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L03/14/2023 17:41 40242601.01 HOLSTEIN VET CLINIC PACE U1/UJ 2023 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF BI,,.AIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) ANC /OR CAT(5), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF BLAIR, - 218 S, 16TH ST - BLAIR, 111E 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"* YDU ARE REQUIFIEU 13Y LAW TI5 LICENSE YC1UR IsETS, THE CITY OF BLAIR RECtt�llRES P�ti�OF dF p,BIES VAf CINA1lt7N. Failure to do so is a violation of City Ordinances 6.103 and carries a penalty of a fine up to $150.00 per pat. PET ICENSE ENEWALS ARE DUE 8Y 3 S120 Tho city sha)I recognize a microchip ID number as the license number. It shall be unlawful for any clog or cat to wear any license or other city.la other than that issued by the City of Blair for such dog or cat. 1VEW PET LICENSE G Must be licensed within 10 days of ownership (OR) at 6 months of age if puppy or kitten NEW RESIDI=NTS,TO 8LAIR Must register bets within 10 days of residency Owner Name Kim Lammers spouse Owner Address City/State/zip 2458 Clark St Blair, NE 68008 Phone #�40-53-4876 f Pet Name: Sheba Tag #969 r Age: 13Y Sex: Spayed Female GQIor: alack'and Tan DOB: 0"I.0E-10 Breed: German Shepherd Microchip # Rabios Tag # 23159 PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILA9LE): # RABIES VACCINATION HONE ON 03-14-23 Rabies Description: i YEAR YEAR Holstein Veterinary Clinic Dr. Lisa Schrum DVM : Dr. Krista Ho/Mein DVM 718 South 1901 Street glair, NE 68008 402-426.7387 402-426-0101 Fax hoisteinclinic@gmail.com TAXED 03-14-2 BY LICENSE, FEES Intact Dog or Cot: $1 UO /te Do or t: $11.00 Reel eengon ay $5.00 Total $� 03/14/2023 17:41 4024260101 HOLSTEIN VET CLINIC PAGE 02/03 2023 PET LICENSE VERIFICATIONIAPPLICATION FOR CITY OF BMR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOWS) ANWOR CAT(S), COMPLETE THIS FORM AND RETURN W(TN A CHECK PAYABLE TO; (CITY OF BLAIR - 218 S. 16r" ST - BLAIR, NE 08008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PEI`$, BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDF.N`FIAL OR DWELLING UNIT, ""PLEASE READ CAREFULLY"* YOU A f1EQUI E3Y L Td LICENSE YOUR PETS TH CITY 0(= BLAIR RE�lI�iRES PR(7C�F Ol° RABIE,S VACCWp�TIC1N Failure to do so is a violation of City Ordinances 5,103 and carries a penalty of a fine up to $150.00 per pet, PET LICENSE RENEWALS ARE DUE BY V10//2023, The city Shall recognize a microchip ID number as the license number. It shall be unlawful for any dog or cat to wear any license or other city ID otherthan that issued by the City of Blair for such dog or cat, NEW PET LICENSING Must be licensee( within IQ nays of ownership (OR) at 8 months Qf ache if puppy or kitten NEW RESlDEN F$ TD BLAIR Must register pets within 10 days of residency Owner Name Kim Lammers Spouse Owner Address 2458 Clerk St City/state/Zip► Blair, NE 68008 Phone # 402-533-4576 Pot Name: Phoebe 'Tag #3715 Age: 9M DOB: 06-01-22 Sox Female Color: Breed: Lab/Beagle Microchip # 981020047226919 Rabies Tag # 20644 PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE): # RABIES VA,(XINATION DUNE ON 09-15-22 Rabies Description: Z, 1 YEAR 3 YEAR Holstein Veterinary Clinic D,- U*a Schrum L)VM r Dr, Arista Holstein L)V114 718 South 191' Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holstelnchnic@gmail -corn LICENSE FEES hitact Dog or Cat: $16.00 or cat: $11.00 fPe,PIWO 817t Tag $6.00 Total $Al_ PEGS THAT 4RE D� THE ACTIVE p��i'�NTIALLY DANf E'ROUS OR PANt;EROUS IJO �iT NEED TO RESISTER DIRECTLY AT E17Y HALI. FAXED 03-14-23 ' BY 03/14/2023 17:41 4024260101 HOLSTEIN VET CLINIC PAGE 03/03 2023 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT(S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF GLAIR, — 218 S, 16Tii ST — BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. ***PLEASE READ CAREFULLY'** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. THE CITY OF BLAIR REQUIRES PROOF OF RABIES VACCINATION. Failure to do so is a violation of City Ordinances 6,10 and carries a penalty of a fine up to $150.00 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 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 Kim Lammers Spouse Owner Address 2458 Clark St City/State/Zip Blair, NE 68008 Phone # 402-533-4576 Pat Name: Brewster Tag #180 Age: 14Y DOB: 09.01-08 Sex- Neutered Male Color: Black and White Breed: DSH Microchip # Rabies Tag # PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABI-P), # RABIES VACCINATION DONE ON 03-14-23 Rabies Description: 11 YEAR 3 YEAR Holstein Veterinary Clinic Dr, Lisa Schrum DIAM : Dr. Xtista Rolstelt? D VM 718 South 1 9th Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinieftmail.corri PAN(HROUS 04t3L LAST Nffl) FAXED 03-14-23 im Intact Dog or Cat: $16.00 r cat, $11.00 Replacement Tag Total $ JL'c-y 0Z � � CITY OF BLAIR ® 2023 PET LICENSE APPLICATION l 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 o 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 RE EWA(klS ARE DUE: March 15, 2023 Owner Name: Owner Address: city/state/zip: Blair,, NE 68008 Phone # y)_ b 3� q I LICENSE FEES: Dog or Cat: $16.00 Altered Do or Cat° $11 00 ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3/15/2023. The City shall recognize a microchip Identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city Identification other than that Issued by the City of Blair for such dog or cat. The City of Blair renuires proof of rabies vaccination to be submitted with your license application. g Replacement Fee for Lost Tag: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET #1 0. Dog ❑ Cat ❑ Spayed/Neutered License Fee $ I - o v Pet Name_ s s i- c i_ i e Birthdate y. Sex Color -I/ -I "rr Breed** Replacement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y ON MICROCHIP # (9 0 L( - n 71 - 7Y3 (If applicable) SUBTOTAL: $ // - 0 C2 RABIES VACCINATION DATE: 05- -Li o x j (3 yr) c/ (1 yr) City Tag # I T 7 0 ET #2 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Birthdate Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ W License Fee $ Rep/acement $ * * SU TOTAL: $ (1 yr) City Tag # T # . ❑ 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 If you have questions, please contact Blair Police Department at (402) 426-4747 ++++++++++++++++++++++++++++++++++++++++++++++++++++++++¢++++++++++++++++++++¢ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (Marchl5/ate fee date not appllcablefor newpets/newresldents) Newly Acquired Pets: New Residents to Blair: Must be licensed within 10 days of ownership ■ Must register pets within 10 days of <OR> at 6 months of age if puppy/kitten residency. 2023 PET LICENSE VERIFICATION/APP'LICATION EMIR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR GAT(% COMPLETE THIS FORM AND RETURN WITH A E:Hr=GK PAYABLE TO: CITY OF BLAIR - 218 S. 16TH ST — BLAIR, NE 6801+08 yoU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUY NO MORE THAN THREE (3) ADULT DOGS OR THfir� (a) ADULT CATS PER RESIDENTIAL OR DWE,4.EING UNIT. **�PLEA$E READ CAREI"ULLY�� YOU ARE lihaUIRED BY LAW TU LINOWK7 PETS- THE CLAY OF BLAB__ IRES PROfJF f]F RAI IES VACCIN&TIQ11.Failure to do so is a violatioinancos 6.103 and carries a penalty of a fine up tc, $150.00 per pet. E REI1!)�WALS Ia�t bUE BY.3/1S/Q3.The city se $microchip Ila number as ehe IiCanSQ number.It shall be urilawfUl fQr any dog or cat to wse or other City ID other than that issued �y tfte Gity of Blair for such dog or cat.NEW PETI..ICENSING Must be licensedwithin 1aysof ownership (OR) at 6 months of age if puppy or kitten N.EVd RESIDENTS TO BLALEi Must register pets within 10 days of residency Owner Name Spouse Owner Address City/State/Zip Phone # Pet Name: Bandit Age: 5y DOS. 06-06.17 Breed., fP'ug/Rat Tr Sem! Neutered Male Tim Lantry Jessica 1392' Skyline drive Blair, NE 68008 402-237-1289 Tag #2220 1c olar: F-auvn IVlicrochip # 985112005077975 _ Rabies Tag ## 19346 PLEASE INCLUDE CITY TAC NUMBER IF THIS I5 A RENEWAL (IF AVAILABLE)! # RABIES VACCINATION DONE ON 08-06-21 lRables Description: 1 YEAR - f . 3 YEAR Holstein Veterinary Clinic Dr. Liss Schrum DVM : Dr. Krista Holstein DVA4 718 South 191h Street Blair, NE 68008 402-426-7387 402-426-0101 Fax hafsteinclinic@grnail.com LICENSE FEES /r1 tract [)oo or Cat: $16.00 A/aFered Dock or Gat: $11.00 em ay $6.00 Total s4- p�j NATAREOIU71d�ACTIVEPOiEN71ALLYDAWER US OR DAlVGEI _CQ.S DOG LISTNEED TQ . G15TER DlRECT1YA7 I FIALL. FAXED 03-01 23 BY 477;7-7;t=4=4,:1:;'> TO/TO 39dd OINI-10 i3A NI3IS10H TOT09ZbZOh OT:OT EZUZ/T0/60 CITY OF SLAIR — 2023 PET LICENSE APPLICATIOIoI 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: ' J Owner Address:, ` City/State/Zip: Blair, NE 68008 Phone # / LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11.00 ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3/15/2023. The City shall recognize a microchip identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city Identification other than that Issued by the City of Blair for such dog or cat. The City of Blair requires proof of rabies vaccination to be submitted with your license application. Replacement Fee for Lost Tag: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET # 1 Dog ❑ Cat Spayed/Neutered License Fee $' Pet Name 5 Birt date Sex color �r > � — Breed** � ' r� "-�& 6 Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y )4N MICROCHIP # _ l f i ,% (If applicable) SUBTOTAL: $ / " f RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # PET #2 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Birthdate Sex Color Breed" Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Birthdate Sex Color Breed" Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ ❑N ■m (1 yr) (1 yr) License Fee $ Replacement$ ** SUBTOTAL: $ City Tag # License Fee Replacement $ SUBTOTAL: $ City Tag # *PLEASE INCLUDE THE CI Y 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 Sena Cash by Mail TOTAL ENCLOSE®$ If you have questions, please contact Blair Police Department at (402) 426-4747 ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++.....+ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15/ate fee date notapplIcab/e fornewpets/newres/dents) Newly Acquired Pets: New Residents to Blair: ■ Must be licensed within 10 days of ownership ■ Must register pets within 10 days of ■ <OR> at 6 months of age T puppy/Htben residency. Date of Rabies Vaccination: 06-20-22 Next Rabies Vaccination On: 06-19-25 VETERINARY CLINIC Thone Animal Hospital 902 S Hwy 30 Blair, NE 68008 402-426-3630 Certificate No: 2908 Previous Rabies Vaccination: OWNER OF ANIMAL Sandy Larsen 421 N 19th St Blair, NE 68008 County: This is to certify... THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Gus TAG NO: 008012 SPECIES: Canine WEIGHT: 43.00 SEX: N AGE: 13 months Color and markings... Brindle Signed Dr. Joe DiMari Vaccinations done... License: 3258 06-20-22 JRD Rabies Vaccination (3 Year), #008012 06-19-25 06-20-22 JRD Bordetella Oral 06-20-23 06-20-22 JRD DA2PPV 3yr 06-19-25 08-16-21 JRD Rabies Vaccination (1 Year), #007024 07-08-21 JRD DA2PPV Rabies Vaccine Information... MFG BY: ZOETI SER.NO: 556836 LOT EXP: 04/25/23 ADM: SQ 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 RN ALShRE DUE: March 15. 2023 ***PLEASE READ CAREFULLY*** Owner Name: I' � � YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Owner Address:// > / Y i ti Q 2✓Cv" 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: la"r, E 68008 / � _ /` -�/' — ( / ,7`� PET LICENSES RENEWALS ARE DUE BY 3/15/2023. The City shall Phone # GL� n recognize a microchip identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city Identification other than that Issued by the City of Blair for such dog or cat. The City of Blair renuires proof of rabies vaccination to LICENSE FEES: Dog or Cat: $16.00 be submitted with your license application. Altered Dog or Cat: $11.00 c-placcirjeril 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 ❑ C a t 'W(Spayed Ne tered License Fee $ Pet Name Birthdate Sex Color r Breed** `1°��w>��,, Rep/acement$ ** Declared Dangerous or Potentially Dangerous og: ❑ Y �<N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE:) & (3 yr) (1 yr) City Tag # T D o g ❑ Cat -Spayed/Neutered License Fee $ I Pet Name Birthdate % i Sex Color Breed** t �5o(A' A Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y 54-,N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: b -/5-- )6 z I (3 yr) (1 yr) City Tag # PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed** Rep/acement$ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not Send Cash by Mail TOTAL. ENCLOSED If you have questions, please contact Blair Police Department at (402) 426-4747 ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++.....+ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March I5/ate fee date notapplicable fornewpe&lnewresldents) Newly Acquired Pets: New Residents to Blair: • Must be licensed within 10 days of ownership E 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 a 218 S 16th St a Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2023 Owner Name::.f Owner Address: city/state/zip: Blair, NE 68008 Phone # LICENSE FEES: Dog or Cat: $16.00 Altered Do or Cat: $11 00 ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 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 ET # 1 Dog ❑ Cat J,Spayed/Neutered License Fee $ 1 t1 Pet Name d } ; Birthdate 1 ' 3 R. Sex � Color e'ww,.m e,E , Breed** -i'tr,-LitJ Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y aN MICROCHIP # (If applicable) I SUBTOTAL: $ RABIES VACCINATION DATE: a ; -i ) ,,j (3 yr) (1 yr) City Tag # 3 it PET #2 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Birthdate Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ (1 yr) License Fee $ Replacement $ SUBTOTAL: $ City Tag # * PET #3 . ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed** Replacement$ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not Send Cash by Mail TOTAL ENCLOSED $ If you have questions, please contact Blair Police Department at (402) 426-4747 ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (Marnh15/ate fee date not applicablefornewpeis/newres/dents) Newly Acquired Pets: New Residents to Blair: ■ Must be licensed within 10 days of ownership ■ Must register pets within 10 days of ■ <OR> at 6 months of age if puppy/kitten residency. Client ID: Client Name Tag Number: Vaccine: Producer: Brand: .inner of 8247 BoyneLoroon 421 North 23rdSt Blair, NE 68008 (402)426-4253 5840 |mnabRabies Vaccine [Neria| |mnab 3 TF Killed Virus Subcutaneously Staff Name: David EJohnson DVM License Number: 1883 Doctor Signature: Blair Small Animal Clinic PC David E.Johnson OVM 1734Front Street Blair, Nebraska, 88008 Rabies Certificate Patient ID: Patient Name: Gpeo|ao: Breed: Sex: Markings: Birthday: Weight: Microchip |O: Vaccination Date: Expiration Date: Lot Number: Drug Expiration Date: 8595 Chewy Canine Tibetan Terrier Spayed Female Multi Brown/Blk/White O&/24/2O12 21.2Opounds on3/1/2O22 885111000099788 6/17/2O2O GN7/2023 18445 7/3/2021 CITY OF BLAIR ® 2023 PET LICENSE APPLICATION - - 3 If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair e 218 S 16th St @ Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2023 Owner Name: Ro 51!!!F✓z- Owner Address: 2+1 b & G- i IL city/state/zip: Blair,, NE 680 Phone # &Go - 90 I/- & 9Z 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 Free for Lost Tag: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program Dog ❑ Cat 5�- Spayed/Neutered License Fee $ PetName ZTuS' 7 C C-"' Birthdate -/o- /5 Sex i �mA,( Color Breed** ,SchSvooOc-C Replacement$ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y M N MICROCHIP # OAN 22 74 7 2-3 (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) ✓ (1 yr) City Tag # " f ET #2 ❑ Dog M Cat It Spayed/Neutered License Fee $ 19- Pet Name iE Birthdate Sex FR-�m~ Color 62A Breed** ��ss.� N I3�uc Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N oC? MICROCHIP # l?'5/1.30D2•I//z (If applicable) SUBTOTAL: $ � RABIES VACCINATION DATE: '/-/6- Z/ (3 yr) _ cx (1 yr) City Tag # 2 7 PET # ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Birthdate Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ 0 N License Fee $ Replacement $ SUBTOTAL: $ (1 yr) City Tag *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) ** d� Do Not Send Cash by Mail TOTAL ENCLOSED $ ZZ - 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 Acquired Pets: New Residents to Blair: • Must be Ifoensed within 10 days of ownership 0 Must register pets within 10 days of • <OR> at 6 months of age if puppy/k tYen residency. CERTIFICATE OF VACCINATION Date of Rabies Vaccination: 04-15-21 Certificate No: 11282 Next Rabies Vaccination On: 04-14-24 Previous Rabies Vaccination: VETERINARY CLINIC OWNER OF ANIMAL Orchards Veterinary Clinic Robert Latter 6307 N. E. 11 7th Ave 18001 NE 28th St Vancouver,_ WA 98662 Vancouver, -W- A 98682 (360) 256-3878 County: This is to certify... THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Em TAG NO: 354190 SPECIES: Feline WEIGHT: 12.10 SEX: S AGE: 4 years Color and markings... ORCHARD;Q. VETER,5NARY CLINIC 6997141:: NIE" i i7th Avenue Uv, Signed Eric Atwell, D.V.M.. Vaccinations done... 04-15-21 EA Rabies Feline (3yr) 04-15-21 EA RCP/FELV 2 YR Rabies Vaccine Information... License: 04-14-24 04-15-23 MFG BY: ZOETI SER.NO: 428369 LOT EXP: 11 /21 /23 ADM: SQ CERTIFICATE CIF VACCINATION Date of Rabies Vaccination: 04-15-21 Next Rabies Vaccination On: 04-14-24 VETERINARY CLINIC Orchards Veterinary Clinic 6307 N. E. 117th Ave Vancouver, WA 98662 (360) 256-3878 This is to certify... Certificate No: 11283 Previous Rabies Vaccination: OWNER OF ANIMAL Robert Latter 18001 NE 28th St Vancouver, WA 98682 County: THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Justice TAG NO: 354189 SPECIES: Canine WEIGHT: 15.20 SEX: S AGE: 5 years Color and markings... Salt & Pepper 0.RCI-1Ah)i; VETr]n;1NARY CUNLO I Tth 70zrenue' WA 100U.2 Signed Eric Atwell, D.V.M.. Vaccinations done... 04-15-21 EA Rabies Canine (3yr) 04-15-21 EA DHLPP (3yr) 04-15-21 EA Bordetella (1yr) 06-20-18 RL DHPP(3yr) Lepto(lyr) 01-08-16 SK Rabies Canine (1yr) 12-19-15 NS Leptospirosa Vaccine Rabies Vaccine Information... License: 04-14-24 04-14-24 04-15-22 04-15-22 04-15-22 MFG BY: ZOETI SER.NO: 428369 LOT EXP: 11 /21 /23 ADM: SQ VI I LICENSE A , "/0 1/3`/ ' If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair 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: Owner Address: City/State/Zip: Blair, NE 68008 l 1 Phone # I 10.�.- #,�f;, - ,% � / < _. LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $li 00 ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3/15/2023. The City shall recognize a microchip Identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city Identification other than that Issued by the City of Blair for such dog or cat. The City of Blair renuires proof of rabies vaccination to be submitted with your license application. Replacement Fee for Lost Tag: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET #1 3 Dog ❑ Cat ❑ Spayed/Neutered License Fee $'N' Pet Name Birthdate 1� Sex -d Color L c; j, Breed**Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y 'M N , MICROCHIP # -_., (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: r (3 yr) i , (1 yr) City Tag # no 21+1 PET # 2 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Birthdate Sex _ Color Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) PET #3 , ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Birthdate Sex — Color Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) (1 yr) (1 yr) License Fee $ Replacement $ SUBTOTAL: $ City Tag # * License Fee $ Replacement $ SUBTOTAL: $ City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not Send Cash by Mail TOTAL ENCLOSED $ M--(`'` If you have questions, please contact Blair Police Department at (402) 426-4747 ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (Ma/rh15/ate fee date not applicablefnrnewpets/newre5/dents) Newly Aouired Pets: New Residents to Blair: ■ Must be licensed within 10 days of ownership ■ Must register pets within 10 days of ■ <OR> at 6 months of age if puppy/Idtten residency. 01/26/2023 18:17 4024260101 HOLSTEIN VET CLINIC PAGE 01/03 2023 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF CLAIM IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT(S), COMPLETF THIS FORM AND RETURN WITH A CHECK PAYABLE TO' OI`I'Y OF BLAIR - 218 6, 16TH ST - BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. '"PLEASE READ CAREFULLY"" YOU ARE REQUIRED BY LAW Tt1 LICENSE Yt�UR P TS THE CITY OF BLAIIj REt�UIRES PR�10F OF RABIES V�OCINATIIQpI Failure to do s4 is a violation of City Ordinances 6,103 and carries a penalty of a fine up to $15D.00 per )yet. PET LIG NE SE REI�i W(�ALS ARC E BY 375/2Q23 The city shall reoogn)ze a microchip 1D number as the license number. It shall be unlawful for any clog or cat to wear any license or other city ID other than that issued by the City of Blair for such dog or cat. NEW PET L) ENSING Must be licensed within 10 days of ownership (OR) at 0 months of aye if puppy or kitten NEW RESIDENTS TO Bl AIR_ Must register pets within 10 days of residency Owner Name Spaue pun Lautrup Owner Address 2030' South St. ~ city/state/Zip Blair, NE 68008 Phone # 402-426.91634 Pet Name; Sadie Tag #3782 Age, 8M DOB: 05.17-22 Sex: Female Dolor: Breed! Chihuahua Mior whip # 985141004401399 Rabies Tag # 23043 PLEASE INCLUDE CITY TAG NUMBER IF TEAS IS A RENEWAL (IF AVAILABLE); # RABIES VACCINATION DINE ON Rabies Descriptiow =YEAR3 61.26.23 YEAR Holstein Veterinary Clinic Dr. Lisa 5c:hrum DVM Dr. Kris a .Nolsteln A9VM 718 South 19th Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holste.inClitliC@gmeil.Cgm LICENSE FEES Intact Dog Cat: $16. AItereel Dog or cat: $11.00 Replacement rap $5.00 1 To #QI_ 1..O PETS THAT All; ON THE ACTIVE POTENTIALLY DANGEROUS OR DANGEROUS DOG U5T NEED TO REGISTER DIRCCTLY AT CITY HALL. FAXF0 01.26-23 BY 01/26/2023 18:17 4024260101 HOLSTEIN VET CLINIC PAGE 03/03 2023 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN 13LAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT(S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TQ CITY OF BLAIR — 7-18 S. JOTH ST — BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADL)IJ PETS, BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR OWELLINO UNIT, *—PLEASF, READ CAREFULLY*" nEa ED BY LAW . TO Ll SE YQ PETS. OF 9f RA.BIL§J-A—CQ1NAV0-N-- YOU ARE REQ_ gjB Failure to do so is a violation of City Ordinances 6.103 and carries A penalty of a fins up to $150.00 per pet. PET LIGENS RENEWA RE DU SY'At"119924. The city shall recognize a microchip 10 number as the license number. It shall be unlawful for any dog or cat to wear any license or other city ID other than thatIssuedby the City of Blair for such dog or cat, �W PET LICE.RSLNG-Must be licensed within 10 days of ownership (OR) at 6 months of age if puppy or kitten NEW RESIPEN [aiDULN-8 IVIdst register pets within 10 days of residency 0yvnorA%1ama Spouse Owner Address CitylState/Zip Phone# Pet Name: S8MMY Age: 15Y sex- Spayed Female DOB, 07-07-07 1 Breed: reed: Domestic Shorthair Don Lautrup Carol 2030 South St. Blair, NE 68008 402-426-9634 Tag # 1777 Color: Lynx Pt Microchip # Rabies Tog# PLEASE INCLUDE CITY TAG NUM13ER ir THIS IS A RENEWAL (IF AVAILABLE): # RABIES VACCINATION DONE ON Rabies Description: 1 YEAR 3 YEAR Hul:Ae,in Veterinary Clinic Dr, Lisa Schrum D VM ! Dr. Kriqta Holstein D VM 718 South 1 91h Street Blair, NE 68008 402-426-7387 402-426-01 Q1 Fax h0steindinic@gmail-col-n - LICENSE FEES - Intact L)og or Cat; $16-00 Dc6 or oat' $11 -OV Replacement 789 $5.00 Total PETS THAT ARE ON THE AQV1-'PQTENT1ALLYPA-NGERQUS OR � DA 1 I - 2023 PET LICENSE APPLICATION 3-df- (�,13 If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair 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: Owner Address: i City/State/zip: Blair, NE 68008 Phone # q 0- 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 anDlication. IRepiacement Fee for Lost Tag: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET #1 4 Dog ❑ Cat d Spayed/Neuter d License Fee $ Pet Name Birthdate ex Color Breed** Replacement $ ** Declared Dangerous or Potentially Dangerous og: ❑ Y ® N MICROCHIP applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # * PET #2 Z" Dog ❑ Cat payed/Neutered License Fee $ 11-00 Pet Name NNA240 Birthdate it lasex Color Breed** Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y N MICROCHIP # W, _ ljg(If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: q--i& (3 yr) (1 yr) City Tag # kj 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 $ Rep/acement $ * * SUBTOTAL: $ City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not Send Cash by Mail TOTAL ENCLOSED $ If you have questions, please contact Blair Police Department at (402) 426-4747 ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15/ate fee date notapplicable fornewpets/newresidents) Newly Acquired Pets: New Residents to Blair: ■ Must be lioensed within 10 days of ownership ■ Must register pets within 10 days of ■ <OR> at 6 months of age if puppy/Idtten residency. T LXCENSE 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 a Blair, ME 68006 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, Owner Name: OwnerAddress: PhoneCity/State/Zlp: Blair, NE 68008 LICENSE 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 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 i � � rt c a PET #1 ® Dog �j. Cat _ Spayed/Neutered License Fee $ i ` Pet Name`°: Birt date z Sex Color Breed**— Replacement $* Declared Dangerous or Potentially Dangerous Dog: ® Y N MICROCHIP # (If applicable) SUBTOTAL-. RABIES VACCINATION DATE `# (3 yr) (I yr) City Tag # is PET #2 ® D o g® C a t ® 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: Ll Y ® N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (I yr) City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not Send Cash bY man TOTA L E N C LOS If you have questions, please contact Blair Police Department at (402) 426-4747 NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (march 15late fee date not applicable for newpets/newresldents) Newiy Acquired Pets: New Residents to Blair: Must be lioensed within 10 days of ownership in Must register pets within 10 days of <OR> at 6 months of age if puppy/kitten residency. Date 11/12/2023 Owner's Name and Address AMANDA LEARY First Last 659 N 12 ST Address BLAIR NE 68008 City. State Zip Owner's Phone 4027142097 Pet Name DINO Species Cat Pet Gender Male Spayed or Neutered? YES Pet Age 12 Pet Color GREY Pet Breed DSH Weight 20 Tag Number0067 Rabies ,if given Expires, 11/11/2026 Vaccinations Given: All other vaccines expire Rabies vaccine given 1 year from date of ONLY IF tag number vaccination Rabies 10 shown above Distemper* Kennel Cough a -leg Feline Leukemia Signature: Vet # NE2897 Microchip Rabies Manufacturer: Zoetis TOTAL 10 *For Dogs: Canine Dlstemper-CAV2-Parainfluenza-Parvovirus- Leptospira-Canicola/lctero For Cats: Feline Rhinotracheitis-Calici-Panleukopenia caringforallpets@yahoo.com F 13 link to current vaccination schedule D-) �'� 1 �,3 t� � b )- � CITY OF BLAIR ® 2023 PET LICENSE APPLICATIOW4ion 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: �� V� ('t r - e- Owner Address: A u - .5 city/state/zip: Blair,, irryr 68008 /� Phone # ` 0-2 — r2 / ,K- 0 2 � —5 LICENSE FEES: Dog or Cat: $16.00 Altered Do or Cat• $11 00 ***PLEASE READ CAREFULLY' YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3115/2023. The City shall recognize a microchip Identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city Identification other than that Issued by the City of Blair for such dog or cat. The City of Blair renuires proof of rabies vaccination to be submitted with vour license application. g Replacement Fee for Lost Tag: $5.00 Included is a State Fee of $1.25 Ding collected to fund the Nebraska Dog & Cat Operator Ins 'on Program PET #1P Dog ❑ Cat payed/Neutered License Fee $ Pet Name Birfhdate Sex J- Color yi//- . Breed** ,/may,6 Replacement$ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y g _N MICROCHIP # (If Applicable) SUBTOTAL: $ 0 RABIES VACCINATION DATE: — � `(3 yr) (1 yr) City Tag # 3Z2,3 PET #2 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Birthdate Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ 1' #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Birthdate Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ m License Fee $ Replacement $ SU TOTAL: $ (1 yr) City Tag License Fee $ Replacement $ ❑N SUBTOT L: $ . (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.) e3 * Do Not send Cash by Mai! TOTAL L p" If you have questions, please contact Blair Police Department at (402) 426-4747 .....++++a.++++++.....++++++++++++++++++.....+.++++++++++.....++++++..... ++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15/ate fee date not applicable fornewpets/new residents) Newlycguired Pets: New Residents to Blair: ■ Must be lioensed within 10 days of ownership m Must register pets within 10 days of • <OR> at 6 months of age if puppy/kitten residency. If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City lair 9 21816th St e Blair,, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2023 Owner Name: Owner Address: city/state/zip: Blair,, NE 68008 Phone # `� -'81 ' \ �b3 LICENSE FEES: Dog or Cat: $16.00 Altered Do 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. 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 La Spa ed/Neutered License Fee $ Pet Name��oti\v Birthdate -N' I- I A Sex C Breed** \NN � x, 9 Replacement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y .❑ N MICROCHIP # (If applicable) SU TOTAL: $ RABIES VACCINATION DATE: S - S a (3 yr) (1 yr) City Tag #-' l' #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 ❑ N MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) (1 yr) (1 yr) License Fee $ Replacement $ SUBTOTAL: City Tag # 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 Send Cash by Mail TOTAL ENCLOSED If you have questions, please contact Blair Police Department at (402) 426-4747 ++++++++++++++++++++++++++++++++++++++++++++++++.....++++++++++++++++++.....++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15/ate fee date not applicable fornewpets/new residents) Newly Acquired Pets: New Residents to Blair: • Must be lioensed within 10 days of ownership N Must register pets within 10 days of • <OR> at 6 months of age if puppy/kitten residency. �t CITY F - LIE APPLICATIONir' ' 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 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: LhU �I %� 1,emytV Owner Address: �l �� PL+-6 d G b a City/State/Zip: Blair, NE 68008 Phone # LICENSE FEES: Dog or Cat: $16.00 Altered Do or Cat $11 0 ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 31 5/2023. The City shall recognize a microchip Identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city Identification other than that Issued by the City of Blair for such dog or cat. The City of Blair requires Proof of rabies vaccination to be submitted with your license application. 9 Replacement Fee for Lost Tag: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET #1 0 Dog ❑ Cat /Lf Spayed/Neutered License Fee $ Pet Name G�AI Birthdate I l- T Sex Color V-, Irn nM Breed** 1,60o Replacement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y Z N MICROCHIP #,. 15/, bbb M /-/ c�yb (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: X�1 i (3 yr) (1 yr) City Tag # TTn �47bLlq 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 $ If you have questions, please contact Blair Police Department at (402) 426-4747 ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (Mamc Mate fee date notapplicablefor newpets/new residents) Newly Acquired Pets: New Residents to Blair: ■ Must be licensed within 10 days of ownership ■ Must register pets within 10 days of ■ <OR> at 6 months of age if puppy/kitten residency. Blair Small Animal Clinic PC David E.Johnson DVM 1734 Front Street Blair, Nebraska, 68088 I Rabies Certificate Client ID: 0745 C|iemiNome: Kim & Chad LaQgott Address: 2U77CrmntridgeDrive Blair, NEG8OO8 Phone: (402)641-6534 Tag Number: 7049 Vaccine: |mrabRabies Vaccine Producer: K8ahe| Brand: |nnnsb 3TF Killed Virus Aannerof Subcutaneously Staff Name: DavidE. Johnson DVM License Number: 1893 Doctor Signature: Patient ID: 7878 Patient Name: Cubby Species: Canine Breed: Labrador Retriever Sex: Neutered Male Color: Chocolate Markings: Birthday: 02/24/2015 Weight: 60.2Opounds on5/11CZO21 Microchip ID: 956000004240227 Vaccination Date: 5M2/2022 Expiration Date: 5112/2025 Lot Number: 18528 Drug Expiration Date: 9/15/2023 l V a� Ca CITY OF BLAIR - 2023 PET LICE W / S--/ If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair a 218 S 16th St • Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2023 Owner Name: Owner Address: ` �'' J'_d c� city/state/zip: Blair, NE 68008 Phone # I&' - LICENSE FEES: Dog or Cat. $16.00 Altered Dog or Cat: $11 00 ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3/15/2023. The City shall recognize a microchip Identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city Identification other than that Issued by the City of Blair for such dog or cat. The City of Blair 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 ET #1 W Dog ❑ Cat 21 Spayed/Neutered License Fee $ i t d 6 L' Pet Name � o.�c) Birthdate �i 3 � Se . Color �� o - 4-tj 4 16 6, 71 � Breed � � �� a � �. r� �,.� � � Replacement $ * * Declared Dangerous Potentially Dangerous 9:❑®N MICROCHIP 0;-.'c,(-)(I.53If applicable) SUBTOTAL: $ lk c RABIES VACCINATION DATE: /- :3 1 - /o L,-7-(3 yr) IL (1 yr) City Tag #i PET #2 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Birthdate Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ (1 yr) License Fee $ Replacement $ SUBTOTAL: $ City Tag # PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed** Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not send Cash by Mail TOTAL ENCLOSED $ � If you have questions, please contact Blair Police bepartment at (402) 426-4747 ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March t5/ate fee date notapp/icab/e fornewpets/new residents) Newly Acquired Pets: New Residents to Blair: ■ Must be licensed within 10 days of ownership ■ Must register pets within 10 days of ■ <OR> at 6 months of age if puppy/kitten residency. 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 FOAM AND RETURN WITH A CHECK PAYABLE TO, CITY OF BLAIR - 218 S. 16TH ST - BLAIR, NE 68008. YOU MAY LEGALLY OWN A COMWNATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PeR RESIDENTIAL OR DWELLING UNIT, ***PLIi,;ASE READ CAREFULLY"' YOU A Falluro to do soisa violation of City Ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. The city shall recognize a microchip ID riumber,96 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 EET LICENSINaMust be licensed within 10 days of ownership (OR) at 6 months of age if puppy or kittell N Af fD�S Tt GL AIR Must register pets within 10 days of residency Owner Name Kiley Letcher Spouse James Owner Address 2160 Crestridge Dr pity/state/zip Blair, NE 68008 Phone .# 402-533-8657 Pet Name: yadi Age: 7Y DOB: 08-20-115 Breed: Or Dane X Sam, Neutered Male Microchip # 985112006286120 CITY TAG NUMSER IF THIS IS A RABIES VACCINATION DONE ON Rabies Description: I YEAR Color: Brown/Wh Rabies Tag # fir AVAILABLE). # 3 YEAR Holstein Veterinary Clinic Dr. Lisa Schrum D VA4 : Dr. KrIsta Halstoln V V114 718 South 1911, Street Blair, NE 68008 402-42(3-7387 402-426-0101 Fax holsteinclinic@grnaii.com LICENSE FEES . 110tact ' Dog or Cat, $15-00 Replacement Tag $5.00 Total $— — QAN9ERQUS 0041ST NEE P� TOPECISTER�I)f?eCTLY�-ftITYH�LL, —_ FAXED 03-06-23 :B:YY:� C'n!Tn 0jjqj-j0 j3A Nj3iS-1OHZ►3ZO9ZbZgb C6:9T EZOZ/90/60 2023 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOGS) AND /OR CAT(S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO; CITY OF 13LAIR - 218 S. 16"H ST - BLAIR, NE 68008. YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PET$, BUT NO MOR8 THAN THREE (3) ADULT DOGS OR THRE.r. (3) ADULT CATS PER KSIDENTIAL OR DWELLING UNIT, YOU AFiE REQUIRED 13'Y LAW TD LICENSE Yt:it1R REPS. THE �iITY OF GLAIR FIE []iRES PRtgC�F OF RA$fES VACCINA"tfUiV Failurr� to do so is a viola#ion of City Ordinances fi.1o3 and carries a penalty cif a fine up to $15p,00 per pet. The city shall recognize a microchip IQ number as the IicensQ number. It shah N other than that issues y the City of Blair for such dog or cat, —EW--NIUKEN.—INQ Mu be licensed within 10 days of o nership (OR) o: U munths of age, if puppy or kitten -0LAIR MU!3t register Pets within 10 d NEW RE INDENTS T 1 '9 U-B-—ays of residency Owner Name spouse Owner Address City/statelzip Phone # Name: Waffles Age: 23M DOB: 03-29-21 Breed.- DS11 Sex: Spayed Female 1P # 985141003516506 Kiley Letcher James 2160 Crestridge Dr Blair, NE 68008 402-533-8657 Color: White/Ten Rabies Tag # PLEASE INCLUDE CITYTA-G —NUMBER IF THIS I —SA R—M—EWWA-t-(IF —AVA1LA[3LI4)-.—* RABICS VACCINATION DONE ON 08-19-22 Rabies Description': 1 YEAR) 3 YEAR DANGEROUS 'Holstein.Veterinary Clinic 49r. Lisa ,Schrum D VA4 : De Krl9ta Holstein D VM 718 South 1 9th Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteincli.nic@gmail-com LICENSE FEES Intact Dog or Cat: $moo ?rRe;;A� as or cat, $1 I.pb RePlacement Tag $5.00 Total CO/30 39Vd DINI-10 13A NI3.LS-10H TOT09ZVZOV 66:9T CZGZ/90/EO 2023 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF 13LAIR IP YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CA-r(S), COMPLETE THIS FORM AND NETURN WITH A CHECK PAYABLE TO: CITY OF BLAIR — 218 S. 1ST" ST — BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT Pr='CS, BUT NO MOR5 THAN'THRE.r= (3) ADULT DOGS OR THREE, (3) ADULT CATS PER RMI)ENTIAL OR DWELLIN(j UNIT, Y Failure to,do so is a violation of pity Ordinances 6.10� and carrias a penalty of a fine up to $15q,00 per pet, The city shall r9cegnize a mirrouhip ID number as the license nt�rhbor. It shall hg unlawful for any dog 4r Cet tO wear any license Or Qtller city ID other NEW2EIILCENn a issuedY a City of Blair for Such dog or cat, ---SIN—GM List I)e lice nse within daysofownership (QR)at6 M Ohths Of age if PUPPY or kitten NEWBMDLNIS-T •LAIR must register Pets within 10 days of residency Owner Name Spouse Owner Address City/State/Zip Phone# Pet Name: Pancakes Age: 23 M DOB: 03-2-9.21 Breed: DSH Sex: Spayed Female Microchip # 98614100351721:4 Kiley Letcher James 2160 Crestridoe Dr Blair, NE 680.08 402-533-8657 Color; Wh/Gray Rabies Tag # PLEASE INCLUDE CITY TAG NUMBER —IF—THIS IS ARENEWAL —(IF —AVAILABLE)-7# RABIES VACCINATION DONE ON 08-08-22 Rabies Description- rlTYEAI3 3 YEAR Holstein Veterinary Clinic Dr. Lila Sohrum D V1W : 01-, Ktistd Holstein D IAM 718 SOLITh 1911 Street Blair, NE 68008 402-426-7387 402-426-0101 Fax hoisteinciiiiic@gmaii.com CO/60 39VJ DINI-10 13A NI31S-10H QAN90�OUSDQOL�,TNEE M9NU,-Efta Intact Dog or Cat, $16.00 Ifered Dog cat: $11.00 4tD HePlOcement Tag $8.00 Total TOT09i7lvzov 66:9T 6Z03/90/c0 ko"V4 ?9 w6 CITY OF BLAIR ® 2023 PET LICENSE APPLICATION 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 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: - hty— Li l C, - � V Owner Address: 20 City/state/zip: Blair, NE 6008 J Phone # 1 I311- Ll0Ci _3 i I LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11.00 ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3/15/2023. The City shall recognize a microchip Identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city Identification other than that Issued by the City of Blair for such dog or cat, The City of Blair requires Droof of rabies vaccination to be submitted with your license application. Replacement Fee for Lost Tag: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET #1 h Dog ❑ Cat �,W Spayed/Neutered License Fee $ C Pet Name lAcei cA Birthdate , a 1�7 1� Sex E Color r r2 J�, ►- Breed" `c �r +=v eg„ ► -emsC v- Replacement $ Declared Dangerous or Potentially Dangerou Dog: ❑ Y A N MICROCHIP # ()�, U`(o, 53y _(If applicable) SUBTOTAL: $ 11, C`'C RABIES VACCINATION DATE: // -/ � - ,If _ (3 yr) _ (1 yr) City -fag # j� tom* 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) _ MO R (1 yr) License Fee $ Replacement $ CUBTOTAL: 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 EL , - 0 0 If you have questions, please contact Blair Police Department at (402) 426-4747 ++++++++++++++++++++++++++++++++++++.....+++++¢+++++++++++++++++++++++++++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March I5/ate fee date not applicable fornewpeis/new residents) Newly AMuired 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/ktten 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 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: Owner Address: city/state/zip: Blair, NE 68008 Phone # LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat.• $11.00 ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3/15/2023. The City shall recognize a microchip Identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city Identification other than that Issued by the City of Blair for such dog or cat. The City of Blair requires proof of rabies vaccination to be submitted with your license application. �eplacament 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 $ e rt d Pet NamBiate i>>Sex Color Breed** Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y C] N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag PET #2 ® Dog ❑ Cat ❑ Spayed/Neutered Pet Name Birthdate Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ M (1 yr) License Fee $ Rep/acement $ CUBTOTAL: ® 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 Sena Cash by Mail TOTAL ENCLOSED $ If you have questions, please contact Blair Police Department at (402) 426-4747 .....++++++.....+++++++++++++++++++++.++++++++++++++++++++++++++++++++..... .. NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15/ate fee date notapplicable fornewpets/newre5ident5) 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. q, I �' � '� o �' � "�' I, V4) 3 3 CITY OF BLAIR - 2023 PET LICENSE If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair • 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: e—+ LArA • aU. rtd'cr , t Owner Address: 11 city/state/zip: Blair, NE 68008 Phone # LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11 00 ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3115/2023. The City shall recognize a microchip Identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city Identification other than that Issued by the City of Blair for such dog or cat, The City of Blair requires Proof of rabies vaccination to be submitted with your license application. Replacement Fee for Lost Tag: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET #1 JU Dog ❑ Cat Jffi Spayed/Neutered License Fee $ Pet Name Birthdate ► Se F Color Breed** >Qr Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y 2kN MICROCHIP # CtOpj 0 ® (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: —1 —(3 yrj V _ .(1 yr) City Tag # W9 PET #2 J4 Dog ❑ Cat ZkSpa ed/Neutered License Fee $ Pet Name L Birthdate S SA Sex F Color Breed** Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y INN MICROCHIP # CCS'S 141003110844 (If applicable) SUBTOTAL: $ RABIES VACCINATION DTE: 3 yr) V'- (Iyr)City Tag #�* PET # 3 Ll Dog QK Cat M Spaye /N utered License Fee $ l Pet Name Birthdate y IVZ12o Sex M Color �l Breed**iv- Declared Replacement ** Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # gr14 1001"13t a6� (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: 91301 'a— ,(3 yr) (1 yr) ✓ City Tag #.�v *PLEASE INCLUDE THE CITY TAG NUMMR IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) V4 Do Not Send Cash by Mail TOTAL ENCLOSE® $ 00 a -' 402 6 -4l47 If you have questions, please contact Blair Police Department at( ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15/ate fee date notapplicable fornewpets/newresldents) Newly Acquired Pets: New Residents to Blair: ® Must be licensed within 10 days of ownership ■ Must register pets within 10 days of ■ <OR> at 6 months of age if puppy/kitten residency. 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 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: f4elcli i, m s'ci ICi z Li.vei-moI Owner Address: %' PC, a"� SZ City/State/Zip: Blair' NE 68008 Phone # 6/C Q> 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 Trag:-$5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program ET # 1 ❑ D o g Cat Spayed/Neutered License Fee $ ¢ t' Pet Name �s i� Birt date u,ni-r Sex s Color F1� e ©� .� 4 Breed** arc' Rep/acement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y N MICROCHIP # C� 0(If applicable) SUBTOTAL: $- RABIES VACCINATION DATE: 3' 9-J&a 3 (3 yr) (1 yr) City Tag # P T # 2 ❑ Dog ❑ Cat ❑ Spaye ered License Fee $ P Name BirZeed ex C or Bra ant $ De tared Da gerous or tentially us Dog: ❑ ❑ N MI ROC # (If applicable) SUBTOTA ° $ RAB ACCINATION DAT . (3 yr) yr) City Ta PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ \RAIES ame Birthdat Sex Bree R /acement $red D gerous Potentially D gerous Do . ❑ Y ❑ N OCH # (If applica SUBTAL• ACCINATION D (3 yr) (1 yr) ag # *PLEASE INCLUDE THE CITY TAG NUMBER 'IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not Send Cash by Mail TOTAL ENC'iLOSE$ .. �•0 If you have questions, please contact Blair Police Department at (402) 426-4747 .....+++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (Maroh 15/ate fee date notapplicable fornewpets/newresidents) Newly Acquired Pets: New Residents to Blair: ® Must be lioan9ed within 10 days of ownership Is Must register pets within 10 days of ■ <OR> at 6 months of age if puppy/kitten residency. Holstein Vet Clinic 718 South 19th Street Blair, NE 68008 402-426-7387 Check out our online store at www.HOLSTEINVET.com for home delivery! Printed: 03-07-23 at 5:18p FOR: Heidi Livermore Date: 03-07-23 1466 Park Street Account: 2274 Blair NE 68008 Invoice: 135639 Date For Qty Description 03-07-23 Scarlet 1 Your Receptionist is Sadie 03-07-23 1 Exam - Office Visit / Medical Exam Dental is recommended. 03-07-23 1 Vanguard® Rabies 1 {1 YEAR) 03-07-23 1 Vanguard® Feline RCP {Distemper) 03-07-23 Visa payment Old balance Charges Payments 0.00 106.25 106.25 Reminders for: Scarlet (Weight: 10.1 Ibs - ) Last done 03-06-24 Vanguard® Rabies 1 (1 YEAR) 03-07-23 03-06-24 Vanguard® Feline RCP {Distempe 03-07-23 Thanks for choosing us to take care of your pet's health care needs! Net Price Kul M 29.25 29.00 -106.25 New balance 0.00 CERTIFICATE 0Y. VACCINATION, Date of Rabies Vaccination: 03-07-23 Next Rabies Vaccination On: 03-06-24 VETERINARY CLINIC Holstein Vet Clinic 718 South 19th Street Blair, NE 68008 402-426-7387 This is to certify... Patient information... PATIENT: Scarlet SPECIES: Feline SEX: S Color and markings... Flame Pt Signed: L&swSdwwwvDVM Lisa Schrum, DVM Rabies Vaccine Information... Certificate No: 0 Previous Rabies Vaccination: OWNER OF ANIMAL Heidi Livermore 1466 Park Street Blair, NE 68008 County: License: 2310 MFG BY: ZOETI SER.NO: 595587 LOT EXP: 11/07/23 ADM: SQ . -I 1-9 ,.p� 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 @ 218 S 16th St o Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 1, 2023 Owner Name: Owner Address: 3 `; 'j t L " 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 avolication. 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 CA Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name w Birthdate Sex ** Color \=.. f '� 1. ; Breed**' 1 , �� Replacement Declared Dangerous or Potentially Dangerous Dog: ❑ Y ® N MICROCHIP # (If applicable) SUJ TOTAL: $ i .' RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag #, L ` r PET #2 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Birthdate Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ ■W T #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Birthdate Sex _ Color Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) License Fee $ Replacement $ ** SUIBTOTAL: $ (1 yr) City Tag # License Fee $ Replacement $ ** SUJ TOTAL: $ (1 yr) City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not Send Cash by Mail TOTAL j_.,Ge, , 0 6 If you have questions, please contact Blair Police Department at (402) 426-4747 +++++.....++++...........++.++++++.++++.+......+++.++............... ++.+++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March l5/ate fee date notappl/cable fornewpe�Inewresidenls) 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. of tile Jeanette Hunt Animal 5lieltet^ P.O. Box u13. Blade. Nr•. 6800$ Type of Intake: Owner Surrender Stray, Other Breed:! �✓�iwc Color: &6/- Weight: � ---ro lbAge: ,��i,q Thin orma Overweight Gender: M Ufl F FS Un. CONDITION Sick Injured Apparently Healt ATTITU.D. �FrlpnR Fearful Fracklqus BAR Lethargic COAT & SK No a Abnormal Flea dirt /live flea NO YES (note tx below) NOSE N I Ab mI Dog Intake Animal Intake Date: Animal Name:.' Notes: Spay/Neuter Scheduled Date: 'Scheduled Location: GAIT/MOBILITY (circle Lameness.noted? N YES (note which limb) If lameness present- weight bearing? YES NO ❑ Bordetella IN (Kennel Cough)<�)/)n 8 ❑ Flea/Tick Prevention ® Notes orm� nors ASSESSMENT: ❑ No problems, ok to be available HEART Normal Abnormal ❑ Minor problems seen, ok to be available ❑ Problems found, hold for vet check — MOUTH/TEETH/GUMS N orma Abnormal Painful Red gums BroTartar UROGENITAL Normal Abnormal Tattoo Visible YES NO Females: Spay Scar YES NO Males: Testicles palpable? TWO/ONE/NONE ❑ Going to foster/rescue Stage: AVAILABLE NOW Date Available: PENDING HOLD fP -- . .. . - -- r--1 0 os :Wad CZ-L-t L :dX31O1 L89969 :ON213S 113OZ :AS JAW ... 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(D =5 r+ z n c: (D :3 3 Ln (D (D 0- srt r) (D CY) (D r1i n 0 0 -3 0 c (D 0 0 0 0 0 E Z E� E7 E- (D (D (D n C n n n =5 m _0 @- _0 ET rD 3 (D (D m (D m n n L=nl rD o- (D ul m (A m (n (D r) > -n (D (D 3 m 0- CL CA x n (D r+ ( D V) rt 3 3 cu 0 rD (D 3 3 =5 _0 r+ (D r+ 0- m r+ Or ❑w �D t-j w O 00 Ln (D mih NJ NJ 00 > 0 < 0 (D 00 (D < < r) 0 E5, 0 3 CL 3 w r+ r+ (D r+ (D (D 0 1 CL ❑ 0 0 0 0 0Q 0 0 m0 O''Q- O n- > LI) LI) (n CL o rD < < r) GO ED (D (D n n w 06) (D Ln V) CL C) (D 0- (D (D 0 c 1+ F" =5 D-Q (D (D (D 0- (D 0} V- 0 > r+ =3 rt r+ r+ It r-t V) LA LA _0 < < 3 (Dro (D m Ln o- rt x (D (D 0 r+ r+ (D F =3 0 O (D (D r+ CD 11 El ® ® ® ® 0 0 0 0 0 0 (W > z 0 (Dai (D x rD CL s rD 0 (D 3 ono r+ 00 ro Nj 4-A (n Ln Ln V) W n (/) > z 0 (D m (D (D O 3 0- (D (D 0 1 3 iD 0) r+ LA (D r-+ LA (D 0 010 0 3 cu r+. 0 O r) lu r+ 0 3 lu f+. 0 =$ 03/16/2023 16:57 4024260101 HOLSTEIN VET CLINIC PAGE 01/04 2023 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND/OR CAT(S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF BLAIR - 218 S. 16TR 6T - BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT, -PLEASE READ CAREFULLY"% YOU ARE REQLlLRED BY LAW TO LICENSE Yo S THE CITY OF BLAIR.. IRES PROOF OF R �IE51/AGClNATIdN. Fallure to do so is a violation of City Ordinances 6.103 and carries a penalty of a fine up to $150.00 per pot. PET LICENSE Fr,�EWALS ARE DUE BY 3/1a/�U. The city shall recognize a microchip ID number as the licensa number. 4t shall be unlawfW for any slog or catto wear any 11ceIiso or other city ID other than that issued by the City of Blair for such dog or oat. NEW PET LICE Must be Iirpnsed within 10 days of ownership (OR) at 6 months of age, if puppy or kitten NEW RESIDEN L5j0_QjPjR Must register pets Within 10 days of residency Owner Name I -Diane Logemann Spouse Shirley Owner Address 736 South 13th St Apt 25 city/State/Zip Blair, NE 68008 Phone # 1T 402-870-7148 Pat Name: Buddy Tag #3519 Age: 6Y DOB:—03-13-17 Sex: NeoYered Male Color: Breed: Dih Microchip # Rabies Tag f# p EASE INCLUDE CITY TAG NUMSrR FF THIS IS A RENEWAL (IF AVAILABLE): # RABIES VACCINATION DONE ON 03-16-23 Rabies Description: � 1 YEAR 3 YEAR Holstein Veterinary Clinic Or. Lisa SChlUR7 DVM Dr, Kiista Hols'tein 0VM 718 South 191h Street Blair, NE 68008 402-426-7387 402-426-0101 Fax liolsteinclinic@gmail.com INCENSE FEES Intact Dog or Cat: $16.00 4t;) Replavernent Tag $5. (00 t�Total $ PETS THATARC UN T.N /+CTIVE POTENTIALLY DANG R�?r15 OR DANGEROUS DUG LJS7"NEED TO REGISTER D1REL7 LYA ITS Y HALL• CITY OF BLAIR ® 2023 PET LICENSEt -j)- If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City Of Blair 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: ea Z j Owner Address: ( i 3�5- City/State/Zip: Blair, NE 68008 Phone # LICENSE FEES: Dog or Cat: $16.00 Altered Do or Caty $11 00 ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3/15/2023. The City shall recognize a microchip identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city Identification other than that Issued by the City of Blair for such dog or cat. The Citv of Blair 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 # " ,� Dog ❑ CatW(-,Spayed/Neutered License Fee $ Pet Name i L €. a6i-Bidate , � Sex Color I Breed** a r ` ,i r. . Replacement$ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y 0 N MICROCHIP # qX : (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: r 7_. 7 - 1, E (3 yr) (1 yr) City Tag #° PET #2 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed** Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # 1 c* PET #3 , ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Birthdate Sex Color _ Breed" Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ M (1 yr) License Fee $ Replacement $ SUBTOTAL: $ . City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not Send Cash by Mail TOTAL ENCLOSED $ If you have questions, please contact Blair Police Department at (402) 426-4747 ++++++++++++++++++.....++++++++++++++++++++++++++++++++¢++++++++++++++++++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15/ate fee date notappllcable fornewpets/newres/dentr) Newly Apquired Pets: New Residents to glair: ■ Must be licensed within 10 days of ownership ■ Must register pets within 10 days of ■ <OR> at 6 months of age if puppy/Htten residency. PET LICENSE APPLICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair a 218 S 16th St e Blair, NE 68008 4- '� 0 -)-,A U 0� 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 RENEWA ARE DUE: March 15, 2023 Owner Name: � , Owner Address: �]' r City/State/Zip: Blair, NE 68008 Phone # 40 �-- :�) LICENSE FEES: Dog or Cat: $16.00 Altered Do or Cat• $11 00 ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3/15/2023. The City shall recognize a microchip identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city Identification other than that Issued by the City of Blair for such dog or cat. The City of Blair renuires proof of rabies vaccination to be submitted with your license application. g Replacement Fee for Lost Tag: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET #1 A D o ❑ Cat 91 Spayed Ne tered License Fee $ Pet Name � Z, Birthdate 1 I Sex Color Breed** _ Replacement ** Declared Dangerous or Potential) Dan ero Dog: Y N r �, MICROCHIP # 0 0G ' `. If ap ' able) SUBTOTAL: $ RABIES VACCINATION DATE: 3 y� (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) _ W (1 yr) License Fee $ Replacement $ * * SUBTOTAL: $ City Tag # PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed** Rep/acement$ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If app'I�le)/ SUBTOTAL: $ RABIES VACCINATION DATE: �'f � (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.) I + 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 IS/ate fee date notapplicab/e iornewpets/newresidents) Newly Acquired Pets: New Residents to Blair: ■ Must be lioensed within 10 days of ownership ■ Must register pets within 10 days of 0 <OR> at 6 months of age if puppy/Idtlen residency. CERTI.FICATE OF VACCINATION Date of Rabies Vaccination: 12-19-2 Next Rabies Vaccination On: 12-18-1 VETERINARY CLINIC Holstein Vet Clinic 718 South 19th Street Blair, NE 68008 402-426-7387 wlzffl• h� Certificate NO: 0 Previous Rabies Vaccination: '17618 OWNER OF ANIMAL Stacy Long 1129 N 20th Ave Circle Blair, NE 68008 County: THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. PATIENT: Nala SPECIES: Canine TAG NO: 20839 WEIGHT. 20.00 SEX: S AGE: 10 years Color and markings... Black Signed Lisa Schrum , DVM License. 2310 I MFG BY: ZOETI SER.NO: 583359 LOT EXP: 9/26/23 ADM: SQ S [ s 5 0 t s r.ti. t #t r 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: `lQA� Q ►l ®� _—_— Owner Address: �,'_O 2� City/State/Zip: Blair, NE 68008 Phone # 1)2 , ; 1 q q 1 - LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11 00 ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $1S0.00 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 withyouur 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/ eutered � License Fee $ Pet Name NO1c. Birthdate 1 S ZI Sex Color Sav,, Breed l . X Replacement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y P N MICROCHIP # (If applicable) UBTOTAL: $ �I RABIES VACCINATION DATE: itj 2 (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 # (1 yr) License Fee $ Replacement $ SUBTOTAL: $ City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not Send Cash by Mail TOTAL ENCLOSED $ If you have questions, please contact Blair Police Department at (402) 426-4747 ..........++++++...+++....+++*+++++...++.+....++++...................+++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 1Slate fee date not applicablefor newpets/new residents) Newly Agquired Pets: New Residents to Blair: ■ Must be I'laensed within 10 days of ownership ■ Must register pets whin 10 days of ■ <OR> at 6 months of age if puppy/fatten residency. to 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: Owner Address: a N^ City/State/Zip: Blair, NE 68008 Phone # UL— Usin " LICENSE FEES: Dog or Cat: $16.00 Altered Do or rat: $11 00 ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3[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 City of Blair requires 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, J4 Dog ❑ Cat � Spa ed��ed �� License Fee $� Pet Name Li ria Birt date Sex eyv6 Color 5 liu�Y, Breed** ovA i Replacement $ ** Declared Dangerous or Potentially Dangerous D g: ❑ Y A N MICROCHIP # (If applicable) x SUBTOTAL: $ RABIES VACCINATION DATE (3 yr) (1 yr) >— City Tag # .. m'r PET # 2Dog ❑ Cat ElSpayyed/Neutered License Fee $_ L (� Pet Name ff)! Birthdate °I/ lt.,0444 Sex Color R1 Breed** IMix��Cl �l�Li,�C, Replacement$ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y a N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: L / 1.2 (3 yr) (1 yr) City Tag # �' PET #3 ❑ Dog Cb Cat Spayed/Neutered ��,,�1 License Fee $ _ Pet Name Birthdate " A Sex (Male l e Color I' Breed" Replacement $ ** Declareda gerous or Potentially Dangerous Dog: ❑ Y lid' N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: , 2 / (./ 2,02.4- (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 ++++*+.....++++.*.+++++++++.***.+++.-11..++++*...........++.*++.*++++++*++++.+++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15iate fee date not applicable fornewpets/newresidents) Newly Acquired Pets: New Residents to Blair: ■ Must be lbffised within 10 days of ownership ■ Must register pets within 10 days of ■ <OR> at 6 months of age if puppy/kitten residency. CITY OF BLAIR - 2023 PET LICENSE APPLICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair * 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: V) K 46 R Owner Address: ��i i I � t� `�. ,%M/ City/State/Zip: 'Bffl air, NE 68008 _ �j Phone # "I b' � �" � I LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11 00 ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3/15/2023. The City shall recognize a microchip Identiflcatlon 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 93 Cat ' r" Spayed/Neutered License Fee $ - Pet Name _ Birt date � 13 r." Sex c" Color to 4 -t, J4MV11f, Breed" 'Pnwrcti"e_ 5_W>r VVZ'V Replacement$ ** Declared Dan rous or Potentially Dangerous Dog: ❑ Y A N MICROCHIP # (If applicable SUBTOTAL: $ RABIES VACCINATION DATE (3 yr) a (1 yr) City Tag # `v t P 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 El SUBTOTAL: $ (1 yr) City Tag # License Fee $ Replacement $ SUBTOTAL: $ (1 yr) City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee If requesting at the time of license renewal.) Do Not Send Cash by Mail TOTAL ENCLOSED $ If you have questions, please contact Blair Police Department at (402) 426-4747 .....++++++++++.++.++++....+.++++....+++.++++*+++.....++++*+....++++++++++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (Mard7 IS late fee dale not applicable for new pets/new residents) NgMft Agguired Pets: New R&siIdgnts to Blair: ■ Must be I'loansed within 10 days of owneship ■ Must register pets within 10 days of ■ <OR> at 6 months of age if puppy/ldtten residency. Client |O: Client Name Tag Number: Vaccine: Producer: Brand: Type: 3233 Wayne Long 821 N14thAve Blair, NE 68008 (402)426-5624 00000 |nnnyb Rabies Vaccine &1edn| |nnnyb3TF Killed Virus Subcutaneously Staff Name: David E.Johnson DVM License Number: 1893 Doctor Signature: Blair Small Animal Clinic PC David E.Johnson OVM 1734Front Street Blair, Nebraska, 68008 Rabies Certificate Patient |D: Patient Name: Species: Breed: Sex: Markings: Birthday: Weight: Microchip ID: Vaccination Date: Expiration Date: Lot Number: Drug Expiration Date 5365 AmyGerafne Feline Uomest1cGhorthair Spayed Female 02/ 3/2O11 7.31 pounds on 4/14/2022 7/102023 J/10/2026 18572 11/30/2024 Client ID: Client Name Address: Phone: Tag Number: Vaccine: Producer: Brand: Type: nner of Administration: Staff Name: License Number: Doctor Signature: 3233 Wayne Long 821 N 14th Ave Blair, NE 68008 (402)426-5624 7776 Imrab Rabies Vaccine Merial Imrab 3 TF Killed Virus Subcutaneously David E. Johnson DVM 1893 Blair Small Animal Clinic PC David E. Johnson DVM 1734 Front Street Blair, Nebraska, 68008 (402) 533-2722 Rabies Certificate Patient ID: 13290 Patient Name: Lina Species: Canine Breed: Cowboy Corgi Sex: Spayed Female Color: Blue Merle Markings: Birthday: 07/09/2021 Weight: 24.30 pounds on 4/14/2022 Microchip ID: Vaccination Date: 7/10/2023 Expiration Date: 7/10/2026 Lot Number: 18572 Drug Expiration Date: 11/30/2024 CITY OF BLAIR - 2023 PET LICENSE APPLICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to City of Blair a 218 S 16th St • Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2023 1, Owner Name: e 71 C , r�l,�t Owner Address: / 0o 9 � � q�� %Cue . City/State/Zip: Blair, NE 68008 Phone # )f0j . LIall 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 Dog ❑ Cat payed[Neutered License Fee $ Pet Name Birthdate q d3 1 Sex ** Color °fir r.ai,r Breed** 4-eAKKq Rep/acement$ Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: ' 6 � (3 yr) (1 yr) City Tag # PET #2 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Birthdate Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ PET #3 , ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Birthdate Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ W M (1 yr) (1 yr) License Fee $ Replacement $ SUBTOTAL: $ City Tag # License Fee $ Replacement $ SUBTOTAL: $ City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Q✓' Do Not Send Cash by Mail TOTAL ENCLOSED $ I � If you have questions, please contact Blair Police bepartment 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 ■ Must register pets within 10 days of ■ <OR> at 6 months of age if puppy/kitten residency. Client ID: 2775 Client Name: Laura & Marlin Loseke Address: 2053 Park Street Blair, NE 68008 Phone: rAA— i2)426=- 428a Tag Number: 7021 Vaccine: Imrab Rabies Vaccine Producer: Merial Brand: Imrab 3 TF Type: Killed Virus inner of Subcutaneously I ..Jministration: 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 I D: Patient Name: Species: Breed: Sex: Color: Markings: Birthday: Weight: Microchip ID: Vaccination Date: Expiration Date: Lot Number: Drug Expiration Date: 10214 Fredrick Canine Rat Terrier Male White/Black 12/22/2017 18.10 pounds on 6/24/2020 985112009663548 4/29/2022 4/29/2025 18528 9/15/2023 . : c 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: Owner Address: ` > City/State/Zip: Blair, NE 68008 Phone # 4 �l °; (vo` .1(0 3 LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11.00 ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3/15/2023. The City shall recognize a microchip identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city identification other than that issued by the City of Blair for such dog or cat, The City of Blair 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 �, D o g ❑ C a t Spay ri/Ne tered License Fee $ _ Pet Names a Birthdate Sex Color ii Breed**Replacement $ ** Declared Dang ous or Potentially Da erods Dog: ❑ Y N MICROCHIP # r�r _ � (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE (r.f yr) (1 yr) City Tag # 0 q j2 PET #2 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed** Replacement$ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed** Replacement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not Send Cash by Mail TOTAL ENCLOSED $ h If you have questions, please contact Blair Police Department at (402) 426-4747 ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15late fee date not applicable for newpets/new residents) Newly Acquired Pets: New Residents to Blair: ■ Must be licensed within 10 days of ownership ■ Must register pets within 10 days of ■ <OR> at 6 months of age if puppy/kitten residency. CERTIFICATE OF VACCINATION Date of Rabies Vaccination: 08-17-22 Next Rabies Vaccination On: 08-17-23 VETERINARY CLINIC Omaha Animal Hospital 4908 L Street Omaha, NE 68117 (402) 734-5882 This is to certify... OWNER OF ANIMAL Sheria Loving 5832 Cedar St. Omaha, NE 68106 County: Douglas THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Sami SPECIES: Canine BREED: Goldendoodle SEX: S Color and markings... Apricot Signed Becci Tinklenberg DVM TAG NO: 028369 AGE: 13M WEIGHT: 43.30 License: 4174 Date Done DVM Services Due Date 02-02-23 CL Bordetella intranasal booster 08-03-23 08-17-22 23 Rabies (Canine) 08-17-22 23 Leptospira bacterin four 08-17-23 08-17-22 23 DAPPV annual booster 08-17-23 07-27-22 23 DAPPV 3rd booster Rabies Vaccine Information... MFG BY: INTER SER.NO: 566338 LOT EXP: 07MAR23 ADM: SQ CITY OF BLAIR - 2023 PET LICENSE APPLICATION< If you live in Blair City limits and own a dogs) and/or cat(s), complete this form and return with check made payaLto:e City of Blair • 218 S 16th St • Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15 2023 Owner Name: Owner Address:,..1` city/state/zip: Blair, NE 68008 Phone # € `' LICENSE FEES: Dog or Cat: $16.00 Altered noor Cat: $11 00 ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3/15/2023. The City shall recognize a microchip Identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city Identification other than that Issued by the City of Blair for such dog or cat. The Citv of Blair requires proof of rabies vaccination to be submitted with your license aDDlication. 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 Kif Cat Spayed N utered License Fee $ Pet Na Lc�LA Birthdate / Sex Color �- Breed** _ ,�sfirc,&1SA Rep/acement$ ** Declared Da gerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: Q_// �;_:2-3 (3 yr) (1 yr) City Tag # " G% rrT., PET # 2 Dog ❑ Cat L Spayed N utered License Fee $ f ' Pet Name d Birthdate �7 �� Sex ✓ i, e, -� Color "Breed** Rep/acement $ - ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ Nx MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: j kc Ixz- (3 yr) _:X_ (1 yr) City Tag #0(" L/ , * 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.) DoNot Send Cash by Mail TOTAL ENCLOSED $ If you have questions, please contact Blair Police Department at (402) 426-4747 ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15/ate fee date notapplIcable fornewpets/newresidents) Newly Acquired Pets: New Residents to Blair: ■ Must be licensed within 10 days of ownership ■ Must register pets within 10 days of ■ <OR> at 6 months of age if puppy/kitten residency. Client ID: Client Name: Address: Red Barn Veterinary Clinic & Farmacy,_PC 10678 Karen & Ray Lund 1204 Fairview Dr Blair NE 68008 (402) 237-0282 Rabies Vaccine Information: 101 E. 10th Oakland NE.68045 (402) 685-5202 Rabies Certificate Patient ID: 118603 Patient Name: Lola Species: Feline Breed/Color: Domestic Short Hair, Date of Birth: 1/31/2017 Microchip ID: Sex: Spayed Female Weight: 18.13 Vaccine Date: 2/15/2023 Date Due: 2/15/2026 Tag Number: 230471 Lot Number: 536061 MFG By: Zoetis - IMRAB 3 Lot Exp: 3/28/2023 ADM: Subcutaneous) I have vaccinated against Rabies for the specified animal as described above. a 4 Dr. James F. Unwin, DVM Dr. Patrick T, Maline, DVM Dr. Kellie M. Wise, DVM Dr. Alyssa K. Hiatt, DVM Red Barn Veterinary Clinic & Farmacy, PC 101 E. 10th Oakland NE.68045 (402) 685-5202 Rabies Certificate Client ID: 10678 Patient ID: 117093 Client Name: Karen & Ray Lund Patient Name: Buddy Address: 1204 Fairview Dr Species: Canine Blair NE 68008 Breed/Color: Mix, Sex: Neutered Male blk/wht Phone: (402) 237-0282 Date of Birth: 10/27/2020 Weight: 58.1 Microchip ID: Rabies Vaccine Information: Vaccine Date: 2/15/2023 Date Due: 2/15/2026 Tag Number: 230470 Lot Number: 536061 MFG By: Zoetis - IMRAB 3 Lot Exp: 3/28/2023 ADM: Subcutaneous) I have vaccinated against Rabies for the specified animal as described above. jig Dr. James F, Unwin, DVM Dr. Patrick T. Maline, DVM Dr. Kellie M. Wise, DVM Dr. Alyssa K. Hiatt, DVM it "tt � �-) o CITY OF I — 2023 PET LICENSE APPLICATIONd 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 ***PLEASE READ CAREFULLY*** Owner Name: 1 �ic� OU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Owner Address: e I CC " LC") Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. City/State/zip: Blair, NE 68008 Phone # �� 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 LICENSE FEES: Dog or Cat: $16.00 be submitted with your license application. Altered Dog or Cat: $11.00 Replacement Fes far Lust T aq: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program ET #1 1$ Dog ❑ Cat SSpayed N utered License Fee $ lC_ Pet Name Birthdate Sex Color 4i A Breed** Replacement $ Declared Dangerous or Potentially Dangerous D g: ❑ Y aN MICROCHIP # Dc 14 G(),3 (If applicable) SUBTOTAL: $ bo RABIES VACCINATION DATE: g ;3 yr (1 yr) City Tag # PET #2 D g 0 Cat ❑ Spaye /Ne tered License Fee $ 16, 0 v �rylrs)' �. x ��`� Pet N me ¢° I Birthdate Sex Color Breed**' Vwj Me(- ( Replacement $ Declared Dangerous or enti Ily Dangerous Dog: ❑ Y & N MICROCHIP # 1 1 (If app icao e) SUBTOTAL: $ t RABIES VACCINATION DATE: 1 3 yl- (1 yr) City Tag # PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Birthdate Sex Color Breed** Declared Dangerous or Potentially Dangerous Doq: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ W (1 yr) License Fee $ Replacement $ SUBTOTAL: $ City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not Send Cash by Mail TOTAL ENCLOSED $ If you have questions, please contact Blair Police bepartment at (402) 426-4747 ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March IS/ate fee date not applicable fornewpe&lnewresidents) 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/Moen residency. �t,&j ) ('o� ok CITY OF BLAIR ® 2023 PET LICENSE APPLICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair a 218 S 16th St 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 r Owner Name. Owner Address:' " city/state/zip: Blair, NE 6800j 8 Phone #'�"° LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11 00 ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3115/2023. The City shall recognize a microchip Identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city Identification other than that issued by the City of Blair for such dog or cat. The City of Blair requires proof of rabies vaccination to be submitted with your license application. Replacement Fee for Lost Tag: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program T # 1 , Dog ❑ Cat : Spayed/Neu ered License Fee $ I Pet N.ame�� '% (t Birthdal _� } e Color; , -7 Breed'i ` oc C Replacement $ ** Declare Dangerous or Potentially Dangerou DogPJ Y Lo N i MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: q 5, (3 yr) (1 yr) City Tag # 2-C&iv 1 PET # 2 L' 'Dog ❑ Cat Spayed/Net red License Fee $ Pet Name <;hJ,. Birth ate r Sex y _. Color. �1t P,, Breed** Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ N MICROCHIP #^ �`` (If applicable) UBTOTAL: $ RABIES VACCINATION DATE. a e' Ij-,1 (3 yr) (1 yr) City Tag # 1c ' 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 Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not Send Cash by Mail TOTAL ENCLOSED $ If you have questions, please contact Blair Police Department at (402) 426-4747 ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15/ate fee date notapplicable fornewpets/newresidents) Newly Acquired Pets: New Residents to Blair: ® Must be licensed within 10 days of ownership ■ Must register pets within 10 days of ■ <OR> at 6 months of age if puppy/kitten residency. & CITY OF BLAIR - 2023 PET LICENSE APPLICATION . If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair a 218 S 16th St • Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE, DUE: March 15, 2023 Owner Name: �'y �J ill �„ cc -Cka r) L�) ICY\ Owner Address: a0c)6 00(0mt tkek. C( r- city/state/zip: Blair,, rNE 68008 Phone # LW LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11.00 ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3115/2023. The City shall recognize a microchip Identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city Identification other than that issued by the City of Blair for such dog or cat. The City of Blair requires proof of rabies vaccination to be submitted with your license application. Replacement Fee for Lost Tag: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET # 1 ( Dog ❑ Cat W Spayed Neutered License Fee $ Pet Name IIrl' X 1 -e- Birthdate -7i i i Sex Color (6ri)or, � Ce.kujg, Breed** l k(I WA, ryw Rep/acement$ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N 1`11�1 MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) �(' (1 yr) City Tag # PET #2 Dog ❑ Cat W Spayed/ Neutered License Fee $ % 4. 66 Pet Name t BirthdateI( Sex r Color 'U euc� l i._h; Breed** S mn � Rep/acement $ Declared Dangerous or Potentially Dangerous og: ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: 0,111(3 yr) _ (1 yr) City Tag # `•''mm . � 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.) co Do Not Send Cash by Mail TOTAL ENCLOSED $ a � 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 ■ Must register pets within 10 days of ■ <OR> at 6 months of age if puppy/Idtten residency. CITY OF 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: March 15, 2023 Owner Name: u z L- yLcp Linclk Owner Address: -166 s) �,3 rdT- city/state/zip: Blair, NE 68008 Phone # %fIU,2� � G� - el G®<2- LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11.00 ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3/15/2023. The City shall recognize a microchip Identification number as the license number. it shall be unlawful for any dog or cat to wear any license or other city Identification other than that Issued by the City of Blair for such dog or cat, The City of Blair renuires Proof of rabies vaccination to be submitted with your license application. fte—placen, ent ea for Lost Tag-. $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET #1 ❑ Dog Cat ®'Spayed Neutered License Fee Pet Name "r t lJ 4) t_ tj " Birthdate G�1 Sex M. Color B P ctr Breed** Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y WA MICROCHIP # Q 0 5-0 71 (If applicable) SUBTOTAL: $ 11 RABIES VACCINATION DATE: 9 13 dlA (3 yr) X_ (1 yr) City Tag # x 3yq* — 2 j - . . � r. PET #2 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Birthdate Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ ■W License Fee $ Replacement $ ** SUBTOTAL: $ (1 yr) City Tag # PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed** Rep/acement$ ** Declared Dangerous or Potentially Dangerous 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 $ l 9 au If you have questions, please contact Blair Police Department at (402) 426-4747 ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++.+++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15/ate fee date notapplicable fornewpets/newresidents) Newly Acquired Pets: New Residents to Blair: ■ Must be lioensed within 10 days of ownership ■ Must register pets within 10 days of ■ <OR> at 6 months of age if puppy/Idtten residency. INVOICE (402-426-3630 one Animal Hospital 2 S Hwy 30 ir, NE 68008 Printed: 08-31-22 at 2:56p FOR: Liz Lynch Date: 08-31-22 760 N 3rd St Account: 803 Blair, NE 68008 Invoice: 111566 Date For Qty Description Net Price 08-31-22 Lincoln 1 Vaccination Exam 31.00 08-31-22 a ay Syr 29.00 08-31-2 1 Rabies Vaccination (3 Year) 29.00 08-3 221 1 Thank You!!! 0.00 08-31-22 Mastercard payment -89.00 I Merchant ID: 4445046763017, Approval code: 50322Z, Transaction ID: 1618333794 Ref #: 27502, Act #: ************5410, Exp: XX/XX, Entry: Contacticc, Card: MASTERCARD Your card balance is not available I AGREE TO PAY ABOVE TOTAL AMOUNT ACCORDING TO CARD ISSUER AGREEMENT X Old balance Charges Payments 0.00 89.00 89.00 Reminders for: Lincoln (Weight: 14.0 Ibs - 4y) Last done 8-3 - 'es Vaccination 3 Year 08-31-22 08-30-25 Fe4Way 3yr - - t\jd 08-12-22 Fe 4Way (Rhino/Call/Pant/Chia 08-12-21 D U� rc) [- You Can Order Your Pet Supplies On animalcareofblair.com. Like us on Facebookl! M E�X T New balance 0.00 3l�sl a3 ✓� 33�i� � 1o4`I�o 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: —rj-CIVt 5 L �&:n Owner Address: � 1 10 F-1 Q l � c City/State/Zip: Blair, NE 68008 I 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 .12rSpayed/Neutered License Fee $ l� Pet Name Birthdate $ex Color Fpe — Breed** Iq 0 e-f Cre L.r,- Replacement$ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y .1�tN MICROCHIP # q 8 5 / 9 f 0 0a -7 00 ( (If applicable) SUBTOTAL: SUBTOTAL: $ RABIES VACCINATION DATE: 1U-((o-, l (3 yr) i� (1 yr) City Tag # 117 PET #2 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Birthdate Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ M License Fee $ Replacement $ ** SUBTOTAL: $ (1 yr) City Tag # PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed** Replacement$ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not Send Cash by Mail TOTAL 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 lioansed within 10 days of ownership ■ Must register pets within 10 days of ■ <OR> at 6 months of age if puppy/kitten residency. Reminder Letter Report Sorted by Client ID Client ID Client Name Patient ID Patient Name Item ID/Description Type Date 5645 Lyon, Travis Phone: (402) 427-3149 12014 Stella 151 Heartworm Test -Snap RT L 2/19/2023 D767Adequan100mg/mi (xcc) L 3/1/2023 14152 CRLyme Vaccination Annual L 4/1/2023 INTRA oral Bordetella/Parainfluenza L 10128/2023 82 Rabies Vaccination - Canine Syr L 10/16/2024 14163 Distemper/ Parvo DAPP-3 year L 10/28/2026 Dlair Small Animal Clinic PC Page 1 of 1 Date: 11/22/2022 Fle CITY OF BLAIR ® 2023 PET LICENSE APPLICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair a 218 S 16th St 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 ***PLEASE READ CAREFULLY*** Owner Name: �/ ,`t �� r V-� YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Owner Address: ��y �� w �� rq V<f— 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: Phone # Blair, NE 68008 q®,;4- q WIS-�q(',,K 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 LICENSE FEES: Dog or Cat: $16.00 I be submitted 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 i 00 T #1 � o g El Cat 2r Spayed/Neutered License Fee $ Pet Name R`9 c Birthdate OaNI I Sex � « Color Breed** we c;0r44ri Replacement$ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y A N 11,00 MICROCHIP # 1`&,t3 141 W3 (If applicable) SUBTOTAL: $ "6 RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag #:; ,53- 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) _ ET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Birthdate Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ License Fee $ Replacement $ ❑N SUBTOTAL: $ (1 yr) City Tag # W (1 yr) License Fee $ Replacement * * SUBTOTAL: $ City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not Send Cash by Mail TOTAL ENCLOSED $ If you have questions, please contact Blair Police Department at (402) 426-4747 ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15/ate fee date not applicable fornewpely1newresldents) Newly Acquired Pets: New Residents to Blair: ® Must be lioensed within 10 days of ownership ■ Must register pets within 10 days of 0 <OR> at 6 months of age if puppy/khen residency.