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NCITY 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: Velvet Nance Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Owner Address: 768 S 16th St Apt 74r% ". Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008 Operator Inspection Program Phone #: (531) 301-1357 1 , e ,.. Drivers License #: i f or Date of Birth: 9/18/1969 Name: Lowsa Color: White Spayed/Neutered: True Mirochip # Vaccination Date: 7/11/2017 Subtotal licensed pets from below: Replacement Tags from below: t f F Lam' DOW/Not on File Sex: Female Breed: Siberian Husky Duration: 3 year vaccine Vaccine Exp: 7/11/2020 License Fee $ Replacement: ❑Y ON City Tag # 2288 Total: (') CERTIFICATE OF VACCINATION: Date of Rabies Vaccination: 04-04-19 Next Rabies Vaccination On: 04-03-20 VETERINARY CLINIC Acorn Hill Veterinary Services, LLC RR 1 Box 129V Mernphis, MO 63555 660-945-3984 This is to certify... Certificate No: 0 Previous Rabies Vaccination: OWNER OF ANIMAL 01 VA 2-385&-Co m--ord--Gern-eta-ry--Rd,) Memphis;-M0-635'55--- Gounty: THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Troy SPECIES: Canine SEX: M Color and markinqs... Tri Color TAG NO: 20190174 WEIGHT: 26.20 AGE: 16 weeks Christine Marlowe, DVM License: 2011015164 Vaccinations done... 04-04-19 CEM Canine Rabies Vaccination, #20190174 04-03-20 Rabies Vaccine Information... MFG BY: MER SER.NO: 18386 LOT EXP: 21 MAR20 ADM: SQ 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 — 21a S. 16TIA ST — BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER. RESIDENTIAL OR DWELLING UNIT. ***PLEASE READ CAREFULLY*** YOU ARE REQUIM3 BYLAW TO LICENSE YOUR PETS, Failure to do so is a violation of City Ordinances 6.103 and tarries a penalty of a fine Lip to $�$0.00 per pet, PET LICENSE RENEWALS ARE DUE BY 3/15/203.9. The city shall recognize a microchip ID numberas the license number. It shall be OnlaWfUl for any dog or cat to wear any license or other city ID otherthan that issued by the city of Blair for such dog or cat. NEW PET _LICENSING Must be licensed within 10 days of ownership (OR) at 6 months of age if puppy or kitten NEW RESIDENTS TO BLAIR Must register pets within 10 days of residency owner Name Spouse owner Address City/state/zip Phone OL # or DOB Connie Nelson 1446 Butler Street Blair, NE 68008 Pet Name: Tillie Age: T12Y Sex: S e X Color: Breed4. Rat Terrier 402-426-2438 peclared Dangerous/ Potentially Dangerous Dog I NO I YES Microchip # Rabies Description: Holstein Veterinary Clinic Dr, Lisa Schrum DVM & Dr. Kristo Holstein DVM 718 south 19t' Street Blair, NE 68008 402-426-7387 402-426-0101 rax holsteindinic@gmall-com TO/TO 39Vd DINI-10 13A NMS-101-1 City Tag # Rabies Tag # 16347 LICENSE FEES Intact Dog or Cat: $16.00 red Dog ;; )Q0 Replacement Tag $5.00 Total l\ oo FAXED 01-25-19 11:28a BY TALPAGES TOTOqj7 'VZOV 86:TT 6TOZ/SZ/TO C $? - CITY OF BLAIR - 2019 PET LICENSE ADDITIONS If you live in Blair City limits and own a dog(s) and/or cat(s), complete/verify this form and return with check made payable to: City of Blair * 218 S 16th St. * Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2019 Owner Name: Mary Nelson Owner Address: 1918 Colfax St 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 City/State/ZIP: Blair, NE 68008 Phone #: A7 02-1895 Drivers License #:' k 13'A k 9q 3,5 or Date of Birth: 10/12/1946 Subtotal licensed pets from below:l t , p Replacement Tags from below: Total: l I e o �r Dog ❑ Cat KS aged entered License Fee $ l I , 00 Pet Name 6 K tAj, Pet DOB �k ® h In Sex Color 13LIBCI-C Breed L R6 Declared Dangerous or Potentially Dangerous Dog? ❑ YKN Microchip # Rabies Vaccination Datel 0._ )3 yr ❑ 1 yr ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Age Sex Color Breed Declared Dangerous or Potentially Dangerous Dog? ❑ Y ❑ N Microchip # ❑ Dog ❑ Cat ❑ Spayed/Neutered Rabies Vaccination Date Pet Name Pet DOB Color Breed Sex Declared Dangerous or Potentially Dangerous Dog? ❑ Y ❑ N Microchip # Rabies Vaccination Date 03 yr 01 yr License Fee $ 03 yr 01 yr )5 -3 - - ; 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: Mary Nelson Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Owner Address: 1918 Colfax St Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008 Operator Inspection Program Phone #: ( 902-1895 Drivers License #: H 33 or Date of Birth: 10/12/1946 Subtotal licensed pets from below:l Replacement Tags from below: Name: Sadie DOB: 06/01/2013 Sex: Female License Fee $1 I CIS Color: Brindle Breed: Boxer Replacement: Spayed/Neutered: True ❑Y ON Mirochip # City Tag # 2219 Vaccination Date: 09/21/2017 Duration: 3 year vaccine Vaccine Exp: 09/21/2020 Total: l l - b D CITY OF BLAIR - 2019 PET LICENSE VERIFICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete/verify this form and return with check made payable to: City of Blair * 218 S 16th St. * Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2019 LICENSE FEES: Dog or Cat: $16.00 Owner Name: Marlow & JoNae Newland Spayed/Neutered Dog or Cat: $11.00 Owner Address: 1117 N 25th Ave Replacement Fee for Lost Tag: $5.00 Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008--0000 Operator Inspection Program Phone #: (402) 426-9717 Drivers License #:G29012892 or Date of Birth: 1/25/1957 Subtotal licensed pets from below: Replacement Tags from below: Name: Ozwald DOB: 3/15/2004 Sex: Male License Fee $ a Color: Black/White Breed: Rat Terrier Replacement: Spayed/Neutered: True Ely ma Mirochip # City Tag # 387 Vaccination Date: 3/13/2017 Duration: 3 year vaccine Vaccine Exp: 3/13/2020 Total: CERTIFICATE OF VACCINATION Date of Rabies Vaccination: 02-23-19 Next Rabies Vaccination On: 02-23-20 VETERINARY CLINIC Thone Animal Care of Blair 902 S Hwy 30 Blair, NE 68008 402-426-3630 This is to certify... Certificate No: 1778 Previous Rabies Vaccination: OWNER OF ANIMAL Kimberly Newton — �q1';) Ljk3� 582 South 16th St Blair, NE 68008 5 -5 County: THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Nikki TAG NO: 004612 SPECIES: Canine WEIGHT: 63.00 SEX: F AGE: 2 years Color and markings... Tan Signed Dr. Leon Leishman License: 1971 Vaccinations done... 02-23-19 LL Check Up, Rabies I Yr, #004612 Rabies Vaccine Information... MFG BY: ZOETI SER.NO: 293133 LOT EXP: 11/29/19 ADM: SQ CITY OF BLAIR - 2019 PET LICENSE VERIFICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete/verify this form and return with check made payable to: City of Blair * 218 S 16th St. * Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2019 LICENSE FEES: Dog or Cat: $16.00 Owner Name: Teresa Nicholson Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Owner Address: 941 Iowa Ave , Unit 2 Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008 Operator Inspection Program Phone #: (402) 426-4124 Drivers License #:G01338561 or Date of Birth: 4/3/1961 Subtotal licensed pets from below: Replacement Tags from below: Name: Richard DOB: Not on File Sex: Male License Fee $' Color: Black/Tan Breed: Dachshund Replacement: Spayed/Neutered: False ❑Y ❑N Mirochip # City Tag # 1329 Vaccination Date: 9/13/2016 Duration: 3 year vaccine Vaccine Exp: 9/13/2019 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 1 LICENSE FEES: Dog or Cat: $16.00 Owner Name: Tedford & Maureen Niday Spayed/Neutered Dog or Cat: $11.00 Owner Address: 877 N 25th Ave Replacement Fee for Lost Tag: $5.00 Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008--0000 I Operator Inspection Program Phone #: (402) 42 -�302 Drivers License -7" qnd � ) 3�—' or Date of Birth: 12/15/1938 Name: Clancey Color: White Spayed/Neutered: True Mirochip # Vaccination Date: 3/10/2017 Subtotal licensed pets from below: Replacement Tags from below: t DOB: 4/21/2009 Sex: Male Breed: Mix Breed Duration: 3 year vaccine Vaccine Exp: 3/10/2020 License Fee $ R placement: 1IY ❑N City Tag # A 768 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: Tedford & Maureen Niday Spayed/Neutered Dog or Cat: $11.00 Owner Address: 877 N 25th Ave Replacement Fee for Lost Tag: $5.00 Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008--0000 Operator Inspection Program Phone #: (402) 426--3302 Drivers License #:C-� Fb6OS13 9 or Date of Birth: 12/15/1938 Name: Rayme Color: White/Tan Spayed/Neutered: True Mirochip # Vaccination Date: 3/10/2017 Subtotal licensed pets from below: Replacement Tags from below: DOB: 10/1/2003 Sex: Female Breed: Shih Tzu Duration: 3 year vaccine Vaccine Exp: 3/10/2020 License Fee $Jy 4, 0 O Replacement: )TY ❑ N City Tag # „117-99` • IF77- a� I 11 2 01 CITY OF BLAIR - 2019 PET LICENSE APPLICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair • 218 S. 16th St. • Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2019 Owner Name: Owner Address: City/State/Zip: Blair, NE 68008 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 3/15/2019. 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 tund the NebrasKa Dog & Cat PET # 1 Dog ❑ Cat Spayed/Neutered Pet Name - Agge Sex — Color t t Breed * Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) RABIES VACCINATION DATE: / (3 yr) PET #2 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Aye Sex Color Breed * Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ License Fee $ Replacement $ ** SUBTOTAL: $ (1 yr) City Tag # (1 yr) License Fee $ Replacement $ ** SUBTOTAL: $ City Tag # PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Aqe Sex Color Breed** Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # _(If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (I yr) City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Donation to care for animals; $1 $3 $5 $10 Other. ***SEE BACK OF FORM FOR BREED SPECIFIC LICENSE REQUIREMENTS VISA / MC # Signature Do Not Send Cash by Mail TOTAL ENCLOSED $ Expires: Security Code: If you have questions, please contact City Hall at (402) 426-4191 or by Fax: (402) 426-4195 ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15late fee date not applicable fornewpets/new residents) Newly Acquired Pets: New Residents to Blair: ■ Must be licensed within 10 days of ownership ■ Must register pets within 10 days of ■ <OR> at 6 months of age if puppy/kitten residency. CITY OF BLAIR - 2019 PET LICENSE VERIFICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete/verify this form and return with check made payable to: City of Blair * 218 S 16th St. * Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2019 LICENSE FEES: Dog or Cat: $16.00 Owner Name: NIELSEN, JOHN R & SUSAN Spayed/Neutered Dog or Cat: $11.00 Owner Address: 2006 NEBRASKA ST Replacement Fee for Lost Tag: $5.00 Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: BLAIR, NE, 68008--0000 Operator Inspection Program Phone #: (402) 533-2884 C' Drivers License #: or Date of Birth: Subtotal licensed pets from belovll Replacement Tags from below: Name: Willie Color: Black/Tan Spayed/Neutered: True Mirochip # Vaccination Date: 2/2/2017 DOB: Not on File Sex: Male Breed: Dachshund Duration: 3 year vaccine Vaccine Exp: 2/2/2020 License Fee $ Replacement: ❑Y ON City Tag # 434 Total:f' N 2019 PET LICENSE VERIFICATION/APPLICATION FOR CI`f'Y OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(5) AND /OR CAT(5), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF BLAIR — 218 S. 16TH ST — BLAIR, NE 68000 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PET5, BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. ***PLEASE READ CARI`FULLY' YOU ARE REOUIftED BY LAW TO LICENSE Yc�UR PETS. Failure to do so is a violation of City ordinances 6,103 and carries a penalty of a fine op to $150.00 per pet. PET LICENSE RENEWALS ARE DUE BY 115 2019. The city shall recognize a microchip ID number as the license number. It shall be unlawful for any dog or cat to wear any license or other city ID other than that issued by the City of Blair for such dog or cat. NEW PET HaNSING Must be licensed within 10 days of ownership (OR) at 6 months of age if puppy or kitten NEW RESIDENTS TO BLAIR Must register pets within 10 days of residency .PET # , Pet Name: Da1Sy Age: 2Y �Spayedemale color: Breed: t'ti* Declared Dangerous/Potentially Dangerous Dog NO YES Microchip # City Tag 0 iR;ailx�+�s t�a��ilh�.�It��►1� �+�� ,. 1 � I � , �t �'i � I , l� �,;,, ,., Rabies -rag # Rabin Description: T�-- 3 YEAR Holstein Veterinary Clinic Dr, Lisa Schrum I)VM & Dr. K'rista Holstein DVM 718 South 13th Street Blair, NE 68008 402-426-7387 402-426-0101 Fax hoisteinclinic@gmail.com LICENSE FEES Intact Dog or Cat: $16,00 ,rec� co g ar cat: Replacement Tog $5.00 Total S FAXED 03-08-19 1:34p BY M Z TOTAL PAGES 60/60 39Vd DINI-10 13A NI3iS-I0H Z0Z09ZbZ0b L.S:CT 6TOZ/80/E0 03/08/2019 12:47 4024260101 HOLSTEIN( VET CLINIC PAGE 01/02 2019 PET LICENSE VERIFICATION,/APPLICATION FOR CITY" OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT(S), COMPLETE THIS FORM AND RETURM WITH A CHECK PAYABLE TO, CITY OF BLAIR — 118 S, 16TH ST — BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT, ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS, Failure to do so, is a violation of city Ordlnances 6,103 and carries a penalty of a fire upto $1s0.oa per pet. PEf LICENSE RENEWALS ARE DUE BY 3 15 2Q19. The city shall recognize a microchip la number as the license number, it shall be unlawful for any dog or cat to wear any license or other city ID other than that issued by the City of Blair for such dog or cat, NEW PET LICENSING Must be 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 clays of residency Owner Name Spouse Owner Address city/suite/Zip Phone -------------- DL # or DOB Pet Name: Chloe Age: loy Sex: SPayed Female Breed: Lhasa Apso Todd Nielsen Denise 1104 South St Slain, NE 68008 402-237- 0077 Color-, Whi/Tan Declared Dangerous/Potentially Dangerous Dog Microchip # (Rabies Description: 1 YEAR Holstein Veterinary Clinic Dr. Lisa .Schrum DVV.M & Dr: Krista Holstein ,DVm 718 ,South 19th Street Blair, NE 68008 '02-426-7387 402-426-0101 Fax 1. holsteindinic@gmail,com NO I YES City Tag # Rabies Tag # 16778 3Y LICENSE FEES Intact Dog or Cat: $16.00 .re DQ�`rraX cat: Replacement Tag $5.0Q Total $�L '2 FAXED 03-09-:19 12:38p BY TOTALPAGhS 03/08/2019 12:47 4024260101 HOLSTEIN VET CLINIC PAGE 02/02 2019 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LJMITS AND OWN A DOG($) AND /OR CAT(S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF BLAIR - 218 S, 16TH ST - BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. ***PLEASE READ CAREFULLY*** Yt7U ARE REQUIRED BY LAW TQ a.IC'EN5E YOUR PETS Failure to do .54 is a violation of City Ordinonres 6,103 and carries a penalty of a fine up to $150-00 per pet PET LICENSE RENEWALS The city shall recognize a microchip ID number as the license number. It shall be unlawful for any dog or cat to wear any license or other &V ID other than that issued by the City of Blair for such dog or cat. NEW PET LILENSING Must be licensed within 10 days of ownership (OR) at 6 months of age if puppy or Mitten NEW RESIDENTS TO BLAIR Must register pets within 10 days of residency 'T # Pet NpMe,- Major Age. 7Y Sex.- Neutered Male or; Black Poodle.Standard Declared Dangerous/ Potentially Dangerous 60-i- No YES Microchip # City Tag 0 N .ft b �:�i IR" A A R abiles Tag # 16777 Rabies Description. I YEAR EA Holstein Veterinary Clinic Dr. Lisa Schrum DVAI & Dr. Krist'a Holstein DVM 718 South 19'h Street Blair, NE 68008 1.02-426-7387 402-426-0101 Fax holsteinclinic@gmail.com LICENSE rEES Intact Dog or Cat: $16,00 0 (Metered - ISU or cat• .00 Replacement Tag $5.00 Totals ODD FAXED 03-08-19 12:40p BY TOTALPACiES r Date of Rabies Vaccination: 03-29-18 Next Rabies Vaccination On: 03-29-19 VETERINARY CLINIC Holstein Vet Clinic 718 South 19th Street Blair, NE 68008 402-426-7387 This is to certify... Certificate No: 0 Previous Rabies Vaccination: OWNER OF ANIMAL Konda Nietfeld 2350 Hollow Road Blair, NE 68008 County: THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... T} PATIENT: Greeley r . TAG NO: 15902 ' SPECK S: anine C. __' - SEX:F. Color and markings... Tri Color Signed Kenneth Holstein , DVM Due Date / Vaccinations 0$-29-19 Bronchi Shield - Oral Bordetel 03-29-19 Vangard Plus 5 L4 03-29-19 Denfensor 3 (3 Year Rabies) Rabies Vaccine Information... WEIGHT: 25..00 --- --- r,w AGE: 15-weeks- � `)AW7) License: 1678 MFG BY: ZOETI SER.NO: 262281 LOT EXP: 04-16-19 ADM: SQ yks CEIRTIF1CATE QF: VACCINATION Date of Rabies Vaccination: 03-11-19 Next Rabies Vaccination On: 03-10-22 VETERINARY CLINIC Holstein Vet Clinic 718 South 19th Street Blair, NE 68008 402-426-7387 Certificate No: 0 Previous Rabies Vaccination: OWNER OF ANIMAL Konda Nietfeld 2350 Hollow Road Blair, NE 68008 0 County: This is to certify... cl 0 1 1 1 THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... P� U', I -11 PATIENT: Jo TAG NO: 16787 SPECIES: Canine WEIGHT: 50.20 SEX: S L'J, AGE: 9 years Color and markings... Brown/Wht Signed Lisa Schrum, DVM Due Date / Vaccinations 03-10-22 Denfensor 3 (3 Year Rabies) Rabies Vaccine Information... License: 2310 MFG BY: ZOETI SER.NO: 293134 LOT EXP: 11-29-19 ADM: SQ 2019 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT(5), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF BLAIR — 218 S. 16T" ST — BLAIR, N6 6800$ YOU MAY LEGALLY OWN A COMW NATION 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 ARi= REQUIRED BY LAW TO LICENSE Y 41R PETS Failure to do so is a violation of City Ordlhan6es 6,103 and carries a penalty bf a fine up to $1so,00 per pet. PET LICENSE RENEWALS ARL DUE BY $ 15 2f119. 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 Mint be licensed within 10 days of ownership (OR) at 6 months of age if puppy or kitten NEW RESIDENTS TO BLAIR Mint register pets within 10 days of residency PET # Pet Name: EviO Age: 5 M Sex: Spayed Female Breed: if ichon X DOB: 10-14-18 Color: Declared Dangerous/ Potentially 'Dangerous Dog Microchip # Rabies Description: (/ 1 YEA; Holstein Veterinary Clinic Dr, Lisa Schrrnn DVM & Dr. Krista Holstein DVM" 718 South 191h Street Blair, NE 68008 402-426-7887 402-426-0101 Pax holsteinclinic@gmail.com NO,/ I YES City T ag # I-- ppl/,, f..„„�� gg� h. 8 Rabies Tag # 16799 3 YEAR LICENSE FEES Intact Dog or Cat: $16.00 Altered dog or cat. $11.0 Replacement Tag $5,00 Total $ C FAXED 04-10-19 BY.-�.- TOTAL PAGES TO/TO 39Vd DINI-10 i3A NI31S1O1-1 TOT09ZP30tb P3:9T 6TO3/OT/bO Feb 08 19 04;06p Thone Animal Care 4024266808 p,1 CITY OF BLAIR - 2019 PET LICENSE APPLICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair • 218 S. 16t1' St. • Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit, LICENSE RENEWALS ARE DUE: March 15, 2019 Owner Name: Owner Address: �l — (y✓t'.�; , : r� Ci City/state/Zip: Blair, NE 68008 Phone #5 G?0 1 Q Drivers License # or Date of Birth LICENSE FEES: bog or Cat: $16.00 Altered Dog or Gat: $11.00 Replacement Fee for Lost Tao: $5.00 is a State Fee of $1.25 being_collected to fund the ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS, Failure to de 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 RILE DUE BY 3115/,Z018, The City shall recognize a microchlp Identlficatfon 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 cr cat. The city of Blair requires proof of rables vaccination. PET #'1 ,-LAC Dog ❑ Cat Spayed/Neutered License Fee Pet Name k,itc� Age S Sex Color Breed** , ;char, Replacement $ ** DtRA'CBIES clared Dangerous or Potentially Dangerous Dog: ❑ Y � N ROCHIP # (If applicable) SUBTOTAL: $ VACCINATION DATE; i »'- ! (3 yr)_ (1 yr) City Tag # 7 ,.._ :T #2 X Dog 0 Cat (9 Spayed/Neutered License Fee $ Name 2 Age Sex f r°r�,G lf._ or _-- t ui� Breed "* _ l n Replacement $ ** Jared Dangerous or Potentially Dangerous Dog: ❑ Y 0 N :ROCHIP # (If applicable) SUBTOTAL: $ 31E5 VACCINATION DATE:. 1-41 yr) �_ (I yr) City Tag # * PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Color BreedSex * Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ License Fee $ ❑N Replacement $ SUBTOTAL: $ (i yr) City Tag # * >K *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 SPECIFrC LICENSE REQUIREMENTS — DoNot Send Cash by Mai! TOTAL ENCLOSED $ i VISA / MC # Expires:_ Security Code; Signature If you have questions, please contact City Hall at (402) 426-4191 or by Fax: (402) 426-4195 +-ri-t. +-r.++ *++.++.. i..l-++.++.++++.++*++.+.++*.... f *++*++.rw .++*. f..f-++a.++* ++.... a-+....... NEW PET/NEW RESIDENT LICENSING REQUIREMENT'S (March 15latefeedatenotapp&-ablefor newpeWnewresldenty) Newly Acauired Pets- New Residents to Blair' T Must be licensed with n 10 days of ownership re Must register pets within 10 days of <OR> at 6 months of age if puppy/kitten n2sidency, Thone Animal Care of Blair (402) 426-3630 902 S. Hwy 30 Blair, NE 68008 09/24/2019 12:59 4024260101 HOLSTEIN VET CLINIC PAGE 01/01 2019 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF 13LA,,IR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT(S), COMPLETE THIS FORM ANO RETURN WITH A CHECK PAYABLE TO: CITY OF BLAIR 218 S. 16TH ST — BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. ***PLEASE REACT CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENg YOUR PETS FallurO to do so is a Violation of City Ordinances 6.10-1 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 nurnber. It shall by unlawful for any dog or cat to wear any license or other city ID other than that issued by the City of glair for such dog or cat, NEW PET LICENSING Must be licensed within 10 days of ownership (OR) at 6 months Of age if puppy or kitten NEW RE51DENTS TO BLAIR Must register pets Within 10 days of residency Holstein Veterinary Clinic Dr. Lisa Schrum DVM. & Dr. Krista Holstetij DVM 718 South 19th Street Blair, NE 68008 02-426-7387 402-426-0101 FOX hols#einclinic aDgmail.com LICENSE FEES Intact Dog or Cat: $16.00 Dog�r cat: $ Replacement Tag $5,00 Total $ 1 I `�00 FAXED D9-24,19 BY TOTAL PAGES o� `