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U04/02/2019 11:28 4024260101 HOLSTEIN VET CLINIC PAGE 01/03 2019 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT($), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF BLAIR - 218 S. 16TH ST BLAIR, NI: 68008 YOU MAY LEGALLY OWN A COMBINATION or FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADI)1 T DOGS OR THREE (3) ADULT OATS PER RESIDENTIAL OR DWELLING UNIT. ***PLEASE READ CAREFULLY' YOU ARE RECIUIRM 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 $150,00 par pet. PET LICENSE RENEWALS ARE DUE BY 3/15/2019. The city shall recognize a microchip ID number as the license number. It shall be unlawful for any dog or cat to wear any license or other city ID other than that issued by the City of Blair for such dog or cat. NEW PET LICENSING Must be licensed within 10 days of ownership (OR) at 6 months of age if puppy or kitten NEW RESIDENTS TO BLAIR Must register pets within 1Q days of residency owner Name Spouse Owner Address city/state/Zip Phone # DL. # or DOB r 41. t Kelsey Uhing Jared Warrick 1444 South Street Blair, NE 68000 402-870-1294 PetName: Freddy Age: 4Y sex: Neutered Male Color,- TO Color Breed: Basset Hound Declared IDlangerous/Potentially [dangerous Dog Microchip # City Tag #I' ::.•��...� �i•�r:I!:t•.:.,r.�yVlr!lPl'yiM'.j'-0Ie.!'111r•-i•1'1�1%.Jn'I''��Iji'1I I11altf l"�I:I�J:II R Yio:I t' tcc r�atrq' '►[#NJ■.bn 1117}.;,J< ;liri!,Ii J: ! !P i! I'�L�•..,, i.."�L':; ��; l�.t.i .I I; Il, II: 7' iY,•'' v !_:i:�� ry� ',:iaRillJi:eritj�lr �.'.i'. � 1C :�Giv, � ''f:�l'e!y,I:,,3i•• Rabies Tag # 36628 II ;I I .:llrll'.1 Gf�.9t C ,f'i�,f�I'• i � ,?,,';o, ,;a;Ijo�lnnigmgdei'I,j�QH�" i of :Y't`„gIl v� .io auz.ti�'i;. "i:�t,atelR Rabies po$crlptlon: I YEAR. 3 YEA shclly Th update ov" Jow�e� Mata.rA ! I vweM4� J-b asw hev ' tad ay ! .. inic ,n DVM 3008 m LICENSE FEES Intact , Dog or Cat: $16.00 Altered Dog orc :$11.o0 Replacement Tag $5.00 Total $ _ FAXED 04-02-19 11;08a BY TOTALPAGES 04/02/2019 11:28 4024260101 HOLSTEIN VET CLINIC PAGE 02/03 2019 PET LICENSE VERIFICATION/AP'P'LICATION FOR CITY OF RLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR GAT(S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE. TO: CITY OF BLAIR — 218 S- 16TM ST — SLAIR, 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 UNXT- ***PLEASE READ CAREFULLY'** YOU ARC REQUIRED BY LAW TO LICENSE YOUR P> TS: Failure to do so is a violatior) of City Ordinances 6.I03 and carries a ponmty of a fine Lip to $i50.00 per pet, PET LICENSE RENEWALS ARE DUE BY 3 I5 2019. The city shall recognize a microchip ID number as the license number. It shall be unlawful for any dog or cat to wear any license or other city ID other than that issued by the City of Blair for such dog or cat. NEW PET LICENSING -Must be licensed within 10 days of ownership (011) at 5 months of age if puppy or kitten NEW RESIDENTS TO GLAIR Muse register pets within 10 days of residency —1 2-1 Pet Name: Molly Age: 2Y fox: Spayed Female Color, Brown/Whit greets: Basset Hound Declared Dangerous/Potentially Dangerous Dag N YES Microchip # City Flag # . .,. .. ....n�•�:�.i.��,.�l e�.� (;'U:I.1ti, ',' n•P:•^.i-�1:1y{Ci'1"��.��. L�'I ��!fi•I�I'Ii1111Piyif"Ii�iIR^''4P �� 1, twpll fib „lia ; I"''E. _: n ,N x�:�'�� Nir1! : iF... 1, 1 ` d ,il I.�IJ}; :. Y'!ir�i '� Ji .;.:!:�';, . . _ .. •r:. .Nillilt:d;1 ' 1.. :1'�( �'I 'E' : • If i �.1� r)�VY�i[I1�171�LI.L'E�� ;;I.. Jlii>, . .64';'S:C"';,PI4pj1;; 1'�',rl e,:. r, 64 i a1.,h': .ym .j 3V QI 1•.� 1. ;;)jl, �,�;, i;,cj.�l..''.a'aa)nl; 'd a 9V, :11)�II R)�Il�ill"i lEil7 •;It.;::E�Ilii il:,l!I.;�li,ul:: �1. ii�.7:�iEl: '-,.�'�)40 �;.'G`9 I�:.fJ.111 !ifiEr�Ei.1ii ILvd�tl Gir;i�� If �� I..;i!�11 'r;eL!I'itllgx .IYJP�Ia a.. I�i15irF^ Ii' Rabies Tag # Rabies Description: I YEAR 3 YEA ft Holstein Veterinary Clinic Dr. Lisa Schrum DVN,f & Dr. Krista Holstein DVM 1.8 South 191h Street Blair, NE 68008 402-42.6-7387 402-426-0101 Fax holsteinclinic@gmail.com LICENSE FEES Intact Dog or Cat: $10.00 Alt Doo t100 Replacement Tag $5.00 Tota 1 $ k k FAXED 04-02-1911:08a BY TOTAL PAGES. 04/02/2019 11:28 4024260101 HOLSTEIN VET CLINIC PAGE 03103 2019 PET LICENSE VERIFICATION/APP'LICATION FOR CITY Or RLAIR IF YOU LIVE IN BLAIR CITY LIMIT$ AND OWN A DOG(S) AND /OR CAT(S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF BLAIR — 218 S. 16TH ST — BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. ***PLEASE READ CAREFULLY*** YD1�, ARC RECIUIftED BY 1-AaW T'd LICENSE YOl.1R PEiS. Failure to do so is a violation of City Ordinances 6.103 and carries A penalty of a fine up to $150.00 per pet. PET LICENSE RENEWALS ARE DUE BY 3 15 Z019. The city shall recognize a microchip ID number as the license number. It shall be unlawful for any dog or cat to wear any license or other city ID other than that issued by the City of Blair for such dog or cat. NEW PET LICENSING Must be licensed within 10 days of ownership (OR) :at 6 months of age if puppy or kitten NEW _RrSIDENTS TO BLAIR Must register pets within 19 days of residency - ,.r ! ' ` Pet Nance: Shadow Age: 15M Sex: Neutered Male Dolor: Black Breed: Minature Dachshund Declared Dangerous/Potentially Dangerous Dog NC> YES Microehlp # 985112010196413 City Tag # 11 u, .,., : •..;:;::.:':,' \;,.,,::_' �r:...,;., . f,L,,L,.,,,1,', _ ;,j;,gi^�e 1;,41„° {' i3rl ` ;!r'�°`;IIIIr`"i'; •li:i� .e•:=? li 11'� �t du T �d `' V � � '�'�il � f1 1 yf� p p t%.l .,fa;w•r'a:pinl `y;� —f —' .� d,.�,f+1x1 �i llv -b l;; �}I� 1 !s} rail l�rir lvO SNiI L1 f1r41� IIV 171o1 r1b11d}� f Y�a�Y Ur�l.•p dl' }1�;4�II ��fiFe�:i( II�1\��, .i,..f•...11 i,1. i .u. n n. Rabies Description: 1 YEAR Tag # 16BOti 9 3 YEAR Holstein Veterinary Clinic Pr. Lisa 3chrurn DVNi & Dr. Krista Holstein DVM 18 South 1.9th Street Blair, NE 68008 402-426-7387 402-426-0101 Fax halsteinciinic@a gmail.com LICENSE FEES Intact Dog or Cat: $16.00 to Do or cat: $11,00 Replacement Tag $.5.a0 Total $ 1 1 FAKED 04- 2-1911:09a BY (117 TOTALPAGES *3[3 04/06/2019 09:52 4024260101 HOLSTEIN VET CLINIC PAGE 01/01 2019 PET LICENSE VERIFICATIONJAPPLICATION FOR CITY OF 13LAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT(S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF BLAIR — 218 S. 16TH ST — BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWrLLING UNIT. ***PLEASE READ CAREFULLY*** YOU ARE REQ 118f Q BY LAW M LICENSE YOUR PETS, Failure to do so Is a violation of City Ordinances 6,103 and carries a penalty of a fine up to $150,00 per pet, PET LICENSE RENEWALS ARE DUE BY 3/15/$019 The city shall recognize a microchip 10 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 dQg or cat. NEW PET —LICENSING Must be licensed within 10 days of ownership (OR) at 6 manths of age if PUPPY Or kitten NEW RESIDENTS TO BLAI-R Must register pets within 10 days of residency Owner Name Spouse Owner Address City/State/Zip Phone # DL #"+ar DOB— 'T # Pet Name: Dez Chris Ullven 2259 Davis Drive Blair, NE 68008 402-669-7518 Age., Al 8�m Sex: Neutered Male - Color; Yellow Breed. Lab T- Declared Dangerous/ Potentially Dangerous Dog NO YES Microchip # City Tag .I,"'lO. , =2 TM1 W Rabies Tag# 6502 "ALNIF Nh1A-1i Rabies Description-, I YEAR Holstein Veterinary Clinic Dr. Lisa Schrurn DVM & Dr, Krista Holstein DVM 718 South 191h Street Blair., NE 68008 402-426-7387 402-426-0101 Fax holsteinclinic@)gmaii.com LICENSE FEES - Intact Dog or Cat: $16.00 9Altered 'Qr .00 Replacement Tag $5,00 Total S- �\ � D FAXED 04-06-19 9:30a BY TOTAL PAVES