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J2023 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN GLAIR CITY LIMITS AND OWN A DOOM AND /OR CAT(5), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF BLAIR 218 S, '16TH ST w BLAIR, NE 60008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (it) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT DUUB OR THREE (3) ADULT CAT$ PER RESIDENTIAL OR DWELLING UNIT, I "PLEASC READ CAREFULLY'" Y.O-UME REQUIRMVA-AW—M-LICENSE "Cl AC.IM. Failure to do so is a violation of City Ordinances 6,103 and oarries a penalty of a fine up to $160,00 par pet, ff,T_LlM.S_R"F MA,.s IK, E B'Y 3 5 t i The city shall recognize a microchip ID numbar as the license numbor, It shall be unlawful for any dog or oat to wear any license or other oily ID other than that Issued by the City of Blair for such dog or opt, NEW �_C IyI LEI II`L� -Must be Ilcensed within 10 days of ownorship (OR) at C months of ago if puppy or kitten NEW-ft&QERT_$_LD_BLAlR Must register pot i within '10 days of residency owner NameSand r a Jack Owner Address City/state/Zip Phone # Pot Namo: Tiff 2054 Washington Street Blair, NE 68008 40z�2764301 Ago, 7Y I Sex: $payed Female I color; Tan White DOB: 02.20.15 Broad: Chi/Tern Miarodhip # 905112010030G17 `Rabies Tagf# 20370 pLEASi INCLtJb CITY TIIG IVUIViCER IF THIS Is A RENEWAL (IF AVAILABLE): # RABIES VACCINATION DONE ON 05.20.22 Rabies Desoription; 1 YEAR YFA ,Holstein 'Veterinary Clinic Dr L lsa Schrum DVA4 Dr, Krlsta Nolsteln DVA4 718 South 1911, Street Blair, NE 68008 402-426-7387 402-426-0101 Fax . holsteinclinio@ornall.com CE S Intact Dog or Oat: $16,00 ere Rog 0 Naplacamettt 7'0,0 $6.00 1� Total 1I-MDJMT-1VA`4rN,1Ui 1 11_vr l' 10tE DANPEl r-20Iffi- I.MN14.'Itn1sc-0 1151:YA'r�L'11.YtLAL4, BY CITY HALL CW 402-428-4495 Feb 03 23 04;03p 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 4f 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: �M`a�r"ch 15 023 2 Owner Name; O V Q0-f �1 Owner Address: �, 2 A 1:1a), DCJ city/statelzip: Blair, NE 68008 Phone # ' t U 1 7-�1 r LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11.00 ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet PET LICENSES RENEWALS ARE DUE BY 3115/2023. The City shall recognize a microchip Identification number as the license numbei. 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 cidlectied to fund the Nebraska Dog &Cat Operator Inspection Program PET #i ��Dog ❑ Cat &Spay / utered License FeePet Name_ i,L „ Birthdatce 3 Sex Color Breed** Replacement $ ** Declared Dangerous or Potentially Dangerous g; ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) _Y. _` (I yr) City Tag # 2494 PET # Do ❑ Cat L 'Spa 'Spayed/Neutered N License Fee $ Pet Nam _ Birthddate _ Sex 1" ` Color Breed** Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # —(If applicable) SUBTOTAL.: $ RABIES VACCINATION DATA; (3 yr) (1 yr) City Tay # 1986 PET #3 )Kbog ❑ Cat Spa ed/Ne red License Fee $ 11 Pet Name (' l�s i ► s� } t3irthdate Sex Color Bla`c1c/Brown Breed** ermanShepherd Replaceme17t$ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y Q N MICROCHIP #1 (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: 1Z a� _ (3 yr) (1 yr) City Tag # 3 90 *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.) Do Not Send Cash by Mail TOTAL ENCLOSED $ If you have questions, please contact Blair Police Department at (402) 426-4747 ............ t++++•Ft++*+•....++•b+t+•M++++++*+++++++++++++'�++++++.+++++++++++++++ PIEW PET/NEW RESIDENT "CEN5ING REQUIREMENTS (Mardi 15laLis fee date rrotapplicable forrleW pets/lxwu residents) Newly Acquired Pets: New Residents to Blair• ■ Must be licensed within 10.days ofawner liip ■ Must register pets within 10 days of a <OR> at ro months of age if puppy/Wen Y' > WESTGATE MOM" CL114[r Westgate Animal Clinic 8258 HASCALL ST OMAHA, Nebraska 68124 402-769-0377 - contacl@westgateomeho.com . .......... . . ..... Rabies Certificate 20-Doo 2021 Client ID: 3395 Patient ID- 4693 Client Name: Linda Jeffers Patient Name, Fletcher Address: 14314-North-1-Mb-St- Species: Canine Breed! Chihuahua Color., Black Cmah"E,58142— Sex: Neutered Male Spayed/Neutered: Y Microchip: Phone; 402-740-5479 402-740-5479 Birthday: 2016-06-20 Weight: 13 lb Tag Number: 212581 Vaccination Daie: 20-Der 2021 Batch Number: 231150- Vaccination Expiration Date: 30-Jun 2022 Rabies Vaccination Rabies Vaccination - 3-Year (Canine) Manufacturer: Merial K / MLV I R: KILLED Veterinarian: Dr. Crystal Rhine License Number: NE 3396 Vaccination Due Date: 20-Dec 2024 CITY OF BLAIR ® 2023 PET LICENSE APPLICATION I - 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: �''�t-'1 t t�t°'9' City/State/Zip: Blair, NE 68008 Phone # 1 o "'�" `; - 1 I :- I�" LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11 00 ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3/15/2023. The City shall recognize a microchip Identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city Identification other than that Issued by the City of Blair for such dog or cat. The City of Blair 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-[, Dog ❑ C a t Birt Spayed/Neute Sex License Fee $ i Pet Nam I Color � Breed** Rep/acement$ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y �i N MICROCHIP # r, ; 0,0� rr ✓' `a',/ ' (If applicable) SUBTOTAL: $ i RABIES VACCINATION DATE: r :: V (3 yr) / (1 yr) City Tag # 0 '1'&') ` T #2 ,Dog ❑ Cat ❑ Spayed/Neutered License Fee $ / i Pet Name a I E Birthdate j -) " S Sex Color r-;'-'1i<,<�� Breed** 1,��i�� Replacement $ ** Declared Dangerous jor Potentially Dangerous Dog: ❑ Y U N MICROCHIP # 114 i 091j 5LL applicable) SUBTOTAL-.$ RABIES VACCINATION DATE. (3 yr) (1 yr) City Tag # 1" #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:$ *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 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 m Must register pets within 10 days of • <OR> at 6 months of age if puppy/linen residency. CITY OF BLAIR - 2023 PET LICENSE APPLICATION ) - 3,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 9 218 S 16th St e Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE;, March 15, 202 Owner Name: 11sn"d Owner Address: city/state/zip: Blair, NE 68008 4o 1A "A('3 Phone # 1'�- LICENSE FEES: Dog or Cat: $16.00 Altered Don 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 $10.00 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 Li Cat L) Spayed/Neutered License Fee $ Birthdate S- i Sex Pet Name 3 Color 1a Breed** 7T\EZ\ -Replacement$ Declared Dangerous or Potentially Dangerous Dog: LI Y O/N MICROCHIP # 602,2,'7qCoOZO, 15,3l (If applicable) SUBTOTAL:$ RABIES VACCINATION DATE: �, 1.3 ,A6 (3 yr) � (1 yr) _ City Tag # PET #2 L1 Dog Ll Cat LJ Spayed/Neutered Pet Name Birthdate Sex Color Breed" Declared Dangerous or Potentially Dangerous Dog: LJ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) — PET #3 LJ Dog J Cat Ll Spayed/Neutered Pet Name Birthdate Sex Color Breed" Declared Dangerous or Potentially Dangerous Dog: LI Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ License Fee $ . ,Replacement$ LJ N SUBTOTAL:$ (1 yr) — City Tag # 79M 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 $ #D31 If you have questions, please contact Blair Police Department at (402) 426-4747 .............................................................................. NEW PET/ NEW RESIDENT LICENSING REQUIREMENTS (March mate fee date not applicable fornewpety1new resIdenly) 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. 3-(S-a) \/44 5 6 a- *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 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: S City/State/zip: Blair,, NE 68008 ,17)1), y -1 ;1- � _ -' I '/J Phone # LICENSE FEES: Dog or Cat: $16.00 Alt r d Do or Cat- $1] 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. ee g Replacement Fee for Lost Tag: $5.00 Included is a State Fee of $1.25 being collected to fiend the Nebraska Dog & Cat Operator Inspection Program PET #1 ® Dog ❑ Cat ® Spayed/Neutered License Fee $ 11 0 Pet Name t'le, l ,,Birthdate 'MILI Sex Color -LI Breed** Replacement$ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # 9 6 66'660 L-L 0. 5 t' (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: 1,/ / 24 (3 yr) .-- (1 yr) City Tag # ` 1 T #2 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Birthdate Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ 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 C If you have questions, please contact Blair Police Department at (402) 426-4747 ++++++++++++++++++++++++++++++++++++.....+++++++++++++++++.+++¢++++++++++¢+¢++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 151ate fee date notapplicable fornewpets/newresldents) Newly Acquired Pets: New Residents to Blair: all Must be lioensed within 10 days of ownership m Must register pets within 10 days of <OR> at 6 months of age if puppy/Idtten residency. Blair Small Animal Clinic PC David E. Johnson DVM 1734 Front Street Blair, Nebraska, 68008 (402) 533-2722 Page 1 / 1 Client ID: 1014 Neil & Kathy Jensen Invoice #: 166297 1129 Stillmeadow Cir Date: 1/12/2022 Blair, NE 68008 (402) 427-3594 kjensen@huntel.net Patient ID: 10159 Weight: 84.00 pounds Patient Name: Molly Birthday: 09/19/2017 Species: Canine Sex: Spayed Female Breed: German Shorthair Pnt Description 1/12/2022 Heartworm Test - Snap RT Examination General Distemper Hep Lep Parvo-Annual Intranasal Bordetella/Parainfluenza Rabies Vaccination - Canine Syr Interceptor Plus 51-100# x 6pk Reminder 07/12/2022 Interceptor Heartworm Prev. Reminder 01 /12/2023 Heartworm Test - Snap RT Distemper Hep Lep Parvo-Annual Intranasal Bordetella/Parainfluenza 01/12/2025 Rabies Vaccination - Canine Syr Staff Name Quantity Total David E. Johnson DVM 1.00 $38.00 1.00 $30.00 1.00 $40.00 1.00 $35.00 1.00 $30.00 2.00 $120.16 T Patient Subtotal: $293.16 Invoice Total: $293.16 default Tax Rate ; $8.41 Total: $301.57 Balance Due: $301.57 Previous Balance: $0.00 Balance Due: $301.57 MasterCard Card Number: ... XXXX2944: ($301.57) Less Payment: ($301.57) Balance Due: $0.00 Order your pets supplies online now through our website www.blairsmallanimalclinic.vetsfirstchoice.com For questions contact us at 402-533-2722. S Blair Small Animal Clinic PC David E. Johnson DVM 1734 Front Street Blair, Nebraska, 68008 (402) 533-2722 Rabies Certificate Client ID: 1014 Patient ID: Client Name: Neil & Kathy Jensen Patient Name: Address: 1129 Stillmeadow Cir Species: Breed: Blair, NE 68008 Sex: Color: Phone: (402)427-3594 Markings: Birthday: Weight: Microchip ID: Tag Number: 6815 Vaccination Date: Vaccine: Imrab Rabies Vaccine Expiration Date: Producer: Merial Lot Number: Brand: Imrab 3 TF Drug Expiration Date: Type: Killed Virus inner of Subcutaneously jministration: Staff Name: David E. Johnson DVM License Number: 1893 Doctor Signature: 10159 Molly Canine German Shorthair Pnt Spayed Female Brown/White 09/19/2017 84.00 pounds on 1/12/2022 956000005571234 1 /12/2022 1 /1212025 18520 5/22/2023 02/10/2023 10:01 4024260101 HOLSTEIN VET CLINIC FACIE Ui/ul 2023 PET LICENSE VERIFICATION/APPLICATION.FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT(G), COMPLETE THIS FORM AND RPTURN WITH A CHECK PAYABLE TO: CITY OF BLAIR - 218 S. 16rH ST — BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION Or FOUR (4) ADULT MTS, BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (S) ADULT CATS PEH RESIDENTIAL OR DWELLING UNIT, ***PLEASE READ CAREFULLY*** Failure to do so is a violation of City Ordinances 6.103 and carries a pp?nglty of a fine up to $150,00 per pet. PET LICE N$ LI115NEWALRARE DUE 5X!L!5� The city shall recognize a microchip ID number as the license number, It shall be unlawfu(fo r any clog or oat to wear any license or other city ID other thah that issued by the City of Blair for such dog or cat. NEW FEI-LLGENSINQ Must be licensed within 10 days of ownership (DR) at 6 010hths of age if puppy or kitten NEW RESIDENTS :[0 BLAlfl Must register pets Within 10 days of residency Owner Name Cailyn Johnson Spouse Owner Address 1050 N 27th St citylstatelzip Blair, NE 68008 Phone # 402-616-1937 Pet Name; DaX Age, V Sex. Neutered Male DOE: —12.16-19 Breed: Golden Retriever Tag #3622 —7 —ColorGot-d Pffier6chip # 985141002755135 4 Rabies lag # 18891 —PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE): .RABIES VACCINATION DONE ON Rabies Description: I YEAR 02,112-21 Holstein Veterinary Clinic Dr,'L /so $ah rum 0 VM , Dr. Kri*ta Ho1 W17 D VM 718 SOLIth 191h Sti-eet Blair, NE 68008 402-426-7387 402-426-0101 Fax holstel no) klie ft Tail -corn YEAR I-ICENSEEF-Ea 111tact Dog or Cat; $16.00 Do off" cat: $1 00 Replacement Tag $6.()o Total $ — 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 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, 223 Owner Name: Owner Address: city/state/zip: Blair, NE 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 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 Dog ❑ Cat . Spayed/Neutered License Fee $ { Pet Name �4�,r Birthdate 1 Sex M Color Breed** (�� Replacement $ Declared Dang ous or Potentially Dangerous Dog: ❑ Y N MICROCHIP # 9&066oda 21 (If applicable SUBTOTAL: $ ac RABIES VACCINATION DATE: s - �. -°_ (3 yr) (1 yr) City Tag ET #2 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Birthdate Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) W RABIES VACCINATION DATE: (3 yr) (1 yr) T #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: (3 yr) (1 yr) License Fee $ Replacement $ • 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 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 fornewpety1newresldent5) 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/Idtten residency. Date of Rabies Vaccination: 10-30-20 Next Rabies Vaccination On: 10-30-23 VETERINARY CLINIC Omaha Animal Hospital 4908 L Street Omaha, NE 68117 (402) 734-5882 This is to certify... OWNER OF ANIMAL Kate Johnson 808 N 28th Ave Blair , NE 68008 County: Washington THAT 1 HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Jackson SPECIES: Canine BREED: Great Dane SEX: N Color and markings... Harlequin Signed Danielle Pumphrey DVM TAG NO: 025916 AGE: 3Y WEIGHT: 118.00 License: 3554 Date Done DVM Services Due Date 11-21-22 23 Bordetella intranasal booster 05-22-23 11-21-22 23 Leptospira bacterin four 11-21-23 11-21-22 23 DAPPV annual booster 11-21-23 10-30-20 6 Rabies (Canine 3 year), #025916 10-30-23 11-18-19 LB Rabies (Canine) Rabies Vaccine Information... MFG BY: INTER SER.NO: 407670A LOT EXP: 27JUL21 ADM: SQ 02/20/2023 17:07 4024260101 HOLSTEIN VET CLINIC PAGE 02/03 023 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF BLAIR IF YOU DIVE IN BLAIR CITY LIMITS AND OINN A DOG($) AND /OR CAT(S), COMPLETE THIS FORM AND Ri TURN 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 REgU,11ED $Y t AW TO LICENSE YOUR [?T$ THE CITY OF GLAIR REQUIR F OF RABIES VA Failure to do so is a violation of City Ordinances 6.103 and carries a penalty of a fine Lap to $150,00 per pet, PET LICENSE I3,ENEWALS ARE DUE BY 2/15/2023, The city shall recognize a microchip 0 number as the license number. It shall be unlawful for any dog or rat to wear any license or other city ID other than that is$ued by the City of Blair for Such dog or cat, NEW PET LICENSMMust bo licensed within 10 flays of ownership (OR) at 6 months of age if puppy or kitten NEW RESIDENT Must registQr pets within 10 clays of residency Owner Name I Shirley Jordan Spouse • I Bob Owner Address 735 N 14th Street City/St ate/Zip Blair, NF- 68008 Phone # 402-278-2027 Pet Name: SOCkS 'a #3450 Ag'e: 6Y Sex: Spayed Female DUB:—08-01"1 Breed: Domestic Sh ok-their Color: Grey and White Microchip # Rabies Tag N PLEASE. INOLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE): # RABIES VACCINATION DONE ON 04.28-22 Rabies Description: 1 YEAR 3 YEAR Holstein Veterinary Clinic Dr.'Lisa Schrutn L)VM : Dr, Krista HOIStein DV114 718 South 1811 Street Blair, NE 68008 402-426-7387 402-426-0101 Fix holsteinclinic(Z-Dgmail.corn LICENSE FEES jorpet Dog or Cat; $16.00 e, Do 0 Replacement 7$g $b A0 Total $ PETS THAT ARC' ON TH�1T1VE POTENTIALLY DAN�EJ2(7lfS QR DANGEROUS DUO I-I$T NEED TO REGJSTER DIRECTLYATJTY HALL. FAXED 02-20-23 BY e2r2Ui2a23 17:07 4024260101 HOLSTEIN VET CLINIC PAGE 01/03 2023 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND CJWN A DOG(S) AND /0R CATM, COMPLETE THIS FORM AND RETURN ;WITH A CHECK PAYABLE TO: CITY OF BLAIR — 218 S. 1e ST — BLAIR, NE 6$008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREE 13) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. *"PLEASE READ CAREFULLY*** Yl'�U I:iig F REUU4REb BY LAW T��,JGENSE Yf�UR PETS. "t'HE CITY OF Bid to R REQUIxiEB P OEM (�F OF RAE�IES VACCINATION. Failure to do so is a violation of City Ordinances 6.103 and carries a penalty of a fitle up to $150,00 per pet. PET L ENSE Y.NEWAL�DUE BY S/7 2023. The olty shall recognize a microchip ID:nurnbor 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. NE tjN l T LICENSING Must be licensed within 10 days of ownership JOH) at 6 months of age if puppy or kitten NE iyV ESiDI 7S TO BLAifi Must register pots within 16 days of residency Owner Name Shirley Jordan Spouse Bob Owner Address 735 N 14th Street City/State/2ipl Blair, NE 68008 Phone # - 402-278-2027 Pet Name. Daisy Tag #3449 Age: 23M GOB: 03-07-21 Sex: Spayed Female Cofer: Tri Color Breed: Beeg/each Microchip # �' Rabies Tag # 20505 PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE): # RABIES VACCINATION DONE ON 07-14-22 Rabies Description: 'I YEAR 3 YEAR Holstein Veterinary Clinic Dr Lisa Schrum DVM : Dr. Krista Holstein V VM 718 South 191'' Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinir-@gmail.com LICENSE FEE ,S Intact Dog or Cat: $16.00 Do or obt: $11 00 'lop Tag $b.00 . Total $ "— p,ETS THArARE ON THI; i4CT)VE POTENTIALLY DANOEAOL S OR DANGEROUS 000 UST NEED TO REGISTER DIRECTLY AT CITY l� FAXFD IO2-20-23 CITY'-HAL ,L,; * 40-2'426� 9�', 03/13/2023 16:32 4024260101 HOLSTEIN VET CLINIC PACE 01/01 2023 PEA' LICENSE VERIFICATION/APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT($), COMPLETE THIS rORM AND RETURN WITH A CHECK PAYABLE T0: CITY OF BLAIR — 218 S. 16TH ST MA,IR,, NE 68008 YOU MAY LEGAI-LY 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*** Y0Q ARE REOUIREQ BX LAW TO LICENSE YOUR PETS THE CITY OF BLAIR R�tIUII{ES PROOF OF RABIES VACCINATICIN Failure to do so is a violation of City Ordinances 6.103 and carries a penalty of a fine up to $150,00 per pet. PET LICENSE RENEWALS AR1: DUE BY 3l15/2q?� The cityshall recognize a microchip ID HUMber as the license number, It shall be unlawful for any dap or cat to wear any license or other city ID ether than that issued by the City of Blair for such dog or c. NEW f'ET LICENSINOa Must be licensed within 10 days of ownership (OR) at 6 months of ago if pLippy or kitten NEW gESIDENTS TO BLAB M"st register pets within 10 days of residency ' Owner Na me Betty Janssen Spouse 'Owner Address 736 S 13th St #12 city/State/Zip Blair, NE 68008 Phone # 402-812-8830 pet Name: Paco Tag #2797 Age: 7Y LOB: 08-19-15 Sex: Neutered Male - Color: Breed: Chihuahua Microchip # Rabies Tag # 19060 PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE): # RABIES 'VACCINATION DONE ON 04-09-21 Rabies Description: 1 YEAR 3 YEAR LICENSE FEES Intact Dog or Cal' $16,01] Alt Ae- -, Do ar�cat: $11,00 Repl�cemen ag $5.00 Total $_ X.� ff7,�STHgTAREON7NEAC77VEPOTEIMALLVCJAN6EROUSMR 0ANGEROUS DOG LIST Nffl)TO REGISTER DIREMY AT CITY HALL, Holstein Veterinary Clinic F,AaCED 63.13.23 Dr. Lioa Sahram DV44 Dr Krista Holstein DVM BY 718 South 1911, Street Blair, NE 68008 402-426-7387 402-426-0101 Fax IiOlteirrclinO ic mail,carrt 1`T`ifr`;.Ii►; 4':='lJ': , ° -- --1- 3 1 a s CITY OF BLAIR - 2023 PET LICENSE APPLICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair • 218 S 16th St a Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs q j or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2023 Owner Name: ' v Owner Address: 214 S 04\ Zl city/state/zip: Blair, NE 68008 Phone # ('401) 2-3 — 2S 2� LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11.00 ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3/15/2023. The City shall recognize a microchip Identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city Identification other than that issued by the City of Blair for such dog or cat. The Citv of Blair reauires Droof of rabies vaccination to be submitted with your license application. Replacement Fee for Lost Tag: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET # 1 Dog ❑ Cat ❑ Spayed/Neutered License Fee $ 11 Pet Names�4nv\ Birthdate q Sex m Color Breed" Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y N MICROCHIP # %5 141 005 1(ou, o'1 (If applicable) SUBTOTAL: $ I 1 RABIES VACCINATION DATE: (3 yr) (1 yr)_ City Tag # 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 ❑ N MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) (1 yr) License Fee $ Replacement $ SUBTOTAL: $ City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not Send Cash by Mail TOTAL ENCLOSED $ 1- 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 I'bensed within 10 days of ownership ■ Must register pets within 10 days of ■ <OR> at 6 months of age if puppy/fatten residency. Client ID: Client Name: Address: Phone: Tag Number: Vaccine: Producer: Brand: Type: ,inner of Administration: Staff Name: License Number: Doctor Signature: Blair Small Animal Clinic PC David E. Johnson DVM 1734 Front Street Blair, Nebraska, 68008 (402) 533-2722 Rabies Certificate 8562 Patient ID: 12245 Shannen Jennings Patient Name: Jax 214 So 20th St Species: Canine Breed: Labrador Retriever Blair, NE 68008 Sex: Neutered Male= Color: Yellow (402)278-2828 Markings: Birthday: 09/17/2020 Weight: 83.00 pounds on 11/8/2022 Microchip ID: 985141005166037 6938 Imrab Rabies Vaccine Merial Imrab 3 TF Killed Virus Subcutaneously David E. Johnson DVM 1893 Vaccination Date: 3/21/2022 Expiration Date: 3/21/2025 Lot Number: 18526 Drug Expiration Date: 5/20/2023 i CITY OF BLAIR - 2023 PET LICENSE APPLICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair • 218 S 16th St • Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15. 2023 Owner Name: \ L/dpwvvi Owner Address: a city/state/zip: Blair, NE 68006 Phone # AQ-1 4 LICENSE FEES: Dog or Cat: $16.00 Altered no 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 Mg iires 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/Neutered License Fee $ G Pet Name Birthdate Sex J Color Breed** • Replacement $ ** Declared anger us or Potentially Dangerou Dog: Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ I o RABIES VACCINATION DATE: (3 yr) (I. 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) _ W (1 yr) License Fee $ Replacement $ SUBTOTAL: $ City Tag # PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed** Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not Send Cash by Mail TOTAL ENCLOSED $ , 0 0 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 fornewpets/new residents) Newly Acquired Pets: NQw Rgsiden" tQ Blair: ■ Must be I'loer>sed within iQ days of am)ership ■ 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, 88008 /402\533-2722 Rabies Certificate Client ID: 2734 Patient : Client Name: Julie & Steve Jensen Patient Name Address: 2755 West HVVYQ1 Species: Breed: Blair, NE8BUO8 Sex: Color: Phone: /402\990-7572 Markings: Birthday: Weight: Microchip ID: Tag Number: 0 Vaccination Date: Vaccine: |nnnab Rabies Vaccine Expiration Date: Producer: Meria| Lot Number: Brand: |nnnsb3TF Drug Expiration Date Type: Killed Virus 'annerof Subcutaneously Staff Name: David E.Johnson DVM License Number: 1893 Doctor Signature: 7980 Donobv Feline Silver Tabby Neutered KAo|e Gray O4/ 7/2O15 14.5Gpounds on7/15/2O22 5/1O/2O23 5/1612026 18582 S/14/3O24 Blair Small Animal Clinic PC Page 1 / 1 David E, Johnson DVM 1734 Front Street Blair, Nebraska, 68008 (402)533-2722 Client ID: 2734 Julie & Steve Jensen Invoice #: 173383 2755 West HWY 91 Date: 6/16/2023 Blair, NE 68008 (402) 990-7572 juliejet71 @yahoo.com Patient ID: 7980 Species: Feline Weight: 14,56 pounds Patient Name: Dansby Breed: Silver Tabby Birthday, 04/17/2015 Sex: Neutered Male Description Staff Name Quantity Total 5/16/2023 Examination -Wellness David E. Johnson DVM 1.00 $30.00 Rabies Vaccination - Feline 3 year 1.00 $30.00 Rhino-Calici-Flu-PanLeu-Annual 1.00 $35.00 Feline Leukemia Vac -Annual 1.00 $39.00 Patient Subtotal: $134.00 Instructions Your cat has had the final dose in the series, and may be considered fully protected from Panleukopenia, Rhinotracheitus, and calicivirus infection. We will notify you when it is time for booster vaccinations and other health maintenance needs. Reminder 05/16/2024 Feline Leukemia Vac -Annual Rhino-Calici-Flu-PanLeu-Annual 05/16/2026 Rabies Vaccination - Feline 3 year Invoice Total: $134.00 Total: $134.00 Invoice Balance Due: $134.00 Swipe: ($134.00) Less Payment: ($134.00) Invoice Balance Due: $0.00 Balance Due: $0.00 Order your pets supplies online now through our website www.blairsmallanimalclinic.vetstirstchoice.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 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 DUCE: arrc�h� 15, 2023 Owner Name: -T `dui f SUru �✓ p'-om Owner Address: )1 U 5 /V ze, , city/state/zip: fair, NE 6008 Phone # 11 Z- ZZ 3- f1` 7� 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 'Spa d/Ne Bred License Fee $ 11, 00 Pet Name FI Birthdate j Sex M(AIf- color R Breed** M;,)� Replacement $' 0 0 Declared Dangerous or Potentially Dangerous Dog: ❑ Y M N MICROCHIP # 1 S 6 0o o u 1 i 5 l2 2 5 (If applicable) SUBTOTAL: $ U 0 RABIES VACCINATION DATE: I J U I Z I (3 yr) K (1 yr) City Tag # 35N 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) _ WE PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Birthdate Sex _ Color Breed** Declared Dangerous or Potentially Dangerous Dog: n Y IA N MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) (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 If you have questions, please contact Blair Police bepartment at (402) 426-4747 ++++++......+++++++++++++++++.....++.+++.....+++++++++++++++++++++++-....+++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15/ate fee date not applicablefornewpets/new residents) Newly Acguired Pets: New Residents to Blair: • Must be licensed within 10 days of ownership w Must register pets within 10 days of • <OR> at 6 months of age if puppy/kitten residency. Jan 23 23 02:45p p,1 Thone Animal 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 T E: March 15, 2023 Owner Name: t Owner Address: City/state/Zip: Blair, NE 688008 L Phone # ] `' 999 — 26- L LICENSE FEES: Dog or Cat,. $16.00 Altered Dog or Cat: $li 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 Identincatlon other than that Issued by the City of Blair for such dog or cat. The City of Blair requires proof of rabies vacdnation to be submitted with your license ao jicatlon 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 # og El Cat Spa d/N tamed License Fee $�_ Pet Na Birthdafie P S C0lor Breed ** Replacement $ Declarild Dan a ous or Potentially Dangero s : ❑ Y] N MICROCHIP # (If applicable SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) 14 (1 yr) City Tag # 2535 PET #2 Q Dog `at T Spayed e e F License Fee Pet Narp�e Birth ate �ek Color -H�t- Breed** Replacement$ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ ti RABIES VACCINATION DATE: 10012(3 yr) _,4 (1 yr) City Tag # 2028 PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed** Replacement$ ** Declared Dangerous or Potentially Dangerous Dag: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) ,_____ (1 yr) City Tag # *PLEASE INCLUDE THE CIiYTAG 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 Maii TOTAL ENCLOSED $ If you have questions, please contact Blair Police Department at (402) 4264747 ++.++.+++++++++++.++t+++++.++.....++++++++++++............4................... NEW PET/NEW RESIDENT LICENSING REQUIREMENTS(Mard�15late fee date not applicable fornewpelrfiewreskantsJ Newly Acouired Pets: New Residtnts to Blair: ■ Mist be kvrLsed vibe 10 days oPawleiship R Must register pets within 10 days of N <0R> at 6 monft of age if puppyjWftn residenxy. rz�e�P�/ae/�3 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 mad payable to. City Of Blair e 218 S 16th St @ Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALARE DUE: March 15, 2023 Owner Name: w� Owner Address: ��, L1, ` QF City/State/Zip: Blair, NE 68008 Phone # �A OL YS 30-4o b9 2 LICENSE FEES: Dog or Cat: $16.00 Replacement Fee. Lost , . 1' . ***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. PEETD o g ❑ Cat Sp e 11� eutered License Fee �-' Pet Name — Birth at �. Sex Color. ' Breed** Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y XN MICROCHIP O`I Z2C)1 (If applicable) SUBTOTAL: $ b u RABIES VACCINATION DATE: ;JW Zj)22- (3 yr) (1 yr) City Tag # T #2 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Birthdate Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ ■W 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: (3 yr) (1 yr) (1 yr) License Fee $ Replacement $ ** SUBTOTAL:$ — City .. License Fee $ Replacement $ * * SUBTOTAL:$ *PLEASE INCLUDE THE CITY TAG NUMBERIF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not Send Cash by Mail TOTAL E 00 If you have questions, please contact Blair Police ®epartment at (402) 426-4747 ++++++++++++.....+++++++++++++++++++++++++++++++++++++++++++++++-....++.+++.++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS(March 15late fee date notapplicablefor newpets/newresident5) 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. Blair Small Animal Clinic PC David E. Johnson DVM 1734 Front Street Blair, Nebraska, 68008 (402)533-2722 Rabies Certificate Client ID: 5041 Patient ID: 12498 Client Name: Joanne Jones Patient Name: Baxter Address: 1065 N 24th Ave Species: Canine Breed: Beagle Blair, NE 68008 Sex: Neutered Male Color: Tri-Color Phone: (402)830-6898 Markings: Birthday: 03/26/2017 Weight: 32.80 pounds on 2/10/2022 Microchip ID: 900085001092201 Tag Number: 6860 Vaccine: Imrab Rabies Vaccine Producer: Merial Brand: Imrab 3 TF Type: Killed Virus Manner of Subcutaneously Administration: Staff Name: David E. Johnson DVM License Number: 1893 Doctor Signature: Vaccination Date: 2/10/2022 Expiration Date: 2/1012025 Lot Number: 18520 Drug Expiration Date: 6/22/2023 9 � r, i(�)t'`(� 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 DUE: March 15, 2023 Owner Name: (tti Owner Address: I City/State/Zip: Blair, NE 68008 Phone # LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11.00 ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 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 0 Dog ❑ Cat 0 Spayed/Neutered License Fee Pet Name ) l; iwi, Birthdate l -i �� t Sex l�?,� � Color �a�, a4' p,ldr� � Breed** / iF Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y 0 N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: ? yr) (1 yr) City Tag # '/ 0 i PET #2 ❑ Dog ❑Cat ❑ Spayed/Neutered License Fee $ Pet Name f'!"".ZYI Birth date /0-- ) tv Sex lYiih( Color o `o e,� � Breed** Ijr) /) '/ #/ Rep/acement$ ** Declared Dangerous of Potentially Dangerous Dog: ❑ Y '10 N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: ,' fi' (3 yr) °�,; (1 yr) City Tag # V 0 i 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 $ 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 fornewpels/new residents) 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. Date of Rabies Vaccination: 07-10-20 Next Rabies Vaccination On: 07-10-23 VETERINARY CLINIC Countryside Small Animal 1306 Stevenson Fort Calhoun, NE 68023 402-468-4060 This is to certify... Certificate No: 0 Previous Rabies Vaccination: OWNER OF ANIMAL Caroline Johnson 2983 CR 45 Ft. Calhoun, NE 68023 County: THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Oliver TAG NO: 20-0539 SPECIES: Canine WEIGHT: 34.25 SEX: N AGE: 10 years BREED: Terrier, Jack Russell Microchip Number: Color and markings... Black and White I Signed Kaycee Points Vaccinations done... License: 07-10-20 KNP Canine Rabies Vaccn, 3 yr, #20-0539 07-10-23 11-25-19 KNP Canine Bordetella Oral 11-24-20 11-25-19 KNP Canine DA2PPL 11-24-20 Rabies Vaccine Information... MFG BY: ZOET SER.NO: 390138B LOT EXP: 18MAY21 ADM: Sq Date of Rabies Vaccination: 03-23-21 Next Rabies Vaccination On: 03-22-24 VETERINARY CLINIC Countryside Small Animal 1306 Stevenson Fort Calhoun, NE 68023 402-468-4060 Certificate No: 0 Previous Rabies Vaccination: OWNER OF ANIMAL Caroline Johnson 2983 CR 45 Ft. Calhoun, NE 68023 County: This is to certify... THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Casper TAG NO: 21-0242 SPECIES: Feline WEIGHT: 16.25 SEX: N AGE: 2 years BREED: Domestic Shorthair Microchip Number: 985112011311123 Color and markings... White I Signed Kaycee Points License: Vaccinations done... 03-23-21 KNP Feline Rabies Vaccn, 3 Yr, #21-0242 03-22-24 03-19-20 KNP Feline Rabies Vaccn, 1 Yr, #20-0266 03-19-20 KNP Feline FVRCP Vaccination (CVRC) 03-19-21 Rabies Vaccine Information..: MFG BY: ZOET SER.NO: 428366 LOT EXP: 9NOV21 ADM: Sq CITY OF BLAIR ® 2023 PET LICENSE APPLICATION I If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair 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: Owner Address: i ' � »° , P t A,; city/state/zip: Blair, NE 6008 Phone # 40; (_ LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11.00 ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3115/2023. The City shall recognize a microchip Identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city Identification other than that issued by the City of Blair for such dog or cat. The City of Blair requires proof of rabies vaccination to be submitted with your license application. Replacement Fee for Lost Tag: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program Dog ❑ Cat M Spayed/Neutered License Fee $ 11 Pet Name A vet v Birthdate � r kuSex 'Pe �l Color !fib_—a4c, �� Breed** —Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y Qd N MICROCHIP # qT(4i ckc 56L, (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: ' I1112> (3 yr) - , (1 yr) City Tag # cis-'M V IET # 2 Dog ❑ Cat W Spayed/Neutered License Fee $ 1 e , GO 'et Name Birthdate u 1c0,Sex M� c-) Color i<- kd Breed** ��1 � �� Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y A N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: G. i 17 (Jc,,w (3 yr) (1 yr) City Tag #a1* [S Dog ❑ Cat L3 Spayed/Neutered License Fee $ Pet Name Birthdate uo �Sex N Color Breed** A Replacement Declared Dangerous or Potentially Dangerous Dog: ❑ Y '0 N MICROCHIP # �'WOJ (If applicable) SUBTOTAL: $ 'k RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # 9�q *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 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 „dministration: 167 Dr. Dave & Lori Johnson 1368 Prospect Avenue Blair, NE 68008 (402)533-2251 6928 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: 9637 Patient Name: Sheldon Species: Canine Breed: Dachshund Sex: Neutered Male Color: Red Markings: Long haired with black marking Birthday: 07/03/2017 Weight: 12.12 pounds on 6/16/2022 Microchip ID: 956000009934977 Vaccination Date: 3/17/2022 Expiration Date: 3/17/2025 Lot Number: 18526 Drug Expiration Date: 5/20/2023 Blair Small Animal Clinic PC David E. Johnson DVM 1734 Front Street Blair, Nebraska, 68008 (402) 533-2722 Rabies Certificate Client ID: 167 Patient ID: Client Name: Dr. Dave & Lori Johnson Patient Name: Address: 1368 Prospect Avenue Species: Breed: Blair, NE 68008 Sex: Color: Phone: (402)533-2251 Markings: Birthday: Weight: Microchip ID: Tag Number: 5839 Vaccination Date: Vaccine: Imrab Rabies Vaccine Expiration Date: Producer: Merial Lot Number: Brand: Imrab 3 TF Drug Expiration Date Type: Killed Virus inner of Subcutaneously Administration: Staff Name: David E. Johnson DVM License Number: 1893 Doctor Signature: 11090 Bogie Canine Golden Retriever Neutered Male Gold 06/01 /2012 54.40 pounds on 7/25/2022 6/17/2020 6/17/2023 18445 7/3/2021 Blair Small Animal Clinic PC David E. Johnson DVM 1734 Front Street Blair, Nebraska, 68008 (402) 533-2722 Rabies Certificate Client ID: 167 Patient ID: Client Name: Dr. Dave & Lori Johnson Patient Name Address: 1368 Prospect Avenue Species: Breed: Blair, NE 68008 Sex: Color: Phone: (402)533-2251 Markings: Birthday: Weight: Microchip ID: Tag Number: 6651 Vaccination Date: Vaccine: Imrab Rabies Vaccine Expiration Date: Producer: Merial Lot Number: Brand: Imrab 3 TF Drug Expiration Date: Type: Killed Virus snner of Subcutaneously r%dministration: Staff Name: David E. Johnson DVM License Number: 1893 Doctor Signature: 12076 Amy Canine Dachshund Spayed Female Brown/Blk 08/01 /2020 13,25 pounds on 11/4/2022 985141002699300 11 /22/2021 l 112212024 18514 3/11 /2023 ` 31 . CITY OF BLAIR ® 2023 PET LICENSE APPLICATION I-) 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 o 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 (1 ARE DUE: March 15 2023 Owner Name: \11114' a I -VT Arllll Owner Address: a's )`I a 6"' (� City/state/zip: Blair, NE 6800 Phone #-�.5(�.��C� 5 LICENSE : Dog or Cat: $16.00 Altered Dog or Cat: t11.00 ***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/N e ed License Fee $ ► Pet Name HA a Birthdate ci -1 - Sex M" I e Color t",Liji Breed** pr,11%'e) Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y iQ N MICROCHIP # (If a icabl SUBTOTAL: $ RABIES VACCINATION DATE: 3 _ ) City Tag PET #2 ® Dog ❑ Cat ❑ Spa ed/Neutered License Fee $ _ � 6 Pet Name AAy' Birthdate - �� Sex P �.11 Color vunT--�Z hri,✓, Breed** Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y j N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) 8 _ti :4 r 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$3a If you have questions, please contact Blair Police Department at (402) 426-4747 ++++++++++.++++++++++++++++++++.+++++++++++++++++++++++++++++++++¢.....+++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15/ate fee date notapp/icab/e fornewpets/newresidents) 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/Idtten residency. 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: tI. Owner Address: 10 H City/State/Zip: Blair, NE68008 11 Phone # b k C51 _(111 LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11 00 ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3115/2023. The City shall recognize a microchip identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city Identification other than that Issued by the City of Blair for such dog or cat. The City of Blair requires proof of rabies vaccination to be submitted with your license application. Replacement Pee for Lusk Tag. $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program ET # 1 kvi Dog Cat Spa �geute rea License Fee $Pet Na e d �v" BirthdateSeColor o Breed** cv Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ N MICROCHIP # (110 U 05i'9(A M (If applicable) SUBTOTAL: $ _ RABIES VACCINATION DATE: I (3 yr) (1 yr) City Tag # 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) I 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 $ c I If you have questions, please contact Blair Police Department at (402) 426-4747 ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (Marchl5/ate fee date not appllcablefor newpets/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. kI I . I I . City of Blair e 218 S 16th St e Blair, NE 68008 f or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: HAECUS,-= Owner Name: "t, Owner Address: city/state/zip: Blair, NE 68008 Phone # - i - 1 u')" �-L" I ci 1-i � 5) --ICENSE FEES: Dog or Cat: $16.00 YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so Is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 311512023. 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. Th® _QV_p _jZ2f_o_LLa_hL l va S&hlgk JLW Replacement Fee for Lost Tag: $S.00 . . . . . . . . . . PET #1 Dog L3 Cat L. Spayed/Neutered License Fee $ Pet Name Birthdate 3 Sex ry-� Breed** (-Y) x, Revlacement$— Declared Dangerous or Potentially Dangerous Dog: 0 Y N MICROCHIP # (If applicable) SUBTOTAL:$ f RABIES VACCINATION DATE: (1yr) X CityTag# PET #2 Ll Dog L3 Cat L3 Spayed/Neutered Pet Name Birthdate SeN. Color Breed** Declared Dangerous or Potentially Dangerous Dog: L3 Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) -- PET #3 L. Dog Ll Cat Ll Spayed/Neutered Pet Name Birthdate Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: LJ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: License Fee $ Replacement LI N W SUBTOTAL:$ (I yr) — City Tag # (I yr) License Fee $— 12-UBTOTAL: $ — City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL J -t� I'll I ,", — ;Q Do Not Send Cash by MaH TOTAL ENCLOSED $ If you have questions, please contact Blair Police Department at (402) 426-4747 NEW PET/NEW RESIDENT LICENSING REQUIREMEN-17S (ftrch 15 late kv date not sir lIcable for rxwpetslnew tesIdents) N@Mft Acouired Pets: New ReMdent% to Blair: • Must be IbKised vdhn 10 days of am-o1ilp m Must regisber pets wbin 10 days of • <OR> at 6 niorMis of age if puppy/kftten residency. CERTIFICATE, OF. VACCINATION *ate of Rabies Vaccination: 07-28-23 Certificate No: 0 Veyot 1-',',;,Tbies Vaccination On: 07-27-24 Previous Rabies Vaccination, VETERINARY CLINIC OWNER OF ANIMAL Holstein Vet Clinic Scott Johnson 718 South 19th Street 1441 Grant St. Blair, NE 68008 Blair, NE 68008 402-426-7387 County: This is to certify... THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Cooper TAG NO: 23505 SPECIES: Canine WEIGHT: 18.20 SEX: M AGE., 16 weeks for and markings... Black and Tan Signed Lisa Schrum, DVM Aabies Vaccine Information... 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LICENSE RENEWALS ARE DUE: March 15, 2023 OwnerName- •-d+. City/State/Zip: i� + Blair, 8e q;^. ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3115/2023. The City shall recognize a microchip Identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city Identification other than that issued by the City of Blair for such dog or cat. The CitV of Blair requires proof of rabies vaccination to be submitted with your license application. �aal. ;ur�� . rN' PET #1 ;-D o g® C a t .Spayed/Neutered License Fee' Pet Name i Birthdate - j Sex Color i '; Breed** "',>� , Replacement $ Declared Dangerous or Potentially Dangerous Dog: ®Y IJ N MICROCHIP # (If applicable) SU T 'TAL. RABIES VACCINATION DATE: I I ? (3 yr) (1 yr) City Tag # lt- 9 PET #2 ® D o g® C a t ® Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed** Replacement $ Declared Dangerous or Potentially Dangerous Dog: Ll Y ® N MICROCHIP # (If applicable) SUBTOTAL.- RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag# PET #3 ® Dog ® Cat Ll 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 CnY TACK NUMBER IF THIS IS A RENEWAL ** (This fee Is due along with License Fee if requesting at the time of license renewal.) TOTALDo Not Send Cash by Mail If you have questions, please contact Blair Police Department at (402) 426-4747 NEW PET/NEWRESXDENTLICENSXNG REQUIREMENTS (March 15late fee date notappllcable fornewpeis/new residents) Newly Acquired Pecs: New Residents to Blain Is 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. . R i i bl! 17b/ Y0ZJ 1'G: UU 4b14'Gb01b1 HULb I L1N VL I UL1NIU 11AUL OW bti 2023 PET LICENSE VERIFICATIt N/APPLICATION FOR CITY OF BLAII IF YOU LIVE IN BLAIR CITY L(MIT4 AND OWN A DOOM AND /OR CAT(s), COMPLETE THIS FORIJI AND RETURN WITH A CHECK PAYABLE T0: COPY CITY OF BLAIR— 218 $, W'I ST ,- BIrA R, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO M0�5 THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLINQ UNIT. O*WPLI-ASE READ CAREFULLY*** YOU ARE REQUIRED 13Y LAW TO LICENSE YCfU KI THE CITY ��}�(!� SQUIRES PROOF OF RABIES VACCINATION. Failure to do Sao 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 DUE BY 3115/2022, The elty shall recognize a microchip ID number as the license number. It shall be unlawful for any dog or cat to wear any' license or othei city ID other than that issued by the City of 8iair for such dog or cat. U� PET LICENSING Must be licensed within 10 days of ownership (OR) at 6 months of age if puppy or kitten NEW RESIDENTS TO BLAIR Must register pats within 10 days of resldenoy Owner Name Lennie Jones Spouse Owner Address 2354 Pawls St Ity/Skate/ Ip Blair, NE 68008 -- Phone.# -- -►(-./ `' (950qF pet Name: Lennok Age: 10M DOg: 03m04�22 Sex: Spayed Female Colter; ack Breed: Slcipperlcee Mlcroa6ip # 991001003877309 Rabies Tag # 20455 PLEASE INCLUDE CITY TAG NUMBER iF THIS IS A RENEWAL (IF AVAILAKE): # RABIES VACCINATION DONE ON 07-08-22 Rabies nescrlptlon: , 11 YEAR 3 YEAR Holstein Veterinary Clinic Dr. Lisa Schrum DVM : Dr. Krista I-161stein OVM 718 South 1P Street Blair, NE 68008 402-426-7a87 402-426-0101 Fax holsteinclinic@gmail.com LICENSE FEES 117tact Dog or Cat: $16,00 �-- Alltered ocg or cat; $11,00 $6.00 'Total $AL'�— PETS 'rHArARE ON THE ACTIVE POTENTIALLY DANGEROUS OR DANGEROUS DOG LIST NEED TO REGISTER DIRECTLY AT CITY HALL• FAXED 01-06-23 BY � :• CITY OF BLAIR - 2023 PET LICENSE APPLICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair • 218 S 16th St • Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2023 Owner Name: le, re + On aei,Jbo -c-; Owner Address: J74 S • r %'"') city/state/zip: Blair, NE 68008 Phone # 40 2 — 3 — cl ) 5 LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11.00 ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3/15/2023. The City shall recognize a microchip identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city identification other than that issued by the City of Blair for such dog or cat. The City of Blair 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 Lespayed/Neutered License Fee $ l " Pet Named iGl6 Jqg Birthdate GP aR / Sex Color -� Breed** D ,rne5fie, 5hAr+hcki Replacement $ ** Declared Dangerous r Potentiallancierous Dog: ❑ Y ❑ N MICROCHIP # 9FA��J/r�/rs/.� (If a Hca le) SUBTOTAL: $ RABIES VACCINATION DATE: �/ / _ 3 yr) (1 yr) City Tag # _ ,ji PET #2 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Birthdate Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ ■W (1 yr) License Fee $ Replacement $ SUBTOTAL: $ City Tag # PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed** Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not Send Cash by Mail TOTAL ENCLOSED $ /lam 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 fornewpets/new residents) Newly Acquired Pets: New Residents to Blair: ■ Must be lberlsed within 10 days of ownership ■ Must register pets within 10 days of ■ <OR> at 6 months of age if puppy/Idtten residency. Reminder Letter Report Sorted by Client ID -int ID Client Name Patient ID Patient Name Item ID/Description Type Date 'i u84 Jones, Stephen & Donna Phone: (402) 651-5117 9918 Sebastian "Seb" 84 Rabies Vaccination - Feline 3 year L 2/11/2024 100 Rhino-Calici-Flu-PanLeu-Annual L 3/10/2024 Blair Small Animal Clinic PC Page 1 of 1 Date: 3/10/2023 CITY OF I - 2023 PET LICENSE APPLICATION , 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 lair @ 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 IS, 2023 Owner Name: e'er 11/1�� o Owner Address: 1. city/state/zip: Blair, NE68 0 Phone # 4 LL4 2LA 01 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 PEET a Don ❑ Cat � r payed/Neutered � License Fee $ U U Pet Name _ Birthdatev sex Ir— Color ' Breed** Replacement$ ** Declared Dang rou or Potentially Dangerous Do : ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) _>. (1 yr) City Tag PET #2 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Birthdate Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ ❑ 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: *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not Send Cash by Mail TOTAL ENCLOSED $ If you have questions, please contact Blair Police Department at (402) 426-4747 a.. a. . fi..............+++.++++++++++++++++++++++++++++++++++++-r++++++.+++++++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15/ate fee date not applicable fornewpets/newresfdents) 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.