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Y-ZCITY 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: Charles & Robin Yarbrough Spayed/Neutered Dog or Cat: $11.00 Owner Address: 553 N 21st 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) 980-1281 Drivers License #: or Date of Birth: 4/16/1954 Subtotal licensed pets from below: Replacement Tags from below: Name: Remington DOB: Not on File Sex: Male License Fee $ / (42 Color: Golden Breed: Golden Retriever Replacement: Spayed/Neutered: False Ely`1-' Mirochip # 985112005322915 City Tag # 1816 Vaccination Date:21451016 Duration: 3 year vaccine Vaccine Exp: 2/15/20F" Total: CERTIFICATE OF VACCINATION Date of Rabies Vaccination: 01-24-19 Certificate No: 0 Next Rabies Vaccination On. 01-23-22 Previous Rabies Vaccination: 14172 VETERINARY CLINIC OWNER OF ANIMAL Holstein Vet Clinic Robin Yarbrough 718 South 19th Street 553 N 21 st Blair, NE 68008 Blair, NE 68008 402-426-7387 County: This is to certify... THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Remington TAG NO: 16662 SPECIES: Canine WEIGHT: 95.00 SEX: M AGE: 4 years Color and markings... Gold Signed Krista Holstein , DVM Due Date / Vaccinations License: 3612 06-07-19 Hwt Dog (Heartworm Test) 06-07-19 Bronchi Shield - Oral Bordetel 06-07-19 Vangard Plus 5 L4 01-21-17 Canine Influenza 01-23-22 Denfensor 3 (3 Year Rabies) Rabies Vaccine Information... MFG BY: ZOETI SER.NO: 274708 LOT EXP: 07-23-19 ADM: SQ '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 Owner Name: Charles & Robin Yarbrough Owner Address: 553 N 21st St City/State/ZIP: Blair, NE 68008 Phone #: (402) 980-1281 Drivers License #: Name: Huck Color: White Spayed/Neutered: False Mirochip # Vaccination Date: 01/ /2018 LICENSE FEES: Dog or Cat: $16.00 Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Fee includes $1.25 for the Nebraska Dog and Cat Operator Inspection Program or Date of Birth: 04/16/1954 Subtotal licensed pets from below: Replacement Tags from below: DOB: 05/31/2017 Sex: Male Breed: Great Pyrenees 3 Duration1-year vaccine Vaccine Exp: 0lJ34120119 License Fee Repl cement: ❑Y1N City Tag # 2405 Total: CERTIFICATE OF VACCINATION - Date of Rabies Vaccination: 01-16-19 Next Rabies Vaccination On: 01-15-22 VETERINARY CLINIC Holstein Vet Clinic 718 South 19th Street Blair, NE 68008 402-426-7387 Certificate No: 0 Previous Rabies Vaccination: OWNER OF ANIMAL Robin Yarbrough 553 N 21 st Blair, NE 68008 County: This is to certify... THAT I HAVE VACCINATID AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Huck TAG NO:,,16636 SPECIES: Canine WEIGHT: 61.00 SEX: M AGE: 20 months Color and markings... White Signed Lisa Schrum, DVM Due Date / Vaccinations 01-15-22 Denfensor 3 (3 Year Rabies) Rabies Vaccine Information... License: 2310 MFG BY: ZOETI SER.NO: 274708 LOT EXP: 07-23-19 ADM: SQ FAX N0. :402-533-2722 Mar. ©D 2019 01:34PM P1 FR0111 : DSAC Dec, 26. 2018 2:53FM CITY OF BLAIR No, 8225 P, 1 If CITY OF BLANK - 2019 PET LICENSE APPLICATION ATION Y0 Ilve In flair 0Ity Ilmits and own a dog(s) and/or cat(s), mmplot8 this form and return with check mode able Cltjr Of Blair & 218 S. 161h . 6 Wake Nt 68008 payable to: YDu trtay' lepmlly own a Combination of tour (4) adult pasfti but nn mbre than three (3) adult daags ar three (3) adult rats per resldentlat or dwaillrtq unit. ILxC";RMzC KCNEWALS A ftE DU i► r -19 owner Name: � � � } (�Owner Address., C__ C� , cOY/stato/Zip: Blair, lye 6800,8 �! 11honb # aariverg Urense # car Det,� ant r3lrkh 1 1 1 C t i � LICENSE FEES, 060 or Cpt- $K06 Altarud Duo or Cat: W.00 ttdplaoeme"t Feat for M,+vI Too. $S.UC� rr acldiHa�nal`tabn Fa> of �.,� 1>� Kira Qoll tD fund t YOU ARIE Rt QUIRCD KV LAW TO UCVNRF YOUp, paT& tt111[t1Yf t0 Ytb Sal 19 a V►nth"a" 6t CieV "'.4 ,Fttes 6,503 agnd cgr'ries A penwttY Of R f{ne up to 0:150.130 per p6t. t'aT 1.ICENses ft)iNErr ALL nRU Dtf E: ev wog, -n1r ciryo,o1i r9Cggh)A0 a mlGroft idendflGoflon ►lumber 89 tha; IIa�nsB i1UmUgr, It AhbIl Ilr dot1taf "H n athgtWN the ti thatQrnuod bV t1 pear C iy cif M Ir for 4iy hor her dog p cat. rite C ty of s►ple regtdras proof of raltlras Vae�lnatlotj. PET #1_ bog Cat Spa ed/Ne tiered _ Pat Name- r XT) p � � � ofQrSix Declared DAgaetj or Potentially Dank MICROCHIP # _ e y Dangerous flog: � Y RAWS VACCINATION DATE: (zPappli�bl�) � 'Te. .--(If yr) . L1 a � LjPet Cat 4 Spayed/Neutered r^1 Name Age Sex License Fee ?oplacement w >" SUBTOT,AL- $ .. Yr) _. -- city To # Licenso Feu $ - reed Declared Dangerous er Potentially Dangerous 6og: 1_ Y 4 N MICI�t�I~f A (If appllca}ale) SUBTOTAL,- NATION DATE: yr) Yr) . ,� City `fag #, >PEY .A Q Dop ©Cat Pet Name UA payed�Nt'utered License Fee.$ Color' Sr �.._ reed ' _Rplacr�mErtt $ . Declared I�angeraus or Potentially pangarous oog: a Y ❑ N T�- MICROCHIP applicable) SUBTOTAL: $ RASIFS VACCINATION DATE; � � y) yr) City Tag # *PLEME INCLUDI THE CM TAQ NUMPER IF THIS IS A RENEWAL - — ** (This lee ig dua>a along with L,icenage II if requesting at tile tttt►o ,>)f I,Congo rean+aVvaai.) Donation to care f0je a"Inralg: 1 *SEE BACK OF FORM FOP, ORIEFD SPECIFIC LI���V�� Izt:Qlt�Il�)r�IFl�IiS �tt>N+ar �-�- ©oNot, .'�end Cevh by Afalf TOTAL ENCLOSED 'VI aA / MC #`— fgneture —� Expires,--— $srurlty Code: If You bRve questiong, PIQU80 calttact City Hall at (402) 426-4191 or by Fax" (402) 42-6-4195 ........ 4--F H.h+-b4� +++4I,+ I.�M4-l�....-F�M•F+1�•Ff^h�l-.........+$+�M++�h F F+�F+���*�F+��Fi�i� F NEW / S�DFN'tLT N9TNa REQUx MENI�a (I�9�rct�IlS �011 tt'MeclW�n/Or 0tappAmtVenc pC�/n,_Wras/fyeatj �tl(� aysntowtll�slilp ..� -Fief-�liltLe�o, i�lafr+ . >. OR at 5 months of age tf puppy/kitten Must n [$tW i5&' Within Ig day$ o naddgncy. 04/02/2019 15:27 4024260101 HOLSTEIN VET CLINIC PAGE 01/01 2019 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT(S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF BLAIR — 218 S. 16TH ST — BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT, 'PLEASE READ CAREFULLY' YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS, Falluep to do so is a violation of City Ord)narires 6,103 and carries a penalty of a fine Lip to $150,00 per pet. PET LICENSE RLNEWALS ARE DUF BY 3/15/2019. The city shall recognize a microchip ID number as the license number. it shall be unlawful for any dog or cat to wear any license or other city ID other t ' han that issued by the City of Blair for such dog or cat. NEW PET LICEN$ING Must be licensed within 10 days of ownership (OR) at 6 months of age if puppy or kitten NEW RESIDENTS TO BLAIR Must register pets within 10 days of residency Owner Name Lisa Yost Spouse Owner Address 2242 Colfax St. City/State/Zip Blair,, NE 68008 Phone # 402-426-4817 DL # or DOB ,T Pet Name: Scout Age: 4Y Sex: Neutered Male allor: Gold Breed: Lab Declared Dangerous/ Potentially Dange. �ous Dog NO -------------- YES Microchip # 985112001612395 City Ta9# 0,10 Rabies lag # 16392 .6 Rabies Description: I YEAR 3 YEAR Holstein Veterinary Clinic Dr. Lisa Sclirum DVM & Dr. Krista Holstein DVM 'S South 19th Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteindiniclDgmaji,co m LICENSE FEES Intact Dog or Cat: $16.00 oOo—Altered Dog or cat, $11 Replacement Tag $5,00 Total$ t I —FAXEr) 04-02-19 3;21P A By TOTAL PAGES 03/29/2019 15:20 4024260101 HOLSTEIN VET CLINIC PAGE 01/03 2019 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF BLAIR IP 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 BLA11R. 218 S. 16T"i BT BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION Or FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. ***PLEASE READ CAREFULLY*** YOU ARE REClUIRED EIl' LAW TO LICENSE YOUR PFTS 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 RENEVUAL5 ARE DUE BY 3/15/2�19 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 6y the City of Blair for such clog or cat. NEW PET LICENSING Must be licensed within 10 days of ownership (OR) at 6 months of age if puppy or kitten NEW RESIDENTS TO BLAIR Must register pets within 10 days of residency Owner Name Eric Young Spouse Helen Rettrie Owner Address 890 S 25th City/State/Zip Blair, NE 68008 Phone # 402-612-3374 DL It or DOB r T# LICENSE FEES Pet Name: Bubba Age: 9Y Sex: Male color: Brown/BIIk Breed: Mastiff Declared Dangerous/Potentially Dangerous Dog ---FNQ YES Microchip #�y City Tag '# ���;�+�'� �i'�f�i.�'�,�;i,.,.� : ,vl •.,s,=�;u,, .,o,ll,,, si�,il1�J� ''R�li�►� �'d�ll :11' ?+'ia,l', 4.1 i%) ,..u, .'i,� t..•' 1"k . � i:;a,i 11 is m•. 1ti', "';'fgiiN vi'f:S Rabies Tag # 16757 f''il'"'d,';;fi'li,ii:iid,;i..%;'.l,,.i;>•�%!'.,.. r'� i 'll•,i'�'.i'��,,i p1!'i ,.1 •�r,t..r i. �. � �. ;:.,.;•.;sri .l. ti•i;;, j,yi;:,,, 1, ,t,..ri ,ftil9�hi{l.�l'i� �ert� J�i�41� I �'a'.i,9i :'gill � en•.,wSXu, , oT; i;'n<�ry rniilvelrviNi�?,a�l.v, i Rabies Description: 1 YEAR �3 YEA Holstein Veterinary Clinic Dr. Lisa ,Schr ut7j PVN1 & Dr. Krista Holstein DVM — 8 South 19th Street Blair, NE 08008 402-426-7387 402-420-0101 Fax hoisteinclinic@gma11.com Intact Dog or Cat: $16.00 Dog or cat: $11.00 Replacement Tag $5.00 Total $—„�. FAKED 03-29-19 3:04p BY TOTAL PAGES 9 03/29/2019 15:20 4024260101 HOLSTEIN VET CLINIC PAGE 02/03 2019 PET LICENSE VERIFICATION/APPLICATION FOP, 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. 16 TH ST — BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. 'PLEASE READ CAREFULLY*** YOU At r BEQUIRED 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 Lip to $150.00 per pet, PET LICENSE IREN =HWALS ARE DUE BY 311512012, - The city shall recognize a microchip ID number as the license number. It shall be unlawful for any dbg or cat to wear any license or other city ID other than that issued by the City of Blair for such clop, or cat, NEW PET LICENSING Must be licensed within 10 days ofownership (OR) at 6 months of age if Puppy or Fitter, NEW RESIDENTS TO BLAIR Must register pets within 10 days of residency Owner Name Eric Young Spouse Helen Rettie Owner Address 890 S 25th City/State/Zip Blair, NE 680013 Phone* 402-612-3374 DL # or DOS Pet Name. Hailey Age: 9Y Sex.- Female Color: Fawn Breed: Pug Declared Dangerous/ Potentially Dangerous Dog NO YES Microchip # City Tag # IL 0 VOU Rabies Tag 16841 Rabies Descriptior�a YEA 3 YEAR Holstein Veterinary Clinic Dr. Lisa Schrum DVM & Dr. Krista Holstein DVM —8 South 19th Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinic@gmaii.com LICENSE FEES /' Intact Dog or Cat: $16.00 0og or cat: $11,00 Replacement Tag $5.00 Total $ FAXED 03-29-19 3:05p BY TOTAL PAGES 03/29/2019 15:20 4024260101 HOLSTEIN VET CLINIC PAGE 03/03 2019 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT(S), 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, HUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT, "PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY l,AW TO LICENSE YOUR PETS. F;�!)Ure to do so is a violation of City Qrdinances 6.103 and carries a penalty of a fine up to $150.00 per pet, PET LICENSE RENEWALS ARID 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 Gat to wear any Iltense or other city ID other than that issued by the City of Blair for such dog or cat, NEW PEY' 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 nays of residency Owner Name Eric Young Spouse Helen Rettie Owner Address 890 S 25th City/State/Zip Blair, NE, 68008 Phone # 402-612-3374 DL!torDOB Feet Name: Mowgli Age: $M Sex: Male Calar: Apri�clat Breed: Pug Declared Dangerous/Potentially )dangerous Dag ND YEB Microchip # City Tag # d ll'' �,2N'; < trf'i��l•.' erii i�iltd tl dtl W • Itl i 4 1 ( 'I !!'. 4� l / C ry y.7I;I ,�dlj,j'p,,.{, .l.Y iiY �r�,y �., i II r Ire;1, -' �s • , iµ:� ii' a i ° {, 3�itrs--4l:: ; ..I tl I e`JIrY'altli,r. :1YSA n..tiil fi j9^, ,:dn�•iii]„ t r� I Hine• fie, i<1�1,'0 .e� r �nvnP(dVl:lr,�ly�`A��,nt� i ,I y ISa l�li�g 'lf i.i/4C�/ ,IJ111��.� ?I'6•.i4: _ n,.>;:.,�?;�;�,l�a�';G;tii�,3ii�'radl:,;fl�il;4V:,�:�,s;« 4 e A�•'�f,���1/p,,nL '. I c_i � • 1 l I..:fl', t 'i !- 1•.:; S:• un;ll' h ..ilhl�ll�ui'i� a... !4� 1h ti u ,1 'l.'1 �° u s.. ,i I^�• I nHh 4 �'o 'ri •ilrnl� t�Jcr d:�l4t Rabies Description: i YEAR 3 YEAR Holstein Veterinary Clinic Dr, Lisa Scbrum DVM & Dr..Krlsta .holstein DVM ' 8 South 19th Street Blair, NE 68008 402-426-7387 402-426-0101 Fax hoisteinclinic@grnail.com LICENSE FEES f intact og or Cat: $16,00 Altered Dog or rat. $11,00 Replacement Tag $5.00 Total FAXED 03-29-19 3,06p BY TOTAL PAGES Mar 08 19 02:49p Thone Animal Care 4024265808 p,1 CITY OF BLAIR - 2019 PET LICENSE VERIFICATION If you live in Blair City limits and own a dog(s) and/or cat(s), completelverlfy 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 16, 2019 LICENSE FEES: Dog or Cat: $16.00 Owner Name: Renae Zinnel Spayed/Neutered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 Owner Address: 758 S 16th S#, Unit 261 Fee includes $1.25 for the Nebraska Dog and Cat City/State/ZIP: Blair, NE 68008 Operator Inspection Program Phone #: (402) 426-1743 Drivers License #; or Date of Birth, 8/1011961 _ Subtotal licensed pets from below: Replacement Tags from below:_ Name: Snickers DOB: Not on File Sex: Female License Fee $ 11 ," bL) Color: White Breed: Maltese Replacement: Spayed/Neutered. True ❑Y IqN Mirochip # 437E48304A611 City Tag # 407 Vaccination Date: 6/812017 Duration: 3, year vaccine Vaccine Exp: 602020 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: Xach Zeigler Spayed/Neutered Dog or Cat: $11.00 Owner Address: 1829 South St #29 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) 237-0002 Drivers License #: or Date of Birth: 7/28/1995 Subtotal licensed pets from below: Replacement Tags from below: Name: Sheara DOB: 8/1/2015 Sex: Female License Fee $ Color: Brown Breed: Mix Breed Replacement: Spayed/Neutered: True ❑Y ❑N Mirochip # 985112016622722 City Tag # 2460 Vaccination Date: 8/21/2018 Duration: 1 year vaccine Vaccine Exp: 8/21/2019 Total: