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FYou 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: Larch 15, 202 Owner Name: �reamnck Fchr�nho Iz Owner Address: -10 4 S Rtin S WU- i City/State/Zip: Blair, NE 68008 Phone #D�-1��1 LICENSE FEES: Dog o -. ir LF Replacement Fee for or. ***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 CitV of Blair requires proof of rabies vaccination to be submitted with your license application. PET #1 �R- D o g ❑ Cat If Spayed/Neutered License Fee $ Pet Name Birthdate -UAN 10,:at Sex M Color h,- e of v- Breed** WTI ar scan Rep/acement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y �1 N MICROCHIP # (If applicable) SU T TAL: $ RABIES VACCINATION DATE: 42 -2-L 0- a (3 yr) -_>L_ (I yr) City Tag # b T #2 Dog ❑ C a t Spayed/Neutered �%S License Fee $ b Pet Name'Tcoe Birth ate e ,1Sex ** Color 8/ue Merr(e. Breed** egtni lyAy,'I a" She po cd Rep/acement$ Declared Dangerous or Potentially Dangerous Dog: ❑ Y ) N MICROCHIP # (If applicable) SUBT®TAL: $ RABIES VACCINATION DATE: (3 yr) ->�-- (I yr) City Tag # 6 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) (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.) ®o Not Send Cash by Mail TOTAL L If you have questions, please contact Blair Police Department at (402) 426-4747 NEW PET/ NEW RESIDENT LICENSING REQUIREMENTS (March 15late fee date not applicablefor newpeis/newresidenf7) Newly Acquired Pets: New Residents to Blair: Must be Ifoensed within 10 days of ownership m Must register pets within 10 days of <OR> at 6 months of age if puppy/Idtten residency. Date of Rabies Vaccination: 12-22-22 Certificate No: '1 5390 Next Rabies Vaccination On: 12-21-25 VETERINARY CLINIC OWNER OF ANIMAL Elkhorn Animal Hospital Breanna Fahrenhc lz 21001 West Maple Rd 704 S 19th Street Elkhorn, NE 68022 Blair, NE 68008 (402) 289-4285 This is . - Patient information... PATIENT: Jaxton SPECIES: Canine SEX: N Color and markings... Tri Elizabeth Kurth; DVM Exp. Date 24MAR24 Serial No. 18544 Vaccinations done... 12-22-22 LK Lepto 12-22-22 LK Bordetella 12-22-22 LK DA2PPV 3 YEAR 12-22-22 LK Rabies 3 Year, #132527 TAG NO: '13252 7 WEIGHT: 29.50 AGE: 2 years License: 4041 'KIL Virus 12-22-23 12-22-23 12-21-25 12-21-25 Date of Rabies Vaccination: 08-23-22 Certificate No: 0 Next Rabies Vaccination On: 08-22-25 VETERINARY CLINIC OWNER OF ANIMAL Elkhorn Animal Hospital Breanna Fahrenh:)lz 21001 West Maple Rd 704 S 19th Street Elkhorn, NE 68022 Blair, NE 68008 (402) 289-4285 This is • - RABIESTHAT I HAVE VACCINATED AGAINST • PATIENT: Jade TAG NO: SPECIES: Canine WEIGHT: 26.00 SEX: S AGE: 3 years Dr. *** License: 'KIL Virus 08-23-22 *** Rabies 3 Year 08-22-25 08-23-22 *** Bordetella 08-23-23 06-09-22 *** Lepto 06-09-23 06-09-22 *** DA2PPV 1 Year 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. LICENSERENEWALS ARE DUE: March 15, 2023 Owner Name:'' °"� ✓° %� Owner Address: 17 , city/state/zip: Blair, NE 6800 Phone # o-L — ! 2 \ LICENSE FEES: Dog or Cat: $16.00 Altered net or Cat; $11 00 ***PLEASE READ 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 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 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 ®I" 1i Dog ❑ Cat , Spayed/Neutered — License Fee $ Pet Name a ✓ice Birthdate Sex F-- Color �i Breed** ly el �' ( . l Rep/acement$ _ Declare Dangerous or Potentially Dangerous Dog: ❑ Y a"N MICROCHIP # / Z o Y / / (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (/ / (3 yr) X (1 yr) City Tag T #2 ❑ 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 # 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 ECL $ If you have questions, please contact Blair Police Department at (402) 426-4747 ++++++++++++++++++++++++..........++++++++++++++++++++++++++++++.....++++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15/ate fee date notappl/cable fornewpeis/newresidentsJ Newly Acquired Pets: New Residents to Blair: • Must be lioensed within 10 days of ownership m Must register pets within 10 days of m <OR> at 6 months of age if puppy/kitten residency. Client ID: Client Name: Address: Phone: Tag Number: Vaccine: Producer: Brand: _ ne: 1.,anner of Administration: 7828 Jennifer Fangmeier 2079 Grant St Blair, NE 68008 (402)290-0372 7514 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: 13192 Luna Canine Goldendoodle Spayed Female Blonde 10/26/2021 63,70 pounds on 1/4/2023 985141004841981 1 /4/2023 1/4/2026 18542 3/10/2024 CITY OF BLAIR - 2023 PET LICENSE APPLICATION 3) : 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: Owner Address:i City/state/zip: Blair, NE 68008 Phone #.., ,. y . 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 Citv 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 I D g ❑Cat Spa ed/ eutered License Fee $�` I ~II Pet Name 7 7 � i° -" Bi ate iSex IXI Color ° U Breed** J' o a; Replacement $ ** Declar d Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP #` ` i I If applicable) SUBTOTAL: RABIES VACCINATION DATE -.. .. (3 yr) (1 yr) City Tag'r " PET #2 ❑ 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 # 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 ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS(March 15late fee date not applicable for newpets/new residents) Newly Acquired Pets: New Residents to Blair_ ■ Must be licensed within 10 days of ownership ■ Must register pets within 10 days of ■ <OR> at 6 months of age if puppy/kitten residency. 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 a 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: []Q(g inj41 i_OR6 4-2/1 ACC C NIAI� R Owner Address: ► 11'l N 2 SV S+ city/state/zip: Blair, NE 68008 Phone # U i2 )L S33 J, 51 C 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 reauires proof of rabies vaccination to be submitted with your license avolication. Keplacement 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 W Dog ❑ Cat ® Spayed/Neutered License Fee $_ Pet NamejQeasl-I Birthdate -2n j2 — Sex MALE Color U1t4I4 r! �330omws PRTg Breed" PonlrL E Replacement ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y W N MICROCHIP #�Oin 1y It)oZ ';-Zg (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: // - l0 ~ 2X (3 yr) -'g-- (1 yr) City Tag # DD' 1 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) _ W License Fee $ Replacement $ ** SUBTOTAL: $ (1 yr) City Tag # (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 $ 1 i'o--D_ 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 Wthin 10 days of ownership ■ Must register pets within 10 days of ■ <OR> at 6 months of age if puppy/kitten residency. Client ID: Client Name: Tag Number: Vaccine: Producer: Brand: � Type: � of Staff Name: License Number: Doctor Signature: 78 Mary Fees 541 North 10th Street Blair, NEO8UO8 (402)426-5372 00000 |mnmb Rabies Vaccine K0eda| |mnab3TF Killed Virus Subcutaneously David E.Johnson DVM 1893 Blair Small Animal Clinic PC David E.Johnson DVM 1734 Front Street Blair, Nebraska, 08008 Patient ID: 7279 Patient Name: yN' ^ Species: Feline Breed: Domestic Longhair Sex: Spayed Female Color: Black Markings: Birthday: 08110/2013 Weight: 12.08pounds oO3M4/2O22 Microchip ID: Vaccination Date: 3/6/3023 Expiration Date: 3/6/2026 Lot Number: 18535 Drug Expiration Date: 11/17/2023 CITY OF BLAIR ® 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 unit. LICENSE RENEWALS ARE DUE: March 15, 2023 Owner Name: [JIL r c �L L Owner Address: � city/state/zip: Blair, NE68008),j Phone# dfld- L06 �{)"`I�l 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 aroof 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 Ed Dog ❑ Cat Spayed Neutered License Fee $ Pet Names Birth ate -'tV)6-11 Sex '�lu Color Breed** (a'lcat P66 _Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # -22 AD 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) _ W (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 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 notapplIcab/e fornewpets/newres/dents) Newly Aoauired 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. 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 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 � DUDE: MMarch 15, 2021 Owner Name: k!'�"PLIV Owner Address: � q ,5: t City/State/Zip: Blair N/' E68008 Phone # `� Zn 34 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 3/15/2021. 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. 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 d Dog ❑ Cat ❑ Spayed/Neutered License Fee $ . D Pet NameSiA)Fcr'Anlnllt _ Birthdate � .z-/ Sex F Color (e) H e7A-rEh1 Breed** r�a&o I,JWEar r tiY T Reap/acement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y &I'N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: Ql i6" (3 yr) (1 yr) ;X City Tag # 3 * 3 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) _ 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 W (1 yr) (1 yr) License Fee $ Replacement $ SUBTOTAL: $ City Tag # * License Fee $ Replacement $ SUBTOTAL: $ City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not send Cash by mail TOTAL ENCLOSED $ /6 •cad If you have questions, please contact Blair Police Department at (402) 426-4747 +++++++++++++++++++++++++++++++++.++++++++++++++.+++++++++++++++++++++++++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS(March 15late fee date not applicablefor new pels/new residents) Newly Acquired Pets: New Residents to Blair: ■ Must be licensed witliin 10 days of ownership 0 Must register pets within 10 days of 0 <OR> at 6 months of age if puppy/kitten residency. CERTIFICATE OF VACCINATION Date of Rabies Vaccination: 07-15-23 Certificate No: 0 Next Rabies Vaccination On: 07-14-24 Previous Rabies 'Vaccination: VETERINARY CLINIC OWNER OF ANIMAL Holstein Vet Clinic Karen Fenne 718 South 19th Street 645 N 24th 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: Sweet Annie SPECIES: Canine SEX: F Color and markings... Signed Lisa Schrum, DVM TAG NO: 23475 WEIGHT: 25.60 AGE: 8 years License, 2310 i%abies Vaccine Information... MFG BY: ZOETI SER.NO: 656402 LOT EXP: 08/06/24 ADM: SQ •+ , ;liff -on • 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 a 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: '�1�' Owner Address: 6 Y`� s /� Pc-/�F city/state/zip: Blair, NE 68008 Phone # Ll b? 4 - Wq/ LICENSE FEES: Dog or Cat: $16.00 Altered Do or rat: $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 PET #1 d Dog ❑ Cat ®°/Spayed/Neutered License Fee Pet Name 'PA-re.A (C:�; Birthdate J eo Sex 1\4 Color Breed** A .�' I = Rep/acement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y N -j?A-V�, Cz plL G' I l(1.' I'�°� MICROCHIP # li. 13 1 5 E- 41) 0(If applicable) SUBTOTAL: $ /3 RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # PET #2 4 Dog ❑ Cat ❑ Spayeo/Neutered License Fee $ Pet Name lYI6L-LY Birthdate e a Sex Color U4(-CA1- Breed**' -(2- Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y N t�G,ro1-y 7``t) 6y,,VLC3��-� - 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** 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 $ Y If you have questions, please contact Blair Police Department at (402) 426-4747 ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March I5/ate fee date notapplicable for newpets/newresldents) Newly Aoquired 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. 17:55 4024260101 HOLSTEIN VET CLINIC PAGE 01/01 2023 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF GLAIR IF YOU LIVE IN BLAIR CITY UMITS 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, ***PLr=ASE HEAD CAREFULLY'*" Failure to do so is a violation of City Ordinanceg 6.103 and carries a penalty of a fine up to $150.00 per pat- PfT Ll SE R.EblWALS ARE DUE l3Y_VjaL2QZ:L. The city shall recognize a microchip 11) number as the license number. It shall be unlawful for any dog or cat to wear any license or other c(ty ID other than that issued by the City of Blair for such dog or cat, NFWPET L[GENSiNG Must be licenGed within 10 days of ownership (OR) at 6 months of age if puppy or kitten _NLWBESPENTS -L LA 9 within 10 days of residency Q-DJa Must register pet. Owner Name Spouse Owner Address city/State/Zip Phone # Pet Name: Babs Age: 7Y DOB, 10,06-15 Breed: Eng Mast -T Sex: Spayed Female Brian & Marito Fernau Ashley 402-278-0236 1541 Oak Drive Blair, NE 68008 402-426-8448 #207 I Color: Favvn Miorochip # 985112006056667 Rabies rag # 23184 PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE)'. # RABIES VACCINATION DONE ON 103-21-23 Rabies Description: 1 YEAR Holstein Veterinary Clinic Dr. Lisa Sohivn-i VVM : Or. Krista Holstein DVA4 718 S6uth 19111 Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinic@gmail.com YEAR LtCENSUEEES Intact Dog or Cat: $16,00 A redo DOS{ 0 at: $11. Replacement Tag $5.00 Total $�— Pr"T5 THATARE ON TP16 ACTIVE POTENT)Aj -YDANGERO US OR DANGEROUS 0 9 G L /S 7- WED TO RE64'IS TEN 211R�ECTL Y Ar Q �TY HAUL FAXED 03-21-23 0E,1-2d BY -7 L . L ALL 41.9 40 6 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 1th 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 DUDE: March 15, 2023 Owner Name: R ;14W F; C 6 r'r r Owner Address: L g 6 K 2- 3 /'J 5 L city/state/zip: Blair, NE 68008 Phone # u 0 2 - 6 3 0 .__ L/ 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 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 Dog ❑ Cat Spayed/Neutered License Fee I 1, 0 5 Pet Name l ' o i^ Birt date - �' _ZSex IM (A l c Color i i-e- Breed** 6� o l�l e n Jo oj r Replacement $ Declared Dangerous or Potential) Dangerous Dog: ❑ Y ®' N MICROCHIP # � 5 I p ( a g1 1 iqEl f applicable SUJ TOTAL: $ 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) _ License Fee $ Replacement $ SUBT TAL: $ (1 yr) City Tag PET # ❑ 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 E C If you have questions, please contact Blair Police Department at (402) 426-4747 +++++++++++++++++++++++++++++++++++++++++++++++.++++++++++++¢++++++.+++++a-++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 151ate fee date notapplicable fornewpets/newres/dents) Newly Acquired Pets: New Residents to Blair: • Must be lioensed within 10 days of ownership m Must register pets within 10 days of • <OR> at 6 months of age if puppy/kitten residency. Client ID: Client Name: Address: Phone: Tag Number: Vaccine: Producer: Brand: Type: inner of Administration: 8679 Riley Fichter 290 N 23rd St Blair, NE 68008 (402)630-4873 6979 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: 12517 Orion Canine Goldendoodle Neutered Male golden 01 /15/2021 44.70 pounds on 4/7/2022 985141003919578 4/7/2022 417/2025 18528 9/15/2023 i�77, 1 ct" r- X. CITY OF BLAIR o 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 @ 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 RENEW /A DUE: March 15t 023 Owner Name: �` i rf Owner Address: 7 12 city/state/zip: Blair, NE 68008 Phone # 1i'19 Gl/;'Ca 61y 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 ,6" spayed/Ne tered License Fee $ Pet Name > > Birthdate a0i ex Color . Breed** Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y b-N / MICROCHIP # (If applicable" SUBTOTAL: $ RABIES VACCINATION DATE: 1�0 (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) _ 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 $ ❑N SUBTOTAL: $ (1 yr) City Tag # m 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 $ 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/new residents) Newly Acquired 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. ha,,� 1,)5-fo CITY OF BLAIR - 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 ® 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: _Gabrielle Fields/Andrew Forsman Owner Address: _2065 Washington St. City/State/Zip: Blair, NE 68008 Phone # 402-536-9622 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 $150.60 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 A Dog A Spayed/Neutered License Fee $_11.00 Pet Name_Waffles Birthdate _04/09/2011 Sex _Male Color _Cream Breed** _Soft Coated Wheaten Terrier Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y OkN MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: _02/15/202 (3 yr) _X_ (1 yr) roty Tan It PET # 2 13 Dog 04 Spayed/Neutered License Fee $_11.00 Pet Name —Maple Birthdate _07/30/2020 Sex _Female Color _Black Breed** _Labrador Mix Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y AN MICROCHIP # (If applicabl SUBTOTAL: $ RABIES VACCINATION DATE: _12/ /202 (3 yr) _X_ (1 yr) L'i PET #3 Dog MSpayed/Neutered License Fee $_11.00 Pet Name _Beignet Birthdate _02/1 2022 Sex _Male Color _White Breed** _Great Pyrenees Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y IAN MICROCHIP # (If applicable SUBTOTAL: $ RABIES VACCINATION DATE: _10/31/202J.__ (3 yr) (1 yr) _X *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 $ _33.00 If you have questions, please contact Blair Police Department at (402) 426-4747 ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15'l to enotapplicable for new petsnew Newly Acquired Pets: ew 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. E RABIESTAG# 113699- MICROCHIP #' Owner's Name & Address TELEPHONE #' Gabrielle Fields (402) 536-9622 Address `. 11404 Eim St Apt 9 City, State Omaha, NE Zip: 66144 Animal Name Waffles Weight Predominant Breed. 0 '' Terrier, Soft -Coated Wheaten a' Canine Age: 9 Yrs, 10 Mos. Markings. Sex: Neutered Male VACCINATION CERTIFICATE Date: OCT 31 22 Time: 11:41 ,B 1-YR. Manufacturer: Lot /;S/N: 18092a Discard Date: Patient Name: =e 44 E-Y-- NINE Species; CA 3reed: ,GREAT PYRENEES WHITE Color: Gender: IVI 2: None i the manufacturers 336 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 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 RENETALS ARE DUE: March 15. 2023 Owner Name: 17 Owner Address: &a 16 >l� 4�"AtCt city/state/zip: Blair, NE 6808 Phone # S/4 2 `-g3 9`V q19 6 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 lm #1 ❑ Dog ❑ Cat zSpayed/Neutered License Fee $ Pet Name 2 ® ea v a uF_ Bi hdate Sex 4C Color b/vn Breed** Replacement$ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y >6 N MICROCHIP # ALP (If applicable) SUBTOTAL: $ 3 - CityTag# RABIES VACCINATION DATE: (3 yr) (1 yr) PET #2 ❑ 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 # 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) Replacement $ * * SUBTOTAL:$ — City .. *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 E C $ I�Aogp If you have questions, please contact Blair Police bepartment at (402) 426-4747 ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++¢+++++++++++++.....+ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March15/ate fee date notapplicablefornewpet1newres/dents) Newt' Acquired 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/Idtten residency. Ol/14/2023 11:44 4024260101 HOLSTEIN VET CLINIC PAGE 01/03 2023 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN GLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT(S), COMPI_ETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF BLAIR 218 S. 116T" $T — 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 JD LICENSE YOUR PETS.THE CITY OF BLAIR REQUIRES PROOF OF RABIES VACCINATION. 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 LICENSERENEWALS ARE DUE BY 3115/2023 The olty shall recognize a microchip ID number as the license number. Ii shall be unlawful for any dog or oat to weer any license or other oity 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 (01R) at 6 months of age If puppy or kitten NEW RESIDENTS TO BLM Must register pets Within 10 days of residency Owner Name Jacob Flynn Spouse Maddie Kinnear Owner Address 2333 Elm Drive City/State/Zip Blair, NE 68008 Phone W 402-278.1878 Pet -Name: Zola Age; 4Y DOB:—11-25.18 Breed: Shlh Tzu Mix Microchip # Sex: Spayed Female AG NUMBER IF THIS IS A RENEWAL RABIES VACCINATION DONE ON 1 06-25-21 Tag #3238 Color: Rabies Tag # 19282 (IF AVAILABLE): 0 Rabies Description: 1 YEAR (( 3 Holstein Veterinary Clinic Dr. Lisa Schrum DVM : Dr. Krists Holstein DVM 718 South 191h Street Blair, NE,68008 402-426-7387 402-426-0101 Fax hoisteinclinic@gmail.com LICENS t EES Intact Dog or Cat: $16.00 /ter d Qq oat: $11,00 Replseement Tags $5.00 Total $A. PETS THAT ARg ON THE ACTIVE POTE1VVAGLY DAN6ER0 5 OR DANGEROU5 DOi3 LIST NEED TO REGISTER DIRECTLYAT CITYHALL. FAXED 01-14-23 sY ALL' ' : . ^r • ; : i.ui °} i 1+ :., �' u••• r:�f I:: i.•: ;,^.. ,.' �.o.i�, �:�� I,.,�. : ��I' . , n .: •..r 01/14/2023 11:44 4024260101 HOLSTEIN VET CLINIC PAGE 03/03 2023 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, WE 68008 YOU MAY LEGAL- y OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWI:WNG UNIT. —PLEASE READ CAREFULLY°°°' YUL1 ARE REQUIRED BY LAW Tt? LICENSE YOUI4 PETS THE Ci'rY OF BLAIR REQUIRES PftOOF OF RABIES VACCINATION. 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 jCQNSE RENEWALS ARE 1?UE BY 3/15/ 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 PE1 LICENSING Must bo licensed within 10 days of ownership (OR) at 6 months of age if puppy or kitten NEW REST#DENTS TO BLAIR Must register pets within 10 days of residency Owner Name 'F__ Jacob Flynn Spouse Maddle Kinnear Owner Address 2333 Elm Drive city/State/zip Blair, NE 88008 Phone # 402-278-1978 Pet Noma: Mila Age: 3Y Sex: Spayed Female Color: Black and White Dog: 01-18-19 Breed: Dalmatian Microchip # 985112006866644 Rables Tog # 17984 PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE): fi RABIES •VACCINATION DONE ON 1 05-30-20 Rabies Description: 1 YEAR /'( 3 YEA Holstein Veterinary Clinic Dr. Liss Schrum 9V114 : Dr, Krisra Holstein DVM 718 South 10th Street Blair, NE 68008 402-426-7387 402-426-0101 Fax hoisteinclinic@gmail.com LIKE . FFEES Intact Dog or Cat: $16.00 I red Dog cat: $ .00 Replacement Tag $5.00 Total $ PgTS THAT ARE Qq THE ACTIVE POTg.NTIALLY DANG11W_QS 0R DANGEROUS DOG UI T NEED TO Rr:Gl$ ER DIRELTLYAT CITY HALL, FAXED 01-14-23 SY F�AW'.�••: ZU-IG.'1:J5:'.,;�,. , 01/14/2023 11:44 4024260101 HOLSTEIN VET CLINIC PAGE 02/03 2023 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 MAIR — 218 S. 16m 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 CAREFULLYe°"* YOU ARE REQUIRED, Y LAW T LICENSE YOUR PFTS. TWE CTfY OF BL lR REOU PRO F RAVAC ` TION, 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 L CEIVSE RENEWALSE DUE 8Y 8/1Es/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 license or other city ID other than that issued by the City of Blair for such dog or cat - NEW PET LICENSI�Must be licensed within 10 days of ownership (0f1) at 0 months of age if puppy or kitten NEW RE NTS T IR Must register pets within 10 days of residency Owner Name Spouse owner Address City/State/Zip Phone'# Pest Name: MaV CO Age: 4Y DOB: —01-01-19 Breed: Dalmat'n/X Sex: Neutered Male WIcrochip # 956000011881332 TAD NUMBER IF THIS IS A RABIES -VACCINATION DONE ON 110-21-21 Rabies Descriptiiba; 1 YEAR Jacob Flynn Maddie Kinnear 2333 Elm Drive Blair, NE .6$008 402-278-1978 Tag #3240 _ Color,Block and Whit Holstein Veterinary Clinic Dr, Lfse Schrum PVM : Or. Kr/ste Holstein 0VM 718 South 19th Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinic@gmail.com Rabies Tag # 19571 AVAILABLE): # LICENSE FEES. Intact Dog or Cat: $16.00 ere�l Dog r r~at: $71.00 Replacement Tag $6.00 Total $ PETS TNA7 RE ON THE ACTIVE Pf?TENTIALLY DLAN EROU$ OR DANGEROUS dOG LIST NEEL7 TO REGISTER DIRECTLY AT CITY HALL. CITY OF BLAIR - 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 • 218 S 16th St a 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:^ v e w. Owner Address: .� j\a .?. ,. �; C e - city/state/zip: Blair, NE 68008 c. Phone # 0 6 � � �� 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 0 © Dog ❑ Cat b Spayed/Neutered License Fee $ fi Pet Name 6 f�, , Birthdate t =' 1° 1 '2 Sex ` Color Breed**Replacement $ - ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ® N MICROCHIP # 9 S S 11 g oo "3 -171 37 4, I (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: t I / 1112-( (3 yr) ✓ (1 yr) City Tag # ( * PET #2 Dog ❑ Cat hSpaylec�Neutered License Fee $ ' y Pet Name c%�.'�- Birthdai y"14 Sex Fe-j a. e-- Color Q a-ck{ � — Breed" NV>`mil, Replacement Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N , MICROCHIP # ` b II 2 ab 5 M 1(,7 3 (If applicable) SUBTOTAL: $ 0 RABIES VACCINATION DATE: H / 5?/2-� (3 yr) _i (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) _ ❑N (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 Mai/ TOTAL ENCLOSED $ If you have questions, please contact Blair Police Department at (402) 426-4747 ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15late fee date not applicable for newpety1new resident;) Newlx Aoquired Pets: New Residents to Blair: ■ Must be lbensed 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: Tag Number: Vaccine: Producer: Brand: Type: innerof 82 Jamie 8Craig Rdkero 912 20th Ave Circle Blair, NE 68008 (402)709-4809 6982 . |mnab Rabies Vaccine K0eho| |mnab3TF Killed Virus Subcutaneously Staff Name: David E.Johnson OVM License Number: 1893 Doctor Signature: Blair Small Animal Clinic PC David E.Johnson DVM 1734Front Street Blair, Nebraska, 68008 Rabies Certificate Patient |D: Patient Name Species: Breed: Color: Markings: Birthday: Weight: Microchip ID: Vaccination Date: Expiration Date: Lot Number: Drug Expiration Date 778 Sadie Bea Canine Mixed Breed Spayed Female Black &White 11/3O/2O14 15.U0pounds on4/8/2U22 985112005802673 40/2022 418/2025 18528 Client ID: Client Name: Address: Phone Tag Number: Vaccine: Producer: Brand: Type: anner of Administration: Staff Name: License Number: Doctor Signature: 82 Jamie & Craig Folkers 912 20th Ave Circle Blair, NE 68008 (402)709-4809 6624 Imrab Rabies Vaccine Merial Imrab 3 TF Killed Virus Subcutaneously David E. Johnson DVM 1893 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: 7578 Benny Canine Mixed Breed - Small Neutered Male Black & White 10/25/2012 21.62 pounds on 4/8/2022 985112003473761 11 /912021 II U9/2024 18513 2/24/2023 02/22/2923 15:29 4024269101 HOLSTEIN VET CLINIC PAGE U1.1U1 2023 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT($), COMPLETE -THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF BLAIR -- 210 S, 16TH ST - BLAIR, NE 6800E YOU MAY LEGALLY OWN A COMBINATION OF FLOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CAT$ PER RESIDENTIAL OR DWELLWG UNIT, ***PLEASE READ CAREFIJLLY**4 YOiJ QRE REQUIREb ray LAW YQ LICEN�iE Y(aUli PETS ThiE CITY OF BLAIR REQUIRES PROOF l7F RABIES 1lACCINATIfJN Failure to do so is a violation of City Ordinances 6.103 and carries a penalty pf a fine up to $150.00 per pet. }SET i,ICENSE ENEWALS ARE DUE BY $/�5/�(i2�. The city shall recognize a microohip ID nurhber 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 Wait for such dog or cat. NEW FEi LI SING Must be licensed within 10 days of ownership 03) at E rnonths' of age If puppy or kitten LAW RESIDENTS TC} BLAIR Must register pets within 10 days of residency Owner Name Michael Foisey Spouse � pally - - Owner Address 1564 Park S•traet city/State/Zip Blair, NB 80008 Phone # 531409-4052 Pet Name: Moxie Tag 1868 Age: 7Y Sex: Spayed Female Color: Salt and Pepper DOB, 08-27-15 Breed: Yorkie X Microchip # Rabies Tag # 2064E PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (kF AVAILABLE): # RABIES VACCINATION DONE ON 16-22 Rabies Description: 1 YEAR 3 YEAR • I Holstein Veterinary Clinic Dr. 41ve? Schrum DVM : Dr. K'rista Rohdein DVM 718 South 1911, Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinic@Ornail.com LICENSE FEES Intact Don or Cat: $1$.00 �Jtvred D g or oat: $11.00 Replacement Tag $5.00 Total $—Aj— PETS THFI T ARE ON THE ACTIVE P(2TENTlALLY QANGEROUS OR DAN�iEf{C1U5 D06 ll�Sy"NEED TO R�t;lSTER IJIRE�YAT CITY J-lALL, FAXED 102-22-23 CITY OF BLAIR ® 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 pyable to: City of Blair a 218 S 16th St a 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: PIZLEr Y Owner Address: i r city/state/zip: Blair, NE 68008 Phone # L° b � , L) " 2 _i . 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 E3 Spayed/Neutered License Fee $ Pet Name or'� Birthdate 1ZZ/i Sex 6 Color W tow Breed** Lo,12, Replacement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y ® N MICROCHIP # 92S 112. 06 Z 4AL 4 2, i (If applicable) SUBTOTAL: $ . RABIES VACCINATION DATE: i613/2:a (3 yr) (1 yr) City Tag # ** PET #2 Ell Dog ❑ Cat ❑. Spayed/Neutered License Fee 11_ Pet Name fr Birthdate Sex Color ` , Breed** Imo, % c Rep/acement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y LI N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) ✓' City Tag # 4-1 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) _ ❑N 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 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 (Maxh15/ate fee date notapplicablefornewpets/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/Idtten residency. CITY OF BLAIR ® 2023 PETLICENSE 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, 2023 Owner Name: G lv-rAcyi(-V � _ Owner Address: S,- 5k— city/state/zip: Blair, NE 68008 Phone # /-/6A- *.;t_ 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. 9 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 # Dog ❑Cat Spayed/Neutered License Fee $ --�-1- Pet Name'�ktoA1 Birthdate Sex tc FtrrQ�v Color Luck_ Breed** Replacement$ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y WN MICROCHIP # 9!�, 0oto,a2-'t,�911, (If applicable) / SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) V (1 yr) City Tag # ILILL 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) _ 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) _ M 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 $ 11- 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. CERTIFICATE OF VACCINATION Date of Rabies Vaccination: 10-13-22 Next Rabies Vaccination On: 10-12-25 VETERINARY CLINIC Holstein Vet Clinic 718 South 19th Street Blair, NE 68008 402-426-7387 Certificate No: 0 Previous Rabies Vaccination: OWNER OF ANIMAL Whitney Frederick 622 N 21 st St. Blair, NE 68008 County: This is to certify... THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Remi TAG NO: 20711 SPECIES: Canine WEIGHT: 49.90 SEX: S AGE: 16 months Color and markings... Black Signed Krista Holstein , DVM Rabies Vaccine Information... License: 3612 MFG BY: ZOETI SER.NO: 543936 LOT EXP: 03/07/23 ADM: SQ ' �C CITY OF BLAIR - 2023 PET LICE I , 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 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: (''n (' Owner Address: OZriZ �' "V'o I/ l"e-w City/State/Zip: Blair, NE 68008 Phone # ` L) 2 - �oo e ._. S-�V LYD 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. Replac meat Fee l°or 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 9 Spayed Neutered License Fee $ Pet Name 6e lk Birthdate 11Sex ** Color t3lac.h �h; re Ti arced s�,r. ��,, �,�/ �,��., /�r, Replacement $ Declared Dangerous or Potentially Dangerous Dog:�❑ Y 51 N MICROCHIP # (If applicable) SUBTOTAL: $'�� RABIES VACCINATION DATE: ;ZOZ, (3 yr) (1 yr) City Tag # 2 PET #2 p Dog ❑ Cat ❑ Spayed/Neutered License Fee $ & pU Pet Name 2&ks Birthdate I�Oxt Sex 1-11 Color cry 5�ers Breed** 61,M'54 11., e-r Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ® N MICROCHIP # (If applicable) SUBTOTAL: $ /&, 00 RABIES VACCINATION DATE: /.- `T .o 2 _7 (3 yr) (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 ENCLOSED $ 3z,Cr� If you have questions, please contact Blair Police Department at (402) 426-4747 ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March ISlate fee date notapplicable fornewpets/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. APPLICATION11k,U,j p to t V, CITY OF BLAIR - 2023 PET LICENSE 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: 6jan L Owner Address: ) <---) w city/state/zip: Blair, NE 68008 Phone # 7I 7 — Z" - 3 ` / 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 renuireroof of rabies vaccination to be submitted with your license aDDlication. 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 Dog ❑ Cat Spayed/N utered License Fee $_ Pet Name ,�fn(jId Birt ate ''Sex Uyl�;�, ** Color 0 �n Breed** Replacement $ Declared Dangerous or Potentially Dangerous g: ❑ Y MICROCHIP # (If applicable) SUBTOTAL: $ I_ RABIES VACCINATION DATE: uce. (3 yr)�Z.a (1 yr) City Tag # ; `3 l 50 _— — d ... ,7 w9 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) _ ■W License Fee $ Rep/acement$ ** 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.) ate%' 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 I5/ate fee date notappllcable fornewpets/newres/dents) 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.