Loading...
GCITY OF BLAIR - 2023 PET LICENSE APPLICATION 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 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: Thomas & Katherine Gattone Owner Address: 1461 Mount Hope Cir City/State/zip: Blair, NE 68008 Phone # 425-877-402 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 reauires 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 00 Dog ❑ Cat ❑ Spayed/Neutered License Fee $ 11.00 Pet Name Ripley Birthdate 11/2014 Sex Female Color !lAblek GrP.AL— Breed** Husky Replacement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y 00 N MICROCHIP # 982000365522603 (If applicable) SUBTOTAL: $ 11.00 RABIES VACCINATION DATE: 9/1/22 (3 yr) X (1 yr) City Tag # A l I PET #2 ® Dog ❑ Cat ❑ Spayed/Neutered License Fee $ 11.00 Pet Name Kato Birthdate 2/2/15 Sex Male Color brown & red Breed** Cattle dog Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y LN N MICROCHIP # 982000365622258 (If applicable) SUBTOTAL: $ 11.00 RABIES VACCINATION DATE: 9/1/22 (3 yr) X (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 $ 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 $ 22.00 If you have questions, please contact Blair Police Department at (402) 426-4747 ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ NEW PEP/NEW RESIDENT LICENSING REQUIREMENTS(Maroh15late fee date notappllcablefor newpels/newre9dents) Newly Acauired Pets: New Residents to Blair: s Must be liamsed within 10 days of aAmship ■ Must regisber pets within 10 days of ■ <OR> at 6 months of age if puppy/kftben residency. ClientlD: 19184 Client Name(s): Thomas Gattone Kelly Gattone Address: 13206 208th Dr SE Monroe, WA 98272 Phone: (206) 276-7610 i w ANIMAL CLINIC www.cascadeanimalcMc.com 121 South Ferry Street Monroe, WA 98272 (360) 794-6772 Rabies Certificate Patient ID: Name: Species: Breed: Sex: Color: Markings: Birthday: Weight: Microchip: 2665 Kato Canine Australian Cattle Dog Mix Neutered Male 2/2/2015 57.4 982000365622258 Tag Number: 22-001424 Vaccination 9/1/2022 Date: Lot Number: 566318 Expiration 9/1/2025 Date: Rabies Vaccine: Defensor 3 Producer: Zoetis I< / MLV / R: Killed Virus Doctor Name: Catherine G. Clemmens 0 License Number: VT 61315586 Client ID: 19184 Client Name(s): Thomas Gattone Kelly Gattone Address: 13206 208th Dr SE Monroe, WA 98272 Phone: (206) 276-7610 Tag Number: 22-00'4" .I Lot Number: 55 1 Rabies Vaccine: Defensu: Producer: Zoetis K / MLV / R: Killed Virus Doctor Name: Catherine G. Clemmens 4 y ANIMAL CLINIC www.cascadeanimaklinic.com 121 South Ferry Street Monroe, WA 98272 (360) 794-6772 Rabies Certificate Patient ID: 3186 Name: Ripley Species: Canine Breed: Siberian Husky Mix Sex: Spayed Female Color: Grey/white Markings: Birthday: 11 / 10/ 2014 Weight: 57.6 Microchip: 982000365522603 Vaccination 9/1/2022 Date: Expiration 9/1/2025 Date: License Number: VT 61315586 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 9 Blair, NE 6800 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: S , City/state/zip: Blair, NE 68008 Phone # I J ()- - ..�) _ c 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 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 ❑ Spayed/Neutered _ License Fee $ Pet Name ) , . Birthdate S, Color Breed** <> � L Replacement $ ** Declare` Dangerous or Potentially Dangerous Dog: ❑ Y N MICROCHIP # c `" '� "` � i 0 , r:� i ;�. f ,� � (��� �l I (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: - ,1 _ (3 yr) (1 yr) City Tag # PET #2 bi Dog ❑ Cat P`Spayed/Neutered — R License Fee $ Pet Name Birthdate _ l Sex Color \ \ a t V Breed** � I JC Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y P N -� t, MICROCHIP # () rF d (:> o �A (If applicable) SUBTOTAL: $ t _ RABIES VACCINATION DATE: I -- I I (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) _ 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 15late fee date not applicable for newpets/newre5idents) Newly Acquired Pets: New Residents to Blair: • Must be licensed 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: 4514 Sara Getty 2238 Jackson Street Blair, NE 68008 (402)237-9886 6218 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 Patient ID: Patient Name: Species: Breed: Sex: Color: Markings: Birthday: Weight: Microchip ID: Vaccination Date: Expiration Date: Lot Number: Drug Expiration Date: ,6607 Sammy Canine German Shorthair Pnt Spayed Female Roan 04/09/2013 44.90 pounds on 11/15/2022 OA02004845 1 /11 /2021 1 /11 /2024 18473 7/3/2021 Client ID: Client Name Address: Phone Tag Number: Vaccine: Producer: Brand: Type: anner of Administration: Staff Name: License Number: Doctor Signature: 4514 Sara Getty 2238 Jackson Street Blair, NE 68008 (402)237-9886 7144 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: 12650 Cooper Canine Golden Retriever Female Gold 03/26/2021 62.00 pounds on 11/15/2022 985112012026091 7/25/2022 7/26/2025 18535 11/17/2023 Mar 22 23 08;40a P.1 If you live in Blair City limits and own a dog(5) and/or cat(s), complete this forth and return with check made payable to: City of Blair • 218 S 16th St • Blain 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 }'�`� �'�L fti,:?� Dorene Gee Owner Address: 2151Crestrid e Dr �- City/state/Zip: Blair, NE 68�C18 Phone# )\�'-.r\ `Z"- ` 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, P LICENSES RENEWALS ARE DUE BY alIS/2023. The City shall recognize a microchip identification number as the license number. it shall be unf2wful 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 Dispection Program PET # 1 , Dog ❑ Cat ❑ Spayed/Neutered License Fee $ l r .Ck'j\ Pet Nag e �;x Birthdate \i 12- Seat �.� a� L Color Y �>. �� ' 'u �r�E'. 'Breed** Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y TN MICROCHIP # — (If applicable) SUBTOTAL: $ IO4 RABIES VACCINATION DATE: . J ,L -1 (3 yr) (I yr) `i, City Tag �# 4067 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) (I yr) License Fee $ Replacement $ * * SUBTOTAL: $ City Tag # License Fee $ Replacement $ __ ❑N SUBTOTAL: $ (I yr) City 'Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL *,,(-Tpi9ffe`e 1s d"ong with License Fee if requesting at the time of license renewal.) Do Not Send Cash by Mail TOTAL ENCLOSED $ Vu,- J 0 you4idve questions, please contact Blair Police Department at (402) 426-4747 ...... *++.*++t.++ t++++.t+................++*.+t.+++........................... NEW PET/NEW RESIDENT LICENSING REQUIREMENTS(Ma/015late fee date notapplicallofor nex,pets/rrewresidents) NewlyAcciuired pets: NW lies dents to Blair: ■ Mast be lnxised wiihh 10 days of owrlersNp ■ Must register pets within 10 days of ■ <OR> at6 months of age if puppy/fatten residency. ® 2023 PET LICENSE APPLICATION le CITY OF BLAIR 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 paya x ` City of Blair e 218 S 16th St e Blair, NE 6800 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: 3 ® 0li6r city/state/zip: Blair, NE 68008 Phone # `-/n .. ` lir, 60 - .r�C"R/ 191 LICENSE FEES: Dog or Cat: $16.00 Altered Do 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 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 anDlication. g epiac amen! Fee for Losti —lag ' $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET # Dog ❑ Cat �9.Spayed/Neutered License Fee $ �� p Pet Name Joe- ' <7:) Birthdate Sex Color Breed** ,� 41Aril.lu' Replacement$ ** DeclarA Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # �:�/� `s't''j (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: 1 s1 `'.o)93 (3 yr) X (1 yr) City Tag # _ 'rls_* ET #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) _ T #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.) r. 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/newre5ldenty) 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. Client ID: Client Name: Address: I91'M Tag Number: Vaccine: Producer: Brand: T,cpe: ..,anner of Administration: 4481 Susan & Steve Geise 2731 Colege Dr Blair, NE 68008 (402)650-4649 7541 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 Patient ID: Patient Name Species: Breed: Sex: Color: Markings: Birthday: Weight: Microchip ID: Vaccination Date: Expiration Date: Lot Number: Drug Expiration Date: 13164 Rock-o Canine Labrador Retriever Neutered Male Buff 09/19/2021 61.00 pounds on 3/28/2022 985141004842456 1 /31 /2023 1131/2026 18535 11 /17/2023 Feb 23 23 03:49p p,1 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 madetpa ble 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 —� ***PLEASE READ CAREFULLY*** Owner Name; {-� 4 �f tt q- YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Owner Address: �J �O 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. Cityfstate,/zip: Blair, NE 680i08� �7 Phone # 4 "' L, �/ r' PET LICENSES RENEWALS ARE DUEBY 31IS120". Tile City shall recognize a mlcrochip identification number as the license number, It shall be unlawful for any dog or cat to wear any license or other city IdentificatlOn other than that Issued by the City of Blair for such dog or LICENSE FEES' Dog or Cat: $16.00 cat. The City of Blair requires proof of rabies vaccination to Altered Dog or Cat: $11.00 be submitted with your license application Replacement Free 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 Do ❑ Ca 9 spa d License Fee $ Pet Na Irthdate , exAll Color 1 Breed** Replacement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y ill N MICROCHIP # (If applicable),SUBTOTAL: $_ RABIES VACCINATION DATE: (3 yr) (I yr) City Tag # 2243 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 NUMBERIF 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 +++td,+++++.....+....+++*+-h.+++...........+...... ..................... ....... NEW PET/NEW' RESIDENT LICENSING REQUIREMENTS (Afwo� 15127te kv date notappllca le It vnewpeis/newresidenis) Newly Acquired PeitsL New Residents to Blair: ■ Must be liorlsed within 10 days of ownership ■ Must reglAer pets within 10 days of ■ <OR> at 6 months of age If puppWatten residency, CITY OF BLAIR - 2023 PEW 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 paya 1, 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 23 Owner Name: 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 Citv of Blair reauires 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 tD fund the Nebraska Dog & Cat OperatDr Inspection Program PET # 1 Lf Dog ❑ Cat ❑ Spayed/Neutered License Fee $ ;Th Pet Name b'�,00kl Birthdate Sex , 0vv)i tc' Color i Breed** �~ o '��' ;�..y �r. Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y 0"'N MICROCHIP # `I a '), ( (If applicable) SUBTOTAL: $ it RABIES VACCINATIONe DATE: 1 r ) (3 yr V (1 yr) City Tag #" PET #2 ❑ Dog 0 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) _ ❑N (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 Mai/ TOTAL ENCLOSED $f If you have questions, please contact Blair Police Department at (402) 426-4747 ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (Maroh 15/ate fee date notapp/icabie fornewpeWnewtesident!) Newly Acquired Pets: New Residents to Blair: ■ Must be kensed within 10 days of ownership ■ Must register pets wthin 10 days of ■ <OR> at 6 months of age if puppy/khen residency. Date of Rabies Vaccination: 12-22-21 Next Rabies Vaccination On: 12-21-24 VETERINARY CLINIC Holstein Vet Clinic 718 South 19th Street Blair, NE 68008 402-426-7387 Certificate No: 0 Previous Rabies Vaccination: 14485 OWNER OF ANIMAL Marsha Gilliland 555 N 16th Blair, NE 68008 County: This is to certify... THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Maggie TAG NO: 19688 SPECIES: Canine WEI�CI- t: 1 ,80 SEX: S AGE::12 years Color and markings... White/Gray Signed Krista Holstein , DVM License: 3612 Rabies Vaccine Information... MFG BY: ZOETI SER.NO: 500084 LOT EXP: 08/09/22 ADM: SQ I LICENSE APPLICATION 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 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 AR DUE: March 15 2023 Owner Name: Owner Address: to, l city/state/zip: Blair, NE 68008 �/ Phone # Vd ®15) 13 f 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 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 $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET # 1 ❑ Dog Cat Spayed/Ne terecl j License Fee Pet Nam Birthdate /o i a ex 1 Color 5 Breed** Rep/acement$ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y N MICROCHIP # 910 9a a/ lSl (Ifapplicable) SUBTOTAL: $ RABIES VACCINATION DATE: r) (1 yr) City Tag # ®ov !L/ 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 $ Rep/acement $ SUBTOTAL: $ 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 's due along with License Fee if requesting at the time of license renewal.) r Do Not Send Cash by Mail TOTAL ENCLOSED olice De artment at 402 426-4747 If you have questions, please contact Blair P p ( ) ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15/ate fee date notapplicable fornewpeis/newres/dents) 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. Client ID: Client Name: Address: I111170M Tag Number: Vaccine: Producer: Brand: Type: inner of Administration: 5428 Tim & Jeanne Gentzler 806 N 13th St Blair, NE 68008 (402)533-3128 000 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 4576 Cinnamon Feline Domestic Longhair Spayed Female Tortoise Shell 10/06/2010 8.18 pounds on 9/13/2022 3/18/2022 3/18/2024 18526 5/20/2023 02/10/2023 15:57 4024260101 HOLSTEIN VET CLINIC PAGE 01/01 2023 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF BLAIR APO IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A 00(30 AND lOR CAT(S), COMPLETE THIS F013M AND RETURN WITH A CHECK PAYABLE TO: CITY OF BLAIR - 218 S, 16" ST - BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR 14) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS KII RESIDENTIAL OR DVVI"LLiNG UNIT. #9"PLEASE READ CAREFULLY"' YOU ARE RgQUiRED BY 1.AW TO LICENSE YCi�IR RI:TS TH Ty of BIAIR FtECIUIgER PROOF OF IiA)�IES VA�CCiNA71C�Ns Failure to do so i5 a violation of City Ordinances 6,103 and carrit3s a penalty of a fine up to $150,00 per pet, PET LIG"fj1f8E RENEWALS ARE DUE RY 3![Q(,�Q7�. -The city shall recognize a microchip ID number as the license number, it shall be unlEtwful for any (Jog or oat to wear any license or other city ID ether than that issued by the City of glair for such dog or NW PET LICENSI V(_G Must be licensed within 10 clays of ownership (OR) at 0 months of age if puppy or kitten NEW RESIbENTS TO BLAI Must register pets within 10 days of residency Owner Name Jennifer Liebe Spouse Jesse Basch Owner Address 1140 Park St city/state/zip Blair, N1= 68008 Phone # 402-237-9613 Pet Name:N Freckles Tad #'251 Age: 4V DOB: 07-21.18 Sep; Neutered Mate Color; White Breed: Terrier X, Microchip # Rabies Tag # 18844 PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVA(LABLE): # RABIES VACCINATION CLONE ON 01-26-21 Rabies Description; 1 YEAR YEAR Holstein Veterinary Clinic Dr: Lisa ,Schrum DVM : Or Kriste Holstein DVM 718 South 191h Street Blair, NE 68008 402-426-7887 402-426-0101 Fax holsteinclinic@gmall.com LICENSE FED /ntaCt Dog or Cat: $16.00 Dog r cat: $1 .00 Replacement 7'ay $5.00 Total $ —I — PETS THAT ARE ON TH,- ACTIVE PQTENTIALQ' DANGER- _.- QR DANGEROUS D09 ll$T NEED TD REGISTER DIRECTLYAT CITY HALL FAXED 02-10-2 BY "V� /C* k �2' CITY OF BLAIR - 2023 PEW 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 Y u 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. t ( LICENSE RENEWALS ARE DUE: March 15, 2023 Owner Name: l�l�CI i a C .i> 7( cJ� <� Owner Address: L t3 f city/state/zip: Blair, NE 68008 Phone # t t,-) J� 0 7 LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11.00 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_reauires 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 # Dog ❑ Cat4Stpad/ ed License Fee $Pet Name Y _ Biy euter o Sex Lh Color Breed** t Replacement $ ** Declared bang rous or Potentially Dangerous Dog: ❑ Y N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # 41 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 May TOTAL ENCLOSED $ If you have questions, please contact Blair Police Department at (402) 426-4747 ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (Mardi 15late fee date not applicable fnrnewpets/new residents) Newly Acquired Pets: New Residents to Blair: ■ Must be lioer6ed within 10 days of ownership ■ Must register pets within 10 days of ■ <OR> at 6 months of age if puppy/kitten residency. RECEIPT Omaha Pet Vaccination Clinic 2911 S. 120th St. Omaha, NE 68144 402-443-2006 OMAHA PET VACCINATION CLINIC - 84th & H - Omaha, NE (402) 443-2006 Printed: 01-21-23 at 9:20a FOR: Maycee Godfrey Date: 01-21-23 1761 Park St Folder: 0 Blair, NE 68008 Invoice: 18017685 (402) 237-7086 Date For City Description Net Price 01-21-23 Charlie 1 Canine Rabies Vaccination, 3Y 28.00 01-21-23 1 Canine DA2PP + Lepto Vaccination 1Y 34.00 01-21-23 Visa payment -62.00 Old balance Charges Payments New balance 0.00 62.00 62.00 0.00 Reminders for: Charlie (Weight: 27.0 Ibs - 23m) Last done 01/26 Canine Rabies Vaccination, 3 Y 01-21-23 01/24 Distemper+ Leptospirosis Vacc 01-21-23 02/23 Canine Leptospirosis Vaccinati 02-05-22 Doctor's Instructions Canine Rabies Vaccination, 3Y A transient local reaction may occur at the injection site following subcutaneous administration. In rare instances, administration of vaccines will cause lethargy, fever, and inflammatory or hypersensitivity types of reactions. If you notice any other these reactions, consult your veterinarian as soon as possible. Omaha Pet Vaccination Clinic 84th & H Omaha, NE (402) 443-2006 www.OmahaPetVaccinationClinic.com CERTIFICATE OF VACCINATION Ad Date of Rabies Vaccination: 11-30-22 Next Rabies Vaccination On: 11-29-25 VETERINARY CLINIC Thone Animal Hospital 902 S Hwy 30 Blair, NE 68008 402-426-3630 This is to certify... Certificate No: 2941 Previous Rabies Vaccination: OWNER OF ANIMAL Britni Gothier 2304 Nebraska St Blair, NE 68008 County: THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Sid TAG NO: 008519 SPECIES: Canine WEIGHT: 46.00 SEX: N AGE: 21 months Color and markings... Signed Dr.Kamala Freeman Vaccinations done... License: 3894 11-30-22 KF Rabies Vaccination (3 Year), #008519 11-29-25 11-30-22 KF DA2PPV 3yr 11-29-25 09-07-21 JRD Rabies Vaccination (1.Year), #007089 09-07-21 JRD DA2PPV 08-24-21 RXC Bordetella Oral Rabies Vaccine Information... MFG BY: ZOETI SER.NO: 583359 LOT EXP: 9-26-23 ADM: SQ CERTIFICATE OF VACCINATION Date of Rabies Vaccination: 03-26-21 Next Rabies Vaccination On: 03-25-24 VETERINARY CLINIC Thone Animal Hospital 902 S Hwy 30 Blair, NE 68008 402-426-3630 This is to certify... Certificate No: 2440 Previous Rabies Vaccination: OWNER OF ANIMAL Britni Gothier 2304 Nebraska St Blair, NE 68008 County: THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Tim SPECIES: Canine SEX: N Color and markings... Bk Tig/Org Signed Dr. Joe DiMari Vaccinations done... 6� y TAG NO: 006573 WEIGHT: 62.00 AGE: 3 years License: 3258 03-31-22 JRD DA2PPV 3yr 03-30-25 03-31-22 JRD Bordetella Oral 03-31-23 03-26-21 JRD Rabies Vaccination (3 Year), #006573 03-25-24 03-26-21 JRD DA2PPV 03-26-21 JRD Bordetella Injectable 03-31-23 07-29-20 KF Rabies Vaccination (I Year), #005972 Rabies Vaccine Information... MFG BY: ZOETI SER.NO: 446459 If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made*- able to: MR City Of Blair 9 218 S 16th St e Blair,, NE 608 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: 61'16� ' 0 Owner Address: W U5 nS 2-?.>'Y�t city/state/zip: Blair, NE 68008 Phone # LL6 Z-- 5-3-3 Zvi of % 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 anPlication. Replacement Fee for Lost rag: $5.OU Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program D o ❑ Cat U(Spayed Neutered License Fee $ f I , 00 Pet Names � i - Birthdate � Zolu Sex AAa, [ ?- Color !-� V6 u n Breed** Replacement $ * * Declared Dangerous or Potentially Dangerou Dog: ❑ Y �( N MICROCHIP # U 3 "5 4 1 (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: 3(ty 1 u L3 (3 yr) w� (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 $ E ❑ 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 Q If you have questions, please contact Blair Police Department at (402) 426-4747 ....r..............++++++++++++++++++++++++++++++++++++.....++++++++++++..... NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15/ate fee date not applicable iornewpets/newresidenis) Newly Acquired Pets: New Residents to Blair: • Must be licensed within 10 days of ownership 0 Must register pets within 10 days of • <OR> at 6 months of age W puppy/kitten residency. 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,". 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 RENEWALS ARE DUE: March 15,202 Owner Name:J, Owner Address: City/State/Zip: Blair, NE 6800 E t 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 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 renuires proof of rabies vaccination to be submitted with your license application. Replacement Fee for Lost Tag: $S.UU Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET #1 Dog ❑ Cat Spayed/Neutered N! License Fee $ � Pet N me , t..�".ti Birthdate i ItieX` Color A��_ I I Breed** Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y N MICROCHIP # 7 8, i 6 6 0 l 5 -� 1 57 (If applicable) , SUBTOTAL: $ RABIES VACCINATION DATE. (3 yr) (1 yr) City Tag #~ TTo 4-t�.i -1 S i PET #2❑ Dog ❑ Cat ❑ Spayed06utered License Fee $ i 4 Pet Name Birthdate h°" � ` A Color �)\<,, _ c v Breed** Replacement$ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y J N MICROCHIP VACCINATION # 5i I t� d�. ! (If applicable) SUBTOTAL: $ ON DATE: I° e , (3 yr) (1 yr) City Tag # t'�'r f4 � "C i t 9 ` PET # . _. ❑ Dog Cat ❑ Spayed/Neutered Pet NameBirthdate Sex Color Breed** Declared Dangerous or Po Dangerous Dog: ❑ Y tia MICROCHIP # (If applicable) RABIES VACCINATION DA (3 yr) _ W i <` ' `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 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 notappllcable fornewpets/new residents) 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. Patient, Vaccination Records Mar 17, 2023 at 2:56:04 PM jogute@icloud.com Created on Mar 17, 2023 Vaccination Records Narne:BUDDY Species: Dog Broad- Sheltle Gender: Neutered DOB- 10/22/2016 Age: 6 Weight: 53.5lbs Microchip #: i981020015938157 Rabies Tag #: 000150 Bordetella 1 year Feb 28, 2023 Heartworm Test Vetscan In hous Feb 28, 2023 Client: Jorls Gutowski 63-8N.-I.4thAve Qlpir,._NF 68.008 Lepto - Cgip Vex (4 Way) Feb 28, 2023 Biannual Exam May 12, 2023 Rabies - 3Yr Feb 12,20124 I Dhp-Parvo(No Lepto) Adult 3Yr I Feb2.7, 2025 �A PetDesk ti. "..,, : ,{ 1,I�SVaccination Records . Mar 17, 2023 at 2:43:05 PM jogute@icloud.com Patient: Created on Mar 17, 2023 Vaccination Records Client: Narne: BEAR Joris Gutowski Species: Dog 638 N.__1.4th Ave Breed: Bernese Mountain Dog Blair, NE 680.08 Mix Gender: Neutered DOB- 8/23/2018 Age: 4 Weight: 97.51bs Microchip #: 985112010441.109 Rabies Tag #: 001119 Intestinal Parasite Test Centr ( Feb 20, 2023 1 Bordetella Inj. 1 Yr Feb 28, 2023 Lepto - Cgip Vax (4 Way) Feb 28, 2023 Heartworm Test Vetscan In hous Mar 2, 2023 Biannual Exam May,12, 2023 Dhp-Parvo(No Lepto) Adult 3Yr Feb 12, 202.4 Rabies - 3Yr Nov 10,.2025 i � ALL CREATURE CITY OF BLAIR ® 2023 PET LICENSE APPLICATION 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 e 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: i n �' t � l("f )t) Owner Address:..IF. 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 & Cat Operator Inspection Program Dog ❑ Cat ❑ Spayed/Neutered License Fee $ ). Pet Na a Birthdate " - " Sex Color l Breed** der" iF,rSE r Rep/acement$ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y LO N I MCI BVACCINATION (If applicable),,, SUBTOTAL: $ � � �° N DATE: �_ ~ In =r 0 (3 yr) -L�— (1 yr) City Tag # 2 6,X * ET # -_ ❑ Doc' ❑ Cat ❑ Spay `d/Neutered License Fee Pet Name `� Birthdate Sex Color (A° e/ V'i t i . Breed** Rep/acement $ * * Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # Jib i (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: ° l) I (3 yr) _ (1 yr) City Tag # PET #3❑ DolW Cat ❑ Spayed/Neutered License Fee $ I ) Pet Name; I ��S ` � "I 7 Uift date q al -/ hex Color Breed **k'Icy�P A Replacement $ ** Declared Dange olds 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 Mate fee date notappllcable fornewpeis/newresidents) Newly Aiguired 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. nt ID 1051 Phone: Reminder Letter Report Sorted by Client ID Client Name Patient ID Patient Name Item ID/Description Gibbs, Ronald & Ruth (402) 533-9939 11939 Miss McGonagall 100 Rhino-Calici-Flu-PanLeu-Annual 84 Rabies Vaccination - Feline 3 year 3333 Rascal 100 Rhino-Calici-Flu-PanLeu-Annual 84 Rabies Vaccination - Feline 3 year 8825 Rowdy INTRA Oral Bordetella/Parainfluenza 86 Distemper/Parvo DAPP-Annual 151 Heartworm Test - Snap RT 82 Rabies Vaccination - Canine Syr Type Date L 4/13/2023 L 4/14/2023 L 3/5/2023 L 3/5/2024 L 2/4/2023 L 2/4/2023 L 2/4/2023 L 2/15/2023 Blair Small Animal Clinic PC Page 1 of 1 Date: 1/17/2023 /.)0Id %S/ CITY OF BLAIR - 2022 PET LICENSE APPLICATION 4- 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, 2022 Owner Name: Owner Address: 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 3/15/2022. 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 Flee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Prograr PET # 1 ❑Dog ❑ Cat Spayed/Neutered License Fee $ Pet Name° Birthdate Sex a " Color Replacement$ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y 0 N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: _ (3 yr) (1 yr) ,f;; 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) _ M (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 byMa;f TOTAL ENCLOSED $ If you have questions, please contact Blair Police Department at (402) 426-4747 ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (Mard715late fee date not applicable for new pets/new residents) Newly Acquired Pets: New Residents to Blair: ■ Must be lioansed whin 10 days of ownership ■ Must register pets within 10 days of ■ <OR> at 6 months of age if puppy/kitten residency. Blair Small Animal Clinic PC DovidE. JohmmoOvM 17u4Front Street Blair, Nebraska, 68000 (*02)533-2722 Nbnteesa Munoz 1344Skyline Or Blair, NEG8OO8 Client ID: 8824 Invoice #: 171405 Date: 1/3/2023 Patient ID: 14046 Weight: 70.00 pounds Patient Name: Rk. Birthday: 12/20/2018 Species: Canine Sex: Neutered Male Breed: Mixed Breed Description 1/3/2023 HeodmmnnTeot-QnopRT Emam|nation-VVeUnaas LaotoeponuoiaVaccination annual Diotempar/pon/oOAPP+Annuo| [)na| Bondohe||o/Pona|nf|uenza Rabies Vaccination -Canine 1yr Microchip Implant & Enrollment Reminder O103/2024 O103/2O26 HearbwonnTeo -GnopRT {]na|Bovdoba|la/PooainOuenzo Rabies Vaccination - Canine 3yr Lephooponoe|oVaccination annual Distemper/ PamoDAPP-3year Staff Name Quantity Total David E.Johnson DVM 1.00 $38.00 1.00 $30.00 1.00 $30.00 1.00 $40.00 1.00 $35.00 1.00 $30.00 1.00 $50.00T Patient Subtotal: 8253.00 Invoice Total: $253.00 default Tax Rate: $3.50 Total: $256.50 Balance Due: $258.50 Previous Balance: 00.00 Balance Due: $258.50 VISA Card Number: ... XXXX722S: Less Payment: ($256.50) Balance Due: $0.00 Order your pets supplies online now through our websue www.bialrsmalIanlmalclInlc.vetsfirstchoice.com For questions contact Blair Small Animal Clinic PC Client ID: Client Name: Address: Phone: Tag Number: Vaccine: Producer: Brand: Type: )nner of Administration: Staff Name: License Number: Doctor Signature: 8924 Montessa Munoz 1244 Skyline Dr Blair, NE 68008 (402)224-0583 7339 Imrab Rabies Vaccine Merial Imrab 3 TF Killed Virus Subcutaneously David E. Johnson DVM 1893 David E. Johnson DVM 1734 Front Street Blair, Nebraska, 68008 (402) 533-2722 Rabies Certificate Patient ID: 14046 Patient Name: Ryr Species: ''Canine Breed: Mixed Breed Sex: Neutered Male Color: White Markings: Brown Spots Birthday: 12/20/2018 Weight: 70.00 pounds on 1/3/2023 Microchip ID: Vaccination Date: 1/3/2023 Expiration Date: 1I3/2024 Lot Number: 18535 Drug Expiration Date: 11/17/2023 CITY OF BLAIR - 2023 PET LICENSE APPLICATION V* Lk -')- 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 9 218 S 16th St e Blair, NE 68008A 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: `� �ur2 -►'t.� Owner Address: city/state/zip: Blair, NE 68008 Phone # LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11.00 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�leLicense Fee Pet Name Birthdate r Sex Color ^� Breed** L�i�►�cl 1 and Replacement $ Declare Dangerous or Potentially Dangerous Dog: ❑ Y !tN MICROCHIP # (If applicable) SUJ TOTAL: $ T-6 RABIES VACCINATION DATE: (3 yr) 74(1 yr) City Tag # , ET #2 I111 Dog ❑ Cat a Spayed/ eut License Fee n Pet Name Birthdate Sex ** Color Breed** Rep/acement $ Declared ang ous or Potentially Dangerous Dog: LY Y CYN MICROCHIP # (If applicable) Sl! TOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # ❑ Dog ❑ Cat ❑ Spayed/Neut Pet Name Birthdate Color Breed** Declared Dangerous or Potentially Dangerous Dog: MICROCHIP # (If appli RABIES VACCINATION DATE: (3 License Fee $ Replacement $ ❑Y abl SUIBTOTAL: $ r ( 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 ***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 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. I � 3yl If you have questions, please contact Blair Police Department at (402) 426-4747 +++++++++a.+.++++.....+.++.+.....++++++++++++++¢+++++++++++++++++++++++++++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March15/ate fee date notapplicablefornewpets/newre5ldents) Newly Acquired Pets: New Residents to Blair: • Must be licensed Wthin 10 days of ownership E Must register pets within 10 days of • <OR> at 6 months of age if puppy/Idtten residency. MILLARD VETERINARY CLINICS PC 5757 S. 144th St. & 17935 Welch Piz & 1515 S. 204th St Omaha, NE 68137 (402) 895-9595 Client ID: 27276 Patient ID: Client Name: Susan Gilstrap Patient Name: Address: 315 S. 20th St. Species: Breed: Blair, NE 68008 Sex: Color: Phone: (402)981-1557 %IarKings: B rthday: ''.'eight: .iicrochip ID: Tag Number: 121819 Vaccine: RABIES CANINE 3 YEAR Producer: Boehringer ingelheim Brand: Rabvac Type: Killed Virus 'inner of Subcutaneously Aministration: Staff Name: Matthew S. Wrich:. License Number: 3051 Doctor Signature: 27276-1 Leopold CANINE NEWFOUNDLAND Neuter Bik/wht 09,1912019 175,03 oourcv c , 9,19/2022 Vaccnat'c- 2- Expiration Date: 9 19 2G25 is:',,.-----= _","Z=� CS E, _ _ _ _- _ � _ _ _ 2325 MILLARD VETERINARY CLINICS PC 5767 S. 144th St. & 17935 Welch Piz & 1515 S. 204th St Omaha, NE 68137 (402)895-9595 Susan Gilstrap 315 S. 20th St. Blair, NE 68008 Page 1 / 1 Client ID: 27276 Invoice #: 441923 Date: 10/11 /2022 (402) 981-1557 Patient ID: 27276-2 Species: CANINE Weight: 140.00 pounds Patient Name: Flynn Breed: IRISH WOLFHOUND Birthday: 09/19/2020 Sex: Neuter Description 10/11/2022 EXAMINATION W/VACCINATIONS HEARTWORM/SNAP PRO TEST ProHeart 12 (Moxidectin) 51-100 Ibs BORDETELLA BOOSTER Staff Name Quantity Total Sam L. Sroczyk, DVM 1.00 $42.50 1.00 $44.00 1.00 $102.98 1.00 $35.50 Patient Subtotal: $224.98 Instructions HEARTWORMS ARE PARASITES THAT LIVE IN THE HEART. THEY ARE TRANSMITTED BY MOSQUITO BITES FROM ONE DOG TO ANOTHER. WE RECOMMEND THAT YOUR PET BE TESTED FOR HEARTWORMS YEARLY AND PLACED ON A PREVENTATIVE MEDI- CATION. HEARTWORNI DISEASE IS SERIOUS AND IS MUCH EASIER TO PREVENT THAN TO TREAT. BORDETELLA-1ST: BORDETELLA IS A VACCINATION WHICH PROTECTS YOUR DOG AGAINST KENNEL SOUGH. THIS VACCINATION IS RECOMMENDED FOR DOGS WHO MAY BE EXPOSED IN A KENNEL, SOOMING PARLOR, DOG SHOW, OR BY HOSPITALIZATION. A BOOSTER IS RECOMMENDED EVERY 6 ivIONTHS IF ANIMAL MAY BE EXPOSED, Reminder 02/01/2023 DHLPP VAC 04/11/2023 BORDETELLA BOOSTER 10/11/2023 HEARTWORM/SNAP PROTEST 1-100 Ibs 11/29/2024 RABIES CANINE 3 YE Invoice Total: Total: Balance Due: Previous Balance: Balance Due: Elkhorn South MasterCard: Less Payment: R R R $224.98 $224.98 $224.98 $0.00 $224.98 ($224,98) ($224,98) $0.00 FOR YOUR PETS SAFETY WE CANNOT ACCEPT RETURNS ON DISPENSED DRUGS. HAVE YOU HUGGED Yoh io p--r RABIES VACCINATION CERTIFICATE Tag tee: ADAPTED NASPMV FORM 51 Tag #: PRINT - use ballpoint pen or type Cert. Serial #: Owner's Name & Address PRINT LAST FIRST MI TELEPHONE � t CITY ��' (/t Y NObi t7 S STREET c� S STATE ZIP , U vV cu • U�/VR r (. f llll SPECIES: SEX: AGE: I SIZE; PREDO:.'JNANT BREED: COLORS: Dog G Male ❑ Months Uoc='" 20 lbs. O Cat ❑ Female F 20-50 Ibs. Q NAr:'e Other Q Altered Years -1 I C, r 50 Ibs. (Specify) DATE VACCINATED: PRODUCER: Vet _- an's License No. 1 Ir Month Day Year PRODUCT NAME: Ve;❑'s Name (please print) VACCINATION EXPIRES: 1 Si -3 _ ✓ r I`llI EVFrF3N,', 1 yr. Lic/Vacc. 3 yr. Lic/Vacc. D Month Day Year ELKHORN. NE Vacc, ,!al (Lot) No. } y, USCAHNON02066 VACCIN ON RECORD Name O RABIES ❑ LYME DISEASE ❑ CANINE DISTEMPER ID CANINE PARAINFLUEN17A ❑ CANINE ADENOVIRUS 2 D CANINE PARVOVIRUS D CANINE CORONAVIRUS J CANINE BORDETELLA D LEPTOSPIROSIS ❑ FELINE LEUKEMIA VIRUS J FELINE PANLEUKOPENIA FELINE RHINOTRACHEITIS J FELINE CALICIVIRUS J FELINE CHLAMYDOPHILA W 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 9 28 S 16th St e Blair, NE 600 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: P rn G l A S ly- Owner Address: 7`) ) ND ?-)'CA e)ILY- iWEL 0 ON city/state/zip: Blair, NE 68008 Phone# 46A- &(�-6q34 LICENSE FEES: Dog or Cat: $16.00 Altered Do or Cat• $1i 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 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 CND o g ❑ Cat ['Spayed/Neutered r License Fee $ Pet Name Mil 1 i Birthdate g 0 "1 Sex Color (,'Td,p,tvk Breed** 1)6 Ltt)L Replacement$ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y N MICROCHIP # 995 1 � 10 0 5 o 14 3t'aX (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: j - 9 `l —A 4 (3 yr) ' (1 yr) City Tag # not) * PET #2 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Birthdate Sex Color Breed** Declared Dangerous or Poter�tlally Dangerous Dog: ❑ Y MICROCHIP # <j (If applicable) RABIES VACCINATION DAT : (3 yr) _ (1 yr) License Fee $ Replacement $ SUBTOTAL:$ — City ,. 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 NCL r 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 for newpefs/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/Idtten residency. 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 e 218 S 16h 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 O adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: arch 15. 2023 Owner Name: Owner Address: xz city/state/zip: Blair,, NE 68008 Phone # LICENSE FEES: Dog or Cat: $16.00 Alt d n^ or Cat• 11 00 ***PLEASE 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 rgciuires proof of rabies vaccination to be submitted with your license application. ere g . Repialcernent Fee for Lost .Tag: $5.luo Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET #1 ❑ Cat )4 Spa..ed/Neutered License Fee $ Pet Name Birthdate ' ' (Sex L Color k - i ' Breed** IN' 'C'f , "") Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: 0 Y ❑ N MICROCHIP # (If applica7) 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) (1 yr) License Fee $ Replacement $ ., • T #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 I5/ate fee date notapplicable for newpets/newresidenl;) 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/Idtten residency. 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 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:;, (o) Owner Address: i ' City/State/Zip: Blair,, NE 68008 h J� ✓ 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 Mate Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program T # 1 Dog ❑ Cat E Spayed/Neutered License Fee $ Pet Name Birthdate Sex \ ** Color Breed** Replacement Declared Dangerous or Potentially Dangerous Do ❑ Y N MICROCHIP # (If applicable) SUBTOTAL. $_ ! RABIES VACCINATION DATE: (3 yr) Y (1 yr) City Tag # PET # 2 '' Dog ❑ Cat r_Spay d/Neutered License Fee $ Pet Name 0\�v Birthdate I Sex �** ColorBreed** Replacement $ Declared Dangerous or Potentially Dangerous Dog: ❑ YN•�� MICROCHIP # (If applicable)} . SUBTOTAL: $ RABIES VACCINATION DATE: ).'R ; a-' (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 LI 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 i5late fee date not applicablefor newpet5/new residents) Newly Acquired Pets., New Residents to Blair: • Must be lionised within 10 days of ownership N Must register pets within 10 days of ■ <OR> at 6 months of age if puppy/kitten residency. CERTIFICATE OF VACCINATION Al Date of Va ccin tion: 07-26-23ID d' Next Vaccination on: 07-25-26 VETERINARY �dU1 IG-- - Pet Vaccination Clinic 2911 S. 120th St. Omaha, NE 68144 402-480-3393 Certificate No. 36287 Previous Vaccination: OWNER OF ANIMAL Sondra Godfrey 1761 Park St Blair, NE 68008 (531) 209-0362 This is to certify... THAT I HAVE VACCINATED THE ANIMAL DESCRIBED BELOW AGAINST RABIES. Patient information... PATIENT: Monroe TAG NO: 238406 SPECIES: Canine BREED: Beagle SEX: Neutered Male AGE: 24 months WEIGHT: 0.00 Ibs COLOR: Tri Color MICROCHIP: MFG BY: ZO TI, SERIAL: 694846I PIRES:'03195124, ADMIN: SQ Signed: r \ ✓'� ` �' korde,Pduli, DVM icense: 1614 Other Vaccinations... CERTIFICATE OF VACCINATION Date of Vaccin��}}ti' n: 07-26-23 ) Next Vaccinati� on: 07-25-26 , 0 VETERINARY CLII�I' Pet Vaccination Clinic 2911 S. 120th St. Omaha, NE 68144 402-480-3393 Certificate No. 36288 Previous Vaccination: OWNER OF ANIMAL Sondra Godfrey 1761 Park St Blair, NE 68008 (531) 209-0362 This1s to certify... THAT I HAVE VACCINATED THE ANIMAL DESCRIBED BELOW AGAINST RABIES. Patient information... PATIENT: Mayor SPECIES: Canine SEX: Neutered Male WEIGHT: 0.00 ibs MICROCHIP: TAG NO: 238406 BREED: Beagle Mix AGE: 24 months COLOR: Tri Color MFG BY: ZO TI, SERIAL: 594846, ')EXPIRES: 03/05/24, ADMIN: SQ Signed: o4te�Pauli, DVM ' L cense: 1614 Other Vaccinations... k i b Red Barn Veterinary Clinic & Farmacv, PC 101 E. 10th Oakland NE.68045 (402) 685-5202 Rabies Certificate Client ID: 6775 Patient ID: 102332 r �. Client Name: Tim & Maria Goede Patient Name: Betty Address: 2812 Larsen Drive, Species: Canine Blair NE 68008 Breed/Color: Retriever, Labrador, Sex: Spayed yellow Female Phone: (402) 649-7044 Date of Birth: 12/15/2012 Weight: 50.6 Microchip ID: Rabies Vaccine Information: Vaccine Date: 2/21/2023 Date Due: 2/21/2024 Tag Number: 230502 Lot Number: 536061 MFG By: Zoetis - IMRAB 3 Lot Exp: 3/28/2023 ADM: Subcutaneous) I have vaccinated against Rabies for the specified animal as described above. Dr. James F. Unwin, DVM Dr. Patrick T. Maline, DVM Dr. Kellie M. Wise, DVM Dr, Alyssa K. Hiatt, DVM Red Barn Veterinary Clinic & Farmacy, PC 101 E. 10th Oakland NE.68045 (402) 685-5202 Rabies Certificate Client ID: 6775 Patient ID: 119529 5 Client Name: Tim & Maria Goede Patient Name: Smooch Address: 2812 Larsen Drive, Species: Canine Blair NE 68008 Breed/Color: Aust. Red Heeler, Sex: Spayed Female Phone: (402) 649-7044 Date of Birth: 1/11/2020 Weight: 34 Microchip ID: 981020045533585 Rabies Vaccine Information: Vaccine Date: 2/21/2023 Date Due: 2/21/2024 Tag Number: 230501 Lot Number: 536061 MFG By: Zoetis - IMRAB 3 Lot Exp: 3/28/2023 ADM: Subcutaneous) I have vaccinated against Rabies for the specified animal as described above. Dr. James F. Unwin, DVM Dr. Patrick T. Maline, DVM Dr. Kellie M. Wise, DVM Dr. Alyssa K. Hiatt, DVM BUD uln% Page 1/2 VETFmmARY CLINIC & F4nmAcvP.Q. \ 13` E|oTH ^ om<LA.!.u�soacmo Client ID: G775 llm&M��Go�e Invoice 2812Larsen Dhva. � Blair, NE 68008 Date: 2/21/2023 CanineWeight:34�o poundsP���|D: i1�28 Species: Patient Name: Smooch Breed: Aust. Red Heeler Birthday: 01/11/2020 Sex: Spayed Female Description Staff Name Quantity Total 2/21/2023 Annual Vaccinations Canine Kellie M. Wise DVM 1.00 $0.00 Office Call/Exam with Vaccinations 1.00 $13.00 RABIES CANINE 1 YEAR BOOSTER 1.00 $15.00 PROCESSED BY ST-THANK YOU-- Julie Themes, LVT 1.00 $0.00 Patient Subtotal: $327.70 — uctions -----�AYEXPERIENCE G0K8ELETHARGY AND SORENESS FRONlTHE VACCINATIONS, THIS IS '--'' —� �WITH VERY YOUNG ANIMALS. |FTHIS PERSISTS LONGER THAN 24HOURS, PLEASE CALL OUR OFF|CE, HEARTWORMS ARE WORMS THAT LIVE IN THE BLOOD AND ARE TRANSMITTED BY MOSQUITO BITES. WE RECOMMEND THAT YOUR PET BE TESTED FOR HEARTWORMS YEARLY AND PLACED ON A PREVENTATIVE MEDICATION. HEARTVV{)R&1DISEASE |SSERIOUS AND |SMUCH EASIER T{)PREVENT THAN T(}TREAT. Reminder 01/20/2023 KENNEL COUGH, N1UC0GAL 02/21/2024 DHLPPANNUAL (Oist&Penm) RABIES CANINE 1YEAR BOOSTER 02/21/2025 HEARTVVORK8TEST /RAP|D\ You can use your Credit Card mpay your bill. Ln U) v U a E •X+, LU LL �" 0 Ln m 2 C ,� n m a) c c •L Iri ° CL LL m^ a) a) () < y L- a) L •U h '� a) V) x W 4, C O' C •L O E x o v U U (U a) v U v n. C Z Q V) U co > > Q, a) - V) V) m v U u U U u U U u U Q L °' 3t' O 0 CL CL ai ° CL k � z ) O = c m U m El Q a) > f e cn t o rr)O v 0 0 0- L ++ c cai oA m E ° Q a, Or -0 to Ln (6 N 0 E N O U U U a) U Ln .. C C C N z a4 V) U m > > a v a o o a) -ao -tw _w tw E O 0 kw O 0 0 0 bo 0 to 0 w 0 0 0 0 0 0 U Q 0 0 0 0 0 0 0 0 0 ❑ > > u o°'c o +; U ? v _ 00 C w 0 O () CL O Q lD N m N ( Q w ° 6 tN O 0 0 ? z z m a), a N \ N uj w O N C�:, t ,, axi WLL El w0 g No ', 3 °o a) m c �! > U) O a) 4-O L L 41 I ° a co m E C d E L ti, Q ° b. a) N E N 4 a) a) ° Q U � m B to +zO 0 u . L O o z z cy— ai L o 0- a) ~ L N ' o > o I i 3 v a) Q� z '^ L w E a) N L Li- m J Q U c- CO 0 SL U a)i C =5 U U L L L L L L L a) c v C C C �° E C (6 f0 N Q1 a) C a) C 41 C Q) a) c -Q E -° ��.( `J C G1 V a) U v U a) U a) U a a) n a) N 'S � ii c O 0 ar J J z �� 0 0 0 0 0 0 0 O z Ln V) a) U U Q E •X � LU D. ❑ai LL a) N 4) O (A O O ro ! O () �_ 4) Q LL '. (6 CL a) Z -0 CL a O.,. Q 4-1 L 4) is ~ _0 LA uJ C C O a, X o v u u a) w v v a C z Q Ln U m > > ca ate) � � � L, L/ O (� U U u u u U U u U Q O O CL v 3 O t J y u LL El 0 i M m ) O CL O '~ c a°' tic ai ° � Q C c G > H Z U a; (U ',. O L a)) G L O 0 >, N � @ .. N @ di U m 4) N C O O N Z Q V) U co > > Q V) 4) W^ W V In " N uo (n w Vl w Vl lip Vn W VI uo W W Q @ O _. O O O O O O O O O O O O O c) Q O O O O O O O O ❑ > > U a) LO ''. L.L V () CL ccp 00 =3 G a) LL O O Q � N _0 pi t N M Q ul) O O O Z Z M N`, O- M N \ uj LU O N ! C v 00 LL ouj a �' 3 Q' °1 o a.) C V) O p 4) 41 O m O N N i J E Q O 4) Q U +' �"' z m (O vN7 dam-+ z ro J ......... O @ tw O z v cn v L a 4) F- C V) i N _0 o C >_ i o 3 W 4) O Z L' LU E (1) a 4) L^' U- m J Q u d m 0 i U 4) C V) in V) U U W L L f.. L l_ L. L 4) 4) V V) E co m a 4) C 4) C 4) 4) () C a) () W u () U 4) U 4) U 4) U O. v v tl1 a) 3 3 3 3 J —i � z - �) 0 O O O O O O 0 z CNN r2- m E L- 0 4- r- -W m u C 0 .p m E L- 0 bA (D Ln In .0 4-0 Em 0 4; L -6 E 0 0 U m Yl Y) -�n .�n -�n 4� 4-1 +1 u u u u u E ca Z V) u co JA V) -N -In n W b.0 CLO t10 Mo 0 0 0 0 0 a 0 0 0 0 II I El 1-1 (D 0 a) CL V u (13 m > > a) (U =3 a) . . _0 z a) u Q a) Lf) 0 -� ro m ru cu u u u U 0 N 0 CY) m r'�l F-I 4 u > in CY) CL u u > 4� Z Q u (U UD -�Ato0 w tio Uo 0 0 0 0 0 0 cl M ■ 24: I 0 u 41 W! m > 4- C: a) .2 .2 4-1 E Era E OuE 0 .0 0 > 5 u (D � Cn w I Q- Ln 00 0 O u rn Q) CY) c 0 =3 u (D Q) 4 cl -0 E V) ai u 4- a) 0 t 0 JZ- a- .— fn M L: u a) L- (U a) a) W -0 _0 E c 0 0 0 V) V) u u >1 LLJ '2 -P ru .0 E CL " CL 0 < UL 41 CL (U 0 0 (U z Ln 0 0 Ul CL Ul CU (U cr- u ai W 0 U-) t =3 0 0 C_ L- (u to c ca ' >: a � N W u pLu I"� mX" w 0 Qj Qj } 0 N co o 0 a) C '- C a� Q 0 fC ru (U u_ L a) C _0 N C O x 0 v u u v u v a C z Q cn ° u m > > Q, v m in (n L V U U U U U u U U Q U u = ai = 3 t O 0 Q m N a� a) a L C I O o N Q Y U a) ❑ El0 Q) L c} N t m 0 (o a) o Q O : L + o � oa � coo m CL z -0 a) u ai � v E 0 v C u �u u 'C N a, N N 0 +� m in y0. z x m > > a�i v N C C C a) Q cn u n O O N N _N N _N N _N Ln 0 tin -0 a 4. 4� 2 E E !, O en 0 ao 0 ao 0 un 0 w 0 ao 0 un 0 W 0 0 0 0 0 0 u E 0 0 O O 0 0 0 0 ❑ > > u m! 0 N L -al 00 i Q G OLn Q N 00 lD � H L O t N M rI W 0 O N O N �- Z W Z 0) al �, Q mH r U X Z 0 I L N cI cI ❑ 0 � w Z � m v� a L. 0 aJ pp � N Q L L (6 z L CNC C i/1 N Z a-' J U i� .N _C L Z W N a) L i.L J Q u Cl-Co 0 i a1 C N � (n Q) )° a) a) ill U u L L L L L L L ar- a) = Or C C C E cn c0 = v C al C aJ C aJ C W C 4J C aJ -0 c C C OJ v a: a) a)C 0 Q v 0 C 0 i - Z m m LL 0 0 0 0 0 0 0 0 Z �, cf� m t, I CITY OF BLAIR - 2023 PET LICENSE APPLICATION 0 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: te,� Owner Address: city/state/zip: Blair, NE 68008 Phone # 44a 41617e, 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 reauires Proof of rabies vaccination to be submitted with your license anPlication. 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 o g ❑ Cat ❑ Spayed/Neutered License Fee $ lwl- Pet Name Birthdate liglzllz, Sex 4-1 Color �w4Tf Dangerous o Breed** o � Replacement ** r Potentially Dangerous Dog: ❑ Y ®mN MICROCHIP # (If applicable) SUBTOTAL: $ 3 1` RABIES VACCINATION BATE: 101ly-7(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) _ JIM 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 Mail TOTAL ENCLOSED $ If you have questions, please contact Blair Police Department at (402) 426-4747 ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS(Mard715late fee date notapplicablefor newpels/newresideMs) NewlYAcquired Pets: New Residents to Blair: ■ Must be liioff� within 10 days of ownership ■ Must register pets within 10 days of ■ <OR> at 6 months of age if puppy/ldtten residency. Client ID: Client Name: Address: Number: Vaccine: Producer: Brand: -rvpe: fanner of Administration: 4479 Jeff & Erin Goldyn 814 Meadow Drive Blair, NE 68008 (402)650-8790 6287 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 Patient ID: 9042 Patient Name: Rocky Species: Canine" Breed: Australian Shepherd Mix Sex: Neutered Male Color: Tri Markings: Australian Shepard/Beagle Mix Birthday: 08/31 /2016 Weight: 76.10 pounds on 10/29/2022 Microchip ID: 981020017696802 Vaccination Date: 2/27/2021 Expiration Date: 2127/2024 Lot Number: 18490 Drug Expiration Date: 7/3/2021 Blair Small Animal Clinic PC David E.Johnson OVM 1734Front Street l Blair, Nebraska, 88008 � Client ID: 4479 Patient ID: Client Name: Jeff & Erin Goldvn Patient Name: Address: 814Meadow Drive Species: Breed: Blair, NE08OO8 Sex: Color: Phone: (402)650-8790 Markings: Birthday: Weight: | Microchip ID: Tag Number: 6785 Vaccination Date: Vaccine: |nnnabRabies Vaccine Expiration Date: Producer: Merial Lot Number: Brand: \nlnab3TF Drug Expiration Date: / Killed Virus ,,annorof Subcutaneously Staff Name: David E.Johnson OVM License Number: 1893 | Doctor Signature: 12258 Ruby 7 Canine Mixed Breed Spayed Female Black OS/OG/2O2O 62.GOpounds on0/1 D22 981028037002580 -1 � 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 e 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:���, arch 15, 2023 n Owner Name: �AOL "tl 6�(�+�' wa)� .x Owner Address: 10, -1 01 V .nth U'rG,� - city/state/zip: Blair,, NE 68008 Phone # LI' Uj - ;.I fib,- �),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 3/15/2023. 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 recluires 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 # Dog ❑ Cat Spayed/Neutered License Fee $ Pet Name ' Bir&ate Sex !® Color Breed** /? ; ,x Replacement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y N MICROCHIP # (If applicable) SUBTOTAL:$ 16, U RABIES VACCINATION DATE: Z 2 2 (3 yr) 9 (1 yr) City Tag # 2- 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 # ❑ 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.) 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 applicablefornewpets/new residents) Newly Acquired Pets: New Residents to Blair: • Must be lioansed within 10 days of ownership m Must register pets within 10 days of • <OR> at 6 months of age if puppy/kitten residency. Blair Small Animai, Clinic PC David E. Johnson DVM 1734 Front Street Blair, Nebraska, 68008 (402) 533-2722 Client ID: 2502 Patient ID: 9076 Client Name: Adam & Jennifer Grabowski Patient Name: Lexi Address: 1027 Mary Beth Circle Species: Canine Breed: Labrador Mix Blair, NE 68008 Sex: Spayed Female Color: Black Phone: (402)426-5552 Markings: Birthday: 12/19/2012 Weight: 72.80 pounds on 2/14/2023 Microchip ID: AVID016054036 Tag Number: 6861 Vaccination Date: 2/11/2022 Vaccine: Imrab Rabies Vaccine Expiration Date: 2/11/2025 Producer: Merial Lot Number: 18520 Brand: Imrab 3 TF Drug Expiration Date: 5/22/2023 Type: Killed Virus ..fanner of Subcutaneously Administration: Staff Name: David E. Johnson DVM License Number: 1893 Doctor Signature: 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 e 2181th St 9 Blair, NE 6808 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: arch 15, 2023 I Owner Name: \ CNA{L F K" Co , CC- CO Owner Address: 3 r C_l city/state/zip: Blair, NE 600 Phone # L4 0(a - (9 S �- ?q y LICENSE FEES: Dog or Cat: $16.00 Altered Do or Cat: AM 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 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 Tour 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 Spayed/Neutered License Fee $ �� G Pet Name Birthdate ) uvu 2 -1 Sex Color Breed** h.hr..d,)v- Replacement$ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y A N Gd MICROCHIP # (n po _ � � Y U (If applicable) SUBTOTAL: $ _/_ RABIES VACCINATION DATE: q . q Zo tit (3 yr) (1 yr) City Tag # 2 9 1/ -7.-* 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) 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 not applicable fornewpets/new residents) Newly Acquired Pets: New Residents to Blair: ® Must be Iloensed within 10 days of ownership ■ Must register pets within 10 days of ■ <OR> at 6 months of age if puppy/Idtten residency. Date of Rabies Vaccination: 09-09-22 Certificate No: 0 Next Rabies Vaccination On: 09-08-26 Previous Rabies Vaccination: 19-0951 VETERINARY CLINIC OWNER OF ANIMAL Countryside Small Animal Mike Green 1306 Stevenson 2382 Grant Circle Fort Calhoun, NE 68023 Blair, NE 68008 402-468-4060 County: This is to certify... THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Sammie TAG NO: 22-0721 SPECIES: Canine WEIGHT: 72.60 SEX: S AGE: 4 years BREED: Retriever, Labrador Microchip Number: 600335868 Color and markings... Chocolate Signed Kaycee Points License: Vaccinations done... 09-09-22 KNP Canine Rabies Vaccn, 3 Yr, #22-0721 09-08-25 09-09-22 KNP Canine Bordetella Oral Vaccination 09-09-23 09-09-22 KNP Lyme Disease Vaccination 09-09-23 09-09-22 KNP Canine DA2PPL 09-09-23 Rabies Vaccine Information... MFG BY: ZOET SER.NO: 536242 LOT EXP: 18APR23 ADM: Sq 01/12/2023 16:15 4024260101 HOLSTEIN VET CLINIC PAGE 02/02 2023 PET LICENSE VERIFICATION/APPLICATION FOR CITY of BUIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT(S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF BLAIR -- 218 S. 16T" ST — BLAIR, NE 168008 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 BYLAW TO LICENSE )LOUR PETS TIE CITY OF BLAIR REQUIRES PROOF OF RABIE$ VACCINATION Failure to do so is a violation of •City Ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSE tj�111EWALS ARE DI1t: C3Y 3/15/20�., The city shall recognize a microchip ID number as the license number. It shall be unlawful for any dog or cat to wear any license or other city ID other than that issued by the City of Blair for such dog or oat, NEW PET -LICENSING Must be licensed within 10 days of ownership (OR) at 6 months of age If puppy or kitten NEW RESIDENTS TO BLAIR Must register pets within 10 days of residency Owner Name Spouse Owner Address City/State/zip Phone # Pet Name: Bella Mae Age: 7Y DOB: 03�19-16 Breed: Pug Sex: Spayed Female Microchip 0 985112004608003 Esther Gunderson 909 N 26th Ave Blair, NE 68008 402-426-5956 Tag # 1763 Color: Fawn Rabies Tag # 23010 PLEASE INCLUDE CITY TAG NUMBER, IF THIS IS A RENEWAL (IF AVAILABLE). # RABIES VACCINATION bdNE ON 01-12-23 Rabies Description; YEAR 3 YEAR Holstein Veterinary Clinic 'Dr. Lisa Schrum DVM Dr. Krista Holstein DVM 71$ South 191" Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinic@gmail.com LICENSE FEES ' lorect Dog or Cat: $16,00 Bred Dag o at: $1 .00 Replacement rag $6.00 + `1 Total $ PETS THAT ARE 0 THE ACME POTENTIALLY DANGE OUS OR AANGEROUS vog LIST NEED TO REGISTER DIRECrLYAT CITY HALL, FAXED 01-12-23 BY •.'ii. :.:}:. �n.�',5:•r.l"ti, r, :••,•i 'a.:.�Yi:., ri; .a.`.R', 01/12/2023 16:15 4024260101 HOLSTEIN VET CLINIC PAGE 01/02 2023 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LlmrrS AND OWN A DOGS) AND /OR CAT(S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE T0: CITY OF BLAIR - 218 S- 16T" ST - BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. ***PLEASE READ CAREFULLY' UU H CLLUID vy I.IYYYj - 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 LI_CgNSE REN.WALS ARE RUE BY 3/15/2023 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. n FW PET LICENSING Must be licensed within 10 bays of ownership (OR) at 6 months of age if puppy or kitten NEW RESID,(~ NTS TO GLAIR Must register pets within 10 days of residency Owner Name Spouse Owner Address CitylState/ziip .Phone # Pat Name: Pugs Age: JY DOB: ' 07'-07-13 Breed: Pug (Microchip # Sex: Spayed Female Esther Gunderson 909 N 26th Ave Blair, NE 68008 402-426-5956 Color: Black llabies Tag # 17832 PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE): # RABIIES VACCINATION [BONE ON 03-24-20 Rabies Description: • 1 YEAR H01stein Veterinary Clinic '-Dr. LISa Schrum DVM . Dr, Krista HD/ateln DVM 718 South 1911 Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteincliniC@grnail.com EAR LIG NE M FEEB Intact Dog or Cat: $16.00 ereDo�,A r cat: $11. 0 Replacement Tap $5.00 Total $ 1 E7 THAT ARE pN THE AC71VE POTEN71'ALLY DANGEROUS OR ANGE OU5 DOS Gt T NEED T4 EGISTER P! EC7LYA7 CITYHALL.