ' I ` _ (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: � _ 2 (3 yr) L (1 yr) City Tag # ., AJ PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Aye Sex ** Color Breed * Replacement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Donation to care for animals: $1 $3 $5 $10 Other ***SEE BACK OF FORM FOR BREED SPECIFIC LICENSE REQUIREMENTS Do Not Send Cash by Mail TOTAL ENCLOSED $ VISA / MC # � �i ►c3a Expires: Od-rZ a Security Code: /9'7 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 not applicable for newpets/new residents) Newly Acquired Pets: New Residents to Blair: ■ Must be licensed within 10 days of ownership ■ Must register pets within 10 days of ■ <OR> at 6 months of age if puppy/kitten residency. Countryside Small Animal 1306 Stevenson PO Box 119 Fort Calhoun, NE 68023 402-468-4060 Printed: 06-14-19 at 11:31a CLIENT INFORMATION Name Ashley Hull (2529) Address 1417 Fieldcrest Drive Blair, NE 68008 Phone 402 215-2836 PATIENT INFORMATION Name Stella (6198) Sex Female, Spayed ,—Birthday 09-09-16 _ C. D 985112008044795 Color Sable - Reminded 04-04-19 Reminders for: Stella Species Canine Breed Shepherd, German Age 2y Rabies 18-0500 Weight 65.40lbs Codes Last done Patient Chart 04-22-21 Canine Rabies, 3 y 04-23-18 06-13-20 Canine DA2PP-L 06-14-19 04-23-19 Heartworm Test, Antigen 04-23-18 Stella's weight history (in Ibs) 06-14-19 65.40 01-28-19 67.00 MEDICAL HISTORY - Vaccination View Date By Code Description Qty (Variance) Photo 06-14-19 KNP DA2PL Canine DA2PP-L 04-23-18 KNP RV3 Canine Rabies Vaccn, 3 yr, #18-0500 DA2PL Canine DA2PP-L 05-12-17 KNP RV1 Canine Rabies Vaccn, 1 yr, #17-0556 DA2PL Canine DA2PP-L 12-06-16 JJS DA2P Canine DA2PP CERTIFICATE OF 'VACCINATION Date of Rabies Vaccination: 04-23-18 Certificate No: 0 Next Rabies Vaccination On: 04-22-21 Previous Rabies Vaccination: VETERINARY CLINIC OWNER OF ANIMAL Countryside Small Animal Ashley Hull 1306 Stevenson 1417 Fieldcrest Drive 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: Stella TAG NO: 18-0500 SPECIES: Canine WEIGHT: 65.40 SEX-S :5 AGE: 2 years BREED: Shepherd, German Color and markings... Sable Signed Kaycee Points License: Vaccinations done... 06-14-19 KNP Canine DA2PPL 06-13-20 04-23-18 KNP Canine Rabies Vaccn, 3 yr, #18-0500 04-22-21 05-12-17 KNP Canine Rabies Vaccn, 1 yr, #17-0556 12-06-16 JJS Canine DA2PP Rabies Vaccine Information... MFG BY: ZOET SER.NO: 236501C LOT EXP: 11 Dec18 ADM: Sq CERTIFICATE OF VACCINATION Date of Rabies Vaccination: 03-29-18 Next Rabies Vaccination On: 03-28-21 VETERINARY CLINIC Countryside Small Animal 1306 Stevenson Fort Calhoun, NE 68023 402-468-4060 Certificate No: 0 Previous Rabies Vaccination: OWNER OF ANIMAL Ashley Hull 1417 Fieldcrest Drive Blair, NE 68008 County: This is to certify... THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: May TAG NO: 18-0393 SPECIES: Canine WEIGHT: 62.80 'SEX: S AGE: 6 years ` I§REE : Retriever, Labrador Color and markings... Black Signed Jeri Sill Vaccinations done... License: 1986 06-14-19 KNP Canine DA2PPL 06-13-20 03-29-18 JJS Canine Rabies Vaccn, 3 yr, #18-0393 03-28-21 Rabies Vaccine Information... MFG BY: ZOET SER.NO: 236601C I LOT EXP: 11 Dec18 ADM: Sq CITY OF BLAIR - 2019 PET LICENSE VERIFICATION I 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: David L & Janine M Hunt Owner Address: 333 S 18th St City/State/ZIP: Blair, NE 68008-0000 Phone #: (402) 533-2212 Drivers License #: Name: Hutch Color: Tan/Black Spayed/Neu er 1'ru �hCOr�Lc Mirochip # OA1122____4�6B Vaccination Date: 3/14/2016 LICENSE FEES: Dog or Cat: $16.00 Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Fee includes $1.25 for the Nebraska Dog and Cat Operator Inspection Program or Date of Birth: 2/16/1965 Subtotal licensed pets from below: Replacement Tags from below: ILO6 Av- DOB: 2/28/2009 Sex: Male Breed: Mix Breed Duration: 3 year vaccine Vaccine Exp: 3/14/2019 z/ 11§1 j ij -Rio,4. P`r� Aos fi fol V A_Ct d.a +C A Co-rec il- n v�v � License Fee $ R placement: JY ❑ N City Tag # 2078 4 o0 Total: 02/25/2019 17:08 4024260101 HOLSTEIN VET CLINIC PACE 01/01 2019 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN GLAIR CITY LIMITS ANO [AWN A DOGS) AND /OR CAT(S), COMPLETE THIS rORM AND RETURN WITH A CHECK PAYABLE TO. CITY OF BLAIR 218 S. 16TH ST - BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT, ***PLEASE READ CAREFULLY' YOU ARE REQUIRED hY 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 $150.00 per pet. PET LIEEN$E RENEWALS ARE SUE BY 311�/2QS9� The city shall recognize a microchip IQ 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 days of residency Owner (Name Kairlyn Huppert Spouse Darnell Owner Address 1016 N 18 Ave City/State/zip Blair, NE 68008 Phone # 402-533-4544 DL # or DOB H12708959 r —T # Pet Name: SGOUt Age: 5X Se�x-.Neutered Male Collor: TO crl+o►r Breed: Eng Spir Sp Declared Danglerrous/Potentially Dangerous Dog NO YES Microchip # 985112007411564 City Tag # `� 0 ..,�� 1,s�' P ,� Rabies Tag # 160: Z9 Rabies Description: 1 YEAR Holstein Veterinary Clinic Dr. ,Lisa Schrum DVM & Dr. Xrista Holstein DVM 718 South 191h Strleet,BIbir, NE 68008 102-426-7357 402'�426=01.01. Fax h©lsteinclinicftri il.com LICENSE FEES Intact Dog or Cat: $16.00 Al Do cat: $11.0 Replacement Tag $5,00 Total'_�,y FAXED 02-25-19 4:25p BY TOTAL PAGIES FROM :BSAO FAX HO. :402-533-2722 Mar. 11 2019 05:41PM P1 CITY" OF BLAIR 2019 PET LICENSE APPLICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair o 218 S. 16th St. o Blalre NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult 01ogs or three (3) adult cats per resldentlal or dwelling unit. LICENSE RENEWALS ARE DUE: Mamh 15, 2019 Owner Name: � 2 fi.; -A P_ v Owner Address; _ Y[_, SZ"r .! c1ty/sstate/711p: Blair, ,NE�o$QO Phone # �W *al ),— 0 - Drivers License* or Date of Birth LICENSE FEES: Drag or Cat: $1E.00 Altered dog or Cat: $11.06 Replacement Fee for Lost tag: $5.00 ***PLEASE REACT CAReFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Paiiura to do so Is a violation of City ordlnonces 6.103 Intl carriQs n panaity of a fine up to *150.00 per pot. PET LICENSES RENEWALS ARE null BY 3/15/2018, Tho City shall recognize a microchip identiFlcatinn number as the licensa number. It shall be unlawful for any dog or cat to wear any license or other cJty identiflcatlon other than that issued by the City or Blair for Such dog or cat. the city of Blair requires proof of rabio;s vhf nimptlon. Included is a State Fee of $1.25 being cfllleCtW t O tuntl the Nebraska Dog & car operaxor in glon vMram 670 PET #1 Dog 10 at Spaye License Fee Pet Name Age Ve Sex Color , Breed $* Replacement $--._.... ** 'Declared Dangerous or Potentially Dangerous Dog; ❑ Y N MICROCHIP # �(if applicable) SUBTOTAL: $ RA13IES VACCINATION DATE, j, (3 yr) _) (I. yr) city Tag # 1 _ PET #2 ❑flog ❑ Cat ❑ Spayed/Neutered License Fria $� Pet Name Accie -- See Color Breed** Replacements ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y Cl N MICROCHIP # —(If (If applicable) SUITOTAL: $ RABIES VACCINATION GATE. (S yr) .. (I. yr) City Ting #_,,,,* PET #3 i l Dog ❑ Cat 0 Spayed/Neutered License Fee $� Pet Name Aqe Sex Color _-- Breed** --- Replacements $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y C3 N MICROCHIP # (If applicable) SUBTOTAL., $ RABIES VACCINATION DATE: (3 yr) (I. yr) _ City Tag # *PLEAStIE INCLUDE THE Cn Y TAG NUMBER IF THIS IS A RENEWAL. ** (This fee is due along with License Fria if requesting at the time of Iicanse renewal.) Donation to care fbr animals; $1 $3 — $5 $10 _ Otheir ***SEE BACK OF FORM FOR BREED SPECIFIC LICENSE ROQUIREMENTS VISA / MC # Signature Do Not Send Wash Any Mal/ TOTAL ENCLOSED $ Expires. Security Code; _ _ If you have questions, please contact City Mall at (402) 426-4191 or by Fax: (402) 426-4195 +. . .. . ^i-++-i1-...41........ t ..........41............................................ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 151atefa-_date not app/ltab/efornawpeWhLawresiden&) Now! Acaulred PmCs: , EltLYir11teslderlts tq lair; ■ Mast be kw sed Wfili i 10 days of oiuri$rship ■ Must register p�is widiln 10 days of 0 <OR> at 6 months or age V puppy/ldtten residency. I% 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: Owner Address: City/State/Zip: Blair, NE 68008 J c a Phone # _ J Drivers License # or Date of Birth L-L ." LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3/15/2019. The City shall recognize a microchip Identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city Identification other than that Issued by the City of Blair for such dog or cat. The City of Blair requires proof of rabies vaccination. Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET #1 ❑ Dog Cat Spayed/Neutered License Fee $ Pet Name 01yl'� 4-k. Acie L,; c4 rs Sex ix Color _ " Breed** .. Replacement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: tjr,r ` (3 yr) (1 yr) City Tag # PET # 2 ❑ Dog ii C a t Spayed/Neutered w,r License Fee $ a Pet Name i=°"g i i dies Age => Sex Color :, i5 Breed * Replacement $ Declared Dangerous orrPotentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If ap)licable) SUBTOTAL: $ RABIES VACCINATION DATE: _ e ' (3 yr) (1 yr) v' City Tag # PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Acie Sex Color Breed Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ IN (1 yr) License Fee $ Replacement $ SUBTOTAL: $ City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Donation to care for animals: $1 $3 $5 $10 Other ***SEE BACK OF FORM FOR BREED SPECIFIC LICENSE REQUIREMENTS VISA / MC # Signature Do Not Send Cash by Mail TOTAL ENCLOSED $ Expires: Security Code: If you have questions, please contact City Hall at (402) 426-4191 or by Fax: (402) 426-4195 ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15late fee date not applicable for new pets/new residents) Newly Acquired Pets: New Residents to Blair: ■ Must be licensed within 10 days of ownership ■ Must register pets within 10 days of ■ <OR> at 6 months of age if puppy/kitten residency. CERTIFICATE OF VACCINATION Date of Rabies Vaccination: 01-12-19 Certificate No: 0 Next Rabies Vaccination On: (none) Previous Rabies Vaccination: VETERINARY CLINIC Nebraska Veterinary Services 450 E. Deere St. West Point, NE 68788 402-372-5114 This is to certify... OWNER OF ANIMAL Mark Huss 143 23rd Rd Oakland, NE 68045 County: PATIENT: Patches TAG NO: 19-1045 SPECIES: Feline WEIGHT: 6.10 SEX: S AGE: 3 years BREED: Domestic Shorthair MICROCHIP: Color and markings... Torti e — I Signed Luke Strehle, DVM Vaccinations done... 01-12-19 LS2 SA - FVRCP + Fel-V Vax Annual 01-12-20 01-12-19 LS2 SA - Canine Rabies Vax Annual, #19-1045 09-18-16 DAN $A - Feline Rabies Vax Annual, #15-1056 09-17-16 Rabies Vaccine Information... MFG BY: MERIA SER.NO: 12634 LOT EXP: 16NOV18 ADM: SQ ,,CUIR�TIITI�CATK OFNACCINATION VETERINARY CLINIC Nebraska Veterinary Services 450 E. Deere St. West Point, NE 68788 402-372-5114 Certificate No: 0 P-w I'AlffARAW? It jp_q_ y -1? ' - - '•- OWNER OF ANIMAL Mark Huss 143 23rd Rd Oakland, NE 68045 County: This is to certify... THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Misty TAG NO: 19-1044 SPECIES: Feline WEIGHT: 0,00 SEX: S AGE: 10 years BREED: Domestic Longhair MICROCHIP: Color and markings... Grey Signed Luke Strehle, DVM I J, e 40vm License: 01-12-19 LS2 SA - FVRCP + FeLV Vax Annual 01-12-20 01-12-19 LS2 SA - Canine Rabies Vax Annual, #19-1044 Rabies Vaccine Information... MFG RY- MFRIA SER.NO- 1262-4 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: Jonathan & Michelle Hutchson Spayed/Neutered Dog or Cat: $11.00 Owner Address: 957 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--1016 Operator Inspection Program Phone #: (402) 426-4863 Drivers License #: or Date of Birth: 10/22/1964 Name: Mitzy Color: White Spayed/Neutered: False Mirochip # Vaccination Date: 3/12/2018 Subtotal licensed pets from Jbxyu Replacement Tags from below: DOB: 1/1/2010 Sex: Female Breed: Siberian Husky Duration: 3 year vaccine Vaccine Exp: 3/12/2021 License Fee $ Replacement: ❑Y ON City Tag # 762 Total: / L N 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: Jonathan & Michelle Hutchson Spayed/Neutered Dog or Cat: $11.00 Owner Address: 957 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--1016 Operator Inspection Program Phone #: (402) 426-4863 Drivers License #: or Date of Birth: 10/22/1964 Name: Marley Color: Brown Spayed/Neutered: True Mirochip # Vaccination Date: 8/7/2017 Subtotal licensed pets from below: 1- aj Replacement Tags from below: DOB: Not on File Sex: Female Breed: Domestic Shorthair Duration: 3 year vaccine Vaccine Exp: 8/7/2020 License Fee $ Replacement: ❑Y ❑N City Tag # 1618 Total: