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M03/28/2019 17:34 4024260101 HOLSTEIN VET CLINIC PAGE 01/01 M9 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 — 211.8 S. 16TM ST — BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT DOGS OR. THREE (3) ADULT OATS PER RESIDENTIAL OR DWELLING UNIT, 'PLEASE READ CAREFULLY' YOU AR5 REQUIRED BY LAW TO 1,0NSE.YOUR PETS. Failure to do so is a violatlon of Co Ordinances 6,103 and carries a penalty of a fine up to $150.OD per pet. PET LICENSE RENEWALS ARE DUE BY 3/15/7019, The city shall recognize a microchip ID number as the license number. It shall be unlawful for any clog or cat t4 wear any license or other city ID other than that issued by the City of Blair for such deg or cat. NEW PET LICENSING Must be licensed within W 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 OW it r Name Kelsey Maas Spouse Adam Owner Address 2230 Lincoln Street City/State/Zip Blair, NE +68008 Phone # 402-720-2401 DL # or DOS Pet Name: Tanner Age; 6 Sex: Neutered Ma r: Red and White Breed: Mix Declared Dangerous/Potentially Dangerous Dog YES Af Microchip # OA123A612E City Tag # 'i;�xe :;1:1'I� �III:1' �,�i ,fi; i.j�y�•,�,,4�'"Yi`v!I�:ly �,•. �.L:,' :,flll:l:l.��.��jl:'.I:1('i;l: �.I j:.(f:l:::'./:: I:I f l;?•:;::ii!1,.'.}��,'+r:i��fl;'i;{�ilf;i �,� Rabies Tag,* 15956 ai!ii�iiJijj + ,.I;.>>, J, iyi'i�Slhi,�id_1'Yd�1i;�alr1i�}i.'-` i.`��'fo�.0 ,; �i.,� l.:.K: ,�f a � 11 11;=��p],irll,,,.., I I m d( r'p�;,u�.,,°;I�•j,( +s4!. c , ;j��, :: it •: ;;r,'.Ir,!�,: , ,1s1,�� h; l:i;i ;}'Ibf �: f;' .j; M1'l:;. !.r. j4�lil{.i!(�i;lt!�,Ini4 .�,+1�:�{� L.1 ��II. 7•I'.C,' .11 �•I:'41VIv!tl Rabies Descriptions: 1 YEAR 3 YEAR Holstein Veterinary Clinic Dr. Lisa Schrum DVM & Dr. Kristu Holstein DV9 1.8 South 10th Street glair, NE 68008 402-426-7387 402-426-0101 Fax holsteindinicftmail,com LICENSE FEES Intact Dog or Cat: $16.00 CAIDtered Replacement Tag $5,00 Q Total $1 I FAXED 08-28-19 5:21p BY TOTAL PAGES tty ty I z,. CITY OF BLAIR - 2019 PET LICENSE APPLICATION F 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; r Owner Address: City/State/Zip: Blair, NE 68008 Phone # } % Drivers License # or Date of Birth I� 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 ot $1.25 being collected to tend the Nebraska Dog tk cat PET # 1 ❑ Dog W .a C a t )a-Spayed/Neutered Pet Name �` f ; Aye x; Sex Color _ Breed Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: a t ` (3 yr) ❑N License Fee $ 1' Replacement $ SUBTOTAL: $ (1 yr) x` City Tag # r �_ PET # 2 ❑ Dog .C`) Cat ❑ "Spayed/Neutered License Fee $ Pet Name -k A Acre Sex Color -,i 1) " Breed * i , Replacement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: ( : (3 yr) (1 yr) City Tag # S"� PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Acle Sex Color Breed" Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Donation to care for animals: $1 $3 $5 $10 Other, ***SEE BACK OF FORM FOR BREED SPECIFIC LICENSE REQUIREMENTS VISA / MC # Signature DoNot 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 I5late fee date not applicable fornewpeis/new residents) Newly Acquired Pets: New Residents to Blair: • Must be licensed within 10 days of ownership ■ Must register pets within 10 days of ■ <OR> at 6 months of age if puppy/kitten residency. Date of Rabies Vaccination: 7/1112019 Next Rabies Vact-1hrtation On: 711012022 VETERINARY CLINIC Rohrig Animal Hospital 225 N. 3rd St, Arlington, NE 68002 402-478-4141 This is to certify... Certificate No: 0 Previous Rabies Vaccination: 617736 OWNER OF ANIMAL Rebekah Marsh 2148 Jackson Blair, NE 68008 County: Washington THAT t HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Jada SPECIES: Canine SEX: Spayed Female Color and markings: Tan Vaccinations done-.. TAG NO: 023855 WEIGHT: 45.50 AGE: 12Y License: 3220 7/11/2019 MT RABIES 3 YEAR, #023855 7/10/2022 4/6/2016 KR DHLPP ADULT BOOSTER 4/6/2018 41612016 KR BORDETELLA ANNUAL BOOSTER 416/2017 31612015 DJM LEPTO BOOSTER 4/6/2017 Rabies Vaccine Information_ MFG BY: SER.NO: LOT EXP: ADM: CITY OF BLAIR -.20 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 15,301° Owner Name: Rebekah Marsh Owner Address: 2148 Jackson St City/State/ZIP: Blair, NE 68008--0000 Phone #: (402) 533-2141 Drivers License #:Not on file or Date of Birth: 9/9/1972 Name: Jada Color: White/Tan Spayed/Neutered: True Mirochip # 985121010304731 Vaccination Date: 2/2-611.3-' �- - t LICENSE FEES: Dog or Cat: $16.00 Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Fee includes $1.00 for the Nebraska Dog and Cat Operator Inspection Program Subtotal licensed pets from below: Replacement Tags from below: DOB: 4/14/2007 Sex: Breed: Mix Breed Dangerous Dog: Potentially Dangerous: Duration: 3 year vaccine Vaccine Exp:.2/2-6/2'016- License Fee $ Replacement: ❑Y ON City Tag # 938 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 Shelton & Mark Martens Spayed/Neutered Dog or Cat: $11.00 Owner Address: 867 N 11TH 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) 426-9496 Drivers License #: or Date of Birth: C Subtotal licensed pets from below: cep Replacement Tags from below: Name: Mia Color: Tabby Spayed/Neutered: True Mirochip # Vaccination Date: 3/10/2017 DOB: 3/15/2013 Sex: Female Breed: Domestic Shorthair Duration: 3 year vaccine Vaccine Exp: 3/10/2020 License Fee $ Replac ent: ❑Y ofq City Tag # 1405 Total: �� f 5Y. 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 Shelton & Mark Martens Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Owner Address: 867 N 11 TH St Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008--0000 Operator Inspection Program Phone #: (402) 426-9496 Drivers License #: or Date of Birth: 5/28/1968 Name: Lily Color: Orange Spayed/Neutered: True Mirochip # Vaccination Date: 3/10/2017 Subtotal licensed pets from below: } , Replacement Tags from below: DOB: 6/15/2016 Sex: Female Breed: Domestic Shorthair Duration: 3 year vaccine Vaccine Exp: 3/10/2020 License Fee Replacement: ❑YZN City Tag # 1826 Total: � V v b o CITY OF BLAIR - 2019 PET LICENSE VERIFICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete/verify this form and return with check made payable to: City of Blair * 218 S 16th St. * Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2019 LICENSE FEES: Dog or Cat: $16.00 Owner Name: Stephanie Shelton & Mark Martens Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Owner Address: 867 N 11 TH St Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008--0000 Operator Inspection Program Phone #: (402) 426-9496 Drivers License #: Name: Piper Color: White/Brown Spayed/Neutered: True Mirochip # Vaccination Date: 11/09/2017 or Date of Birth: Subtotal licensed pets from below: Replacement Tags from below: DOB: 05/20/2017 Sex: Female Breed: Mix Breed Duration: 3 year vaccine Vaccine Exp: 11/09/2020 License Fee $ Replacement: ❑Y ❑N City Tag # 2289 Total: Client ID: 7477 Client Name: Stephanie Martens Address: 867 No 11 th st Blair, NE 68008 Phone: (402)426-9496 Tag Number: 4827 Lot Number: 18334 Imrab Rabies Vaccine Producer: Merial K / MLV / R: Killed Virus David E. Johnson DVM 1734 Front Street Blair, Nebraska, 68008 (402) 533-2722 Rabies Certificate Patient ID: 9580 Patient Name: Piper Species: Canine Breed: Border Collie Mix Sex: Female Color: white/brown Markings: Birthday: 05/10/2017 Weight: 32.00 pounds on 9/2/2017 Vaccination Date: Expiration Date: Staff Name: David E. Johnson DVM License Number: 1893 11 /9/2017 11 /912020 jj 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: Patricia Martin Spayed/Neutered Dog or Cat: $11.00 Owner Address: 2309 College Dr Replacement Fee for Lost Tag: $5.00 Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008--0000 Operator Inspection Program Phone #: (402) 533-8700 Drivers License #: or Date of Birth: 60 Subtotal licensed pets from below: Replacement Tags from below: Name: Queenie Color: Brown/Black Spayed/Neutered: True Mirochip # No Vaccination Date: 4/23/2016 DOB: 4/1/2005 Sex: Female Breed: Siamese Duration: 3 year vaccine Vaccine Exp: 4/23/2019 License Fee $ Replacement: ❑Y EIN City Tag # 216 Total: 1(-00 CITY OF BLAIR - 2019 PET LICENSE VERIFICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete/verify this form and return with check made payable to: City of Blair* 218 S 16th St. * Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2019 LICENSE FEES: Dog or Cat: $16.00 Owner Name: Patricia Martin Spayed/Neutered Dog or Cat: $11.00 Owner Address: 2309 College Dr Replacement Fee for Lost Tag: $5.00 Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008--0000 Operator Inspection Program Phone #: (402) 533-8700 Drivers License #: or Date of Birth: 12/20/1961 Subtotal licensed pets from below: Replacement Tags from below: Name: 'Dillon DOB: 6/17/2011 Sex: Male License Fee $ Color: Black/White Breed: Siberian Husky Replacement: Spayed/Neutered: True ❑Y ❑N Mirochip # 985121009259108 City Tag # 1196 Vaccination Date: 4123/2-016— Duration: 3 year vaccine ( Vaccine Exp: 4/22/2019_ ,- . Total: J1.00 Date of Rabies Vacc ination: 02-07-19 Next Rabies Vaccination On: 02-06-22 VETERINARY CLINIC Holstein Vet Clinic 718 South 19th Street Blair, NE 68008 402-426-7387 This is to certify... Certificate No: 0 Previous Rabies Vaccination: 14133 OWNER OF ANIMAL Patty Martin 2309 College Dr Blair, NE 68008 County: THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Dillon TAG NO: 16696 SPECIES: Canine WEIGHT: 85.50 SEX: N AGE: 7 years Color and markings... Black and White Signed Lisa Schrum, DVM Due Date / Vaccinations 02-07-20 Vangard Plus 5 L4 02-06-22 Denfensor 3 (3 Year Rabies) Rabies Vaccine Information... License: 2310 MFG BY: ZOETI SER.NO: 274708 LOT EXP: 07-23-19 ADM: SQ 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 LICENSE FEES: Dog or Cat: $16.00 Owner Name: Patricia Martin Spayed/Neutered Dog or Cat: $11.00 Owner Address: 2309 College Dr Replacement Fee for Lost Tag: $5.00 Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008--0000 Operator Inspection Program Phone #: (402) 533-8700 Drivers License #: or Date of Birth: jz0 Subtotal licensed pets from below: Replacement Tags from below: Name: Jasmine DOB: 5/19/2017 Sex: License Fee $ Color: Tan/Gold Breed: Domestic Shorthair Replacement: Spayed/Neutered: True ❑Y IN Mirochip # No City Tag # 2264 Vaccination DaterJ49/2Ot8— Duration: 1 year vaccine 1 /7- I Vaccine Exp:-1119I22019 . Total: Date of Rabies Vaccination: 02-07-19 Next Rabies Vaccination On: 02-07-20 VETERINARY CLINIC Holstein Vet Clinic 718 South 19th Street Blair, NE 68008 402-426-7387 This is to certify... Certificate No: 0 Previous Rabies Vaccination: OWNER OF ANIMAL Patty Martin 2309 College Dr Blair, NE 68008 County: THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Jasmine TAG NO: SPECIES: Feline WEIGHT: 9.14 SEX: S AGE: 20 months Color and markings... Tabby Signed Lisa Schrum, DVM Due Date / Vaccinations 07-27-19 Felocell4 02-07-20 Defensor 1 (1 Year Rabies) Rabies Vaccine Information... License: 2310 MFG BY: ZOETI SER.NO: 293134 LOT EXP: 11-29-19 ADM: SQ 09/21/2019 12:18 4024260101 HOLSTEIN VET CLINIC PAGE 01/03 2019 PET LICENSE VERIFICATION/APPLICATION POR CITY OF BLAIR. IE YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /CDR, CAT(S), COMPLETE THIS KORM ANO RETURN WITH A CHECK PAYABLE TO: CITY OF BLAIR'- 218 S. 16T" ST BLAIR, NE 68008 YOU MAY LEGALULT PETS BUT NO MORE THAN THREE (3) ADUL.TLDOGS OR THHREEOWN A�(3) ATIO ADULT COATS UR PER RDESIp NAT il, OR DWELLING UNIT. ***PLEASE READ CAREFULLY*** YOU ARF RE UI ED 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 $150.0n per pat. PET 10ENIE RENEWAL$ ARE DUE BY 3 15 2019, The city shall recognize a microchip ID number as the license number. it shall be unlawful for any dQg or cat to wear any license or other city Ila 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 Owner Address City/State/Zip Phone # DL ## or DOB PET # Stephanie Martin Jonathan 2 Longview Dr, Blair, NE 68008 734-217-9662 Pet Name: Nioo Age: 24M Doi:—09-21-17 sex: male CWar,- Tan Breed: LH Chihuahua Declate DDangerOus/Potentially Dangerous Doi--t) YES Microchip# r. pity rag # RR�a?,Gt�/sY, o ;>✓'.t�,•nR�" r a Ct' �� 'ri��"µ�� t'' �. � , �: Rables Tag # 17274. ,cv a;r..•r:f':�:'1;°Ytft<�li";`li,rµi iity�iir�:jil;illa,f,�h5•�",i�l�l �'�li•ik;�iWe;. iY > n� ('�., 'P•'ayv . N '+� ,..•o,+l . t ..i. �.{! .vl � <i . y,i:��ti. 4• � aA 2 Rabies Description: ,E7aF� 3 YEAR Holstein Veterinary Clinic FAXED Dr. Lisa Schrum DVS' & Dr. Krzsta holstein DVM 718 South 19th Strut Blair, NE 68008 BY 402-426-'7U7 402-426-0101 Fax TOTAL PAGES holsteinclinic@gmail.com 09-21-19 LICENSE FEES . rrtact g or Cat: $1 0 Altered [leg or Gat: $11.00 Replacement Tag $5.00 Total oo OP. 09/21/2019 12:18 4024260101 HOLSTEIN VET CLINIC PAGE 02/03 2019 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF F;LAIR IF YOU LIVE IN 13LAIR CITY LIMITS AND OWN A DOG(5) AND /OR CAT(S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF BL.AIR - 218 S. 16TH ST - GLAIR, NE 6,800E YOU MAY LEGALLY OWN A N OF FOUR (4) ADULT PETS BUT No MORE THAN THREE (3) A13ULT DOGS OR THREE (3) AD ULT CATS PER RESID NAT FL OR DWELLING UNIT. **'"PLEASE READ CAREFULLY*** XQU ARE RE UIRED gY LAW TO LICENSE OUR PETS. Failure to do so is a Violation of City Ordinances 6.103 and parries a penelty of a fine Up to $150.00 per pet. PET LIGEN5E RENEWALS ARE DUE eY 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 thon 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 Rge if puppy or kitten NEW RESIDENTS To BL.AIR Must register pets within 10 days of residency 1'wrter Names �— Stephanie Martin Spouse Jonathan Owner Address 2 Longview Di-. City/State/Zip Slair, NE 68008 Phone # 734-217-9662 DL # er d0B PET # Pet Name: Onyx Aga: 5Y D08: "09-21-14 Sex: Sex.- Color: Black and Tan Dread: Chihuahua Declared Dangerous/P"otentiafly Dangerous Dreg ::nYES Micraohip # City Tag # q Robles Tag # 17273 •,•,ja ��1';r �"�j•j�.,•',.:.l. 4'fi��a'" �.,''a�Vmia`�,Y'l+�?��.Y`a,� !", !•�71 � { Rabies Description. �1�' 3 YrzAR Holstein Veterinary Clinic FAXED -� Dr, Lisa Schrum PVM & Dr. Krista Holstein DVM 718 South 19th Street Blair, NE 68008 BY 402-426-7387 402-426-0101 Fax TOTAL PAGES holsteinclinic@gmail.com LICENSE FEES Altered Dog or cat: $11.00 Replacement Tag $5.00 Total $ � Ll7 _� 09-21-19 '�' of 09/21/2019 12:18 4024260101 HOLSTEIN VET CLINIC PAGE 03/03 2019 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A 0OG(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) BUT NO MORE THAN THREE 3) ADULT DOGS ORTHREE 3) ADULT CATS PEP ADULT RESIDENT AEI- OR DWELLING UNIT, ***PLEASE READ CAREFULLY*** YD ARE RE UIRED BY I AW TO LlEENSE YOUR PETS Fallure to do $0 is a violation of City ordinances 6,101 end carrio a penalty of a fine tap to $I.SE,00 par pet, PET LICENSE RENEWALS ARE DUE BY3 15 2019. Tho city shall recognize a microchip ID dumber as the license number. It shall be enlawful fQr 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 ago if puppy or kitten NEW RESIDENTS TO BLAIR Must register pets within 10 days of residency Owner Name Spouse Owner Address city/state/zip Phone # DL # or DOB PET # Pet Name: Roxy Age: 6Y Sex., Female Breed: LH Chihuahua) Stephanie Martin ]onathan 2 Longview ,tire Blair, NE 68008 734-217-9662 DOB: v09-21-13 Collor: Brown dangerous/Potentiolly Daingerous Dog Microchip # Rabies Description: Holstein Veterinary Clinic Dr. Lisa Schrum DVM & Dr. Krista Uolstejn D%M 718 South 19th Street Blair, NE E8008 402-426-7387 402-426-0101 Fax hol-steinclinic@gmail.com YES City Tag # � . Rabies Irag # 17272 3 YEAR FAXED 09-21-19 BY TOTAL PACES � LICENSE FEES og or Cat; $1 Altered Dog or cat: $11.00 Replacement Tag $ 5.00 Tonal if " a 0 FRDM : 9GAC FAX HO. ' 402-533-2722 Mar. 15 2019 02: 37PM P2 CITY OF BLAIR W 2019 PET LICENSE VERiFICATION If you live In Blair City limits and own a dog(s) and/or cat(s), complote/verify this form and return with check made prlyable to; City of Blair * 218 S 160 St. * Blairy NF- 68008 you may legally own a combination of four (4) adult pets, but no more than throe (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: iVlarch 15, 2019 a FEES: Dog or Cat: $1.00 Spaayed/yed/ Neutered Dog or Cat; $�.1.00 Replacement Fee for Lost Tog: $5,00 Fee Includes $x.25 for the Nebraska Dog and Cat Operator inspection Proprdm Ar Owner Name: Aaron & Allison Matson Owner Address: 2045 Cauble Creep Cir City/State/ZiP: Blair, NF 68008--0000 Phone #; (402) 426-5423 privers License #: or bate of Birth: Subtotal licensed pets from Below:_ Feplacement Tags from below:_., _ Name: Annie Color: Brawn Spayed/Neutered: 'True Mir4(;hlp # Vaccination Date; 6/18/2017 D08, 81291 011 Seac: Peolale License Fee . Breed: Mix Breed Duration: 3 year vaccine Vaccine Exp; 5/18/2020 Replacement: r1Y ON City Tag # 2210 Total: FROM :9SAC FAX NO. :402-533-2722 Mar. 15 2019 02:37PM P1 CITY OF 13LAIR. - 2019 PEA' LICENSE "VERIFICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete/verify this fond and return with check made: payable to: City of Blair * 218 S 1Gth St. * Blair, NE 68008 Yotl may legally own a oontbinatlon of four (4) adult puts, but n4 mare 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-, Aaron & Allison Matson Spayed/Neutered Dog or Cat: $11-00 Replacement Fee for lost Tog: $5.00 Owner Address: 2045 Cauble Creak Cir Fee includes $1.25 for the Nebraska Dag and Cat City/State/ZIP: Blair, NE 68008--0000 Operator Inspection Program Phone #: (402) 426-5423 Drivers License #:_ or Cate of Birth: Subtotal licensed pets front below:_,__., Replacement Tags from below:__ _ Name: Apollo DOB: Not on File Sex: Male I-icense Fee Color: White Breed: Mix Breed Replacernen, [IY pN Spayed/Neutered: True City Tag # 2 Mirochlp # 986112009659078 Vaccination Date: 01/1612018 Duration: 1 year vaccine Vaccine Exp-. 01116/2019 frf Total:- -° 1 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: MATTHEWS, BILLY D & RHONDA S Spayed/Neutered Dog or Cat: $11.00 Owner Address: 1353 SKYLINE DR Replacement Fee for Lost Tag: $5.00 Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: BLAIR, NE, 68008--2389 Operator Inspection Program Phone #: (402) 426-8075 Drivers License #: or Date of Birth: 5/24/1957 Name: Ivy Color: Grey Spayed/Neutered: True Mirochip # 985121005372579 Vaccination Date: 1/3/2018 Subtotal licensed pets from below:/ Replacement Tags from below: DOB: Not on File Sex: Female Breed: Domestic Shorthair Duration: 3 Exp: 1/3/2021 License Fee $ / d :','C) Replacement: ❑Y ON City Tag # 252 Total: � �"G� May 15 19 08:30a Thone Animal Care 4024265808 P.1 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: Owner Address: '\j 54 city/state/zip: Blair, NE 68008 Phone # Drivers License # or Date of Birth — LICENSE FEES: Dog or Cat: $16.00 Altered Drag or Cat: $1.1.00 Replacement Fee for Lost Tag: $5.00 ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet PET LICENSES RENEWALS ARE DUE BY 3/15/2018. The City shall recognize a microchip ideotlfication number as the license number. It shall be unlawful for any dog or cat to wear any license or other city identificaton other than that issued by the City of Blair for such dog or cat. The City of Blair requires proof of rabies vaccination, Fee of $1..25 being collected to fund the Nebraska Doc & Cat PET #1 .5d Dog ❑ Cat � Spayed/Neutered License Fee $ Pet Name Aw Sex Color G31cA� Breed * c, �<,- Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y -W N MICROCHIP # (If applicable) SUBTOTAL; $ RABIES VACCINATION DATE: (3 yr) � (1 yr) City Tag # PET #2 Lek Dog ❑ Cat YSpayed/Neutered License Fee Pet Name YG ` �-,, Aqe V . Sex u'1rVca Color r3. Breed * 't`L^� lc Replacement $ Declared Dangerous or potentially Dangerous Dog: ❑ Y JrSk N MICROCHIP # (If applicable) SUBTOTAL:, - RABIES VACCINATION DATE;6 (3 yr) x (1 yr) City Tag # PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name An 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 EOther * **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) 426-419S +..++ +... ..E.....1-++4........................................................... NEW PET/NEW RESIDENT LICENSING REQUIREMENTS(Marvhi5late fee oWenot applicablefornewpeWnewresldentr) Newly Acquired Pets: New Residents to Blair: ■ Must be licertse:i within 10 days of ownership 0 Must register pets within 10 days of m <OR> at 6 manths of age If puppy/fin residency. Mar 07 19 10:10a Thone Animal Care 4024266808 p.1 CITY OF BLAIR - 2019 PET LICENSE VERIFICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete/verify this form and return with check made payable to: City of Blair * 218 S 16th St. * Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit LICENSE RENEWALS ARE DUE: March 15, 2019 LICENSE FEES: Dog or Cat: $16.00 Owner Name: Joseph & Anne Kuehnle-Matulka Spayed/Neutered Dog or Cat: $11,00 Owner Address: 1070 Nebraska St Replacement Fee for Lost Tag: $5.00 Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008--0000 Operator Inspection Program Phone #: (402) 426-5187 Drivers License #:G25001204 or Date of Birth: 4/2/1958 Name: Thomas Color: White/Gold Spayed/Neutered: True Mirochip # 986121005397169 Subtotal licensed pets from below: Replacement Tags from below; DOB: 2/2612009 Sex: Male Breed: Domestic Shorthair Duration: 3 year vaccine Vaccine Exp: 10/4/2017 License Fee $ Replacement: ❑Y ON City Tag # 633 Total: Thone Animal Care of Blair (402) 426-3630 902 S, Hwy 30 Blair, NE'68008 Mar 07 19 10:10a Thone Animal Care 4024266808 p,2 C �+ Xt T " ' T �°'.A T. CAto .�"n ..& .c I (a Date of Rabies Vaccination: 10-07-17 Next Rabies Vaccination On: (none) VETERINARY CLINIC Thone Animal Care of Blair 902 S Hwy 30 Blair, NE 68008 402-426-3630 Certificate No: 0 Previous Rabies Vaccination: OWNER OF ANIMAL Joe Matulka 1070 Nebraska Street Blair, NE 68008 County: This is to certify... THAT 1 HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW.' Patient information... PATIENT: Tommy SPECIES: Feline SEX: N Color and markings... Org/Wht Signed Dr. Leon Leishman Vaccinations done... TAG NO: 003682 WEIGHT: 15.14 AGE: 11 years License: 1971 10-13-18 ILL Fe Leukemia Vaccination 10-13-19 10-13-18 ILL Check up, FE-4way 10-13-19 10-07-17 ILL Rabies Vaccination (3 Year), #003682 10-06-20 10-15-11 ILL Rabies Vaccination (3 Year) 10-06-20 10-23-10 LL Rabies Vaccination (1 Year) Rabies Vaccine Information... MFG BY: ZOETI SER.NO: 176725 LOT EXP: 07/24/18 ADM: SQ CITY OF BLAIR - 2019 PET LICENSE VERIFICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete/verify this form and return with check made payable to: City of Blair * 218 S 16th St. * Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2019 LICENSE FEES: Dog or Cat: $16.00 Owner Name: Brian & Barbara Matzen Spayed/Neutered Dog or Cat: $11.00 Owner Address: 1815 Grant 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) 953-6689 Drivers License #: or Date of Birth: 1/31/1981 Name: Cutie Pie Color: Black/Tan Spayed/Neutered: True Mirochip # Vaccination Date: 2/20/2017 Subtotal licensed pets from below: Replacement Tags from below:. DOB: 6/25/2008 Sex: Female Breed: Yorkshire Terrier Duration: 3 year vaccine Vaccine Exp: 2/20/2020 License Fee $ Replacement: ❑Y ON City Tag # 580 Total: I'.(GD 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: Brian & Barbara Matzen Spayed/Neutered Dog or Cat: $11.00 Owner Address: 1815 Grant 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) 953-6689 Drivers License #: or Date of Birth: 1/31/1981 Name: Buddy Color: White/Black Spayed/Neutered: True Mirochip # Vaccination Date: 1/25/2016 Subtotal licensed pets from below: Replacement Tags from below: DOB: 1/1/2015 Sex: Male Breed: Rat Terrier Duration: 3 year vaccine Vaccine Exp: 1/25/2619 License Fee $ Replacement: ❑Y ON City Tag # 842 Total: h 'P CITY OF BLAIR - 2019 PET LICENSE VERIFICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete/verify this form and return with check made payable to: City of Blair * 218 S 16th St. * Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2019 LICENSE FEES: Dog or Cat: $16.00 Owner Name: Brian & Barbara Matzen Spayed/Neutered Dog or Cat: $11.00 Owner Address: 1815 Grant 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) 953-6689 Drivers License #: or Date of Birth: 1/31/1981 Subtotal licensed pets from below: Replacement Tags from below: Name: Cooper DOB: 1/1/2012 Sex: Male License Fee $5Z) Color: Golden Breed: Golden Retriever Replacement: Spayed/Neutered: True ❑Y ❑N Mirochip # City Tag # 579 Vaccination Date: 4/18/2015 Duration: 3 year vaccine Vaccine Exp: ,4/1..8/201 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: Donald Matzen Spayed/Neutered Dog or Cat: $11.00 Owner Address: 1819 Colfax St Replacement Fee for Lost Tag: $5.00 Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008--0000 Operator Inspection Program Phone #: (402) 426-3466 Drivers License #: Name: Bodie Color: Black Spayed/Neutered: True Mirochip # Vaccination Date: 2/3/2017 or Date of Birth: 6/24/1950 '- Subtotal licensed pets from below. Replacement Tags from below: DOB: 12/24/2006 Sex: Male Breed: Mix Breed Duration: 3 year vaccine Vaccine Exp: 2/3/2020 License Fee $ Replacement: ❑Y ❑N City Tag # 933 0Total: 03/09/2019 10:35 4024260101 HOLSTEIN! VET CLINIC PAGE 01/01 2019 PET LICENSE VERIFICATION/APPLICATIO'N FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOGS) AND /OR C4T(S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF BLAIR — 218 S. 16TH s*r — 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±E-T$. Failure to do so Is a violation of City Ordinances 6,103 and c2rrlo5 a penalty of a fine up to $150,00,per pet. PET LICEN$t RENEWALS A The city shall reCDgniZe a microchip ID number as the license number. It shall be unlawful for any dog or cat to wear any license or other city ID 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 Jane Matzen Spouse ) _? 6 rqnt Sp Owner Address -1014-State-Street— City/State/Zip Blair, NE 68008 Phone # 402-533-8429 OL # or D013 r'-T # Pet Name: TJ Age- 2Y sex: Neutered Male— color: Brown/Tan Breed- Chihuahua Declared Dangerous/Potentially Dangerous D-00 --- Q, �O YES Microchip # City Tag# tj 'i;!' ito 07 Rables description: I YEAR Rabies Tag # 15479 r�3YEAR Holstein Veterinary Clinic Dr. Lisa Schr= DVAII & Dr, Krista Holsteir) DVM 718 South 19th Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinjc@gmail.com LICENSE FEES Intact Dog or Cat: $16'00 Altered Dog or cat: $11.00 Replacement Tag $5.00 Total$ I i —_ -FAXED 03-09-19 10:27a BY TOTAL PAGES P'Z'jj- c - ')- CITY OF BLAIR - 2019 PET LICENSE VERIFICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete/verify this form and return with check made payable to: City of Blair * 218 S 16th St. * Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2019 LICENSE FEES: Dog or Cat: $16.00 Owner Name: Keith & Katherine Matzen Spayed/Neutered Dog or Cat: $11.00 Owner Address: 1415 Park St Replacement Fee for Lost Tag: $5.00 Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008--0000 Operator Inspection Program Phone #: (402) 426-1748 Drivers License #: Name: Oscar Color: White/Tan Spayed/Neutered: False Mirochip,# Vaccination Date: 6/1/2018 or Date of Birth: 10/12/1961 Subtotal licensed pets from below: Replacement Tags from below: DOB: 1/1/2010 Sex: Male Breed: Chinese Crested Potentially Dangerous: Duration: 3 year vaccine Vaccine Exp: 6/1/2021 License Fee $ Replacement: ❑Y ON City Tag # 1772 Total: CERTIFICATE OF VACCINATION` v Date of Rabies Vaccination: 10/5/2019 Certificate No: 0 Next Rabies Vaccination On: 10/4/2022 Previous Rabies Vaccination: VETERINARY CLINIC Arlington Pet Hospital 225 N. 3rd St. Arlington, NE 68002 402-478-4141 This is to certify... OWNER OF ANIMAL Travis Matzen 1414 Nebraska St Blair, NE 68008 County: Washington Patient information... PATIENT: Rosie TAG NO: 024247 SPECIES: Canine WEIGHT: 12.08 SEX: Female AGE: 9Y Color and markings: Red Signed GRANT LITTLE License: 4022 Vaccinations done... 10/5/2019 GL RABIES 3 YEAR, #02424710/4/2022 10/5/2019 GL DHLPP ADULT BOOSTER 2 YR 10/4/2021 8/5/2010 KR RABIES 1 YEAR, #010656 Rabies Vaccine Information... MFG BY: NOBIV SER.NO: 350891 B LOT EXP: 10/20/20 ADM: SQ i 1) lc�_/ � Kell A M I I Date of Rabies Vaccination: 7/13/2018 Next Rabies Vaccination On: 7/12/2021 VETERINARY CLINIC Arlington Pet Hospital 225 N. 3rd St. Arlington, NE 68002 402-478-4141 This, is to certify... Patient information... Certificate No: 0 Previous Rabies Vaccination: OWNER OF ANIMAL Travis Matzen 1414 Nebraska St Blair, NE 68008 County: Washington 514 81:41:1 PATIENT: Romeo TAG NO: 229352 SPECIES: Canine WEIGHT: 15.20 SEX: Male AGE: 9Y Color and markings: Black & Rust it 4z Signed ( 62�/ 1, MATTHEW MERKWAN U License: 3689 Vaccinations done... 10/5/2019 GL LEPTO BOOSTER 10/4/2021 7/13/2018 MJM RABIES 3 YEAR, #2293527/12/2021 7/13/2018 MJM DHLPP ADULT BOOSTER 2 YR 7/12/2020 8/5/2010 KR RABIES 1 YEAR, #010657 Rabies Vaccine Information— MFG BY: BI SER.NO: 4150447A LOT EXP: 4/21/19 ADM: SQ CITY OF BLAIR - 2019 PET LICENSE APPLICATION,�4.' If you live in Blair City limits and own a clog(s) and/or cat(s), complete this form and return with check made payable -to: City of Blair * 218 S. 16th St. 9 Blair,, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2019 Owner Name: j ,, ,A Owner Address: City/State/Zip. Blair, NE 68008 Phone # Drivers License # or Date of Birth LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11.00 Da Ineamani- Mao for Lost T= - qtr% nn ***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 Fee $ '? U Spayed/Neutered License Pet Name 1 -6-11 Sex L) Cat P A Breed Color * (A ',, , t, t, Replacement $ Declared Dangerous or Potentially Dangerous Dog: Ll Y N ' 00 MICROCHIP # (If applicable) SUBTOTAL: $ 1�17 - -- - --- RABIES VACCINATION DATE: (3 yr) — (I yr) 1i City Tag # �.//; /'43 * PET #2 Dog LJ Cat q'Spayed/N !red License Fee$ Pet Name tJ Ae Sex t"'i Color Tvlv"A BreedTg* 4"'C 1 6 r ce I Replacement $ Declared Dangerous or Potentially Dangerous Dog: LJ Y MICROCHIP # (If applicable) RTOTAL: $ RABIES VACCINATION DATE: (3 yr) _ (1 yr) City Tag il-LL-1 PET #3 LI Dog LJ Cat LJ Spayed/Neutered License Fee $ Pet Name Age Sex Color Breed * Replacement $ Declared Dangerous or Potentially Dangerous Dog: LJ Y LJ 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 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 late fee date not applicable for newpetylnew residents) Newly Acquired Pets: New Residents to Blair: • Must be licensed within 10 days of ownership 0 Must register pets within 10 days of • <OR> at 6 months of age if puppy/kitten residency. CERTIFICATEOFVACCINATION Date of Rabies Vaccination: 7/7/2018 Next Rabies Vaccination On: 7/7/2019 VETERINARY CLINIC Rohrig Animal Hospital 225 N. 3rd St. Arlington, NE 68002 402-478-4141 This is to certify... Certificate No: 0 Previous Rabies Vaccination: OWNER OF ANIMAL Wyatt Matzen 2338 Lincoln st Blair, NE 68008 County: Washington THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Harley TAG NO: 022169 SPECIES: Canine WEIGHT: 68.00 SEX: Female AGE: 16M Color and markings: Black And Brown Signed MATTHEW MERKWAN License: 3689 Vaccinations done... 7/7/2018 MJM RABIES 1 YEAR, #022169 7/7/2018 MJM DHLPP PUPPY #3 2/28/2018 KR DHLPP PUPPY #3 2/7/2018 KR BORDETELLA ANNUAL BOOSTER 2/7/2019 2/7/2018 KR DHPP ADULT BOOSTER Rabies Vaccine Information... MFG BY: BI SER.NO: 4150447A LOT EXP: 4/21/19 ADM: SQ e CERTYFTCA'TE O V,ACCr NATION Date of Rabies Vaccination: 12/3/2018 Next Rabies Vaccination On: 12/3/2019 VETERINARY CLINIC Rohrig Animal Hospital 225 N. 3rd St. Arlington, NE 68002 402-478-4141 This is to certify... Certificate No: 0 Previous Rabies Vaccination: OWNER OF ANIMAL Wyatt Matzen 2338 Lincoln st Blair, NE 68008 County: Washington THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Nala TAG NO: 022880 SPECIES: Canine WEIGHT: 35.00 SEX: Female AGE: 5M Color and markings: Tan/Black Signed MATTHEW MERKWAN Vaccinations done... 12/3/2018 MJM RABIES 1 YEAR, #022880 License: 3689 12/3/2018 MJM DHLPP PUPPY #4 9/24/2018 MT BORDETELLA ANNUAL BOOSTER 9/24/2019 9/24/2018 MT DHLPP. PUPPY #3 Rabies Vaccine Information... MFG BY: NOBIV SER.NO: 288171 LOT EXP: 09/27/19 ADM: SQ Date of Rabies Vaccination: 12/3/2018 Next Rabies Vaccination On: 12/3/2019 VETERINARY CLINIC Rohrig Animal Hospital 225 N. 3rd St. Arlington, NE 68002 402-478-4141 Certificate No: 0 Previous Rabies Vaccination: OWNER OF ANIMAL Wyatt Matzen 2338 Lincoln st Blair, NE 68008 County: Washington This is to certify... THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Nala TAG NO: 022880 SPECIES: Canine WEIGHT: 43.00 SEX: Spayed Female AGE: 9M Color and markings: Tan/Black Signed MATTHEW MERKWAN License: 3689 Vaccinations done... 12/3/2018 MJM RABIES 1 YEAR, #022880 12/3/2018 MJM DHLPP PUPPY #4 9/24/2018 MT BORDETELLA ANNUAL BOOSTER 9/24/2019 9/24/2018' MT DHLPP PUPPY #3 Rabies Vaccine Information... MFG BY: NOBIV SER.NO: 288171 LOT EXP: 09/27/19 ADM: SQ 03/15/2019 08:24 4024260101 HOLSTEIN VET CLINIC PAGE 01/01 2019 PET LICENSE V'FRIFICATION/APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR DAT(S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF BLAIR - 218 S. 16TH ST - BLAIR, NE 68008 YOU MAY LEGALkY 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 ERE UIRED BY LAW TD 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 AgE DUE AKALL2019, The city shad recognize a Microchip ID number as the license number. It shall be unlawful for any dog or cat to wear any license or other city la other than that issued by the City of Blair for such dog or cat. NEW PFT 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 Owner Address city/State/zipr Phone # dL # or DOB PF—T # Pet Name: Tiger Mary Matzke lErick 1123 Sunrise Drive Blair, NE 68008 402-533-2114 Asa: I,1Y _ I sex: Neutered Malevior. dray tabby Breed: DDmestic Shorthair Declared Dangerous,/Potentially Dangerous Doi 1M0 'YIES Microchip ,# Rabies Description: /--'I< YEAR, Holstein Veterinary Clinic Dr- Lisa .Schr unz DVM & Dr. Ift-ista Holstein DVM '718 ,South 19th Street Blair, NF 68008 402-426-0101 Fax holsteinclinic@gmail.com City Tag # Rabies Tag # 3 YEAR LICENSE FEES intact Dog or Cat: $16.00 Altered Dog or cat: $11.00 Replacement Tag $5.00 Total s.� _ FAXED ! 03-,14-19 4:28p BY TOTAL PAGES �gt3i5 a-�s-�s 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: John & Judith May Spayed/Neutered Dog or Cat: $11.00 Owner Address: 2960 College Dr Replacement Fee for Lost Tag: $5.00 g Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008--0000 Operator Inspection Program Phone #: (402) 426-0242 Drivers License #: ' or Date of Birth:_. Subtotal licensed pets from below: Replacement Tags from below: Name: Lucy Color: Black/Tan Spayed/Neutered:mFalsw . Mirochip # 981020006684882 Vaccination Date: 04/03/2017 DOB:,014044201Z Sex: Female Breed: German Shepherd Dog Duration: 3 year vaccine Vaccine Exp: 04/03/2020 License Fee $ Replacement: ❑Y ❑N City Tag # 2424 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: MCBREEN, JOSEPH M & CHARLENE R Spayed/Neutered Dog or Cat: $11.00 Owner Address: 1440 FIELDCREST DR Replacement Fee for Lost Tag: $5.00 Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: BLAIR, NE, 68008--0000 Operator Inspection Program Phone #: (402) 533-9063 Drivers License #: Name: Bailey Color: Blue Merle Spayed/Neutered: True Mirochip # 985112006802293 Vaccination Date: 31-1-8/201-6,- , or Date of Birth: -- C(..- 6 Subtotal licensed pets from below: L ICJ Replacement Tags from below: DOB: Not on File Sex: Male Breed: Australian Shepherd Duration: 3 year vaccine Vaccine Exp: 3/18/2019 License Fee $ Rep cement: ❑Y VqN City Tag # 1872 Total:�� y - "S;' 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 1 LICENSE FEES: Dog or Cat: $16.00 Owner Name: MCBREEN, JOSEPH M & CHARLENE R Spayed/Neutered Dog or Cat: $11.00 OReplacement Fee for Lost. Tag: $5.00 Owner Address: 1440 FIELDCREST DR Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: BLAIR, NE, 68008--0000 I Operator Inspection Program Phone #: (402) 533-9063 Drivers License #: or Date of Birth: Subtotal licensed pets from below: Replacement Tags from below: Name: Whiskey Color: Tri-Color Spayed/Neutered: True Mirochip # 956000008697237 Vaccination Date: 4/26/2016 DOB: Not on File Sex: Male Breed: Australian Shepherd Duration: 3 year vaccine Vaccine Exp: 4/25/2019 License Fee $ Re ement: ❑Y INN 7111 City Tag # 1871 Total: 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 GLAIR - 2;,g S. 16TH ST BLAIR, CIE 6$00$ 8UT NO MORE THAN THREE (3) ADULT DOGS OR THHREi5 (3) ADULT CATS PER RESIDENTIAL OR DWELLMG UNIT. 'PLEASE READ CAREFULLY*** YOU ARE REQUIRED 13Y LAW TO LICEN5E YOUR PET Failure to do $o is a viplation Of City Ordinances 6.103 and carries a penalty of a. flhe up to $150.00 per pet, PET LICENSE RENEWALS ARE DtiE 8Y 3 15 2019- The city shall recognize a microchip ID number as the license number. It shall be unlawful for any dog or cat to wear any license or other city ID other than that issued by the City of Blair for such dop, of 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 pets within 10 days of'residency Owner Dame spouse Owner Address City/Stage/Zip OL#orDOB Holstein Veterinary Clinic Dr. Lisa Schrian DVM & Dr. Kl'ista Holstein DV'M 718 South 19th Strut Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinic@gmll.com TO/TO 39Vd DINI-10 iAA NI310001-1 Cameron McCombs Marina 11953 Butter Ave Blair,, NE 68008 435-668-3870 LICENSE FEES 0 r•• . r 1 VIN .. ►,�� Altered Dog or eat: $1i.o0 Replacement Tag $5.00 Total $ �,00 FAX1 D F�05-25-19 BY TOTALPAGE5 TOT©93V30P 9E:TT 6T©2',/9Z/9© sm 1 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: Mark & Liz McDermott Owner Address: 2151 South St City/State/ZIP: Blair, NE 68008 Phone #: (402) 740-0940 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 Drivers License #: I-� I21 or Date of Birth: Name: Bubbles Color: Buff Spayed/Neutered: True Mirochip # 981020019075779 Vaccination Date;1-11 %2017 -� Subtotal licensed pets from below: Replacement Tags from below: DOB: 7/27/2016 Sex: Female Breed: American Curl Shorthair Duration. year vaccine Vaccine Exp: �"445/2019 License Fee $ ij 4 00 Replacement: ❑Y [IN City Tag # 2320 Total:11. Drr-, 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 & Liz McDermott Spayed/Neutered Dog or Cat: $11.00 Owner Address: 2151 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) 740-0940 Drivers License #: or Date of Birth: 1/2/1981 Name: Ms. Fly Color: White/Black/Brown Spayed/Neutered: True Mirochip # 981020021503622 Vaccination Date: 10/2C/20-f? — ,1 Subtotal licensed pets from below: Replacement Tags from below: DOB: 1/1/2017 Sex: Female Breed: Collie Duration: year vaccine Vaccine Exp: 1-0/2612018 License Fee $ Co Replacement: ❑Y ON City Tag # 2321 Total: 1 . 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: Dawn McGauley Spayed/Neutered Dog or Cat: $11.00 Owner Address: 1031 N 28th St Replacement Fee for Lost Tag: $5.00 Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008--0000 Operator Inspection Program Phone #: (402) 426-4470 Drivers License #:H13211548 or Date of Birth: 10/26/1965 Subtotal licensed pets from below: Replacement Tags from below: Name: Smokey DOB: 4/28/2008 Sex: Male License Fee $ Color: Black/White Breed: Domestic Shorthair Replacement: Spayed/Neutered: True ❑Y ON Mirochip # City Tag # 1002 Vaccination Date: 81,1312,616 Duration: year vaccine f- 1 Vaccine Exp: ,a/1312W�8' Total: r Client ID: 4690 Client Name: Dawn McGauley Address: 1031 N. 28th Street Blair, NE 68008 z Tag Number: 0000 Lot Number: 18373 Imrab Rabies Vaccine Producer: Merial K / MLV I R: Killed Virus D David E. Johnson DVM ' ♦ ront Stree� avid - Johnson D 1734 Front Street B BI s 8008 ? r b ska 6 lair, Ne•ra 68008 (402) 533-2722 Staff Name: David E. Johnson DVM License Number: 1893 Patient ID: 2817 Patient Name: Smokey Species: Feline Breed: Domestic Shorthair Sex: Neutered Male Color: Black/White Markings: Birthday: 04/28/2008 Weight: 12.36 pounds on 8/13/2016 8/11/2018 811112019 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: Dawn McGauley Spayed/Neutered Dog or Cat: $11.00 Owner Address: 1031 N 28th St Replacement Fee for Lost Tag: $5.00 Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008--0000 Operator Inspection Program Phone #: (402) 426-4470 Drivers License #:H13211548 or Date of Birth: 10/26/1965 Name: Rex Color: White Spayed/Neutered: False Mirochip # Vaccination Date: 3/17"/2018 Subtotal licensed pets from below: Replacement Tags from below: DOB: 8/15/2006 Sex: Male Breed: American Eskimo Dog Duration: 3 year vaccine Vaccine Exp: 3/17/2021 License Fee $ Replacement: ❑Y ON City Tag # 1001 Total: &"a Client ID: 4690 Client Name: Dawn McGauley Address: 1031 N. 28th Street Blair, NE 68008 Phone: (402)426-4470 Tag Number: 4511 Lot Number, 18334 Imrab Rabies Vaccine Producer: Merial K / MLV / R: Killed Virus Blair Small Animal Clinic PC David E. Johnson DVM 1734 Front Street Blair, Nebraska, 68008 (402) 533-2722 Patient ID: 3025 Patient Name: Rex Species: Canine Breed: American Eskimo Sex: Male Color: White Markings: /4- Birthday: 08/61(/2006 Weight: 21.00 pounds on 8/25/2016 wei"jX4 y1j,111y Vaccination Date: 3117/2018 Expiration Date: 311712021 Staff Name: David E. Johnson DVM License Number: 1893 -# q � 0 CITY OF BLAIR - 2019 PET LICENSE VERIFICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete/verify this form and return with check made payable to: City of Blair * 218 S 16th St. * Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2019 LICENSE FEES: Dog or Cat: $16.00 Owner Name: Trevor P And Jamie Lynn Mcgill Spayed/Neutered Dog or Cat: $11.00 Owner Address: 608 N 3rd 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) 237-0055 Drivers License #: Name: Chance Color: Cream Spayed/Neutered: True Mirochip # Vaccination Date: 3/17/2016 or Date of Birth: Subtotal licensed pets from below: Replacement Tags from below: DOB: 1/1/2008 Sex: Male Breed: Shih Tzu Duration: 3 year vaccine �Fw� Vaccine Exp 3/17%2019 License Fee $ Replacement: ❑Y ON City Tag # 2159 Total: P(' V� 6 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. o 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: t -r(P\)3r --LA 14�` e,�^ '_m '� U ,✓ '"1 City/State/Zip: Phone # Blair,, NE 68098 � �� too Drivers License # or Date of Birth J ` V 7 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 ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name I e Age t '� Sex � % Color 6 ! r, Breed" L. Q 6 Replacement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ _ RABIES VACCINATION DATE: I o - I� - (3 yr) (1 yr) X City Tag # PET #2 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Acle Sex Color reed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Agge Sex Color Breed Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ M ■M (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 15late fee date not applicable fornewpets/new residents) Newly Acquired Pets: I New Residents to Blair: ■ Must be licensed within 10 days of ownership ■ Must register pets within 10 days of ■ <OR> at 6 months of age if puppy/ldtten residency. 6 -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 LICENSE FEES: Dog or Cat: $16.00 Owner Name: Erin McGinn Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Owner Address: 676 N 24th St Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008 Operator Inspection Program Phone #: (402) 981-7540 Drivers License #: 4k16/d--)k1 or Date of Birth: Subtotal licensed pets from below: ` Name: Sienna Color: Liver Spayed/Neutered: True Mirochip # Vaccination Date: 11/12/2016 Replacement Tags from below: DOB: 01/01/2006 Sex: Female Breed: Beagle Duration: 3 year vaccine Vaccine Exp: 11/12/2019 License Fee $ 1 Replacement: ❑Y ❑N City Tag # 2416 Total• t ," 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: MCINTOSH, GREGORY W Spayed eutere Oor Cat: ;5.00 1.00 Owner Address: 1250 COREY DR Replacement Fee for Lost Tag: Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: BLAIR, NE, 68008--0000 Operator Inspection Program Phone* <NO PRIMARY PHONE> bL 5:� -31 Z, Drivers License #: or Date of Birth: 4/16/1959 1 Subtotal licensed pets from below: I �. Name: Charlie Color: White/Brown Spayed/Neutered: True Mirochip # Vaccination Date:8�8/015 Replacement Tags from below: DOB: Not on File Sex: Male Breed: Cavalier King Charles Spaniel Duration: iyear vaccine Vaccine Exp:,8/48/2V18 C5 ,o License Fee $ 11 . UJ Replacement: ❑YXI City Tag # 138 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: Kerry and Ann Mckain Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Owner Address: 1927 Front St Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008 Operator Inspection Program Phone #: (402) 426-5107 Drivers License #: or Date of Birth: Subtotal licensed pets from below: Replacement Tags from below: Name: Nissa h DOB: Not on Fil Sex: Female License Fee $ Color: Rust Breed: Australiin Shepherd Replacement: Spayed/Neutered: True ❑Y ON Mirochip # City Tag # 2052 Vaccination Date: 10/6/2016 Duration: 3 year vaccine Vaccine Exp: 10/6/2019 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: Kerry McKain Spayed/Neutered Dog or Cat: $11.00 Owner Address: 1927 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) 426-5107 Drivers License #: or Date of Birth: 2/27/1948 Subtotal licensed pets from below: Replacement Tags from below: Name: Echo DOB: 0/16/2B ex: Male License Fee $ , Color: Yellow Breed: Domestic Shorthair Repl cement: Spayed/Neutered: True IN Mirochip # City Tag # 2117 Vaccination Date: J2/1°07201 Duration: year vaccine t Vaccine Exp: 1�2/1=012 Total: U 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: Kerry McKain Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Owner Address: 1927 Front St Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008--0000 Operator Inspection Program Phone #: (402) 426-5107 Drivers License #: or Date of Birth: Subtotal licensed pets from below: Replacement Tags from below: Name: Shadow DOB: 3/15/2014 Sex: License Fee $ Color: Grey Breed: Domestic Shorthair Rep cement: Spayed/Neutered: True ❑Y N I, Mirochip # City Tag # 2116 u Vaccination Date:-7aW2D—% Duration: year vaccine 3-15-11 Vaccine Exp: 7 /2' Total: I 1 i 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: Kerry McKain Spayed/Neutered Dog or Cat: $11.00 Owner Address: 1927 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) 426-5107 Drivers License #: or Date of Birth: Name: Sam Color: Yellow Spayed/Neutered: True Mirochip # Vaccination Date: J0/2V2 1 -1 --1 Subtotal licensed pets from below: Replacement Tags from below: DOB: 3/ ex: Male Breed: Domestic Shorthair - Duration:_ �ar vaccine Vaccine Exp: 10�(26/20`'1`8 el t. f License Fee Replacement: ❑YN City Tag # 2115 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: Dani and Kelly McManigal Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Owner Address: 1540 Oak Dr Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008 Operator Inspection Program Phone #: (402) 870-2170 P Drivers License #: or Date of Birth: �I J ) U /Qq 7 LP)O Subtotal licensed pets from below: Replacement Tags from below: Name: Lucy DOB: 01/01/2012 Sex: Female License Fee $11, bb Color: Golden Breed: Mix Breed Re acement: Spayed/Neutered: True ION Mirochip # City Tag # 1824 -H a.. Vaccination Date: Duration: 1 year vaccine 08m1012017 Vaccine Exp:110101� b Total) FRDM : BSAC FAX NO. : 402-533-2722 Mar. 22 2019 00:44AM P1 CITY OF FLAIR .. 2019 PET LICENSE APPLICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair * 218 S. 16th St. a Blair, NE 68000 You may legally own a combination of Pour (a) adult pets, but no snore than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEW�ALS�,A'RI1=up�UE:J�l4a{mh 1S.�2r01J Owner Name: 11( k(A l 1 1`� 1�,1 A*AW1fi , Owner Address: ,^� r� yi, � � lye city/state/zip: Blair NE 008 Phone # N ~ l� --1<I~n Drivers 1.1wri$e # or Date of Birth LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11.00 Replacement Fee for Lost "fags $S.010 ***PLEASE REW CAREFiA LY*** YOU ARE MQUIPED BY LAW TO LICENSE YOUR PET$, Failure to do solo a violation of City ordinances 6.103 and carries a penalty of a fine up to $JL50.00 per pet. PET LiCFNSES AENEWAL5 ARE DUE BY WJLLAM. The City $hall reaognlzq a microchip Idanti0cotion t1U111001 as the lieense ilurtibar. It shall lit'. iiMawrul for tiny (luy pr cot to wonr tiny license or other city idontificttion other than that issued by the Clty of Blair for such dog or cat. The City of flair requires proof of rables vamInation. PET #1 ❑ D Cat ;A Spayed/Neutered License Fee Pet NaimO. Abe pf�Sex i Color Breed * Replacement $ Declared Dangerous or potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) � eof SUBTOTAL: $ RABIES VACCINATION DATE. I (3 yr) yr) City Tag # PET #2 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $_------ ........ Pet Name Age �,--� Sex Color Breed- * Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: 1 (3 yr) _ (i yr) _ City Tag PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee Pet Name Age Sex Color Freed * _---._....._ Replacement $ ...... ** Declared Dangerous or Potentially Dangerous Deg: ❑ Y ❑ N MICROCHIP (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE:. (3 yr) (I yr) City Tag # �* *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS Its A RENEWAL ** (Thies fee Is due along with License FAA if raquesting at the time of license renewal.) Donation to care for animals: _ $1 _ $3 _ $5 _ $1.0 _ Other ***SEE BACK OF FORM FOR BREED SPECIFIC LICENSE REQUIREMENTS Do Not sand dash by Mimi/ TOTAL ENCLOSED $ VISA / MC # Expires:____ — Security Code: Signature If your have questions, please contact City Mall at (402) 426-4191 or 4y Fox: (402) 426-4195 ........+++++++++++*..........k.+k-F4.* * *+•F++#................................ NEWPFF/NEW RESIDENT LICENSING REQUIREMENTS (Iftrh,l5/a&lfeed�tenotappllwb/e(lrnewpeWnewtnsie*y7&) INemymuirw Pats• (jar Residents to Blair; ■ Mast be licensed within 10 di ys oravma5hfp ■ Must register Bets Witi lin to days of IN -<oR;> ;3t 4 months of aWK Puppy/ reddency. 03/15/2019 16:51 4024260101 HOLSTEIN VET CLINIC PAGE 01/01 2019 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF SLAIR IP YOU LIVE IN 13LAIR CITY LIMITS AND OWN A OOG(S) AND /OP CAT(S), COMPLETE THIS FORM AND RETURN WITW 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 lSWELLING UNIT. $**PLEASE READ CAREFULLY'*' YLIU 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 QUE BY 1B 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 fQr 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 Katie McQueen Spouse dike Owner Address 926 N 24th Street city/state/Zip Blair, NE 68008 Phone # 402-1490-9086 DL # or 113013 ET # Pet Name: Joey Age: sex: Neutered Male Color: Tan/Blk Breed: Terrier" X Declared Dangerous/Potentially Dangerous Drag 140 YES Microchip # City Tag # d ;Rai'IN. „ �I.; ;'I:I:�h,I. ;.,I:; ,a,,;;•�", ,.,,I,, „r,i.... ,,;";:�;;��Itsll:,l.,r• al>lii�:,,::,. �'.'''�;'it�•.,,'�r«a.n,'�#�t��`,j,;a;;;>,- :�'';1-.1�;.;•:' j ;;,•:,,,.�„�<!::�:i i.trvll+l,fli.:h`li ii i;:�i rl,i c:iF��Yii��.tl!�i�I�. I.01:�:1�.•I:1:iA�l 7}+''''I 1" :I(1'•' I:iil�il'. ` �i .i I' lit ..��j{{JJ Y :' II. 11 Ir'�•j.l:l A.I,.c'. /�,1r.'�I�.I;;:,dill','tit?Idii;!ii^i'i>�•,ij;..'I�!'�ilr41'�ii'�!. i!r1�IL�..: I•l(1:�`u.:��i abi s Tag# Rabies Description: 1 YEAR Holstein Veterinary Clinic Dr. Lisa Schrum DVM bi Dr, ,Kristca Holstein DVM 718 south 19th Street Blair, NE 68008 402-426-7387 402-426-0101 Fax halsteindinic@gmail.e©m LICENSE FEES Intact Dog or Cat: $16,00 d 'or cat. $11.0 Replacement Tag $5.00 Total �k-00 1=AXEID 03-15-19 2:21)p BY TOTAL PAGES CERTIFICATE OF VACCINATION I Date of Rabies Vaccination: 11-03'18 Certificate No: U Next Rabies Vaccination On: 11'O2-21 Previous Rabies Vaccination: VETERINARY CLINIC OWNER OFANIMAL Countryside Small Animal Steve [NcQuinn — 1306Shavenaon 14O8Wright St � FoCe|houn. NE 88023' Blair, NE'G8OOO 402'468-4060 � ` County: Thkskatooertif/— ' THAT HAVE VACCINATED AGAINST. RAB|ESTHE ANIMAL DESCRIBED BELOW. Patientinformation... PATIENT: Fi TAG NO: 18-1220 ` SPECIES: Canine WEIGHT: 102.00 \ D SEX:N BREED: Great Dane Mix AGE: 15months Color and nmmrkingo,..Black and. White Signed KoyceePoints License: Vaccinations done... ' 11-03-18 KNP Canine Rabies Vaccn.3yr, #18-120 ' 117U2-21' 11'03-18 KNP CaninonA2PPL 11-03- Q 07-19-18 KNP Canine BnndeteUe|ntronono|Initial 11-18'17 JJS Canine Rabies \amnn.1yr,#17-2O0 10-21-17 JJS CaniOeDA2PP ' - '- Rabies Vaccine 1nfoonmtion— KAPG BY: ZOET SEFLNQ:236501C LOT EXP:11Deo18 ADRO:Qq Neuter Post -Surgery Instructions PROCEDURE: Your Pet underwent general anesthesia and a routine neuter procedure today. The procedure went smoothly with no complications. There are many benefits that come from neutering your dog. It eliminates the risk of unwanted breeding. It can also decrease unwanted behaviors, such as urine marking, inappropriate mounting, and fighting. Neutering also prevents infection and enlargement of the prostate. It also prevents the development of certain types of hernias and tumors of the testicles and anus. MEDICATI S: 2) FOOD AND WATER 1) Offer about 1/4 of his normal feeding amount this evening. 2) Offer small amounts of water this evening. 3) Return to his normal food and water intake tomorrow morning. ACTIVITY 1) Keep your pet quiet this evening. Do not allow him to have access to stairs or high locations (bed, furniture). 2) Limit activity for the next 10 to 14 days (leash walks outside, no rough housing with other dogs, etc.) 3) Do not bathe or take him to the groomer for 14 days. SUTURES/STAPLES 1) Check the incision sites daily for swelling, redness, or discharge. If you notice any of these conditions, please call the clinic as soon as possible and have your pet rechecked. 2) Discourage licking at the incision sites. If you notice him licking, please contact us so we can set up an E-collar for him. 3) There are no sutures that need to be removed. The sutures that were used to close the incision sites will dissolve over time. FOLLOW-UP APPOINTMENTS - If you have any concerns about incision site, please contact us right away so that we can set up a re -check appointment at no charge. Thank you for entrusting your pets care to Countryside Small Animal Clinic. He was a great patient to work with! Please contact us with any questions or concerns at 402-468-4060. Sincerely, Dr. Kaycee Points, DVM CERTIFICATE OF YACCINATION Date of Rabies Vaccination: 12-15-18 Certificate No: 0 Next Rabies Vaccination On: 12-15-19 Previous Rabies Vaccination: VETERINARY CLINIC OWNER OF ANIMAL Holstein Vet Clinic Jim McWilliams 718 South 19th Street 1742 Colfax Blair, NE 68008 Blair, NE 68008 402-426-7387 County: This is to certify... THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Scooter TAG NO: 16507 SPECIES: Canine WEIGHT: 0.00 SEX--M- AGE: 13 months Color and markings... Signed Lisa Schrum, DVM Due Date / Vaccinations 12-15-19 Defensor 1 (1 Year Rabies) Rabies Vaccine Information... License: 2310 MFG BY: ZOETI SER.NO: 282271 LOT EXP: 07-30-19 ADM: SQ , CITY OF BLAIR - 2019 PET LICENSE VERIFICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete/verify this form and return with check made payable to: City of Blair * 218 S 16th St. * Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2019 LICENSE FEES: Dog or Cat: $16.00 Owner Name: MCWILLIAMS, JAMES R & DARLA S Spayed/Neutered Dog or Cat: $11.00 Owner Address: 1742 COLFAX ST Replacement Fee for Lost Tag: $5.00 Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: BLAIR, NE, 68008--0000 Operator Inspection Program Phone #: (402) 426-9171 Drivers License #: or Date of Birth: 12/13/1948 Subtotal licensed pets from below: Replacement Tags from below: Name: Polly Color: Yellow Spayed/Neutered: True Mirochip # Vaccination Date: 12/4/2017 Sex: Female Breed: Labrador Retriever Duration: 3 year vaccine Vaccine Exp: 12/4/2020 License Fee $ Replacement: ❑Y (7N City Tag # 1723 Total: Mar 14 2019 03:53PM Cigna 712-369-3734 page 1 q y 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. 16m St. s 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 RE UE: March 15. 2019 0 Owner Name: �_ /ilC - lam" Owner Address: Il 7 �.� ,G�!% City/state/zip: Blair, NE 68008 Phone # (-/a Z qZ 7 yI/O Z Drivers License # or Date of Birth -- ZQ' V- % LICENSE FEES: Dog or Cat: $1.6.o0 Altered Dog or Cat: $11,00 Tndtxled ' Replacement Fee for Lost Tag: $5.00 ***PLEASE READ CAR,EFUi1.Y*** 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 $190.00 per pet. PET LICENSES RENEWALS ARE DUE BY ILIV . The City $hall recognize a microchip identiflcation number as the license number, It shall be unlawful for any dog or cat to wear any license or other city Idenbfication other than that issued by the City of Blair for such dog or cat. The (sty of Blair requires prof of rabies vaccination. is a $lobe Fes otf $1.Z.5 berg CUNerted to fund the N i Dog 8t Cak Operator inspection Program Pet me o g ❑ Cat spayed/Neuter License Fee $ / i• ,� Color Breede ;f� i �-Replacement $ Declared Dangerous or PateptiaJI D ngerods Dog: ❑ Y 4 N MICROCHIP # 30001 ZO/ `I 6 �0 (If applicable) SUBTOTAL: $ RABIES VACCINATION DATA_: !Pin 9-6- p (3 yr) (1 yr) City Tag #� PET #2 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Color Breed* Sex Declared Dangerous or Potentially Dangerous Dog: ❑ Y Q N MICROCHIP # (If applicable) RABIES VACCINATION DATE: — (3 yr) License Fee $�. Replacement$ ** SUBTOTAL: $ (1 yr) _ City Tag #�* PET #3 ❑ Dog 0 Cat ❑ Spayed/Neutered License Few $ Pet Name Sex Color Breed** Replacement$ ** Declared Dangerous or Potentially Dangerous Dog: LJ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL. $ RABIES VACCINATION DATE: (3 yr) (i yr) City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee Is due along with License Fee if requesting at the time of license renewal,) Donation to care for animals: _ ***SEE BACK OF FORM FOR BREED SPECIFIC LICENSE REQUIREMENTS 10 Other Do not Send Cash by may TOTAL ENCLOSED $ , VISA / MC # Expires: —�� — Security Code: _�, Signature If you have questions, please contact City Hall at (402) 426-4191 or by Pax, (402) 426-4195 ................++++...... *.................................................. NEW PET/NEW RESIDENTLICENSMG REQUIREMENTS(Mbr0151afir,feecWtenotappkabkfrtrnewpeWnewr dents) ■ Must be lbmsed wittvi 10 N . 0 <OR> at 6 mon is of � � awl► en ■ Must register pets within 10 days of puppy/kittert M§dwq. 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: Aarron & Mary Meeves Spayed/Neutered Dog or Cat: $11.00 Owner Address: 1627 South St Replacement Fee for Lost Tag: $5.00 Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008--0000 Operator Inspection Program Phone #: <NO PRIMARY PHON1E`> Drivers License #: V of a�0 `i or Date of Birth: 5 A_ Subtotal licensed pets from below:„ Replacement Tags from below: Name: Cupcake DOB: Not on File Sex: Female License Fee $ Color: Black/Grey Breed: Great Dane Replacement: Spayed/Neutered: True ❑Y ON Mirochip # City Tag # 2313 Vaccination Date: 11/-1/2017 Duration:year vaccine Vaccine Exp. 1V1-1/2018— at'A to Total:— CITY OF BLAIR - 2019 PET LICENSE ADDITIONS If you live in Blair City limits and own a dog(s) and/or cat(s), complete/verify this form and return with check made payable to: City of Blair * 218 S 16th St. * Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2019 Owner Name: Aarron & Mary Meeves Owner Address: 1627 South St City/State/ZIP: Blair, NE 68008--0000 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 #: <NO PRIMARY PHONE>' II - Drivers License #: C� n��s or Date of Birth: � l� i JD Subtotal licensed pets from below: 101 „ Replacement Tags from below: Total:�� W ❑ Dog Cat ,Spayed/Neutered License Fee $ �_ Pet Name Pet DOB Sex Color n Breed Declared Dangerous or Potentially Dangerous Dog? ❑ Y Microchip # Rabies Vaccination Date 03 yr)yr ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Age Sex Color Breed Declared Dangerous or Potentially Dangerous Dog? ❑ Y ❑ N Declared Dangerous or Potentially Dangerous Dog? ❑ Y ❑ N Microchip # Rabies Vaccination Date 03 yr 01 yr License Fee $ 03 yr 1711 yr � / /,g//g 4 9 o- � 161-� 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: QiMiz Megrue,Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Owner Address: 2423 Fontanelle Blvd Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008--0000 Operator Inspection Program Phone #: (402) 426-2559 ,f . X y Drivers License #: or Date of Birth: Name: Buffy Color: Buff Spayed/Neutered: True Mirochip # Vaccination Date: 10/10/2017 ,�G�'�:✓� �rG`frid>-� %��'`nd` G' Subtotal licensed pets from below: Replacement Tags from below: DOB: Not on File Sex: Female Breed: Pekingese Duration: 3 year vaccine Vaccine Exp: 10/10/2020 License Fee $ Z1, ,a Replacement: ❑Y ON City Tag # 68 Total: 2019 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CM LIMITS AND OWN A DOG(S) AND /OR CAT(S), COMPLETE THI$ FORM AND RETURN WITH A CHECK PAYABLE TO CITY OF BLAIR — 218 S. 16TH ST — BLAIRj 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 L)WtLLING UNIT. ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE Y99RJP—E—T- Failure to do so is a violation of City Ordinances 6,103 and tsrrles a penalty of a fine up to $150,00 per pet, PET LICENSE RENEWALS ARE DUE BY 3/15/2019. The city shall recognize a microchip ID number as the license number. It shall be unlawful for any dog or cat to wear any license or other city ID other than that Issued by the City of Blair for such dog or cat, NEW PET LICENSING ' Must be licensed within 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 Maria Mencke Spouse Brad Teager owner Address 2131 Lincoln Street City/State/Zip Blair, NE 68008 Phone # 402-533-9880 DL # or DOB I PET # Pet Name,, Jack Age: BY --se)c.Neutered Male Color: Black and Tan Breed; Yorkshire Terrier --7 Declared Dangerous/ Potentially bangerous Dog NO TYES Microchip City Tag # Rabies Tag # 16686 Rabies Description: I YEAR (:"3-YEA� Holstein Veterinary Clinic Dr. Lisa Schram DVM & Dr. Kilsta 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 A*V-d�� Dog q(r Gat: $11.)0 Replacement Tag $5.00 Total $ + � ' 0 0 FAXED 02-04-1 Q 4,40P BY TOTALPAGES of 3 60/30 39Vd DINI-10 13A N=S-101-1 TOT093vzoi? C9:9T GT03/ve/30 2019 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOC;(B) AND 10k CAT(S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF BLAIR — 218 S. 16TH ST — BLAIR, 14E 68008 YOU MAY LEGALLY OWN A COMBINATION 0r VOUP, (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT pOGSS OR-1-HREE (3) ADULT CATS PER, RESIDENTIAL OR DWELLING UNIT. ***PLEASE READ CAREFULLY*"" H YOU ARE REQUIRED BY LAW To LICENSE YQ�1.R. PE 7S. Failure to do so is a violation of City Ordinances 6,103 and tarries a penalty of a fine up to $150,00 per pet. PET LICENSE RENEWALS ARE DUE BY 3/15/2019. The city shall recognize a microchip ID number as the license number. It shall be unlawful for any dog or cat to wear any license or other city 10 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 Maria Mencke Spouse Brad Teager Owner Address 2131 Eirlcoln Street City/State/Zip Blair, NE 68008 Phone # 402-633-9880 L7►L # or DOB Pei # Pet Name: Max - w Age. BY sex: Neutered Male Color: Tan/Black Breed: Yorkshire Terrier Declared Dangerous/Potentially Dangerous Drag NO YES Microchip # City lag # Rabies Tag # 16685 Rabies Description: I YEAR YEAR Holstein Veterinary Clinic Dr. Lisa Schrum DVM & Dr. Krista Holstein DVM 718 South 19t1 Street Blair, NE 68008 402-426-7387 402-426-0101 Fax hoisteinclinic@gmail.com LICENSE FEES Intact Dag or Cat: $16.00 rid D or cat: $J140 Replacement Tag $5.00 Total $ nv00 FAXED 02-04-19 4:39p BY TOTAL PAGES w ) f 60/Z0 DDVd DINI-10 iAA NIMS-IOH Z0Z09Z030h 69:9Z 6Z0Z/ti0/30 2019 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT(S), 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 COMOINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. 'PLEASE READ CAREFULLY' YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City Ordinances 6,103 and carries a penalty of a fine up to $150,00 per pet. PET LICENSE RENEWALS ARE DUE BY 3/1512019. The city shall recognize a microchip ID number as the license number. It shall be unlawful for any dog or cat to wear any license or other city ID other than that issued by the City of Blair for such dog or cat. NEW PET LICENSING Must -be licensed within 10 days Of Ownership (OR) at 6 months of age if puppy or kitten NEW RESIDENTS TO BLAIR Must register pets Within 10 days of residency owner Name Maria Mencke Spouse Brad Tealger Owner Address 2131 Lincoln Street City/State/Zip Blair,. NE 68008 Phone # 402-533-91880 DL # car 008 PET # Pet Name: Fluffy Age: 10Y sex: Spayed Female Color: Tarn/Ell Fac #geed: Ger Shep X Declared bangeraus/Potentially Dangerous Dog NO YKS Microchip # riif � lV ..I.Y.A City Tag # t Rabies Tag # 14971 Rabies Description: 1 YEAR MEAR Holstein Veterinary Clinic FAXED Dr. Lisa Schrrrrn DVM & Dr. Krista Holstein DVM BY 718 South 10th Street Blair, NE E8008 402-426-7387 402-426-0101 Fax TOTAL PAGE$ hoisteinclinic@gmail,com LICENSE FEES Intact Dog or Cat: $16.00 I D g r cat: $11.0 Replacement Tag $5.00 Total 02-04-19 4:3913 91 E0/C0 39bd OINI-10 i3A N=S-IOH TOT09�71V301? E9:9T 6Z0Z/b©/Z0 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 t Owner Name: y j" 0 Owner Address: city/state/zip: Blair, NE 68008 Phone # ') ) - (c. �) :) C', 1 Drivers License # or Date of Birth LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3/15/2019. The City shall recognize a microchip Identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city Identification other than that Issued by the City of Blair for such dog or cat. The City of Blair requires proof of rabies vaccination. Included is a State Fee of $1.25 being collected to tuna the NebrasKa Dog Ik Cat PET # 1 Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name N "11,f Age -:: d Sex i Color _ v..-� e Breed" _j -V .SC Replacement$ Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP #') � i i `d �'=r i t (If applicable) - ( !#�� t:`<-`SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr)y'' City Tag # PET # 2 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Age Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) 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 W (1 yr) (1 yr) } ('�. i) ** 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 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. 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: MERRIMAN, JOHN S & SHARON M Spayed/Neutered Dog or Cat: $11.00 Owner Address: 964 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--0000 Operator Inspection Program Phone #: (402) 651-9808 Drivers License #: or Date of Birth: 11/8/1961 Subtotal licensed pets from below:' Replacement Tags from below: ° Name: Sawyer Color: Black/White Spayed/Neutered: True Mirochip # OA12480623 Vaccination Date: 6/41/201-6 G. - -_t. C3 DOB: Not on File Sex: Female Breed: English Springer Spaniel Duration: 3 year vaccine Vaccine Exp: 6/11/201-8- _ C License Fee $ Replacement: ❑Y ON City Tag # 1003 j �4 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: MERRIMAN, JOHN S & SHARON M Spayed/Neutered Dog or Cat: $11.00 Owner Address: 964 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--0000 Operator Inspection Program Phone #: (402) 651-9808 Drivers License #: Name: Oakley Ann Color: White/Black Spayed/Neutered: False Mirochip # 985112005323160 Vaccination Date: 5/2/2017 or Date of Birth: Subtotal licensed pets from below: Replacement Tags from below: DOB: 1/19/2016 Sex: Female License Fee $ Breed: English Springer Spaniel Replacement: ❑Y ❑N City Tag # 48 Duration: 3 year vaccine Vaccine Exp: 5/2/2020 Total:;) Sep 13 19 09:09a Thone Animal Care 4024265808 p.2 CITY OF GLAIR - 2019 PET LICENSE APPLICATION if you live in Blair City limits and own a clog(s) and/or cat(s), complete this form and return with check made payable to. City of Blair a 218 S. 161h St. * Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cabs per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15,201 owner Name: ✓ ' ' Owner Address. city/ state/ziP: Blair, NE 68008 Phone aAoA Drivers License # or Date of Birth +� .o 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 the ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW To LICENSE YOUR PETS. Failure to do so Is a violation of City ordinances 6.103 and carries a penalty of a fine up to $1so.00 per pet. PET LICENSES RENEWALS ARE DUE BY al1512015. The City shall recognize a microchip identification number as the license number. It shall be unlawful °or any dog or cat to wear any license or other city identificadon other then that Issued by the city or Blair for such dog or cat. The City or Stair requires proof of rabies vaccination. . PET, D g ❑Cat ❑Spayed Neutered --7 License Fee Pet Name .� �� A e , —Sex �1 ** Color �i r, r Breed "* r Replacement $ Declared Dangerous or Potentially Dangerous Dog. Y ❑ MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: 4 t (3 yr) (I yr) City Tag # PET #2 ❑ Dog ❑ Cat ❑ Spayed/Neutered License FeePet $ Color Breed Breed * Sex Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: ty Tag # RABIES VACCINATION DATE: (3 yr) (I yr) PET # 3 ❑ Dog ❑Cat ❑ Spayed/Neutered Pet Name Age Sex Color Breedg* _ 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 care for animals: $1 $3 $5 $10 Other ***SEE BACK OF FORM FOR BREED SPECir-IC LICENSE REQUIREMENTS Do Not Send Cash by Mai! TOTAL ENCLOSED $ VISA / MC # Signature Expires: Security Code: If you have questions, please contact City Hall at (402) 426-4191 or by Fax: (402) 426-41.95 .a.+a.+.}.1.+..t..................*+.++......+.++*+..........+*t+.+-r++*+........ rf++ NEW PET/NEW R ESI D ENT LICE N SIN G REQUIREMENTS (Mardi 15latefee date notapplicablefor new peWnelvte5ider`N) Newly Acc1uired Pets' New Residents to Blair., w Mtstbe licensed Within lodays oramership ■ Must register pets within to days of Iu <OR> at 6 months of age if puppy/kiiien residency. CITY OF BLAIR o 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: s Owner Address: ° City/State/Zip: Blair, NE 68008 Phone # f Drivers License # or Date of Birth LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3/15/2019. The City shall recognize a microchip Identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city Identification other than that Issued by the City of Blair for such dog or cat. The City of Blair requires proof of rabies vaccination. Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat PET # 1 Lj Dog ❑ Cat Spaye/Neutered License Fee $( _ Pet Name OA,, -. Aqe Sex Color Breed Replacement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # 6, (If applicable) SUBTOTAL: $ i 1,C RABIES VACCINATION DATE `_ Li,') , L (3 yr) (1 yr) tee° City Tag # ' F PET #2 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Agge Sex Color Breed Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ M (1 yr) License Fee $ Replacement $ SUBTOTAL: $ City Tag # PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Acie Sex Color Breed** Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Donation to care for animals: $1 $3 $5 $10 Other. ***SEE BACK OF FORM FOR BREED SPECIFIC LICENSE REQUIREMENTS VISA / MC # Signature Do Not Send Cash by Mail TOTAL ENCLOSED $ 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 newpets/newre5idents) NewyAcquired 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. Client ID: 73849 Client Name: Harrison County Humane Society Address: 106 N. 5th Avenue P.O. Box 174 Logan, IA 51546 Phone: (712)644-3003 Tag Number: 1224 Lot Number: 12577 Canine Rabies - 1 year Producer: Merial K / MLV / R: Killed Virus Twin Valley Veterinary Clinic 1113 Toledo Avenue Dunlap, IA 51529-6026 (712) 643-5160 Rabies Certificate Patient ID: Patient Name Species: Breed: Sex: Color: Markings: Birthday: Weight: Vaccination Date: Expiration Date: Staff Name: Johanna A. Pothast, DVM License Number: 7748 73849-1 CL CLIFF `_ '1 6 \ 04' CANINE DACHSHUND Neuter Tan 00/00/0000 9/12/2018 911212019 PA P � jj�!# H ci r r i S C3 n. nty WHUMANE SOCIETY Dog Cat W-1/v Spay date Spay date 1 c GcL Neuter date Neuter date Rabies tag number Rabies tag number 011 t z d (S Given date Given date q (n I. t-el Expiration date Expiration date ',X I I Heartworm Test date Fel-euk Test date Positive (,Mega"v Positive Negative Additional medical information: Additional medical information" e) Dr. Jack Gochenour Dr. Kelly Gochenour Dr. Johanna Pothast TWIN VALLEY VETERINARY CLINIC 1113 Toledo Avenue Dunlap, Iowa 51529-6026 -11 D, - (.Qq:b- 51 &() 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: Kip & Jennifer Meyer Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Owner Address: 1834 Grant St Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008 Operator Inspection Program Phone #: <NO PRIMARY PHONE> ,� j(, Drivers License #: or Date of Birth: 1 Subtotal licensed pets from below: Name: Yogi Color: Brown Spayed/Neutered: e Mirochip # Vaccination Date: 9/03/20 71 / Replacement Tags from below: DOB: 02/01/2017 Sex: Male Breed: Labrador Retriever Durationyear vaccine Vaccine Exp: 06J03 201`t License Fee $ ° 0,C) Replacement: ❑Y PN City Tag # 2165 Total: � P ' CITY OF BLAIR - 2019 PET LICENSE VERIFICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete/verify this form and return with check made payable to: City of Blair * 218 S 16th St. * Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2019 LICENSE FEES: Dog or Cat: $16.00 Owner Name: MEYER, RHONDA L Spayed/Neutered Dog or Cat: $11.00 Owner Address: PO BOX 925 2054 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) 426-3558 Drivers License #: or Date of Birth: Subtotal licensed pets from below: Replacement Tags from below: Name: Storm DOB: 08/25/2017 Sex: Female License Fee $ Color: Blue Merle Breed: Mix Breed Replacement: Spayed/Neutered: False ❑Y ❑N Mirochip # City Tag # 2400 --'' Duration: year vaccine Vaccination Date: 04�/07/2�8 Vaccine Ex OA1171,20116 01) Total: 10/18/2019 16:18 4024260101 HOLSTEIN VET CLINIC PACE 01/01 2019 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF ECLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR GAT(S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO., CITY OF BLAIR - 218 S. 16TH ST - GLAIR, ICE 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 RLSIDENnAL OR DWELLING UNIT. **$PLEASE READ CAREFULLY' YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Fallwa to do so IS a violation of City ordinances 6,103 and carries a penalty of a fine up to $150.00 per pet, PET LICENSE.RENEWALS ARE DUE BY 3/15/2019. The city shall recognize a microchip ID number as the license number. It shall be unlawful for any dog or cat to wear any license or other city ID other than that Issued by the City of Blair for such dog or cat. NFW PET LICENSING Mist 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 Jeanne Mildward spouse Owner Address 541 S. 16th Street *109 City/state/Zip B16iir, NE 68008 Phone # 402-661-2730 DL # or DOB P=T # i Pet Name: Kirkley Age-, 3'Y DOB: 09-20-16 Sex: Neutered Made Color: Black and Tan Breed: Yorkshire Ferrier Declared Dangerous/Potentially Dangerous Dag r No 'YES City Tag # Microchip # .• Rabies Description: i YEAR R2�bies Tag # 3 YEAR Holstein Veterinary Clinic Dr. Lisa Schrum DVM & Dr. Krista Holstein DVM 718 South 10th Street Blair, NE 68008 02-426-7387 402-426-0101 Fax holsteinclinic@gmaiLcom LICENSE FEES Intact Dog or Cat: $16.00 F Altered. " DQg Qr cat; $11,00 $5.00 Total s I Done. G) � N1 -T FAXED 10-18-19 BY TOTAL PAGES 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 THIREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT, 'PLEASE READ CAREFUILLY' YOU ARE REQiRFQ BY LAW TO LICENSE YOUR PETS. Fal]Ure to do $0 Is a violation of City Ordinances 6AI03 and carries a penalty of a fine up to $150.00 per pet. PET LICENSE RENEWALS ARE DUKIX. —3t1-5-L2-019- The city shall recognize a microchip ID number as the license number. It shall be unlawU 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 I-Ir-ENSING 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 witkin.10 days of residency Owner Name Ann &Tim Miller Spouse Owner Address 795 IN 3rd City/Stat:6/Zip Blair, NE 68008 Phone # 402-51772994 DL # or DOB PET # Pet Name: Emma,,- May Age; 9y sex: I Spayed Female . . . Color: Blonde I — 13reed. Poodle X Declared Dangerous/Potentially Dangerous Dog -7CN YES Microchip # City Tag 4 D 0 Jigfyf(�j Rig! ols N i lj.limlmml�l Rablie s Tag # 16694 rnr Ml 40m Bp BUR .1fli U'LIR Rabies Description; 1 YEAR 3 YEA1 Holstein Veterinary Clinic Dr. Lisa,5chrurn DVM & Dr, Krista Holstein DVM 718 South 19th Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinic@gmaii.com 30/TO 39vd DINI-10 13A NI315-IOH LICENSE, FEES Intact Dog or Cat: $16,00 t I Altered' or cat: $1 Replacement Tag $5-00 Total $ FAXED 02-07-19 1,32p Ry TOTALPAG5S TOT09Zvzov 0`17 :6 T 6 To� /Z 0 /�0 2019 PET LICENSE VERIFICATION/APIPLICA'TIQN 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 — SLAIRy NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THRi=E (3) ADULT DOGS OR THRFE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. *1"PLEASE READ CAREFULLY*** YOU ARE RE AQIRED 13Y LAW Tq LICENSE YOUR PETS. Failure to do so is a Violation of City Ordinances 6.103 and carries a penalty of a fine up to $150,00 per pet. PET LICENSE RENEWALS ARE DUE BY 3 15 2019. The city shall recognize a microchip ID number as the•license number. It shall be unlawful for any dog or cat to wear any license or other city 11) 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 1,0 days of residency PET # Pet Name: Arnold (Spaaz) Age: SY sex:. Neutered MWle I color: Creallm Breed: MalteSe X Declared Dangerous/Potentlaiily Dangerous Dog NU YES Microchip # City Tag # Ralaie9 Tag # 16693 Rabies Description: 1 YEAR 3 Holstein Veterinary Clinic Dr. Lisa Schr wn DVM & Dr. Krista Holstein DVM 718 South 191h Street Blair, NE 68008 402-426-7387 402-426-0101 FaX holsteindinic@gmail.com LICENSE FEES intact Clog or Cat: $16.00 Altered Dog or cat: $11.00 Replacement Tag $5.00 Total $ � 4 1 00 FAXED 02-07-191,32p BY TOTAL PAGES 30/30 39vd DINI-10 13A NI3iS-101-1 TUT09ZbZOP Ub:ET GT©Z/LO/39 J CITY OF BLAIR -,201-8-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 15,201-92.01LICENSE FEES: Dog or Cat: $16.00 Owner Name: Jerry &-Dtrle ®Miller Spayed/Neutered Dog or Cat: $11.00 ie Replacement Fee for Lost Tag: $5.00 Owner Address: 758 S 16th St, V , Fee includes $1.00 for the Nebraska Dog and City/State/ZIP: Blair, NE 68008 Cat Operator Inspection Program Phone #: (402) 533-2693 Drivers License #:Not on file or Date of Birth: Not on file Subtotal licensed pets from below: Panlnrcimanf Tnnq frnm hPInw- Name: Daisy K DOB: Not on File Sex: Female License Fee $ Color: Black/Brown Breed: Dachshund Replacement: Spayed/Neutered: True Dangerous Dog: OY ON Mirochip # Potentially Dangerous: City Tag# 929 Vaccination Date: _,7/8/2015-'---" Duration: 3 year vaccine - 11- t �- Vaccine Exp:-7/&/2,01'8' Total:. CERTIFICATE OF VACCINATION Date of Rabie's Vaccination: 7/13/2018 Next Rabies Vaccination On: 7/12/2021 VETERINARY CLINIC Rohrig Animal Hospital 225 N. 3rd St. Arlington, NE 68002 402-478-4141 This is to certify... Certificate No: 0 Previous Rabies Vaccination: OWNER OF ANIMAL Susanne Miller POB-149- Kennard; NE_6.803,4 County: Washington THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Gracie TAG NO: 022199 SPECIES: Canine - 'i"', WEIGHT: 7.00 SEX: Spayed Female AGE: 2Y - Color,and- markings: Black and Tan Signed - I & I." I I I ME I: ayff a kyj 1: 4 X04 Xykyla ill I Vaccinations done... License: 3689 7/13/2018 MJM RABIES 3 YEAR, #022199 7/12/2021 7/13/2018 MJM LEPTO BOOSTER 7/12/2020 7/13/2018 MJM BORDETELLA ANNUAL BOOSTER 7/13/2019 7/15/2017 KR RABIES 1 YEAR, #020254 7/15/2017 KR DHLPP ADULT BOOSTER 7/15/2019 Rabies Vaccine Information... MFG BY: BI SER.NO: 4150447A 03/15/2019 16:09 4024260101 HOLSTEIN VET CLINIC PAGE 02/02 2019 PET LICENSE VERIFICATION/APPUCATION FOR CITY OF 13LAIR 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 bWELLING UNIT. 'PLEASE READ CAREFULLY*** YOU�Ij� FEc�,UIftED BY LAW Td LICENSE YOUf2 PETS. Failure to do so is a violation of City Ordinances 6.103 end carries a penalty of a fine up to $150.00 per pet. PET LICENSE RENEWALS ARE DUE BY 3 15 2019. The city shall recognize a microchip ID number as the license number. It shall be unlawful for any dog or cat to wear any license or other city ID other than that issued by the City of Blair for such dog or -cat. NEW PET LICENSING Must be licensed within 10 days of ownership (OR) at 6 months of age if puppy or kitten NEW RESIDENTS TO BLAIR Must register pets within 10 days of residency Owner Name Hannah Misfeldt Spouse Thomas Moss Owner Address 122.5 N 10th St Apt 103 City/State/Zip Eclair, NE 68008 Phone # 719-415-6948 DL •# or D09 Pet Name: Tucker Age: 1$M sex: Neutered Niallr� Color: Liver and White Breed: Dalmatian Declared Dangerous/Potentially Dangerous Dog NO YES Microchip # 98SI1200+9207365 City Tag # � nil i, �! !•,1.:7;,�,;;, �, •r. L�U ?i' , i � •�i';P;.��;'a `'�; t +ii^' i'.ai>.k'q babies Tag# 16639 n; r,Nl';91,a;Flr ,1..,�...: .i c'r;S:;:; I,T�:.•. { �' ,. 9Sn, ,: ui'I a,,..df,llr_or�lTd .�.�� .. I�]��. �'.�;'�.1�"f: �:��t. : � I�.�t:i:'t� ta,nfll: 4;1�11.c:'.�:',I'. 1 1..� •:� li!{I' �;i.IR'G�;Y1'ii.i' Rabies Description: 1 YEAR YEAR Holstein 'Veterinary Clinic Dr. Lisa Schrum DVM & Dr. Krista Holstein DVM 718 South 19th Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinic@gmaii.com LICENSE FEES Intact Dog or Cat: $16.00 or cat: $1 Replacement Tug $5,00 Total t 1- 00 FAXED 03-15-19 6:47p BY TOTAL PAGES 03/15/2019 16:09 4024260101 HOLSTEIN VET CLINIC PAGE 01/02. 2019 PET. LICENSE VERIFICATION/APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS ANC) OWN. A DOG(S) AND /OR CAT(S), COMPLETE THIS FORWAND 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 MORP THAN' THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. ***PLEASE RFAID CAREFULLY*** Failure to do sc) is a violation of City Ordinances 6,103 and carries a penalty of a fine up to $150,00 per pat. PET LICENSE RENEWALS ARE DUE BY 3/15/2019. The city shall recognize a microchip ID number as the license number. It shall be unlawful for any dog or cat to wear any license or other city ID other than that issued by the City of Blair for such dog or cat. NEW PET LICENSING Must be licensed within 10 days of ownership (OR) at 6 months of age if puppy or kitten NEW RESIDENTS TO BLAIR Must register pets within IQ days of residency "JET # Pet Name: Dezzi Age, ism Sex., Spayed Female Color: TOM Breed: Boxer X Declared Dangerous/Potentially DangerousDog NO yr=s Microchip # 9851 ,2010030 91 City Tag # . .. . .. . ...... 'N11 Rahlies Tag 16802 Rabies Description: I 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 holsteinclinjc@gmaii.com LICENSE FEES Intact Dog or Cat: $16,00 Replacement Tag $5.00 Total FAXED 03-15-19 3,46p 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: Jamie Mohr Spayed/Neutered Dog or Cat: $11.00 Owner Address: 1025 N 27th St Replacement Fee for Lost Tag: $5.00 Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008 Operator Inspection Program Phone #: (402) 657-0514 Drivers License #: Name: Callie Color: Tri-Color or Date of Birth: Subtotal licensed pets from below: Replacement Tags from below: DOB: Not on File'Sex:-M * Breed: Australian Shepherd Spayed/Neutered Fais,e' — ,1 i Mirochip # Vaccination Date: 3J-26%2 10 8 Duration: 1 year vaccine .. - (1 Vaccine Exp:3/26%261'9 License Fee $ Replacement: ❑Y ON City Tag # 2365 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: Jamie Mohr Spayed/Neutered Dog or Cat: $11.00 Owner Address: 1025 N 27th St Replacement Fee for Lost Tag: $5.00 Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008 Operator Inspection Program Phone #: (402) 657-0514 Drivers License #: or Date of Birth: Subtotal licensed pets from below: Replacement Tags from below: Name: Copper Color: Brown Spayed/Neutered: True Mirochip # 986112006612482 Vaccination Date: 3/29/2017 1 DOB: Not on Fil Sex: Male Breed: Australian Shepherd Duration: 3 year vaccine Vaccine Exp: 3/29/2020 License Fee $ Replacement: ❑Y ON City Tag # 2356 Total: 71 rtLl Canine Certificate of Vaccination Aq Pittman Animal Hospital 4629 Dodge Street Omaha, NE 68132-3235 (402) 556-2535 Owner: Christina Molina 2444Templeton S;L , Omaha; NE 6811.1- -51 Patient: Bazoo ham o `t ) " Species: Canine Breed: Puggle Age: 18 weeks and 5 days old. Color: Fawn/Blk Sex: M Rabies Tag# 184053 VACCINATION GIVEN EXPIRATION Distemper 08/21/2018 08/21 /2019 Hepatitis Lepto Parainfluenza Parvo Bordetella Rabies 08/21/2018 08/21/2019 Duration: 1-Year Serial No.: Vaccine Type: Killed Vac. Name: Producer: TESTING PROCEDURES EXPIRATION Heartworm Blood Test ................................. Fecal Exam .... ..... I hereby certify that I have examined the above described animal and find same to be clinically free of infectious, contagious or communicable disease. (Last examination date: 08/21/2018) Signature: 1-1 Gregory Trost J■t Iffir 2019 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF BLAIR fr YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT(S), COMPLETE THIS FORM AND RE'RJRN WITH A CHECK PAYABLE TO: CI`EYY' OF BLAIR — 218 S. 1611" S'T — 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) ADUL,T CATS PER RESIDENTIAL OR DWELLING UNIT, ***PLEASE READ CAREFULLY' YQU ARE REQUIRED BY LAW TO LICENS�Ypg PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a finn 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 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 Ellie Mommiseln Spouse Owner Address 2429 Washington City/Mate/Zip Blair, NE 68008 Phone # -42E-2732 . DL # or 000 PET # Pet Name: Pepper Age: 7Y Gael: Y04-0E-12 sex: Neutered Male color: Red Breed; bachshund Declared Dangerous/Potentially Dangerous Dog NCI Y Microchip # 98511201120031.1 City Tag # )1 2 .��y; � f) 1 • rlt)al n r 1. Sd n g—}o•e}, Yr ^� � R, .t`l, il5.�r+2S,I u*�ilE� ��n?,�1 GI .� ��,r„lkki i�a;^,. �ii� ' 6, '.1•. ' g�,S �' ,<.�,su. • aP Rabies Description: 1 EARD Rabfets Tag # __ 3 YEAR Holstein Veterinary Clinic Dr. Lisa ,Schrum DVM & Dr:101sta Holstein DVM 718 South 16th Street Blair, NE 68008 402-426-7387 402-426-0101 Fax hoisteinclinic@gmail.corn LICENSE FEES Intact Cog or Cat: $16,00 t�ratd Dog or cat: $11.0 Replacement Tag $5.00 Total $ FAXED 04-23-19 x BY � 1 TOTAL PAGES 1 TO/TO OJdd DINI-10 i3A NI3IS-101-1 TUZ096b3Ub L3:LZ 6TO3/67,/I?O 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: MOMMSEN, ELOISE F Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Owner Address: 2429 WASHINGTON ST Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: BLAIR, NE, 68008--0000 Operator Inspection Program Phone #: (402) 426-2732 Drivers License #:C29009591 or Date of Birth: 2/23/1940 Subtotal licensed pets from below: Replacement Tags from below: Name: Porche DOB: Not on File Sex: Female License Fee $ Color: Black Breed: Dachshund Replacement: Spayed/Neutered: True ❑Y ON Mirochip # City Tag # 175 Vaccination Date: 2/1/2017 Duration: 3 year vaccine Vaccine Exp: 2/1/2020 Total: CITY OF BLAIR - 2019 PET LICENSE VERIFICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete/verify this form and return with check made payable to: City of Blair * 218 S 16th St. * Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2019 LICENSE FEES: Dog or Cat: $16.00 Owner Name: MOORE, MARY JO Spayed/Neutered Dog or Cat: $11.00 Owner Address: 1142 S 16TH ST Replacement Fee for Lost Tag: $5.00 Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: BLAIR, NE, 68008--0000 Operator Inspection Program Phone #: (402) 426-r2Jl50/5 Drivers License #: Ii 1z f `K or Date of Birth: 8/10/1944 Name: Max Color: Tan Spayed/Neutered: True Mirochip # 45464134262 Vaccination Date: 9/20/2017 Subtotal licensed pets from below: Replacement Tags from below: DOB: 5/23/2004 Sex: Male Breed: Shih Tzu Duration: 3 year vaccine Vaccine Exp: 9/20/2020 License Fee $ Replacement: ❑Y PN City Tag # 1397 Tota I: ( ( 01/31/2019 12:39 4024260101 HOLSTEIN VET CLINIC PAGE 01/01 2019 PET LICENSE VERIFICATION/APP'LICATTON 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 BL'AIR — 218 S. 16TH ST — BLA,IR, 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 PEP, 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 51S0.00 per pet. PCT LICENSE RENEWALS ARI_ DUE BY 9/2512019. 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 ether than that Issued by the. City of Blair for such dog or cat. NEW PET LICENSING Must be licensed within 1.0 days of ownership (OR) at 6 months of age if puppy or kitten NEW RESIDENTS TO BLAIR Must register pets within 10 days of residency Owner Name Shirley Moore Spouse Owner Address 955 N 16th Street City/State/zips Blair, NE 68008 Phone # 402-533-8271 DL #car DOB ET # Pet Name: Honey Ages: 2Y Sex: Spayed Female Dolor: duff Bread: L,H Chihuahua Declared Dangerous/P►otentially Dangerous Dog CIN-On YES Microchip # 900085000682116 city ag # Woic dt°tlugtlllNla•o�li on li $.t, F t y' 1 t _ a t• � t 1d i� 't' Il l t f Rabies Tag # it l:i< ,. Sh r : IL,�.. { f(�. 1ai•� V3� (' lij �d> 1 G" 1 1! 7 1 � ) :d .SN � f 1 d �Q Z 1� ;, t I �I I ' Rabies DeSeripltion: �. Y� A 3 YEAR Holstein Veterinary Clinic Dr. Lisa .Schrum DVM & Dr. Krista Holstein DVM -718 South 10th Street Blair, NE 68008 402-426-7887 402-426-0101 Fax holsteinclinic@gmail,com LICENSE FEES Intact Dog or Oat: $16.00 — Altered Dog or cat: $11.00 Replacement Tag $5.00 Total $—j I FAXED 01-31-1910:51a BY TOTAL PAGES FROM :BSAC FAX NO. :402-533-2722 Jan. 16 2019 11:35AM P1 CITY OF RLAIR - 2019 PET LICENSE APPLiCATION if you live in Blair City limits and own a dog(s) acid/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 regally 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 RENEWA,�S ARE VUE: March IS, L012 Owner 1: 6�Ff//A1719DRWJfIrrl�/v[ MIA Twiner Address'. citylstatelzip. Blair, NE 68008 Drivers Lleense # or Date of Birth LICENSE FEES: Clog or.Cat: $16.00 Altered Dog or Cat; $11.00 f L #-Ta • $5 (in ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAIN TO LICENSE YOUR PETS. Failure to do so Is a vlalatian of City ordinnnceo 5.103 and aerrid8 a pgnhlty of a flrla UP to $150.00 per Pet. PET LICENSES RENEWALS ARE DUE 0Y 91��,t201$. The City shall rer_ognize a micmchip identification number Ps the license number, it shall be unlawful for aoty dog or cat to wear any Iinnse or other city IdtynNficatlon other than that Issued by the City of Blair for such dog or cat. The City of glair requires proof of rghl" vooelnation, Replacemen# Fire or os g. nduded is a to Fee of '� .2s beirqeWlected to fund the Nebraska D t4Cat9jwatorjrsWonPrograrn PET #1 Deg L7 Cat A'Spayed/Neutered LicenseFee $ Z Pet Sex Name Aae Re lacerr��tlt $ ** Color Sre�eMd p Declared Dangerous Potentially Dangereus Deg: Y N MICROCHIP # if applimble) SUBTOTAL: $ RABIES VACCINATION DATE: W (3 yr) �— �� yr) �.� C1#Y Tag # PET # 2 ❑ Dog ❑ Cat 0 Spayed/Neutered Pet Name: Abe — Sex. --� Color Breed * Declared Dangerous or Potentially Dangerous Dog: O Y ❑ N MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) License Fee $_,..... _ Replacement $. ** SUBTOTAL: $ (i yr)- CitVTag # * PET # 3 0 Dog © Cat 0 Spayed/Neutered License Fee $� Pet Name Age Sex Color Breed" Replacement $ Declared Dangerous or Potentially Dangerous Dog: CI Y ❑ N MICROCHIP # (If applicable) SUBTOTAL., $ , RA13IES VACCINATION DATE: (3 yr) ... _— (1 yr) -... City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS 1$ 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 $1.0 ._ other, ***SEE HACK OF FORM FOR BREED SPECIFIC LICENSE REQUIREMENTS Vo 1vot Send Cash by Mail TOTAL ENCLOSED $ VISA / MC # Signature Expires: I Security Code: If you have questions, please contact City Mall at (402) 42$-41$1 or by Fax: (402) 426-4195 .... t t t+++++..... t t t++++++ * *........... t t t+++++.... t +++++4.................... NEW PET/NFW RESIDENT LICENSING REQUIREMENTS (Mdrd1 15/9trr &V date nol,applIpWefor nedN Wnewn! 106)&) Nevi f Am fired Pete: -- N= Residents to "lair, ■ Must bu ilc� within 10 days of ownership ■ Must Register pCks within 10 days of a <OR> at 6 months of are iF puppy/kften residency, American Animal Hospital 11030 Emmet Street Omaha, NE 68164 (402) 493-6767 J`, g www.americananimal.net Reminder Status Report (Date Printed:Friday, February 01, 2019) Lynnett Morgan (#28182) 1147 Fairview Dr Blair, NE 68008 Cheyenne (#C) a-l-, Breed: Mix Micro Chip #: 4A77491949 Rabies Serial Number: SN 200670B Sex: FS Tattoo #: Age: 10 years and 2 months old Vaccines and Reminders yper (#D) DUE DATE I PERFORMED Fecal Screen: 3/18/201.5 1 3/18/2014 Senior Bloodwork: 11/3/2017 1 11/3/2016 Annual Exam: 3/27/2019 3/27/2018 DHPP : 3/26/2021 3/27/2018 Breed: Rottweiler Micro Chip #: 4cl31AOD77 Rabies Serial Number: SN 152146A Sex: MN Tattoo #: Age: 7 years and 10 months old Vaccines and Reminders Coat Color: Black Tan and White Rabies Brand Name: Defensor 3 Rabies Tag Number: 17 0418 Species: Canine Weight: 24.4000 lbs. Rabies Expiration: 06272018 DUE DATE I PERFORMED HW Test: 11 /3/2017 1 11/3/2016 Lepto 4-Way: 4/10/2018 1 3/27/2018 Rabies Vax: 9/24/2020 1 9/25/2017 Coat Color: Black and tan Rabies Brand Name: Defensor 3 Rabies Tag Number: 16 1915 Species: Canine Weight: 126.0000 lbs. Rabies Expiration: 10242016 DUE DATE ] PERFORMED DUE DATE (PERFORMED Bordetella : 5/22/2012 5/23/2011 Fecal Screen: 3/18/2015 1 3/18/2014 HW Test: 10/3/2019 10/3/2018 Lepto 4-Way: 10/3/2019 1 10/3/2018 Annual Exam: 10/3/2019 10/3/2018 Rabies Vax: 11/3/2019 1 11/3/2016 DHPP:9/25/2020 � 9/25/2017 Bella (#E)� Breed: Rot. Coat Color: Black + tan Micro Chip #: 985112010123263 Rabies Brand Name: Defensor 3 j Rabies Serial Number: SN 282277 Rabies Tag Number: 19 1122 Sex: FS Species: Canine Tattoo #: Weight: 103,6000 lbs. Age: 1 year and 5 months old Rabies Expiration: 8/13/19 " cines and Reminders DUE DATE I PERFORMED DUE DATE I PERFORMED Fecal Screen: 3/2/2019 3/2/2018 HW Test: 3/2/2019 Annual Exam: 2/1/2020 2/1/2019 Lepto 4-Way: 2/1/2020 2/1/2019 Rabies Vax:1/31/2022 ( 2/1/2019 DHPP:1/31/2022 2/1/2019 Page i of i Desktop: General' 2019 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT($), COMPLET15 THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF BLAIR — 218 S. 16TH ST — BLAIR, NE 88008 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 RESIDENnAL OR DWELLING KNIT, ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TQ L IGENSE YOUR PETS. Failure to do so is a violation of City Ordinances 6,103 and carries a penalty of fine up to $150.00 per pet. PET)LICENSE RENEWALS ARE DUE BY $ 15 2019. The city shall recognize a microchip ID number as the license number. It shall be unlawful for any dog or cat to wear any license or other city ID other than that issued by the City of Blair for such dog or cat. NEW PET LICENSING Must be licensed within 10 days of ownership (OR) at 6 months of age if puppy or kitten NEW RE$IDENTS TO BLAIR Must register pets within 10 days of residency Owner Name Mike &. Jealn Morgan Spouse Owner Address 1616 Adams St Apt. #20 City/State/Zip Blair, NE 68008 phone # 402-307-0550 DL # or DOB PET # Pet Name; Rudy Age; 6Y sex: Neutered Male Color:. Red dune Breed: Cairn Terrier Declared Dangerous/Potentially Dangerous Dos NO YES Microchip # City Tag #� I. •.e.�,a.•.;:,• I r u,u' I rr`, 'i°'hh6r.tu-....w;i nt .i;Rtl7^31, .ayIQA71(ayb+'4'1 i. AIFjc l' J 4A6 4 i� .��i��'�I ,'�Il�t,�'',: �:�I.� :I:I ��lii �4f1�•''.r��Ji' 1.{I i.ti.Qt,II y;IL i4e'.':{•tl,r i ,y� i ,:t Rabies Tag# 1683E! ..:...I li'.nu �n.pn u6J.if :;t•,.�;t��r•i.g;n{I ..., ihl4�i -roil In !i: �;9._G�i�loi�d�lklkta •";a..'• .I'...r:i'.e+'{,!'�;i:,,t:,,..-,....,..,at: ,•• •�t ':b..un: ,rr'•r�i...li!"fat Rabies Description-, EA 3 YEAR Holstein Veterinary Clinic Dr. Lisa Schrum DVM & Dr, K'rista Holstein DVM 718 South 19th Street Blair, NE 68008 402-426-7387 402-426-0101 Fax hoisteinclinic@gmaii.com LICENSE FEES Intact dog or Cat: $16.00 D r Cat: $1,j 0 Replacement Tag $5.00 Total FAXED 03-27-19 2:35p BY TOTAL PAGES ' T9/TB 39vd DINI-10 13I1 N=S-101-1 TOT093v3ov 95:bT GT03/LZ/C0 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: MORINE, JACK A & STEFFENIE B Owner Address: 852 S Hwy 30 City/State/ZIP: Blair, NE 68008--0000 31 Phone #: (4©2-)-4.26=1-967- H C I Drivers License #:_ o 5 6 I or Date of Birth: Name: Mavis Color: Tri-Color Spayed/Neutered: True Mirochip # 981020005519179 -xi Vaccination Date: 9L4/20"15 LICENSE FEES: Dog or Cat: $16.00 Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Fee includes $1.25 for the Nebraska Dog and Cat Operator Inspection Program Subtotal licensed pets from below: Replacement Tags from below: DOB: Not on File Sex: Female Breed: St. Bernard Duration: 3 year vaccine Vaccine Exp:, License Fee $ Replacement: ❑Y t'N City Tag # 1501 Total": 11s ill 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: MORINE, JACK A & STEFFENIE B Spayed/Neutered Dog or Cat: $11.00 Owner Address: 852 S Hwy 30 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) 426-1967 Drivers License #: or Date of Birth: Subtotal licensed pets from below: Replacement Tags from below: Name: Bentley Color: White Spayed/Neutered: True Mirochip # Vaccination Date: 3/28/2016 DOB: Not on File Sex: Male Breed: Bichon Frise Duration: 3 year vaccine Vaccine Exp: 3/28/2019 License Fee $ bb Replacement: ❑Y gN City Tag # 1228 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: MULLALLY, RORY G & MIKKI S Spayed/Neutered Dog or Cat: $11.00 Owner Address: 1142 COREY DR Replacement Fee for Lost Tag: $5.00 Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: BLAIR, NE, 68008--0000 Operator Inspection Program Phone #: (402) 278-2549 Drivers License #: or Date of Birth: Subtotal licensed pets from below: Replacement Tags from below: Name: Charlie Color: Tan Spayed/Neutered: True Mirochip # Vaccination Date: 11/30/2017 DOB: Not on File Sex: Male Breed: Mix Breed Duration: 3 year vaccine Vaccine Exp: 11/30/2020 License Fee Rep cement: ❑Y City Tag # 290 Total: 03/02/2019 10:32 4024260101 HOLSTEIN VET CLINIC PAGE 02/04 2019 PET LICENSE VERIFICATION /APPLICATION FOR CITY OF BLAIR Ir 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 68 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. ***PLEASE READ CAREFULLY*** YOU %R REQUIRED 0Y 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 3115/2019, The city shall recognize a microchip ID number as the license number, It -shall be unlawful for any dog or cat to wear any license or other city ID other than that issued by the City of Blair for such dog or cat. NEW PET LICENSING. Must be licensed within 10 days of ownership (OR) at 6 months of age if puppy or kitten NEW RESIDENTS TO GLAIR Must register pets Within 10 days of residency Owner Name Spouse Owner Address city/State/Zip Phone # DL # or DOB Holstein Veterinary Clinic Dr.Lisa.5chrum,AVM & Pr. Kr1staH01steh'DVM 18 South 191h Street Blair, NE 68008 402-426-7387 402-426-0101 FaX holsteinclinic@gmaii.com James Murphy * Kim :1142 Colfax St Blair, NE 68008 402-620-5337 LICENSE FEES Intact Dog or Cat: $16.00 Dag kmf $5.00 Total 00 --- 22 FAXED 03-02-19 10.05a BY TOTAL PAGES 03/02/2019 10:32 4024260101 HOLSTEIN VET CLINIC PAGE 03/04 2019 PET LICENSE VERIFICATION/APPLICATION FOR CITY OP BLAYM IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT(S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF BLAIR. - 218 S. 16T" ST - BLAIRr NiE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MOR5 THAN THRM (3) ADULT DOGS OR THREE (3) ADULT CATS PIER RESIpeNTIAL OR C)WELLING UNIT. ***PLEASE READ CAREFULLY*** YU ARE RE Q IRED BY LAW TO LICENSE YQUR PETS. Failure to do so is a violation of city Ordinances 6.103 and carries a penalty of a fine up to $150.00 per Pet. PET UgNg RENEWALS ARE R E BY'$ 1B Zo19. 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 G months of age if puppy or kitten NEW RESIDENTS TO BLAIR Must register pets within 1.0 days of residency Owner Nampa Spouse Owner Address! city/state/Zip Rhone # DL # or DOB r James Murphy Kim 1242 Colfax St 131air, NE 68008 402-620-5337 Pet Name: Murph Age: 17M Sex: Neutered Male �Cow)r.e'wn/Wt Breed: Boxer X Declared Daogerous/Potential ly Dangerous Dag Microchip # Ptabies Description: Holstein Veterinary Clinic Dr. Wa Schrum DVM & Dr. Krista Holstein DVM 18 South 19th Street Blair, NE 68008 4,02-426-7387 402-426-0101 FaX holsteinctinic@gmall.com City Tag # Rabies Tag # 16755 3 YEAR LICENSE FEES Inroct Dog or Cat: $1.6.00 a Dog cat: _$_Lao ReplacCMent Tag $5.00 Total s FAXED 03-02-19 10:03a BY TOTALPAGES 03/02/2019 10:32 4024260101 HOLSTEIN VET CLINIC PAGE 04/04 2019 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF BL.AIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT(5), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO; CITY OF BLAIR — 218 S. 16T" ST — BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CAT$ PER RESIDENTIAL OR DWELLING UNIT. ***PLEASE READ CAREFULLY'" YOU AR R UIRED BY LAW TO LICENSE YOUR PETS, Failure to do sty Is a violation of City Ordinances 6.103 and carries a penalty of a fine up to 5150,00 per pet. PEA` LICENSE RENEWALS ARE DUE BY 315 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 lP 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 i T# Pet Name: Lily Age: 5 i l Breed: Boxer X sex; Spayed Female color: White/glk Declared Dangerous/Potentially .Dangero.us Dog Microchip # 98511, 20013 J J236 City Tag # RE,bles Tag # 16754 g Rabies Description: 1 YEAR Holstein Veterinary Clinic Dr. Lisa Schrum DVM & Dr, Krista HoIswin DVM 18 South 191h Street Blair, NE 68008 402-426-7387 402-.426-0101 Fax holsteinclinic@gmail.corn" LICENSE FEES Intact Dog or Cat: $16.00 Do or c t: $11.00 Replacement Tag $5.00 Total s FAXED 03-02-19 10:04a -71 BY TOTAL PAGES 03/29/2019 11:45 4024260101 HOLSTEIN VET CLINIC PAGE 01/01 2019- PET LICENSE VERIFICA,TIGIN/APPLICATION FOR CITY OF FLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR OAT(S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO: DI-rY OF BLAIR — 218 . 16TH ST — BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT OATS PER RESIDENTIAL OR DWELLING UNIT. "'PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO TENSE 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 LICEN5E RENEWALS ARE DUE RY 3 15 2079. The city shall recognize a microchip ID number as the license number. It shall be unlawful for any dog or cat to wear any license or other city ID other than that issued by the City of glair for such dog or cat. NEW PET LICENSING Must be licensed within 10 days of ownership (OR) at 6 months of age if puppy or kitten NEW RESIDENTS TO BLAIR Must register pets within 10 days of residency Pet Name: Gypsy Age: 2Y sex; Spayed Femlael Oo1Q�r: Merle Breen: Australian Shepherd Declared Dangerous/Potentially Dangerous Does NO microchip # 985112008262839 1 City Tag # Rabies Description; 1 YEAR Holstein Veterinary Glide Dr. Lisa Schrum DVM & Dr'.1(r•ista Holstein DVM t8 South 19th Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteindinic@gmail,com Rabies Tag YES €' v -111 16106 LICENSE FEES Intact Dog of Cat: $16.00 Do Qr Cat: $1 ,00 Replacement Tag $5.00 Total s-A�,` f \ 1 FAXED 03-29-19 11:34a BY TOTAL PACES --~�'