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LICENSE RENEWALS ARE DUE: March �� March 15, 2023 Owner Name: _ �/�-- Owner Address: ki l—VL �Ti�V_V1- City/state/zip: Blair, E 68008 Phone # LICENSE FEES: Dog or Cat: $16.00 Altered Do or Cat° $11 00 ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3115/2023. The City shall recognize a microchip Identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city Identification other than that Issued by the City of Blair for such dog or cat. The City of Blair requires proof of rabies vaccination to be submitted with your license application. g ltepl zement 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 f� Spa%Mex d 1 License Fee $ Pet Name Birthdate /lA z— Color �6 Breed** Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y] N �® MICROCHIP # (If applicable SUBTOTAL: i RABIES VACCINATION DATE: '?�X3 (3 yr) (1 yr) City Tag #o* 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) _ ❑N M (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.) TOTAL ENCLOSED LDo Do Not Send Cash by Mail If you have questions, please contact Blair Police Department at (402) 426-4747 ..........++++++++++++++++++++++++++++++++++++++++++++++++.....++++++++++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March IS/ate fee date notapplicable fornewpets/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. Client ID: Client Name: Address: Phone: Tag Number: Vaccine: Producer: Brand: Tvpe: :inner of Administration: 6472 Mike Haley 1519 Grant Street Blair, NE 68008 (402)981-9763 7357 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: 8364 Miyako Canine Akita Spayed Female Black 10/09/2015 80.00 pounds on 1/17/2023 985112006357864 1/1712023 1 /17/2026 18535 11 /17/2023 CITY OF BLAIR - 2023 PET UCENSE APPLICATION i 1 �f 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 16th St @ Blair, NE 6800 µ You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs me - or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2023 Owner Name: ° ' Owner Address: d city/state/zip: Blair, NE 68008 Phone # ', c, A,- 6- 4,1 LICENSE FEES: Dog or Cat: $16.00 AlterPti Dng or Cat: $11 00 ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3/15/2023. The City shall recognize a microchip Identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city Identification other than that Issued by the City of Blair for such dog or cat. The City of Blair renuires proof of rabies vaccination to be submitted with your license application. Replacement Fee for Lost Tag: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dag & Cat Operator Inspection Program PET #1 Dog ❑ Cat 4 Spayed/Neutered License Fee $ Pet Name Birthdate _ Sex e M - Color 5—4 A6 R-o� BL P (,9 Breed** &d 9 ox ILL � . Rep/acement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y ICI N MICROCHIP # N V (If applicable SUBTOTAL: $ 41A 00 RABIES VACCINATION DATE: _ (3 yr) (1 yr) City Tag # c * 7S* 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** Rep/acement$ ** Declared Dangerous or Potentially Dangerous Don: ❑ 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 byMaU TOTAL ENCLOSE //. 06 If you have questions, please w.ontact Blair Police Department at (402) 426-4747 .....++++++++++++++++++++++++....+++++++++++++++++++++++++++++++++++++++++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15/ate fee date notappllcable fornewpets/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. i CITY OF BLAB - 2023 PET LRICENSE APPUCATI0 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 ®f Mir o 218 S 16th St o Blain® HE 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. Name- OwnerLICENSE RENEWALS ARE DUE: March 15, 2023 it.Blair,68008 Phone LICENSE FEES-. Dog or Cat: $16.00 11 1 Cat, 1 1. 00 ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6,103 and carries a penalty of a fine up to $150.00 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. (W:�5. UPI; e milf E� �;t �� S�►:?f i �r = t��`, 1. Ir �7iy; r�a,l.�. ' <<ti{ f.ti f��s't�+ (I �r r>ii)t �.titi` CR1<� �, C;�f C�ii� .t1 n,, �� ) �'� F`, fF �t! �.f�'.t PET Dog ®Cat Spayed/Neutered License Fee Pet Name Birt date i Sex _ Color,, Breed**�, -':�. �.,-;1 Replacement Declared Dangerous or Potentially Dangerous Dog: 0 Y A N MICROCHIP # � t 114 ,� (If applicable) SUBTOTAL: $ I; RABIES VACCINATION DATE: a �,�� (3 yr) , (I yr) pity Tag # r PET #2 0 Dog 0 Cat 0 Spayed/Neutered Pet Name Birthdate Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: 0 Y 0 N MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) (1 yr) Replacement ** S fir: T iL; Cite; Tag PET 3 0 Dog 0 Cat 0 Spayed/Neutered License flee $ Pet Name Birthdate Sex Color Breed** Replacement 'x* Declared Dangerous or Potentially Dangerous Dog: 0 Y 0 N MICROCHIP # (If applicable) SUBTOTAL® RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # *PLEASE INCLUDE THE CnY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) ,u Not Send Cash by Mail TOTAL ENCLOSED If you have questions, please contact Blair Police Department at (402) 426-4747 .................................. q............................................ NEW PET/ NEW RESIDENT LICENSING REQUXREIMIENTS (March 15late fee date not applicable fornewpefs/new residents) NewigLquiPets: New Residents to Blair: Must be licensed within 10 days of ownership 0 Must register pets within 10 days of n <OR> at 6 months of age If puppy/kitten residency. 09/15/2023 16:03 RABIES VACCINATION CERTIFICATE NASPHV FORM 51 (revised 2007) Owner's Name & Address RABIES TAG # 4858 MICROCHIP # 985113008238208 LAST FIRST M.I. Midlands Humane Society TELEPHONE # 7123962267 NO. STREET 1020 Railroad Hwy CITY Council Bluffs STATE ZIP IA 51503 SPECIES Dog FRI Cat ❑ Ferret ❑ Other: AGE Months ® 10 Years ❑ SIZE Under 20 lbs. ❑ 20 - 50 lbs. ❑X Over 50 lbs. PREDOMINANT BREED Collie, Border PREDOMINANT COLORS/MARKINGS Black ANIMAL NAME Aria SEX ❑ Male ® Female ® Neutered Animal Control License Ll 1 Yr LJ 3 Yr M Other DATE VACCINATED 09/15/2023 Product Name;Veterinarian's Nobivac 3-Rabies Name: Elizabeth Farrington, DVM Manufacturer: (First 3letters) Z 0 E ❑ 1 Yr USDA Licensed Vaccine 3 Yr USDA Licensed Vaccine 4 Yr USDA Licensed Vaccine ® Initial dose ❑ Booster dose 656415 License Number; IA-8354 � Month / Day / Year NEXT VACCINATION DUE IN 09/14/2024 (Veterinarian's signature) Address: Midlands Humane Society 1020 Railroad Highway Month / Day / Year Council Bluffs, IA 51503 Vaccine Serial (lot) Number Page 1 of 1 09/23/2023 11:28 Midlands Humane Society 1020 Railroad Hwy Council Bluffs, IA 51503 (712) 396-2270 Complete Medical Animal Owner Aria (CBIA-A-2286) Mickie Haney Collie, Border/Mix Dog (402) 533-3901 Black and White m.l,haney199@gmail.com Spayed Female 1353 grant st 10 months, 16 days old (DOB: 11/07/2022) Blair, NE 68008 33,5 Ibs on 09/20/2023 Microchip # Issued By Issued Date 985113008238208 Home Again 09/15/2023 Rabies Tag # 4858 Previous Shelter ID # Type Issuing Shelter 49222 ._ Vaccines next due 09/14/2024 Rabies 09/10/2024 Adenovirus 09/10/2024 Bordetella (Kennel Cough) 09/10/2024 Parainfluenza 10/02/2023 Distemper 10/02/2023 Parvovirus • Date Vaccine Vaccinated by Veterinarian 09/15/2023 Rabies Elizabeth Farrington, Elizabeth Farrington, Nobivac 3-Rabies (Zoetis/Merck) DVM DVM Lot# 656415(product exp,08/27/2024) SQ in Right hind leg 09/11/2023 Adenovirus, Bordetella (Kennel Cough), Amanda Klein Parainfluenza Nobivac Intra-Trac3 ADT (Merck) Lot# 00541481E (product exp.11/29/2024) IN in Nose 09/11/2023 DHPP Amanda Klein Nobivac Canine 1-DAPPv (Merck) Lot# 02121A23C (product exp,09/20/2024) SQ in Right front leg Page 1 of 4 Client ID: Client Name Address: Phone: Tag Number: Vaccine: Producer: Brand: Type: c� .�m� 8196 Michelle Hall 3065 College Dr Blair, NE 68008 (402)452-6130 5742 |mnyb Rabies Vaccine K0erio| |nnusb 8TF Killed Virus Subcutaneously Staff Name: David E.Johnson OVM License Number: 1893 Doctor Signature: Blair GmpUAninneClinic PC David EJohnson DVM 1734Front Street Blair, Nebraska, 68008 Rabies Certificate Patient ID: Patient Name: Species: Breed: Sex: Markings: Birthday: Weight Microchip ID: Vaccination Date: Expiration Date: Lot Number: Drug Expiration Date: 11208 Penny Canine Wirehaired Terrier Spayed Female Tri-Color US/ O/2O11 22.UOpounds on3/3U/2O21 4M3/2O20 4/13/2023 18445 7/3/2O21 /'. ® 2023 PET LICENSE APPLICATIONrw° 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 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: 1-Yrl - V�VI';crlOwner Address., City/State/zip: Blair, NE 68 Phone # '/ d ` � � ��° ***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 LICENSE FEES: Dog or Cat: $16.00 I be submitted with your license application. Altered Dog or Cat: 11.00 -- - - Rep iacement Fee for Lost Tag: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Ins 'on Program PET #1 ® D o 9 Cat ❑ Spayed/Neutered License Fee $ � � 0 0 Pet Name �►' � 1Lew Birthdate 2 ie, Sex Color O,t r r i�>t~ �rL Breed** o Rep/acement ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y '4N MICROCHIP # 9'6-� tit Zoo ? �,':')0qq0 (If applicable) SUBTOTAL: $ d RABIES VACCINATION DATE: Z) q I Zo Z'� (3 yr) X (1 yr) City Tag # j c 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) _ LEW (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 L { ) , 0 (�) 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/newre5ldents) Newly Acquired Pets: New Residents to Blair: • Must be lioensed within 10 days of ownership 0 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 Jministration: 3526 Lynda Jensen -Hansen 2243 Lincoln Street Blair, NE 68008 (402)253-9354 00000 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 9221 Little Sweetie Feline Domestic Shorthair Spayed Female Black/White 07/06/2015 11.50 pounds on 2/9/2023 985112007850990 2/9/2023 2/9/2026 18535 11 /17/2023 : 2 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 check made payable to w 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, 2023 Owner Name: 1,0 \,Zy ["t CL Owner Address: &lire 5 g 5V-6- }" city/state/zip: Blair, NE 68008 Phone # `� NO 59 NO LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: t-y 1.00 ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 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 Q Spayed/Neutered License Fee $ • 00 Pet Name 51 neon Birthdate �-1a0 Sex 1% Color �It t Breed** r n i &A Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y Q N MICROCHIP # y 50 E 2Z1 D 03 (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: 3 `al " 2gL L (3 yr) x (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) _ M License Fee $ Replacement ** SUBTOTAL: $ (1 yr) City Tag # ET # . ❑ 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 .CO 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/newresldents) 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: Phone: Tag Number: Vaccine: Producer: Brand: Type: inner of „dministration: 456 Tory Hansen 665 North 3rd Street Blair, NE 68008 (402)740-8936 6937 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 2916 Simon Canine Pomeranian Neutered Male Black/White 09/30/2008 17.87 pounds on 12/8/2021 4BOE221DO3 3/21 /2022 3121 /2025 18526 5/20/2023 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 e 218 S 16th St e Blair,, NE 6008 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 IS, 2023 ***PLEASE READ CAREFULLY** Owner Name: iC'e r r °, YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Owner Address: 't ` y Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $1So.00 per pet. City/State/Zip: Blair, NE 68008 PET LICENSES RENEWALS ARE DUE BY 3/15/2023. The City shall Phone #i' 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 LICENSE FEES: Dog or Cat: $16.00 be submitted with your license application. Altered Dog or Cat: $11.00 Replacement Fee for Lost rag: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program CA Dog ❑ Cat Spayed/Neutered License Fee $_' Pet Named �� '= { .i Birthdate � t! Sex ColorBreed** Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Yi,. N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: f> ;4 Z 1 (�3 yr (1 yr) City Tag # a '3* PET #2 1] D o g❑ C a t Spayed/Neutered License Fee $ s Pet Name BirthdateSexi J`- Color Breed** f �P� ��-�� <a Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y N MICROCHIP # (If apF11",able) SUBTOTAL:$ RABIES VACCINATION DATE: `- ? �. r7-1-r (1 yr) City Tag # PET #3. ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Birthdate Sex _ Color Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) RABIES VACCINATION DATE: � s �;- (1 yr) License Fee $ Replacement $ SUBTOTAL:$ *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 ENCLOSE„ f - 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 notappllcable fornewpefs/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/kithen residency. hone Animal How tal 902SHwy W Blair, NE 68008, 402-426-36,31", FOR: Sara Hanzlik '216 Nebraska St Blair, NE 68008 (402) 426-185 . z. N V 0 1 C E :printed: 03-16-23 at 4:25p (Date: 03-16-23 Account: 3264 Invoice: 115694 fate For Qty Description Net Price _ 403-16-23 Daisy 1 Vaccination Exam - _ - - - - - 31.00- - 03-16-23 1 DA2PPV 3yr 32.00 03-16-23 1 Bordetella Oral 28.0C 03-16-23 1 Nail Trim w/ Exam 8.00 03-16-23 1 Thank You lll Q.00 03-16 23 12 Spectrum Green 8.1 - 25# #33956 102.36 03-16-23 Ruca 1 Vaccination Exam 31.0; 03-16-23 1 Bordetella Oral 28,00 03-16-23 1 Nail Trim w/ Exam 8.Wir 03-16-23 1 Thank You lll 0.00 03-16-23 12 Spectrum Orange 2 - 8# #33957 99.36 03-16-23 Visa payment-367.72 Merchant ID: 4445046763017, Approval code: 062236, Transaction ID: 1312869222 Ref #: 31000. Act #: ************2765, Exp: XX/XX, Entry: Contacticc, Card: VISA Your card balance is not available AGREE TO PAY ABOVE TOTAL AMOUNT ACCORDING TO CARD ISSUER AGREEMENT t,. Old balance Charges Payments 3 00 367.72 367.72 Reminders for(,Ru" (Weight: 7.7 Ibs - 8y) Last done 03-30-25 a Rabies Vaccination (3 Year) 03-31-2' (33-30-25 DA2PPV 3yr 03-31-22 03-15-24 Bordetella (Kennel Cough) 03-16-23 Reminders for(aisyr) (Weight: 9.7 lbs - 12y) Last done 03-15-26 DA2PPV 3yr 03-16-23 New balance n.00 Reminders for: Daisy (Weight: 9.7 Ibs - 12y) Last done 03-15-24 Bordetella (Kennel Cough) 03-16-23 03-09-24 Rabies Vaccination (3 Year) 03-10-21 CITY OF BLAIR ® w � o 11) If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with c )RN to: 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: 1-" City/State/Zip: Blair, NE 68008 Phone # J� 6 c�.._ �'-1 (�)'n 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. kepiacement Tree for Lost T ag: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET #1 . D o g l ❑ C a,� aye Ne tered License Fee $ 1 I Pet Name 1t,� te Sex Color Breed** Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y 0 N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (6 /k(3 yr) _ (1 yr) City Tag # 609gli_* 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 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 E CLOSED $ 1 If you have questions, please contact Blair Police Department at (402) 426-4747 ++++++++++++++++++++++++++++++++++++.....++++++++++++++++++++++++++++++++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15late fee date notapplicable fornewpets/newre5ldents) 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 if puppy/Htten residency. Thone Animal Hospital 902 S Hwy 30 Blair, NE 68008 402-426-3630 FOR: Linda Harman 1105 20th Ave Cir. Blair, NE 68008 (402) 426-0338 Date For 07-18-22 Indy 07-18-22 07-18-22 07-18-22 Qty Description 1 Vaccination Exam 1 DA2PPV 3yr 1 Lepto lyr 1 Bordetella Oral Printed: 07-18-22 at 11: 16a Date: 07-18-22 Account: 3463 Invoice: 110446 w balance 0.00 Reminders for: Indly (Weight: 74,0 lbs - 9y) 07-17-25 DA2PPV 3yr 07-18-23 Lepto lyr 07-18-23 Bordetella (Kennel Cough) 06-25-23 Rabies Vaccination (3 Year) Last done 07-18-22 07-18-22 07-18-22 06-25-20 You Can Order Your Pet Supplies On animalcareofbiair-com. Like us on Facebook!! 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 ®f Diaiir o 218 S 16th St o 611aorp ME 66008 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 'A` ARE DUE". March IS, _€? Owner Name: Owner Address - Citv/state/zlp'. Blair, ME 68008 Phone LICENSE `.7: Dog or Cat: `a 6 . 111'`•1.} ***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 Cite► of Blair requires proof of rabies vaccination to be submitted with your license application. r'7� '�}S.�.,', "rR}I'T�•ICiI::3,i�1) ` h ^(€ Z' (�(!}I�t' �t• �3 (!3 ft'iCi' Il �ft1;}wt, 1 Uu $' :E ��lEt St:�;r S!lt,(�' U�fiil" �� ! �l(�.1i,5 PET #1 111 Dog 0 Cat 0 Spayed/Neutered License pee 3, Pet Name Birthdate Sex Color Breed**Replacements Declared Dangerous or Potentially Dangerous Dog: 0 Y 0 N MICROCHIP # .L (If applicable) SUBTOTAL. RABIES VACCINATION DATE: J J, (3 yr) (1 yr) City Tag # PET #2 ® D o g 0 C a t ® Spayed/Neutered License Fee � Pet Name Birthdate Sex Color Breed** Replacement $ Declared Dangerous or Potentially Dangerous Dog: 0 Y 0 N MICROCHIP # (If applicable) SUBTOTAL: RABIES VACCINATION DATE: (3 yr) (I yr) City Tag # ` ' #3 0 Dog 0 Cat 0 Spayed/Neutered License Fee $ Pet Name Birthdate Sex ** Color Breed** Replacement Declared Dangerous or Potentially Dangerous Dog: 0 Y 0 N MICROCHIP # (If applicable) SU TOTAL: RABIES VACCINATION DATE: (3 yr) (I yr) CltV Tag # *PLEASE INCLUDE THE CITY TAG MUMSE11 IF THIS IS A RENEWAL ** (This fee Is due along with License Fee if requesting at the time of license renewal.) r'rr,, Not Send Cash by TOTAL ENCLOSED - - If you have questions, please! contact Blair police Department at (402) 426-4747 NEW PET/NEW RESIDENT LICENSING REQUIREMEbIT� (March T5/ate fee date notappllcable fornewpeis/newresidentsJ Newly Acquired Pets: New Residelnts to Blair. M Must be licensed within 10 days of ownership M Must register pets within 10 days of m <OR> at 6 months of age if puppy/ldi ten residency. htt Z ':o ........... -1.i ClientWID # OVWOGOG# O Banfield" Iroice 156"k, '4rf" PET HOSPITAL 5day, NoveM Banfleld Pet Hospital 17035 Evans Plaza, i Nil Omaha, NE 68116.2389 0i 2 3 (402) 289-0724 7! ENTER FOR A CHANCE T 0 WIN, $ 2 La encuesta tambi6n esta disponibfe fhoo! eh Es�,;ifiol. Ptt'691,414A. out your experience today. Go to www.BanfiiL-ld-UfStens.com to ellenslve hort survey, enter for a chance to win a �'' $2,000 quarfdO Care F6i- 011�jmW! (NO PURCHASE NECESSARY. See official rul�s at r prize IA J, 4�21,.,-Z!111� Ic i Lj'M'4fL coml w i linedia /Proj ect/Banfiel d /Main /en 113anfield akes� -info /Ddf/2 023-13anfield-rgw6enst' Official -Rules). j j 00''Su"v ey Code and share your feedback with us: 2038-1102-2300-1963774, Qt44ntity,,,��;., Regular Fee n th AJ A, ia, e Pus Plan a �,(.2023 yj V P Ao . j 100 57.95 p '0,'ss Plan �ip k,ership Fee 1,00, f Month Payment-- 1;00' 97,t,Y;I, J i, Prep 1.00 10,76 1 'me/Ehrlichia/Anaplasma SNAP Test �,Ly 10Q 41.91 t'l �pl�t4,lopd,Cq11.Cbunt (CBC/5 part machine differential) 1.00 oq 88.48 ip Canine -�ePh we., xAn i,od T 9", 52.95 �131, T ay , :,� 6 u in Exam, Exam - Dental, Ophthalmic Exam - Complete, �g Optimum ,-og -am ,C%mplete, Rectal Exam - Brief 3. ,es'sAnq'1,Glands 38,43 77777777j2r 7,777- i'na ,rpari tibb Screen 1.00 90,30 sl�o' -0 ,fjecal Testing Package 1.00, 49.06 dl.j(ji,� Ufl!J) im krq l]tr yl Prep, OWP Fecal Flotation Ova & Parasites-RefLab (ES) 1,00J,0�, 20.16 PUAWIA�ll P, g og/ml (per ml) 15.54 An )aPjjbdiT (11.1-22lbs) Card 6ct 1.00, 7., 161199 wkella 10,0, or2, 2990 !;A, Iij) A 1:3 34.95 J .,t§splrosis 4-way 100.. 1) 21.40 jl 41,!' 4.1 24,84 its rti; Li I Fee 1.00 4.80 N. "Amil Slib total $743.42 I�Iiltf' 6 bliI, 01'sp -V:A iN, il Regular Fee Y Total: $743.42 "Aan; rn 'OptimuWellness Plan®, you saved $567.09 pause your �apo 18 on 11.�.4 lay-.7hils does Optimum Wellness Plan s�vtfi'ks;calculation not reflect any Wililm'Ot f90M"A6Vly payments you have paid, other than those made �)Wi*trftpAfi Is invoice, foy, 2,0 day,� p. rromMbitels 6m ce /Product .Ydilcatd*s lo Hospital #2038 a - I of 2' �c All sales on medication and services.#6 final-jjP4k,�'li`rihA 011/?/2023 ' 163 k, e0 31gi9;! t,68Q08 '664�."71� r j; 1, ", I 1 11 A "i►"' , 02)"; ;00 Y I Itir"gon Name-: 11,),00pie Harmer ne M ix) (Neutered) ie Color Abd 424A,0 lbs A 6"' 11V 1), B I q JJ -L —gas.112012025388 !h T wcv _1croc ation ft Accine-Tame Rabies (Tyr m i Zoetis Vahgu 11/2/2023 d ,"e: 11/2/2024 654642 J, "i, i4 , 10 er1,a1XP1,res: 8/27/2024 91i Banfield rd"' Ra''bies Ce fkj PET HOSPITAL Certificate Banfleld Pet Hospital 17035 Evans Plaza, T%Ursday, Novem,' Omaha, NE 68116.2389 (402) 289-0724 VA� 466h 'et - LP coty,4g, "uh &,T I ., Manufacturer: Home,A 'n/Merck Manufacturer:'' w! ltl`— 7UMTF, �7 ,d)yt 4& "J q-ff Route: Subcutaneou's k": S t� Jr IV, !J" I L . I neon unrrinntpti in nrrnrrinnrp iiti;ith n I I ictlitp qnfi Fprlpr;i I envim ("JI, . Licensed Veterinaria Dr,tbphanie 11—V 3101)" . ..... �N Brownfield DVM License Number:24� 3. r 1y rabies certificate for this pet printed prior to the date of thilS' certificate is null andvoid- J1 tt 0 4 e l; "s 680f;316, '3 7 "Pi WePoiltlM a eSCeR,en,x-1, Hospital #2038 Page, 1 of Tf , 3 Pflliied /2 T, I',.( :,Cf, J E f _1 If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to,:,--" City of Blair o 218 S 16th St 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 AREDUE: March 15, 2023 ***PLEASE READ CAREFU *** Owner Name: 11 YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Owner Address: I �� ? d U u!� I /`I / T 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. city/state/zip: Blair, NE 68008 Phone # � a "` �/j 7 PET LICENSES RENEWALS ARE DUE BY 3115/2023. The City shall C 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 LICENSE FEES: Dog or Cat: $16.00 be submitted with your license application. Altered Dog or Cat: $11.00 Replacement Fee for Lost `fag: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program T #1 ❑ Dog ;&,Cat Spayed/ utered License Fee $ Pet Name Roo Birthdate 0ONSex H-W,4 - Color y / c Breed** c c(,) Rep/acement$ ** Declared Dangerous or Po entially Dangerous Dog: ❑ Y ❑ N� MICROCHIP # (If applicable) SUBTOTAL: $ _. RABIES VACCINATION DATE: >I L1,0,�- 1 (3 yr) (1 yr) City Tag # ' ' `-I---; V* 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) _ ❑N (1 yr) License Fee $ Replacement $ C-UBTOTAL:$ *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 bepartment at (402) 426-4747 ++++++++++++++++++++++++..........r++++++++++++++++++++++++++++++a-++++++++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15/ate fee date notapplicable fornewpeiy/newre5/deniy) Newly Acquired Pets: New Residents to Blair: Bill 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. Republican Valley Veterinary Clinic Judy Baxter, DVM P. O. Box 884 429 E. Hwy, 36 St. Francis, KS 67756 (785) 332-2262 TISH HAVEL 521 E 1ST ST ST. FRANCIS, KS 67756 Page 1 / 1 Client ID: 3324900 Invoice #: 202817 Date: 12/16/2021 Patient ID: 21783 Species: Feline Weight: Patient Name: BOO KITTY Breed: Mediumhair, Domestic Birthday:10/01/2011 Sex: Spayed Female Description 12/16/2021 FVRCPC VACC - BOOSTER RABIES VACC - BOOSTER Reminder 12/16/2022 FVRCPC VACC - BOOSTER 12/16/2024 RABIES VACC - BOOSTER Staff Name Judy Baxter Quantity 1.00 1.00 Patient Subtotal: Invoice Total: Total: Balance Due: Previous Balance: Balance Due: Check Check # 814: Less Payment: Balance Due: Total $25.00 $25.00 $50.00 $50.00 $50,00 $50.00 $0.00 $50.00 ($50.00) ($50.00) $0.00 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 jj�` Owner Name: � '�9.�`� Owner Address: t 5 c City/state/zip: Blair, NE 68008 Phone # qI 4 .a 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 requires Proof of rabies vaccination to be submitted with your license application. Replacement Fee for Lost Tag: $5.00 Inducted 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 Na e _ Birth ate i Sex Color Breed** Replacement $ ** Declared Dangerous or Poten sally ngerous' Dog: ❑ Y 04 N MICROCHIP # �� .� �j Q, (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: 3- I' �A a (3 yr) (1 yr) City Tag # h, TT., PET # 2 Dog El Cat Vj Spayed/Neutered License Fee $ Pet Name M- Birthdate 1113111. Sex 1 Color Lr Breed** Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: i 1 a -,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) _ M (1 yr) License Fee $ Replacement $ SUBTOTAL: $ City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not Send Cash by Mail TOTAL ENCLOSED $ If you have questions, please contact Blair Police Department at (402) 426-4747 ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (Mamh 15late fee date not applicab/efor newpety1newresidents) Newly Acquired Pets: New Residents to Blair: ■ Must be lioan within 10 days of ownership ■ Must register pets within 10 days of ■ <OR> at 6 months of age if puppy/ldthen residency. Blair Small Animal Clinic PC David E. Johnson DVM 1734 Front Street Blair, Nebraska, 68008 (402) 533-2722 Rabies Certificate Client ID: 4408 Patient ID: 6479 Client Name: Lori Halsey Patient Name: Maggie Address: 1518 Park Species: Canine Breed: Mixed Breed Blair, NE 68008 Sex: Spayed Female Color: White & Tan Phone: (402)660-7483 Markings: Birthday: 03/21/2011 Weight: 54.00 pounds on 3/1/2022 Microchip ID: 4C2C7A6852 Tag Number: 6888 Vaccination Date: 3/1/2022 Vaccine: Imrab Rabies Vaccine Expiration Date: 3/1/2025 Producer: Merial Lot Number: 18526 Brand: Imrab 3 TF Drug Expiration Date: 5/20/2023 Type: Killed Virus inner of Subcutaneously Administration: Staff Name: David E. Johnson DVM License Number: 1893 Doctor Signature: Client ID: Client Name Address: Phone: Tag Number: Vaccine: Producer: Brand: Tvpe; inner of Administration: 4408 Lori Halsey 1518 Park Blair, NE 68008 (402)660-7483 6887 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: 12214 Beau Canine Rottweiler Neutered Male Black/Tan Rottweiler pit mix 11 /03/2011 74.00 pounds on 3/1/2022 3/1 /2022 3/1 /2025 18526 5/20/2023 08/26/2023 10:21 4024260101 HOLSTEIN VET CLINIC PAGE 01/01 2023 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN BLAIR 01'Ty t IMITS AND OWN A DOG(S) AND /OR CAT(S), COMP1[_FTP 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) AQUVF DQQS OR THREE (3) ADULT CATS PER RESIDENTIAL OR 0WELI_ING UNIT. —PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YO J., PFT_ THE CITY or 13LAIUEGUIRES PROOF OF rallure to do so is a violation of City Ordinances 6.10.3 and carriet, a penalty of•a fine up to $1150,00 Per Pet, PET The city shall recognize a microchip ID number as the license number. It shall be unlawful for any clog 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 LICENSiN§,Must be licansed within 10 days of ownership (OR) at 01 months of age if puppy or kitten NEW RESIDENTS TO BLAIR Must register pets within 10 days of residency Owner Name I Jordayn Halstead Spouse Jacob Howell Owner Address 2266 Hickory Circle citylstate/Zip i Blair, NE 68008 Phone 9 I i 712-355-0353 Pot Name: Mack it #2465 Age: 7Y DOB: —07-01-16 Sex: Male Color: Brown Breed:: Pit Bull Rabies Tag # 23568 PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE): # RABIES VACCINATION DONE ON 08-26-23 Rabies Description: YEAR :3 YEAR Holstein Veterinary Clinic Dr, Lisa Schrum D V114 : Dr, Krista Holstein 0 VA4 118 South 1 91h Street Blair, NF 68008 402-426-7387 402-426-0101 Fax hoisteinclinic@gmail.com LICENSE FEES I_n t �ac t; , Dog Altered Dog or cat: $11 .00 Replacement rag $5.00 Total PETS THAT ARE ON Li�FLc-TI-V-E-P-O-TE-N-T-IA-LL-Y-'-)A-NP462us-OR DANGEROUS DOG LIST NFEP TO REGISTER DIREMYALCITY _HALL 03/23/2023 16:20 4024260101 HOLSTEIN VET CLINIC PAGE 01101 2023 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN BLA18 CITY LIMITS AND OWN A DOG(S) AND /OR CATM, COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO., CITY OF BLAIR - 218 S. 16TH ST - BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE. (3) ADULT" CATS PER RESIDENTIAL OR DWELLING UNIT. °'"PLEASE READ CAREFULLY"* YOU ARE REt1UIRl~)] RY LAW Tt5 LICENSE YOUR PETR iliE CITY c]F BLAIEi REQUIRW PE!6QF 0 RAI3IES 1 AagNAT�QN 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. ET LICENSE RENEWdN S AFtE []I1E BY 3/7(1 The city shall recognize a microchip ID number as the license number. It shall Ge unlaWful for any dog or cat to wear any license or other city ID other than that issued by th¢ City of Blair for loch dog or cat, NEW PET L10EN5IN-Q-Must be licensed within 10 days of ownership (OR) at 6 months of age if puppy or kitten NEV SIDENT T-O BLAIR Must register pets within 10 days of residency Owner. Name Jeremy Hand spouse .._ Owner Address 505 N 10th St city/state/zip Blair, NE 68008 Phone #>r 402-490-2830 Pet Name: Hank Tag #4069 Age: '12M DOB: 03-04-22 Rex; Male Color: Mack and White Breed: Boxer X M.11crochip,# Rabies Tag # 23188 PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE): # RABIES VACCINATION Dfl 3.23.23 Rabies Description: EA 3 YEAR Holstein Veterinary Clinic or. Lisa Schrum DVM ; Dr. Krists Holstein DVM 718 South 19th Street Blair, NE 68008 402-426-7387 402-426-0101 FaX holsteinclinic «0mail,com Dogtor Cat: $1 Altered Dog or cat: $11,00 Replacement Tag $5.00 Total PETS THATARE ON THE ACTIVE POTENTIALLY DANG RROUS OR 1JANGEHOUS P�7G 11ST NEED TD REGISTER ill REC7LY AT CITY HALL, FAXED 03-23-23 BY Mar 13 23 04:27p 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 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 1 " ,23 Owner Name: Owner Address: city/state/zip; Blair, NE 68008 Phone # C1--- liq P — LICENSE FEES; bog or Cat: $16.00 Altered dog or Cat: $11.00 ***PLEASE READ CARERJLLY*** YOU ARE REQUIRED BYLAW TO LICENSE, YOUR PETS. Failure to do so Is a viotation of City ordinances 8.203 and carries a penalty of a tine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3/1512023. The City shall recognize a microchip identification number as the license number. It shall be unlawful for any dog or cat to wear any Ilcense or other city Icentlgcaticn other than tha. Issued by the City of Blair for such dog or cat, The Cif of Blair requires proof of rabies vaccination to be submitted with your license application. -- -.-__...-Replacement Fee for Lust Tag: $5.00 Included Is a State Fee of $1.25 being collected to Fund the Nebraska Dog & Cat Operator Inspection Program PET #11 .Dog ❑ Cat ❑ Spayed Neute License Fee $ [ �O Pet Name l A 01 Birthdate Color Breed** Replacement $ ** Declared bang rous or Potentially Dangero'uY1569: Y N MICROCHIP # (If applicable) SUBTOTAL: $_ RABIES VACCINATION DATE:. "7� 2v�—, --(3 yr) �$— (l yr) City Tag # 3221 PET #2 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Bir hdate Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ (I- yr) License Fee $ Replacement $ ** SU BTOTAL: $ City Tag # PET #3 ' ❑ Dog ❑ Cat CI 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 CrrYTAG NUMBER XFTHIS IS A RENEWAL ** (This fee is due along with License Fie if requesting at the time of license renewal.) Do Plot Send Cash by Mail TOTAL ENCLOSED $ If you have questions, please contact Blair police Department at (402) 4264747 .....+++...++.+.+....++.+-r...................++++.++++++++++f ++++.....+....... NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (Mara` 151ate fee date notapprcable forne➢vpeWnewresldents) NewlyAAuired Pets; New Residents to Blair: ■ Must be licensed within 10 days of owr➢ership ■ Must register pets within 10 days of ■ <OR> at 6 months of age If puppyfldtt�!n residency. ,&,y 10')K� If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair 9 218 S 16th St 9 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: k`.�; Owner Address: city/state/zip: Blair, NE 68008 Phone # LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: !k11.00 ***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 $ _1_ Pet Name' �� 4 Birt ate �c)l' Sex Color Gye>.r car8 �y�1r�� Breed** ;�r�'t��-1kx�xeY ,l;�x Replacement $ ** D I .4D P t tall Dan erous Do ❑ Y b0LKI ec are angerous or o en I y g g. 6, MICROCHIP # (If applicable) SUBTOTAL: $ /! RABIES VACCINATION DATE: 44 au as (3 yr) � (1 yr) City Tag # T #2 \U) Dog ❑ Cat Spayed/Neutered License Fee Pet Name Nk4ox� Birthdate c�I ._ Sex (�_ Color &tz w_n o.nA Breed** c dew JVY Wc) jrr)\x Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ja\N MICROCHIP # 9° (If applicable) SU TOTAL: $ RABIES VACCINATION DATE: 1(�O lo2O,;k:5 (3 yr) (1 yr) City Tag # q00 9- 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 ++++++++++++++++++++++++++++++.....r++++++++++++++++++++¢+¢+++++++++++++¢++¢++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15/ate fee date notapplicable fornewpets/newresidents) 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. Date of Rabies Vaccination: 2/20/2023 Next Rabies Vaccination On: 2/20/2024 VETERINARY CLINIC Arlington Pet Hospital 225 N. 3rd St. Arlington, NE 68002 402-478-4141 z Certificate No: 1 - .. OWNER OF ANIMAL Stephanie Havenridge 509 River Road Blair, NE 68008 County: Washington This is to certify... THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT, Atlas TA :.031.844 SPECIES: CanineWEIGHT: 52.00 SEX: Neutered Male AGE: 3Y Color and markings: Chocolate & White GRANT TLE, DVM Lip Signed ease: 4022 Vaccinations done... 2/20/2023 GL DHLPP ADULT BOOSTER 2 YR 2/19/2025 2/20/2023 GL BORDETELLA ANNUAL BOOSTER 2/20/2024 2/20/2023 GL RABIES 1 YEAR, #031844 Rabies Vaccine Information... • 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 28 S 1th St 9 Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2023 Owner Name: r'�r r W en ram' Owner Address: 20 Y 7 dV 5k p, city/state/zip: Blair, NE 68008 Phone# 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 anDlication. 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 C a t 2"Spayed/Neutered License Fee $ s Pet Name Birthdate Sex In Color Breed** Replacement $ • ®o ** Declared Dang rous or Potentially Dangerous Dog: ❑ Y ®-N MICROCHIP # (If applicable) SUBTOTAL: 6. �® RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # u 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 m (1 yr) (1 yr) License Fee $ Replacement $ SUBTOTAL: — City Tag License Fee $ Replacement $ * * SUBTOTAL:$ *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 $ 16, If you have questions, please contact Blair Police Department at (402) 426-4747 +++++++++.++.....+++++++++++++++++++++++++++++++++++++++++++a-+++++++++++++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15/ate fee date not applicable 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. ga"-t- 7 $ 37y 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 lair @ 21816th St e 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: March 15, 2023 Owner Name: �A d-n I L- def-")a I_l Owner Address: City/State/Zip: Blair, NE 6800 Phone # qOO - �) 32 _,10 1 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 #At Dog ❑ Cat 'Spayed/Neutered License Fee $ �� 0 Pet Name, Birthdate Sex Color Breed** JA (l Vai)e coca _Replacement $ ** Declareg Dang rous or Potentially Dangerous Dog: ❑ Y N MICROCHIP # I Qto0 2I `� ,. (If applicable SUBTOTAL: $ RABIES VACCINATION DATE: i ' (3 yr) (1 yr) City Tag # 20 PET t4" D o g ❑ Cat Spayed/Neutered ®, License Fee $ � 0 D - Pet Name .L �.- Birthdate Sex Color w (.. 'e- — Breed** Replacement $ ** Declared Dang rous oruPotentially Dangerous Dog: ❑ Y 0,N MICROCHIP # (If applicable) . SUBTOTAL: $ RABIES VACCINATION DATE: 31301 0 _ (3 yr) C� (1 yr) City Tag # 0 zZ 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 ENCLOSE $ 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 lioensed within 10 days of ownership ■ Must register pets within 10 days of 0 <OR> at 6 months of age if puppy/kitten residency. CITY OF BLAIR ® 2023 PET LICENSE APPLICATION - 10aV, 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 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 AREDUE: March 15, 2023 Owner Name: Owner Address: l ,7o, L., `q ,61 I V City/State/zip: Blair, NE 6008 Phone # i� D 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 reuuires 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 W Dog ❑ Cat lid-U ❑ Spa Birthdate eutered is b Se�.. License Fee $ r ColoNang �ff U II Breed** + - �' 6c t. Rep/acement$ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ® N MICROCHIP # I I (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: i (3 yr) (1 yr) City Tag # �+ . PET #2 MAIDog ❑ Cat ❑ Spa ye /eutered License Fee $ I 00 Pet Name f k r5t) i) Birthdate 1 1 Sex M o e. Color PA I Brl)mrl, Breed** Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ZJ N MICROCHIP # (If applicable) SUBTOTAL: RABIES VACCINATION DATE: ` t (3 yr) (1 yr) City Tag # `'3 PET 3 W Dog ❑ Cat ❑ Spaye / eutered / License Fee $ Pet Name >dC �'_ Birthdate 16 3 ex Color eBreed** l /'Ie7v y� Replacement � ** Declared D ngerous or Potentially Dangerous Dog: ❑ Y N MICROCHIP # C1bG A 5PO500V, (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: � 3 d, 3 (3 yr) (1 yr) 4 City Tag # ILL—* *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL f � C ** (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 (Mamh15/ate fee date not applicable for newpets/newresldents) 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. Holstein Vet Clinic 718 South 19th Street Blair, NE 68008 402-426-7387 Check out our online store at www.HOLSTEINVET.com for home delivery! Printed: 02-03-23 at 11:39a FOR: Kelli Hermanson* Date: 02-03-23 1429 Lincoln Street Account: 1843 Blair, NE 68008 Invoice: 134863 (402) 427-3231 Date For Qty Description Net Price 02-03-23 Bruizer 1 Heartgard+ 26-50# EACH 14.49 02-03-23 Gracie 1 Exam - Mini Exam w/ Boosters 14.00 02-03-23 1 Vanguard® DAPP/1-4 {Distemper+Lepto) 31.00 02-03-23 .1 Vanguard® Rabies 1 (1 YEAR) 29.25 02-03-23 1 Heartgard+ < 25# EACH 13.49 02-03-23 Wilson 1 Heartgard+ < 25# EACH 13.49 02-03-23 Visa payment -143.72 Old balance Charges Payments New balance 28.00 115.72 143.72 0.00 Reminders for: Gracie (Weight: 20.4 Ibs - 16w) Last done 02-03-24 Vanguard® Rabies 1 (1 YEAR) 02-03-23 02.-03-24 Vanguard® DAPP/L4 {Distemper+L 02-03-23 12-07-23 Vanguard® B ORAL ( Bordetella 12-07-22 Reminders for: Wilson (Weight: 7.8 Ibs - 2y) Last done 04-28-25 Vanguard® Rabies 3 {3 YEAR) 04-29-22 04-29-23 Vanguard® DAPP/1-4 {Distemper+L 04-29-22 Reminders for: Bruizer (Weight: 25.9 Ibs - 2y) Last done 02-18-25 Vanguard® Rabies 3 (3 YEAR) 02-19-22 01-13-24 Vanguard® DAPP {Distemper) 01-13-23 Thanks for choosing us to take care of your pet's health care needsl 01/10/2023 11:28 4024260101 HOLSTEIN VET CLINIC PAGE 01/04 2023 PET LICENSE VERIFICATION/APPLICATION FOR, CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOGS) AND /OR CATIS), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO; CITY OF BLAIR -• 218 S. 16TH ST BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS THE CITY OF BLAIR RIEOUIR S PROOF t5F 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. PST LICENSE RENEWALS ARE UI2E BY 3115/20234 The city shall recognize a microohip ID number as the license number. It shall be Unlawful for any dog or cat to wear any license or other city )D other then that issued by the City of Blair for such dog or cat. NEW PET LICENSINO-Must be licensed within 10 days of ownership (OR) at 6 months of age if puppy or kitten II, W RESIQENTS TO. PLLAIR Must register pets within 10 days of residency 0Wner Name ,Amanda Highfill Spouse Alex Owner Address 817 Meadow drive City/State/Zip Blair, NE 68008 Phone # - Pet Name: Ava Tag #3 Age: 24M Sex: Spayed Female Color: Silver DOB: 01-16-21 Breed: Weimaraner Microchip # 956000013410238 Rabies Tag # 20235 PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE): # RABIES VACCINATION DONE ON 04.06.22 Rabies Description: 1 YEAR 3 YEAR PETS WAT ARE ON THE ACTIVE POTENTIALLY DANGEROI/S OR DANGEROUS DOG LIST NEED TO EGISTER DI ECTLYAT CITY HALL, Holstein Veterinary Clinic Dr. Lisa Schrum DVM : Dr. Krirsta Ho/stein DVM 718 South 19xh Street Blair, NE 68008 402-426-7387 402426-0101 Fax holsteinclinic@Omaii.com LICENSE FEES Intact Dog or Cat: $16.00 Alters g or cat; $1 .00 Replscemant Tag $5.00 Total $ FAXED 01-10-23 8Y CITY HALL @ 402-426-4196 01/10/2023 11:28 4024260101 HOLSTEIN VET CLINIC PAGE 03/04 2023 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF GLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CATO). COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY of BLAIR - 218 S. 16TH ST - BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. ***PLEASE READ CAREFULLY*** U ARE REQUIRED BY LAW TO LICENSE YOUR PETS THE CITY OF GLAIR REQUIRES PROOF OF RABIES VACCINA ION Failure to do so Is a violation of City Ordinances 6.103 and carries a penalty of a fine up to $150.00 per pat. PET LICENSE RENEWALS ARE OU15 BY 3/ /2D22 The city shall recognize a microchip ID number as the license humber. 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 LICENSIIVCi Must be licensed within 10 days of ownership (OR) at 6 months of age if puppy or kitten NEW RESI<7ENTS TO &AIR Must register pets within 10 days of residency owner me Rachel Highfill Spouse Owner Address 820 Meadow Dr City/State/Zip Blair, NE 68008 Phone # 402-869-4329 Pet Name: Field Tag #3013 Age: 2Y Sex: Spayed Female Color: Blue DOB: 05-25-20 Breed: Welmaraner Microchip # 985141002128627 Rabies Tag # 19472 PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE): # RABIES VACCINATION DONE ON 09-09-21 Rabies Description: 7 YEAR 3 YEAR Holstein Veterinary Clinic Dr. Lisa Schrum DVA4 : Dr. K'r/sta Hcistefn DVM 718 South 181" Street Blair, NE 68008 402-426-7387 402.-426-0101 Fax holsteinciinic@gmail.com LICENSE FEES Intact Dog or Cat: $16.00 Altere D 8 or cat: $11.00 ,Replacement Tag $5.00 Total $L1! PETS THATARE ONYHEACTIVE POTENTIALLY DANGEROUS OR DANGEROUS DOG LIST NEED TO REGISTER DIREC FLYAT CITY NAU FAXED 01-10.23 BY -139 CITY WALL @ 402-426-4196 01/10/2023 11:2I3 4024260101 HOLSTEIN VET CLINIC PAGE 02/04 2023 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF BLAIR If You LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CATIS), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF BLAIR W 218 S, 16T" ST BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREE ($) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. *waPLEASE READ iCAREFULLY9 Ob ,YOU ARE REQUIRED 0Y LAWTO LICENSE OUR PET;: 1'HE CITY L1F BLAIRREQUIRE$ PROOF OF RABIES tNATIQN. Failure to do so is a violation of City Ordinances 6.103 and carries a penalty of a fine up to $160,00 peerr pet. PET LICENSE RIFNEWAL$ ARE DUE RY 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 PEI LICENSIiVQ-Must be licensed within 10 days of ownership (OR) at 6 months of age if puppy or kitten NEW RESIQF-NTS TD IU.AIR Must register pets within 10 days of residency Owner Name Spouse Owner Address City/State/Zip Phone, # Holstein Veterinary Clinic Dr. Lisa ,Schrum DVM : Dr. Krlsta Holstein DVM 718 South 19'h Street Blair, NE 0$008 402-426-7387 402-426-0101 Fax holsteinclinic@gmail.c+om Rachel Highfill 820 Meadow dr Blair, NE 68008 402-659-4329 LICENA E FEES Intact Do0 or Gat: $16.00 A/to� D or cat: $11.00 f opplocement Tog $6.00 Total PETS THAT AREONTHE ACTIVE POTEN TIA tyDANGER041SOR DANGEROOSP GUSTNEED.TO REGISTERIPIRECTLYAT (IT UALL, � -o If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City Of Blair o 218 S 16th St e Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2023 Owner Name: Owner Address: City/State/Zip: Phone # Blair, NE .:11 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 Q Spayed/Neutered License Fee $ - Pet Name Birthdate T Sex ` Color f Breed** °ter Replacement$ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y Ca N MICROCHIP # (If applicable) SUBTOTAL: $' ` RABIES VACCINATION DATE: 6 {..i (3 yr) (1 yr) City Tag #r PET E TBirthdate'- 2 b D o 9❑ Cat t Q Spayed/Neutered License Fee $' Sex Color 7. Breed** Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y LI N MICROCHIP # (If applicable) SUBTOTAL: RABIES VACCINATION DATE: - Z (3 yr) (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 CLOSE $ ` `` ' f. " " If you have questions, please contact Blair Police Department at (402) 426-4747 ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++.....+++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March I5/ate fee date not applicable 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. nl/11/201J 15:07 4024260101 HOLSTEIN VET CLINIC PAGE 01/01 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 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. *OOPLEASE READ CAREFULLY*** YOU ARE REWIRED BY LAW TO LICENSE Y LIR PETS THE CITY OF 13LAIR REQUIRES PROOF OF RABIES VACCINAT—Q 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. PST LICENSER NEWA S ARE IaUE BY 3/1512(?23 The city shall recognize a microchip ID number as the license number. It shall be unlawful for any dog or catto wear any license or other city ID other than that issued by the City of Blair for such dog or cat. NEW_.PET LICENSING_Must be licensed within 10 days of ownership (4I1) at 6 months of age If puppy or kitten NEW RESIDENTS TO BLAi,H Must register pets within 10 days of residency Owner Name I Lisa Hililman Spouse Owner Address 1123 Jackson Street City/State/Zip Blair, NE 68008 Phone # 402-237-9546 Pet Name: Whiskers Tag #3201 Age: SY ' Sex: Female Color: Calico DOB:-02-02-13 Breed: Domestic Longhair Microchip # DF CITY TAG N RABIES VACCINATION DONE ON Rabies Description: / 1 ` Rabies Tag # IF THIS IS A RENEWAL (IF AVAILABLE): # D1.11-23 ' BAR 3 YEAR Holstein Veterinary Clinic Dr. Llsa $,phrum DVM : Dr. Krista Holstein DVM 718 South 1911 Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinic@gmail.com LI EC�NSE FEES. ntOC Do r Cat: $1 0 Altered Dog or cat: $11.00 Replacement Taq $5.00 Total $ 1 � _ PETS TNR?"ARE ON 7'N,E ACTIVE POTEN]'IAlrIY DANGEROUS OR pANGEROUS DOG UST NEED TO REGISTER DIRECTLY AT CITY LL FAXED 01-11-23 BY CITY OF BLAIR - 2023 PET LICENSE APPLICATION j 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: 1m\—Vn Owner Address: )A `� V\. SV A 2 City/State/Zip: Blair, NE 68008 Phone # e \ _ 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 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 Dog ❑ Cat Spayed/Neutered License Fee $ Pet Name tY1c 1r-bf-y\ s Birt ate 1��5- zo Sex EP_mc\,e_ Color Breed** �,MP r �..,,}�„��f Replacement $ ** Declare Dangerous or Potentially Dangerous og: ❑ Y XN MICROCHIP # C S \C) ab 0S \, a� ��pplicable) SUBTOTAL: $ RABIES VACCINATION DATE: Z's ZA (3 yr) (1 yr) City Tag # )payed/Neutered to Sex gerous Dog: ❑ Y ❑ N (If applicable) (3 yr) (1 yr) ;payed/Neutered to Sex k* gerous Dog: ❑ Y ❑ N (If applicable) (3 yr) (1 yr) License Fee $ Replacement $ SUBTOTAL: $ City Tag # * License Fee $ Replacement $ SUBTOTAL: $ City Tag # IS IS A RENEWAL equesting at the time of license renewal.) ®oNot 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(Ma/rh15late fee date not applicable for newpety1newresidents) Newly Acwuired 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. CITY OF BLAIR ® 2023 PET LICENSE APPLICATION IA - 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 28 S 1th St e Blair, NE 680081 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: NjVVXA s / Owner Address: 221 1 6 city/state/zip: Blair,, NE ,(6j 0081 Phone # LICENSE FEES: Dog or Cat: $16.00 Altered Do or Cat• $11 00 ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 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 fag: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program T #1 Dog ❑ Cat ❑ Spa WeN utered y , „ License Fee $Pet Nam Birthdate S x ** Color WU \� � Breed** 1 Replacement $ Declared Dangeroor Potentially Dangerous Dog: ❑ Y N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE:b�` (3 yr) _ (1 yr) City/ Tag #: �a PET # 2 Dog ❑ Cat ❑ Spayed N utered License Fee $ Pet Name iA Birthdate 2U Sex Color Y9?�i�X Breed** Replacement** Declared Dangerous or Potentially Dangerous Dog: ❑ Y N MICROCHIP # _(If applicable) SUBTOTAL: $ �� RABIES VACCINATION DATE:. _= -- (3 yr) -- (1 yr) City Tag # s.°> 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 # *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/newresldents) Newly AMuired 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. 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 9 218 S 16th St e 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: March 15 2023 Owner Name:fia')/IowAo "y) Owner Address: 10 0" ,�e2 y�i Ct -�i`�� s+- city/state/zip: Blair,. NE 68008 Phone # LICENSE FEES: Dog or Cat: $16.00 Altered noor 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 31 5/2023. 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 f.. Dog ❑ Cat .Spayed/Neutered License Fee $" Pet Name #vBirthdateID- z aI Sex Color Lox— —l-rnv'\ Breed** Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N JVIICROCHIP # Cl < < 2C/e) 101, lih `(7 C2,q (If nk: ble) SUBTOTAL: $RABIES VACCINATION DATE: iTi1� � (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 # , ❑ 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 # License Fee $ Replacement ❑N SUBTOTAL: $ (1 yr) City Tag *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not Send Cash by Mail TOTAL ENCLOSED ** If you have questions, please contact Blair Police Department at (402) 426-4747 ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++¢+++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15/ate fee date notapplicable fornewpets/newresldenis) 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/aten residency. RABIES VACCINATION CERTIFICATE FOR DOUGLAS COUNTY, NEBRASKA DATE VACCINATED VACCINATION EXPIRES RABIES TAG NUMBER 01 /06/2022 01 /05/2025 22 0056 NAME: Nancy Hoffman 2102 Nebraska Street Blair, NE 68008 SPECIES SEX Canine MW 01 PET: Mac TELEPHONE: 960-8623 (402) AGE 10/22/2016 BREED COLOR Microchip Number German Shepherd Producer: Zoetis- Lot #345832 Serial Number: SN 528097 Vaccine Type: Killed Rabies Expiration: 01032023 WEIGHT 1041 bs. I hereby certify that I have vaccinated this animal in accordance with the company's recommendation for the vaccine used on the above date. American Animal Hospital 11030 Emmet Street Omaha, NE 68164 Signature of licensed v erinar' n administering accine. Dr. Dave Kroeger (402) 493-6767 Ujt14I2023 13:17 40242E0101 HOLSTEIN VET CLINIC PAGE 01/01 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 PAYABI-E TO: CITY OF KAIR - 218 S. 16TH ST - BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, SLIT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. ***PI -EASE READ CAREFULLY*** YOU ARF REQtJiRr:�] RY LAV(/ T(7 LICENSE YOUR. PETS. THE CITY OF BLAIR RI;QUIRE5 PROOF QF RAWkI VACCINATION Failure to do so is a violation of City Ordinances 6.100 and carries a penalty of a fine up to $150.00 per pet, PET t ICENSE RENEW,��,S ARE t?lE BY 3t207. The city shall recognize a microchip ID number as the license number, It shall be unlawful for any dog or cst to wear any ffeense or other city ID other than that iequed by the City of Blair for such dog or cat, T LICENSING Must be licensed within 10 days of ownership (OR) at 5 months Qf age if puppy or kitten NEW Flt8IDENTS TO BL 111 Must register pets within 10 days of residency Owner Name Spouse Judi Holling — �J Matt Holling Owner Address 710 N I8th Ave. Apt. 3D City/State/Zip >Blair,111F 68008 Phone # 402-504-2514 Pet Name: Tigger Tag #1490 Age: 12Y Sex: Neutered Male DOB: 12.17-10 - M eed: Domestic u MicrocbJp # Color: Org Tabby Rabies Tag # PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE): # RABIES VACCINATION DONE e3-14-25 Rabies Description: 1 YEAR 3 YEAR Holstein Veterinary Clinic Dr: LJsa SOhlUutn DVIV Dr: Krista Hra/stein DVM 718 South 19t" Street Blair, NE 68008 402-426-7887 402-426-0101 Fax holsteinclitiic@gmaii.com cgmail.com LICE Ns E ES intact Dog or Cat: $16,00 ,mod • Do or cat; $11.0 Rep1000ment Tag $5.00 Total $ PATS T4A7'ARE ON THE ACTIVE POTENTIALLY DANGEROUS OR p4NGERDUSf�C7Ct L15T NkFD TD RFC�ISTFR DIRECTLYATGlrY J�ALL. FAXED 03-14-23 BY :::CTY'H �iLL 0 6-4''#. i5' (��l CITY OF BLAIR ®2023 PET LICENSE APPLICATION 7 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 9 Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2023 Owner Name: � `► P Owner Address: l 1) 1 F" City/State/Zip: Phone # "0D- LkQt,-, �60B I LICENSE FEES: Dog or Cat: $16.00 Alt'Mred L71oa 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 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 ❑ Cat j * Spayed/ Neutered License Fee $ Pet Name I i 1 Birthdate Q � Sex Color Breed** Vy�. x Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y U� N MICROCHIP # (If applicable) SUBTOTAL: $_ RABIES VACCINATIO_ N DATE: (3 yr) 1 yr '-J�2 City Tag # TTn ___ C) 5 7 PET #2 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Birthdate Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ (1 yr) License Fee $ Replacement $ SUBTOTAL: $ City Tag # PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed** Replacement$ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not Send Cash by 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/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. CITY OF BLAIR ® 2023 PET LICENSE APPLICATION 3w o J 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 lair 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 RENEW#LS,ARE DUE: _ aT ` 2023 ***PLEASE READ FULLY*** Owner Name: I L7 ( tom-/ r"� LK" YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Owner Address: S&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. City/State/Zip: Blair, NE 6 008 PET LICENSES RENEWALS ARE DUE BY 3/1512023. The City shall Phone # (I 7 r' G'� -C 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 LICENSE FEES: Dog or Cat: $16.00 be submitted with your license anolication. Altered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $6.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program ET #1 N D o g ❑ Cat Spayed/Neutered License Fee $ Pet Name - S Birth ate 11-t-1Sex Color Breed** ( w 1 y3 Rep lacement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y 1 & N 6 MICROCHIP # (If applicable , SUBTOTAL: $ RABIES VACCINATION DATE: 9-6-(3 yr) (1 yr) City Tag PET #2 'E Dog ❑ Cat ,ZI-Spayed/Neutered License Fee $ Pet Name M $ Birthdate 7-1 1 Sex Color :r.- Breed** Replacement ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y g N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: t-yl - 2-2- (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 E $ If you have questions, please contact Blair Police Department at (402) 426-4747 ++++++++++++......++++++++++++++++++++++++++++++++++++++++++++++++++++++.+++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 151ate fee date not applicable for newpeis/newresldents) 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. ;. `_, If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair 9 218 S 16tht 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 -DU : March 15, 2023 Owner Name: Owner Address: City/State/Zip: lair, NE 68008 Phone # UU,-� t 3 S � u0 LICENSE FEES: Dog or Cat: $16.00 Altered nnn or Cat- $11 00 ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3/15/2023. The City shall recognize a microchip identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city Identification other than that Issued by the City of Blair for such dog or cat. The City of Blair renuires proof of rabies vaccination to be submitted with your license application. 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 5j Spayed/Neutered License Fee $ Pet Name Birthdate � h— Sex tyll Color Breed** �r,rx�a 4i c ��+>- r 1�� Rep/acement$ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # 71�(If applicable) SUBTOTAL: $ 1 RABIES VACCINATION DATE: ), 12 (3 yr) (1 yr) C' Tag c_� • T #2 ❑ Dog a Cat I Spayed/Neutered e— License Fee $ Pet Name L r Birthdate c Sex i- Color Breed**1,-.,;�;�I ►�� Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # r (If applicable) SUBTOTAL: $ It RABIES VACCINATION DATE: iOI � (3 yr) (1 yr) City Tag J0 ® Dog I Cat C4 Spayed/Neutered License Fee $ � Pet Name )�j`) Birthdate Sex_ Color 1 �� r a>> �; Breed** ` ` r Replacement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # Oi,> (If applicable) SUJBTOTAL: $ RABIES VACCINATION DATE: It _ �_ (3 yr) -4— (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+++++++++++++++++++++++++++++.+++++++++++++++•r++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15/ate fee date notappllcable fornewpeis/newresldents) 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. Blair Small Animal Clinic PC David E.Johnson DVM 1734Front Street Blair, Nebraska, 68008 Rabies Certificate Client \D: 1235 Patient \O: Client Name: Steve & Michelle Hooch Patient Name: Address: 8OON.24thAve Species: Brand: Blair, NEG8OD8 8au Phone: (402)533-2118 Markings: Birthday: Weight Microchip ID: Tag Number: 0000 Vaccination Date: Vaccine: |nnrabRabies Vaccine Expiration Date: Producer: Merial Lot Number: Brand: |nnnab 3TF Drug Expiration Date Killed Virus Manner of Subcutaneously Staff Name: David E.Johnson OVM License Number: 1893 Doctor Signature: 4285 Lucky Man Feline DomanUcGhortha|r Neutered YNo|e O5/OG/2O1O 14.58pounds on8/28/2D23 985121007785788 0/28/2022 612812024 18535 11/17/2U23 Blair Small Animal Clinic PC David E. Johnson DVM 1734 Front Street Blair, Nebraska, 68008 (402) 533-2722 Rabies Certificate Client ID: 1235 Patient ID: Client Name: Steve & Michelle Hosch Patient Name Address: 806 N. 24th Ave Species: Breed: Blair, NE 68008 Sex: Color:. Phone: (402)533-2119 Markings: Birthday: Weight: Microchip ID: Tag Number: 0000 Vaccination Date: Vaccine: Imrab Rabies Vaccine Expiration Date: Producer: Merial Lot Number: Brand: Imrab 3 TF Drug Expiration Date: Type: Killed Virus tanner of Subcutaneously Administration: Staff Name: David E. Johnson DVM License Number: 1893 Doctor Signature: 4746 Little Sister Feline Domestic Shorthair Spayed Female Gray Tabby 09/24/2010 9.81 pounds on 6/28/2022 985121006653703 6/28/2022 6/28/2024 18535 11 /17/2023 Blair Small Animal Clinic PC David E. Johnson DVM 1734 Front Street Blair, Nebraska, 68008 (402) 533-2722 Rabies Certificate Client ID: 1235r Patient ID: 7575 Client Name: Steve 4 Michelle Haseh Patient Name: Echo Address: 806 N. 24th Ave Species: Feline Breed: Domestic Shorthair Blair, NE 68008 Sex: Spayed Female Color: Black & White Phone: (402)533-2119 Markings: Birthday: 10/25/2012 Weight: 12.50 pounds on 1/24/2022 Microchip ID: 985112005031247 Tag Number: 0000 Vaccination Date: 11/25/2022 Vaccine: imrab Rabies Vaccine Expiration Date: 11/2512025 Producer: Merial Lot Number: 18542 Brand: Imrab 3 TF Drug Expiration Date: 3/10/2024 Tvpe: Killed Virus ,anner of Subcutaneously Administration: Staff Name: David E. Johnson DVM License Number: 1893 Doctor Signature: If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair 9 218 S 16th St e Blair,, NE 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: City/State/Zip: B� 008 Phone # 5 J J 3 vt LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat, t 1.n0 ***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 PET #1 Dog ❑ Cat 0 Spay d/Neut r d License Fee $ 01 Pet Nam Birthdate c ex Color Breed" > placement ** Declared Dangerous or Potentially Dangerous Dog. ❑ Y ❑ N MICROCHIP # (If a plica"e, SUBTOTAL:$ RABIES VACCINATION DATE: ✓t 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) _ W m 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.) 003_� � I ___), Do Not Send Cash by Mail TOTAL ENCLOSED $ k, 00 If you have questions, please contact Blair Police Department at (402) 426-4747 ++++++++++++++++++++++++++++++++++++.....++•a++++++++++++++++++++++++++++++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (Match15/ate fee date notapplicablefor 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/ldtten 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 16th St 9 Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2023 Owner Name: 4 a b Owner Address: L v- city/state/zip: Blair, NE 68008 Phone # gaa " 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 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 $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET #1 4 Dog ❑ Cat Up Spayed/Neutered License Fee l 0 Pet Name Birthdate Xa - / Sex Color - Breed** pi A_ _Replacement$ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y %I N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: • 1 6 & (3 yr) (1 yr) City Tag # ET #2 90 Dog ❑ Cat A Spayed/Neutered License Fee $ 0 Pet Name .L Birthdate 2@1Of Sex Color t Breed** oss Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y Uq N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag #�3 . 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 (1 yr) License Fee $ Replacement $ 'CUBTOTAL: 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.t5/ate fee date not applicable fornewpels/new residents) Newly Acquired Pets: New Residents to Blair: • Must be lioansed within 10 days of ownership ■ Must register pets within 10 days of ■ <OR> at 6 months of age if puppy/kitten residency. Best Care Pet Hospitals 4915 N 120th Street Suite 8 Omaha, NE 68164 (402)445-8738 Page 1 / 1 Client ID: 37108 Jon Huckins Invoice #: 630881 2835 Ravae Ln Date: 8/27/2022 Omaha, NE 68008 (402) 670-4332 jhuckins55@gmail.com Patient ID: 35790 Species: CANINE Weight: 47.80 pounds Patient Name: Dr. Pepper Breed: OTHER BREED Birthday: 05/24/2018 Sex: Spay Description 8/27/2022 Canine 1 YEAR BOOSTER Exam, Wellness Distemper (DH) BOOSTER Parvovirus BOOSTER Rabies Vaccination Canine Leptospira 4 Vaccination Biohazard, OSHA, MSDS Compliance Bordetella BOOSTER Injectable Patient Ready for Discharge Staff Name Quantity Total Dr. Jenna Rifer D.V.M. 1.00 $0.00 1.00 $60.00 1.00 $8.33 1.00 $7.66 1.00 $14.44 1.00 $14.44 1.00 $5.00 1.00 $24.04 1.00 $0.00 Patient Subtotal: $133.91 Instructions Thy Biohazard, OSHA, and MSDS Compliance fee is utilized to offset the fees incurred to meet safety and compliance lations. Reminder 11 /25/20 `I 8 05/27/2023 08/27/2023 08/27/2025 z* RECOMMEND CANINE SPAY YIY HEARTWORM TEST ELISA Exam, Wellness Parvovirus BOOSTER Distemper (DH) BOOSTER Leptospira 4 Vaccination Bordetella BOOSTER Injectable Rabies Vaccination Canine Invoice Total: Not Taxable Total: Balance Due: Previous Balance: Balance Due: Visa Card Credit: Less Payment: Balance Due: $133.91 $0.00 $133.91 $133.91 $0.00 $133.91 ("id33.91) $0.00 Visit us online at www.bestcarepethospitalomaha.com, like us on Facebook or follow us @BestCarePetHosp. You can now contact us through text. Online access to your pet's info available with a Pet Portal. Written details regarding your pet's dispensed medications are available upon request. Please note that dispensed medications may not be returned due to Federal Laws. ® 2023 PET LICENSE -4 101$-b 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: 61 1 e-Irl C� ry-1 rTe-i�'.eL-L 5 O Owner Address: l v f city/state/zip: Blair, NE 608 Phone #3 3 __ ` Ll 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 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 JA Dog ❑ Cat O Spa ed/Neutered 9 - 3 -/ License Fee $ Pet Name - Birthdate Sex Color Breed** Lc Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y N MICROCHIP # /V D (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: 1- 3 6 - 2- 3 (3 yr) -X— (1 yr) City Tag # 7 PET # 2 Dog ❑ Cat ' Spayed/Neutered License Fee $ ,- I") Pet Name cc a Birthdate Sex ** Color , e Breed** m�zReplacement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y A N MICROCHIP # IV (If applicable) SUBTOTAL: RABIES VACCINATION DATE: . � (3 yr) (1 yr) City Tag # � PETI # 3 Dog ❑ Cat WF Spayed/Neutered n/� License Fee $ Pet Name 0 _ Birthdate ®Sex ' " 1 Color �6— Breed** -yam he >� 61 4c-k Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ZVN MICROCHIP # Al U (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: / - 3 � --,2 3 (3 yr) _X_ (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 $- r If you have questions, please contact Blair Police bepartment at (402) 426-4747 ++++++++++++....++++++++++++++++++++++++++++++++++++..... r+++++++++++++++++... NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15/ate fee date not appllcablefornewpets/newre5idenly) Newly Acquired Pets: New Residents to Blair: I• 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. Blair Small Animal Clinic PC David E. Johnson DVM 1734 Front Street Blair, Nebraska, 68008 (402) 533-2722 Page 1 / 2 Client ID: 1602 Glen & Joyce Hudson Invoice ##: 171772 101 Riverview Drive Date: 1/30/2023 Blair, NE 68008 (402) 533-4014 jhudson68008@gmail.com Patient ID: 6972 Weight: 25.70 pounds Patient Name: Skittles Birthday: 09/03/2013 Species: Canine Sex: Spayed Female 2_r�ljBreed: Pug Description Staff Name Quantily Total 1/30/2023 Examination -Wellness David E. Johnson DVM 1.00 $30.00 Distemper/ Parvo DAPP-3 year 1.00 $35.00 Leptosporosis Vaccination annual 1.00 $30.00 Patient Subtotal: $95.00 Reminder 09/15/2017 Heartworm Test - Snap RT 11/20/2021 Oral Bordetella/Paraintluenza 01/21/2023 Distemper/Parvo DAPP-Annual 01/30/2024 Leptosporosis Vaccination annual 02/9'1/2025 Rabies Vaccination - Canine 3yr 0', 2026 Distemper/ Parvo DAPP-3 year Patient ID: 13083 Weight: 20.50 pounds Patient Name: Buddy Birthday: 'If/2272i71"5' Species: Canine Sex: Neutered Male Breed: Chihuahua mix Description Staff Name Quantity Total 1/30/2023 Examination -Wellness David E. Johnson DVM 1.00 $30.00 Distemper/ Parvo DAPP-3 year 1.00 $35.00 Leptosporosis Vaccination annual 1.00 $30.00 Pedicure Simple 1.00 $16.00 T Patient Subtotal: $111.00 Reminder 11/17/2023 Rabies Vaccination -Canine 3yr 01/30/2024 Leptosporosis Vaccination annual 01/30/2026 Distemper/ Parvo DAPP-3 year Order your pets supplies online now through our website www.blairsmallanimalclinic.vetsfirstchoice.com For questions contact us at 402-533-2722. Blair Small Animal Clinic PC Page 2 / 2 David E. Johnson DVM 1734 Front Street Blair, Nebraska, 68008 (402) 533-2722 Client ID: 1602 Glen & Joyce Hudson Invoice #: 171772 101 Riverview Drive Date: 1/30/2023 Blair, NE 68008 (402) 533-4014 jhudson68008@gmail.com Patient ID: 10800 Weight: 12.93 pounds Patient Name: Taco Birthday: 10/26/2010 Species: Canine Sex: Neutered Male Breed: Chihuahua Description Staff Name Quanti Total 1/30/2023 Examination -Wellness David E. Johnson DVM 1.00 $30.00 Distemper/ Parvo DAPP-3 year 1.00 $35.00 Leptosporosis Vaccination annual 1.00 $30.00 Diphenhydramine 50mg/ml x cc(benadryl) 0.25 $0.63 Subcutaneous Treatment 1.00 $20.00 Pedicure Simple 1.00 $16.00 T Patient Subtotal: $131.63 Reminder 01/28/2022 Ural Bordetella/Parainfluenza 01/21/2023 Distemper/Parvo DAPP-Annual 0 '/2024 Rabies Vaccination - Canine 3yr 01ioO/2024 Leptosporosis Vaccination annual 01/30/2026 Distemper/ Parvo DAPP-3 year Invoice Total: $337.63 default Tax Rate: $2.24 Total: $339.87 Balance Due: $339.87 Previous Balance: $0.00 Balance Due: $339.87 VISA Card Number: ... XXXX5372: ($339.87) Less Payment: ($339.87) Balance Due: $0.00 Order your pets supplies online now through our website www.blairsmalIan1malcilnic.vetsf!rstchoice.com For questions contact us at 402-533-2722. 61I25/2023 14:11 4024260101 HOLSTEIN VET CLINIC PAGE 01/01 2023 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF BLAIR 'IF YOU OVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT(S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF BLAIR - 218 S-16T" ST — BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, 13UT NO M09L THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT, **%PL5ASE READ CAREFULLY"- VOU AnK-R!;-0-U1nF 1: YD-LIPJaIET CITY OF $L i,,, ini�or or BABIES VACCINATII S. THE A I I I'T !: Failure to do so is a violation of City Ordi nances.6.1 03 and carries a Penalty —oFafi—n—eu—p—fo�- �p The city shall recognize a microchip ID number as the license number. it shall be unlawful for any dog or cat to wear any license or other pity fD other than that issued by the City of f3lair for such dog or cat. NE)N kE:F LIQgN-5INQ Must be licensed within 10 (Jays of ownership (OR) at 6 months of age, if puppy or kitten NEW LRESIDENT S -T0_l3LAM Must register pets within 10 days of residency Owner Name Joan Hundtoft spouse Paul Owner Address 1048 James Or Blair, NE 68008 Phone -# 402-321-2012 Pot Name: H,orbio Tag #3781 Age, 7Y Sex. Neutered Male Color: Brindle/Wh LJCJB; -01-01-10 Breed; Boston Terrier Miceochip # Rabies Tag # 23039 PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (Ir AVAILABLE), RABIES VACCINATION DONE ON 1-25-23 Rabies DesCriptllon: YEAR 3 YEAR Holstein Veterinary Clinic Dt-, Lisa Svhwn7 DVM : Or, KrIsta Holstein VVM 718 South 19t" Street Blair, NE 68008 402-426-7387 402-426.0101 Fax holsteincliiiir,@gmail.coni LICENSE IEEE$. Intact uog or uai: zb io-uu Dog 00 Oeplacaineat ray $6.00 Total 0 —1 PETS THAT ARE ON THE ACTIVE 0 _)D .GERL7U5 l7OG LIST NI Fp TD REGISTER DIRECTLY AT CITY YlpL1 FAXED 01-25-23 BY C O p (D �G 0 D 3 m V) m rt m m x O rt 3 O O p m m I N r m a m m 3 (D O 4 j O (D v (D I -n O 1 3 z O O O Q 3 m m m ;v (D -� O Q- v ro r r. Z rn c Ln a- m m r+ n .p O rt J 99� I1 N � v w p c m (D O O O O ® -n �)O :;0 r Z r r r rD (D m n C m N (D ((DD (D OJ n vO m 0 m m Ul m Ln m C1 D (D m 3 m ��+ x (D Z 0 (p rNr co Z m 3 3 0 N o rD m 03 o w w w O m � Z N W Z N O O m O {n W N S 00 N Ql r+ 0 0 Oo c) < < ° o 0 o 3 v m m o' o' r+ rD m Rn O CL El0 0 0 0 Oa ova ua Oa D (D Q Ll N (D n < v s CL z o m p Q (D N N O N N 0 0 0 0 On O*_ m (mom � V ( co n cn D O (D (D (D o 0- p O O0 z v 3 m D r+ v O v 3 m m r m LA x p rF O v '.+ (D v CL v r+ � m Cz z C r+ (D w ri_ ni n —I O m W w rF v �' v r+ O O r+ cu r1_ 61 m Cz v rr Ln o O '3 w It Ln (n (D v v rt It Ln Ln ODq v fD 3 ru r+ m ❑ ❑ PV rF cr (D o 0 (D z 0 0 0 3 ;;a rD (D p 00 -0 0 0 < (D rr =r 0 =3 CL CL rD w r+ z C: (D =3 3 (D lD in (D ;:a m r) 0 3 rD r+ rn r+ 0 0 0 0 0 =5 =3 (D (D (D (D m > A: 0- 0- Ln r+ (n (D z z 0 1+ Ln rr 3 3 3 O 0 3 710 � (D (D (D _0 -0 m 3 L:nl o- rD (D m (D rD (D m 3 xm :;Z (D 3 ap r+ (D 0 o- (D 0 =3 _0 3 0- 0 rD w r+ 0 -r Ul El w U.) z 3 �-1 lu C 0 -0. r1i r+ qj,)- =r N Ln 0 ❑ 0 0 0 0 0 0 0 0 Ln �- V;- < w (D Ln (D V) V) rD 0- (D m 0 c (D rD CL LU (D El El 5- Ln n r) w r+ n w r-t r) w rIt (D m x _0 rh o (D n m w LA (D 0- _0 (D (D (D CL < (D < 0 (D r+ (D P-j C) 0 0 0 0 0 0 0 0 > (D n C) n r) n w It CA w -t V) cu It Ln ra rr N— f.+ 00 CD (D n 0 6- (/) rD xm > bU z w 3 —h 0 0- -% O O m Ln 3 rD (D V-5 Vj z c p c m O D n3i S m ((DD m x 0 W z 0 O O O O O O O (D -n n p Q 0 m m m m m m m 0 v,m v, Ln O c m (D M1 :;a m m 'o D r- v '' -n! cD (D 0 mx m ((DD m (D cn cD m O �' rt O 0 Q rt 1+ O - i m C) C cn � O GO r+ rt p � O DO z v' p� N 0 S � 'S Tt V m m m m C o� -a' (D 3 (DN am+ r � M. r-F cr m m I— 70 m' rD m m Ln __ �s ❑ W W N p � C) O N � O m v n W W P r+ 7 J :;o z 3 ri ri (gyp n m O Ili O rt ter 1 A 00) to r+ w o o �o 00 C7 :Fl c m r+ C D -n m o � n < < o 0 0 0 0 0 0 0 o p 0 0 0 O oQ 3 mm o0 m 0o m m m 0 UQ ._... 3 m O O Q Ln N � V o- o N 0 m n m N < m N m On 0 m x m m -t+ O o v (D p m (D Q z ° 0) ::o cu m � m o rt n 0 m (D p O (D a 0 0 c Q (D Q _ m D'0 El © W \ (U (D (D N X � 3 = m ON n N 70 m Ln 0 O 0 m -n m r+ m i�o o O 4 (�D v v v v v D r (Av c r r r+ oni r+ r+ r+ r+ It v ,-r v r+ rF Ln Ln Ul N (A Ln LA Ln (D a < < W n N D z 3 m n m n v m N d O_ o X UQ m N 3 O =5 (AD° m to m Q (D 't Q m ° a) n 0 O m N c m 0 r+ a Io d• r �, < O rt ° (D w O o m o 0 m m m {4 -n 0 Xb 4 D (mD Ln j (A 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 o 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: a i . 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 3/15/2023. 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. p 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 Ll Cat Spayed/Neutered License Fee $ Pet Name - Birthdate . Sex � _ ** Color Breed** Replacement $ Declared Dangerous or Potentially Dangerous Dog: ® Y ® N MICROCHIP # rr ( i ( _ `(If applicable) SUBTOTAL: $ �� RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # r ® Dog ® Cat ® Spayed/Neutered Pet Name Birthdate Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: Ll Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ PET #3 ® Dog ® Cat Ll Spayed/Neutered Pet Name Birthdate Sex — Color Breed** Declared Dangerous or Potentially Dangerous Dog: Ll Y Ll N MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) License Fee $ Replacement $ ** SUBTOTAL: $ (1 yr) City Tag # * License Fee $ Replacement $ ** SUJ TOTAL: $ (1 yr) City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not Send Cash by Mail TOTAL ENCLOSED, O () If you have questions, please contact Blair Police Department at (402) 426-4747 .........++++.+.....++..++....++.+++.......++++..+++.+++.+.++......a+++++++. NEW PET/ NEW RESIDENT LICENSING REQUIREMENTS (March 15late fee date not applicablefor newpeis/new residents) Newly Acguired 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 if puppy/kitten residency. RABIES VACCINATION CERTIFICATE Animal Control/Local Govt License Number Adapted fm NASPHV #51 Certificate serial number 166703 Owner's Name & Address First ITelephone Last Hoefler Susan 214-868-2435 No. Street City State Zip 116 Maywood Dr Rockwall TX 75032 SPECIES: SEX: AGE: SIZEMEIGHT: PREDOMINANT BREED: COLORS: N Dog Male ❑ 3-12 Mo. ❑ Under 20 Labrador Retriever Black w/ white ❑ Cat ❑ Femal 12 Mo or older ❑ 20 - 50 Mix chest ❑ Other N Neutered Ig Over 50 NAME: Zeppelin Microchip Tattoo❑ Lic.❑ Num:985141002571669 DATE VACCINATED: I Veterinarian's TX16239 #; Jul 29, 2022 MANUFACTURER: License No. Defensor 3 VACCINE EXPIRES: ROUTE: Erica Watson, DVM Jul 29, 2023 I M ❑ 1 yr. Lic/Vacc.N Address: Animal Hospital Of Rowlett S Q ❑ 3 yr. Lic/Vacc.❑ 9501 Lakeview Parkway Rowlett, TX 75088 LICENSE NUMBER: 590598 15AUG23 Tel: 972-412-0101 Vacc. Serial (Lot) No. Patient: Zeppelin Owner: Susan Hoefler 116 Maywood Dr Rockwall, TX 75032 Due Date Reminder March 10, 2023 Species: Canine Breed: Labrador Retriever Mix Sex: MN 2 Age:yrs & 7 mo Color: Black w/ white chest Weight: 85.4 Lbs Microchip: 985141002571669 Rabies Tag #: 166703 Producer: Pfizer Lot #: 590598 15AUG23 Last Given 7/29/2023 Bordetella Vaccination - Annual 7/29/2022 7/29/2023 Intestinal Parasite Exam 7/29/2022 7/29/2023 Annual Leptospirosis Vaccine-4 Way 7/29/2022 7/29/2023 Rabies Vaccination 1 year - Booster befo 7/29/2022 11/11/2023 Annual Physical Exam - Requires DVM 11/11/2022 11/11/2023 Annual Heartworm Test 11/11/2022 7/28/2025 DHPP - 3 year vaccine 7/29/2022 ALL DVMS Lic.. Animal Hospital Of Rowlett 9501 Lakeview Parkway Rowlett, TX 75088 Tel: 972-412-0101 01/03/2023 13:09 4024260101 HOLSTEIN VET CLINIC PAGE 01/01 2023 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF BLAIR, IF YOU LIVE 1N BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT(S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO, CITY OF GLAIR — 218 S. 16TH ST — BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. *""PLEASE KAo CAREFULLY*** Failure to do so is a violation of City Ordinances 6.103 and carries a penalty of a fine up tg150.00 per pet, PET LICENS)s fiENEWALS ARE CJUE BY a/15/2023 The city shall rocognixe a microchip ID number an the license nurnbor. It shall be unlawful for any doq or cot to wear any license or other city ID other than that issued by the City of Blair for such dog or cat. IyV PET LICE(ySING Must be licensed within 10 clays of ownership (OR) at 6 months of age if puppy or kitten )W RESIdEIVTS TO 6L1�IR Must register pets within 10 days of residency Owner Name Krista Holstein Spouse Owner Address 318 E. Baronage drive City/Mete/zip Blair, NE 68008 Phone ## . 402-616-7785 Pet Name: Finley Age: 5Y I Sex: $payed Female Color: GoldGold DOB: 03-11-17 Breed: Golden Retriever Microchip # 985112008334127 � Rabies Tag # 19297 PLEASE INCLUDE CITY TACK NUMBER IF THIS IS A RENEWAL (IF AVAILABLE): # BABIES VACCINATION DONE ON 1 07-0141 Rubies Description: 1 YEAR ( .3 YEAR Holstein Veterinary Clinic Dr. Lisa Schrum DVM : Dr. Krista Holstein DVM 718 South 19th Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinelirlic@gmail,com LICENSE FEES Intact Dog or Cat: $16.00 '^ Altered 009 or cat: $1 1.00 Replacement Tsq $5.00 Total $ P�'r:5 THATARE C7(� 7MEAGTIVE P�7rL'NTIALLY DANGERGIUS OR PANGERDUS DAT CITE' HALL. FAXED 01-03-23 BY CITY HALL @ 402-426.4195 a CITY OF BLAIR ® 2023 PET LICENSE APPLICATION`' 2 If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to. City Of Blair @ 218 S 16th St 9 Blair, NE 688 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 QUF: March 15, 2023 Owner Name: .0 a n Owner Address: ��J ,f��l�,s l.� City/State/Zip: Blair, NE 68008 Phone # �Z 0 / (/ 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 Ef Dog ❑ Cat Y Spayed/Neutered License Fee $ Pet Name _ Birthdate Sex Color Breed** Replacement$ ** Declared Da gerous or Potentially Dangerous Dog: ❑ Y 4 N MICROCHIP # ` i.a,.�`—(If applicable) SUBTOTAL: $ RABIES VACCINATION DATE ) l (3 yr) (1 yr) City Tag # i 6` PET #2 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Birthdate Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ (1 yr) License Fee $ Replacement SUBTOTAL: $ City Tag # PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed** Replacement$ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not Send Cash by Mail TOTAL ENCLOSED If you have questions, please contact Blair Police Department at (402) 426-4747 +++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++¢++++++++++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (Mara/ 15/ate fee date notapplicable fornewpets/newresidents) 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. 13 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 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: U &hea el 141C9 L-q Owner Address: l "S-'1 I City/State/Zip: Blair, NE 68008 Phone # W 0 , LICENSE FEES: Dog or Cat: $16.00 p IL.arI Do- or Cat, 0 �..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. MIY 4. II ur r.v.0 ..,...c Replacement Fee for Lost Tag: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program T #1, ® Dog ❑ Cat ® Spayed/Neutered License Fee $ yo Pet Name>0- uq Birthdate I-111%v,5 Sex Rmntn, Color Bicicy-. Breed** L,,6 ry0ix Replacement $ _C2 Declared Dangerous or Potentially Dangerous Dog: ❑ Y la N MICROCHIP # (I( applicable) SUBTOTAL: $ RABIES VACCINATION DATE: `j`2. - (3 yr) (1 yr) City Tag # Dt>W PET #2 ❑ Dog ❑ Cat ❑ Spayedj'Neutered License Fee $ Pet Name Color Birthdate Sex Breed** i Rep/acement$ ** 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 C'nlor Breed** Replacement$ ** ueciarea uangerou5 ur rotentially Dangerous Dog: l Y ❑ N MICROCHIP # (It 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.) f Do Not Send Cash by Mail TOTAL ENCLOSED $ If you have questions, please contact Blair Police bepartment at (402) 426-4747 ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15late fee date notappllcable fornewpets/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/Idten 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 9 218 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 arc�h� 15, 2023 Owner Name: e ►'�' w Owner Address: City/State/Zip: Blair, NE 68008 Phone # qN 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 $iS0.00 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 5f Dog ❑ Cat Spayed/Neutered License Fee $ r Pet Name Birthdate e m°mot Sex Color jdk:, ',re Breed** )k Rep/acement$ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ t�- RABIES VACCINATION DATE: itw" �® (3 yr) (1 yr) City Tag # ' PET # 2 D o g ❑Cat [,Spayed/Neutered License Fee $ o Pet Name =)27 Birt date -k-,N, ie. Sex Color wU � Jo-- x Breed** ` "T Replacement $ - `* Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N 01 MICROCHIP # 0 (If applicable) SUBTOTAL: $ _ t RABIES VACCINATION DATE: �t-i (3 yr) . (1 yr) City Tag # T #3 L] Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed** Replacement $ Declared Dangerous or Potentially Dangerous Dog, l ❑ 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.) Da Not Send Cash by Mail TOTAL E%1CLOS If you have questions, please contact Blair Police Department at (402) 426-4747 +++++.++++++++++++++++++++++++++++++++.+.+++++++++++++++++++++++++++++++++++++++ 1 NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March IS/ate fee date notapplicable 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/Idtten residency. If you live in Blair City limits and own a clog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair 9 21816th 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 ENEW/� ARE DUE- March 15, 2023 Owner Name: /� �-� v Owner Address: at(� city/state/zip: Blair, NE 68008 Phone # W10L LICENSE FEES: Dog or Cat: $16.00 Altered Do or Cat• $11 00 ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3/15/2023. The City shall recognize a microchip Identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city Identification other than that Issued by the City of Blair for such dog or cat. The City of Blair renuires proof of rabies vaccination to be submitted with your license application. g replacement Fee for Lost Tag: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET #1 ❑ Dog' Cat Spayed Ne tered License Fee $ Pet Name Birthdate a r Sex VO Color Breed** Replacement $ ** Declare Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: GP (3 yr) X (1 yr) City Tag # E 2. Ca Dog �' Cat W Spayed/Neutered License Fee $ 11,00 Pet Name A b Birffi'date Sex Color — Breed** Rep/acement$ ** Declared angerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # _(If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) � (1 yr) City Tag # " I 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 $ ZZ`00 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 fornewpety1newresidents) Newly Acquired Pets: New Residents to Blair: • Must be licensed within 10 days of ownership N Must register pets within 10 days of • <OR> at 6 months of age if puppy/Idthen residency. Blair Small Animal Clinic PC David E. Johnson DVM 1734 Front Street Blair, Nebraska, 68008 (402) 533-2722 Rabies Certificate Client ID: 7421 Patient ID: 9480 Client Name: Christine & Bob Horst Patient Name: Max Address: 1141 Stillmeadow Circle Species: Feline Breed: Siamese Blair, NE 68008 Sex: Neutered Male Color: Seal Point Phone: (308)390-4589 Markings: Birthday: 12/28/2011 Weight: 16.87 pounds on 9/1/2022 Microchip ID: Tag Number: 0 Vaccination Date: 9/1/2022 Vaccine: Imrab Rabies Vaccine Expiration Date: 91112024. Producer: Merial Lot Number: 18535 Brand: Imrab 3 TF Drug Expiration Date: 11/17/2023 Type: Killed Virus dlanner of Subcutaneously Administration: Staff Name: David E. Johnson DVM License Number: 1893 Doctor Signature: Client ID: Client Name: Address: Phone: Tag Number: Vaccine: Producer: Brand: Type: tanner of Administration: 7421 Christine & Bob Horst 1141 Stillmeadow Circle Blair, NE 68008 (308)390-4589 00000 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 9481 Baby Feline Domestic Shorthair Neutered Male Black 06/28/2014 14.43 pounds on 2/2/2023 1 /7/2022 1 /712024 18514 3/11 /2023 CITY OF BLAIR - 2023 PET LICENSE APPLICATION 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 ®f Blair @ 218 S 16th St e Blair, NE 6008 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: .. e ': Py AP4 i City/State/Zip: Blair, NE 68008 Phone # ( -i ""a) -:� 'I -1 ! �. LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $1i 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 application. Replacement Fee for Lost T ag: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program ET #1 ❑ Dog ®d Cat U� Spayed/Neutered License Fee $ Pet Name I' i e-, Birthdate � I �i 8 Sex �I Color i t.kf"e, Breed** (A. k—"N 61--rc:,1»Rep/acement$ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y 0 N MICROCHIP # n' (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: IR� T 1 Syr) (1 yr) City Tag # 00 TT� ° 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 a . le) SUBTOTAL: $ RABIES VACCINATION DATE: (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 ENCLOSE g � 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 licensed within 10 days of ownership ■ Must register pets within 10 days of ■ <OR> at 6 months of age if 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 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 D\\UE:( (March 15, 2023 Owner Name: G,V1il. Owner Address: 214 city/state/zip: Blair, NE 68008 Phone # � 0 -2- - 9 2-Ll _ LC � 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 C a t Spayed/Neutered rYl License Fee $ Pet Name '--Lb s� Birthdate Color _ ,a Breed** Replacement $ ** Declared Dangero s or Potentially Dangerous Dog: ❑ Y aN MICROCHIP # n 0 (If applicable) SUBTOTAL: $ i RABIES VACCINATION DATE: f 0 1 . ,� 1 (3 yr) (1 yr) City Tag # z4ya, 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 # , ❑ 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 $ El ■® SUBTOTAL:$ (1 yr) City Tag # (1 yr) License Fee $ Replacement $ * * 4VJUBTOTAL: *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 ENCLOSE $ 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/newresidenis) Newly Aoauired Pets: New Residents to Blair: Must be licensed within 10 days of ownership n Must register pets within 10 days of <OR> at 6 months of age if puppy/kitten residency. Blair Small Animal Clinic PC David E. Johnson DVM 1734 Front Street Blair, Nebraska, 68008 (402) 533-2722 Denny & Mary Hughes 2038 Jackson Street Blair, NE 68008 Page l//1 y1` 131 4-- f o "-) 6, Client ID: 1229 Invoice #: 169659 Date: 8/23/2022 (402) 426-5451 Patient ID: 2333 �\"i �'; Weight: 6.31 pounds Patient Name: Maggie �b1 Birthday: 05/04/2008 Species: Canine Sex: Spayed Female Breed: Maltese 8/23/2022 Heartworm Test - Snap RT Examination General Distemper/APP Reminder 08/23/2023 Distemper/APP Heartworm Test - Snap RT 08/16/2024 Rabies Vaccination - Canine 3yr e Staff Name Quanti David E. Johnson DVM 1.00 1.00 1.00 Patient Subtotal: Total $38.00 $30.00 $35.00 $103.00 Patient ID: 2334 Weight: 9.00 pounds Patient Name: Gracie Birthday: 05/04/2008 Species: Canine Sex: Spayed Female Breed: Maltese %.Q —(cf- 2-3 Description Staff Name Quantity Total 8/23/2022 Heartworm Test - Snap RT David E. Johnson DVM 1.00 $38.00 Examination General 1.00 $30.00 Distemper/APP 1.00 $35.00 Patient Subtotal: $103.00 Reminder 08/23/2023 Distemper/APP Heartworm Test - Snap RT 08/16/2024 Rabies Vaccination - Canine 3yr Invoice Total: $206.00 Total: $206.00 Balance Due: $206.00 Previous Balance: $0.00 Balance Due: $206.00 MasterCard Card Number: ... XXXX3351: ($206.00) Less Payment: ($206.00) Balance Due: $0.00 Order your pets supplies online now through our website www.blairsmallanimalcllnlc.vetsfirstchoice.com For questions contact us at 402-533-2722. 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 d It is but no more than three (3) adult dogs You may legally own a combination of four (4) a u pe , or three (3) adult cats per residential or dwelling unit. LICENSE RENEM Owner Name: J Owner Address: City/State/Zip: E Phone # ARE DUE: air, NE 68008 LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11.00 ***PLEASE TREAD 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 PET #1 og Cat Spay d/Neutered License Fee $ Pet Na Birthdate 1 l�Sex a�_O — Color � ,��- __.._ Breed** 2, hA� Replacement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y 0 N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: 1Z-11-- _ (3 yr) (1 yr) City Tag # 1$11 payed/Neutered to Sex jerous'Dog: ❑ Y ❑ N (If applicable) (3 yr) (1 yr) License Fee $ Replacement $ SUBTOTAL: $ City Tag # 01/10/2023 16:29 4024260101 HOLSTEIN VET CLINIC PAGE 02/02 '2023 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF BLAIR. IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOOM AND /OR CAT(S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO; CITY OF BLAIR - 218 S. '16T" ST - BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (2) ADULT DOGS OR THREE (3) ADULT CATS I'M RESIDENTIAL OR DWELLING UNIT. ***PLEASE HEAD CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSb YOUR PETS THE 9TY OF BLAIR RMUIRES PROOF OF RABIEs VACCINATION Failure to do so is a violation of City Ordinsncss 6,103 and carries a penalty of a fine up to $150.00 per pet. ffT LICENSE At IMALS ARE DUE BY 3/15/2023, The city shall recognize a mlorochip ID number as the license number. It shall be unlawful for any dog or cat to wear any license or other city Id other than that Issued by the City of Blair for such dog or cat. NEW PET LICENSING Must be licensed within 10 days of ownership (OR) at 6 months of age If puppy or kitten NEW RESIDENT TO BLAIR Must register pets within 10 days of residency Owner name Dan Hunt Sppuse MaryBeth Owner Address 1395 Corey Drive city/state/Zip i ',Blair, NE 68008 Phone # 402-426-5111 Pet Name: Boji Tag #3415 Age: 3Y. DOS: 01-04-20 Sex: Spayed Female Color: Merle. Breed: Aussie X M116rochip # Rabies Tag # 18872 PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL {IF AVAILABLE). # RABIES VACCINATION DONE ON 02-05.21 oe— Rabies Description: -I YEAR 3 YEA. Holstein Veterinary Clinic Dr, Llsa SchrLm I)VM : Dr. Krists F/o/stein pVM '718 South 1 91hStreet Blair, NE 68008 402.426-7387 402-426-0101 Fax hoisteincliiiic@gmail.com LICENSE PEES Intact Dog or Cat: $16.00 A Bret/ Do 4 r cat: $11,Q IN'ep/acement Tag $6.00 Total $ 1595T5 THAT ARE ON THE ACT)V POTENTIALLY DANGEROUS OR DANGEROUS DOG LIST NEE{) ro REG15TER DIRECTLYAT CITY HALL, FAXED 101-10-23 CITY 42 ;i • ; ,;