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Lt, i i' r CITY OF BLAIR - 2019 PET LICENSE VERIFICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete/verify this form and return with check made payable to: City of Blair * 218 S 16th St. * Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS UE: March 15, 2019 LICENSE FEES: Dog or Cat: $16.00 Owner Name: Steven Rebec acey Spayed/Neutered Dog or Cat: $11.00 Owner Address: 2670 Larsen 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) 533-4613 CC �},' '% Drivers License #: �� 19-74 "G ) or Date of Birth: f . I f� Subtotal licensed pets from below: Replacement Tags from below: Name: Harkness Color: White Spayed/Neutered: True Mirochip # Vaccination Date 8 ,3/2016' DOB: 3/15/2009 Sex: Male Breed: Domestic Shorthair Duration4year vaccine Vaccine Exp: �131201'8 License Fee Replacement: ❑Y ON City Tag # 1255 e -3 j Total:= (a j ..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 A E: March 15, 2019 LICENSE FEES: Dog or Cat: $16.00 Owner Name: Steven Rebecca acey Spayed/Neutered Dog or Cat: $11.00 Owner Address: 2570 Larsen Dr Replacement Fee for Lost Tag: $5.00 Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008--0000t Operator Inspection Program Phone #: (402) 533-4613 Drivers License #:� �J� C� or Date of Birth: Subtotal licensed pets from below:-6f— Replacement Tags from below: Name: Hank Color: Black/White Spayed/Neutered: False Mirochip # Vaccination Date: 3/22120'f DOB: 9/22/2017 Sex: Male Breed: Great Dane Duration: 1 year vaccine Vaccine Exp: 3/22/201'8C License Fee $ L, ( D Replacement: ❑Y ON City Tag # 2290 ))-d 61,5 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: LAGER, JOSEPH M & DEBORAH K Spayed/Neutered Dog or Cat: $11.00 Owner Address: 209 RIVERVIEW DR Replacement Fee for Lost Tag: $5.00 Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: BLAIR, NE, 68008--0000 Operator Inspection Program Phone #: (402) 426-8917 Drivers License #: or Date of Birth: 4/29/1965 Subtotal licensed pets from below: Replacement Tags from below: Name: Snip DOB: 3/15/2006 Sex: Female License Fee $ Color: Grey Breed: Domestic Shorthair Replacement: Spayed/Neutered: True ❑Y ON Mirochip # City Tag # 1182 Vaccination Date: �1�1%2017 Duration: 1 year vaccine Vaccine Exp: 3/'-1/2011 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: LAGER, JOSEPH M & DEBORAH K Spayed/Neutered Dog or Cat: $11.00 Owner Address: 209 RIVERVIEW DR Replacement Fee for Lost Tag: $5.00 Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: BLAIR, NE, 68008--0000 Operator Inspection Program Phone #: (402) 426-8917 Drivers License #: or Date of Birth: 4/29/1965 Name: Bella Color: Black Spayed/Neutered: True Mirochip # Vaccination Date: 3/16/2017 Subtotal licensed pets from below: Replacement Tags from below: DOB: 3/15/2015 Sex: Female Breed: Rat Terrier Duration: 3 year vaccine Vaccine Exp: 3/15/2020 License Fee $ Replacement: ❑Y ON City Tag # 1253 111it1MF 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: LAGER, JOSEPH M & DEBORAH K Spayed/Neutered Dog or Cat: $11.00 Owner Address: 209 RIVERVIEW DR Replacement Fee for Lost Tag: $5.00 Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: BLAIR, NE, 68008--0000 Operator Inspection Program Phone #: (402) 426-8917 Drivers License #: or Date of Birth: 4/29/1965 Subtotal licensed pets from below: Replacement Tags from below: Name: Patch DOB: 3/15/2006 Sex: Female License Fee $ Color: Grey Breed: Domestic Shorthair Replacement: Spayed/Neutered: True ❑Y ON Mirochip # City Tag # 1835 Vaccination Date: 3/2212M Duration: 1 year vaccine �� Vaccine Exp: 3/?2/-20'1"8 Total: h CITY OF BLAIR - 2019 PET LICENSE VERIFICATION 3 1 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: Darlene Lallman Spayed/Neutered Dog or Cat: $11.00 Owner Address: 758 S 16th St, Unit 222 Replacement Fee for Lost Tag: $5.00 Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008 Operator Inspection Program Phone #: (402) 426-8231 Drivers License #: or Date of Birth: 2A _ Subtotal licensed pets from below: Replacement Tags from below: Name: Muffy DOB: Not on File Sex: Female License Fee $ Color: Tan/Gold Breed: Domestic Shorthair Replacement: Spayed/Neutered: True ❑Y ON Mirochip # City Tag # 2818 Vaccination Date: 7/19/2016 Duration: 3 year vaccine Vaccine Exp: 7/19/2019 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: Sue Lambert Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Owner Address: 758 S 16th St Apt #361 Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008 Operator Inspection Program Phone #: (402) 620-0020 Drivers License #: or Date of Birth: 1/1/1995 Name: Maggie Color: Black/Rust Spayed/Neutered: True Mirochip # Vaccination Date: 3/6/2018 DOB: Not Subtotal licensed pets from below: Replacement Tags from below: Sex: Female Breed: Dachshund Duration: 3 year vaccine Vaccine Exp: 3/6/2021 License Fee $ Replacement: ❑Y ON City Tag # 415 Total: 2019 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOGS) 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 LVGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RE510NTIAL OR [)WELLING UNIT. ***PLEASE READ CAREFULLY*** YOU ARE REQUIREb 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 vP to $150.00 per pet. PET I iGEN5E RENEWALS ARE DUE pY 3 15 2419I 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 to 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 10 clays of residency Owner Name Spouse Owner Address City/State/Zip PhoneDIL # or DOB # PET # Pet Name: Brewster Kim Lammers 2458 Clark St Blair, NE 68008 402-533-4576 NE H12337310 Age; , 10Y sex: Neutered Male Coior: Black and White Breed: ash Declared Dangerous/Potentiallcy Dangerous Dog jj YES Microchip # I City Tag # Rabies Tag # Rabies Description: (`r 1 YEAR,3 YEAR Holstein. Veterinary Clinic Dr, Lisa Schrum DVM & Dr. Krista Holstein DVM 718 South 19th Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinic@gmail.com LICENSE FEES Intact pQg or Cat: $15.00 Altered log cr cat: $ Replocement Tog $5.00 Total $ FAXED 03.12-1!) 4:08p gY TOTAL PAGES E0/E0 39dd DINI-10 13A HI31S-101-1 T01093h30h 87,9T GT03/3T/E0 1 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 — BI-AIRr 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 RWUIRED BY LAW IQIKENNYOUR p6T5. Failure to do 50115 a violation of City Qrdloances 6,103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSE RENEWALS ARE I)UE,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 othor 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 RESIL)ENTS TO BLAIR Must register pets within 10 days of residency Ovvn&r'Name Kim Lammers Spouse Owner Address 458 Clark St '2 City/state/zip Phone # Blair, NE 68008 402-533-4576 DL # or DOB NE H12337310 I PET # Pet Name: Sheba Age: 9y sex: Spa.yed Fern Black and Tan Breed; Geirman Shepherd Decla ed Dangerous/ Potentially Dangerous Dog NO YES Microchip # City Tag # C, q 'a -,b Rabies Description: 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 Intoct Dog or Cat: $16-00 CA76 $1D og or cat: $ 11,00 Replocement Tag $5.00 Total $ [I-IL)LL FAX51) 03-12-19 4.08p BY TOTALPAGES CO/ZO 39VJ DIHI10 13A H=S101-1 TOTOKVZOP CZ:9T ISTOZ/ZT/co 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 s-r — BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THR1=L,(3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. ***PLEASE READ CAREFULLY"* YOU ARE REQUIRED BY LAW TO LICENSE YO R11 PETS, Failure to do so is a violation of City Ordinances 5.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSE RENEWALS ARE DUE BY 3 15 2019. The city shall recognize a microchip ID number as the license number. it shall br- unlawful for any clog or cat to wear any license or other city ID othor than that issued by the City of Blair for such dog or cat. NEW PET UGENSING Must be licensed within 10 days of ownership (OR) at 0 months of age if puppy or kitten N ftES6ENT TcJ GLAIR Must register pets Within 10 days of residency Owner Name Spouse Owner Address City/State/zips Phone # DL # or DOB PET # Kim Lammers 2458 Clark St Blair, NE 68008 402-533-4576 NE H12337310 Pet Name: 0Z �Ag�e;6Y Sex: �Nleutered �+lai� ��►{ar: BrDwn/Whit Breed: BoX/5t Bdr Declared Dangerorlu�t/Pcltentla{ly pangerous DogTj Nl7 YES Microchips # 98S112000932149 Rabies Description: 1 YEAR Holstein Veterinary' Clinic Dr, Lisa Schrum DVAI & Dr. Krista Holstein DVM 718 South 19th Strut Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteincliniciDgmail.com City Tag # Rabies Tag # 16793 3 YE LICENSE FEES Intact Dog or Cat: $16.00 Altered Dog or cat: $11.0 Replocement Tag $5.00 Total I FAXED 03-12-19 4:0$p BY TOTAL, PACES C©/TIC 39vd OINI-10 i3A HIll1S-101-1 TaT09ZhZoo CZ:9T GT©Z/ZT/60 CITY OF BLAIR - 2019 PET LICENSE APPLICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair • 21.8 S. 1.6th 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 OwnerAddress: �'Z(j % E)r'e-vj�'Ct d City/State/Zip: Blair, NE 68008 q i. Phone# Drivers License # or Date of birth LICENSE FEES: Dog or Cat: $16.00 Altered Dog 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 33(15(2018. The City shall recognize a microchip Identification number as the license number. It shall be unlawful for any dog or cat to wear any IlcBnse or other cit( Identificatlon other than that issued by the Cl;y of Blair for such dog or cat, The City of Blair requires proof of rabies vaccination. Included is a State Fee of $1,25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET # 1 ;1 Dog ❑ Cat 12LSpayed/Neutered License Fee $ - e Pet Name (-Ob ),&Z " An tt � Sex W\ Color C t.,.o eca 1 G R Breed * (' t0 CJ16v-! „2,5i —; e, t Replacement $ Declared Dangerous or Potentially Dangerous Dog: Cl Y P N MICROCHIP # 10 q - S Z'? ` 51 �*f (If applicable) SUBTOTAL: $ I I RABIES VACCINATION DATE: 14 -ZZ- l 1�1 (3 yr) X _ (1 yr) City Tag # q i PET #2. 0 Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Color A Sex Breed?* Replacement" $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Color Acie Sex Breed** Replacement $ 4 ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # *PLEASE INCLUDE THE CITYTAG 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: Securily Code: If you have questions, please contact City Hall at (402) 426-4191 or by Fax: (402) 426-4195 NEWPEf/NEW RESIDENT LICENSING REQUIREMENTS(March 15late fee date notapplicablefor newpets/newresidents) Newly Acquired Pets New Residents to Blair. ■ Must be I'loamd Wthin 10 days of ownership ■ Must register pets within 10 days of • <oR> at 6 months ot'.age if puppy/l iltten residency. I hone Alnirnal Care of Blair (402) 426-3630 002 S. Hwy 30 Rlair Mrnonnn e.leo IBLUIUV euogj e6E: 61, 61, ZZadV 6'd eoe99ZVZOt7 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 Owner Name: Donald And Shirley A Lang Owner Address: 2178 Fieldcrest Dr City/State/ZIP: Blair, NE 68008-0000 Phone * (402) 426-3244 Drivers License #: or Date of Birth: 6/20/1936 Subtotal licensed pets from below:_1 Replacement Tags from below:_______ Name: Miss Ellie Color: Fawn Spayed/Neutered: True Mirochip # 004071783 Vaccination Date:,$11'312015 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 DOB: 6/4/2014 Sex: Female Breed: Mix Breed Duration: 3 year vaccine Vaccine Exp: g113°/2018 License Fee Replacement: ❑Y ❑N City Tag # 1970 r� ' Total: RABIES VACCINATION CERTIFICATE ADAPTED NASPHV FORM 51 Tag fee $: Tag #: G s y PRINT — use ballpoint pen or type Cert. Serial #: Owner's Name & Address PRINT LAST FIRST A MI TELEPHONE YQ 6 -- 3 0 y NO. Sv {E�RE I D 1 t CITY ,v &,1 STATE KC ZIP 6 r 009 SPECIES: SEX: AGE: SIZE: PREDOMINANT BREED: COLORS: Dog Male ❑ Cat ❑ Female Other ❑ Altered Months ❑ Under 20 lbs. ❑A 20-50lbs. ❑ Years Over 50 lbs. L 6 t NAME: (Specify) AIt55 Elll,t DATE VACCINATED: PRODUCER: Veterinarian's #_ Mg O o (First 3 Letters) License No. Month Day Year PRODUCT NAME: Iry �li/r c Veterinarian's Name (please 101 a print) VM F VACCINATION EXPIRES: Q 1 yr. LicNacc. ❑ 3 yr. LicNacc.�� Vacc. Serial (Lot) No. r, Signat re Address d Month Day Year VACCINATION RECORD � Name 1 111 C � c I� 1L-.Lw RABIES J ❑ LYME DISEASE 1 CANINE DISTEMPER CANINE PARAINFLUENZA CANINE ADENOVIRUS 2 CANINE PARVOVIRUS ❑ CANINE CORONAVIRUS YICANINE BORDETELLA �LEPTOSPIROSIS ❑ FELINE LEUKEMIA VIRUS ❑ FELINE PANLEUKOPENIA 0 FELINE RHINOTRACHEITIS ❑ FELINE CALICIVIRUS ❑ FELINE CHLAMYDOPHILA USCAHNON02066 03/02/2019 10:32 4024260101 HOLSTEIN VET CLIIIIC PAGE 01/04 20I9 PEA' LICENSE VERIFICATION/APPLICATION FOR CITY OF GLAIR. IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT(S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO. .CITY OF BLAIR — 218S. 16T" ST — BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, 13UT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. ***PLEASE READ CAREIKULLY*** YOI.I RE RE UI PD BY LAW LfCENSE Y UR 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 iiENEWALS ARE ti E BY 31520].J. 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 deg of cat. NEW PET LICENSING Must be licensed within 10 days of ownership (OR)•at G months of age if puppy or kitten NEW aESIDENT5 TO BLAIR Must register pots within 10 days of residency Owner Name Tim Lantry Spouse 3essica Owner Address 092 Skyline [give Blair, N� +6i800S city/state/Zip Prone # 402-237-1289 DL # or a08 Nebraska H 12330843 Pet Name: Bandit Age: 21M 1�r.x: Nefutered MalecotOFawn Breed: Rug/Rat Tr Declared Dangerous/Potentially Dangerous dog N0 ' YES Miicr6chip # 985112005077975 Rabies Description: 'I YEAR J; .holstein Veterinary Clinic Dr. Lisa Schrum ,DVM & Dr. Krista Holstein .DVM 18 South 19th Street 6'Wir, .NE 08008 42-426-7887.4024 -0101 Fax holsteinchnic@gMail,com City Tag # Rabias Tag # 16366, 3 YEAR LICENSE FEES intact Clog or Cat: $16M Al ter ed Dog 0r cat: $11.00 ' $5.00 0� Total- FAXED 03,02-1910:20a BY TOTAL PAGES l o r CITY OF BLAIR - 2019 PET LICENSE VERIFICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete/verify this form and return with check made payable to: City of Blair * 218 S 16th St. * Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2019 LICENSE FEES: Dog or Cat: $16.00 Owner Name: Chad & Amy Larsen Spayed/Neutered Dog or Cat: $11.00 Owner Address: 1067 Jackson St Replacement Fee for Lost Tag: $5.00 Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008--0000 Operator Inspection Program Phone #: (402) 533-2514 Drivers License #: or Date of Birth: 1/23/1964 Subtotal licensed pets from below: Replacement Tags from below: Name: Hank DOB: 1/1/2010 Sex: Male License Fee $ Color: White/Gold Breed: Brittany Replacement: Spayed/Neutered: True ❑Y ON Mirochip # City Tag # 2099 _. -- Duration: 3 year vaccine Vaccination Date: 8/1-�2015 Vaccine Exp: 8/1/2048" µ -O' ` " � Total: CITY OF BLAIR - 2019 PET LICENSE VERIFICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete/verify this form and return with check made payable to: City of Blair * 218 S 16th St. * Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2019 LICENSE FEES: Dog or Cat: $16.00 Owner Name: Chad & Amy Larsen Spayed/Neutered Dog or Cat: $11.00 Owner Address: 1067 Jackson St Replacement Fee for Lost Tag: $5.00 Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008--0000 Operator Inspection Program Phone #: (402) 533-2514 Drivers License #: Name: Stella Color: White/Black Spayed/Neutered: True Mirochip # Vaccination Date: 3/20/2Of8 or Date of Birth: DOB: P Breed: Subtotal licensed pets from below: Replacement Tags from below: on FilelSex: Female Durationyear vaccine Vaccine Exp: 3/20,204T -f -- License Fee $ Replacement: ❑Y ❑N City Tag # 2366 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: Chad & Amy Larsen Spayed/Neutered Dog or Cat: $11.00 Owner Address: 1067 Jackson St Replacement Fee for Lost Tag: $5.00 Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008--0000 Operator Inspection Program Phone #: (402) 533-2514 Drivers License #: or Date of Birth: 1/23/1964 Subtotal licensed pets from below: Replacement Tags from below: Name: Gizmo DOB: 1/1/2015 Sex: Male License Fee $ Color: Brown/Tan Breed: Siamese Replacement: Spayed/Neutered: True ❑Y ❑N Mirochip # 985112004849408 City Tag # 2097 Vaccination Date: 3/21j2-016- Duration: 3 year vaccine ..._ Vaccine Exp: 3121/20 9 Total: 03/07/2019 17:30 4024260101 HOLSTEIN! VET CLINIC PAGE 06/07 2019 PET LICENSE VERIFICATION/APPLICATION FOP, CITY OF BLAIR IF YOU LIVE IN GLAIR CITY LIMITS AND OWN A DOG(S) AN13 /OR CAT(S), COMPLETE THIS FORM AND RETURN WITH A CHECK P'AYASLE TO; (CITY OF BLAIR — 218 S. 16TH ST — BLAIRe 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 RE REQUIRED BY LAW TO LICENSE YOU PETS, ETS, Failure to do so is a viQlation 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/�019. The city shall recognize a microchip ID number as the license number, It shall be unlawful for any dog or cat to wear any license or other city ID other than that issued by the City of Blair for such dog or cat. NEW PET LICENSING Must be licensed within 10 days of ownership (OR) at £ months of age if puppy or kitten NEW RESIDENTS TO„BLAIR Must register pets within 10 days of residency Pet Name:' Shadow Age: 4Y Sex- Neutered Male Color: Black/Wht Breed: Lally Mix Declared Dangerous/Potentially Dangerous Dog No VIES Microchip # Rabies Description: /4 YEAR. Holstein. Veterinary Clinic 17r. Lisa Schrum ..)VM & Dr. ,Krista Holstein DVM 718 South 19th Street Blair, NE 68008 102-426-7387 402-426-0101 Fax holsteinclinic@gmail.com City Tag # 'A V,;j Rabies Tag # 16773 3 YEAR LICENSE FEES Intact Dog or Cat: $16,00 Altered to or cat: $11.00 Replacement Tag $5.00 Total $ 1 FAXED 03-07-19 2:07p BY TOTAL PAGES 03/07/2019 17:30 4024260101 HOLSTEIN VET CLINIC PAGE 05/07 2019 PET LICENSE VE P.1 FICATIO N /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 bF 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 MR 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 $ISO.00 per pent, LET LICENSE RENEWAL'S ARE DUE By 3/1sl2o19. The city shall reCOgnize a microchip ID number as the license number. It shall be UnIAWful for any dog or cat to wear any license or other city ID other than that issued by the City of Blair for such dog or cat. NEWPET 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' PFiT # 1/3 Pet Name: Kree Age: i Sy sex: - Spayed -Fermc-de I Color: Black Breed: ' Lab Mix Declared Dangerous/ Potentially Dangerous Dog Microchip # Rabies Description.- r I YEAR Holstein Veterinary Clinic Dr. Lisa SchrumWM & Dr, Krista Holstein DVM 718 South 19th Street Blair, NE 68008 402-426-7387 402-426-0101 FaX hoIsteinclinic@gma1I.com YES City Tag # Rabies Tag #.16774 3 YEAR LICENSE FEES Intact Dog or Cat: $16.00 Altered — or cat: $11,00 Replacement Tog Total $ 11- FAXED 03-07-19 2,06p BY TOTAL PAGES 03/07/2019 17:30 4024260101 HOLSTEIN VET CLINIC PAGE 07/07 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) ADULT PETS, BUT NO MORE THAN THREE (3) AbULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW I'O LICENSE YOUR PETS. Failure to do SP 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 3/1S/2018. The city shall recognize a microchip Ib number as the license number. It shall be unlawful for any dog or cat to Wear any license or other city !d other than that issued by the city of Blair for such dog or cat. NEW PET L O SING Must be licensed within 10 days of ownership (OR) at C months of age if puppy or kitten NEW RESIDENTS TO BLAIR Must register pets within 10 days of residency PINT # / Pet Name; Hemi Age: jY Bee: Maleaiar: Brown/BIk Breed. Car, Pyr X 6ecFared )pangerous/Ratentially aangeraus Drag f�� YES Microchip # Rabies Description; 1 YEAR Holstein Veterinary Clinic Dr. M.Fa ,Schrum DVM & 17r. Krista Holst6in DVM 718 South 191h Street Blair, NE 68008 102-426-7387 402-426-0101 Fax holsteinclinic@gmail.com City Tag* t A. ' I Rabies Tag # 15198 YEA LICENSE FEES or Cat: $161 Dog or cat: $11.00 Replacement Tog $5.00 Total, _ FAXED 03-07-19 2;07p 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: Sandy Larsen Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Owner Address: 421 N 19th St Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008 operator Inspection Program Phone #: (402) 426-4423 Drivers License #: Name: Zoey Color: White/Brown Spayed/Neutered: True Mirochip # 985112007233738 Vaccination Date: 2/9/2017 or Date of Birth: Z2 �? — & Subtotal licensed pets from below: Replacement Tags from below: DOB: Not on File Sex: Female Breed: English Bulldog Duration: 3 year vaccine Vaccine Exp: 2/9/2020 License Fee $ / d0 Replacement: ❑Y ON City Tag # 2274 Total: ZZ, GO FROM :BSAC FAX NO. :402-533-2722 Feb. 26 2019 03:37PM P1 CITY OF BL,AIR - 2019 PET LICENSE VERIFICATION If YOU live in 131air City ilmlts and own a dogs) and/or cat(s), complete/verify this form and reiwrn with check mado payable to: City of I31air * 216 s I6th St. * glair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) ,adult cats par residential or dwelling unit. LICENSE RENEWALS ARE IDUE: Mauch 15, 2019 LICENSE FEES: Dog Or Cat: $16.00� Owner Name; Elayne M Larson Spayed/Neutered Dag or Cat: $11.00 Owner Address: 421 N 23rd St Replacement Fee for lost Tag: $5.00 Fee includes $1 25 f th or a Nebraska Dog and Cat City/State/,CIF': Blair, N1= ti$00s operator Inspection Program Phone #: (402) 237-5418 Drivers License M (° Z b ) h l 3-2,� or pate of Birth: 41-1 q -5-z, SUbtotall iicettsed pets from below:_ Replacement flags from below; [Name: Chewy 010r. Tri-Color payed/Neuutered: True Mirochip # Vaccination Data: 06/08/2017 DOB: 01/01/2012 Sex: Female Breed: Tibetan Terrier [duration. 3 year vaccine Vaccine EXP: 06/08/2020 License Fee $ //a, n n Replacement; 'ayY ❑N City Tag # 2440 Total,-L, M yph 1 ff {��" • j1 S CITY OF BLAIR - 2019 PET LICENSE APPLICATION{ If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair • 218 S. 16t" St. • Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2019 Owner Name: t , e1 i x Owner Address: d 1 - City/State/Zip: Blair, NE 68008 Phone # _ 3 t Drivers License # or Date of Birth i d- LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3/15/2018. The City shall recognize a microchip Identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city Identification other than that Issued by the City of Blair for such dog or cat. The City of Blair requires proof of rabies vaccination. An additional State Fee of $1.25 is being collected to fund the Nebraska Dog & Cat Operator Inspection P PET # 1 1 F4 Dog ❑ Cat 0/-Spayed/Neutered License Fee $ Pet Name c� �s Age (a s Sex )4�) Color `�-) a Breed* — �' POJ A I '� —Replacement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ `� RABIES VACCINATION DATE: I i i ; / (3 yr) (1 yr) zM; City Tag # . PET # 2 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Aye Sex Color Breed * Rep/acement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Aye Sex Color Breed * Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ W (1 yr) License Fee $ Replacement $ SUBTOTAL: $ City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Donation to care for animals: $1 $3 $5 $10 Other ***SEE BACK OF FORM FOR BREED SPECIFIC LICENSE REQUIREMENTS VISA / MC # Signature Do Not Send Cash by Mail TOTAL ENCLOSED $ Expires Security Code: If you have questions, please contact City Hall at (402) 426-4191 or by Fax: (402) 426-4195 ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15late fee date not applicable 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/Idtten residency. CITY OF BLAIR - 2019 PET LICENSE APPLICATION µ 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: i, { - -C° Owner Address: City/State/Zip: Blair, NE 68008 Phone# Drivers License # or Date of Birth LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3/1512019. The City shall recognize a microchip Identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city Identification other than that Issued by the City of Blair for such dog or cat. The City of Blair requires proof of rabies vaccination. Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspec m` ` t .a PET # 1 ►� Dog ❑Cat � Spaye /Neutered --" , , -license Fee $ Pet NameA e Sex'' Color`, r, , x Breed** { <rIr 1, Replacement $ Declared Dan erous or Potentiall Dan erous Do ❑ Y ❑ N ti . f d J "'.+ .. MICROCHIP #t/g (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE:$ (3 yr) - (1 yr) City Tag #,* PET #2 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Acle 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 Acle Sex Color Breed Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ M ❑N (1 yr) (1 yr) License Fee $ Replacement $ ** SUBTOTAL: $ City Tag # License Fee $ Replacement $ ** SUBTOTAL: $ City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Donation to care for animals: $1 $3 $5 $10 Other ***SEE BACK OF FORM FOR BREED SPECIFIC LICENSE REQUIREMENTS VISA / MC # Signature Do Not Send Cash by Mail TOTAL ENCLOSED $ Expires Security Code: If you have questions, please contact City Hall at (402) 426-4191 or by Fax: (402) 426-4195 ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (Marchl5/ate 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/ldtten residency. Blair Small Animal Clinic PC David E. Johnson DVM 1734 Front Street Blair, Nebraska, 68008 (402) 533-2722 Rabies Certificate Patient ID: 10685 Client ID: 7947 Patient Name: Tony Client Name: Mary La Scala Species: Canine Address: 758 South 16th street Breed: Chihuahua mix Blair, NE 68008 Sex: Neutered Male Color: Black Phone: (402)769-9763 Markings: Birthday: 01 /03/2017 Weight: Microchip ID: 985112011010663 Tag Number: 5009 Vaccination Date: 1/3/2019 Lot Number: 18390 Expiration Date: 1/3/2022 Imrab Rabies Vaccine Producer: Merial K / MLV / R: Killed Virus Staff Name: License Number: David E. Johnson DVM 1893 Jan 22 19 01;44p Thone Animal Care 4024265808 P.1 CITY OF BLAIR - 2019 PET LICENSE APPLICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and raturn with check made payable to: City of Blair 6 218 S. 16th St. • Blair, NE 68008 YOU may legally own a combination of four (4) adult pets, but no more than three (3) adult clogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2019 Owner Name: Owner Address: City/State/zip: Blair, NE 68008 Phone# _HoD-co&0 Drivers License # or Date of Birth Ll� LICENSE FEES: Dog or Cat: $16.0+0 Altered Dog or Cat: $I.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 $15o.ca per pet, PET LICENSES RENEWALSARE DUE BY $/SS/2ol . The City shall recognize a microchip identif:catlon number as the license number. It shall be unlawful for any dog or cat to wear any license or other city identificat'vn other than that issued by the city of Blair for such dog or cat. The City of Blair requires proofof rabies vaccination. m-ILIuaeu Is a Mate Fee DI $1.2S being collected to fund the Nebraska Dog & Cat Operator Ins tion P ram PET # 1 X Dog ❑ Cat 0,Spayed/Neutered License Fee $ Pet Name_Zc�sie i�1tJ.r,; Age I Sex Color l �Y,; a Breed "* E t 1 ? e Replacement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: I'� 1 q' _ (3 yr) (I yr) }� City Tag # ,LL PET #2 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Aye _ _ Sex Color Breed Replacement $ ** Deciared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ [RABIES VACCINATION DATE; (3 yr) (1 yr) City Tag # I PEA" #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Color Breed* _ Sex Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # RABIES VACCINATION DATE: (If applicable)(3 yr) License Fee $ Replacement $ ** Ell SUBTOTAL: $ (I yr) City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Donation to care for animals: $1 $3 5 ***SEE BACK OF FORM FOR BREED SPECIFIC LICENSE REQUIREMENTS Other 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 ..... *+..... f+++*+....++.+++..........+*+. *+....4.......... i•.t+.....-Fd-........ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15late fee datenotapplicab/efnrnewpets/newreridents) hlewiyAuired Pets; for Residents to Blain N Must be licensed within 10 days of ownersh'q register pets within 10 days of n <OR> at 6 months of age if puppy/kitten I hone Animal Care Q�B I ency. (402) 426-3630 002 S. Hwy 30 Blair, NI: 68008 Date of Rabies Vaccination: 03-01-19 Next Rabies Vaccination On: 02-28-22 VETERINARY CLINIC Valley View Vet. Clinic 19287 Conifer LN Council Bluffs, IA 51503 712-256-7387 This is to certify... Certificate No: 0 Previous Rabies Vaccination: 053735 OWNER OF ANIMAL Arniel-au 2335 Hickory Cir Blair, NE 68008 County: THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Bella SPECIES: Canine SEX: S Color and markings: Red and White Signe Rachel C TAG NO: 067149 WEIGHT: 44.80 AGE: 4 years License: Rabies Vaccin'b'Information... 7- MFG BY: MERI SER.NO: 288171 LOT EXP: 08/27/19 ADM: SQ 0f $ CITY OF BLAIR - 2019 PET LICENSE VERIFICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete/verify this form and return with check made payable to: City of Blair * 218 S 16th St. * Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2019 LICENSE FEES: Dog or Cat: $16.00 Owner Name: Russell & Laurel Lau Spayed/Neutered Dog or Cat: $11.00 Owner Address: 2044 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 #: (402) 426-3485 Drivers License #: or Date of Birth: 11/11/1950 Subtotal licensed pets from below: �� bb Replacement Tags from below: Name: Harley Color: Blonde Spayed/Neutered: True Mirochip # Vaccination Date: 11/24/2016 DOB: Not on File Sex: Male Breed: Mix Breed Duration: 3 year vaccine Vaccine Exp: 11/24/201 License Fee $ 11,60 Replacement: ❑Y �(N City Tag #--16 q s Total: 1 1' d 2019 PET LICENSE •VER.IFICAT1ON/APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT($), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO' CITY OF BLAIR - 218 S. 16T" ST - BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULr,DOGS OR THREE (3) ADULT CAT$ PER RESIDENTIAL OR DWELLING UNIT. 'PLEASE READ CAREFULLY' YOU ARE RE U►R WTQ LICENE YOUR PETS. F�iiuro W Flo so Is a violatlon of City Ordinances 6.103 and carries a penalty of a fine up to $150,00 per pet. PET LICENSE RENFWALS ARE DUE BY VIV2019, The city shall recognize a microchip ID number as the license nurnber. It shall be unlawful for any dog ar cat to wear any license or other city ID other than that issued by the City of Blair for such dog or cat. NEW PET LICENSING Must be licensed within 10 days of ownership (OR) at S months of age if puppy or kitten NEW R5SIDENTS TO BLAIR. Must register pets within 10 days of residency Owner Name Spouse Owner Address City/State/Zip Phone # DL # or DOB PET # .. 0,.-c Cron Lautrup Carol 2030 South St. Blair, NE 68008 402-426-9634 Pat Name: Sunny Age: 2Y Sex: Neuter+ed Male Colo: White/Yell Breed: Domestic Longhair Declared Dangerous/Potentially Dangerous: Dog No YES Microchip City Tag # w. E Y, "'•'Ittt; 1 N I'r 7•T NM rr�� , is(�� I� 'tom'• N' I! !lo�y1F`�ti �' .a...,- �� g� t inn I !v "•tt:i 0 f c1� K q�l+ ��rl ,�� " Rabies Tag # 17i1:;'iAryl,$" 1 9P.q'71 ) tt+nn ,yl`�� ` , lie �Ti r�q )) I'AI��}i�H.�1i IIt!i�il!i!'»f� .,�., 41 . , ; , s. 111,81,} rRabies � ��f+• Description: 1 YEAR ,.;.YEAR Holstein Veterinary Clinic Dr, ,Lisa Schrum DVM & Dr. Krista Holstein DVM 718 South 19th Street 8161r, NE 68008 402-426-7387 402-426-0101 Fax hoisteinclinic@gmaii.com LICENSE FEES Intact Dog or Cat: $16.00 ' Altered' Dog or cat: $11.00 Replacement Tag $5.00 Total s- I_ &A' W1a I I A; vuVL40z 1 rat (v%Xr, Gdl.1 t em i fvtt kaV FAXED 02-15-1912:22p BY TOTAL PAGES VO/00 39Vd DIFII-10 13A NI31S-10H Z9Z09'Potb bb:3T 6T03/8Z/30 2019 PET LICENSE VERIFICATION /APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND. OWN A DOG(5) AND /OR CAT(S), COMPLETF THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF BLAIR — 218 S. 16TH ST — GLAIR, 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 Failure to do so Is a violation of City Ordinances 6,103 and carries a penalty of a fine up to $150.0.0 per pet. PET LICENSE RENEWALS ARE DUE BY 3/15/20,1_9. 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 doys 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 Don Lautrup Spouse Carol Owner Address 2030 South St. City/state/Zip Blair, NE 68008 Phone # 402-426-9634 DL # or DOB PET # Pet Name., Sammy Age, 11y Sext Spayed Female Color: Lynx Pt Breed: Domestic Shorthair Declared Dangerous/Potentially Dangerous Dog foo -eli—y YIES MiCrochip # Tag # r,',Rab1es Tag 0 Rabies �es+uriptlan: YEA 3 YEAR Holstein Veterinary Clinic Dr, ,Lisa Schrum DIEM & Dr, ffijoota Holstein DVM 718 South 19111 Street Blair, NE 68008 402-426-7387 402�426-0101 FaX holsteinclinic@gmaiI.com LICENSE FEES Intact Dog or Cat: $16-00 ,--'Altered Dog or cat. $11-00 Replacement Tag $5.00 Total $ FAXED 102-18-19 12:19P BY TOTAL PAGES TOT09j7 'j?j7 'op OV:ZT 6TOF , /8 T /j7 VO/60 39vd DIFII-10 i3A N=S-101-1 '0 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: LAWSON, KELLY Spayed/Neutered Dog or Cat: $11.00 Owner Address: 1705 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) 699-0315 Drivers License #:G29009170 or Date of Birth: 1/20/1959 Subtotal licensed pets from below: Replacement Tags from below: Name: Max DOB: Not on File Sex: Male License Fee $ I> Color: Black/White Breed: Replacement: Spayed/Neutered: True ❑Y ❑N Mirochip # 981020005479386981 City Tag # 1328 Vaccination Date: 11/4/2017 Duration: 3 year vaccine Vaccine Exp: 11/4/2020 Total: I f 14 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: LAWSON, KELLY Spayed/Neutered Dog or Cat: $11.00 Owner Address: 1705 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) 699-0315 Drivers License #: 041,4,00C1110or Date of Birth: a Subtotal licensed pets from below: Name: Maya Color: Brindle Spayed/Neutered: True Mirochip # 985112006360433 Vaccination Date: 3/1/2017 Replacement Tags from below: DOB: Not on File Sex: Female Breed: Mix Breed Duration: 3 year vaccine Vaccine Exp: 3/1/2020 License Fee $ 11, oo Replacement: ❑Y ON City Tag # 1818 Total: Qa4�-tV'� g V "� CITY OF BLAIR - 2019 PET LICENSE VERIFICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete/verify this form and return with check made payable to: City of Blair * 218 S 16th St. * Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2019 LICENSE FEES: Dog or Cat: $16.00 Owner Name: Timothy & Karen Lawson Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Owner Address: 1825 Park St Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008--0000 Operator Inspection Program Phone #: (402) 533-34-r-& 3 5756 Drivers License #: or Date of Birth: Name: Autumn Color: Tri-Color Spayed/Neutered: True Mirochip # Vaccination Date: 4/4/2018 Subtotal licensed pets from below: Replacement Tags from below: DOB: 1/1/2015 Sex: Female Breed: Beagle Duration: 3 year vaccine Vaccine Exp: 4/4/2021 License Fee $ Replacement: ❑Y ❑N City Tag # 2080 Total: CITY OF BLAIR 2019 PET LICENSE APPLICATION y If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made paya e o: City of Blair • 218 S. 161:h St. • Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15 2019 r Owner Name: OwnerAddress: City/state/zip: Blair, NE 68008 Phone # UL : Drivers License # or Date of Birth - 1.- t LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 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 tspavdyNeutered License Fee $ Pet Na e �� r Age -I ex Color reed * a Replacement $=* Declared Dangerous or Potentially Dangerous Dog: ❑ Y 14 N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 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: (3 yr) (1 yr) City Tag # PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Aye Sex Color Breed * Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ (1 yr) License Fee $ Replacement $ ** SUBTOTAL: $ City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Donation to care for animals: $1 $3 $5 $10 Other ***SEE BACK OF FORM FOR BREED SPECIFIC LICENSE REQUIREMENTS VISA / MC # Signature Do Not Send Cash by Mail TOTAL ENCLOSED $ Expires: Security Code: If you have questions, please contact City Hall at (402) 426-4191 or by Fax: (402) 426-4195 ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS(March 15late fee date not applicablefor newpets/new residents) Newly Acquired Pets: New Residents to Blair; ■ Must be licensed within 10 days of ownership ■ Must register pets within 10 days of ■ <OR> at 6 months of age if puppy/kitten residency. 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: Chad C And Kimberly L Leggott Spayed/Neutered Dog or Cat(11.00 Replacement Fee for Lost Tag: $5.00 Owner Address: 2077 Crestridge Dr Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: BLAIR, NE 68008-0000 Operator Inspection Program Phone #: (402) 641-6534 Drivers License#: or Date of Birth: 1/26/1981 Name: Cubby Color: Brown Spayed/Neutered: True Mirochip # Vaccination Date: 5/7/2016 Subtotal licensed pets from below. !� Replacement Tags from below. DOB: Not on File Sex: Male Breed: Labrador Retriever Duration: 3 year vaccine Vaccine Exp: 5/7/2019 License Fee $ Replacement: ❑Y I#N City Tag # 1732 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: Sharen Lemen Spayed/Neutered Dog or Cat: $11.00 Owner Address: 569 S 23rd St Replacement Fee for Lost Tag: $5.00 Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008--1518 Operator Inspection Program Phone #: (402) 426-4579 Drivers License #: ( rj`I,loo q L s or Date of Birth: 10/29/1942 Name: Lobo Color: White/Red Spayed/Neutered: True Mirochip # 981020009808653 Vaccination Date: 10/20/2016- Subtotal licensed pets from below: Replacement Tags from below: DOB: 9/1/2013 Sex: Male Breed. ,M' Duration: 3 year vaccine Vaccine Exp: 10/20/2018-` License Fee $ Replacement: ❑Y ION City Tag #1672 Total: MILLARD VETERINARY CLINICS PC 5757 S. 144th St. & 17935 Welch Plz & 1515 S. 204th St Omaha, NE 68137 (402) 895-6900 Rabies Certificate Patient ID: 13876-4 Client ID: 13876 Patient Name: Lobo Client Name: Sharen Lemen Species: CANINE Address: 569 S. 23rd St Breed: OTHER BREED Sex: Neuter Blair, NE 68008 Color: White Phone: (402)426-4579 Markings: Chinese Crested Birthday: 09/01 /2013 Weight: 9.40 pounds on 8/13/2018 Tag Number: 110835 Lot Number: 4150445A RABIES CANINE 3 YEAR Producer: Boehringer Ingelheim V / MLV / R: Killed Virus Vaccination Date: Expiration Date: Staff Name: Scott A. Kluch, DVM License Number: 3079 12/19/2018 12/19/2021 FROM :BSAC FAX 1,10. :402-533-2722 May. 11 2019 12:15PM P1 CITY OF GLAIR - 2018 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 rineide payable to; City of Blair e 218 S. 16b St, * $11air, 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 dwelUng unit, LICENSE RENEWALS ARE DUE: March 15, Z018 Owner Name-. Owner Addresg,, aon city/state/zip: Blair, NE 68008 A0 . 11 Phase y_ q Drivers License 0 or Date of Birth LICENSE FEES: Dog or CaV, $16-00 Altered Dog or Cat.- $11.00 Replacement Fee for Lost'rogI $5.00 An additional State Fee of $1.25 is Wing callecbed to fund ***PJ_r_ASE READ CAREMM" YOU ARE RkqUXPM1J BY LAW TO LIGENSM YOUR PETS. raflipe to on so is Pi violation of City crdinalnbot, 6.105 and carries a penalty of fine lip tQ $150.00 par pot. PET LIC069S RENEWALS ARE DU]~ 13Y 511512018 Tho City shall me,oghl2Lh a microchip Identification ntirnbOr DS 010 license number. Jt shell be unlawful for any dog or cat to wear any license or QthPT CILy Identification other than that Issued by the City of Blair for such dog or cat, The cityof Riair requiror proof of riabj" vaccination. & cat PET #1 g L3 Cat Q Spayed/Neu tere License fee $ qe Pet Na e A S Color Leale-, 11 Breed Replacemont$ Declared Dangerous or Potentially Dangerous og. Q Y N MICROCHIP # (If applicabl ) SUBTOTAL: $ RABIES VACCINA'HON, DATE: EffiTga- (3 yr) 1— (1 yr) City Tog V [ 6 k_ PET #2 Q Dog 0 Cat LJ Spayed/Neutered. Pet Name—_ _ Age . ...... _,, Sex Color B11 ed**'. Declared Dangerous or Potentially Dangerous Dog: Q Y D N MICROCHIP # '____ of applicable)RAMS VACCINATION DATE: (3 yr) — PET #3 0 Dog LJ Cat 0 Spayed/Neutered Pot Name I Aqe Sex _-- Color Color Breed** — Declared Dangerous or Potentially Dangerous Dog., 0 Y 0 N MICROCHIP # (If applicable) RAD.T,ES VACCJNkffOWN PATE, (3 yr) — License Pee $ Replacetnetit $ - SUBTOTAL.- $ (I yr) _ City Tag #—* License Pee $ Replace,770nt$ —** SUBTOTAL: $ (J. yr) — City Tag # *PLEASE XNCLOD)� THE CM TAG NUM13FRIF THXS IS A RENEWAL *'* (This fee Is due along with License Fee if requesting at the tinie of license renewal.) Donation to care for animals: _$I _*3 _$5 _$10 Other ***SEE 13ACK OF PORM FOR 13REED SPEMPIC LICENSE REQUIREMENTS VISA / MQ # Signature Vo Not Send Cash by. Moil TOTAL. ENCLOSED $ Expires: Security Code: If you have questions, please contact City Hall at (402) 426-4191 or by Fax, (402) 426-4195 ................................................ 4 ................. 4 ........... NEW PET/NEW RtSIDIENT LlCr�NSXNG REQUIREMENTS (Malrb 151ate fee clatenotapplIa9lVe fbi-n&-Wpe&1n&wm-%Ve17tS)� NawlyAc4uired pots: New Rosldantg to Blair: • Must be llcenmd wiffilti 10 days of ownership K Wist register pets within 10 days of • <OR>aL,6months ofage lfpuppy/Yitteii rpJ, dency, 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: Abby Pfeifer and Daniel Lenaeus Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Owner Address: 1953 Lincoln St Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008 Operator Inspection Program Phone #: (402) 378-0673 Drivers License or Date of Birth: Subtotal licensed pets from below: Name: Bella Lenaeus Color: White/Tan Spayed/Neutered: True Mirochip # 966000003616873 Vaccination Date: 10/8/2018 Replacement Tags from below: DOB: 4/1/2013 Sex: Female License Fee $_ Breed: American Staffordshire Repla ement: Terrier* ❑Y J N City Tag # 1921 Duration: 3 year vaccine Vaccine Exp: 10/8/2021 !0 Tota l:= CITY OF BLAIR - 2019 PET LICENSE VERIFICATION Iy/� 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: James Legge ) Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Owner Address: 1268 Deerfield Blvd; Apt 304" Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008 Operator Inspection Program Phone #: (402) 889-1319 Drivers License #: or Date of Birth: Subtotal licensed pets from below: Replacement Tags from below: Name: Boomer Color: White/Tan Spayed/Neutered: True Mirochip # Vaccination Date: 2/24/201 on FilelSex: Male Breed: Mix Breed Duration: 1 year vaccine Vaccine Exp: 2/241.201-9 License Fee $ Replacement: ❑Y ON City Tag # 2291 Total: C k-- 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: LINDAU, BROCK R & LISA L Spayed/Neutered Dog or Cat: $11.00 Owner Address: 3017 SUNRIDGE CIR Replacement Fee for Lost Tag: $5.00 Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: BLAIR, NE, 68008--6447 Operator Inspection Program Phone #: (402) 578-3490 Drivers License #: or Date of Birth: Subtotal licensed pets from below: Replacement Tags from below: Name: Calvin DOB: Not on File Sex: Male License Fee $ Color: Orange Breed: Domestic Shorthair Replacement: Spayed/Neutered: True ❑Y]N Mirochip # City Tag # 1496 Vaccination Date: 2/2/2017 Duration: 3 year vaccine Vaccine Exp: 2/2/2020 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: LINDAU, BROCK R & LISA L Spayed/Neutered Dog or Cat: $11.00 Owner Address: 3017 SUNRIDGE CIR Replacement Fee for Lost Tag: $5.00 Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: BLAIR, NE, 68008--6447 Operator Inspection Program Phone #: (402) 578-3490 Drivers License #: or Date of Birth: Subtotal licensed pets from below: Replacement Tags from below: Name: Ruby DOB: Not on File Sex: Female License Fee $ Color: Golden Breed: Golden Retriever Replacement: Spayed/Neutered: True ❑Y ON Mirochip # 98102000548059'2-- City Tag # 1495 Vaccination Date: 512015 Duration: 3 year vaccine ( Vaccine Exp: 9I,612618 A kc, 0j, lil �kf 0 V) V Total: S 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: LIVERMORE, MICHAEL D & HEIDI A Spayed/Neutered Dog or Cat: $11.00 Owner Address: 1466 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) 426-8241 Drivers License #:G29009918 or Date of Birth: 3/20/1964 Subtotal licensed pets from below: Replacement Tags from below: Name: Cleo DOB: Not on File Sex: Female License Fee $ Color: Black/Grey Breed: Domestic Shorthair Replacement: Spayed/Neutered: True DY EPN Mirochip # City Tag # 298 Vaccination Date: 2/3/2017 Duration: 3 year vaccine Vaccine Exp: 2/3/2020 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: LIVERMORE, MICHAEL D & HEIDI A Spayed/Neutered Dog or Cat: $11.00 Owner Address: 1466 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) 426-8241 Drivers License #:G29009918 or Date of Birth: 3/20/1964 Name: Quincy Color: White/Tan Spayed/Neutered: True Mirochip # 982000407321652 Vaccination Date: 8/3 17 N DOB: Not on Fil Breed: Beagle Subtotal licensed pets from below: Replacement Tags from :below: Sex: Male License Fee $ Duration: 1 year vaccine Vaccine Exp: 8/31/ M8 Repl ement: ❑Y N City Tag # 2328 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: Larry & Mindy Logston Spayed/Neutered Dog or Cat: $11.00 Owner Address: 208 Jackson 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) 426-1942 Drivers License #: Name: Dazzly Color: Brindle Spayed/Neutered: True Mirochip # Vaccination Date: 12/22/2017 or Date of Birth: Subtotal licensed pets from below: Replacement Tags from below: DOB: 3/1/2007 Sex: Female Breed: Mix Breed Duration: 3 year vaccine Vaccine Exp: 12/22/2020 License Fee Repl ement: ❑ YN City Tag # 356 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 t: 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: Larry & Mindy Logston Owner Address: 208 Jackson St ❑ Dog ❑ Cat Pet Name Color 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 ❑ Spayed/Neutered License Fee $ Breed Pet DOB Sex Declared Dangerous or Potentially Dangerous Dog? ❑ Y ❑ N Microchip # Rabies Vaccination Date ❑3 yr ❑ 1 yr FROM :BSAC FAX NO. :402-533-2722 Jun. 00 2019 09:59AM P1 CITY OF BLA,IR - 2019 PET LICENSE APPLICATION If You live In Blair City limits and own a dog(s) acid/or cat(s), complete tlli$ form and return with Check made payable to; City of Blair . 218 S,161A5L 0 flair, NE 68008 YOU MaY legally own a combination of four (4) adult pets, bot no More than three) (3) odult dogs or three (3) adult cats per ras(derrttal or dwelling unit. L#%.EN6E RENEWALS ARE DUE. Owner NaMar Owrtor Address: (lye City/StatA/Zip. Blair, NIA 6800,9 Rhone # Q_ `? -C',q,-A n UtIve ® License # or Date of Birth LICENSE FEES: Dog or Cat. $16.00 Altered Dog or Cat: $11.0Q Replacement Fee for Lott rag; $s.00 Iticluded Is a afatn V'ee of 1 Zr I.- ***PLEMREADCAREFVt,LY*** YOU Aft RIEQUXgkjD BY LAW TO LICENSE YOUR PlITS. Fallune to CU 90Is n 0010011 of City ordinances 6.;k03 and tbrrles 0 penalty 41' a title uP tO 11"0.40 per pet, PET LXCENSES RENEWAL$ ARE OUR BY: 1 R1ZUI_ The [;Icy shall retapnlxe t mlcrothlp Identi tatlon number as the HaMte number. it shall bo uniawrul for any dog ar Est to wear tiny 11COMse or other city IdenUfleatlon ottler then thtt IssuCQ by the City of Olalr for Stich do® at Cat. The city of Bl�lr requires pMogf eablr9s veCClrladon, :ff '191 txtllM"ed tie Mint! the Net HraSka11hig& Cat O or Ins ,pin ET 00 nn #`� Dag ❑Cat GSpayed Neutered Llrtse Fee $--LL Pat Name �i t e` c� a Breed* v. ,� Sex Color x Replat:lemnt Declared Dangerous or Potentially Dangerous dog: ❑ Y !� N All MICROCHIP fk �_ (I� applicable) SUBTOTAL.- D U RACiIES VACCINATION I ATI~: '� ,'�Z.(). (I f (3 yr) __..)1 $ .�i_.___ �� (1 yr) __ City yag t 10 % �* MEET #2 Dog © Cat W Spayed Neutered � �� ' License Fee $�,1� Pet Na a r1 i _.. A e Sex Color Declared Y y� l s%, _ Breed* �Repla�mer�t $,. d Dangerous or Potentially Dangerous Dog; © Y " N MICROCHIP (If applicable) SUB>r�'�A�„ $ c> RABIES VACCINATION DATE; , 2 � �' �- - -.—M.. (3 yr) (I yr) City Tag *-2 3 �t #3 C) Clog ❑ Cat ❑ Slowed/ INeutered License Fe® $ Colalrame A�e _. Sex - . Declared Dangerous or Potentiallyreed Dangerous Dog: Q Y Q N A'epl cement $ _ ** MICROCHIP # . (If applicable) SUBTOTAL.- $ RABIES VACCINATION DA I-E(3 yr) (1 yr) _ City Tag 0 * -'PLEASE INCLUDE THE CETYTAG NUM 13ER IF THIS IS A RENEWAL - ** Crhls Pee Is due alorig with Licah1we Fee if requesting at the time of license renewal.) Donation to Dart for anirinalS, $1 $ $g $1() Other_____ S[l; BACK OP FORM FOR ERREED SPrIECIFIC LICIINSE REQUIREMENTS Aallot Savcf Cash by Mail TOTAL. ENtiNCLOSED $ VISA / MC # Signature Security Code: If you have questions, Please contact City H1111 at (402) 426-4191 or by Fax: (40Z) 426-4ig'S ................ +++t*+t4++tt*{ }t } r tt.+#t..++tt*+tt•!-M+}#.+}tt.........+t•ht+#+++ NONPL"r/NEW RESIDENT LICENSINO"QUIrREMENiS (Matt"irX�/ate�o(etgnotappllc�b/e�t�rnewr�ts/nelyres/devils) ■ � llc�'tsecl wntt&t 1b days bfgwrtc�d NP�lAL.8ra91,1i��,1,4..�lalCi,_-.. ■ qR> k 6 months of P ■ Must reglsker pets within il) days of - 4�pfNl� n reAdemy. tP.. 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: LONG, PATRICK NOAL & STACY JOANN Spayed/Neutered Dog or Cat: $11.00 Owner Address: 1129 N 20TH AVE CIR 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 -9095 Drivers License #:G29008012 or Date of Birth: 10/5/1963 Subtotal licensed pets from below: Replacement Tags from below: Name: Nala DOB: Not on File Sex: Female License Fee $ Color: Black Breed: Mix Breed Replacement: Spayed/Neutered: True ❑Y ❑N Mirochip # 986112000421525 City Tag # 1366 Vaccination Date: 2/8/2017 Duration: 3 year vaccine Vaccine Exp: 2/8/2020 Total: FROM :BSAC FAX NO. :402-533-2722 Apr. 03 2019 04:01PM P1 De c. 2b, 2018 M PM CITY OF BLAI R No. 8225 P, 1 CITY OF FILAIR - 2019 PET LICENSE APPLICATION If roll live in Blair City limits and own a dog(s) and/or cat(s), completm this form and return with cheek made payable to. City of Blair 0 218 S.16l'i' St. 0 4141, BITE 68008 You maylegs ly own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult dais per resideptial or dw1olling unit. LICeNSF kENEW)ALS ARE DUE; MaMb 1 -2� !-_- Owner Name: Le e L.. r,,- r \�'F.-;,r F-r% Owner Addiresm 10097 3�� T� ` �V6 city/sitota/zip: Blair, NP 680 0►8 Phone # :6.- �W. - LIQ' • 115-0 1177) W Drivers Llcelm# or Date of Ritth LlCe NSE FEES: Deg of Cozy sal oo Altered Dug or Cskl $11.00 Repiacement Fee for Lost Tag; $5.00 19 fklnd ***PLEASE LEAD C4ii PULL,'Y "w" YOU ant ttnQuXRRP BY kAW To UCIRNSF YOUR PATS. Fanure to do so is a violation or city OfdiniNnees saoo mia asydo& A pehvilty of a fine up to 050.00 par pat. l'pT 41C�1V�6s ]RifNt{►NAl'.8 ARH DU6 sY 91�.61 �0,},. `fn� City �15�11 recgoplzo a 91MV 1P 1dOntINGAlon number as the license nufter, It ..h011 be UnloWN) for orry dag ar cal; to wear oay Ilumse or other c1ty Idatitiflentlon other t1w) thAt 18600 by M& My of Wair for surh dog or cot city of elalrregnlres proof of rabloA vAoohlotton. PET #1 lid Dog 1j Cat SpB ._� Neutered License Fee Pet Name,...., LA.-ThA _ sex dolor J•t1r� reed, W ra.> T"'Replecement $ Declared Dangerous or Potentially Dangerous Dig: U Y -N MICROCHIP #R ��'T � y,�,(If applicab)e) SUBTOTAL-.$ RAWS VACCINATION DATE: � � .. � 1 (� Yr) (� yr) �iik� X�� PET #2 Q Dog 0 Cat Q spayod f Ne1.ltered Pet Nate_ A e K)'ex Color _p. Breed"* Declared Dangerous or PoteDtlolly Dangerous peg: Ll Y MICROCHIP # _ � �f applicable) RABIES VACCINNUON DATE: (3 yr) — License Fee $ - Repl.00,en7ent $ AN SUPTOTAL; $�,� (1 yr) - city Tag #` . PIET 03 0 D o tg ❑ Cat 0 Spay etj/Neutered License Fee � ... _.., Pell Name Age Sox Color .. ..wed** R'epkcement $ Declared Dangerou$ or Potetitially Uangerous Dog,. ❑ Y El N MICROCHIP # �.�(Ifapplicable) StUBTOTAI; $ 'PASIES VACCINA77ON [SATE: (3 yr) (I yr) _, Clity'i'aig # ,...�..,�.'� *PLEASE INCLUDE TM ETAS iuUMnE6.Ii~ Tf09 IS A RENEWAL ** (This fee Is due along with License Pee ff requiesting at the tim�t of iiicenoa rallawal.) Donation to care for arllllrtla fly- $3 $3 _ $5 $�0 � Other***SEE BACK OF FORM FOR RRUP11) SPECIFIC LICENSZ REQUiIklL 15NTS - VISA / MCIftnature d►n Nat'Ven d c,06;h by Moll TOTAL ENCLOSED f xpiree' —_ 00u ity Code; — If YoU have queations, plgase contact City Hall at (02) 426.4101 nor a + b�4!�7-6 IL95 +�r+ ��w�, , , y ��w h+.............+++r.... MEW PE"t/NEW RFSMENTLTCFtJMy`NO i3FQUXIZCMENTS 070 Matefer) dritenot��lulrcabJe rnGiV/�nt /never /��is� N.ti1l;fnts to glell6.. ■ Must be lir'ised m lg di3yr5 oFowr�Ai71p �` IN Mud tegl.�kor p wiEhlr� Xo Guys Of L)It C 6 monttls of a9� iFpupPY!ltilt�n feddency. 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: Tracy Lorenzen Spaye Neutered Dog or Cat: $11.00 Owner Address: 2132 South St Rep acement 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) 250-8094 Drivers License #: Name: Layla Color: Brindle or Date of Birth: 12 -23-1 %79 Subtotal licensed pets from below: 11,06 Replacement Tags from below: DOB: 1/11/2016 Sex: Female Breed: French Bulldog Spayed/Neutered: False' Mirochip # _ Vaccination Date: 6�1,�%2017 Duration year vaccine / Vaccine Exp: Ci1 6/2,31Z8 License Fee $ Replacement: ❑Y ON City Tag # 1909 Total: I' 'a) CITY OF BLAIR - 2019 PET LICENSE VERIFICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete/verify this form and return with check made payable to: City of Blair * 218 S 16th St. * Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2019 LICENSE FEES: Dog or Cat: $16.00 Owner Name: Tracy Lorenzen Spayed/Neutered Dog or Cat: $11.00 Owner Address: 2132 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) 250-8094 Drivers License #: Name: Lola Color: Fawn Spayed/Neutered: False Mirochip # Vaccination Date: 7/3/2018 or Date of Birth: 12/23/1979 Subtotal licensed pets from below: J6, off' Replacement Tags from below: DOB: 12/16/2017 Sex: Female Breed: French Bulldog Duration: 1 year vaccine Vaccine Exp: 7/3/2019 License Fee $ Replacement: ❑Y ❑N City Tag # 2449 Total: 16,60 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: Cody & Heather Lorsch Owner Address: 708 N 16th St , City/State/ZIP: Blair, NE 68008 Phone #: (402) 19-3986 Drivers License #:°1" J ®j )UZ. or Date of Birth: - rh ,^ S Subtotal licensed pets from below: Replacement Tags from below: Name: Blitz Color: Red Spayed/Neutered: True Mirochip # Vaccination Date: 7/10/2017 LICENSE FEES: Dog or Cat: $16.00 Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Fee includes $1.25 for the Nebraska Dog and Cat Operator Inspection Program DOB: Not on File Sex: Male Breed: Australian Cattle Dog Duration: 1 year vaccine Vaccine Exp: 7/10/2018 License Fee $ Ltae) Replacement: ❑Y ON City Tag # 2382 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: Cody & Heather Lorsch Spayed/Neutered Dog or Cat: $11.00 Owner Address: 708 N 16th St Replacement Fee for Lost Tag: $5.00 Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008 operator Inspection Program Phone #: (402) 719-3986 Drivers License #: or Date of Birth: �f Subtotal licensed pets from below: Replacement Tags from below: Name: Stella Color: Tan/Black Spayed/Neutered: False Mirochip # Vaccination Date: 4/26/2018 DOB: Not on File Sex: Female Breed: German Shepherd Dog Duration: 1 year vaccine Vaccine Exp: 4/26/2019 License Fee $ tb, .00 Replacement: ❑Y ON City Tag # 2383 Total: FROM : BSAC FAX NO. : 402-533-2722 May. 19 2019 11: a1AM P1 �. A� I"I"Y OF GLAIR1 PET LICENSE APPLICATION "7, If you live in Blair City limits and own a dog(s) and/or cat,(s), complete this form and return with check Ade p0ya-61 :Mz C4 of Blair 2,18 S.16th Stw a Blair, NE 68008. � �� s ��' YOU ►nay I®g®Ily own a Combination of faun (�}) adult pew, Oqk no more than three (3) adult deb Q) or three (3) adult ca#t per ragidar,tlal or dwelling wrik LICENSE RENEWALS ARE DUEx tag i'ch 15, 2014 Owner Nome; 1__�-me, k e . Owner Address: 10-ii4 t (/iA`�- Clhr/Stata/alp: B10jrr NE 681)1)8 Phone #' Drivers. License # or hate of Birth LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11 00 Replacement Fee for Lost Tag: $5.00 Included is a Shft Pee.or $1.25 being cdlkdvd to fund the ***KEME READ rAREruLLY*** You ARE REQUIRED BY LAW TO LICENSE YOUR PLrrs. "llum to do an Is a vlglation of City ordinances 6,103 and carries a panblty of 6 fine UP to $150,00 per pet, PIT LICENSE$ RENEWALS ARE.OUR RY 311914016 -1110Cfty shall recognize a A11(rocllip Identification nurnoer as the license fHttdber. It shall qQ unlowful For any dog or rat to waar any Ilrenso br other city Identification other than that Issued by thu Clty of Bleir for Such dog or cal• The Oty of Bialr requlrap pmfof tabiesvaccinntlgn. PET #t 4ff Dog ❑ Cat 0 Spayed/Neutered License Fee $ ,�jZ� Pet Nar'ne, Aqe 1 hex a\t Declared Dan emus or Potentially Darr emus Do Rep/a 'm nt$ ** or �. g Y � g: ❑ Y N MICROCHIP # (If applicable) SUBTOTAL; $ RABIES VACCINATION DATEll � I� '�.L�� (� yr) .. y ' (1 yr) ... City Tag # q DIET #2 ❑ Dog U Cat ❑ Spayed/Neutered License Fee $^ Pet Name Age Sox Color Breed * -- Replacement$— ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) _ (i yr) _ City Tag #�* PET #3 U Clog ❑ Cat ❑ Spayed/Neutered License Fee $� Pet Name Age - Sex Color .,, Breed** Declared Dangerous or Potentially Dangerous Dog,, ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: P yr)- (i yr) City Tag *PLLASL INICLUDE THE CMTAG MUMBERIF nUS I$ A RENEWAL ** (this fete Is due along with License Fee If requAstino at the time of license renewal.) Donation to care for animals: $1 $3 $5 ,�,�,_ $1Q _ Other - . ***SEE BACK OF FORM FOR li EED SPECIFIC LICLNSR REQUIREMENTS "-- Do Not Send Cash by Mal! TOTAL ENCLOSED $ VISA / MC # —� Cxpires: Security Code: Signature If you have questions, pleases contact Qity Hall at (402) 426-4191 or by Fax: (402) 426-4195 .....•r....+++++t.... r.*.++++.....+..++++.t+++t++....*....++++.+.......f.*..+•rt+* NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (MaAI)Y51sleMe date notappIloble lblpBWAWilewlpddents) , _ .. l W R" nlatp Ellair.-.'... Must . ka)t 6dMhin 10 Qfomlfti,ip 0 MustregMer pens within 10 dsys of ■ <OR� at 6 months of age if puppy/ "denW. N..., FROM :BSAC FAX N0. :402-533-2722 May. 10 2019 11:02AM P2 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 ledlally own a combination of four (4) adult Pets, but no more than three (3) adult dogs or throo (3) adult cabs per residential or dwelling unit. LICENSE RENEWALS ARE TIE: March 1:5, 2Q19 Owner Name-, OwnerAddreds: City/State/zip: Blair NE 68008 Phone # 2� 1 '� " '- Jl-- V6 DrlVers Litanse #p or Date of Birth LICENSE FEES: Dog or Cat: $16.0() �- Alterod Dog or Cat: $11,00 Replacement Fee for Lost Tag: ***PLEASE READ CARERA1Y*** YOU ARE REQUIRED BY LAW TO LICEN519 YOUR PETS. FallUm th do so Is a violation of City ordinances 6.10A and carplos a penalty of a fine lip to $1E0.60 per pet- PEr LICENSES RPROWALS ARE DUN BY ;ILIEL -M the City rllttll Wogi*,e a microchlp identification nUnlber as the license n1irnbeo it shall be unlawful for any dog of Cat to wear any license or other city fd6tif!Mtion other than that, Issued by tho City of Blair for such dog or cat, The Cityof Hloir mquiras pttmf of rables vatClhAUort. PET #1 d Dog ❑ Cat Afspaye,,dffieutered ��License Fee $ Pet Name \. Age_ Sex e.V. Color ��n� ' v� V-, reed* , ..: �t Y ..r Replacement $� Declared dangerous or potentially Dangerous Dog: V Y �4 N MICROCHIP # __ .� (If applicable) SUBTOTAL: $ RABIES VACCINA*ION DATE: I t� (3 yr) t "" (I yr) _u City Tag # _�_L2,3�` mm.. PET #2% Z. Dog ❑ Cat �rf5pay� Pet Names 41 d/Neutered License Fee $ Age Sex Y� Color_—'(tlk�r Breed' >r Yr' Replacement$._ ** Declared Dangerous or Potentially Dangerous Dog: N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINAMN DATE; ( 5 " 7�:) 9 (3 yr) (1 yr) _ City Tag PET #3 U 009 © Cat ❑ Spayed/Neutered _ License Pee $ . Pet Name Age - Sex Color Breed** -........ _ .. Replacement $ >k Declared Dangerous or potentially dangerous Dug: ❑ Y Ll N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCNATION DATE: (3 yr) (1 yr) City Tag *PLEASE INCLUDE THE CITYTAG NUMBER XF THIS I5 A RENEWAL ** (This fee is dust along with License FAA if requesting at the time of license renewal.) Donation to rare for animals: $1 _ $3 _ $5 _ $10 _ Other, ***SEE aACK OF FORM POR BREED SP'ECIPIC LICENSE REQUIREMENTS VISA / MC # Signature 00Not Send Cash by Mail TOTAL ENCLOSED $ Expires: Security Codo: It you flave questions, please contact City Hall at (402) 426.4101 or by Fax; (402) 426-4195 #+.... 4....... f....4..........*.1,++++..........i--................... fi-i...t+..*++ NEWPEr/NEW RMOENrI.IICENSING REQUIREMENTS (Marti) 1512MOt-dr7tenntappllMUlelbrrrcwpewnowtasldenEij 1+iQlflds[i9�tftllit>ad Pyeb: a , ■ MLtst be Yca'k6ed iyWhiri i.0 daysaf ownen4Up ■ Must regIO& pelri within 10 days Qf ■ <0R> at 6 months of age if puppy/ld ten reftrtcy. 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: LOUDNER, DONALD E II & KATHERINE D Spayed/Neutered Dog or Cat: $11.00 Owner Address: 1002 N 28TH 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 #: <NO PRIMARY PHONE> Drivers License #: or Date of Birth: 12/21/1966 Subtotal licensed pets from below: Replacement Tags from below: Name: Bandit DOB: Not on File Sex: Male License Fee $ Color: Black/Tan Breed: Yorkshire Terrier Re ement: Spayed/Neutered: True ❑Y Mirochip # 985112001326444 City Tag # 1551 Vaccination Date:-9/-2/201-6 Duration: 3 year vaccine 3 N Vaccine Exp:-9/21201�� 2, Total: Holstein Vet Clinic 718 South 19th Street Blair, NE 68008 402-426-7387 FOR: Kathy Loudner 1002 N 28th Ave Blair, NE 68008 (402) 533-8790 Date For holsteinclinic@gmail.com �ty Description INVOICE Printed: 08-31-18 at 3:33p Date: 08-31-18 Account: 8175 Invoice: 92248 Net Price 08-31-18 Bandit 1 Vaccinate & Mini Exam 18.00 08-31-18 30 Carprofen Chew Tabs 25MG #959 28.00 08-31-18 1 Defensor 3 (3 Year Rabies) 29.00 08-31-18 Visa payment -75.00 Merchant ID: 529000245365, Approval code: 153300, Transaction ID: 1238735959 Ref #: 5804, Act #: ************8740, Exp: XX/XX, Entry: Contacticc, Card: VISA Your card balance is not available I AGREE TO PAY ABOVE TOTAL AMOUNT ACCORDING TO CARD ISSUER AGREEMENT X Old balance Charges Payments New balance 0.00 75.00 75.00 0.00 Reminders for: Bandit (Weight: 10.9 Ibs - 4y) Last done 08-30-21 Deneensor 3 (3 Year Rabies) 08-31-18 12-02-18 Vangard Plus 5 12-02-17 Thanks for choosing us to take care of your pet's health care needsl We appreciate your payment at the time of service. 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 RENEWArmler E DUE: March 15, 2019 LICENSE FEES: Dog or Cat: $16.00 Owner Name: Patti &Lounsberry Spayed/Neutered Dog or Cat: $11.00 Owner Address: 1192 S 13th Ave Replacement Fee for Lost Tag: $5.00 Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008--2223 Operator Inspection Program Phone #: (402) 533-2763 r Drivers License #: or Date of Birth: `> i'f' Subtotal licensed pets from below: Replacement Tags from below: Name: Charlie Color: Black/Brown Spayed/Neutered: True Mirochip # Vaccination Date: 6/11/2016 DOB: 3/3/2006 Sex: Male Breed: Yorkshire Terrier Duration: 3 year vaccine Vaccine Exp: 6/11/2019 License Fee $ /4,-'(,' Repla ement: ❑Y ON City Tag # 1274 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 RENEWA E DUE: March 15, 2019 LICENSE FEES: Dog or Cat: $16.00 Owner Name: Patti &f meryLounsberry Spayed/Neutered Dog or Cat: $11.00 ` Replacement Fee for Lost Tag: $5.00 Owner Address: 1192 S 13th Ave Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008--2223 Operator Inspection Program Phone #: (402) 533,-/2763 Drivers License #:s d:a L:? or Date of Birth: Subtotal licensed pets from below: ,.' Replacement Tags from below: Name: Patches Color: Black/Tan Spayed/Neutered: True Mirochip # Vaccination Date: 11/11/2016 DOB: 6/10/2014 Sex: Male Breed: Mix Breed Duration: 3 year vaccine Vaccine Exp: 11/11/2019 License Fee $ Repl cement: ❑Y N City Tag # 1599 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: Walter R Jr And Karen F Lund Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Owner Address: 1204 Fairview Dr Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: BLAIR, NE 68008-0000 Operator Inspection Program Phone #: (402) 237-0282 g 0-0 Drivers License #: C °� f �� D or Date of Birth: Subtotal licensed pets from below: Replacement Tags from below: na Name: Lola DOB: 1/5/2017 Sex: Female License Fee Color: White/Grey Breed: Domestic Shorthair Replacement: Spayed/Neutered True ❑Y ON `Mirochip # City Tag # 2322 Vaccination Date: Duration: 1 year vaccine Vaccine Exp: 394=4411 2-4 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: Quintin & Michelle Luschen Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Owner Address: 2053 Davis Dr Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008 Operator Inspection Program Phone #: (402) 917-2375 Drivers License #: Name: Rou Color: �%►'� `��c�"M Spayed/Neutered: True Mirochip #9 t 0006 Vaccination Date: 10/10/2018 or Date of Birth: Subtotal licensed pets from below: Replacement Tags from below: DOB: 5/10/2018 Sex: Male License Fee $ Br_ea Replacement: --� �❑YEN Cv o��M e� City Tag # 2464 , ��, NHS I Duration: 1 year vaccine Vaccine Exp: 10/10/2019 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 Owner Name: Quintin & Michelle Luschen Owner Address: 2063 Davis Dr City/State/ZIP: Blair, NE 68008 Phone #: (402) 917-2375 Drivers License #: or Date of Birth: Name: Mocha Color: White j�'Bf-® Vi Spayed/Neutered: True Mirochip # Vaccination Date:,212 017 I -.w- 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: -II -g G Sex: Female License Fee $ 11 Replacement: �❑ Y [IN City Tag # 2145 Duration: ear vaccine Vaccine xp. "3/201.8 — - Total: 05/04/2019 11:01 4024260101 HOLSTEIN VET CLINIC PAGE 01/01 2019 PET L CENSE VERIFICATION/APPLICATION FOR C IF YOU LIVE IN BLAIR CITY LIMITS AND 0 N A DOG(S)'AI COMPLETE THIS FORM AND RETURN WITH A CHECK R CITY OF BLAIR 2.18 S. 16T" ST - BLAIE YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER ***PLEASE READ Fallure to do so is a violation of C)ty Ordinances 6.103 and TY OF BLAIR /aR CAT(SS), ABLE TO: NE 68008 >ULT PETS, =SiDENTIAL OR DWELLING UNIT a penalty of a fine up to $150,00 per pet. The city shall recognize a microchip ID tiumber as the license number. it shall be unlawful for any dog or cat to wear any license or other city I 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 mon hs of age if puppy or'kitten NEW RESIDENTS TO BLAIR Must register pets within 10 days of res dency , Owner Name Skyler Luxa Spouse Jordan owner Address 670 North 16th 5t City/State/Zip Blair, NE 8008 Rhona # 482-533-3899 1136 # or DOB i Pet Name: Asher Age: 7Y [SOB: 10-3 -11 Sex: Neutered Male color: Biro n isreed: Retriever, Chesapeake Bay Declared Dangerous/ I Potentially- Dangerous Dog NO YES Microchip # C ty Tag # v` °v '' " 9;iRYdJy+ I r�J;1r bn l l�� { ° e {i P7�• � Rabies Description: 1 YEAR abies Tag # 3l� 16920 � Holstein Veterinary Clinic Dr, .Lisa Schrum DVM & Dr. Krista .Holstein DVM 718 South 19th Street Blair, NE 68008 .402-426-7387 402-426-0101 Fax holsteinclinic@gmail.com LICENSE FEES Intact Dog or Gat: $16.00 a�5-' G0 Replacement Tag $5.00 Total I $ \ \ FAXED ... , . 05-04-19 BY TOTAL PA - ES VV 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: Jordan & Heidi Lynch Spayed/Neutered Dog or Cat: $11.00 Owner Address: 1853 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) 533-0720 Drivers License or Date of Birth: Subtotal licensed pets from below: Replacement Tags from below: Name: Trixie DOB: 7/31/2014 Sex: Female License Fee $ Color: White/Brown Breed: Mix Breed Replacement: Spayed/Neutered: True ElinN Mirochip # City Tag# 1788 Vaccination Date: 2/28/2017 Duration: 3 year vaccine Vaccine Exp: 2/28/2020 C90 Total: