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D02/23/2023 18:10 4024260101 HOLSTEIN VET CLINIC PAGE 01/02 2023 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR Cgr(8), COMPLETP. THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY or BLAIR — 218 S. 16TH ST — BLAIR, NF= 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT DOG$ OR THREE (3) ADV4T CATS PER RESIDENTIAL OR DWELLING UNIT, YOU ARE REQUIRED ***PLEASE READ CAREFULLY #— LICENSE �YOUR YOUR �E C11YOF 9�- REQUIRES PRO -OF OF RABIES VACMNATION. Failure to do so is a violation of City Ordinances 6.103 and carries a penalty of a fine Lip to $150,00 per pet. PET LICENSE RENEWALS ARE DUE _pyjn5LZQ2 3, The oitV shall recognize a Microchip 10 riLlinber as the license number. It shall be unlawful for any dog or cat to wear any license or other city ID other than that issued by the City of Blair for such dog or cat, NEW PET LLMSING Must be licensed within 10 days of ownership (OR) at 6 months of age if puppy or kitten NEW RESIL)ENT 3 TO BLAIR Must register Pets Within 10 day$ -of residency Owner Name Spouse Owner Address city/state/zip Phone # Pet Nan-ie: Bentley Age; BY -.1Sex: IVeutereri Male DOB: 04.20-16 Breed: Yorkshire Terrier Microchip # qB5 Hi 00b 35C PLEASE INCLUDE CITY TAG NUMBER IF THIS RABIES VACCINATION DONE ON Rabies Description: 1 YEAR Connie Dah1gran 1272 Deerfield 13LVD #102 Blair, NE 680os 352-223-1831 Color: Black and Ton Rabies Tag # RENEWAL (IF AVAILABLE): # 07-21-20 ' Holstein Veterinary Clinic Dr. Lisa Sal't-urn DV A4 : Dr, Xdst,9 Holstein D11M 718 South 1 9th Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteincllnic@gmail.com 43MIR PETS Intact Dog or Cot: $16,00 O(rar i D) 0 170placeme'rit Tag V3,00 Total $ —4— ,�L / � \-� � �- ---,) 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 a 218 S 16th St • Blair, NE 68008 t� %� a 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 RENEW LS ARE DUE: March 15, 2023 Owner Name: 79 A E� Owner Address: i city/state/zip: Blair,, NE 68008 Phone # LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11.00 ***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 3/15/2023. 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 to be submitted with your license application. Replacement Fee for Lost Tag. $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & fat Operator Inspection Program \ �1 t . , , �c- t PET #1 ❑ Dog Cat Spayed'tNeutgred Pet Name -`, 'S L I) `j Birthdate r Sex L c,`� Color t,,11� I. K ' 2� C Breed** License Fee 1� Replacement$ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP #�__". �s (If applicable) SUBTOTAL: $ \., RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # ® 9 3 PET #2 ❑ Dog Cat ]{Spayry /Neutered �} License Fee $ Pet Name . e Bir hda e �� ,) (j ,,hex Color j Breed** Replacement$ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # p"(If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Birthdate 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.) Do Not Send Cash by Mail TOTAL ENCLOSED $ ° If you have questions, please contact Blair Police Department at (402) 426-4747 ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (Marchl5/ate fee date notapplicablefornewpefs/newresidents) 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. Thone Animal Hospital 902 S Hwy 30 Blair, NE 68008 402-426-3630 FOR: Ann Darnel 1005 Nebraska St Blair, NE 68008 (402) 426-9826 Date For Qty Description Printed: 03-02-20 at 10:06a Date: 03-02-20 Account: 9476 Invoice: 91181 Net Price 03-02-20 Goldy 1 Vaccination Exam 31.00 03-02-20 1 Fe 4Way (Rhino/Cali/Pant/Chla) 25.50 03-02-20 1 Rabies Vaccination (3 Year) 29.00 03-02-20 1 Thank You!!! 0.00 03-02-20 Cash payment -100.50 03-02-20 #AG Cash Refund 15.00 Old balance Charges Payments 0.00 85.50 85.50 Reminders for: Goldy (Weight: 14.4 Ibs - 19m) 03-02-23 Rabies Vaccination (3 Year) 03-02-21 Fe 4Way (Rhino/Call/Pant/Chia Last done 03-02-20 03-02-20 You Can Order Your Pet Supplies On animalcareofblair.com. Like us on Facebook!! ;F New balance 0.00 Thone Animal Hospital 902 S Hwy 30 Blair, NE 68008 402-426-3630 FOR: Ann Darnel 1005 Nebraska St Blair, NE 68008 (402) 426-9826 Date For Qty Description I Printed: 03-09-20 at 10:05a Date: 03-09-20 Account: 9476 Invoice: 91334 Net Price 03-09-20 Molly 1 Fe4way + FeLeuk 34.00 03-09-20 1 Vaccination Exam 31.00 03-09-20 1 Rabies Vaccination (3 Year) 29.00 03-09-20 1 Discount Per Dr -10.00 03-09-20 Cash payment -85.00 03-09-20 #AG Cash Refund 1.00 Old balance Charges Payments New balance 0.00 84.00 84.00 0.00 Reminders for: Molly (Weight: 9.1 Ibs - 23m) 03-09-23 Rabies Vaccination (3 Year) 03-09-21 Fe Leukemia Vaccination 03-09-21 Fe 4Way (Rhino/Call/Pant/Chia Last done 03-09-20 03-09-20 03-09-20 You Can Order Your Pet Supplies On animalcareofblair.com. Like us on Facebookl l V#ggCITY OF BLAIR - 202i PET LICENSE APPLICATION -,1990y 8� If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair 218 S 16th St a Blair, NE 68008 D M} i� J You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs q 9 gs- or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2023 Owner Name: yV`Q Owner Address: M 0 3 /O(L r /-- S ht -ce City/State/Zip: Blair, NE 68008 Phone # F io 03 6 LICENSE FEES: Dog or Cat; $16.00 Altered Do or Cat• $11 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 3/15/2023. 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 renuires proof of rabies vaccination to be submitted with your license application. g Replacement Fee for Lost Tag: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program 'g' Birthhdaate y 7 -/- Sex d" l I I PET # �D o ❑ Cat id' S a ed/Neutered License Fee $ Pet Name �� , Color tv h, t-e�- Breed** Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ®'N MICROCHIP # ` '' (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: /'^ 2-& J-3 (3 yr) (1 yr) City Tag # R-to q* PET 2 ❑ Dog ❑ Cat r ❑' Spayed/Neutered License Fee $ Pet Name Lu Yc-e Blrthdate - 7�`5® Sex I`s1 Color 03 �-k- - Breed** V� `% Rep/acement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y EM MICROCHIP # ------ (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: J-a fv-�27�, (3 yr) (1 yr) City Tag #,_P6 IL'ep—* PET #3 KvD og ❑ 1121 Cat ayed/Neutered License Fee $ Pet Name Birthdate ,/---? Sex N1 Color 65161-L/C Breed** Rep/acement$ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y Er N MICROCHIP # - (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: �a, 3 (3 yr) (1 yr) City Tag # Fly *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.) Do Not Send Cash by Mail TOTAL ENCLOSED $�` d� C L If you have questions, please contact Blair Police Department at (402) 426-4747 ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15/ate fee date not applImble iornewpety1newresldents) 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/khen residency. Date of Rabies Vaccination: 01-26-23 Next Rabies Vaccination On: 01-25-26 VETERINARY CLINIC Thone Animal Hospital 902 S Hwy 30 Blair, NE 68008 402-426-3630 Certificate No: 411 Previous Rabies Vaccination: 005250 OWNER OF ANIMAL Steven Deemer 1403 Park St Blair, NE 68008 County: This is to certify... THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Luke Bryan SPECIES: Canine SEX: N Color and markings... Signed Dr.Kamala Freeman Vaccinations done... TAG NO: 008648 ✓ WEIGHT: 29.10 AGE: 7 years License; 3894 . 01-26-23 is KF Rabies Vaccination (3 Year), #008648 01-25-26 01-26-23 KF Bordetella Oral 01-26-24 01-26-23 KF DA2PPV 3yr 01-25-26 02-02-22 JRD DA2PPV+L 02-02-23 01-09-19 LL Bordetella, P13 (Intra-trac 3) 01-26-24 01-09-19 LL Check up, DA2PPV+L 02-02-23 10-08-15 LL Rabies Vaccination (1 Year), #002274 10-08-15 LL DA2PPV Rabies Vaccine Information... Date of Rabies Vaccination: 01-26-23 Next Rabies Vaccination On: 01-25-26 VETERINARY CLINIC Thone Animal Hospital 902 S Hwy 30 Blair, NE 68008 402-426-3630 Certificate No: 1715 Previous Rabies Vaccination: 007427 OWNER OF ANIMAL Steven Deemer 1403 Park St Blair, NE 68008 County: This is to certify... THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Benji TAG NO: 008647 ✓ SPECIES: Canine WEIGHT: 10.90 SEX: N AGE: 5 years Color and markings... White Signed Dr.Kamala Freeman Vaccinations done... v License: 3894- °/ 01-26-23 KF Rabies Vaccination (3 Year), #008647 01-25-26 01-26-23 KF Bordetella Oral 01-26-24 01-26-23 KF DA2PPV 3yr 01-25-26 01-19-22 DM DA2PPV 04-09-19 ILL Bordetella, P13 (Intra-trac 3) 01-26-24 04-09-19 LL Check up, DA2PPV 01-09-19 ILL Check up, Rabies 3YR, #004516 01-25-26 03-01-18 ILL Check up, DA2PPV+L 03-01-19 11-16-17 ILL (Distemper Group) DA2PPV+CV Date of Rabies Vaccination: 01-26-23 Next Rabies Vaccination On: 01-25-26 VETERINARY CLINIC Thone Animal Hospital 902 S Hwy 30 Blair, NE 68008 402-426-3630 This is to certify... Certificate No: 3065 Previous Rabies Vaccination: OWNER OF ANIMAL Steven Deemer 1403 Park St Blair, NE 68008 County: THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Ace SPECIES: Canine SEX: N Color and markings... Black Signed Dr.Kamala Freeman TAG NO: 008646 WEIGHT: 0.00 AGE: 17 months License: 3894 Vaccinations done... 01-26-23 ✓ KF Rabies Vaccination (3 Year), #008646 01-25-26 01-26-23 KF Bordetella Oral 01-26-24 01-26-23 KF DA2PPV Syr 01-25-26 11-30-21 KF Rabies Vaccination (1 Year), #007310 11-30-21 KF DA2PPV+L 11-30-22 Rabies Vaccine Information... MFG BY: ZOETI SER.NO: 583359 LOT EXP: 9-26-23 ADM: SQ Harvey Oaks Animal Hospital 2706 S. 148th Ave Circle C ia, NE 68144 (4u/) 334-0200 LAUREL DERRY / ,!t'i 1C`i{'' 1167 HIGHLAND DR. J Blair NE 68008 Phone: (402)305-1305 (402)426-5334 Reminders: Service/Item Weight Puppy/Kitten Exam Rabies Vaccination (One Year) RABIES TAG PA 11 MAR 14.2023 Account: 24010 Invoice: 330844 Date: 03/14/2023 Time: 10:22 AM Page: 1 Patient: TUCKER Age: 7m Species: CANINE Sex: ML Breed: Havanese Tag: 0243-23 Color: Tricolor Weight: 13.20 Doctor: R. T. Arndt, DVM Qty Price Amount 1.00 0.00 0.00 1.00 55.00 55.00 1.00 24.00 24.00 1.00 0.00 0.00 Tax 0.00 Net Invoice 79.00 Previous Balance 0.00 Payment 0.00 Balance Due 79.00 Nov. 29, 2023 DA2PPV Vaccination - March 13, 2024 Rabies Reminder Thank You Mar 06 23 10:18a p,1 CITY OF BLAIR r 2023 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 a 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 uniL LICENSE RENEWALS ARE DUE: March 15. 2023 Owner Name: CoVN �,\� Owner Address: Oty/State/zip: Blair, NE 68008 /� Phone # n ' A`�' (j�-1 AoC LICENSE FEES: Dog or Cat: $1.6.00 Altered Dog or Cat: $1.1.00 ***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 $150.1)0 per pet PET LICEWES RENEWALS ARE DUE BY 3/I52023. 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 aty of Blair for such dog or cat. The City of Blair m4guireB proof of rabies vaccination to be supmitted with your license application. Replacement Pee for Lost Tag: $5.00 Included its a State Fee of $I.25being colle>c+ted to fund the Nebraska Dog & Cat Operator Inspection Program PET #s D D,o :at SpaWNed License Fee$ 11IPet Na e Birth ateex ��e Color Breed** Replacement $ Declared DangLdrous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL. $ um RABIES VACCINATION DATE: (3 yr) (I yr) City Tag # 4023 PET #2 El Dog O, Cat ( Spayed/ Neutered License Fee $ }� Pet Narrre Birthdate 2 Sex Color Breed** Replacement $ Declare3 Dang ous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: T. (3 yr) (1 yr) _ �� City Tag �# 4024 PET #3 ❑ Dog U Cat ❑Spayed/Neutered License Fee$ Pet Name Birthdate 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 CTIYTAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee If requesting at the time of license renewal.) DoivotSend Cash byMail TOTAL ENCLOSED $ ZZ %' If you have questions, please contact Blair Police Department at (402) 426-4747 .....+t+* +++.++**+++.++.............+*.++*................++++*.....+++++..... NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (Manh 15late fee date notapAcablefor newp2tsfnewre5M&nts) NoMyAociluired Dapgtwe%L. New Residents to Blair: ■ Must be r within of p ip ■ Must register pets w khin 10 days of ■ < months of age if puppy/! ' residency, Thorte Animal Viaspltal (402) A 26-3630 9ti2 S Hwy 30 glair, NE 68008 favd 09-/op--s C� q.�� Feb 09 23 11:00a P.1 CITY OF BLAIRI - 2023 PET LICENSE APPLICATION If you live in Blair City limits and own a City of BI You may legally own a combi orthree LICENSE RENEWALS ARE DUES Make Owner Name:(' Owner Address: , � �h I < City/State/Zip: Blair, NE 68008 Phone # h G'-O t-1 i S - & 2, L 1 i LICENSE FEES: Dog or Cat: $16,00 Altered Dog or Cat; Replacement Fee fol Included is a State Fee of $1.25 being c 5) and/or cat(s), complete this form and return with check made payable to: • 218 S 16th St o Blair.. NE 68008 an of four (d) adult pets, but no more than three (3) adult dogs adult cats per residential or dwelling knit $11.00 ***PLEASE READ CAItEFt1LLY*** YOU ARE REQUIRED By LAW TO LICENSE YOUR PETS. Failure to do so is a violatron of City ordinances 6.103 and Carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY W15/202a 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 Oty of Blair for such dog or cat. The City of Blair requires proof of rabies vaccination to be submitted with your license application Lost Tag: $5.00 *ct>ed to fund the Nebraska Dog & Cat Operator Inspection Program PET #1 Id Dog ❑ Cat aycd/Neutered License Fee$ Pet Name_ t:1 � ex, Birt dateifi Z.0 IS, Sex (- Color C tu11t Sr ed** G tolitTT\ �� iy..i.,u Replacement$ ** Declared Dangerous or Potentially [Dangerous Dog: ❑ Y U/N MICROCHIP # 01%1 Luc n-1 (9 53Ii (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE:—., I X 31 R l t0 (3 yr) � (1 yr) City Tag # 3794 T PET #2 ❑ Dog Ca"Cat %Sped/Neutered License Fee $ Pet Name Birthdate i 24i t3 Sex Color Gji i e Bred** Replacement$ ** Declared Dangerous or Potentially Dangerous Dog: 12(Y ❑ N MICROCHIP # I (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: _Z-91i -Z-3 (3 yr) (1 yr) x City Tag # 3795 PET #3 ❑ Dog ❑ Cat Pet Name Bil Color g Declared Dangerous or Potentially MICROCHIP # RABIES VACCINATION DATE: yed/Neutered Sex License Fee $ Replacement $ ngerous Dog: ❑ Y ❑ N (If applicable) (3 yr) SUBTOTAL: $ (1 yr) City Tag #* *PLEASE INCLUDE THE CITY TAG NUMBER III THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not Send Gash by Mall TOTAL ENCLOSED $ Z Z --" If you have questions, please contact Blair Police Department at (402) 426.4747 .++t t*..... t. *+++++.... +++IF+. *++++•f ..4•F....+...+++++....+++++++.+++++++....... NEW PE INEWRESIDENTLICENSINGRIQUIREMENTS(Mardi 15late fee date not applrcabkitvnewpe&lnewte olents) NevviyAoguired Pets: New Residents to Blair: ■ Must be licensed within 10 days of mriashp a Must register pets Wthin 10 days of ■ <0R> at 6 months of age ff PUPPy/ 0 + residency. ine Animal Hospital (402) 426-3630 902 S Hwy 30 Blair, NE 68008 .0 2/22/2023 11:150 4024260101 HOLSTEIN VET CLINIC PAGE 01/02 2023 PET LICENSE VERIFICATION/APPLICATIONFOR CITY OF GLAIR IF YOU LIVE IN BLAIR CITY LIMFrS AND OWN A DOGIS) AND /OR CAT(8), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF BLAIR — 218 S. JOT" ST — BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PL-1"S, BUT NO MORE THAN THREE. (3) ADULT 006S OR THREE ($) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. *041PLEASE RPAD CAREFULLY*** YQY AR—E REQUIFiEA BY LAW J0 LICENSE Failure to do so N a violation of City Ordinances 6.163 and carries a penalty of a fine up to $150.00 per pet. PET LXgME RENEWALS ARE DUE BY 3/15/2023. The city shall recognl2v a tricrochip, ID number as the license number. It shall be unlawful for any dog or cat to wear any liconse or other city ID other than that issued by the City of Blair forsuch dog or cat. NEW PET LI_qLNa_1NQ Must Wicensed within 10 days of ownership (OR) at o months of age if puppy or kitten NEW RESlQgNj$_j0 BLAIR Must register pets within 10 days of residency -Owner Name Michelle Deseuro Spouse Owner Address 202 Hollowstone Dr city/State/zip Blair, NE 68008 Phone # 303-910-7271 Pet Name: M899je Tag #4009 Age: - 5Y DOB: 09-04-17 Sex., Spayed Female Color: Brown/Wh Breed: St. Bernard Microchip ,# Rabies Tag # PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE), # RABIES VACCINATION DONIE ON 02-26-22 Rabies Description: 1 YEAR 3 YEAR Holstein Veterinary Clinic ,Dr, Lisa Schrum D VAII : Di-, Krlsta Holsteln D VM 718 South 191h Street Blair, NE 68008 402-426-7387 402-426.0101 Fax hoisteinclinic@gmail.com PER-5 7HATAREONTH .1 LICENSE FEES Intset Dog or Cat. $16-00 ,Or &Kb�d� Dog T Cz)t:.$l 1.00/ ,Replaeament Tag $5.00 . Total $__1__ FAXED 02-22.,23 BY 71 7. U2/ 22{2a23 11:50 4024260101 HOLSTEIN VET CLINIC PAGE 02/02 2023 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN UAIR CITY LIMITS AND OWN A DOG(5) AND /OR CAT(S), COMPLETE THIS FORM AND APTURN WITH A CHECK PAYABLE TO: CITY OF BLAIR — 7-18 S. 16TH ST — BLAIR, NE 6$008 YOU MAY I-EGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORE. THAN THREE 13) ADULT DO(33 OR THREE M ADULT CATS PER RESIDENTIAL OR DWELLING UNIT, "**PLEASE READ CAREFULLY"* YOU ARE REf1UlRED 8Y LAW Tf} LI�IENRE Yt]UR PST$ THE CITY OF BLAIi� REnU REL S PRraCiF aE R i3��GINA`f1�IV 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. PE`1" LICEIjISE REN�LS AF�E CyUE B �/}t=15�20?�; The city shall recognize a microchip ID number as the license number. It shall be unlawful for any dog or cat to wear any licenso or other city ID other than that Issued by the City of Blair for such dog or cat. NEW�Cj=NSINC Must be licensed within 10 days of ownership (DR) at 6 months of sge if puppy or kitten NEuV RESIDENTS TO RLAIR Must register pets within 10 days of residency Owoor Name Michelle Deseure Spouse - Owner Address 202 Hollovvstone Dr City/State/Zips Blair, NE 68008 R 000 # 803-910-7271 Pet Name: Cletus �. Ta-g #3262 Age: 9Y Sex: Neutered Male DOB; 05.07-13 Breed; Lab Color: Chocolate Microchip # Rabies Tag # PLEASE INCLUDE CITY TALC NUMBER IF THIS IS A R5NEWAL (IF AVAILABLE), # RABIES VACCINATION DONE CAN 09-16-20 Rabies Description: 1 YEAR 3 YEAR Holstein. Veterinary Clinic D Lists u�"chruit7 C7VM pr, Krista Holstein DVM 718 South 19" Street Blair, NE 68008 402-426-7307 402-426-0101 Fax holsteinclinic@g mail.com LICENSE FED Intact [log or Cat: $16.00 f# rvd Dod or cat: $11,00 Replacement 7"a9' $5.00 Total $ i � PETSTNATAREC)N'TXIEACTCVt fTENTI�LL1'pANGfI? LIQ SOR LANLaER0U5 DOCK LIST NffO 7C7 REGISTER PIRECTLYA7CITY HALL, FAXED 02-22-23 BY IJV�sB CITY OF I - 2023 PET LICENSE APPLIC-?(- dot 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 o 218 S 16th St e 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, 2023 Owner Name: Owner Address: )� city/state/zip: Blair, NE 6�(�U a �.- r Phone #� LICENSE FEES: Dog or Cat: $16.00 Altered Do or Cat: $11 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 3115/2023. 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 to be submitted with your license application. g ri,i�Jiac;emeni: Fee for rLost i ag: $5.UU Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET # ❑ Dog , Cat Spayed/Neutered /� License Fee $ Pet Nam qL `" Birthate Sex, 'V Color Breed** l fl1NA Y Replacement $ Declared Dangero s or Potentially Dangerous Dog: ❑ Y ❑ N 11901 MICROCHIP # If applicaSUBTOTAL: $ RABIES VACCINATION DATE: (3 yr)ble (1 yr) City Tag # U PET # 2 , ❑ Dog 9-Cat Spayed/Neutered License Fee $ Pet Name Bi ate Sex Color Breed** � . t a a 14,1 Replacement $ Declared Dangerous oO Potentially Dangerous Dog: ❑ Y ❑ N ram. MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # PET #3 . ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate 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 # *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.) TOTAL ENCLOSED Do Not Send Cash by Mail If you have questions, please contact Blair Police Department at (402) 426-4747 ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (MaroF 15/ate fee date notapplicable fornewpelsInew resldents) 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. Client ID: Client Name Address: Phone Tag Number: Vaccine: Producer: Brand: Type: nner of administration: 2060 Sarah Detjens 2064 Lincoln Blair, NE 68008 (402)889-2706 0 Imrab Rabies Vaccine Merial Imrab 3 TF Killed Virus Subcutaneously Staff Name: David E. Johnson DVM License Number: 1893 Doctor Signature: Blair Small Animal Clinic PC David E. Johnson DVM 1734 Front Street Blair, Nebraska, 68008 (402) 533-2722 Rabies Certificate Patient ID: Patient Name: Species: Breed: Sex: Color: Markings: Birthday: Weight: Microchip ID: Vaccination Date: Expiration Date: Lot Number: Drug Expiration Date: 6044 Hope Feline Domestic Shorthair Neutered Male Black/White 05/01 /2012 12.37 pounds on 3/4/2023 3/4/2023 3/4/2026 18535 11 /17/2023 Client ID: Client Name: Address: Phone: Tag Number: Vaccine: Producer: Brand: Type: nner of 2060 SanyhDeUeno 2064L|noo|n Blair, NEG8OO8 (402)880-2706 O Imrab Rabies Vaccine N1eho| |mnob3TF Killed Virus Subcutaneously Staff Name: David E.Johnson OVM License Number: 1883 Doctor Signature: Blair Small Animal Clinic PC David E.Johnson DVM 1734Front Street Blair, Nebraska, 88008 Rabies Certificate Patient ID: Patient Name: Species: Bread: Sex: Colo[ Markings: Birthday: Weight: Microchip ID: Vaccination Date: Expiration Date: Lot Number: Drug Expiration Date 6444 Grace Feline Domoot|cShortha|r Spayed Female Orange O2/27/2U1O 18.43pounds on3/4/2O23 3/4/2O23 314/2026 18535 11/17/2U23 V 10'1 ?k7 I LICE -,. 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 e 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, 2023 Owner Name: ! ��/�/ �/C� 0/ (/- Owner Address: l 0 0 -7 /, ra pi l- !� city/state/zip: Blair, NE 68008 Phone # �� ls' &0 7,�Z5- O LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11.00 ***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 3/15/2023. 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 to be submitted with your license application. FicphC�ciiiElFhi� Fed for Last Tay: '4.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program 00 PET Dog ❑ Cat Jai Spayed Ne it License Fee $ Pet Name &/A S l! Birthdate 9- - 0--?a Sex Ai is Color i"n eg Breed** , 4,43 r f--' l Replacement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y , N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE:(3 yr) (1 yr) City Tag*� PET #2 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Birthdate Sex _ Color Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Birthdate 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 # License Fee $ Replacement $ ❑N SUBTOTAL: $ (1 yr) City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not Send Cash by Mail TOTAL ENCLOSED $ If you have questions, please contact Blair Police Department at (402) 426-4747 +++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++¢++++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15/ate fee date not applicable fornewpets/newresidents) Newly Aoquired Pets: New Residents to Blair: ® Must be lioansed within 10 days of ownership ■ Must register pets within 10 days of ■ <OR> at 6 months of age if puppy/kitten residency. Best Care Pet Hospitals Page 1 / 2 4915 N 120th Street . Suite 8 Omaha, NE 68164 (402) 445-8738 Rhonda Dick 1007 Grant St: Blair, NE 68008 Client ID: 26963 Invoice #: 645742 Date: 3/11 /2023 (402) 660-7250 ronnsu@yahoo.com Patient ID: M15982 Species: CANINE Weight: 121.40 pounds Patient Name: Nash Breed: MASTIFF Birthday: 06/02/2013 Sex: Neuter Description 3/11/2023 Canine 1 YEAR BOOSTER Exam, Wellness Distemper (DH) BOOSTER Parvovirus BOOSTER Leptospira 4 Vaccination Biohazard, OSHA, MSDS Compliance HEARTWORM TEST ELISA Bordetella BOOSTER Injectable TOE NAIL TRIM Karissa was your assistant today General Health Profile Patient Ready for Discharge Staff Name Quantity t' t Total Dr. Emily Gray D,V.M. 1.00 $0.00 1.00 $60.00 1.00 $8.33 1.00 $7.66 1.00 $14.44 1.00 $5.00 1.00 $28.98 1.00 $24.04 1.00 $25.00 1.00 $0.00 1.00 $98.58 1.00 $0.00 P S bt t 1 $272 03 aien u oa. Instructions The Biohazard, OSHA, and MSDS Compliance fee is utilized to offset the fees incurred to meet safety and compliance regulations. Reminder 11/23/2022 z* RECOMMEND DENTAL WORKUP 03/11/2024 Exam, Wellness Parvovirts BOOSTER HEARTWORM TEST ELISA Distemper (DH) BOOSTER Leptospira 4 Vaccination Bordetell'a BOOSTER Injectable General Health Profile 02/26/2025 RabiesVaceination Canine Visit us online at www.bestcarepethospitalomaha.com, like us on Facebook or follow us @BestCarePetHosp. You can now contact us through text. Online access to your pet's info available with a Pet Portal. Written details regarding your pet's dispensed medications are available upon request. Please note that dispensed medications may not be returned due to Federal Laws. 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 f Blair e 218 S 16thlair, 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 1/5 2023 Owner Name: Owner Address: city/state/zip: Blair, NE 68008 Phone # 'Tz_. (� LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11.00 ***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 3/15/2023. 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 to be submitted with your license application. Replacement Fee for Lost Tag: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET #1 Dog ❑ Cat payed/Neutered License Fee $ P Pet Name kleV Birthdate , Z 12 Sex Color ,1&" Breed** Replacement$** Declared Dangerous or Potentially Dangerous Dog: ❑ Y AN MICROCHIP # ,TS14 2000974/6 5- (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE:,- �� (3 yr) (1 yr) City Tag # PET #2 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Birthdate Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ (1 yr) License Fee $ Replacement PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed** Replacement$ ** Declared Dangerous or Potentially Dangerous Dog: El Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not send Cash by Mail TOTAL ENCLOSED $ If you have questions, please contact Blair Police Department at (402) 426-4747 ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 151ate fee date notapplicable fornewpets/newresidents) Newly Acquired Pets: New Residents to Blair: • Must be lioensed within 10 days of ownership in Must register pets within 10 days of • <OR> at 6 months of age if puppy/kitten residency. 12/01/2022 17:49 4024260101 HOLSTEIN VET CLINIC PAGE 04/04 2023 PET LICENSE VERIFICATION/APPLICATION FOP, CITY of BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND (AWN A DOG(S) AND /OR CAT(S), COMPLETE THIS FORM AND RETURN WITH A (,HFCK PAYABLE, TO: CITY OF BLAIR - 218 S. 16TH ST - BLAIR, NE 68008 YOU MAY I-EGALLY 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 HE REQUIRED By LAW TO LICENSE YOUR PET.. THE CITY OFMILAIR REQUIR bor OF RABIES VACCI AXON. Failure to do so is a violation of City Ordinances 6.103 and carries a penalty of a fine up to $150,00 pc,r pet. PET LICE >E RENEWAL ` ARE DUE BY 1 2023. The t;ity 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 eat. NEW AI -LICENSING Must be licensed within 10 days of ownership (OR) at 6 months of aye if puppy or kitten NEW RE IEaEIVTS TO GLAIR Must register pets within 10 days of residency Owner Name Amy Dishman Spouse Archie Owner Address 1973 Crestridg+e of City/State/zip Blair, NE 6600E Phone # 402-533-4617 Holstein Veterinary Clinic Dr. Use Schrum DVNI ; Dr. Krista Holstein DVM 71-8 South 191h Street Blair, NE 68008 402-426-7�87 402-426-0101 Fax holsteinclinic@g'mail.com LICEN,. EBB-S intact Dog or Cat: $16,QO Aft�,r®d' D or cat: $11.Q Replacement lag $5.00 Total $ PETS 7N4TAREONTMEACE POTENTIALLY NGEROU 0AN136q U5 DOG LEST NEB TC] REGISTER nIRCCTLYAT CITY HALL• FAXED 12-01-22 BY Sep x 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 9 218 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, 2023 Owner Name: 010 So It Owner Address: 4 1 5 1014STA�p+ I City/State/Zip: Blair, NE 68008 _ Phone# C I�l y bs-OZ I°5 LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11 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 3/1512023. 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 to be submitted with your license application. Replacement Fee for Lost Tag: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET D Q g ❑ Cat paye /N utered License Fee $ 1 °v Pet Name C h Gw 1 It Birthdate Sex Color e--Breed** e Ir i -ev S >1 u ep/acement$ ** Declarecr Dangerous or P entially Dangerous Dog: ❑ Y N n MICROCHIP # ij S I DZbp 35mol 03if applicable)' 1\tSUBTOTAL: RABIES VACCINATION VACCINATION DATE: ZZ (3 yr) �k// (1 yr) City Tag # 0 L3L PET #2 Dog ❑ Cat El,!�paye Me tered License Fee $ d Pet Name i i� Birthdate 6 i o Sex Color _R Ik WL.i+,-r- Breed** i Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y c 0 kyN b o MICROCHIP #clis �I b b -7U5 047Y (If applicable) 24Vt4w1AcSUBTOTAL:$. RABIES VACCINATION DATE: 77. Z (3 yr) (1 yr) City Tag # U3 yb* PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Birthdate Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ ■W (1 yr) License Fee $ Rep/acement $ 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.) � Do Not Send Cash by Mail TOTAL ENCLOSED $ Z� U6_ If you have questions, please contact Blair Police Department at (402) 426-4747 +++++++++++++++++++++++++++++++++++++++++++++++++++++++++++¢++++++++++++++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15/ate fee date notappllcable fornewpets/newresidents) 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. ;FATE (�►=�" VA+`CtNA�'ZT. Date of Rabies Vaccination: 07-27-22 Certificate No: 0 Next Rabies Vaccination On: 07-26-25 Previous Rabies Vaccination: VETERINARY CLINIC OWNER OF ANIMAL Holstein Vet Clinic Catherine Dobson 718 South 19th Street 451 S 16th 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: Charlie TAG NO: 20531 SPECIES: Canine WEIGHT: 35.30 SEX: N AGE: 13 years Color and markings... Blk/Gray Signed Krista Holstein, DVM License: 3612 Rabies Vaccine Information... MFG BY: ZOETI SER.NO: 543936 LOT EXP: 03/07/23 ADM: SQ s.r�z, ,s�,�,fr� .,� a:,. �.� _.M �, ..:: ., .,,z a✓rs,p �-�<.F�'. ,.... ,� st { ,<�r � �.?.. Date of Rabies Vaccination: 07-27-22 Next Rabies Vaccination On: 07-26-25 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 Catherine Dobson 451 S 16th St Blair, NE 68008 County: THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Fritzie TAG NO: 20532 SPECIES: Canine WEIGHT: 13.00 SEX: N AGE: 13 years Color and markings... BI/Wh Signed Krista Holstein, DVM Rabies Vaccine Information... License: 3612 MFG BY: ZOETI SER.NO: 543936 LOT EXP: 03/07/23 ADM: SQ l CITY OF BLAIR - 2023 PET LICENSELI / t i 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 9 218 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, 2023 Owner Name: 4l t d Owner Address: t q T► �'' city/state/zip: Blair, NE 68008 Phone # i ' v -1,1 1._ LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11 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 3115/2023. 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 Citv of Blair requires proof of rabies vaccination to be submitted with your license application. Replacement Fee for Lost Tag: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program ET #1 C Dog ❑ Cat O'"Spayed/Neutered License Fee $ ( 9 Pet Name 4r e u, Birthdate I Sex r Color 01 �r to Breed** co"It< Replacement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y Z N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE; (3 yr) (1 yr) City Tag # 00 PET #2 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Birthdate 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 # PET #3 , ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed** Replacement$ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not Send Cash by Mai/ TOTAL ENCLOSED $ I. If you have questions, please contact Blair Police Department at (402) 426-4747 ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15/ate fee date notapplRable fornewpets/newresidents) Newly Aoquired Pets: New Residents to Blair: ■ Must be lioensed within 10 days of ownership ■ Must register pets within 10 days of ■ <OR> at 6 months of age if puppy/kitten residency. Holstein Vet Clinic 718South 10thStreet Blair, NE 08008 402-426'7387 Check out our online store ctvmxwvHOL.STBNVET.co0for home deive[y| Printed: 11-23-22 at 9:50a FOR: Michael Dodd Date: 11-23-22 1S52Grant Street Account: 10542 Blair, NE 68008 Invoice: 133191 Date For Qty Description Net Price 11-22-22 Bella 1 VETGCANOPrep Profile U 53.25 11'22'22 �.*h 233 Ceqprofen |rj. 30[NG8NL (PnsSurgioa|) 31.23 11-22'22 s� 31 1 AneoU�o� oX�oda5O-8O# 108.25 11'22-22 «' ' 1 Surgical Monitoring -Extended -LEVEL 2 40.00 11-22-22 1 Canine Spay <2YRb0-80# 85.00 11'22'22 1 Post Surgery LoaerTherapy 15.76 11-22-22 1 PoatSU[gio�M Poin Bup| ' (50-80#) 31.25 11'22'22 1 SurggryHnGpit@UztiUDn 18.70 11'22-22 1 BiZUbe0lenC0Uar 12.00 11-22-22 1 Nall Trim 13.50 - B$inOihy./anua> 1.2D23Nail Trim. prices vviU|nuoeasatothe" yoUc^ming: ---^- Level 1 (NO EXTRA HOLDER) <60#$17.00OR>50#$22.00 Level 2 (ONE EXTRA HOLDER) <50#$25.00 OR >50#$29,00 Level 3(2+EXTRAHOLDERS) $45.00 rhese prices do not reflect nail trim procedures if your pet requires sedation. Nail th0'ea[o made with the technicians. |fyour pet needs anexam with the Dr, please let uSknow when making the appointment. Thank you! 11-22-22 1 CEREN|ATABS 8OKAG(4Tab Pack )#21732 30.00 11-22'22 1 O[t|xcoreEye LVboPlus 2Ogm(PURPLE)#2 19.75 11-22-22 14 W1etronidmzo|e250mQ#21783 11.60 11-22-22 5 Corprohan1UUMGCAPLETS #21731 7.45 11-22-22 1 Annual Exam with Vaccinations 48.00 11-22-22 ` 1 \/angUordV0DAPP/L4{O|$tempe[+Lapb}\ 31.00 11-22'22 1 V8ngUard@B ' RAL/BO[dote||8} 30.25 11-22-22 1 VanQu8nj@Rebies'G(3YEAR) 32.00 11-22'22 1 Schinner'aTest (Dry EyeToat) 10.00 11-22-22 2 Eye / Fluorescein 'Strip Test 37.00 11-23'22 Visa payment '885.98 0|d ba|0000 Charges Payments New balance 0`80 885.98 685.98 0.00 CITY OF BLAIR - 2023 PET LICENSE APPLICATION t go ; o 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, 2023 Owner Name: Pi 011oll 3 Owner Address: `v l City/state/zip: Blair, NE 68008 Phone # LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11 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 3/15/2023. 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 reouires Droof of rabies vaccination to be submitted with your license application. Replacement Fee for Lost Tag: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET # 1 `0 Dog ❑ Cat t1 Spayed/Neutered License Fee $ / i Pet Name Birthdate Sex Color UAA,'fe %a ci, Breed** f j C Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y , 3 N MICROCHIP #' & I 0 c:,i � °,� J S, .1"-ir` (If applicable) SUBTOTAL: $ m RABIES VACCINATION DATE I Iri' - > (T3 yr) (1 yr) City Tag # 0()'S ix-y PET # 2 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Birthdate Sex _ Color Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) License Fee $ Replacement $ * * SUBTOTAL: $ (1 yr) City Tag # PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed** Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not Send Cash by Mai/ TOTAL ENCLOSED $ If you have questions, please contact Blair Police Department at (402) 426-4747 ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (Marsh 15late fee date notapplicablefornewpets/newresidenls) Newly Acquired Pets: New Residents to Blair: ■ Must be lioersed within 10 days of ownership ■ Must register pets within 10 days of ■ <OR> at 6 months of age if puppy/Idthen residency. Client ID: Client Name: Address: Phone: Tag Number: Vaccine: Producer: Brand: roe: ..,anner of Administration: 9284 Beth Doolin 802 N. 13th Street Blair, NE 68008 (307)752-0540 7345 Imrab Rabies Vaccine Merial Imrab 3 TF Killed Virus Subcutaneously Staff Name: David E. Johnson DVM License Number: 1893 Doctor Signature: Blair Small Animal Clinic PC David E. Johnson DVM 1734 Front Street Blair, Nebraska, 68008 (402) 533-2722 Rabies Certificate Patient ID: Patient Name: Species: Breed: Sex: Color: Markings: Birthday: Weight: Microchip ID: Vaccination Date: Expiration Date: Lot Number: Drug Expiration Date: 14052 Sophie Canine Havanese Spayed Female White Black 09/26/2018 9.40 pounds on 1/9/2023 1 /9/2023 1 /9/2026 18535 11 /17/2023 4a'cy�- 7 --� yi 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 9 218 S 16th St e 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 RENEW�►LS ARE ®U: March 15, 2023 Owner Name:" Owner Address: C+� city/state/zip: Blair,, NE 6800 _ Phone # -Q ) , -.10 _ , I LICENSE FEES: Dog or Cat: $16.00 Altered Do or Cat: $11 00 ***PLEASE FULLY*** 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 3/15/2023. 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 to be submitted with your license application. g Replacement Fee for Lost Tag: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET #1 Dog ❑ Cat payel/ eutered ,.... r License Fee $ Pet Name Bi rhdate '1 Sex Color Breed** Replacement$ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) SUBTOTAL: $ i U RABIES VACCINATION DATE: 1 — (3 yr) (1 yr) City Tag * PET #2 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Birthdate Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ License Fee $ Replacement $ ❑N SUBTOTAL: $ (1 yr) City Tag PET 3 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed** Replacement$ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not Send Cash by Mail TOTAL N If you have questions, please contact Blair Police Department at (402) 426-4747 ++++++++++++++++++++++++.........++++++++++++++++++.........++++++.....+++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15/ate fee date not applicable fornewpeis/new residents) Newly Acquired Pets: New Residents to Blair: • Must be licensed Wthin 10 days of ownership ■ Must register pets within 10 days of • <OR> at 6 months of age if puppy/idtten residency. CERTIFICATE OF VACCINATION Date of Rabies Vaccination: 0 1 -16-23 Certificate No: 2910 Next Rabies Vaccination On: 01-15-26 Previous Rabies Vaccination: VETERINARY CLINIC OWNER OF ANIMAL Thone Animal Hospital April Dose 002 S Hwy 30 1123 N 18th ave Blair, NE 68008 Blair, NE 68008 402-426-3630 County: This is to certify... THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Willow TAG NO: 008615 SPECIES: Canine WEIGHT: 4.40 SEX: S AGE: 21 months Color and markings... White Signed Dr.Kamala Freeman License- 3894 Vaccinations done... 01-16-23 KF Rabies Vaccination (3 Year), #008615 01-15-26 01-16-23 KF DA2PPV Syr 01-15-26 01-16-23 KF Bordetella Oral 01-16-24 08-17-21 KF Rabies Vaccination (I Year), #007027 08-17-21 KF DA2PPV 07-16-21 KF DA2PPV Rabies Vaccine Information... MFG BY.- ZOETI SER.NO. 583359 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 lair a 218 S 16tht @ 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, 2023 Owner Name: I Owner Address: city/state/zip: Blair, NE 68008A Phone # t LICK FEES: Dog or Cat: $16.00 ***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 $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3/15/2023. The City shall recognize a microchip Identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city Identification other than that issued by the City of Blair for such dog or cat. The City of Blair requires proof of rabies vaccination to be submitted with your license application. Replacement Fee for o' r I 1 in Proural PET #1 Dog ® Cat Ll Spayed/Neutered S License Fee Pet Name Birthdate -- - Sex fl, Color Breed** o f I f aa- M° Replacement$ ** Declared Dangerous or Potentially Dangerous Dog: Ll Y Ll N MICROCHIP # (If applicable) SU TOTAL: RABIES VACCINATION DATE: f �> (3 yr) (1 yr) City Tag # r T #2 ® Dog ® Cat ® Spayed/Neutered Pet Name Birthdate Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: ® Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ PET #3 ® Dog ® Cat Ll Spayed/Neutered Pet Name Birthdate Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: ® Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ Replacement $ S T TAL: (1 yr) City Tag # License Fee Replacement ** SU TOTAL: (1 yr) City Tag ## *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not Send Cash by Mail TOTAL ENCLOSED $ If you have questions, please contact Blair Police Department at (402) 426-4747 .........++++.+......+-a+...............-......•r++++..........+++-r+.......... NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15late fee date not applicable for newpets/newresidenb) Newly Acquired Pets: New Residents to Blair: • Must be licensed within 10 days of ownership a Must register pets within 10 days of • <OR> at 6 months of age if puppy/kitten residency. Page 1/1 RED BfLnfw vFTsn|NARTCLINIC mFAnw^uCYp.C. ` m- L�|uTH ^ oA.1��4.c\%eo8�� o�2u2 � FA": '402>625-«24 Client ID: 1O577 Gera�&Nancy Dud�v � / L�_ -~�R� ^ Invoice*: 127OOeg�a�B�d � Aot120 � Date� 5/5/2023 Blair, NEG8OOD -- Patient |[l116787 +� i1\^�) Species: Canine _ _ Weight: 21.00 pounds Patient Na Breed: Mix Birthday 03n2/2015 Sex: Spayed Female Description Staff Name Quantity Total Patient Subtotal: $168.33 Reminder 11/15/2023 KENNEL COUGH, K8UC{}SAL DHLPPANNUAL (Dist&Panm) RABIES CANINE I YEAR BOOSTER 11/15/2024 HEARTVVC}R[NTEST (RAPiO) Patient |cl1onO89 Species: Canine Weight: 21.00 pounds Patient N N[U/�\ reedMix Birthday: 1u/07/2o 1 Sex: Neutered Male gA Patient Subtotal: $178.33 Reminder 10/1KENNEL COUGH, K8UCOSAL DHLPPANNUAL /Dist&Panm\ RABIES CANINE 1.YEAR BOOSTER ----~- # Invoice Total: $348.64 Total: $348.64 Balance Due: $348.04 Previous Balance: $0.00 Balance Due: $348'64 VCocle Exp. You can use your Credit Card b,pay your bill. 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 @ 216th St @ Blair, NE 6 008 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. Owner Name: R x Owner Address: t city/state/zip: Blair, NE 6800 Phone # ' t 9 LICENSE FEES: Dog or Cat: $16.00 Altered Do or Cat: $11 00 ***PLEASE FULLY*** 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 3/15/2023. 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 renuires Proof of rabies vaccination to be submitted with your license application. g Replacement Fee for Lost Tag: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program T #1 ❑ Dog 0 Cat U Spayed/Neutered License Fee $ I Pet Name t Birthdate Sex Color u,.�ii lV'At'j Breed** Replacement$ e ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y -U N MICROCHIP # ) I- r`b [;A � �` to i 0 (If applicable) SUBTOTAL: $ �j oo`� RABIES VACCINATION DATE. (3 yr) �� (1 yr) City Tag # PET #2 ❑ Dog ❑ Cat 41 Spayed/Neutered License Fee $ `` Birthdate i; Sex ,t a Pet Nam _. e, �� z Color b ¢x Breed** — Replacement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # " ° (If applicable) SUBTOTAL-.$ ' 9: � � t� �a, � �s� � .� RABIES VACCINATION DATE: 'U Z-e (3 yr) <:. / (1 yr) City Tag # PET #3 W Dog ❑ Cat 0, Spayp-d/Neutered License Fee $ Pet Name , °. Birthdate >, Six 4 .i Color "� - Breed** ; � 1 �a s_IO I l A'. e, Rep/acement $ Declared Dangerous or Potentially Dangerous Dog: ❑&Y 1�11 N MICROCHIP # o a (If applicable) SUBTOTAL: $. RABIES VACCINATION DATE. (3 yr) __(1 yr) City Tag #� *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not Send Cash by Mail TOTAL ENCLOSED If you have questions, please contact Blair Police Department at (402) 426-4747 .....+++++++++++.....++++++++++++++++.+++++++++++++++++++...............++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15/ate fee date notapplicable fornewpets/newresidents) Newly Acquired Pets: New Residents to Blair: • Must be licensed within 10 days of ownership s Must register pets within 10 days of • <OR> at 6 months of age if puppy/ldtteen residency. pi,evv- 07 C/I LA, ' yt, P -: �5, : I A 6- �d6v- s y r 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 9 Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2023 Owner Name: Owner Address: City/State/Zip: Blair, NE 68008 Phone # t r _ LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11 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 3/15/2023. The City shall recognize a microchip Identlflcatlon 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 Citv of Blair requires proof of rabies vaccination to be submitted with your license application. Replacement Fee for Lost Tag: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET #1 Dog ❑ Cat Q Spayed/Neute ed Pet Name j , 1 r�F`° a,:Birthdate ? Z.�'''" Sex Color i b -. a Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ PET #2 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Birthdate Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ License Fee $ Replacement$ ** ❑-N SUBTOTAL: $ (1 yr) City Tag # (1 yr) License Fee $ Replacement $ ** PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed** Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not Send Cash by Mail TOTAL ENCLOSED If you have questions, please contact Blair Police Department at (402) 426-4747 ++++++++++++++++++.....r+++++++++++++++++.....+++++++++++++++++++++++.+++++.++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (march 15late fee date not applicable for newpety1newresidents) Newly Acquired Pets: New Residents to Blair: • Must be licensed witliin 10 days of ownership m Must register pets within 10 days of • <OR> at 6 months of age if puppy/kitten residency. Dog Intake Exam Intake Date: �c :�� ') __-) P'-Aa Type of Intake: Owner Surrender AnimalID#: C�'ah Animal Name: Stray Otherl('eY Breed:;"?_ Color: _ Weight: _lbs Age: Q1� C 'Thin Norm Overweight Gender: M MN F rF�)Unknown Scheduled Location: _ GAIT/MOBILITY (circ(). Lameness noted? NO YES (note which limb) If lameness present- weigh-tbearing? YES NO Notes: N Microchip found NO YES # _ Date: Employee Name: ❑ Dewormer — ❑ Distemper -- _ CONDITION Sick Injured Apparently Healthy` ATTITUDEC -Friend ly-4-"-_Fearful BAR _QAR Fractious Lethargic COAT & SKIN -Normal Abnormal Flea dirt / live f eas- N0:_. YES note tx below EYES Normal Abnormal EARS Abnormal Abnormal NOSE Normal_: ' Abnormal HEART (' Normal Abnormal MOUTH/TEETH/GUMS Painful Red gums Normal _.j' Abnormal Broken teeth Tartar UROGENITAL Norm — Abnormal Tattoo Visible YES Females: Spay Scar -YES NO Males: Testicles palpable? TWO„/ ONE NONE Notes: Spay/Neuter Scheduled Date: "a '- ❑ Bordetella IN (Kennel Cough) — j2 3l 4 ❑ Flea/Tick Prevention ❑ Notes ASSESSMENT: ❑ No problems, ok to be available ❑ Minor problems seen, ok to be available ❑ Problems found, hold for vet check _ ❑ Going to foster/rescue Stage: AVAILABLE NOW Date Available: _ PENDING HOLD Petstablished: ❑ File Created: ❑ Pic Taken : ❑ Petfinder: ❑ Adopt -A -Pet: ❑ r os :Wab EZ/5Z/ti0 :dX31O1 9E8999 :ONIGS 1130Z :A8 JMW ...UOIIRLUJOJul OUlooeA salgeN 85Z800# '(ae8A 0 uoileuMen seige�j Wa ZZ-EZ-80 "'auop SUO14eu133BA OE9£ :asuooll syluow U :39V 00.0 :1H013M 99Z800 :ON DVI z}aalm euuoa as peubiS •••soullaew pue aoloa S :X3S aulueO :S31a3dS deal :1N311dd ...uolIeuaaoJul ;ual}ed "MO138 a3SIMOS30 1bWINd 3HJ. S318" 1SNIbJd a31bNI0aVA 3AVH I IVHl ... 41:P90 o} sl slut :Ajunoo 80089 3N `J1e18 £EZ Xo8 'O'd aa}IauS lewlu`d ilel810 spuali3 -lVWINd :10 a3NMO MORBulooen salgell snolnaAd 9E9E :ON aIe31HP83 0£9£-9Z1p-Z0tl 80089 3N `J1e18 0£ AMH S Z06 Iej!dsoH Ieualuy 9u0y1 OINlla AIIVNIN313A CZ-EZ-80 :uO UOIIeu133BA salgeb 4xaN ZZ-CZ-80 :uoReulooeA salgea 10 04ea If you live in Blair City limits and own a clog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair 9 218 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, 2023 Owner Name: 77-k'�GK U` �� — Owner Address: ' l g "t 1q. City/State/Zip: Blair, NE 68008 o'er �CT9 � 0 8 Phone # LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11 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 3/15/2023. 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 to be submitted with your license application. n2� riacerrient Fee iur Lust Tag: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program ET #1 Q' Dog ❑ Cat Spayed/Neutered License Fee $ 1 h Q()_ Pet Nark N-N- t� i A Birthdate Sex l� Color '"�66 r • t o o , Breed** ire. Replacement Declared Dangerous or Potentially Dangerous Dog: ❑ YI N , MICROCHIP #_ (If applicable) SUBTOTAL: $ l RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # TTa L, E , PET #2 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Birthdate Sex _ Color Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) ET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Birthdate Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ M (1 yr) License Fee $ Replacement $ SUBTOTAL: $ City Tag # License Fee $ Replacement $ SUBTOTAL: $ . (1 yr) City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) ®` Do Not Send Cash by Mail TOTAL ENCLOSED $ EMS * If you have questions, please contact Blair Police Department at (402) 426-4747 ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March15/ate fee date not applicablefornewpets/newresldents) 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. r� animal hospitals VCA 80 Dodge Animal Hospital 8022 West Dodge Road Omaha, NE 68114 (402) 399 - 8100 Vaccination Status Client Patient Name: Karen Dunham C: Patrick: (402) 278 - 0608 Name: Dakota Patrick Dunham C: Karen: (402) 278 - 0609 Species: Canine Breed: Sheepdog, Address: 454 North 15th Email 1: kd_454@msn,co Shetland Street m Color: Tri Blair, NE 68008 Email 2: Sex: Male Neutered Birth: 11 /01 /2010 Age: 12y 3m Chip: 054*300*527 Weight: 22.67lb Dakota's records show that the following vaccines are due Procedure Due Date Status Procedure Due Date Status K9 Rabies 1/28/2025 K9 Distemper 2/26/2024 K9 Bordetella Declined K9 Heartworm Test 2/5/2024 K9 Parvo 2/26/2024 K9 Dental Cleaning 4/17/2018 Overdue ,9 Heartworm RX 8/6/2023 Physical Exam 8/6/2023 Fecal Exam 2/5/2024 I<9 Flea Prevention 6/18/2022 Overdue K9 Le tos irosis 2/5/2024 Urine Test Review CBC Test Review Thyroid Test Review For information on how we collect and use information about you and your pet, and how you may opt -out of some uses, please see our Privacy Policy at vcahospitals.com/privacy-policy. Thank you for trusting us with your pet's care. Your friends at VCA 80 Dodge Animal Hospital. 1of1