MIf 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 21816th St 9 Blair, N-
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: ZAL4l b+'
Owner Address: IS I-7 Sv�klti S�.
city/state/zip: Blair, NE 68008
Phone # �712- M - 68,0
LICENSE S: 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 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
Dog ❑ Cat 4 Spayed/Neutered License Fee $ 6.00
Pet Namey. � Birthdate Sex
Color Breed** Replacement$ **
Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N
MICROCHIP # (If applicable) SUBTOTAL: K,00
RABIES VACCINATION DATE: (3 yr) (1yr)_CityTag#00Z84I
ET #2 ❑ 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 #
T #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered
Pet Name Birthdate Sex
Color Breed**
Declared Dangerous or Potentially Dangerous Dog: ❑ Y
MICROCHIP # (If applicable)
RABIES VACCINATION DATE: (3 yr) _
W
(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 $ 16,00
If you have questions, please contact Blair Police Department at (402) 426-4747
++++++.....++++++++++++++++++++++++.....++++++++++++++++++++++++++++++++++++++
NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15/ate fee date notapplicable for newpeis/newresldenis)
Newly AMuired 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.
S ( is I a3 c a c' � +�- � o'i L-[,' s
CITY OF BLAIR - 20,23 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 a Blair, NE 68008
You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs
or three (3) adult cats per residential or dwelling unit.
LICENSE RENEWALS ARE DUE: March 15, 2023
Owner Name: A n G1 ( GL�S1 � e
Owner Address: r �►�s ',
City/state/zip: Blair, NE 68008(/ ,,
Phone # �Q (U i"LW
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 reauires 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 r� Spayed/Neutered License Fee $ l . U
Pet Name RC x Bi hdate c\Sex
Color ape_ Breed** K f VIA 00 u. Replacement $ **
Declared Dangerous or Potential) Dangerous Dog: ❑ Y ❑ N
MICROCHIP #�/►I o,nSL- Q b D U (If applicable) SUBTOTAL: $
RABIES VACCINATION DATE: S I 7-2-- (3 yr) �O (1 yr) City Tag
to n --I S('
T d Dog ❑ Cat b- Spayed/Neutered License Fee
Pet Name A-1f A�C-(\(- Birthdate )(An' 1-0 Sex Y�n
Color 0 n Breed** J oo(Au— Replacement $ **
Declared D ng rous or Potentiallyg� ngerous Dog: ❑ Y ❑ N
MICROCHIP # (;¢, t Do33keb (If applicable) SUBTOTAL: $
RABIES VACCINATION DATE: VL (3 yr) � (1 yr) City Tag *
v I �/`1 D
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 TOT , 0 0
D
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 notapplicable fornewpets/newresidents)
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/Idttlen residency.
Thone Animal Hospital
Patient Chart
902 S Hwy 30
Blair, NE 68008
402-426-3630
Printed: 03-13-23 at 2:39p
CLIENT INFORMATION
Name CALL CAS PJ Mallette (1910)
Address 403 W Baronage
Spouse
Cassie
Blair, NE 68008
Phone 402 616-1946
Balance
0.00
PATIENT INFORMATION
Name Frederick
Species
Canine
Sex Male, Neutered
Breed
Golden X
Birthday 01-23-21
Age
2y
ID 981020041805634
Rabies
007890
Color Gold
Weight
50.00lbs
Reminded 03-09-23
Codes
MEDICAL HISTORY - Vaccination View
Date By Code
Description
Qty (Variance) Photo
05-19-22 DM R3
Rabies Vaccination (3 Year), #007890
8
DA2PPV 1yr
B1
Bordetella Oral
07-27-21 DM B1
Bordetella Oral
07-13-21 DM B1
Bordetella Oral
05-13-21 JRD R1
Rabies Vaccination (1 Year),
#006719
8
DA2PPV
04-13-21 JRD 8
DA2PPV
(Additional history not shown)
Thone Animal Hospital
902 S Hwy 30
Blair, NE 68008
402-426-3630
Printed: 03-13-23 at 2:14p
CLIENT INFORMATION
Name CALL CAS PJ Mallette (1910)
Address 403 W Baronage Spouse Cassie
Blair, NE 68008
Phone 402 616-1946 Balance 0.00
PATIENT INFORMATION
Name
Marx
Species
Canine
Sex
Male, Neutered
Breed
Labradoo
Birthday
01-14-18
Age
5y
ID
Rabies
007888
Color
Yellow
Weight
65.00lbs
Reminded
01-28-22
Codes
MEDICAL HISTORY - Vaccination View
Date
By Code
Description
Patient Chart
Qty (Variance) Photo
05-19-22
DM
R3
Rabies Vaccination (3 Year), #007888
8
DA2PPV 1yr
LEPTO
Lepto 1yr
B1
Bordetella Oral
01-04-21
KF
410012
Bordetella Injectable
2
DA2PPV+L
06-07-19
KF
R3
Rabies Vaccination (3 Year), #004918
B1
Bordetella Oral
AC6
Check up, DA2PPV+L
05-29-18
LL
R1
Rabies Vaccination (1 Year), #004113
2
DA2PPV+L
04-14-18
LL
AC6
Check up, DA2PPV+L
H31\12
Canine Flu H3N2
04-02-18
LL
CAFLU
Canine Flu H3N8
Lr
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 @ 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: ,/larch 15, 2023
Owner Name: k'dd'�- � b6/,e" 1A-s h
Owner Address: � llt- � A 17
City/State/Zip: Blair, NE 68008
Phone # L%%�`� 7 14
LICENSE FEES: Dog or Cat: $16.00
Altered Do or Cat- CIZ11 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
is a State Fee of $1.25 being collected to fund the Nebraska Dog & Gat Operator Inspection Program
D g g ❑ Cat Spayed/Neutered License Fee $ It ®�
Pet Name S - rthdate D / Se
Color Breed** Replacement$ **
Declared Dangerous or Potentially Dangerous Dog: ❑ Y
MICROCHIP # 110 10A fiC� r� (If applicable) SUBT TAL: $
TRABIES VACCINATION DATE: ,(3 yr) (1 yr) City Tag # 00 3/ *
PET #2 ❑ Dog ❑ Cat ❑ Spayed/Neutered
Pet Name Birthdate Sex _
Color Breed**
Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N
MICROCHIP # (If applicable)
RABIES VACCINATION DATE: (3 yr)
PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered
Pet Name Birthdate Sex
Color Breed**
Declared Dangerous or Potentially Dangerous Dog: ❑ Y
MICROCHIP # (If applicable)
RABIES VACCINATION DATE: (3 yr) _
Ru
(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 $ '! O'er
If you have questions, please contact Blair Police Department at (402) 426-4747
.....++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++¢+.
NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15late fee date notapplicable fornewpely1newresidents)
Newly Acquired Pets: New Residents to Blair:
• Must be lioensed within 10 days of ownership n Must register pets within 10 days of
• <OR> at 6 months of age if puppy/kitten residency.
Date of Rabies Vaccination: 2/10/2021
Next Rabies Vaccination On: 2/10/2024
VETERINARY CLINIC
Arlington Pet Hospital
225 N. 3rd St.
Arlington, NE 68002
402-478-4141
Certificate No: 0
Previous Rabies Vaccination:
OWNER OF ANIMAL
Rebekah Marsh
2148 Jackson St.
Blair, NE 68008
County: Washington
This is to certify...
THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW.
Patient information...
PATIENT: Lily Sapphire TAG NO: 028165
SPECIES: Canine WEIGHT: 83.80
SEX: Spayed Female AGE: 5Y
Color and markings: Black ?
Signed
MATT TALBOT, DVM License: 3220
Vaccinations done...
1/11/2023 MT LEPTO BOOSTER 1/11/2024
1111/2023 MT BORDETELLA ANNUAL BOOSTER
1/11/2024
1/26/2022 MT DHLPP ADULT BOOSTER 2 YR
1/26/2024
2/10/2021 MT RABIES 3 YEAR, #028165
2/10/2024
Rabies Vaccine Information...
MFG BY: NOBIV SERNO: 444591
LOT EXP: 02/15/22 ADM: SQ
CITY OF BLAIR - 2023 PET LICENSE APPLICATION ,-P-w�,-
If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to:
City lair a 2186t lair, 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: m Ilk
city/state/zip: Blair NE 68008
Phone #
I-CENSE FEES: r., , 0r
***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
D g ❑ Cat ❑ Spayed/Neutered �� License Fee $ _1
Pet Name % . f Birthdate Sex
Color Breed** y flep/acement$ **
Declared Dangerous or Potentially Dangerous Dog: ❑ Y Ll N
MICROCHIP # (If applicable) SUBTOTAL: $
RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag
ET #2 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $
Pet Name Birthdate Sex
Color Breed** Replacement$ **
Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N
MICROCHIP # (If applicable) SUBTOTAL: $
RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag #
PET 3 ❑ Dog ❑ Cat ❑ Spayed/Neutered
Pet Name Birthdate Sex
Color Breed**
Declared Dangerous or Potentially Dangerous Dog: ❑ Y
MICROCHIP # (If applicable)
RABIES VACCINATION DATE: (3 yr) _
W
(1 yr)
License Fee $
Replacement $
SUBTOTAL:$
— City ..
*PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL
** (This fee is due along with License Fee if requesting at the time of license renewal.)
Do Not semi Cash by Mail TOTAL ENCLOSED $
If you have questions, please contact Blair Police Department at (402) 426-4747
++++++++++++++++++++++++++++++++++++.....+++++++++++++++++++++++++++++++++++++
NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (Marchl5/ate fee date not appllcablefornewpets/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/Htten residency.
CERTIFICATE OF VACCINATION
Date of Rabies Vaccination: 3/2/2021
Next Rabies Vaccination On: 3/1/2024
VETERINARY CLINIC
Arlington Pet Hospital
225 N. 3rd St.
Arlington, NE 68002
402-478-4141
Certificate No: 0
Previous Rabies Vaccination:
OWNER OF ANIMAL
Michael Marsh
1251 S. 16th St.
Blair, NE 68008
County: Washington
This is to certify...
THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW.
Patient information...
PATIENT: Carly
SPECIES: Canine
SEX: Spayed Female
Color and markings:
Signed
GRANT LITTLE, DVM
Vaccinations done...
W97,71TTITIT61mim-
TAG NO: 026907
WEIGHT: 55.50
AGE: 3Y
License: 4022
2/21/2022 GL DHLPP ADULT BOOSTER 2 YR
2/21/2024
3/2/2021 GL RABIES 3 YEAR, #026907
3/1/2024
2/17/2020 JAN RABIES 1 YEAR, #024796
Rabies Vaccine Information...
MFG BY: NOBIV SER.NO: 419390
LOT EXP: 09/14/21 ADM: SQ
Lly� I OY � � 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 9 218 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:
y INS
Owner Address: �—
City/State/Zip: Blair,, NE :11
Phone # t)w
LICENSE S: 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.
Repiacement 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 ❑ Spaye /Ne tered License Fee $ � � 0
Pet Name Birthdate ex
**
Color�c �� Breed** Rep/acement $
Declared Dangerous or Potentially Dan us Dog: ❑ Y N
MICROCHIP # � 1� 1 ero(If applicable) SUBTOTAL:
RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag #*
PET #2 ,e.0 Dog ❑ Cat -�SpaP /N utered License Fee $ 00
� Pet Na e -v Birthdate-iL0
Color C-A c Breed** `1 �m I Replacement
Declared Dangerous or Potentially Dangerous Dog: ❑ Y N
MICROCHIP # (If applicable) SUBTOTAL:
RABIES VACCINATION DATE: (3 yr) V"- (1 yr) City Tag # ��
®D g Cat Al Spawec-
yed License Fee $
Pet Name Z � Birthdat&Sex
Color Breed** Rep/acement $—*
Declared angerous or Potentially Dangerous Dog: D Y .4 N
MICROCHIP # -- (If applicable) SUBTOTAL: $ �` ��
RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag .NL1 SR
*PLEASE INCLUDE THE CITY TAG NUMBER TF 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 T E L S 'k' a C��
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 lioensed within 10 days of ownership 0 Must register pets within 10 days of
• <OR> at 6 months of age if puppy/aten residency.
Client ID:
Client Name:
Address:
Phone
Tag Number:
Vaccine:
Producer:
Brand:
Type:
inner of
r%dministration:
7477
Stephanie Martens
867 No 11th st
RE M. 3 [9, A �
(402)426-9496
0000
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:
12860
Ziyah
Feline
Domestic Shorthair
Spayed Female
Black
05/14/2021
10.32 pounds on 9/16/2022
9/16/2022
9116/2024
18536
11/17/2023
Blair Small Animal Clinic PC
David E. Johnson DVM
1734 Front Street
Blair, Nebraska, 68008
(402) 533-2722
Patient ID:
9580
Client ID:
7477
Patient Name:
Piper
Client Name:
Stephanie Martens
Species:
Canine
Address:
867 No 11th st
Blair, NE 68008
Breed:
Border Collie Mix
Sex:
Spayed Female
Color:
white/brown
Phone:
(402)426-9496
Markings:
Birthday:
05/10/2017
Weight:
78.80 pounds on 1/9/2021
Microchip ID:
Tag Number: 6214 Vaccination Date: 1/9/2021
Lot Number: 18473 Expiration Date: 1/9/2024
Imrab Rabies Vaccine
Producer: Merial
K / MLV / R: Killed Virus
Staff Name: David E. Johnson DVM
License Number: 1893
Client ID:
Client Name:
Address:
Phone:
Tag Number:
Vaccine:
Producer:
Brand:
Type:
inner of
Administration:
7477
Stephanie Martens
867 No 11 th st
Blair, NE 68008
(402)426-9496
7199
Imrab Rabies Vaccine
Merial
Imrab 3 TF
Killed Virus
Subcutaneously
Staff Name: David E. Johnson DVM
License Number: 1893
Doctor Signature:
Blair Small Animal Clinic PC
David E. Johnson DVM
1734 Front Street
Blair, Nebraska, 68008
(402) 533-2722
Patient ID:
Patient Name:
Species:
Breed:
Sex:
Color:
Markings:
Birthday:
Weight:
Microchip ID:
Vaccination Date:
Expiration Date:
Lot Number:
Drug Expiration Date:
13782
Sadie
Canine
Mixed Breed
Female
Fawn
30.60 pounds on 9/10/2022
9/10/2022
911012023
18636
11/17/2023
CITY OF BLAIR - 2023 PET LICENSE APPLICATION
If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to:
City of Blair 9 218 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: ��� ai'-i w)
. f �
a
Owner Address: 9 t! I t_
City/State/Zip: Blair, NE 68008
Phone #Z
LICENSE FEES: Dog or Cat: $16.00
Aitered 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 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/Neutered License Fee $ j CC)
Pet Name Ot I li nvA Birthdate Sex
Color � —to Breed** ems, ►e�V1 T_Rep/acement$ **
Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N
MICROCHIP # 18!�7 j ZZ ( WTI Zgf( i 0?) (If applicable) SUBTOTAL: $ 11,00
RABIES VACCINATION DATE: (3 yr) X_ (1 yr) City Tag #
PET #2 ❑ Dog I< Cat ❑ Spayed/Neutered License Fee $
Pet Name —Tael(Y) ' Y1 , Birthdate Sex
Color C Breed** �� Replacement **
Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N
MICROCHIP # (If applicable) SUBTOTAL: $ OCR
RABIES VACCINATION DATE: 3 — + - 2-.Z. (3 yr) (1 yr) X_ 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) _
(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 ENCLOSE $ o
If you have questions, please contact Blair Police Department at (402) 426-4747
++++.+++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++
NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15/ate fee date notapplicable fornewpets/new residents)
Newly Acquired Pets: New Residents to Blair:
■ Must be lioansed within 10 days of ownership ■ Must register pets within 10 days of
is <OR> at 6 months of age if puppy/khen residency.
jm,j P 74 AL
;I 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:
Citv of Blair e 218 S 16th St o 011air. NE 68C.L--,-
You may legally own a combination of four (4) adult nets, but no more tl.an three (351 adult —1—
or three (3) adult cats per residential or dwelling unit.
LICENSE RENEWALS ARE DUE: March 15. 2Q22
***PLEASE READ CAREFULLY"*
Owner Name: JJJ-A`&Vb, b!"10
YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS.
Uwner Address: Z21 6.9Ar11)Ay,,je 6r- i 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
PET LICENSES RENEWALS ARE DUE BY 3/15/2023. The City shall
Phone # Y/ y 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 Rroof of rabies vaccinationto
LICENSE FEES: Dog or Cat: $16.00 be submitted with your license aDDlication.
Altered Dog or Cat: $11.00
Replacement Fee for Lost Tag: $5.00
Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program
PET #1 Wrl"Dog Ll Cat U,S"payqd Neutered a4C License Fee
Pet Name Lkc(4 Birthdab W Sex f -et"
Color S; W r.-I Breed*' a-b Replacement $
Declared Dangerous or Potentially Dangerous Dog: LJ Y bXIN
MICROCHIP# CJRSI!�11002'ZF TAL: $ (o e00
:�Q&11 (If SUBTO
RABIES VACCINATION DATE: (3 yr) — (1 yr) --- City Tag #
PET #2 LJ Dog a , Cat ►Spayed/Neuterecl License Fee $
Pet Name RTC,A CC Birthdate a20 Sex M u e
Color a retAt Breed** S kor,� hr;r Replacement $
Declared Dan6erous or Potentially Dangerous Dog: Ll Y UJIN
MICROCHIP # (If applicable) SUBTOTAL:$
RABIES VACCINATION DATE: /ft (3 yr) _ (1 yr) City Tag #-!M —*
PET #3 Ll Dog Ll Cat Ll Spayed/Neutered
Pet Name Birthdate Sex
Color Breed"
Declared Dangerous or Potentially Dangerous Dog: L] Y
MICROCHIP # (If applicable)
RABIES VACCINATION DATE:
W
(1 yr)
License Fee $
Replacement $
6*111 *3 MIN
0 1 KA
*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 10 12 00
F you have questions, please contact Blair Police Department at (402) 426-4747
t .............................................................................
NEW PET/ NEW RESIDENT LICENSING REQUIREMENTS (March 15 late fee date not applicable for newpetglnew residents)7
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/ldtten residency.
S I �S1�-3 ✓�6 q 5 3 #i--loq �k5
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: a 4k -4
Owner Address: ,7 -9-3
city/state/zip: Blair, NE 68008
Phone #
LICENSE FEES: Dog or Cat: $16.00
Altered Dog or Cat: $11 00
***PLEASE READ CAREFULLY***
YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS.
Failure to do so is a violation of City ordinances 6.103 and carries
a penalty of a fine up to $150.00 per pet.
PET LICENSES RENEWALS ARE DUE BY 3/15/2023, The City shall
recognize a microchip Identification number as the license number. It
shall be unlawful for any dog or cat to wear any license or other city
identification other than that Issued by the City of Blair for such dog or
cat, The City of Blair requires proof of rabies vaccination to
be submitted with your license application.
Replacement Fee for Lost Tag: $5.00
Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspectiion Program
c?r?
PET # 1 Cf Dog ❑ Cat LJ Spayed/Neutered License Fee $
Pet Name U l.` v,,*--r Birthdate 11.29 / Sex �7
Color%{�� Breed** Replacement $ **
Declared Dangerous or Potentially Dangerous Dog: ❑ Y "
MICROCHIP # _Ze _s, applicable) SUBTOTAL: $
RABIES VACCIN TA ION DATE. (3 yr) __X (1 yr) City Tag # �*
PET #2 ❑ Dog Ef Cat '0 Spayed/Neutered License Fee $
Pet Name 4 i/�5 Birthdate Sex -�-�
Color=, /r , `s Breed** >>,. n . f r f Replacement $
Declared Dangerous or Potentially Dangerous Dog: ❑ Y 0-N
MICROCHIP # (If applicable) \I y- SUBTOTAL: $
RABIES VACCINATION DATE: (3 yr) 10 t (1 yr) City Tag # 1109
PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $
Pet Name Birthdate Sex
Color Breed** _ �- Replacement $
Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N
MICROCHIP # (If applicable) SUBTOTAL: $
RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag #
*PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL
** (This fee is due along with License Fee if requesting at the time of license renewal.)
Do Not Send Cash by Mail TOTAL ENCLOSED $
If you have questions, please contact Blair Police Department at (402) 426-4747
++..++++++.++++.............**++..........+*..+*.... r.....................++
NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15late fee date not applicable for newpels/newtesidents)
Newly Apquired Pets: New R&sidgnts 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/i tten residency.
Client ID:
Client Name
Address:
Phone:
Tag Number:
Vaccine:
Producer:
Brand:
Type:
inner of
,dministration:
5786
Sarah Marymee
2239 Jackson Street
Blair, NE 68008
(402)239-8075
7019
Imrab Rabies Vaccine
Merial
Imrab 3 TF
Killed Virus
Subcutaneously
Staff Name: David E. Johnson DVM
License Number: 1893
Doctor Signature:
Blair Small°Anima? 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:
12481
Oliver
Canine
Boston Terrier
Neutered Male
Black
01/07/2021
16.00 pounds on 2/7/2023
985141003919890
4/28/2022
4/28/2025
18528
9/15/2023
Client ID:
Client Name:
Phone:
Tag Number:
Vaccine:
Producer:
Brand:
Type:
Staff Name:
License Number:
Doctor Signature:
5788
Sarah
2230Jackson Street
Blair, NE 68008
(402)239-8076
OOUO
Imrab Rabies Vaccine
Merial
\rnnab3TF
Killed Virus
Subcutaneously
David E.Johnson OVM
1893
Blair Gmal|Amkna|Clinic PC
David E.Johnson DVM
1734 Front Street
8|o|r, Nebnaeho, 88008
Rabies Certificate
Patient )D:
Patient Name
Species:
Breed:
Sex:
Markings:
Birthday:
Weight:
Microchip ID:
Vaccination Date:
Expiration Date:
Lot Number:
Drug Expiration Date:
5853
Ellis
Feline
DomeeticGhorthair
Neutered K8o|e
U2/ 5/2O12
9.43pounds on7/23/2O22
085112007203477
7/1/2O21
7/112023
18504
12/10/2O22
CITY OF BLAIR ® 2023 PET LICENSE APPLICATION 3-jih-r
If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to:
City f 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: `fit u °
Owner Address:
city/state/zip: Blair,, NE 6808 �. r
Phone # y n '7" ,: _ U I
LICENSE FEES: Dog or Cat: $16.00 _ ,..
Altered DotCat-
***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 LostTag: $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 ❑ Cat ❑ Spayed/Neutered License Fee $ 11
Pet Nam 0-vio e— Birthdate Sex
Color V),,o bi ^ Breed**yU s Replacement $ **
Declared Dangerous or Potentially Dangerous Dog: ❑ Y 0,, N
MICROCHIP # (If applicable) SUBTOTAL: $
RABIES VACCINATION DATE: ` (3 yr) (1 yr) City Tag #
PET #2 �L D o g ❑ Cat ❑ Spayed/Neutered License Fee $
Pet Name v f Birthdate Sex M
Color O t\Breed** _i/VoL A Replacement $ **
Declared Dangerous or Potentially Dangerous Dog: ❑ Y P,N
MICROCHIP # (If applicable) SUBTOTAL: $
RABIES VACCINATION DATE: 3 r (3 yr) (1 yr) City Tag #
❑ Dog ElCat ❑ 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 bepartment at (402) 426-4747
+.++++++++++.....++++.++++++++++++++++++++++++++++++++++++++++++++++++++++++++
NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15/ate fee date notappllcable fornewpets/newresidents)
Newly Acquired Pets: New Residents to Blair:
Must be licensed within 10 days of ownership m Must register pets within 10 days of
<OR> at 6 months of age if puppy/Idtten residency,
t ,2
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 @ 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 11_2023
Owner Name:��'C,,��
Owner Address:
4
city/state/zip: Blair,, NE 6808
Phone #�
LICENSE FEES: Dog or Cat: $16.00
Altered Do or rat: 441100
***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 Dog ❑ Cat 'a Spayed/Neutered License Fee $ Z
Pet Name Z � 't, , Birthdate oter ) aSex Z�
Color' Breed**�- Replacement $ **
Declared Dangerous or Potentially Dangerous Dog: ❑ Y �a N
MICROCHIP # (If appli.able) SUBTOTAL: $
RABIES VACCINATION DATE: C'D Y) r 1 yr) City Tag #IPIP-
:l #'t*
PET #2 � Dog ❑ Cat ❑ Spayed/Neutered License Fee $
Pet Name (.c Birthdate - Sex
Color , (� <u,� Breed** r Replacement **
Declared Dangerous or Potentially Dangerous ❑ Y N
MICROCHIP # (If applicable) --,--..SUBTOTAL: $ C"
RABIES VACCINATION DATE: 9- i "ZZ (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:$
*PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL
** (This fee is due along with License Fee if requesting at the time of license renewal.)
Do Not Send Cash by Mail TOTAL ENCLOSED $
If you have questions, please contact Blair Police Department at (402) 426-4747
+++++++++++......++.+++.............++++++.....++++++..........+++++++++++
NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15late fee date notappllcable fornewpets/newresldents)
NewlyTAcguired Pets: New Residents to Blair:
Mustbe licensed within 10 days of ownership ■ Must register pets within 10 days of
<OR> at 6 months of age if puppy/Idtiten residency.
Thone Animal Hospital
902 S Hwy 30
Blair, NE 68008
402-426-3630
CLIENT INFORMATIO
Name Barb Matzen (9965)
Address 1015 Grant Street
Blair, NE 68008
Phone 402 953-6689
Name
011ie
Species
Canine
Sex
Male
Bread
Aussie X
Birthday
04-30-22
Age
10m
ID
Rabies
OOM7
Color
Black
Weight
0.00 lbs
Reminded
(none)
Codes
MEDICAL jjl$jQRY
- yaw �ago
View
Date
By
Code
Description
Oty (Variance) Photo
09-15-22
DM
R1
Rabies Vaccination (I Year), #008337
8
DA2PPV lyr
08-10-22
RXC
B1
Bordetella Oral
07-28-22
DM
BI
Bordetella Oral
8
DA2PPV
902 S Hwy 30
Blair, NE 68M
402-426-3630
Printed: 03-01-23 at 4.24p
CLIENT INFORMATION
Name
Barb Matzen (9965)
Address
1815 Grant Street
Blair, NE 68008
Phone
402 953-6689
PATIENT INFORMATION
Name
Grizzly
Sex
Mate, Neutered
Birthday
04-28-20
ID
Color
Red/Brown
Reminded
05-05-22
MEDICAL HISTORY - Vaccinafign Vjg3y
Date
By
Code
09-15-22
DM
8
B1
09-23-21
KF
8
B1
06-18-20
RXC
81
08-18-20
JRD
R3
8
Balance 0.00
Species
Canine
Breed
Pomsky
Age
Rabies
2y
0OW42
Weight
12.80 lbs
Codes
Description Oty (Variance) Photo
DA2PPV lyr
Bordetella Oral
DA2PPV
Bordetella Oral
Bordetella Oral
Rabies Vaccination (3 Year), #006042
DA2PPV
b1/24/2023 15:08 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 DOGS) AND /OR CAT(S),
COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO:
CITY OF BLAIR - 218 S. 16TH ST - BLAIR, NE 68008
YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS,
BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT,
*''*"PLEASE READ CAtREFULLY0"
IV ARE REQUIRED I311 LAW TO -LICENSE ICENSE YOUR PETS. THE CITY OF BLAIR REQUIRES PROOF OF RABIES VACCINATION.
Failure to do so Is a violation of City Ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet.
PET LICENSE RENEWALS ABE DUE BY /1a 5/2021
The city shall recognize a microchip ID number as the license number.
It shall be unlawful for any dog or cat to wear any license or other city ID other than that Issued by the City of Blair for such dog or cat.
NEW PET LICENSING Must be licensed within 10 days of ownership (OR) at 6 months of age if puppy or kitten
NEW RESENTS TO BLAIR Must register pets within 10 days of residency
Owner Name
Spouse
Owner Address
City/state/Zip
Phone #
Pet Name: Cecil
Age: 81111
DOB: 05-17-22
13reed: Great Dane
Sex: Male
Microchip # 956000014154576
PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A REN
RABIES VACCINATION DONE ON 1 10-31-22
Rabies Description: % I YEA
Danielle Matzen
2346 Nebraska Street
Blair, NE 68008
402-661.9817
Tag #3775
Color: Brindle/Wh
Rabies Tag # 20750
(IF AVAILABLE): #
3 YEAR
LICENSE FEES
D or Cat: $16.00
Dog or cat; $11.00
Replacement Tag
$5.00
/ PETS THATAR✓;ONTH£AC VEPOTENVALLYDANGEROUS OR
QAbGEROU5 DQG LIST NEED TO REGUT90 DIRECTLY AT CITY HALL.
Holstein Veterinary Clinic FAXED 01-24-23
Dr. Lisa Schrum DVM : Dr: Krista HoIsteln DVM
718 South 18th Street Blair, NE 68008 BY
402-426--7387 402-426-0101 Fax
holsteinclinic@gmail.com :..:.;:::<<>, ; .°::,..::......:.'.:
03/09/2023 17:54 4024260101 HOLSTEIN VET CLINIC PAGE 03/03
2023 PET LICENSE
VERIFICATION/APPLICATION FOR CITY OF 13LAIR
IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT(S),
COMPLETE THIS FORM AND RETURN WITH A,CHECK PAYABLE TO:
CITY OF BLAIR — 218 S. 16TH ST — BLAIR, 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***
YQUARE —MQUIREP BY LAWIQ-LI NSE UR P S. THE ICITY 0EqLAIR jjgQUIRM p
Failure to do so is a violation Of City Ordinances 6.103 and carries a penalty of a fine VP to $150.00 per pet.
PET IL PWAI Q ARE n
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 Qther city ID other than that issued by the CRY of Blair for such dog or cat,
NEW PET LICENSING ,Musk be licensed within 10 days of ownership (OR) at 6 months of age if puppy or Kitten
NEW,RESIDLNTS TO KAM Must register pets within 10 days of residency
Owner Name
Spouse
—dwner Address
city/statealp
Phone #
Pet Name: Ziggy
Age: 4Y
DOB: 09-08-18
Breed: LH Chihuahua
Microchip
Sex: Neutered Male
INCLUDE CITY TAG NUMBER IF
RABIES VACCINATION DONE ON
Rabies Description: 1 YEAR
IS A RENE
03-09-23
Jane Matzen
1327 Grant Street
Blair, NE 68008
402-533-8429
34 2 5 1 MIS
0 A
—t
Rabies Tag # 23136 !!!!!�
AL (IF AVAILABLE):
Holstein Veterinary Clinic
Dr, Lisa Schl-um D VM : D,- Krista Holstein D VM
718 SOLIth 1911 Street Blair, NE 68008
402-426-7387 402-426-0101 Fax
hOlsteincIinjc@gmajl.r,om
3 YEAR
FAXED 03-09-23
BY
A
T
UQF� �SE FEf S
Intact
Dog or Cat: $16.00
A red
Dog r a , $11. 0
Rep cement ag
V.,
Total $—ft—
03/09/2023 17:54 4024260101 HOLSTEIN VET CLINIC PAGE 02/03
2023 PET LICENSE
VERIFICATION/APPLICATION FOR CITY OF BLAIR
IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT(S),
COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO:
CITY OF BLAIR — 218 B. 16TH ST — FLAIR, NE 68008
YOU BUT NO MORE THAN THREE (� ADULT DD S OR THREY LEGALLY OWN A E NATION OF O
(3) ADULT CATS PUR IER RESIDENTIAL OR DWE1,LING UNIT.
'��*PLEASE READ CAREFULLY**'�
0, U AaE REQU D BY W T ENSE UR PE THE OF BLA(R REQ�IIRES POF t]F BABIES V CCINATIjN.
Failure to do so is a violation of City Ordinances E,103 and carries $penalty of a fine up to $15Q.Qp per pet,
IyI"T LICENSE RENEVIIQLS ARE DUE BY �, 15/2
The city shall recognize e microchip Ip number as the license number. '
It shall be unlawful for any dog ar cat to wear any license ar other 4iky ID other than that issued by the City of Bleir for such dog or (:at.
NEW T LICI= SING Must be licehsed within 10 d ys of ownership (OR) at 6 months of age if puppy or kitten
NEW HESIDENj5 TO BL&B Must register pets within 10 days of residency
Owner Name ,Janie Matzen
Spouse
Owner Address 1327 Grant Street
Citylstalte/Zip Blair, NE 68008
Rhone # 402-538-8429
Pet Name: TJ �—
Tag 2127
Age: 5Y Sex: Neutered Mate Color: Brawn/Tan
DOB:—05.25-16
Breed: Chihuahua
Microcfrpp # fFabiea Tag # 18341
PLEASE INCLUDE CITY TAC NUMBEI; IF THIS IS A RENEWAL (IF AVAILABLE): #
RABIES VACCINATION DONL ON .1 10-15-20
Rabies Desoription: 'I YEAR ,, 3 YEAR
Holstein Veterinary li III c
Dr. L1ss Schrum 0VM Or, Kr1sta Holstein L1 VM
718 South 19tn Streot Blair, NE 68008
402-4216-7387 402,426-0101 Fax
holsteinGliniti(@,gmail.com
LICENSE FEES
,/ntact
Dog or Cat: $16,06
tcat.-'$1
De 1,00
Replacement Tag
$5.00
Total $
PET `1°HATARE ON TNEACTIV P�JTENTlALLY JaANGEROUS (7R
DANCEROUS DOG L1$T NEED TO REGISTER DIREt7LYAT CITY I�gLL,
FAMED 03-09-23
BY
Date of Vaccinati t-23
6 2 0 Next Vaccination Zo::n:-!O
VETERINARY CLINIC
Pet Vaccination Clinic
2911 S. 120th St.
Omaha, NE 68144
402-480-3393
Certificate No. 36359
Previous Vaccination: 202069
OWNER OF ANIMAL
Kitty Matzen
1415 Parks St
Blair, NE 68008
(402) 278-212.9
This is to certify...
THAT I HAVE VACCINATED THE ANIMAL DESCRIBED BELOW AGAINST RABIES.
Patient information...
PATIENT:
Kingston m
TAG NO:
236633
SPECIES:
Canine
BREED:
Shih Tzu Mix
SEX:
Neutered Male
AGE:
9 years
WEIGHT:
0.00 lbs
COLOR:
White and Tan
MICROCHIP:
MFG BY: ZqFTI, SERIAL: 584384, EXP :09/05/23, ADMIN: SQ
Signed:
�Monte"Paull, DVM, License:
Other Vaccinations...
i I r
Date of Vaccinat' n: 06-14-23
Next Vaccinatio on: 06-13-26
VETERINARY CLINIC
Pet Vaccination Clinic
2911 S. 120th St.
Omaha, NE 68144
402-480-3393
Certificate No. 35358
Previous Vaccination: 202058
OWNER OF ANIMAL
Kitty Matzen
1415 Parks St
Blair, NE 68008
(402) 278-2129
This is to certify...
THAT I HAVE VACCINATED THE ANIMAL DESCRIBED BELOW AGAINST RABIES.
Patient information...
PATIENT: Princess TAG NO: 236632
SPECIES: Canine BREED: Shih Tzu Mix
SEX: Spayed Female AGE: 10 years
WEIGHT: 0.00 Ibs COLOR: White and Black
MICROCHIP:
MFG BY: ZOETI, SERIAL:-58438 E IRES: 09/05/23, ADMIN: SQ
Signed:
Monte Pauli, DVM 1-4�se: 614
Other Vaccinations...
9/j'?/�'-3
If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to:
City of lair 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 ARE DUE: March 15 202
Owner Name: F- b ( L 4- dul'�,`�` e ,mot (I�' Z�� &
Owner Address: 1 1 A -3 iAm I� i S '� Or
City/State/Zip: 'flair,, NE 68008
Phone # 62 / &' k P ,- 35 3Q
FEES: Dog or Cat: $16.00
***PLEASE READ CAREFULLY'
YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS.
Failure to do so is a violation of City ordinances 6.103 and carries
a penalty of a fine up to $150.00 per pet.
PET LICENSES RENEWALS ARE DUE BY 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 o g I(C a t ❑ Spayed/Neutered License Fee $ 11,00
Pet Namq ' Z y- Birthdate � 5 o " Sex M _ C)
Color �� Breed** m 5ht 5jjprk1u6i1 Replacement$
Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N �
MICROCHIP # (If applicable) SUBTOTAL: $ i .
RABIES VACCINATION DATE: (12 2- (3 yr) (1 yr) City Tag # 003M
rTa ____
PET #2 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $
Pet Name Birthdate Sex
Color Breed** Replacement $ **
Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N
MICROCHIP # (If applicable) SUBTOTAL: $
RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag #
PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered
Pet Name Birthdate Sex
Color Breed**
Declared Dangerous or Potentially Dangerous Dog: ❑ Y
MICROCHIP # (If applicable)
RABIES VACCINATION DATE: (3 yr) _
m
(1 yr)
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 L S E
If you have questions, please contact Blair Police Department at (402) 426-4747
++++++++++++++++++++++++++++++++++++++++++.....++++++++++++++++++++++++..... .
NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (Marchl5/ate fee date not applicable for newpets/newre5idents)
Newly AotLuired 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
1734 Front Street
Blair, Nebraska, 68008
(402) 533-2722
Client ID:
8681
Patient ID:
12519
Client Name:
Erick & Janette Matzke
Patient Name:
Tiger
Address:
1123 Sunrise Drive
Species:
Feline
Breed:
Domestic Shorthair
Blair, NE 68008
Sex:
Neutered Male
Color:
Tabby - Gray
Phone:
(402)660-3532
Markings:
Birthday:
04/05/2005
Weight:
9.31 pounds on 2/9/2023
Microchip ID:
Tag Number:
6855
Vaccine:
Imrab Rabies Vaccine
Producer:
Merial
Brand:
Imrab 3 TF
Type:
Killed Virus
inner of
Subcutaneously
,-%dministration:
Staff Name: David E. Johnson DVM
License Number: 1893
Doctor Signature:
Vaccination Date:
2/9/2022
Expiration Date:
2/9/2024
Lot Number:
18520
Drug Expiration Date:
5/22/2023
01/09/2023 15:09 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 T0:
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 DWELLIN15 UNIT,
***PLEASE READ CAREFULLY***
YO ARE REQUIRED BYLAW 10 LICENSE YOUR PETS. THE CITY OF BLAIR REQUIRES 8 OF OE RABIES VACCINATION
Failure to do so is a violation of City Ordinances 6,103 and carries a penalty of a fine up to $150.00 per pet.
PET LICENSE RENEWALS ARE DUE I3Y 3/15/2023
The city shall recognize a microchip ID number as the license number.
It shall be unlawful for any dog or oat 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 RESIDENTS TO BLAIR Must register pets within 10 days of residency
Owner Name
Judy May
SPPUS6
Owner Address
2860 College Drive
City/State/Zip
Blair, NE 68008
Pbone #
402-426-0242
Pet Name; Lucy
4ge: 8Y
DOB: �08-28.14
Breed:
Sex: Spayed Female
Microchip # 981020005684802
PLEASE INCLUDE CITY 'FAG NUMI
RABIES VACCINATION DONE ON
IF THIS IS A
Rabies Description: 1 YEAR
03-17-20
.Holsteins Veterinary Clinic
Dr. Lisa Schrum DVM : Dr Krists Ho/stein DVM
718 South 1911 Street Blair, NE 68008
402-426-7387 402-426-0101 Fax
holsteinclirlic@gmail,com
Color: Blue
Rabies Tag # 17813
(IF AVAILABLE): #
YEAR
LICENSE FEES
Intact
L1og or Cat: $16.00
Dc�(!5-1,00
Replacement ag
$5.00
Total $ l
/ PETS THATARE ON THE ACTIVE POTENTIALLY DANURROUS OR
CiNGEROUS DOG LISY NEED TO REGIM -ER DIRECTLYAT C(LY HALL.
FAXED J 01-09-23
I
Client ID:
Client Name
Address:
Phone
Tag Number:
Vaccine:
Producer:
Brand:
Type:
inner of
,,dministration:
Staff Name:
License Number:
Doctor Signature:
8655
Kyle McAndrew
1444 Colfax St
Blair, NE 68008
(402)415-7716
6348
Imrab Rabies Vaccine
Merial
Imrab 3 TF
Killed Virus
Subcutaneously
David E. Johnson DVM
1893
Blair Small Animal Clinic PC
David E. Johnsi:,n 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
12468
({:.
Riley
Canine
Labrador Mix
Spayed Female
Black
08/04/2009
62.00 pounds on 9/19/2022
985121006701657
3/31 /2021
3/31/2024
18490
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:
8655
Patient ID:
Client Name:
Kyle McAndrew
Patient Name:
Address:
1444 Colfax St
Species:
Breed:
Blair, NE 68008
Sex:
Color:
Phone:
(402)415-7716
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
inner of Subcutaneously
Hdministration:
Staff Name: David E. Johnson DVM
License Number: 1893
Doctor Signature:
12470
Myles
Feline
Domestic Shorthair
Neutered Male
Tabby - Gray
01/01/2015
14.87 pounds on 9/19/2022
3131 /2021
3/31/2023
18490
7/3/2021
Client ID:
Client Name:
Address:
Phone
8655
Kyle McAndrew
1444 Colfax St
Blair, NE 68008
(402)415-7716
Tag Number:
7206
Vaccine:
Imrab Rabies Vaccine
Producer:
Merial
Brand:
Imrab 3 TF
Type:
Killed Virus
inner of
Subcutaneously
,Administration:
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:
12900
Sally
Canine
Rottweiler
Spayed Female
Black/Brown
06/26/2021
66.00 pounds on 11/16/2022
985141004885361
Vaccination Date:
9/19/2022
Expiration Date:
9/19/2025
Lot Number:
18535
Drug Expiration Date:
11/17/2023
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 • 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: t—l�\ww— �''v3 -e--c
Owner Address: �y"J N
City/State/Zip: Blair, NE 68008
Phone # H o - -7 0 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 3/1512023. The City shall
recognize a microchip Identification number as the license number. It
shall be unlawful for any dog or cat to wear any license or other city
Identification other than that Issued by the City of Blair for such dog or
cat. The Citv of Blair reauires proof of rabies vaccination to
be submitted with your license application.
Replacement Fee for Lost Tag: $5.00
Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program
PET #1 � Dog ❑ Cat 4Spa ed/Neutered License Fee $� I 0
Pet Nar)'e Birthdate ��11 Sex
Color 1-S�c�.c-�- Breed** Replacement $ **
Declared Dangerous or Potentially Dangerous Dog: ❑ Y �t N
MICROCHIP # (If applicable) SUBTOTAL: $ I t" ' 0 0
RABIES VACCINATION DATE: 3j 1� (3 yr) ">C (1 yr) City Tag #ooZ'S14
PET # 2 ,1�4 Dog ❑ Cat SpaMeutered License Fee $ 1 00
Pet NaT ��+� C" Birthdate Sex
Color �C� Breed** Replacement $ **
Declared Dangerous or Potentially Dangerous Dog: ❑ Y ,Ttid; N
MICROCHIP # (If applicable) SUBTOTAL: $
RABIES VACCINATION DATE: Z (3 yr) X (1 yr) City Tag #00 20 *
PET #3 CY Dog ❑ Cat '31 Spayed/Neutered License Fee $ �1. oo
Pet Name LC' 0 Birthdate 1 "7 1 Z Z. Sex M
Color ^b\ 0,C Y-- Breed** �iXik Replacement $ **
Declared Dangerous or Potentially Dangerous Dog: ❑ Y 4 N
MICROCHIP # (If applicable) SUBTOTAL: $ 0, 00
RABIES VACCINATION DATE: '24 l 0 ( Z -S J3 yr) (1 yr) City Tag # i, *
*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 $ 00
If you have questions, please contact Blair Police Department at (402) 426-4747
++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++
NEW PET/NEW RESIDENT LICENSING REQUIREMENTS(March l5late fee date not applicable for newpets/newre5idents)
Newly Acquired Pets: New Residents to Blair:
■ Must be lioertsed within 10 days of ownership ■ Must register pets within 10 days of
■ <OR> at 6 months of age if puppy/kitten residency.
CERTIFICATE OF VACCINATION
Midgeview Animal Hospital
,�142 Wright Street
Omaha, NE 68130
402-333-3366
Date: MAR 13 23
Time: 07:46
Owner Patient
KATHLEEN &JESSE MCBEE a Namem WINSTON
715 N 31 ST ST
BLAIR, NE 6800$
402-709-1553
DOB: JAN 22 20 Weight: 51.2 Ibs Rabies Tag: 211731
Descri ntinn
Species: CANINE
Breed: MIX, LABRADOR
Color: BLACK
Gender: MN
I D 1: 985141002327265 I D2: 200493
Given Expires Manufacturer
Lot / S/N
EPTO 4 WAY VACCINE i
MAY 31 22
MAY 31 23 '•;
MERCK-NOBIVAC
1 02171270
BORD-PARA-ADENO 2- INTRANA..r
MAY 31 22
MAY 31 23
MERCK- INTERVET
00541460D
RABIES VACCINATION 3YR I
JUN 7 21
JUN 7 24 •;
MERCK
464480
DA2PP 3YR VACCINE I
MAY 31 22
MAY 3125 1
MERCK - NOBIVAC
02121949C
I hereby certify that this animal has been vaccinated in accordance with the manufacturers
recommendation for the vaccine used on the above date.
DR. RACHAEL MILLER License Number: 4034
* Items marked with an * were not administered at this facility.
CERTIFICATE OF VACCINATION
1711-dgeview Animal Hospital
142 Wright Street
Omaha, NE 68130
402-333-3366
d7T;Wi7n(V 7Xov)ztW
Owner
KATHLEEN & JESSE MCBEE
715 N 31 ST ST
BLAIR, NE 68008
402-709-1553
Date: MAR 13 23
Time: 07:49
Patient
Name: STU
Species: CANINE
Breed: MIX, LABRADOR
Color: BLACK
Gender: MN
DOB: APR 22 17 Weight: 60.4 lbs Rabies Tag: 200787 ID1: 985112011102446 ID2:192068
Dpsrrintinn
Given Fynirps Mnntjf2r.hjrPr
Lot / 1;/N
EPTO 4 WAY VACCINE
MAR 322
MAR 3 23
MERCK-NOBIVAC
02171265
BORD-PARA-ADENO 2- INTRANA..�
MAR 3 22
MAR 3 23
MERCK- INTERVET
00541455A
RABIES VACCINATION 3YR
i MAR 19 20 1
MAR 19 23
zoetis
350891b
DA2PP 3YR VACCINE
I MAR 12 21
MAR 12 24
MERCK - NOBIVAC
02121875A
I hereby certify that this animal has been vaccinated in accordance with the manufacturers
recommendation for the vaccine used on the above date.
DR. JOANNE GAINES License Number: NE 2955/IA 8753
* Items marked with an * were not administered at this facility.
3/14/23, 11:11 AM
IMG_0066.jpg
https://mai1.google.com/mail/u/5/#search/in%3Asent+leo/QgrcJHrntPsRHhrCSBXQChjJLmbrZnLsHNQ?projector=1 1 /1
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 Blair a 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 FEES: Dog or Cat: $16.00
Replacement Fee for Lost g'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 3115/2023. The City shall
recognize a microchip identification number as the license number. It
shall be unlawful for any dog or cat to wear any license or other city
Identification other than that Issued by the City of Blair for such dog or
cat. The City of Blair renuires proof of rabies vaccination to
be submitted with your license application.
°T Dog ❑ Cat Spayed Ne to ed License Fee
Pet Name Birthdate* Nex C�i
Color Breed $ **
Declared Dange ous or Potentially Dangerous Dog: ❑ Y AN
MICROCHIP # S l 7(If applicable) , SUBTOTAL: $
RABIES VACCINATION DATE: R(( (3 yr) (1 yr) City Tag #r � `
T Dog ❑ Cat ,Spay Net red License Fee $ --
Pet Na Birthdate 1 Sex 4
Color Breed** �� **
iiR�
Declared Dangerous or Potential) D er us Dog: �U ❑ N Db
MICROCHIP #qq 5 U® � (If applicable) SUBTOTAL:
RABIES VACCINATION DATE:`,` (3 yr) _ (1 yr) City Tag lam*
PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered
Pet Name Birthdate Sex
Color Breed**
Declared Dangerous or Potentially Dangerous Dog: ❑ Y
MICROCHIP # (If applicable)
RABIES VACCINATION DATE: (3 yr) _
■W
(1 yr)
License Fee $
Replacement $
*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/newresiden&)
Newly Acquired Pets: New Residents to Blair:
• Must be Iioansed within 10 days of ownership ■ Must register pets within 10 days of
• <OR> at 6 months of age if puppy/latthen residency.
OW4 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 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 ARE DUE: March 15, 202
Owner Name: i�c
� ��L G
4
Owner Address:
city/state/zip: Blair, NE 68008
Phone # 4DI-2-4-K- �'e q 'k
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 reauires aroof of rabies vaccination to
be submitted with your license application.
9
Replacefr ani Fee fur Last 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 -Dog ❑ Cat Spayed/Neutered License Fee $ I I
Pet Name ?,eve n _ Birth ate IL1- I Sex MGI�, rya
Color 81�(,It /TiA/ i' m, Breed** � v a ooc-A1� Rep/acement $
Declared Dangerous or Potentially Dangerous Dog: ❑ Y A N I /„ Op
MICROCHIP # C c�.'M11)3 G AIf applicable) SUBTOTAL: $ lL'
RABIES VACCINATION DATE: h r (3 yr) (1 yr) City Tag #
T # *Dog ❑ Cat ❑ Spayed/Neutered License Fee $
`oo
Pet Name W 1110 Birthdate -tp /XSex MO I el
Color $frown Breed** I_a radocdle� Rep/acement$ **
Declared Dangerous or Potentially Dangerous Dog: ❑ Y .4 N I boo
MICROCHIP # 64 6'61 q I b,04LkQ0,S9-(Ifapplicable) SUBTOTAL: $_
RABIES VACCINATION DATE: �-"L (3 yr) (1 yr) CityTag#
PET 3 , ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $
Pet Name Birthdate Sex
Color Breed** Rep/acement$ **
Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N
MICROCHIP # (If applicable) SUBT T L: $
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 �—
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 I&newpety1newresidents)
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.
0 / .
If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to:
City of Blair e 218 S 1 th 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: kA (- (6A\
Owner Address: u pr
city/state/zip: Blair, NE 68008
Phone # LIU, - '30 5 . �11,41
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 reauires proof of rabies vaccination to
be submitted with your license application.
g
Replacement Fee for Lost Tag: $5.00
Induded is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program
PET #1 Dog ❑ Cat Spayed/Neutered License Fee $
Pet Name Birthdate 1 Sex G��
Color 'I"Ah Breed** Replacement $ **
Declared Dangerous or Potentially Dangerous og: ❑ Y P N
MICROCHIP # i r (If applicable) SUl TOTAL: $
RABIES VACCINATION DATE: ` 1 /' (3 yr) (1 yr) City Tag # ''
PET #2 1. Dog ❑ Cat %Ui Spayed/Neutered License Fee $
Pet Name NMk.S _ Birthdate t 1v,c Sex
Color nM Breed** mix : bo%" — nwNt, Rep/acement $ **
Declared Dangerous or Potentially Dangerous Dog: ❑ Y ;l N
MICROCHIP # a (If applicable) SUl TOTAL: $
RABIES VACCINATION DATE: "M F (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) _
W
(1 yr)
License Fee $
Replacement **
SUBTOTAL:
*PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL 'IC € :
** (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 fornewpely1newresidents)
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.
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 AREDUE: March 15, 2023
Owner Name: ?°� . ,
t.
m r
Owner Address:
City/State/Zip: Blair, NE 68008
Phone #
LICENSE FEES: Dog or Cat: $16.00
Altered Dog or Cat; t11.00
***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 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 I Spayed/Neuterecl I
Pet Name -_ t Birthdate i Sex " "-1 4'
Color `LA J t.< Breed**
Declared Dangerous or Potentially Dangerous Dog: ❑ Y 0
MICROCHIP # 1,,) � `� U U 7 X C= (If applicable)
RABIES VACCINATION DATE: & / i ; � '- I (3 yr)
N
(1 yr)
ET #2 ❑ Dog ❑ Cat ❑ Spayed/Neutered
Pet Name Birthdate Sex
Color Breed**
Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N
MICROCHIP # (If applicable)
RABIES VACCINATION DATE: (3 yr) (1 yr)
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) _
am
(1 yr)
License Fee $
Replacement $
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 15/ate The date notappllcable fornewpets/new residents)
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.
14:07 4024260101 HOLSTEIN VET CLINIC
PAGE 01l02
2023 PET LICENSE
VERIFICATION/APPLICATION FOR CITY OF BLAIR,
IF YOU LIVE IN 13LAIR CITY LIMITS AND OWN A DOGS) AND IOR CAT($),
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 Or FOUR (4) ADULT PETS,
BUT NO MORE THAN THREE 13) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR VWELLINCa UNIT.
***PLEASE RFAD CAREFULLY"*
YOU ARC REQllIRE4 BY � W TO 1C1� E1VS� YOUR EP iS T E Cti Y , F 8LA RI REQ II�S P tJ�t OF OF RABI�fi VA Ci�ATIpN.
Failure to do so is a violation of City Ordinances 6,103 and carries a penalty of a fine up to $160,00 per pet.
PET LICENLSE REWWALS RE 04LBY 3/ 57 12023.
The city shall recognize a microchip 10' number as the license number.
It shall be un)awful for any dog or cat to wear any license or other city Ifs other than that Issued by the City of Blair for such (log or cat -
NE I-EEILI EC NSINCzMust tie licen�eti within 1D days Qf ownership ((]li) at 6 months of age if puppy or kitten
NEW FtESIbEtyTS To f�AB Musa register pets within 10 days of residency
Owner Name
Cameron McCombs
Spouse
Marina
Owner Address
1933 Butler Ave
City/statelzip
Blair, NE 68008
Rhone i
435-668-3870
Pat Name: Buster
Tag #64
Age: 5Y
DOB:—11-01-17
Sex, Male
Color: Whit Brn
Breed: Poodle X
Microchip #
Rabies Tag # 17990
PLEASE INCLUDE CITY TAG NUMOER IF THIS IS A RENEWAL (IF AVAILABLE): #
RABIES VACCINATION DONE ON 06-02-20
Rabies Description: 1YEAR
3 YEAR
Holstein Veterinary Clinic
Dr. Use Schrum DVM ; Dr. Krista Holstein .DVM
713 South 101" Street Blair, NE 68008
402-426-7387 402-426-0101 Fax
hoisteinclinic@gmail.com
LfCf S
lntacl
Do or Cat: $1 0
Altered
Dog or (,at: $11,00
Replacement Tsry
$5,00
Tots! $hp—
PETS TNArARE OJV �AGTJVE POTENTJA(LV DANGkROUS pR
DANGEROUS ()dG LIST NJ:Ep TC7 ftE'�i15TER Pl1iECl'LY A7" �17Y HALL.
FAX1=D 01-25-23
BY
1C
CITY OF BLAIR ® 2023 PET LICENSE APPLICATIONw
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 EN WALS ARE DUE: March 15, 2023
Owner Name: I _. - n Irv; X 1:y C =
,c i�
Owner Address:
City/State/zip: Blair, NE .::11:
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 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. 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 payed/Neutered License Fee $"
Pet Name Ca0_ - C i Birthdate L,-11-a-a Sex
Color 3 � �v�� Breed** 1Pu/e °j ��-�� Replacement **
Declared Dangerous or Potentially Dangerous Dog: ❑ Y 4 N
MICROCHIP # ) " . ` ' (If applicable) SUBTOTAL: $ I
RABIES VACCINATION DATE: , �� t�� °� (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) _
(1 yr)
License Fee $
Replacement
SUBTOTAL:
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 $ 1 i'
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 fornewpeis/new residents)
Newly Acquired Pets: New Residents to Blair:
• Must be lioensed within 10 days of ownership m Must register pets within 10 days of
• <OR> at 6 months of age if puppy/Idtben residency.
Thone Animal Hospital
902 S Hwy 30
Blair, NE 68008
402-426-3630
Printed: 02-04-23 at
9:09a
FOR: Cheri McDermott
Date: 02-04-23
Sunridge Gif_
count: 10507
Diair, NE 68008
Invokw. 114831
(402) 953-9492
Date For
4ty
Description
Net Price
02-03
1
Canme Spm (<20 )a
92.40
02-03-23
1
Chem10 fn4
02-03-23
1
Anesthesia <20 #
69.50
02-03-23
0.40
Rimadyllnj/mL
34.00
02-03-23
1
Naxcel injection
34.00
Items used...
1
Naxcel/Ceftiflex (ceftiofur sodium) /cc
e
0.00
02-03-23
1
.. T
02-03-23
"i
Su
11 a0
02-03-23
1
Surgical Hospitalization
21.70
02-03-23
2
Teeth, Extract (Deciduous)
30.00
02-03-23
7
Carprofen Tablets 25mg #33218
10.91
02-03-23
1
Thank Youl l l
0.00
02- 23 -
362-94
Merchant ID: 4445046763017, Approval code: 090646, Transaction ID: 919093325
Ref #: 30272, Act #: ************6299, Exp: XX/XX, Entry: Contacticc, Card: VISA
Your card balance is not available
I AGREE TO PAY ABOVE TOTAL AMWNT ACCOPWANG TO CARD ISSUM AGREEMENT
X
Old balance Charges Payments New balance
0. 1 W 01 0.
00
Reminders for: Gracie Last done
11-16-23 Bordetella (Kennel Cough) 11-16-22
10-19-23 Rabies Vaednaflon (3 Year)
10-123 DA2PPV t W19-22
22-23 Headwoff n-Ttck Test
You Can Of der Ymff Pet SUPPffies On cw` F
Date of Rabies Vaccination: 10-19-22
Next Rabies Vaccination On: 10-19-23
VETERINARY CLINIC
Thone Animal Hospital
902 S Hwy 30
Blair, NE 68008
402-426-3630
Certificate No: 3624
Previous Rabies Vaccination:
Cheri McDermott
3028 ..-
Blair,.:00:
This is to certify...
THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW.
Patient information...
PATIENT: Gracie TAG O: 008419
SPECIES: Canine WEIGHT: 0.00
SEX: F AGE: 17 weeks
Color and markings... Brown/Whit
Signed
Dr.Kamala Freeman
Vaccinations done...
License: 3894
10-19-22 KF Rabies Vaccination (1 Year), #008419
10-19-22 KF DA2PPV 1yr 10-19-23
Rabies Vaccine Information...
MFG BY: ZOETI SER.NO: 583359
LOT EXP: 9-26-23 ADM: SQ
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: L Nr l- N, perm b 1 �—
Owner Address: Z 5 560 R 'A
city/state/zip: Blair, NE 68008
Phone # 02- :� 116 - Mq6
LICENSE FEES: Dog or Cat: $16.00
Altered Do or Cat: 01 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
Dog ❑ Cat 'Q Spayed/Neu'e d License Fee $ l D'u
Pet Name M.5''� l Birthdate 2 ex "G
Color 1L. L- for I Breed** f- .e_i , c c II e- Replacement$ **
Declared Dangerous or Potentially Dangerous Dog: ❑ Y [ VN
MICROCHIP # 9Vb z.ob2151,2 u 2z (If applicable) SUBTOTAL: $
RABIES VACCINATION DATE: 0-3 - b'3.2oL:2- (3 yr) -2— (1 yr) City Tag # 23 21
1' #2 ❑ Dog ❑ Cat ❑ Spayed/Neutered
Pet Name Birthdate Sex _
Color Breed**
Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N
MICROCHIP # (If applicable)
RABIES VACCINATION DATE: Lam- (3 yr)
(1 yr)
License Fee $
Replacement $
SUBTOTAL:
City Tag #
❑ Dog ❑ Cat ❑ Spayed/Neute-red 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 EL E 01 , 0 b
If you have questions, please contact Blair Police Department at (402) 426-4747
++++++++++++++++++++++++++++++++++++++++++++++++++¢++¢.....++++++++++¢++¢+++++
NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March I5/ate fee date notapplicable fornewpets/newresidents)
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.
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 (Df fflair 0 218 S 16th St 0 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, A o IV r
-City/state/zip: Blair, NE 68008
V,
Phone #
LICENSE FEES: Dog or Cat: $16-00
5'.D.-V='jr jolqM -P'
***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
on Pr_0 J_
r Xyri
PET #1 L3 Dog ®Cat "W Spayed N_
tute e u t�c a) License Fee $
Pet Name YA r\ X Birthdate );Z-1V-x Sex N�AAI-' -
Color TA 2�Z w HLT E Breed" PEp :HEALEA- )t ��Replacement$
Declared Dangerous or Potentially Dangerous Dog: Ll Y D N
MICROCHIP # (If applicable) SUBTOTAL:$
RABIES VACCINATION DATE: -4'-- 2- � 1 (3 yr) — (1 yr). I City Tag #.�
PET #2 E3 Dog U Cat D Spayed/Neutered License Fee $
Pet Name Birthdate Sex R$
Color Breed-* eplacement
Declared Dangerous or Potentially Dangerous Dog: E3 Y El N
MICROCHIP # (If applicable) SUBTOTAL: $
RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag #
PET #3 El Dog u Cat El Spayed/Neutered License Fee $
Pet Name Birthdate — Sex
Color Breed** Replacement $
Declared Dangerous or Potentially Dangerous Dog: LJ Y D 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 A. r
If you ve questions, please contact Blair Police Department at (402) 426-4747
..............................................................................
(March I a fee tL- ca f h7 res Is
NEW PET/NEW RESIDENT LICENSING REQUIREMENTS 51at f da notappll ble ornewpe Inew Iden
NewIvAcaulred Pets, New Residents to Blair: .
N Must be lioensed within 10 days of ownership [a Must register pets within 10 days of
m <OR> at months of age lfpuppy/IdLten residency.
Date of Rabies Vaccination: 05-24-23
Next Rabies Vaccination On: 05-23-24
VETERINARY CLINIC
Thone Animal Hospital
902 S Hwy 30
Blair, NE 68008
402-426-3630
Certificate No: 3875
Previous Rabies Vaccination:
OWNER OF ANIMAL
Friends of Blair Animal Shelter
P.O. Box 233
Blair, NE 68008
County:
This is . -
VACCINATEDTHAT I HAVE . ANIMAL BELOW.
Patient information...
PATIENT: Little Max TAG NO: 009053
SPECIES: Canine WEIGHT: 0.00
SEX: N AGE: 3 years
Color and markings... Red/White
Signed
Dr. Joe DiMari
Vaccinations done...
License: 3258
05-24-23 JRD Rabies Vaccination (1 Year), #009053
Rabies Vaccine Information...
MFG BY: ZOETI SER.NO: 595587
LOT EXP: 11-7-23 ADM: SQ
. .,.jR► 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 9 218 S 16th St @ Blair., NE 68008
You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs
or three (3) adult cats per residential or dwelling unit.
LICENSE RENEWALS ARE DUE: March 15, 2023
Owner Name: ) U Pi 9 y MCI K h 1r1i
Owner Address: / 9O
city/state/zip: Blair,. NE 6008
Phone # � a �' �► C I - 7
LICENSE S: 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 ® D o g� Cat bd paye Neutered License Fee $
Pet Name 5� A D -nw Birthda e i Sex R M S�
Color S' i A +M J s r< Breed** D o zrn k 5's I< s h c A IT Replacement $
Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N
MICROCHIP # !/ A (If applicable) SUBTOTAL:
RABIES VACCINATION DATE: (3 yr)_ (1 yr) City Tag #
TT� '3 - i 5 Z a
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:
Dog ❑ Cat '*-W a e Neutered License Fee $
Pet Name N) S S A Birthdate 9 '2-U9tSex FE M A LL
Color tic; 01 w )4 0 C Breed** N► ► t- b Replacement
Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N
MICROCHIP # t,/ A (If applicable) SUBTOTAL:
RABIES VACCINATION DATE: 14 - 2,9 - �- ► (3 yr) "/- (1 yr) City Tag #
*PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL
** (This fee is due along with License Fee if requesting at the time of license renewal.)
TOTAL ENCLOSED $P�
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 (Marchl5/ate fee date not applicablefornewpets/new residents)
Newly Acguired 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.
CERTIFICATE OF VACCINATION
Date of Rabies Vaccination: 04-29-21
Next Rabies Vaccination On: 04-28-24
VETERINARY CLINIC
Holstein Vet Clinic
718 South 19th Street
Blair, NE 68008
402-426-7387
This is to certify...
Patient information...
PATIENT: Nissa
SPECIES: Canine
SEX: S
Signed
Krista Holstein, DVM
• _ - _ •' ��
Certificate No: 0
Previous Rabies Vaccination:
OWNER OF ANIMAL
Kerry Mckain
1927 Front St.
Blair, NE 68008
County:
TAG NO: 19104
WEIGHT: 67.80
AGE: 9 years
License: 3612
MFG BY: ZOETI SER.NO: 402242
LOT EXP: 07/20/21 ADM: SQ
Client |O:
Client Name
Tag Number:
Vaccine:
Producer:
Brand:
Type:
nner of
r-Ad ministration:
108
Kerry &AnnK8cKa|n
1927 Front Street
Blair, NE 68008
(402)426-5107
00000
\nnrobRabies Vaccine
K0er|o|
|mnob3TF
Killed Virus
Subcutaneously
Staff Name: David E.Johnson DVM
License Number: 1893
Doctor Signature:
Blair Small Animal Clinic PC
David EJohnson OVM
1734Front Street
Blair, Nebraska, 68008
(402)533-2722
Patient ID:
Patient Name
Species:
Brand:
Color:
K0oAdnQo:
Birthday:
Weight:
Microchip ID:
Vaccination Date:
Expiration Date:
Lot Number:
Drug Expiration Date:
7268
Shadow
Feline
UonneoUc8hodhoir
Spayed Female
Siamese color
12/28/2O13
1O.G2pounds on7/14/2O18
2M5/2O23
3/15/2026
18582
02/25/2023 11:06 40242GM101 H®LSTEIN VET CLINIC RAGE 01/01
2023 PET LICENSE
VERIFICATIONIAPPLICATION FOR CITY OF BLAIR
IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT(S),
COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO;
CITY OF BLAIR - 218 S. 16TH ST - BLAIR, NE 68008
YOU MAY LEGALLY OWN A COMOINATION OF FOUR (4) ADULT PETS,
BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT.
4' b"PLEASE READ CAREFULLY'
YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. THE CITY OF BLAIR REQUIRES PROOF OF RABIES VACCINATION-
Failure to do t§o is a violation of City Ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet.
PET LIQENSE RENEWALS ARE DUE BY 3/15/2G23.
The city shall recognize a microchip ID number as the Iloense number,
It shall be unlawful for any slag or cat to wear any license or other city ID other than that issued by the City of Blair for such 400M or cat,
NEW PET LICENSING Must be licenseal within 10 clays of ownership (OR) of 6 months of age if puppy or kitten
NEW RESIDENTS TO BLAIR Must register pets within 10 days of residency
Owner Name
Heather McKinnis
Spouse
Owner Address
200 lords Ct
City/State/Zip
Blair, NE 68008
Phone #
402-427-4566
Pet Name: Cali
Tag #2803
Agee dY
DOB: 07.12A S
Sex: Spayed Female
Color: Brindle
Breed: Boxer
Microchip #
Rabies Tag # 2.0721
PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE): #
RABIES VACCINATION DONE ON
10-19-22
Rabies Description:
1 YEAR rr3"'YEAR
LICENSE FEES
intact
Dog or Cat: $1 G-00
Altered
or oat: $11.00
Replacement Tag
$5,00
Total $.
—fl
--"—�'' PETSTNATARE QNTNEAC7IVE POTEN71Af LY DANGEROUS DR
DANCEROOS DO(; LIST NEED TO REGISTER DIRECTLYATCITY HALL,
Holstein Veterinary Clinic
or, /isa Schrum DVM Dr. Kdwa Holstein DVM
718 South 1P Street Blair, NE 68008
402-426-7387 402-426-0101 Fax
holateinclinic*gmail,eam
FAXED 02.25-23
BY
CITY HALL @ 402-426-4195
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: J Ua S g 1 � (,1 BAP-1 `dL V
Owner Address: —1e3
City/State/Zip: Blair, NE 68008
Phone # q 0 p - �.= - ] - \A —1 0 S
LICENSE FEES: Dog or Cat: $16.00
Altered Dog or Cat: $11.00
***PLEASE READ CAREFULLY***
YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS.
Failure to do so is a violation of City ordinances 6.103 and carries
a penalty of a fine up to $150.00 per pet.
PET LICENSES RENEWALS ARE DUE BY 3/15/2023. The City shall
recognize a microchip Identification number as the license number. It
shall be unlawful for any dog or cat to wear any license or other city
Identification other than that Issued by the City of Blair for such dog or
cat. The City of Blair requires proof of rabies vaccination to
be submitted with your license application.
Replacement Fee for Lost Tag: $5.00
Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program
PET #1 % Dog ❑ Cat � Spayed/Neutered License Fee $
�p I_� 0
Pet Name _ Birthdate Sex IM
Color \nl rj C)� � .j Breed** S�r� �Tz v. Replacement $ **
Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N
MICROCHIP # (If applicable) SUBTOTAL:
RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # 0 0
PET # 2 ❑ 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 #
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
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 licensed within 10 days of ownership N Must register pets within 10 days of
■ <OR> at 6 months of age if puppy/kitten residency.
CERTIFICATE OF VACCINATION
Date of Rabies Vaccination:08-10-22
Next Rabies Vaccination On: 08-09-24
VETERINARY CLINIC
Companion Animal Veterinary Clinic
1113 Riverside Blvd.
Norfolk
402-379-1200
This is to certify...
Certificate No: 0
Previous Rabies Vaccination:<old tag>
OWNER OF ANIMAL
Jon Melland
1069 N 25th Ave
Blair Ne 68008
County:
THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW.
Patient information...
PATIENT: China
SPECIES: Canine
SEX: M
Color and markings:Black/White
Dale Stephenson, DVM
TAG NO: 73348
WEIGHT: 12.40
AGE: 12Y
BREED: Shih Tzu
License: 1951
Rabies Vaccine Information...
MFG BY: ELANC SER.NO: E007336A
LOT EXP: 04/03/23 ADM
02/08/2023 15:02 4024260101 HOLSTEIN VET CLINIC PAGE 01/01
2023 PET LICENSE
VERIFICATION/APPLICATION FOR CITY OF BLAIR
IF YOU LIVE IN IJLAIH CITY LIMITS AND OWN -A DOG(S) AND /OR CAT(S),
COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO:
CITY OF BLAIR —218S. 16"" ST— BLAIR, NE 68008
YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS,
I3IJT NO MORE THAN THREE (3) ADULT DOGS OFTHREE (3) ADULT CATS PER RES(DENTIAL OR DWELLING UNIT.
'PLEASE READ CAREFULLY***
YOU ARE REQUIRED
Failure to do so is a violation of City Ordinancps $103 and carries et penalty of a fine up to $150.00 per pet.
PET LICENSE RENEWALS ARF DUE BY 3115LZM
The city shall recognize a microchip ID number as the license number,
It shall be unlawful for any dog or cat to wpor any. license or other city ID other than that issued by the City of Blair for such dog or cat.
NENkEELLICENSING Must be licensed within 10 days of ownership (OR) at 6 months of age if puppy or kitten
NEW RESIDENTS TO BLAIR Must register pets within 10 clays of residency
Owner Name
Ann & Tim Miller
Spouse
Owner Address
795 N 3rd
City/statelzip
Blair, NE 68008
Phone #
402-517-2994
Pet NaMe, Emma May
Tag
#2390
Age., 13Y
DOB: 05-11-09
Sex: Spayed Female
Color: Blonde
Breed: Poodle X
microchip # "'--[Rabies
Tag # 20035
PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE): #
RABIES VACCINATION DONE ON
01-15-22
Rabies Description: 1 YEAR (3
YEAR�)
Holstein Veterinary Clinic
Dr. Lisa Schrum DVA4 .- Dr. KrIsto Holstoin DVM
718 South 1911 Street Blair, NE 68008
402-426-7387 402-426-0101 Fax
holsteinclinic� gmail.com
NSE
Intact
Dog or Cat, $16.00
09 or cat: $11.00
Replacement Taq
$5,00
Total ( �
PETS THAT ARE ON THE ACTIVE POTENTIALLY DANGEROUS OR
DANGEROUS DOG LIST NEED TO REGISTER DIRECTLY AT CITY HALL.
FAXED 02-08-23
BY
CITY HALL @ 402426-4195
02/08/2023 15:02 4024260101 HOLSTEIN JET CLINIC PAGE 01/01
2023 PET LICENSE
VERIFICATION/APPLICATION FOR CITY OF BLAIR
IF YOU LIVE IN SLAIM CITY LIMITS AND OWNA DOG(S) AND /OR CAT(S),
COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO:
CITY OF BLAIR - 299 9. 16"' ST BLAIR, NE 68008
YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS,
I3U7 NO MORE THAN THREE (3) ADULT DOGS ORTHREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT.
***PLEASE READ CAREFULLY***
YOU ARE REQUIRED �_Y_LAW TO LICENSE YOUR Rl:TS. THE CITY OF GLAIR REQUIRES pFkUC1F aE RpBIES VAGI;INATION.
Failure to do so is a violation of City Ordinances $10S and carries a penalty of a fine up to $160.00 per pet.
PET LICENSE RENEWALS ARE DUE BY 3115/2023,
The city shall recognize a microchip ID number as the license number.
It shall i_ie 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 dop or cat.
NEjN,REj_L1QENSINQ Must be licensed within 10 days of ownership (OR) at 6 months of age if puppy or kitten
IVI:W RESIQENTS TO GLAIR Must register nets within 10 days of residency
Owner Name
,Ann & Tim Miller
Spouse
Owner Address
795 N 3rd
City/State/Zip
Blair, NIE 68008
Phone #
402-517-2994
Pet Naone: Emma May
Tag
#2390
Age., 13Y
DOB: 05-1109
Sex: Spayed Female
Color: Blonde
Breed: Poodle X
Microchip #
Rabies Tag # 20035
PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL or AVAILABLE): #
RABIES VACCINATION DONE ON
01-15-22
Rabies Description: 1 YEAR
3 YEAR
Holstein Veterinary Clinic
Dr. Lisa Schrum DVM - Dr. l(rista Ndlstsin DVM
718 South 1911 Street Blair, NE 68008
402-426-7387 402-426-0101 Fax
holstein0linic@Dgm0il.com
'i►E`9-
Dog or Cat: $1 G.00
.,�ItF�r d -fir
og or cat: $11.00
Replacement Tag
$5,00
Total $ ( �
PETS THATARE ON THE ACTIVE POTENTIALLY DANGEROUS OR
DANGEROUS DOG LIST NEED TO REG15TER DIRECTLYAT CITY HALL.
FAXED 02-08-28
BY
CITY HALL @ 402426-4195
NU'0- toY�
CITY OF BLAIR - 2023 PET LICENSE APPLICATION n° y kp
If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made pea°/Jya�bi#le 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 1. 2023
Owner Name: i
Owner Address:
city/state/zip: Blair, NE 68008
Phone # Yo
LICENSE FEES: Dog or Cat: $16.00
Altered Do or Cat• 4hil 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 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
lteplacemart Fee for Lost 1 ag: $5.00
Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program
PET #1 (ZlDog ❑ Cat 41 Spayed/Neutered °� License Fee
Pet Name TY\I% Birthdate 6 e, 110 Sex
Color Ci _A c:V , 17"t al-i Breed** k. wy� - , Replacement * *
Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N
MICROCHIP # (If applicable) SUBTOTAL: La--
RABIES VACCINATION DATE: t (3 yr) (1 yr) City Tag
1' #2 ❑ Dog ❑ Cat ❑ Spayed/Neutered
Pet Name Birthdate Sex
Color Breed**
Declared Dangerous or Potentially Dangerous Dog: ❑ Y
MICROCHIP # (If applicable)
RABIES VACCINATION DATE: (3 yr) _
T #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered
Pet Name Birthdate Sex
Color Breed**
Declared Dangerous or Potentially Dangerous Dog: ❑ Y
MICROCHIP # (If applicable)
RABIES VACCINATION DATE: (3 yr) _
m
■W
License Fee $
Replacement $
SUBTOTAL: $
(1 yr) City Tag
License Fee $
Replacement $ * *
SUBT TAL: $
(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 $ -LL-
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 fornewpe&lnewres/dents)
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.
Jan 13 23 02;02p
PA
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 oven 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 Thone Animal Hosl
(402) 426-3630
LICENSE RENEWALS ARE DUE: March 15, 2023 Hwy 30
***PLEASE �����*NE fi8008
Owner Name: �hf�-Iri m`e.Y'('1 W1 u-l�
2r h I YOU ARE REQUIRED BYLAW TO LICENSE YOUR PETS.
��l4
Owner Address: c`7'T PIN V Failure to do so is a violation of City ordinances 6.103 and carries
a penalty of a tine up to $150.00 per pet.
city/State/zip: Blair,, NE 68008D pET LICENSES RENEWALS ARE DUE BY 3116/2023. The City shall
Phone # 1-1U2.) U S111 � rV%
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 81a1r for such dog or
LICENSE FEES' Do cat. The City of Blair requires proof of rabies vaccination to
9 or Cat: $ 16.00 be submltted with your license application.
Altered Dog or Cat: $11.00
Replacement Fee for Lost Tag: $5.00
Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program
PET #1 3""Dog ❑ Cat YS y /Neutered License Fee $ i 00
Pet Name 00, C Birthdate uu lol111io Sex
C3c�a_
Color �1 Breed** Replacement$ **
Declared Dangerous or Potentially Dangerous Dog: ❑ Y LAN
MICROCHIP # (If applicable) SUBTOTAL: $
RABIES VACCINATION DATE: (h9►.ilRao (3 yr) _<� (1 yr) City Tag # 3463
PET # 2 (3 Dog ❑ Cat CAS ay /Neutered License Fee $�_
Pet Name 5L�� Birthdat uw l i l /r l Sex
Color t31Gs1. n Whi Breed** eM! Snnnti-er Replacement,$ **
Declared Dangerous or Potentially Dangerous Dog: ❑ Y (SlN
MICROCHIP # Of applicable) SUBTOTAL: $
RABIES VACCINATION DATE: D512.0121 (3 yr) _)�_ (1 yr) City Tag # 3 664
PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $
Pet Name Birthdate Sex
Color Breed** Replacement$ **
Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N
MICROCHIP # Of 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 $ Z2. 0(�
if you have questions, please contact Blair Police Department at (402) 426.4747
+++++.+++.++............M++++4+t.+++++++++++++++..... .....++.++++*+++.++++++
NEW PET/NEW RESIDENT LICENSING REQUIREMENTS(AbnYl151atefee date notapplicablefor newpetslnewresrdentsJ
Newly Acquired Pets: New Res d) girds to Blain
■ Must be licensed v&ln 10 days of o nership ■ Must register pets YSbin 10 days of
la <OR> at 6 months of age if puppy/When residency.
CITY OF BLAIR ®2023 PET LICENSE APPLICATION I
r
If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to:
City of Blair 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: s
City/State/zip: Blair, NE 6800
Phone # -
LICENSE FEES: Dog or Cat: $16.00
Altered Dog or Cat: $11 00
***PLEASE READ CAREFULLY***
YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS.
Failure to do so is a violation of City ordinances 6.103 and carries
a penalty of a fine up to $150.00 per pet.
PET LICENSES RENEWALS ARE DUE BY 3/15/2023. The City shall
recognize a microchip Identification number as the license number. It
shall be unlawful for any dog or cat to wear any license or other city
Identification other than that issued by the City of Blair for such dog or
cat. The City of Blair requires Proof of rabies vaccination to
be submitted with your license application.
Replacement Fee for Lost Tag: $5.00
Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program
PET #1 Dog ❑ Cat ❑ Spaye Neutered License Fee $ `=
Pet Name ( k > r� c t� Birthdatee Sex °A
Color E at `Lt �' `'� Breed** ivu lu ot_i —Replacement $
Declared Dangerous or Potentially Dangerous Dog: ❑ Y Itl N
MICROCHIP # 5 l'(--1 -u,1 (If applicable) SUBTOTAL: $
RABIES VACCINATION DATE. - 4 C) (3 yr) k— (1 yr) City Tag #*
PET #'2 ❑ Dog ❑ Cat ❑ Spayed/Neutered
Pet Name Birthdate Sex
Color Breed**
Declared Dangerous or Potentially Dangerous Dog: ❑ Y
MICROCHIP # (If applicable)
RABIES VACCINATION DATE: (3 yr) _
PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered
Pet Name Birthdate Sex
Color Breed**
Declared Dangerous or Potentially Dangerous Dog: ❑ Y
MICROCHIP # (If applicable)
RABIES VACCINATION DATE: (3 yr) _
License Fee $
Replacement $
❑N
W
SUBTOTAL: $
(1 yr) City Tag
(1 yr)
License Fee $
Replacement $
SUBTOTAL:$
t; 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
If you have questions, please contact Blair Police bepartment at (402) 426-4747
.....++++++.....++++++++++++.....+++++++++++++++++++++++++¢++++++++++.++ ¢+++++
NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15/ate fee date notappllcable 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/Idtf been residency.
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 f 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 M. 2023
Owner Name:
Owner Address:
City/State/Zip: Blair, NE 608
Phone #1(
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 renuires Proof of rabies vaccination to
be submitted with your license application.
g
Repiacement 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 Do
Pet Name g ❑Cat Birthdate Spayed/Neutered License Fee $ - C�
hdate ";p l Sex Vv 'L
Color Breed**Replacement $
Declared Dangerous or Potentially Dangerous Dog: ❑ Y '51 N
MICROCHIP # 9 <d (0,:)06 M b, 2, (j4 Q (If applicable) SUBTOTAL: $ 4— =
RABIES VACCINATION DATE: 1. i` -�)C� (3 yr) ;� (1 yr) City Tag # �
PET #2 ❑ Dog ❑ Cat ❑ Spayed/Neutered
Pet Name Birthdate Sex
Color Breed**
Declared Dangerous or Potentially Dangerous Dog: ❑ Y
MICROCHIP # (If applicable)
RABIES VACCINATION DATE: (3 yr) _
PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered
Pet Name Birthdate Sex
Color Breed**
Declared Dangerous or Potentially Dangerous Dog: ❑ Y
MICROCHIP # (If applicable)
RABIES VACCINATION DATE: (3 yr) _
License Fee $
Replacement $
❑N
W
SUBTOTAL: $
(1 yr) City Tag #
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.)
m
Do Not send cash by Mail TOTAL ENCL $
If you have questions, please contact Blair Police Department at (402) 426-4747
++++++.....r+++++++++++++++++++++++++++++++++++++++++++++++.....++++++.+++++++
NEW PET/NEW RESIDENT LICENSING REQUIREMENTS(March 15late fee date notapplicablefor newpets/newre5idents)
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.
Date of Rabies Vaccination: 06-18-20
Next Rabies Vaccination On: 06-18-23
VETERINARY CLINIC
Thone Animal Hospital
902 S Hwy 30
Blair, NE 68008
402-426-3630
This is to certify...
Certificate No: 0
Previous Rabies. Vaccination: 003441
OWNER OF ANIMAL
Jenny Meyer
1834 Grant St
Blair, NE 68008
County:
THAT 1 HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW,
Patient information...
PATIENT: Yogi
SPECIES: Canine
SEX: N
Color and markings... Chocolate
Signed
Dr. Joe DiMari
TAG NO: 005847
WEIGHT: 92.50
AGE: 6 years
License:3258
07-05-22
JRD
DA2PPV 1yr
07-05-23
07-05-22
JRD
Bordetella Oral
07-05-23
07-05-22
JRD
Lepto 1yr
07-05-23
06-26-21
KF
DA2PPV+L
07-05-23
06-18-20
JRD
Rabies Vaccination (3 Year), #005847
06-18--23
07-10-19
JRD
Check up, DA2PPV+L
07-06-23
07-07-18
LL
Bordetella, PI3 (Intra-trac 3)
07-05-23
Rabies Vaccine Information'...
MFG BY ZOETI SER.NO: 401524
03/09/2023 15:12 4024260101 HOLSTEIN VET CLINIC PAGE 01/01
2023 PET LICENSE
VERIFICATION/APPLICATION FOR CITY OF BLAIR
IF YOU LIVE, IN GLAIR CITY LIMIT6 AND OWN A DOG(S) AND /OR CAT(S),
COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO;
CITY OF BLAIR — 218 S, 16M ST BLAIR, NE 68008
YQU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RFSJDENTIAL OR DWELLING UNIT,
—FLEASE READ CAREFULLY"*1(QU AIDE REQUIRED BY_ T LICENSE YOU T . 'fHE CITY OF B R ES PRQ-QF OV RABIES VACMNATION.
Failure to do so is a violation of City Ordirtanoes la.1b3 and terries a penaltyof a fine Lip to $1150.00 per pet,
PET LICENSE„RENEWALS ARE DUB 23.
The city shall recoflnize a rnicrachip ID number as the license number.
It shall be unlawful for any do 0 cr cat to wear any license or other city !D other than Chet issued by the City of Blair for such dog ()r cat,
NrW PET LICENSING s o age if puppy or kitten
Must be licensed within 10 day� of ownership OR at 6 months
SEW {�ESIbENT8 TO BLAl13
Must reg
ister pets witijill 10 days of residency
Owner Name '
Spouse
owner Address
City/State/zip
Phone #
Pet Name: Bridget
Age: 14Y
DOD: 01-02-09
Breed' Shep Mix
Tag #3561
Sex: Spayed Ferrule
Microchip #
pt,FASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL
RABIES VACCINATION DONE 010 06-10-20
Sandi Miller
Myranda Brown
736 S 13th St #7
Bla'ir, NE 68008
531-209-0833
Rabies Tag # 18009
AVAILABLE): #
. Rabies Description: 1 YEAR 3 YEAR
Holstein Veterinary Clinic
op, Lisa Schrum L)VM ., Dr. Arista Holstc?j17 DVIV
718 South 1 91h Street Blair, NE 68008
402-426-7387 402-426-0101 Fax
hoisteinch nic@9 mail -COM
kKr�E FF�-F-S
Intact
[)og or Cat: $16.00
Dog rlc 1.- $11 - ODO
Replacement Tag
$5.00
Total $ y �_
DANGk6q19 DOG
G LIST NEED TO R%1$7ER DIRECTLY AT CITY HA_LL-
FAXF-0
BY
C. I TY,-1W -L...
btzyt ) oy 5 3 0
If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to:
City of Blair 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 ARE DUE: March 15, 2023
Owner Name: W o AA,,rfu' _
Owner Address: Rby® Np'4�'it
city/state/zip: Blair, NE 68008
Phone # %/G ''/,,0,Z- A17-71
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 0 Cat 9Spayed/Neutered License Fee $
Pet Name Birthdate e-iAo Sex
Color 2 ��. __— Breed** ,%�� j?uw, ,�Replacement $ **
Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N
MICROCHIP # 171&2.4/6 3/e,/9Ay (If applicable) SUBTOTAL: $
RABIES VACCINATION DATE: J;tZZV.24,�-/ �� (1 yr) City Tag # 13*
PET #2 ❑ Dog ❑ Cat ❑ Spayed/Neutered
Pet Name Birthdate Sex
Color Breed**
Declared Dangerous or Potentially Dangerous Dog: ❑ Y
MICROCHIP # (If applicable)
RABIES VACCINATION DATE: (3 yr) _
License Fee $
Replacement $
❑N
SUBTOTAL: $
(1 yr) City Tag #
**
PET #3 , ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $
Pet Name Birthdate Sex
Color Breed** Replacement $ **
Declared Dangerous or Potentially Dangerous Dog: Ll 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 (Mardi 15/ate fee datenotappllcab/e fornewpets/newres/dents)
Newly Acquired Pets: New Resldents to Blair:
■ Must be lio`nsed within 10 days of ownership ■ Must register pets within 10 days of
0 <OR> at 6 months of age if puppy/kitten residency.
01/10/2023 09:19 4024260101 HOLSTEIN VET CLINIC PAGE 01/01
2023 PET LICENSE
VERIFICATION/APPLICATION FOR CITY OF SLAIR
IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT(S),
COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO:
CITY OF BLAIR — 218 S. 1�iT" ST — BLAIR, 111E 680013
YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS,
BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE 0 ADULT CATS PER RESIDENTIAL OR DWELLING UNIT.
***PLEASE READ CAREFULLY***
YOU ARE REQUIRED BY LAW TQLICEN. YOUR PETS THE CITY OF BLAIR REQUIRES PROOF OF RAP ES VACCINATION
Failure to do so is a violation of City Ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet.
PET LICENSE -RENEWALS ARE DICE BY 3/15/2022.
The city shall recognize a microchip ID number as the license number,
It shall be unlawful for any dog or cat to wear any license or other city Id other than that issued by the City of Blair for such dog or cat.
NEW PET LICENSING Must be licensed within 10 days of ownership (OR) at 6 months of age if puppy or kitten
NEW RESIDENTS TO BLAIR Must register pets within 10 days of residency
Owner Name Avery Misfel+dt
$pbuse •
Owner Address' 2253 Jackson St
City/State/Zip Blair, NE 68008
Phone # 402-278-0046
Pet Name: MaizeyTag 17
Age: 2Y Sex; Spayed Female Color: Gold
DOB: 08.26-20
Breed: Golden Retriever
Microchip # 985141002128762 I Rabies `rag # 19665
PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE): #
RABIES VACCINATION DONE ON + 12-09-21
Rabies Description; 1 YEAR ,YEAR
Ho.1stein Veterinary Clinic
Dr, kiss Schrum DVN ; Dr. Krista Holstein DVM
718 South 191' Street: Blair, NE 68008
402-426-7387 402,42E-0101 Fax
holsteinclinir,@gmall.com
LICENSE FEES
intact
Dog at Cat: $16.00
!rSltered
$11.0
Replacement Tag
$5.00
Total $ 1 )
/PETS,_THAT ARE ON TNEACTIVf POTENTIALLY DANGEROUS OR
DANGEROUS DOG UI Y NEED TO REGISTER DI RECTLYAT CITY HALL.
FAXED 01-10-23
BY
�'i:•'IT': Li�..Cu40 •�42r.':�• I, u'
CITY OF BLAIR ® 2023 PET LICENSE APPLICATION I --,
If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to:
City of Blair e 218 S 16th St e Blair, NE 68008
You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs
or three (3) adult cats per residential or dwelling unit.
LICENSE RENEWALS ARE DUE: March 15, 2023
Owner Name: C-1 0I '�(-
Owner Address: 2s-12-UI (`"ud liaZi
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 renuires proof of rabies vaccination to
be submitted with your license application.
Replacement Frye 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 J3 Dog ❑ Cat 9 Spayed/Neutered License Fee $
Pet Name PRf 10, Birthdate Sex r
Color fAn c I,,- Breed** I -Ay Vo%r,)c - Replacement $ * *
Declared Dangerous or Potentially Dangerous Dog: ❑ Y Zb N
MICROCHIP # (If applicable) SUBTOTAL: $
RABIES VACCINATION DATE: -9- 2-1D (3 yr) '/K3 (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) _
El
(1 yr)
License Fee
Replacement
SUBTOTAL: $
City Tag # *
T #3 , ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $
Pet Name Birthdate Sex
Color Breed** Replacement
Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N
MICROCHIP # (If applicable) SUBTOTAL: $
RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag #
*PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL
** (This fee is due along with License Fee if requesting at the time of license renewal.)
Do Not Send Cash by Mail TOTAL ENCLOSED
If you have questions, please contact Blair Police Department at (402) 426-4747
++++++++++++++++++++++++++++++++++++++++++++++++++++++.....a++++++++++++++++++
NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15/ate fee date notapplicable for newpets/newresidents)
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.
01/10/2023 16:29 4024260101 HOLSTEIN VET CLINIC PAGE W /U2
2023 PET LICENSE
VERIFICATION/APPLICATION FOR CITY OF BLAIR
IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND ]OR CAT(S),
COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO!
CITY OF BLAIR — 218 S. 16TH ST -- BLAIR, 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.
**14PLEASE READ CAREFULLY***
YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS Ift CITY OF BLAIR REQUIRES PROOF OF RABIES VACCINATION
Failure to do so is a violation of City Ordinances 6,103 and carries a penalty of a fine up to $160.00 per pet.
PET LICENSE RENEWALS ARE DUE BY 3/15/2023.
The city shall recognize a microchip ID number as the license number.
It shall be unlawful for any dog or cat to wear any license or other city IP other than that issued by the City of Blair for such dog or cat.
NEW PET 410ENSING Must be licensed within 10 days of ownership (OR) at 6 months of age if puppy or kitten
NEW RESIDENTS TO GLAIR Must register pets within 10 days of residency
Owner Name
Shirley Moore
Spouse
Owner Address
955 N 16th Street
City/State/Zip
Blair, NE 68008
Phone #
402-533-8271
Pet Name: Honey
Tag #2937
Age, 6Y Sex: Spayed Female Colar: Ruff
DOB: 05-03-16
Breed: LH Chihuahua
Microchip # '900005000682116 Rabies Tag # 20283
PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE): #
RABIES VACCINATION DOME ON 04-22.22
Rabies Description: 1 YEAR YEAR
1 C13 ---
H2OlStein Veterinary Clinic
Dr, Use Schrum DVM : Dr. Kri*ts Holstein PVM
718 South 191h Street glair, NE 68008
402-426-7387 402-426-0101 Fax
holsteinciinic@grnail.com
LICENSE FEES
Intact
Dog or Cat: $16,00
or cat: $11.00
$6.00
Total $
PETS THATARE ON THE ACTIVE PD' TJ�:'NTIALLY DANGEROUS OR
DANGEROUS DOG LIST NEED To REGISTLeh DIRECTLYAT Qa HALL.
FAXED 01-10-23
BY
ti
40 42�6.495
A
CITY OF BLAIR ® 2023 PET LICENSE APPLICATION li -p- 0
If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to:
City of Blair 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 IS, 2023
Owner Name:
t.,.` l
a !F�"t
Owner Address:
r
city/state/zip:
Blair, NE 6008
Phone #
�,,
(E A d
�, -
"
a
LICENSE FEES: Dog or Cat: $16.00
Alt d D or Cat- $11 00
***PLEASE CAREFULLY***
YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS.
Failure to do so is a violation of City ordinances 6.103 and carries
a penalty of a fine up to $150.00 per pet.
PET LICENSES RENEWALS ARE DUE BY 3/15/2023. The city shall
recognize a microchip Identification number as the license number. It
shall be unlawful for any dog or cat to wear any license or other city
Identification other than that Issued by the City of Blair for such dog or
cat. The City of Blair requires proof of rabies vaccination to
be submitted with your license application.
ere og
Replacement Fee for Lost Tag: $5.00
Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program
Dog ❑ Cat ❑ Spayed/Neutered License Fee $
Pet Name (A,u j le p(, �, s Birthdat/JI . , I Sex P"I **
Color 1,1 A ; � c_ Breed** 101 L r f L P' Replacement $
Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑. N
MICROCHIP # 19 5)6 ) �!)0 i r 7 ;, 2')' / (If applicable) SUBTOTAL: $
RABIES VACCINATION DATE I :aa (3 yr) z"' (1 yr) City Tag # U 03 � 'L
PET # 2 ❑ / �D o g ❑ Cat O Spayed/Neutered License Fee $
Pet Name r u r, - krr c Birthdate Sex ) _
Color I + ;,(c1 Breed** M� a6' I u 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 **
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
If you have questions, please contact Blair Police Department at (402) 426-4747
++++.+++++++++++++++.++++++++++++++++++++++++++++++++..+++++++++++++++++++++++
NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15/ate fee date notapplicable fornewpets/new re5/dents)
Newly Acquired Pets: New Residents to Blair:
• Must be licensed within 10 days of ownership m Must register pets within 10 days of
I• <OR> at 6 months of age if puppy/Idtten residency.
Client ID:
Client Name
Address:
Phone:
Tag Number:
Vaccine:
Producer:
Brand:
Tvpe:
inner of
Administration:
1071
Bud & Cathy Morgan
2354 Jackson Street
Blair, NE 68008
(402)278-0993
7328
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:
7978
Bruce Lee
Canine
Maltese Mix
Neutered Male
White
04/18/2015
9.18 pounds on 12/20/2022
985112005030834
12/20/2022
12/20/2025
18542
3/10/2024
Client ID:
Client Name:
Address:
Phone
Tag Number:
Vaccine:
Producer:
Brand:
Type;
inner of
Administration:
1071
Bud & Cathy Morgan
2354 Jackson Street
Blair, NE 68008
(402)278-0993
6009
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 I D:
Patient Name:
Species:
Breed:
Sex:
Color:
Markings:
Birthday:
Weight:
Microchip ID:
Vaccination Date:
Expiration Date:
Lot Number:
Drug Expiration Date:
6679
Chuck Norris
Canine
Terrier
Neutered Male
White
04/13/2013
12.81 pounds on 9/21/2022
985112001083727
10/22/2020
10/22/2023
18445
7/3/2021
02/09/2023 17:51 4024260101 HOLSTEIN VET CLINIC PAGE 01/02
2023 PET LICENSE
V ERI FICATION /APPLICATION FOR CITY or BLAIR
IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(8) AND /OR CAT(S),
COMPLETE THIS FORM AND RETURN WITH A CHRCK PAYABLE TO:
CITY OF BLAIR — 218 S. 16 TH ST — BLAIR, NE 68008
YOU MAY I-EGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS,
13UT NO MORE THAN THREE (3) ADULT DOGS OR THREE 13) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT.
***PLEASE READ CAREFULLYff"
YOU N.
Failure to do so is a violation of Oty Ordinances 6.103 and carries a penalty of a fine up to $150,00 por pet,
The city shall recognize a microchipft) number as the flowve number.
it shall be unlawful for any dog or cat to Wear any license or other city ID other khan that issued by the City of 131,911, for such dog or cat.
NEW PET110EBSINC! Must be licen,d within 10 days of ownership (OR) at 6 months of age if puppy or kitten
-
NEW RESENTS TO KLAIR Must register pets within 10 days of residency
Owner Name
Hannah Moss
Spouse
Thomas
Owner —Address
455 N. 21ST STREET
city/statelzip
Blair, NE 68008
Phone #
719-415-6948
Pat Name: Tucker Tag #2343
Age: 5Y
DOB' 08r27-17
Sex: Neutered Male
Color: Liver and White
Breed, Dalmatian
Microchip # 985112009207365 �Rabies Tag # 20012
PLEASE INCLUDE CITY TAG mumBut IF THIS IS A RENEWAL or AVAILABLE)-. 4
RABIES VACCINATION DONE ON
01-06-22
Rabies Description: 1 YEAR Z-3S A L
CJ
Holstein Veterinary Clinic
Dl,. , Lisa Sohnim D VM : Dr. Krista Holstoln D VM
718'South 19th Street Blair, NF. 68008
. 402-426-7387 402.426-0101 Fax
I I . holsteinclinic@gmail.com
PETS rHATAgE ON THE ACTIVE PQrEN
LICENSE4.U—E9
Intact
Dog or Cat, $16.00
Do o cat: $11 .00
:)o eoep ag
$6,0()
Total $-6--
FAXED 02-00-23
13Y
.�O
02/09/2023 17:51 4024260101 HOLSTEIN VET CLINIC PAGE 02/02
2023 PET LICENSE
VERIFICATION/APPLICATION FOR CITY OF 13LAIFI
IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT(S),
COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO:
CITY OF BLAIR — 218 S. 16"" ST — BLAIR, NE 68008
YOU MAY LEGALLY OWN A COMPINATION Or FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CAT$ PER RESIDENTIAL OR DWELLING UNIT.
***PLEASE READ CAREFULLV" _F OF RABIESVACCI NAT-10N.
V E RE Q BY TO Lie E YOUR p to $150.00 per pet.
Failure to do so is a violation of City Ordinances 6.103 and carries a penalty of a fine u
PET
The city shall recogiiizo a microchip ID number as the license number.
It shall he 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 P L CENSl-, Must be licensed Within 10 days of ownership (OR) at 6 months of age if puppy or kitten
,E
NEW_BE,qjDP-NTS TOGLAIRMust register pets within 10 days of residency
Owner Name
Spouse
Owner Address
city/state/zip
lff-=
Pet Name: Salem
Age: 717M Sex: Spayed Female
DOS:09-16-21
Breed: Domestic Shorthair
Microchip # 985141003662138
PLEASE INCLUDE CITY TAG NUMI
RABIES VACCINATION DONE ON
Hannah Mass
Thomas
455 M 21ST STREET
719-415-6948
Tla 3226
Color:
olor: Stock
IF THIS IS A IRENEI
Rabies Description, //1 YEAR
Holstein Veterinary Clinic
Oar: Lisa $ohru m D VA11 : Dr. Kris tg Ho /,,, rein D VM
718 South 1 91hStreet Blair, NE 68008
402-426-7387 402,426-0101 Fax
holsteinclinic@gmail,00rn
Rabies Tag #
(IF AVAILABLE): #
PFTS THAT
2ANGFROUS DOG LIST NEED TO RE
FAXED 102-09-23
M
LICENSEEM
Intact
Dog or Cat, $16.00
Dog r cat: $11,0
R0,00 ag
$5.00 -
Total $�--
CITY OF BLAIR - 2023 PET LICENSE APPLICATION (,-
If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to:
City of Blair e 218 S 16h St e Blair,, NE 68008
You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs
or three (3) adult cats per residential or dwelling unit.
LICENSE RENEWALS ARE DUE: March 15, 2023
F
Owner Name:
t
r ,
Owner Address
city/state/zip: Blair, NE 600
Phone #
LICENSE FEES: Dog or Cat: $16.00
Altered Dog or Cat: $11.00
***PLEASE READ FULLY***
YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS.
Failure to do so is a violation of City ordinances 6.103 and carries
a penalty of a fine up to $150.00 per pet.
PET LICENSES RENEWALS ARE DUE BY 3115/2023. The City shall
recognize a microchip identification number as the license number. It
shall be unlawful for any dog or cat to wear any license or other city
Identification other than that Issued by the City of Blair for such dog or
cat. The City of Blair requires Proof of rabies vaccination to
be submitted with your license application.
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 'i`Spayed/Neutered License Fee $ `
Pet Name,' F Birthdate Sex%
Color Breed** Replacement $ **
Declared Dangerous or Potentially Dangerous Dog: ❑ Y N
MICROCHIP #L.,L(If SUBTOTAL: $ .
RABIES VACCINATION DATE. 7i '2 2, (3 yr) V' (1 yr) City Taci # ;
m r7 t �,. jz� t
1
PET #2 d Dog ❑ Cat]' Spayed/Neutered License Fee $'
Pet Name Birthdate Sex
Color Breed** Replacement $ **
Declared Dangerous or Potentially Dangerous Dog: ❑ Y I< N
MICROCHIP # applicable)' SUBTOTAL: $�
RABIES VACCINATION DATE. - (3 yr) _v (1 yr) City Tag # � *
1 # . ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $
Pet Name Birthdate Sex
Color Breed** Rep/acement$ **
Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N
MICROCHIP # (If applicable) SUBTOTAL:
RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag
*PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL
** (This fee is due along with License Fee if requesting at the time of license renewal.)
Do Not Send Cash by Mail TOTAL ENCLOSED $`
If you have questions, please contact Blair Police Department at (402) 426-4747
++++++++++++...............++++++...++++++++++++++++++... ¢+++++++++++... ¢+++++
NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March ISlate fee date notapplicable fornewpeis/newresidents)
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/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 DUE: March 15, 2023
Owner Name:
11/k, I kz,p
Owner Address:
City/State/Zip: Blair, NE 68008
Phone #
LICENSE FEES: Dog or Cat- $16.0,0
Altered Do or r4a 4:11 oo
***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 renuires proof of rabies vaccination to
be submitted with your license application.
Replacement Fee for-LaSM6: $5.00
Included is a to Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program
PEET #1 Dog E3 Cat Spayed/Neutered License Fee $
Sex
Pet t
P Name Birti4ate
Breed" Titt,
Color 4��e,,P 7-7, Replacement $
Declared Dangerous or Potentially Dangerous bo'g:'Ll Y L3 N
MICROCHIP # (If applicable) SUBTOTAL: $
RABIES VACCINATION (3 yry,Z`Vyj (1 yr) _ City Tag #
PET #2 Q Dog J Cat LJ Spayed/Neutered
Pet Name Birthdate Sex
Color Breed"
Declared Dangerous or Potentially Dangerous Dog: LJ Y LJ N
MICROCHIP # (If applicable)
RABIES VACCINATION DATE: (3 yr) -
License Fee $
Replacement $
SUBTOTAL:$
(1 yr) - City Tag
Ll Dog LJ Cat LJ Spayed/Neutered License Fee $
Pet Name Birthdate Sex
Color Breed** Re cement $
Declared Dangerous or Potentially Dangerous Dog: Ll Y LJ N
MICROCHIP # (If applicable) SUBTOTAL:$
RABIES VACCINATION DATE: (3 yr) _ (1 yr) - City Tag #
*PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL
** (This fee is due along with License Fee if requesting at the time of license renewal.)
Do Not Send Cash by Mail TOTAL ENCLOSED $
If you have questions, please contact Blair Police Department at (402) 426-4747
..............................................................................
NEW PET/ NEW RESIDENT LICENSING REQUIREMENTS (March 151ate fee date notapplIcable fornewpe&lnewresIdenty)
Newly Acquired Pets- - New Residents to Blair:
M Must be lioensed within 10 days of ownership 0 Must register pets within 10 days of
0 <OR> at 6 months of age if puppy/aten residency.
CERTIFICATE OF VACCINATION
Thone Animal Hospital
902 S Hwy 30
Blair, NE 68008
402-426-3630
OWNER OF ANIMAL
Jon Mulford
15,Q4-WilberSt
Blair, NE 68008
County:
This is to certify...
THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW.
PATIENT: Ezra
SPECIES* Canine
SEX: N
TAG NO: 007964
WEIGHT: 11.40
AGE: 5 years
Color and markings...
Signed
Dr.Kamala Freeman License., 3894
Vaccinations done...
06-07-22 KF Rabies Vaccination (3 Year), #007964
06-06-25
06-07-22 KF DA2PPV Syr 06-06-25
06-02-21 KF Rabies Vaccination (I Year), #006774
06-02-21 KF DA2PPV
Rabies Vaccine Information...
MFG BY: ZOETI SER.NO: 556836
LOT EXP: 04/25/23 ADM: SQ
01/13/2023 17:08 4024260101 HOLSTEIN VET CLINIC
2023 PET LICENSE
PAGE 01/03
VERIFICATION/APPLICATION FOR CITY OF BLAIR.
IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT(S),
COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO:
CITY OF BLAIR - 218 S. 16T" ST - BLAIR, NE 68008
YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS,
BUT NO MORE THAN THREE (3) ADULT DOCKS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT.
***PLEASE READ CAREFULLY —
YOU ARE REQUI19D BY LAW TO LICENSE YOFt1,Ii PETS THE CITY OF 13LA"SQUIRES PROOF OF RABIES VA1NNAB TION.
Failure to do so is a violation of City Ordinances 6.103 and carries a penalty of a fine up to $160,00 per pet.
P_E,T lr10ENSE RENEWALS ARE DUB„By_,3/15/2023
The city shall recognize a microchip ID number as the license number.
It shall be unlawful for any dog or cat to wear any license or other city ID other than that issued by the City of Blair for such dog or cat,
NEW PET LICENSING Must be licensed within 10 days of ownership (OR) at 6 months of age if puppy or kitten
NEW HESIQENTS TO BLAIR Must register pets within 10 days of residency
Owner Name
James Murphy
Spouse
Kim
Owner, Address
1433 Mount Mope Circle
City/State/Zip
'Blair, NE 68008
Phone. #
402-620-5337
Pet Name: Lily
Tag #1832
Age: 9Y
DOB: 11.21.13
'Sex: Sprayej Female
Color: White/Bilk
Breed: ' Boxer ,X
Microchip # 985112001399236
Rabies 'fag.# 20037
PLEASE INCLUDE CITY TAG -NUMBER IF THIS IS A RENEWAL (IF AVAILABLE): #
RABIES VACCINATION DONE ON
01.15-22
Rubies Description: 'I YEAR 3 YEAR
Holstein Ve i'rinary Clinic
,Dr. Lisa Schrum DW : Dr. Krista Ho/ste/n DVNi
718 South lgth Street Blair, NE 68008
402-426-7387 402-426-0101 Fax
holsteinclinic@gmail.com
L.ICENU SEES
Intact
Dog or Cat: $16.00
Dog or cat: $11.0
Replacement Tag
$5.00
Total $!
PETS THATARE ON THEA.CTIVEPOTEIVTIALLYDAIVOEROUS OR
DANGEROUS DOG LIST N f'L7 TO REGISTER DIRECTLY AT CITY HALL
FAXED 01-1-23
BY ,
01/13/2023 17:08 4024260101 HOLSTEIN VET CLINIC PAGE 03/03
2023 PET LICENSE
VERIFICATION/APPLICATION FOR CITY OF GLAIR
IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT(S),
COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO;
CITY OF BLAIR - 218 S. 18T" 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 REQUIRED EX LAW TO LICEN Y UR PETS. CITY OF BL�EQUIIRES _PROOF OF RABI CCINATIO
railure 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 RENEWAL.,BY, ARE DUE 11512023.
The city shall recognize a microchip ID number as the license number.
It shall' be unlawful for any dog or cat to wear any license or other city ID other than that issued by the City of Blair for such dog or oat.
NEW PET LICENSIN-G Must be licensed within 10 days of ownership (OR) at a months of age if puppy or kitten
NSW RESIDENTS TC1 GLAIR Must register pets within 10 days of residency
Owner Name
Spouse
Owner Address
city/State/Zip
Phone #
Pet Name: Halo
Age: SY
DOB: 10-31.17
Breed: Labrodoo
Microchip #
PLEASE INCLUDE
Sex: Neutered Male
NUMBER IF
RABIES VACCINATION DONE ON
Rabies Description: 1 YEAR
IS A
03-15-22
James Murphy *
Kim
1433 Mount Hopp Circle
Blair, NE 68008
402-620-5337
KMni'��I�IITM U f.[ N�
Rabies Tog # 20169
(it AVAILABLE): #
3 YEAR
:Holstein Veterinary Clinic
Dr. Lisa Schrum UVM Or. Krista Holstoln D IAM
718 South 191h Street Blair, NE 68008
402-426-7387 402-426-0101 Fax
holsteinclinic@gmaii.com
-FEES
.
G1rver
Do or Cat: $16-00
/ter
togMeemOn-
or Gat: $11.00
,P
$5.00
Total $ � I i..._._
PETS7H4TARE ONTHE AM g,POTENTIALLYDANGEROUSOR
ANGEROU DOG LIST NEED TO REG15TER DIRECTLY T CITY HALL,
FAXED 01-13-23
BY
. I,.. �y��. I. �.t •I'th �' yi � vi r�il'i .t I r•
1�. t� t•�i,.fl .�I���I����I•�{�I I�'I'•�:: I�. I. t��� t ��t. '�t �t��:'t
01/13/2023 17:08 4024260101 HOLSTEIN VET CLINIC PAGE 02/03
2023 PET LICENSE
VERIFICATION/APPLICATION FOR CITY OF BLAIR
IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOGM AND /OR CATIS),
COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO;
CITY OF BLAIR — 218 S, le. 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***
Yf0U,&Bf,UQU1IREQ BY LAW TO LIC5NSr-- YOUR PETS, THE CITY OF BLAIR REQUIRES pggpEQF RABIES VACCINATION,
Failure to do so Is a violation of City. Ordinances 0.103 and carries a penalty of a fine up to $150.00 per pat.
PET LICENSE BliNIEWALS ARE DUE BY 3/15/2023.
The city shall r000gnize a microobip 10 number as the license number.
It shall be unlawful for any dog or oat 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 IlCehsed within 10 days of ownership (OR) at 6 months of age If puppy or kitten
NEW RESIDENTS TO BLAIR Must register pets within 10 days of residency
Owner Name
James Murphy
Spouse
Kim
Owoor Address
1433 Mount Hope Circle
City/State/Zip
Blair, NE 68008
Phone,#
402-620-5337
Pet Name: Murph
Tag #2137
Age: 5Y
DOB; 09-15-17
Sex: Neutered Male
Color: Brown/Wt
Breed: Boxer X
Microchip #
Rabies Tag # 17808
PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A 8eMEWAL (II= AVAILABLE)- #
RABIES VAC61NATION DONE ON
03-14.20
Rabies Description: 1 YEAR
3 Y�EEAR�
Holstein Veterinary Clinic
Dr, Lis.? Schrum D VM , Dr. KrIsta Holsteln D ViW
718 South 191h Street Blair, NE 68008
402-426-7387 402-426-0101 Fax
holsteihciinic@gmail.com
Intaot
Dog or Cat: $16.00
A
Dog or cat: $11.
fteplacement Tag
$5.00
Total $
PETS THAT ARE ON THE ACTIVE POTENTIALLY DANGEROUS OR
NGEROUS DOG LIST NEED TO REGISTER DIRECTLY AT CITY HALL.
FAXED 01-13-23.
BY ��