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K02/02/2023 14:33 4024260101 1-101-STEM VET CLINIC PAGE 01/01 2023 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT(S), QOMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO! CITY OF BLAIR — 218 S. 16TH ST — BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORR THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RES(DENTIAL OR DWELLING UNIT. ***PLEASE READ CAREFULLY*** X9"RE TIHIE CITY 0 13LAIR Failure to do Go is a violation of City Ordinances 6.103 and carries a penalty of a fine up to $15Q,Q4 per pet. PET LICENSE RENEWALS ARE DI IE BY 2/115M91 The city shall recognize a n))crochlp ID hUrnbor as the license number. It shall be unlawful for any dog or Pat to weer 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 NE W BE$10ENTS TO P.,),AB Must register pots within 10 days of residency Owner Name Nancy Kaiser Spouse Owner Address 2406 Meadow Dr. City/State/Zip Blair, NE 68008 Phone# 402-426-5948 Pet Name; Lucy Tag #3433 Age: 9Y DOB: 12-26-13 Sex: Spayed Female Color: Brown/131k Breed. Cairn Terrier Microchip # 981020005470398 Rabies Tag # 17784 PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE): RAMPS VACCINATION DONE ON 03-07-20 Rabies. Description: I YEAR 3 YEAR� ,-Hblstein Veterinary Clinic Dr. Lisa Schrum DVM - Dr. Krista Holstein DVM 718 South 1 91h Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinio@gmail,com LJCENSRJEES Intact Dog or Cat: $16.00 Altered o or oat, $11.00 Replacement ray $6.00 "total $—� =1 PETS THATARE ONIHE ACTIVE P0yNbALLYQAN!a11 �Uso� d7A1VGEROUS 00� (/b57 NEED TO RESISTER OIRELTLYA� CITY HALL, FAXED 02-02.:� BY CITY-"H 4"!xi. -'":1":j , 471 01 ... r0,1111'Clil (Fill 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: o iakS city/state/zip: B` lair, 68008 Phone # � Tom(� ) - I `1 9 D ; 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 proof of rabies vaccination to be submitted with your license application. Replacement Fee for Lost Tag: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PEET #1 Dog ❑ Cat �f Spayed/Neutered License Fee $ Ili b 0 Pet Na Birthdate 3 Sex Color L Breed** Y Rep/acement$ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y 0I I �� MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: Vz (3 yr) V, (1 yr) City Tag # �* PET -*2 k Dog ❑ Cat a Spayed/Neutered License Fee $ 1 0 0 Pet Nam �� Birthdate Se) F Color Breed** / Replacement ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y JO N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) X. (1 yr) City Tag '#�2201!- PET #3 ❑ Pog 4 C a t (,Spa ed/Neut red License Fee $ d 0 Pet Name Birthdate I Se _ Color Breed** Rep/acement$ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y �4 N MICROCHIP # If applicable) SUBTOTAL: $ 1 , N RABIES VACCINATION DATE: 0 �' 3 r) (1 yr) City Tag #�* (y-- *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not Send Cash by Mail TOTAL ENCLOSED $ �?), 00 If you have questions, please contact Blair Police Department at (402) 426-4747 ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15/ate fee date notapplicable for newpe&lnewresldents) 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/Mtben residency. I N V 0 U C K_. Holstein Vet Clinic � 718 South 19Mh8keet Blair, NE 88008 402-426-7387 Check out our online store advm^mvHOLSTBNVET.00nlfor home delivery! Printed: 07'01-22sd11:22a FOR: JonnifarKe|voda Date: 07-01-22 1435SSt` Account: 10449 Blair NE 68008 Invoice: 129460 __. _ NO2\949-0331 Date, ror 07-01-22 Ca( 1 Exam ' Office Visit! Medical Exann 07'01-22 1 Vanguard(R)Feline RCP (D|ote[operl 07-01-22 1 Vbnguurd@Feline FaLV(Loukemio) 07-01-22 1 Vanguond0)Rabiee1/iYEARl 07'01'22 1 C|aroOhoSolution. 1 N1L(PER TUBE) 07'01'22 ` Visapeymen1 Ohdbw|anmm Charges Pmvxmmotw 0.00 16875 168.75 Reminders Cat (Weight: 10.1 |bs-8v Last done 07-0i'23 Vanguurd@Rybiea 1 (1 YEAH} 07'01-22 07'01-23 Vanguard0DFeline FeLV(Loukemi 07'01'22 07'01-23 Fa|noeU4 ( Feline Distemper 07-01'22 Thanks for choosing uuto take care of your pet'uhealth care needo| Not Price 48.00 29.00 35,00 2925 27,50 '18B75 New balance 0.00 NV®I 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: 06-01-22 at4:05p FOR: Jennifer Kalvoda Date: 06-01-22 1435 S St Account: 10449 Blair, NE 68008 Invoice: 128572 (402)949-0331 Date ror Qty Descr iptioi@ Net Price 06-01-22 Dixie 6 Trazodone Tabs 100mg #19401 5.74 06-01-22 DIAGNOSIS: NOTES: 0.00 06-01-22 1 Heartgard+ 51-100# (6 PACK) 63.25 06-01-22 Lucy 1 Heartgard+ 26-50# (6 PACK) 53.25 06-01-22 Visa payment -122.24 Old balance Charges Payments New balance 0.00 122.24 122.24 0.00 Reminders for: Lucy (Weight: 41.6 Ibs - 9y) Last done 06-02-23 Vanguard@ Rabies 3 {3 YEAR} 06-02-20 06-18-22 VETSCAN@ Flex4 Heartworm Test 06-18-21 06-18-22 Vanguard@ B ORAL { Bordetella 06-18-21 06-18-22 Vanguard® DAPP/L4 {Distemper+L 06-18-21 Reminders for: Dixie (Weight: 54.9 Ibs - 3y) Last done 09-08-23 Vanguard@ Rabies 3 (3 YEAR) 09-08-20 08-31-22 Vanguard@ DAPP {Distemperl 08-31-21 08-14-20 Vanguard@ B ORAL { Bordetella 08-15-19 Next appointment for Lucy Qty 06-09-22 At: 2:OOp With: i Thanks for choosing us to take care of your pet's health care needs! 4UZ41b0101 HOLSTEIN VET CLINIC PAGE 01102 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 R5TURN WITH A CHECK, PAYABLE TO! CITY OF BLAIR - 218 S. 16T" ST - BLAIR, NE 68008 YOU MAY LEGALLY OWN A•COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT, ***PLEASE READ CAREFULLY*** • Yl7U ARE RE4UIF,IED RY LAW TO I_lC.��Ny�tG Yv�UR PETS THE CITY 0�8L AIR REt1U1RES P'R(�t�� OFRA$fiE� VACCIIVATIOI� Failure to do so is a violation of City Ordinances 6,103 and carries a penalty of a fine up to $160.00 per pet, PET I,ICENS9 ENEWAL& ARE DUE BY /ISL20 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 IC) other than that issued by the City of l3lair for such dog or oat, NFW-PET J ICENSLNG Must be licensed within 10 days of ownership (OR) at 6 months of age if puppy ur kitten NEW RESIDENTS 1b t-LAIR Must register pets within 10 days of residency Owner Name Lance King - - Spouse ------ - - — - — Owner Address 276 N. 23rd Street - - - — - (City/State/gyp - - Blair, NE 68008 Phone 0 - - - 402-237-0490 Pet Name, Penny Tag # 1075 Age,, . 7Y Sex: Spayed Female Color: $able DOB:'-02-17-15 Breed: Boxer X - — - - —� Microchip # 982000365852435 1 Fliables 'Tag # 23076 PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE): # RABIES VACCINATION DONE ON 1 02 07-23 Rabies Description: 1 YEAR 'Holstein Veterinary Clinic Dr. Lisa ,Schrum DVM : Dr. KriSta Holstein 0VM 718 South 19111 Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinic( gmaii.com K, 1,CEN6E FK.FS Intact Dog or Cat: $16.00 Dog r cat: $11 00 Replacement rag $5.00 Total $ �— ? FNATARE oN TNEAGrrVF, RQNT rrALLy Pa�OR p 1�N�.iCRDU$ L7p1"i L15T NEED 9'O RF ISTG'R DIREC7LY/�T LITYHALL. FAXED 102.07-23 02/07/2023 16:44 4024260101 HOLSTEIN VET CLINIC PAGE 02/02 2-023 PET LIMSE VERIFICATION/APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CATM, COMPLETE THI$ FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF BLAIR - 218 S• 1WH ST - BLAIR, NE 68008 y0U MAY LEGALLY OWN A COMBINATION OF FOUR (41 ADULT PETS, BUT NO MORE YHAN THREE (3) ADULT DOGS OR THREE ($) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT —PLEASE READ CAREFULLY"' Y AR EQUI ED BY AW T LICE n�V + ITS Y OF.-BLA`IR.•l�Ql11RE5 pR C� �F, ABI �„ VAC !C NAT1QLI 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 L CI EIVSE HNE L� S ARE DUE- Y�311 /'�' The city shall recognize a microchip ID number as the license number. It shall be Unlawful for any dog or cat to wear any license or other city ID other than that issuecl by tile Ci of Blair for such dog or cat. kitten NEW PET ENS G Must bo lidensed within 10 days of ownership (OR) at 6 months of age if puppy NEVV RE IS DENT . T O BLplk� Must register pets within 10 clays of residency Owner Name Spouse Owner Address city/state/Zip phone # Pet Name: SO'ltty ,au., : 79Y Sex: Spayed Female DOS: 11.29-11 greed,, Retriever,1"aelden Microchip # CITY TAG Lance King 276 N. 23rd Street Blair, NE 68008 402-237-0420 Tag 7 Color; Gold Rabies lag # 20305 MBER IF THIS Is A RENEWAL or AVAILABLO! # RABIES VACCINATION PONE ON 104728-22 Rabies Deseription: 1 YEAR Holstein Veterinary Clinic Dr. Ljsa Schrum DVM, : D!: Kristq Holstein DVA4 71A South 19th Street -Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinic@ grnail-Gom YEA l ICENSFEFEES lntect 170g or Cat: $16.00 ,4 ftre D69 or cat: $11 0 Replacement Tap $b_00 Total $_,r� — PETS 7NATARE'ONTHE ACTIVEPoT NTIALLYPANGEROUSOR pANGEROU DOG LIST NEED _ REG(STf DF IRECT Yc ar ��Ty V"4 101Kb If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair e 28 S 16th St 9 Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 1S, 2023 Owner Name: QT �,rON-) Owner Address: U:) 1 ly t -)A �- Ay city/state/zip: Blair, NE 68008 G Phone # kk d7 - q 1 1 " LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11.00 ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 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 $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET # '*Dog ❑Cat Spayed/Neutered License Fee Pet Name BirNhdate -�ri zl Sex Color Breed** Replacement$ ** Declared Dangerous or Potentially Dangerous og: ❑ Y C-N MICROCHIP # '11b k 0 a 00q-)3q S SI �)(If applicable) SUBTOTAL: $ r30 RABIES VACCINATION DATE: / -2s--2 3 (3 yr)'--�<— (1 yr) City Tag PET Dog ❑ Cat Vf Spayed/Neutered License Fee $ Pet Name Birthdate "� -2urt Sex Color Breed** �1�;�,.�.La.�. Replacement ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y P�N MICROCHIP # 9S ( n0oo q -7319 St I (If applicable) SUBTOTAL-.$ RABIES VACCINATION DATE: I- 25- (1 yr) City Tag # 3-4 11 PET #3 ; C a t Spayed/Neutered License Fee $ t l, C t.J Pet Name "-4,,Dog 4 � Bi date -2 t Sex Color Z et (,j(, ( q-TQ u skfkp Breed** S)a p r-va .i .r _ Replacement $ Declared Dangerous or Potentially Dangerous Dog: Q Y El N MICROCHIP #_ c�2c�oe20jjU(oS5((Ifapplicable) SUBTOTAL: $ RABIES VACCINATION DATE: ! 2 - 7 - 2 I (3 yr) X_ (1 yr) City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not Send Cash by Mail TOTAL ENCLOSED $�� 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 fornewpeis/new residents) Newly Acquired Pets: New Residents to Blair: ® Must be licensed within 10 days of ownership 0 Must register pets within 10 days of • <OR> at 6 months of age if puppy/Idtten residency. .r,.�W,1�11�� Icate No: 2142 )us Rabies Vaccination- 'R OF ANIMAL iinnison q 17th Ave qE 68008 Y: ANIMAL DESCRIBED BELOW. 10:007326 14T: 0.00 2,,years w'3894 41 CITY OF BLAIR - 2_02J 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: Q ,®f Blair o 218 S• 16th St a Blair,, -ME 68008..• You may legally oiNh•a cembination•oifour:(4) adult pets, but no. more •than ttbrpe: (3) adult dogs • • •, . -or three (3) adult cats per residential or dwelling. unit. LICENSE RENEWALS ARE E.n March 15, 2022 s owner Name: � Owner Address: City/State/Zip., Blair), ME 6 008 Phone #t,- w u LICENSE PEES: Dog or Cat: $16-00 Altered Dog or Cat: !911.00 "'***IPLtEAS RthD'6RtFULLY*** 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 3/1512022. The City shall recognize a microchip Identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city identification other than that Issued by the City of Blair for such dog or cat. The City of Blair requires proof of rabies vaccination. Replacement Fee for Lost Tag., $5.00 Included Is a ate Fee of $1.25 Ding collected to fund the'Nebraska Dog & Cat Operator InspecUon Program PET # 1 Dog 0 Cat �: Spayed/Neutered License Pee $ Pet Name_ .: Birthdate P :, _ Sex " Color _ ., r Breed** { y r"k Replacement $ Declared Dangerous or Potentially Dangerous Dog: 0 Y 0 N MICROCHIP # (If applicable SUBTOTAL: $ RABIES VACCINATION DATE: 1 - (3 yr) , (I yr) City 'Tag # , 3 _2 2 PET # 2 ® Dog "� Cat _; Spayed/Neutered' � -�� License Pee Pet Name l �:A el i Birthdate I Sex Color .i `i Breed** L 14- Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: 0 Y 0 N MICROCHIP # (If applicable) SUBTOTAL; $ RABIES VACCINATION DATE: ' 3 - j(3 yr) (I yr) :� City 'Tag # PET #3 0 Dog 0 Cat ® Spayed/Neutered Pet Name Birthdate Sex _ Color Breed** Declared Dangerous or Potentially Dangerous Dog: 0 Y 0 N MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) License Fee $, Replacement $ ** SUBTOTAL: $ (I yr) City Tag # *PLEASE INCLUDE THE CnY TAG NUMBER IF THIS IS A RENEWAL ** (This tree is due along with License Pee if requesting at the time of license renewal.) Do Mot Send Cash by Mail DOTAL, ENCLOSED -if you. have questions, please contact Blair Police Department at (402) 426-4747 . NEW PET/NEW RESIDENT-11ICIENSI'NGREQUIREMENTS (March15/atefee -date notapplicable for,newpeLs/newresldents) NewIv Acouired Pets; New Residents to Blair, d.,• Mtistbe-licensed.within-.0-daysofowrrership El Must regMer•pets within 10 days of• m <OR> •at.6 months of age if puppy/Men , residency. Omaha Animal Medical Group 3316 N. 120th St Omaha, NE 68164 Phone (402) 496-6075 Patient: Paul Kolb Species: 823 N 25th Ave Breed: Blair, NE 68008 Color: I' 71 j 01/25/2023 C (A St\ - Invoice: 70115 Ace. No: 12092 Phone: (402) 533-3253 Raiya DOB: 8/29/2012 CANINE Age: 10 yr 4 mo SHIBA INU Sex: FEMALE SPAYED Red Tag: 230141 Weight: 14.80 lb Client: Paul Kolb aiya Species: CANINE Breed: SHIBA INU Weight: 140 lb Provider Service/Item Date Qty Price Amount Rod Van Horn DVM Senior Bi-Annual Physical Exam 01/25/2023 1.00 $0.00 $0.00 Rod Van Horn DVM Senior Bi-Annual Physical Exam 01/25/2023 1.00 $59.90 $59.90 ..............................................................I'll .........................................................................................I..I....... . Senior pets have special needs. We highly recommend twice yearly visits so that signs of diseases common to older pets can be caught early. Rod Van Horn DVM Senior Wellness Appt Reminder 01/25/2023 1.00 $0.00 $0.00 We look forward to helping your senior pet have the best "golden years" possible. We will see you and your pet in six months for a senior check-up appointment. Van Horn DVM BLOOD COLLECTION 01/25/2023 1.00 $8.25 $8.25 Rod Van Horn DVM Senior Wellness Blood Screen 01/25/2023 1.00 $108.18 $108.18 Rod Van Horn DVM FECAL EXAMINATION 01/25/2023 1.00 $30.49 $30.49 (FLOTATION) Rod Van Horn DVM HEARTWORM TEST ELISA 01/25/2023 1.00 $49.17 $49.17 Rod Van Horn DVM Rabies 3 Year 01/25/2023 1.00 $28.14 $28.14 Rod Van Horn DVM Distemper (DA2P) BOOSTER 3yr 01/25/2023 1.00 $25.26 $25.26 Rod Van Horn DVM Parvovirus BOOSTER 01/25/2023 1.00 $20.46 $20.46 Rod Van Horn DVM Bordetella BOOSTER 01/25/2023 1.00 $27.01 $27.01 ;PAW POINTS DISCOUNT.- $5.00 ........... Rod Van Horn DVM HAZARDOUS WASTE .............................................................................................. 01/25/2023 1.00 $7.65 $7.65 FEE/OUTPATIENT -1......................................... ..............................................................,........,....,.,...,.......,.,.....,..,.........,,., Our hospital is committed to meeting p ng the safety standards of infection control . .,..,....; mandated by OSHA, the American Animal Hospital Association, and the US Communicable Disease Center. Our infection & bio-hazardous waste control fee covers the cost of complying with State and Federal licenses and regulations. Rod Van Horn DVM Sentinel Spectrum Chew 8-25# 01/25/2023 12.00 $11.39 $136.6 3 Rod Van Horn DVM Tyler was your assistant today 01/25/2023 1.00 $0.00 $0.00 Rod Van Horn DVM Aleisha was your assistant today 01/25/2023 1.00 $0.00 $0.00 Rod Van Horn DVM Dr. Van Horn served you today. 01/25/2023 1.00 $0.00 $0.00 p--1 Van Horn DVM Customer Service Fee 01/25/2023 1.00 $14.88 $14.88 Tax $0.00 Discount $5.00 Net Invoice $511.02 Previous Balance $0.00 �' 11 � � 'I d- kj'-t '� K 4 V If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair e 28 S 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 renuires proof of rabies vaccination to be submitted with your license application. Replacement Fee for Lost Tag: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET #1 Dog ❑ Cat FA Spayed/Neutered a ' ' ``'� License Fee $ ' Pet Name Birthdate 2, Sex Color eta, IxL t Breed** # i f� d d�� ,' rz,. d� Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑'Y N MICROCHIP # -- (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: > (3 yr) (1 yr)— City Tag # PET #e2 6 Birth Do ❑ Cat Spayed/Neutered License Fee $ Pet Birthdate Sex Color Breed** 7 Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y Lf N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE°->; ' (3 yr) (1 yr) Y City Tag # PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Birthdate Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ M (1 yr) License Fee $ � 1 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 N L S D ' b If you have questions, please contact Blair Police Department at (402) 426-4747 ++++++++++++++++++++++++++++++++++++++++++++++++++-t....+¢+++++++++++++++++++++ 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 m Must register pets within 10 days of ■ <OR> at 6 months of age if puppy/kitten residency. k CERTIFICATE OF VACCINATION THIS CERTIFIES THAT Name of Pet -A! P, Date of Birth Animal Spay Neuter Clinic ❑ Intact 4970 N W Radial Hwy. Breed Sex ❑Altered Omaha, NE 68104 r Color of Markings 402-553-3900 R Date` ! ! WAS VACCINATED AGAINST Elk { Rabies; Serial # Tag No k n 1 year Rabies Vaccination Expiration Date ! Owner's Name ! ❑ 3 year Rabies Vaccination Expiration Date f o ❑ Canine Distemper � Street ❑ Canine Hepatitis t ❑ Canine Leptospirosis k City State Zip ❑ Canine Paralnfluenza 0 ❑ Canine Parvovirus i Phone ❑ Canine Bordetella � ❑ Heartworm Test By Veterinarian r CERTIFICATE OF VACCINATION THIS CERTIFIES THAT ❑ Feline Distemper ❑ Feline Rhinotracheitis ❑ Feline Callicivirus ❑ Feline Leukemia ❑ Stool Exam Name of Pet y Date of Birth Animal Spay Neuter Clinic ❑ Intact 4970 N W Radial Hwy. Breed Sex ❑Altered Omaha, NE 68104 , r Color of Markings e 402-553-3900 Date WAS VACCINATED AGAINST Rabies: Serial # Tag No. 4 ❑ 1 year Rabies Vaccination Expiration Date 1 0 Owner's Name i ❑ 3 year Rabies Vaccination Expiration Date Street ❑ Canine Distemper ❑ Feline Distemper . i ❑ Canine Hepatitis ❑ Feline Rhinotracheitis ❑ Canine Leptospirosis ❑ Feline Callicivirus City State Zip ❑ Canine Paralnfluenza ❑ Feline Leukemia ❑ Canine Parvovirus ❑ Stool Exam ! ❑ Phone Canine Bordetella ! ❑ Heartworm Test k t` j By k Veterinarian ! ANIMAL SPAY -NEUTER CLINIC 4970 N.W. RADIAL HWY. OMAHA, NE 68104 (402) 553-3900 Customer's Date �� 20 Order No. Name Address SOLD BY CASH C. O. D, CHARGE AON PAID OUT 4 TAX-- . TOTAL Rec'd by All claims and returnea gooas iwua l uv au-1wal llvw wy ., •,� -,•.• 7798 6�w a 01/19/2023 16:19 4024260101 HOLSTEIN VET CLINIC PAGE 03/03 2023 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN GLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAi'(S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE T0: CITY OF BLAIR - 218 S. 16T" ST - BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. ***PLEASE READ GgHEFUtLY"' YOU ARE REQUIRED BY LAW TO LiCcENS�E YUUR PETS THE, CItY OF GLAIR FtEQU1RES PRddF OF RAr31ES VACCINATION. Failure to do so is a violation of City Ordinances 6.103 and carries a penalty of a fine up to $150.00 per pax. 7 LICENSE RENEWALFt ARE DUE B 15/2023. The city shall recognize a microchip ID number as the license number. It shall be unlawful for any dog or cat to wear any license or other city ID other than that lssued by the City of Blair for such dog or cat. NEW PET LICENSiN-G-Must be licensed within 10 days of ownership (OR) at 6 months of age if puppy or kitten NE SIDENT !3 AIR Must register pets within 10 days of residency Owner Name Spouse Owner Address city/State/Zip Phone # Pet Name: Bugg$ Age: 7Y DOB:.. 01-12-16 Breed: Boston Terrier Sex: Neutered Male # 93300032027861 PLEASE INCLUDE CITY TAG RABIES VACCINATION DONE ON IF THIS IS A RENE 04-07-21 Rabies Descriptiorl: 1 YEAR Holstein Veterinary Q11nic Dr. Lisa Schrum V VM : or, Kr/sta Holstein DVM 718 South 19th Street Blair, NE 68008 402-426-7887 402-426-0101 Fax holsteinclinic@gmail,com Sharan Keegan Joe Foster 1749 South Street Blair, NE 68008 402-598-6996 a Color: Slack and White Rabies Tag # (IF AVAILABLE): # LICENSE FEEB Inset Dog or Cat: $16.00 Al ared Dog at: $11 0 Replacement rag $6.00 1' Total $ PETS THATAREONTH6ACTIVEPOT TITIA1LYDANGF,BDUSOR DANGL'RQUS DOG LIST' NEED TO TO REGISTER DIRECTLYATCITY HALL, FAXED 01-10-23 BY �,,•••��••, +r, l••.9:C•b..fi'.,. ;�,,i,,i1 'i•„i ,:,'�••i'i' ">"+. •`'.Ili 01/19/2023 16:19 4024260101 HOLSTEIN VET CLINIC 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 5ORM AND RETURN WITH A CHECK PAYABLE TO; CITY OF BLAIR — 21B S- 16T" ST — BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. ***PLEASE REACH CAREFULLY*** YY U�UIRED BY ,W TO LICE SE YOUR PETS THE CITY OF BLAIR REQUIRES PROOF OF RABIES VACCINA_ I Failure to do No is a violation of City Ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet, PET ENSE R EWALS E DUE B 16/20Z The city shall recognize a microchip 11) number as the license number. It shall be unlawful far any dog or cat to wear any license or other city ID other than that issued by the City of Blair for such dog or oat, NEW PET LICENSIMust be licensed within 10 days of ownership (Oft) at 6 months of age if puppy or kitten NEW RE5jQENjE-TQJiL6IR Must register pets within 10 days of residency Owner Name Spouse Owner Address City/Statel7ip Phone # Pet Name; Ester A4e•. 9Y Sex: Spayed Female DOB;—09-20-13 Breed: Domestic Shorthair Microchip # CITY TAG NUMBER IF THIS IS A REIN RABIES VACCINATION DONE. ON 1 10-13-22 Rabies Description: � 1 YEAR Holstein Veterinary Clinic Dr. Lisa,96hrum DVM : Dr, Krlsta Holsteln DIAM '118 South 1911 Street Blair, NE 68008 402-426-7387 402-426-0101 FaX holsteinclinic@9mail,com ' I Sharan Keegan 1749 South Street Blair, NE 68008 402-598.6396 Tag #2985 _ Color: Rrn Tab/Wt Rabies Tag # (IF AVAILABLE): 0 LICENSE FEES Intact Dog or Cat: $16.00 Dog(!t-00 Replacement T8,9 $5.00 Total $--�— PETS THAT ARE ON TNT CT V-E POT' TYALLY DAN EROUS OR DANGEROUS DOG LIST NEED TO RE(;lSTER DlR-E-CT YAT C TTY WAl 4 FAXED 01-19-23 BY •■Tr�SALf��•' ,fY�-1�.!"Y':��: 5.�;•t:l •I .i:ii ��,��:,<6,'. �;'iik•:5': "'•li, l:'ll'iai;i; ..11:'�1.:�� "'I�• nl•�:.1;.•�n. 01/19/2023 16:19 4024260101 HOLSTEIN VET CLINIC PAGE 01/03 2023 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF RLAIR IF YOU LIVE IN SLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT(S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TQ: CITY OF BLAIR — 218 S. 'IOT" ST — BLAIR, NE 60008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE ($) ADULT CATS PER RESIDENTIAL OR dWELLING UNIT. ""PLEASE READ CAREFULLY°'Ap°' 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 6.103 and carries a penalty of a fine up to $150,00 per put. PET LICENSE ttENEWALS ARE DUE BY 3/16/20a The city shall recognize a microchip ID number as the license number. It shall be unlawful for any dog or cat to wear any license or other city ID other than that issued by the City of Blair for such dog or cat, N WET LICENSING Must be licensed within 10 days of ownership (OR) at 6 months of age If puppy or kitten l\ RESILIENT$ Ta BLAIR Must register pets within 10 days of residency Owndr Name Spa�use Owndr Address City/State/Zip Phone # Feet Namo: • Moe Age: 8Y ' DOB: 09.05-1.4 Breed: Boston Terrier Sex: Neutered Male Mlcrochip # p'LEASE'INCLUDE "CITY TAG NUMBER iF THIS IS A RENE RABIES VACCINATION DONE ON 11-18-21 Rabies Description: 1 YEAR Sharan Keegan .Joe Faster 1749 South Street Blair, NE 68008 402-598-6396 . Tag #2790 Color: Rabies -Tag # 19629 (IF AVAILABLE): # 3 .'Holstein Veterinary Clinic Dr, Lisa Schrum DVM : Dr, Krists Alolsteio ,DVM 718 South 191' Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinie@gmail,com LICENSE FEES Intact Dog or Cat: $16.00 :Altef 'D cat: $11.00 fleplacemeot Tag $6.00 Total $ PETS -(HAT ARE ON THE ACTIVE P01MTIALLY DAW EROUS OR DANGEROUS DOG LIST NEED TO REGISTER DIRECTLYAT CITYHALL. .,. 1- . . , j u � If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair 9 218 S 1th St e Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 202 Owner Name: A-mAu, 4iw Owner Address: city/state/zip: Blair, NE 68008 Phone #U 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 PET #1 ❑ Dog ❑ a t - Spayed/Neutered License Fee $ V Pet Name U Birthdate Sex Color I A Breed** Replacement$ ** Declared Danger u r Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) Dyr SUBTOTAL:RABIES VACCINATION DATE: 7 S (3 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 $ Replacement $ SUBTOTAL: City Tag # ❑ 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 +++++++++++++++++.I......++++++++++++++++++.....++++++.....+++++++++++++++++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 151ate fee date notappllcable fornewpets/newresldents) Newly Acquired Pets: New Residents to Blair: • Must be licensed within 10 clays 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: L° t6o-- K e "0 g Owner Address: 109 c)I iL' City/State/zip: Blair, NE 68008 tI Phone # ` Q:7 C1a !'qW LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: 111.00 ***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 Inspedaon Program PET # 1 ODD o g ❑ Cat Gi Spayed/Neutered License Fee $00 Pet Named cr- Birthdate ®Sex Color -Brpfoyl reed** Rep/acement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y N MICROCHIP # q JOA00 L491 (If applicable) SUBTOTAL: $ ff ®® RABIES VACCINATION DATE: 7-�® -®t 1 (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) _ ❑N (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 $ Xoo 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 lioensed within 10 days of ownership ■ Must register pets within 10 days of ■ <OR> at 6 months of age if puppy/kitten residency. CITY OF BLAIR - 2023 PET LICENSE APPLICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair 9 218 S 1 th St e Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2023 y Owner Name:4xi Owner Address: A r= s l rr city/state/zip: Blair, NE 6800 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 renuires proof of rabies vaccination to be submitted with your license application. g Replacement Fee for Lost Tag: $55.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program ❑ Dog El Cat ® Spayed/Neutered License Fee $ ' Pet Name Birthdate Sexy°��r Color r Breed** �� _� - Replacement$ ** Declared Dange ous or Potentially Dangerous Dog: ❑ Y Q N MICROCHIP #Yr x °°RTfappllcable) SUBTOTAL: $ - RABIES VACCINATION DATE 0 , ` `(3 yr) (1 yr) City Tag #Z ` PET #2 ❑ Dog ❑--Cat 10 Spayed/Neutered License Fee $ ' Pet Name r Birthdate` : 9` Sex f,�- Color � �� '�,h. Breed** Y Replacement$ ** Declared Dangerous or Potentially Dangerous Dog: 0 Y ,`" N MICROCHIP # (If applicable) ` SUBTOTAL: $ RABIES VACCINATION DATE / � : `'-(3 yr) ; (1 yr) City Tag #.7.777 PET #3 ❑ Dog ❑ 'C a t 0 Spayed/Neutered License Fee $ Pet Names Birthdate _ Sex -=- Color R Breed** - �I Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ "Y 4 N MICROCHIP # (If applicable) ` SUBTOTAL: $ '.t RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not Send Cash by Mail TOTAL ENCLOSED If you have questions, please contact Blair Police Department at (402) 426-4747 +++++++++++++++++++++++++++++++++++++++++++++++++++¢++++++++++++++++++++...... NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15/ate fee date notapplicable fornewpets/newre5ldents) Newly Ap wired 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. If you live in Blair City limits and own a clog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair 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: 'Slf Owner Address: r i " - - city/state/zip: Blair, NE 68008 Phone # LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11 00 ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3/15/2023. The City shall recognize a microchip identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city Identification other than that Issued by the City of Blair for such dog or cat. The 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 Bing collected to fund the Nebraska Dog & Cat Operator Inspection Program T #1 Dog ❑ Cat Spayed/Neutered License Fee $ i) Pet Name v v , Birt date U).-- j . 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 # to , .J ., PEA' #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 # T #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 , i) If you have questions, please contact Blair Police Department at (402) 426-4747 ++++++.+++++++++++++++++++++++++++++.....a++++++++++++++¢+++++++++++.+++++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15late fee date not applicable fornewpets/new residents) Newly Acquired Pets: New Residents to Blair: • Must be licensed within 10 days of ownership N Must register pets within 10 days of • <OR> at 6 months of age if puppy/kitten residency. micu� 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: 03-29-23 at 3:11 p FOR: Nancy Kelley Date: 03-29-23 1108 N 28th St Account: 10864 Blair, NE 68008 Invoice: 136246 Date For Qty Description Net Price 03-29-23 Muffin 1 Exam - New Pet Exam 03-29-23 1 Simparica TRIO (5.6-11.0) 6-PACK #23376 03-29-23 1 Vanguard@ Rabies 3 {3 YEAR} 03-29-23 1 Vanguard@ B ORAL { Bordetella } 03-29-23 03-29-23 03-29-23 Visa payment Mastercard payment Mastercard payment Old balance Charges Payments 0.00 270.24 270.24 Reminders for: Muffin (Weight: 5,8 Ibs - 5y) Last done 03-28-26 Vanguard@ Rabies 3 {3 YEAR} 03-29-23 03-28-24 Vanguard@ B ORAL { Bordetella 03-29-23 09-01-23 VETSCANO Flex4 Heartworm Test 06-11-23 Vanguard@ DAPP {Distemper} 06-11-22 Doctor's Instructions Simparica TRIO (5.6-11.0) 6-PACK #23376 EARN REWARDS WITH EACH PURCHASE OF SIMPARICA TRIO! See offer at zoetispetcarerewards.com 1 BOX(6) = 150 POINTS = $15 BUCKS 2 BOXES(12) = 450 POINTS = $45 BUCKS Thanks for choosing us to take care of your pet's health care needs! 48.00 159.99 32.00 30.25 -142.25 -65.74 -62.25 New balance 0.00 Holstein Vet Clinic 718 South 19th Street Blair, NE 68008 402-426-7387 Printed: 03-29-23 at 3:10p CLIENT INFORMATION Name Nancy Kelley (10864) Address 1108 N 28th St Blair, NE 68008 PATIENT INFORMATION Name Muffin Sex Female, Spayed Birthday 03-18-18 (unknown) ID Color White Reminded (none) Reminders for: Muffin 03-28-26 Vanguard® Rabies 3 {3 YEAR) 03-28-24 Vanguard® B ORAL { Bordetella 09-01-23 VETSCANO Flex4 Neartworm Test 06-11-23 Vanguard® DAPP {Distemper} Spouse Dawn Species Canine Breed Poodle X Age 5y (unknown) Rabies 23211 Weight 5.80lbs Codes Last done 03-29-23 03-29-23 06-11-22 Patient Chart 7 77777�-- CERTIFICATE OF VACCINATION Date of Rabies Vaccination: 03-29-23 Next Rabies Vaccination On: 03-28-26 VETERINARY CLINIC Holstein Vet Clinic 718 South 19th Street Blair, NE 68008 402-426-7387 Certificate No: 0 Previous Rabies Vaccination: OWNER OF ANIMAL Nancy Kelley 1108 N 28th St Blair, NE 68008 County: This is to certify... THAT I HAVE VACCINATED AGAI NST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Muffin SPECIES: Canine SEX: S wllllll�� Signed Krista Holstein , DVM TAG NO: 23211 WEIGHT: 5.80 AGE: 5 years License: 3612 Rabies Vaccine Information... MFG BY: ZOETI SER.NO: 583359 LOT EXP: 09/26/23 ADM: SQ 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 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 AREDUE: March IS, 2023 Owner Name: `� 'e 1p e g Owner Address: q ! 'A l -� City/State/Zip: Blair, NE 68008 Phone # -7 6 ( - -�; � - `- ) I LICENSE FEES: 1 ; ' -1 1 ***PLEASE READ FULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3/15/2023. The City shall recognize a microchip Identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city Identification other than that Issued by the City of Blair for such dog or cat. The City of Blair requires Proof of rabies vaccination to be submitted with your license application. Replacement Fee for o Tag: 1 1 on Progi XTLIJ&-!;�? :- �'-ta 5 %P."rfa collected to fund the Nebraska Dog & Cat Operator Inspect! PET #1 Dog Ll Cat 1Spayed� f Neutered License Fee Pet Name -Z-b '� Birthdate "i Sex Color IIG/ .J Breed** 4 +�-A -e Rep/acement$ ** Declared Dangerous or Potentially Dangerous Dog: Ll Y ® N MICROCHIP # (If applicable) SU TOT L: $ RABIES VACCINATION DATE: I r ? u ° (3 yr) 3< (1 yr) City 'Tag # ET #2 ® D o g® C a t ® Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed** Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: LI Y ® N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # PET #3 ® Dog ® Cat LI 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.) ®o Not Send Cash by Mail TOTAL ENCLOSED If you have questions, please contact Blair Police Department at (402) 426-4747 ++++++.++.+¢.......+++++.++++........+++++..........++..+.+.++++++.++++++..... NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15late fee date not appllcablefor newpets/newresldents) Newly Acquired Pets: New Residents to Blair: • Must be lioensed within 10 days of ownership m Must register pets within 10 days of • <OR> at 6 months of age if puppy/kitten residency. CITY OF BLAIR ®2023 PET LICENSE APPLICATION ., r If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City Of Blair 9 218 S 16th St e Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: arch 15, 2023 Owner Name: Y) n I C.�„,Ke V) �' ,—) Q Owner Address: UJ1 � Vv P® &' City/State/Zip: Blair,, NE 68008 La Phone # 4D - t j (an - LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat' 4m no ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3115/2023. The City shall recognize a microchip Identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city Identification other than that Issued by the City of Blair for such dog or cat. The City of Blair renuires Proof of rabies vaccination to be submitted with your license application. Replacement Fee for Lost Tag: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET #1 g Dog ❑ Cat 0 Spayed/Neutered License Fee $ l 1. 00 Pet Name B61 Birthdate 1Sex � I Color _S31 v ` r'% Breed** yr % u"AF -I z1i are 5Rep/acement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ® N MICROCHIP #q$5 112 00q 210 q0U (If applicable) SU TOTAL: $ dy RABIES VACCINATION DATE: $, 04-22 (3 yr) (1 yr) City Tag # ET #2 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Birthdate Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) 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 E I0 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 fornewpefs/newresidenly) 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 0 F VA, 'C '�' �c 1111 Date of Rabies Vaccination: 08-04-22 Next Rabies Vaccination On: 08-03-25 VETERINARY CLINIC Holstein Vet Clinic 718 South 19th Street Blair, NE 68008 402-426-7387 Certificate No: 0 Previous Rabies Vaccination: 17178 OWNER OF ANIMAL Connie Kephart PO Box 663 Blair, NE 68008 County: This is to certify... THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Bella TAG NO: 20554 SPECIES: Canine WEIGHT: 41.50 SEX: S AGE: 4 years Signed Krista Holstein, DVM I License: 3612 Rabies Vaccine Information... MFG BY: ZOETI SER.NO: 543936 LOT EXP: 03/07/23 ADM: SQ Jan 06 23 01;08p p,1 Thane Animal Hospital (402) 426-3630 902 S Hwy 30 Blair, NE 68008 7. • CITY OF BLAIR - 2021' 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. 2Q21 Owner Name: �twtillLca�'eti� V-zL)yyLV`- Owner Address: 1010143city/state/zip: Blair., NE 68008 Phone # t'I-104) LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11.00 Replacement Fee for Last Tag: $5.00 ***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 BY3t1512021. The Cityshall 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 then that issued by the City of Blair for such dog or cat. The City of Blair requires proof of rahles vaccination. Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET #1 ❑ Dog Cat ®' payed/Neutered License Fee $ Pet Name Q(-S-C'•A Birthdate lo/'ajvj Sex F Color i ovz-M Breed** OSt Replacement$ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: 3" ` 22 (3 yr) ;� (1 yr) City Tag # 3054 PET #'2 a Dog ❑ Cat U'/Spayed/NeL e>=ed License F'ee $ 41, Pet Name F 1 In Birthdate 2f I I l-1 Sex rVI Color a to Breed** t r-i E L- I t cL6 Replacement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: I U - l b- I I (3 yr) X (1 yr) City Tag 3055 PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered License free $ 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 C17YTAG 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 (Marcf7.t5/atefeedatenotaoplkablettxnewpe&/nevrra ts) Newly &aired Pets: New Msidl3ts -to air: ■ Must be liar s w%Mn 1a days of oawvrshlp a Must register pees within to days of ■ <OR> at 6 rnorltts of age if puppy/lotven re�dency. 03/09/2023 17:54 4024260101 HOLSTEIN VET CLINIC r- H- � I - - 2023 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN BI-AIR Q.iTY LIMITS AND OWN A DOG(S) AND /OR cAT(S), COMPLETE- THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF BLAIR - 218 S. 1 By" ST - BLAIR, NF 68008 YOU MAY LFGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, RUT NO MORE THAN THREE (2) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWFLUNG UNIT, "**PLEASE READ CAREFULLY*** Failure to do so is a violation of City Ordinances 6.103 and carries, a penalty of a firie up to $150.00 per pet. 9kjD_CENSg RENEWALS U / §LM3 - -AB Wt-BXIA 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 10 other than that issued by the City of BlairfOFquch dog orofit, NEW PET LMN—SING-Must be licensed within 10 days of ownership (OR) at 6 months of age if puppy ot, kitten NEW Must register pets within 10 days of residency Owner Namo Zachary & Meka Kick Spouse Meka OvI;ner -Address 2262 Jackson St city/State/zip Blair, NE 68008 Phone It 402-707-7680 Pet Name- Buddy Age: 12Y DOB: -11-93.10 Breed,: Lab Microchip # Sex, Neutered Male off -Ism Color: Chocolate Rabies 'rag # 23135 DE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE): # RABIES VACCINATION DONE ON 103-09 Rabies Description- 1 YEAR .3 YEAR Holstein Veterinary Clinic Dr. Lisa Schrom MM '., Dr, Kriste? Holstein DVIIII 7,18 South 19,hStreet Blair, NE 68008 402-426-7387 402-426-0101 Fax holateinclinic@gl-naii.corn LICENSE FEES I Intact Dog or Cat-, $16,00 tReplacemant Dog.00 rag $6.00 Total $--�- I PETS TN,4T ARE ON TH�ACTlVE POTENTIALLY DANGEROUS aft PANL�,ERQ 5 Q�QGUS7NEED T REGISTER 01 �ECTLY �CITY �ALL FAXED 03-09-2 BY -7 A 40 42641! 5 01/20/2023 15:53 4024260101 HOLSTEIN VET CLINIC PAGE 03/04 2023 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT(S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE 'TO: CITY OF BLAIR — 218 S. 16T" ST -- BLAIR, NIE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN "THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIVENTIAL OR DWELLING UNIT, ***PLEASE READ CAREFULLY*** �(ClU ARE RE(I�IIRED BY LAW TO LICENSE YDUR PEi,$, THE CITY b� BLAIR REQIIRES PRbbF„QF RABIES VACINATION Failure to do so is a violation of City Ordinanoes S.1p3 and carries a penalty of a fine up to $150.00 per pet. PET LICENSE RENEWALS ARE DUE BY �[15/2023 The city Shall recognize a microchip ID number as the IiGsnse number. It she be unlawfu(for any dog or cat to wear any license or other city ID other than that issued f]y 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 DENTS LAIR Must register pets within 70 days of residency Pet Name: Rox! Age: BY. • DOB:* 04-28-17 Breed: Heeler Tag #2231 Sex: Spayed Female Color: Red ,Microchip # 9851120,07971453 l Rabies Tag # 23026 PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A ]RENEWAL (IF AVAILABLE): # RABIES VACCINATION DONE ON 1 01-20-23 Rabies, Description: v 'I Y 3 YEAR Holstein Veterinary Clinic DA.Use Schrum ©VM Dr. k'rista Holstein QVM 718 South 19th Street Blair, NE 68008 402-426-7387.402-426-0101 Fax hoisteinclinic@gmail.com LIGEN, E'S FEES tntact Dog or Cat, $16.00 • A/ Do or cat: $11.0 Replacement Tag $5.00 Total $�_ PETS TNATaQR! ON THE ACTIVE P07E(VTfA! LY AANGEROUS OR DANGEROl41$ L7D�,' CI$T NEED TO REGIST£/i PIREGTLYAT CITY NAIL FAXED 01 -20-23 BY •..•��.��+�IT�I��'H�4;�:�: �;�` ,,l:�IW�l1GVT4�,1.pTJ��:•:."•;i 0��}I('t; tj:' �. �i'. ,'7"j;. ;�,' �'f�•�'r�.iiti• '�•.; ;i ,, ;f �,', 'r•.a '�?;.i ?�., ,��;.i..�i i 01/20/2023 15:53 4024260101 HOLSTEIN VET CLINIC PAGE 04/04 2023 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG($) AND /OR CAT(S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF BLAIR — 218 S. 16TH ST — BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION or FOUR (4) ADULT PETS, BUT NO MORE THAN THREE 13) ADULT DOGS OR THREE (3) ADULT CAT$ PER RESIDENTIAL OR DWELLING UNIT. ***PLEASE READ CAREFULLY*** Y4D• ARE i EOUIRE 8, Y LAW j O LICENB�YOUR P TS THE CITY OF B' IIR REQUIpES pROC1F OF RA611 $ VAGC1NgTION. Failure to do so is a vlolatic,n of City Qrdlnances 6,103 end carries a penalty of a fine up to $150.00 per pet. F.ET LICENSE RENEWALS AFtE !(SUE BY 3/15/202� The city shall recognize a microchip Ip number as the license number. It shall be unlawful far any dog or cat to weer any license or other ciXy 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 a months of age if puppy or kitten NEW RE51DENTS TO BLAIR Must register pets within 10 days of residency -Pet Name: Sugar Age: •BY DOB: 02-08-13 Breed: Lab Microchip # Sep; Spayed Female PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENE RABIES VACCINATION DONE ON 01-20-23 Rabies Description: r ( YEAR Holstein Veterinary Clinic Dr, Lisa Schrum DVM ; Dr. Krisr8 Holstein DVM 718 South 1910 Street Bair, NE 68008 402-426-7887 402-426-0101 Fax holatei;nclinic@gmail.com Tag #3520 Color: Yellow Rabies Tag # 23027 (IF AVAILABLE): # 3 YEAR LICENSE FPS Intact Dog or Cat: $16.00 Dog 4n.00 Replacement Tag $5,00 Total $ t 1 PETS iHATARE ON Tf, jE ACTIVE PQLWTLALLY DANOERW OR DANGLAOUS DOG L/5T NEED TO REG1 DIRECTLYATCITYHALL FAXED 01-20-23 BY ''r�Y :' ::Y! ill• 0-ALL!, — �LL! �•;'"f'i.'I •°; •Ji fit >rn ' •�5�'ri,aq' ;1,C`rJ P. r•-•,u;.i•,,, ,i.; i;, t` CITY OF BLAIR ®2023 PET LICENSE APPLICATION : If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City Of Blair e 21th 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: A0,"a r 1/ 1,41 e- Owner Address:, i L✓ aD� y �l't9� City/State/Zip: Blair, NE 68008 Phone # 4 D),'53 3'8 311 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 3115/2023. The City shall recognize a microchip identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city Identification other than that Issued by the City of Blair for such dog or cat. The City of Blair renuires proof of rabies vaccination to be submitted with your license application. 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 ❑ Dog W Cat 9 Spayed/Neutered License Fee $ l a 00 Pet Name 1.0a .ir Birthdate _ 1 - av® Sex Color QNLAU, 14,111111f-r-- Breed** (- -6 by Replacement $ ** Declared Da gerous or Potentially Dangerous Dog. ❑ Y ❑ N MICROCHIP # 99 10103 IS'3913(p M(If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: 3 - iS 2: ox.7. (3 yr) x (1 yr) City Tag #3-1'_g T #2 ❑ Dog X Cat ❑ Spayed/Neutered License Fee $ I f o 0D Pet Name Igo- Ilc.- Birthdate 1 Sex ► �� Color I iT �k b la.e k, Breed** bv Replacement $ ** Declared Dangerous or Potentially Dangerous Do - ❑ Y ❑ N MICROCHIP # 98 I a)-o rt5llo671 291 (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: -0 -- Acx'�_ (3 yr) �_ (1 yr) City Tag # 333 9* PET # , ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed** Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not Send Cash by Mail TOTAL ENCLOSED $ If you have questions, please contact Blair Police Department at (402) 426-4747 ++++++.....++++++++++++.....r+++.+++++++++++++++++++++++++++++++++++++++++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (Mardi 15/ate fee date notapplicable fornewpets/newresldents) Newly Acquired Pets: New Residents to Blair: • Must be licensed within 10 days of a✓vnership a Must register pets within 10 days of • <OR> at 6 months of age if puppy/kdttlen residency. I N V 0 I Thone Animal Hospital, 902 S Hwy 30 Blair, NE 68008 402-426-3630 Printed: 07-07-22 at 10:08a FOR: Margret Kingrey Date: 07-07-22 2264 Hickory Cir Account: 8149 Blair, NE 68008 Invoice: 110135 (402) 533-8311 Date For Qty Description Net Price 07-07-22 Bella 1 Vaccination Exam 31.00 07-07-22 1 Fe4Way 1yr 27.00 07-07-22 1 Rabies Vaccination (3 Year) 29.00 07-07-22 3 Effipro Feline 39.30 07-07-22 1 Thank You lll 0.00 07-07-22 Wilber 3 Effipro Feline #29471 39.30 07-07-22 #3212 Check payment -126.30 07-07-22 Cash payment -40.30 07-07-22 #KJ Cash Refund 1.00 Old balance Charges Payments New balance 0,00 165.60 165.60 0.00 Reminders for: Bella (Weight: 7.8 Ibs - 2y) Last done 07/25 Rabies Vaccination (3 Year) 07-07-22 07/23 Fe 4Way (Rhino/Call/Pant/Chla 07-07-22 Reminders for: Wilber Last done 03/25 Rabies Vaccination (3 Year) 03-22-22 03/25 Fe4Way 3yr 03-22-22 You Can Order Your Pet Supplies On animalcareofblair.com. Like us on Facebook!I CITY OF BLAIR - 2023 PET LICENSE APPLICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City f Blair 9 218 S 16th St e Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE R iV 11VAl S ARE DUE: March 15, 2023 Owner Name: V4 Owner Address: City/State/Zip: Blair,. NE 6800 Phone # LICENSE FEES: Dog or Cat: $16.00 Altered Do or Cat. $11 00 ***PLEASE READ FULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3115/2023. The City shall recognize a microchip Identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city Identification other than that Issued by the City of Blair for such dog or cat, The City of Blair renuires proof of rabies vaccination to be submitted with your license application. g Replacement Fee for Lost Tag: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET #1 10 Dog ❑ Cat ❑ Spayed/Neutered License Fee $ A'; Pet Name 1 -7K--''Pi- Birthdateex rt Color JI- . W Breed** 3 � � Replacement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y Af Nam'`' MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: -/` - , t (3 yr) (1 yr) City Tag #1 ET #2 Dog ❑ Cat ❑ Spayed/Neutered License Fee $ ✓' Pet Name h Birthdate Color .' Breed** ° _ Rep/acement$ ** Declared Dangerous r Potentially Dangerous Dog: ❑ Y 0 N /4't"J MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: ! ° "' M.,:� (3 yr) 1, (1 yr) City Tag #* PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Birthdate Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ W (1 yr) License Fee $ Replacement $ ti • *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 ++++++.....++++++++++++++++++++.i.+++++¢.....+++a-+¢+++++++++++++++++++++++.....+ 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 n Must register pets within 10 days of • <OR> at 6 months of age if puppy/kitten residency. CERTIFICATE OF VACCINATION, Date of Rabies Vaccination: 07-14-21 Next Rabies Vaccination On: 07-13-24 VETERINARY CLINIC Thone Animal Hospital 902 S Hwy 30 Blair, NE 68008 402-426-3630 Certificate No: 0 Previous Rabies Vaccination: OWNER OF ANIMAL Annie Kirby 2046 Colfax St Blair, NE 68008 County: This is to certify... THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Kirby SPECIES: Canine SEX: S Color and markings... White Signed Dr.Kamala Freeman Vaccinations done... TAG NO: 006916 WEIGHT: 0.00 AGE: 2 years License: 3894 07-14-21 KF Rabies Vaccination (3 Year), #006916 07-13-24 07-14-21 KF Bordetella Oral 07-14-22 07-14-21 KF DA2PPV+I- 07-14-22 Rabies Vaccine Information... MFG BY: ZOETI SER.NO: 440592 LOT EXP: 12-28-21 ADM: SQ CERTIFICATE OF VACCINATION Date of Rabies Vaccination: 05-12-22 Next Rabies Vaccination On: 05-11-25 VETERINARY CLINIC Thone Animal Hospital 902 S Hwy 30 Blair, NE 68008 402-426-3630 This is to certify... Certificate No: 1868 Previous Rabies Vaccination, OWNER OF ANIMAL Annie Kirby 2046 Colfax St Blair, NE 68008 County: THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. PATIENT: Cooper TAG NO: 007864 SPECIES: Canine WEIGHT: 105.00 SEX: N AGE: 7 years Signed Dr.Kamala Freeman License: 3894 05-12-22 KF Rabies Vaccination (3 Year), #007864 05-11-26 05-12-22 KF DA2PPV 3yr 06-11-26 05-12-22 KF Lepto lyr 05-12-23 05-12-22 KF Bordetella Oral 05-12-23 06-24-21 KF DA2PPV+L 05-12-23 04-19-19 ILL Check up, Rabies 3YR, #004789 05-11-25 07-18-16 VK Annual Checkup, DA2PPV+L 05-12-23 07-18-15 VK Rabies Vaccination (I Year), #002132 MFG BY: • SERNO: 5568N LOT EXP: 04125/23 ADM: SQ Paw loy�, 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 608 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 202 Owner Name: LS Q K l r (in Owner Address: 2%70 Al 164 city/state/zip: Blair, NE 68008 Phone # C. `_ 68, 9,3 LICENSE FEES: Dog or Cat: $16.00 'Altered Dog or Cat: $11 00 ***PLEASE READ FULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $1S0.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3/15/2023. The City shall recognize a microchip Identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city Identification other than that Issued by the City of Blair for such dog or cat, The City of Blair reauires proof of rabies vaccination to be submitted with your license application. Replacement Fee for Lost Tag: $:�,.UO 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 $ t Cc"? Pet Na e _ Birthdate � � _Sex sit Color Breed**r— C,;,> Rep/acement$ Declared Dangerous or Potentially Dangerous Dog: ❑ Y LA N MICROCHIP # (If applicable) SUBTOTAL: 00 RABIES VACCINATION DATE: X ,2 J (3 yr) (1 yr) City Tag # 'TTn ET #2 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed** Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered 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 Casts by Mail TOTAL ENCLOSED $ If you have questions, please contact Blair Police Department at (402) 426-4747 .....++++++..... a+++++++++++++++++....++++++++++++++++++.....+++++++++++++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March Mate fee date notapplicable fornewpets/new residents) Newly Aoauired Pets: New Residents to Blair: • Must be lioensed within 10 days of ownership ■ Must register pets within 10 days of • <OR> at 6 months of age if puppy/kitten residency. n1/11/21123 17:48 4024260101 HOLSTEIN VET CLINIC PAGE 01/01 2023 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF BL41R 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 `fQ: CITY OF BLAIR -- 218 S, 16T" ST — BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY A4 w TO LICENSE YOUR VETS THE CITY OF BLAIELREQUIRES PROOF OF RABIES VACCIP4ATIO1� 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 LICE SE RENAWALS AGUE 13Y 3_/1§/2023 The city shall recognize a microchip ID number as the license number. It shall be unlawful for any dog or cat to wear any license or other city ID other than that issued by the City of Blair for such dog or oat. NEW PET LIC LASING Must be licensed within 10 days of ownership (OR) at 6 months of age if puppy or kitten NEW RESIDENTS TO BLAIR Must register pets within 10 days of residency owner Name Spouse Owner Address City/State/Zip Phone # Pet Name: , Nellie Age: 6Y DOB: 04-07-16 Breed: Chihuahurt Sex: Spayed Eernals Microchip # 985112008167155 PLEASE INCLUDE CITY TAG NUMBER 1F RABIES VACCINATION DUNE ON Rabies Description, I YEAR Julie Klinger Keith 1002 South St Blair, NE 68008 402-426-2805 Tag Color: Tan/Black Rabies Tag # 20577 1S A RENEWAL (IF AVAILABLE): # 08-16-22 3Y Holstein Veterinary Clinic Dr. Liss Schtum DVM : Dr. Krlsta Holstein DVM 718 South 191h Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinic@gmail.com LICENSE E FEES Intact Dog or Cat: $16.00 ed Dog r cat: $11 0 Replacement Tag $5.00 Total $ `� PETS THAT ARE ON THE ACTIVE POTENTIALLY DANGEROUS OR DANGEROUS tlOG LEST NEED TO RWISTER DIRECTLYATCITYHALL_ 03/17/2023 12:42 4024260101 HOLSTEIN VET CLINIC 2023 PET LICENSE HAUL ull Jd VERIFICATIONIAPPLICATION FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOGi5) AMC) /UR CAT(S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO; CITY OF BLAIR — 218 S- 16TH ST -- BLAIR, NE 68008 YOU MAY LEGALL`! OWN A COMBINKFION OF POUR (4) ADULT PATS, BUT NO MORE THAN THREE (3) ADULT DUGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELQNG UNIT, "PLEASE READ CAREFULLY*" YOU ARE RE �i1REI7 l�Y 4AW TO LISE�ISE YOiJR REiS�,THE CITY OF B�AIR IlEC1UfRES PR�DO� t]P RAEi,1ES VACCINATIt1N. 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, W LICE 5E REfu WF ALS FIRE bU ` BY/75/2023. The city shall recognize a microchip ID number as the license number, It shall be unlaWful for any dog or Cat to wear any license or other city ID other than that issued by the: City of Blair for such dog or cat. NEW EtT LICEM§jN Must be licenaed within 10 days of ownership (OR) at B months of age if puppy car kitton NEW �IE51Dl;NTS T�1 �LAIH Must register pets within 10 days of rosidency Owner Name � Dan Kloster Spouse Deanna Owner Address 1930 Washington St CitylState/Zip Blair, NE 68008 Phone # 402-533-4042 Pet Name: Chester Tad#4051 Age: 8M • Sex: Neutered Male Color-, DOB: 06-28-22 Breed. ; Maltipoo Mir,rachip # 900085001279026 Rabies Tag # PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (if AV'AILABLF): # RABIES 'VACCINATION DONI-- ON. -- 02-01-23 Rabies Description: 1 YEAR 3 YEAR Holstein Veterinary Clinic Or, Lisp Schrum Dl/M : Dr. K"rista Holstain DVM 718 South 19", Street Blair, NE 68008 402-426-7387 402-425.0101 Fax holsteiinclinic@ 9mail.own LfGENSE FEES Infa ct Dog or Cat: $16.00 Al 110 Cat: $11,0 Rep Tag $5.00 Tonal $„ � \ - PETS THAT ARE ON T.Ht- AGTIVE_POTFNTIALI Y DANGERQU5 OR PA NGEROUS [BOG LIST NEEP_TO REGISTER diRECTLYA7Cl t1 MALL. FAXED 03-17-23 BY 03/17/2023 12:42 4024260101 HOLSTEIN VET CLINIC PAGE 02/03 2023 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF BLAIR IF YOQ LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT(S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF BLAIR — 218 S, 16TH ST — BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT` CATS PER RESIDENTIAL OR DWELLING UNIT. ** "P EASE READ CAREFULLY° ** Y ARE t2UIRE13 BY LAW To LICENSE YOUR PETS THE CITY F BLAjR_gEQUJBSE PRt��iF �F RABIES VACCjNATION, Failure to do so is a violation of City Ordinances 6.103 and carries a penalty of a fine up to $150.00 pe. r pet. PET LICENSE RE FINALS ARE DUE BY 3/15/2023. The city shall recognize a rnicrochip 1D number as the license number. It shell be unlawful for any clog or cat to wear any license or other olty ID other than that issued by the City of Blair for such dog or cat. WEE1110EN. LN-G-Must be licensed within 10 days of ownership (OR) at 6 months of age if puppy or kitten W RESII�ENTB 1 BLAIR Must register pete within 10 clays of residency Owner Name Spouse Owner Address City/State/zip Phone # Pet Name: Mitzi Age: '12Y DOB:—02.15-11 [fan Kloster dearma 1930 Washington St Blair, 111E 68008 402-533-4042 Tag # 1357 Sox: Spayed Female Colors Brown Breed: Shih Tzu Microchip # LEASE INCLUDE CITY TAG NUMBEI RABIES VACCINATION DONE ON Rabies Tag # 20046 IF THIS IS A RENEWAL (IF AVAILABLE): # 01-19-22 Rabies Description: 1 YEAR X 3 YEAR Holstein Veterinary hn' ilc Dr. Lf$a Schrum DVM : Dr. krista Holstein DV,44 718 South 19t' Street Blair, NE 68008 402-426-73$7 402-426-0101 Fax holsteinclinic@gmail.com LICENSE PEES Intact Dog or Cat; $16,00 Do( a 7C-19v-$ 11.00 1?ap180eM017t Tay $5,00 Tots; $—A PLTS THATAKE ON THE ACTIVE POTEN77ALLV OAN ERO US O l7ANGEROU$ 06G LIST NEEp TO REGJ. 7�R DlRECTLYAT CITY HA! �. FAXED 03-17-23 70 01/11/2023 15:24 4024260101 HOLSTEIN VET CLINIC PAGE 02/U2 2023 PET LICENSE VERIFICATION/APPLICATION FOR, CITY OF SLAIN IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT(S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO; CITY OF BLAIR - 218 S- 16TH ST - GLAIR, 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 BYLAW TO LICENSE YOUR PETS THE CITY OF BLAIR ESQUIRES PROOF OF BABIES VACCIN TA ION Fa.liure to do so is a violation of City Ordinances 6.103 and carries a penalty of a fine'up to $150.00 per pet. P!r T LICENSE RENEWALS ARE DUE BY 3/15/20 , The city shall recognize a microchip ID number as the license number, It shall be unlawful for any dog or cat to wear any license or other city ID Other than that issued by the City of Blair for such dog or cat. NEW PET LICENSING Must be licensed within 10 days of ownership (0I4) at 6 months of age if puppy or kitten NEW RESIDENTS TO BLAIR Must register pets within 10 days of residency Owrxer'Name Heath Kloster Spouse Owner Address 2045 ,Jackson St City/State/Zip Blair, NE 68008 Phone # 402-278-0061 Pet Name: Fred Tag 4 Age: ';2Y, Sex: Neutered Male Color: Yell6W/Wht DOB: 05-16-20 Breed: ' Basset Hound Microchip # 985141003117020 Rabies Tag '# 19509 PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE): # RABIES VACCINATION DONE ON 09-25-21 Rabies Description: I YEAR YEAH FEjS THAT ARE ON THEACTlVE POTENTIALLY DANGEROUS OR DAWtROUS DOG UST N��p TO REGISTER f5(RECTLYAT CfTY H(�iL Hpistein Veterinary Clinic dI Lisa Schrum DVM : Or, Krista Holstein DVM 718 South 1011 Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclin1c@gmail.Com LICENSE FEES Intact Dog or Cat: $16.00 Ofie—re,� Pog r cat: $11.0 Replacement rag $5.00 Total $ 1 1 FAXED 01-11-23 BY '�; i; i�•. •'"r�l"��'��I I. •.i i:: r•�,.i� :.(� ,• �:�i.�.i l' �; ��i:�irr •, .ar(iv ";r.'P{':!. 01/11/2023 15:24 4024260101 HOLSTEIN VET CLINIC PAGE 01/02 2023 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF BMR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOGS) AND /OR CAT(S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYA$LE TO: CITY OF BLAIR -- 218 S. 16TH ST — BLAIR, N6 68008 YOU MAY LFGAL.LY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (8) ADULT DOGS OR THREE M ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. ***PLEASE READ CAREFULLY — Failure to do so Is a Violation of City Ordinances 6,103 and carries a penalty of a fine up to $150.00 per pet, PET LICENSE RENEWALS ARE DUF BY 3/15/2023 The city shall recognize a microchip ID number as the license number. It shall be unlawful for any dog or cat to wear any license or other city ID other than that Issued by the City of Blair for suoh 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 GLAIR Must register pets within 10 days of residency Owner Name Spouse Owner Address city/state/Zip Phone # Pet Name: Jaxx Age:' 3Y Doi: 07-13-19 Breed: Min Aussie Heath Kloster 2045 Jackson St Blair, NE 68008 402-278-0061 Tag #, Sex: Neui'tered Male Color: Blue Merle Micrachip # I Rabies Tag 423008 PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE:): # RABIES VACCINATION DONE ON O,.11.23 Rabies Description: 1 YEAR //3 Holstein Veterinary Clinic Dr. Lisa Schrum DVM Dr. Krists Holsteln DVM 718 South 1911 Street Blair, NE $8008 402-426-7387 402-426-0101 Fax holateinclinic@gmaii.com .LICENSE FEES Intact Dog or Gat: $16.00 IAMAIK D g er•cat: $ 1.00 Replacement rag $5.00 Total $' 1 ,- PETS Tl�AT ARE ON THE ACT1VE,eDTEN7'IAtLY DANGEROUS pR ANGEROUS DOG LIST NE p TO aEGISTER DIRECTLYAT CITY HALL FAXED Q1-t1,2 BY CITY OF BLAIR - 2023 PET LICENSE APPLICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City lair 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: OLLfss&n Owner Address: ( ' City/State/Zip: Blair, NE 6800 Phone # -71 A a d 0 o- 0 5 S_ LICENSE FEES: Dog or Cat: $16.00 Altered Do or Cat: $11 00 ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3/15/2023. The City shall recognize a microchip identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city Identification other than that issued by the City of Blair for such dog or cat. The City of Blair requires proof of rabies vaccination to be submitted with your license application. g Replacement Fee for Lost Tag: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET #1 Dog ❑ Cat payed Neutered License Fee $ Pet Name o cell Birthdate SexnA Color �' V- Breed** Rep/acement ** Declared 19�angeivbus or Potentially Dangerous Dog: ❑ Y 0 N MICROCHIP # (If applicable) SUBTOTAL: $ _ RABIES VACCINATION DATE: 1 C7 vq -a' (3 yr) 1)( (1 yr) City Tag # PET #2 ®Dog ❑ Cat j❑ Spayed/Neu red License Fee $ r Pet Name j, Birthdate Sex Z, Color Breed** Rep/acement$ ** Declared Dangerous or Potentially Dangerou Dog: ❑ Y U" MICROCHIP # (If applicable) SUBTOTAL: $ ) RABIES VACCINATION DATE: jg +d -�), (3 yr) K (1 yr) City Tag #' PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Birthdate Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ W License Fee $ Replacement SUBTOTAL: $ (1 yr) City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not Send Cash by Mail TOTAL ENCLOSED If you have questions, please contact Blair Police Department at (402) 426-4747 ..... ++++++.....++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15late fee date notapplicable fornewpets/new residents) Newly Acquired Pets: New Residents to Blair: • Must be licensed within 10 days of ownership 0 Must register pets within 10 days of • <OR> at 6 months of age if puppy/ldtten residency. Blair Small Animal Clinic PC Page 1 / 2 David E. Johnson DVM 1734 Front Street Blair, Nebraska, 68008 (402)533-2722 Client ID: 9380 Merissa Knight 102 Riverview Dr Invoice #: 172277 Blair, NE 82008 Date: 3/3/2023 (712) 249-0565 Patient ID: 14232 Weight: 26.70 • pounds Patient Name: Jack Birthday: 03/01/2017 Species: Canine Sex: Neutered Male Breed: Schnauzer -Miniature Description Staff Name Quanti Total 3/3/2023 Examination -Wellness David E. Johnson DVM 1.00 $30.00 Oral Bordetella/Parainfluenza 1.00 $35.00 Leptosporosis Vaccination annual 1.00 $30.00 Trazodone HCL 50mg x tablet 12.00 $8.24 T Patient Subtotal: $103.24 Reminder 10/09/2022 Heartworm Test - Snap RT 03/03/2024 Oral Bordetella/Parainfluenza Leptosporosis Vaccination annual 10/09/2024 Distemper/ Parvo DAPP-3 year Rabies Vaccination - Canine 3yr Patient ID: 14233 Weight: 3.81 pounds Patient Name: Miss Daisy Birthday: 03/01/2018 Species: Canine Sex: Spayed Female Breed: Yorkshire Terrier Description Staff Name Quantity Total 3/3/2023 Examination -Wellness David E. Johnson DVM 1.00 $30.00 Oral Bordetella/Parainfluenza 1.00 $35.00 Leptosporosis Vaccination annual 1.00 $30.00 Patient Subtotal: $95.00 Reminder 10/09/2022 Heartworm Test - Snap RT 03/03/2024 Oral Bordetella/Parainfluenza Leptosporosis Vaccination annual 10/09/2024 Distemper/ Parvo DAPP-3 year Rabies Vaccination - Canine 3yr Order your pets supplies online now through our website.blairsmallanimalclinic.vetsfirstchoice.com For questions contact us at 402-533-2722. CITY OF `, 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 8t @ Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2023 Owner Name: I C+ 1A Owner Address: city/state/zip: Blair, NE 60 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 3/1512023. The City shall recognize a microchip Identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city Identification other than that Issued by the City of Blair for such dog or cat. The Citv of Blair 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 ❑ Cat bSpayed/Neutered License Fee $ t� � Pet Name 1 Birthdate r -1.(')_,� Sex Color hkoc" r-eL�_ tO Breed** Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y 0,N MICROCHIP ,# (If applicable) SUBTOTAL: $ iIl� RABIES VACCINATION DATE: 1 l_-� - 2_ (3 yr) (1 yr) ` _ City Tag # t-A PET # 2 ❑ Dog ❑Cat ❑ Spayed/Neutered Pet Name Birthdate Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ 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 MER 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 NCLOS D $ 6 C) If you have questions, please contact Blair Police Department at (402) 426-4747 ++++++.....++++++++++++.++++++++++++++++++++++++++++++++++++++++++++++++++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS(March 15late fee date not applicablefor newpets/newre5idents) Newly Acquired Pets: New Residents to Blair: ® Must be licensed within 10 days of ownership 0 Must register pets within 10 days of • <OR> at 6 months of age if puppy/kitten residency. Blair Small Animal C||n|o PC David E.Johnson DVM 1734Front Street l Blair, Nebraska, 68008 � (402)533'2722 Client ID: 4360 Patient ID: Client Name: W.Roy 8Elaine Korth Patient Nome Address: 833Meadow Drive Species: Breed: Blair, NEG8OO8 Gmn Color: Phone: (402)533-2075 Markings: Birthday: Weight Microchip ID: Tag Number: 7280 Vaccination Date: Vaccine: |nnuab Rabies Vaccine Expiration Date: Producer: Morial Lot Number: Brand: |nnnab3TF Drug Expiration Date: ^ ' Killed Virus .inner of Subcutaneously Staff Name: David E.Johnson DVM License Number: 1803 Doctor Signature: 13962 Bka Canine Yorkshire Terrier Mix Spayed Female O7/O4/2022 7.18pounds on2/21/2O23 985141005605236 p.1 Jan 30 23 11:64a CITY OF BLAIR - 2023 PET LICENSE APPLICATION If you live in Blair City limits and own a dvg(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 oven a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit LICENSE RENEWALS ARE DUE: March 15�, 2023 Owner Name: U � OwnerAddressa 0 city/statelzip: Blair NE,� 8008 ��D Phone # `G—/lR ) ` '551 LICENSE FEES: Dog or Cat; $16.00 Altered Clog or Cat: $11.00 ***PLEASE READ CAREFULLY*** YOU ARE REgUIRED BY LAW TO LICENSE YOUR PJETS. Failure to do so is a violation of City ordinances 6.1.03 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 31LB12023. The Cityshall recognize a microchip identification number as the license number, It shalt be unlawful for any dog or cat to wear any license or other city Jdentification other than that issued by the City or Blair for such dog or cat. The City of Blair requires proof of rabies vaccination to be submitted with your license apoliMtion Replacement Fee for Lost Tag: $5.00 Included is a State Fee of $1.25 being collected dD fund the Nebraska Dog &Cat Operator Irtspedion Program PET #1 )dDog ❑ Cat Spayed/Neu red License Fee $____�l____ Pet Name Birtt�date S , Color` Breed** Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y O N MICROCHIP # (If applicable) SUBTOTAL: $ t 1. RABIES VACCINATION DATE; (3 yr) (I yr) City Tag # 3565 PET #21�g � Ca t pay eu ered License Fee $ 4 l Pet Name Birthdate r sex C01or Breed** Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicab}I� SUBTOTAL: $ RABIES VACCINATION DATE: '" (3 yr (1 yr) City Tag # 3564 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 CT1 YTAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not Send Cash by Mail TOTAL ENCLOSED $ ZZ- If you have questions, please contact Blair Police department at (402) 426-4747 +++++++++++++++t++..+++++++.++.++++++++++++++++++++++i .+.;l.++.+++++.++++++++++++ NEW PET/NEW RESIDENT' LICENSING REQUIREMENTS (Mardi 151at6 fie dalenotappliotC-fa,-17ew cetslnpwlesidents) NMly Accadred pets: New Residents to Blair ■ Must by lied within 10 daysof mriershp x Must register pets within 10. days of w <0R> at 6 months of age If puppylkitten residency. 02/02/2023 11:58 4024260101 HOLSTEIN VET CLINIC PAGE 01/02 2023 PET LICENSE VERIFICATION/APPLICATION FOR CITY or BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT(S), (;OMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TD: CITY OF BLAIR — 218 S. 16TK 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 (P) ADULT CATS PER RESIDLINITIAL, QR DWELLING .UNIT, ***PLEASE READ CAREFULLY' Y ARE REQUIRED BYLAW TO I E1 YOUR PETS. THE B 1 REQUIRE OF OF RABIES -VACCINATION, Failuna to do soisa violation of City Qrdinance5 6.103 and carrion a penalty of a fine up to $160.00 per pet, UT LICENSE RENEWALS ARF,DUE BY 311512�023- The city shall, recognize a microchip ID number as the license number. It shall be' unlawful for any dog or cat to Wear any license or other city ID other than that issued by the City of flair for such dog or cat. NEW . ff.�CEN�SING Must be licensed within 10 days of ownership (OR) at 6 months of ago if puppy or kitten 11EW'F(ESII�r=NTS TO BLAIR Must register pots within 10 days of residency Owner Name spouse Owner Address City/state/Zip Phone # Pat Name: Lily Ag6i 13Y DOB: -01-01-10 Breed: Dachshund Micro6hip # Michael Kraft Cari 1015 North 14th St Blair, NE 68008 402-536-9276 Tag #3427 Sex: Spayed Female won Black and Tan INCLUDE CITY TAG NurviBF-A IF THIS IS A RENEWAL RABIES VACCINATION DONE ON 110.08-21 Rabies Tag # 19534 (IF AVAILABLE). # Rabies Description: 1 YEAR If 3 YEAR .Holstein Veterinary Clinic Lin Liss Schrum D IAM , Dr, K.,Isfa Holstein D VM 718 South 1 9,hStreet Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinic@gmail,com LICENSE �PES intact Dog or Cat: $1 6-QQ ad D or C:at'$l 1 .0 og tt� Replacement Tag $6.00 Total $—A— PETS THAT ARE ONTHE A MVE-80-TENTIALLYDANCEROUS OR QAN US DOG LIST NEED TO REGISTER DIRECTLY AT My HALL, FAXED 02-02-23 BY J" HULbILIN VL1 ULINIU FAUL U1/08 VERIFICATION/APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CATM, COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF BLAIR — 218 9.16-M ST — BLAIR, NE 66008 COPY YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREF, t3) AIDULT DOGS OF1 THREE (3) ADULT CATS PER RESIDENTIAL OR D ***PLEASE READ CAREFULLY*** U AR P-QUIR 13Y LAVUTO—LICE NSF- YOUR PrTQ. THE CITY r1r Ell A112 BPQ I ESP F OF RA131ES VACCINATIQN-- Failure to do so is a violation of City Ordinances 6.103 and carries a penalty Of a fine UP to $150,00 Per Pot. P 110E -EL R—r- gEQqKNSg FNEWAIAqA —D—UE-61-311V-20-29- The city shall recognize a microchip ID number as the license humoor. It shall be unlawful for any dog or cat to wear any license or other city ID other than that Issued by the City of Blair for such dog or cat. NEW PET Ll�jNal_NG Must be licensed within 10 days of ownership (OR) at 6 months of age if puppy or l(itton NEW RESIQENTSiD BLAIR Must register pets within 10 days of residency Owner Name Spouse Owner Address City/State/Zip Phone # Kelly Krueger Josh Tanner 543 N 20th AVE Blair, NE 68008 402-350-5162 Pot Name: Kitten Age: 7M sex; FemaleColor: Smoke I Black DOE: —08-06-22 Breed- pornestic Shorthair Microchip # Rabies Tag # ciTy TAG NLIW-BER —IFTHI-S ff'A RENEWAL or AVAILABLE)# RABIES VACCINATION DONE ON 110-05-22 Rhbies Description: ( 1 YEAR 3 YEAR Holstein Veterinary Clinic Dr. L'Ise Schrum D VO : Dr, KrIst.? HolWeln D VM 718 South loth Street Blair, NE 68008 402-426-7387 402-426-0101 Fax hojsteinc1in1C@qlm8iLC0M LICENSE FEE A s 111 Intact N Dog or Cat: $18.00 Dog or cat: $11 .00 Replacement ray $5.00 Total PETSTHATARLONTHEACTIVEPOTEN71A-LLY-OAN,5-E-RP-"-9-OR DANGEROUS VQG UST NEED 7-0 REG15TEAPLREGfLYA7 CITY HALL, FAXED 101-06-23 M U11 VJbl IVJZd 1/-'. Ud 4UZ4ZbU1U1 r1ULZD11-1N V111 ULINIU 1-mut Vii./ vid Vrr!.!RIFIC,raL"IkriON/APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT(S), COMPLETE 11-118 FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF BLAIR — 218 8.16TH ST — BLAIR, NE 68008 COPY YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT DOOS OR THREE (3) ADULT CATS PER RESIDENTIAL OR %'**PLEASE RFAD CAREVULLV*** YD QUIRES PBDOF--OF—R—AWI—ES--V—AGGIbLAri—ON. UARER90UIREQ ity of a fide u p to $150.00 per Pat, Failure to do s 3The pity shall recognize $ miernchip ld nurrlber as the . joense nurnbor. it shall be unlawful for any dog or gat to wear eny license or ether cityt issued by the City of Blair for such dog or cat. NEW PET W_Q �SING�Murg be licensed within days a ownership I(OR) at 6 mdntits of age if puppy Dr kitten NEW RESIQENIU-0-0—�� Must register pets witliln 10 days of residency owner Name Spouse Owner Address city/state/zip Phone # Holstein Veterinary Clinic Dr. Lisa Sofymm D IAM ; Or Krista Holsteln D v" 718 South 1 qthStroet 131a'jr, NE 68008 402-426-7387 402-426-0101 Fax h01steinc1!n1c@0mai1-c0M Kelly Krueger, Josh Tanner 543 N 20th AVE Blair, NE 68008 402-350-5162 LIM qSE-EE—ES Intact Dog or Cat: $16.00 Altered �d (Dog or cat: $11,09 Replacement rag $5.00 Total DAN6EAPU3 DOE 05T NEED TO REGIST R DIRECTLY uLr c1/ Ll7L.j .t E: b4 4024260101 HOLSTEIN VET CLINIC PAGE 01/02 2023 FEET LICENSE VERIFICATION/APPLICATION FOR CITY OF BLAIR IP YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOGS) AND /OR CAT(S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYA13LE TO; CITY OF BLAIR - 21$ S. 16'•" GT -- BLAIR, NB 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 A�3L RE(�U1REQ RY LAIIU TO �_10EIV F Y4�JR PEAS. THF. CITY t7F B�,AIR REOUIRE� PR t]F O,F RAB.LFS VAGGI IQ Failure to do so is a violation of City Ordinances 6,103 and carries a penalty of a fine up to $150.00 per pat. PET LICENSE RENEWALS RI_ T?t1E BY 3/1 Wj023 The city shall recognize a microchip ID number as the license number_ It shall be unlawful for any dog or catto Wear any license or other city ID either than that issued by the City cif Blair for such clog or cat. NEW PET LICENSING Must be licensed within 10 days of ownership (OR) at 0 months of age if.puppy or kit -ton NEW RESIDENTS TO gLAtR Must register- pets within 10 days of residency ,Owner Name Medan Krumvieda Spouse Owner Address 828 N 16th St City/State/Zip Blair, NE 68008 Phone # 402-955-9751 Per Name: Beau Age: 4Y I Sex: Neutered Made DO& 04-21-18 j Breed: Golden Retriever Microchip # PLEASE INCLUDE CITY TAG NUMBER IF RABIES VACCINATION DONE ON Rabies Description: 1 YEAR S IS A RENE' 10-25.22 TaLy Color: Rabies Tact # 20734 AL (IF AVAiI-ABLEI: # 3 YEAR Holstein Veterinary Clinic Dr. ,Lisa &.hrum DVM : Dr. Krlsta Holstein 0VM 718 South 1911' Street Blair, NE 68008' 402-426-7387 402-426-0101 Fax holsteinclitiic@gmaii.com FAXED --T02-21-23 M UO-E _ E FE R Intact Dog or Cat: $10.00 /t d 004 or cat: $11,00 Hoplocemoot Tag $5.00 Total $ 02/21/2023 17:54 4024260101 HOLSTEIN VET CLINIC PAGE 02/02 2023 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A L)OG(S) AND /OR CAT('S), COMPLrTE THIS FORM AND RETURN WITH A CHECK PAYABL! TO; CITY OF BLAIR - 218 8; 16TK RT - BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PET$, BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADUUF CATS PER RESIDENTIAL OR DWELLING UNIT- '°'"PLEASE READ OAREFUL.LY*04t %rwrr ypU ._FiA E REQUIRED Failure to do so is a violatl�rn of City Ordinances 6.10and carries a penalty of a fine up to 15 per pot- PE,T LlGERLr-_RE IN LS ARE DUB 13Y 153J I2QZ3_• The city shall recognize a microchip ID number as the license number, It shall he unlawful for any clog or cat towwithin � 0 days'se or other of ownership'ty ID (OR) at Cer than that issed rrtott hs of a�euf puby the ppy or iityt of Blair for such dog car cet. NEW PET 1. Cl ENNS,�Must be licensed NEW B SID NE TS TCl gLA{g Must reoister pets within 10 clays of residency Owner Name spouse Owner Address city/state/Zip Phone # Pet Name: Seerlett Age: 2�YY] Sex: Spayed Female I2 DOB; -18-20 Breed: Golden Retriever Microchip # PLEASE INCLUDt, CITY TAG NUM RABIES VACCINATION DONE ON IF THIS IS A Rabies description: 1 YEAR Megan Krumvieda 828 N 16th St Flair, NE 68008 402-955-9761 Tag #3521 Color: Cold 03-11-22 Rubies Tag # 20163 AI- (IF AVAILARLEY it Holstein tein Veterinary Clinic Dr. Lisa Schrum OVM : Dr Krista H015tein OVM 718 South 19t" Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinic@ gmail-com Intact Dog or Cat: $16.00 Itered reat:$11.0Do o Replav6ment Tag $5.00 Total $� ` YEAR �� L PE'T THAT' RE ON THE ACRZEP TENT7A DA EROUS DOG QST NEED TO RE9 STER S FyXED 02-21-23 {T`YfAMrl:' 01/24/2023 12:08 4024260101 HOLSTEIN VET CLINIC PAGE 01/02 2023 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOOM AND /OR CAT(S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF BLAIR — 218 S. 16TH ST — BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. ***PLEASE READ CAREFULLY"* YOU ARE REQUIRED BY LAW TO LICENSE )LQUR PETS. THE CITY OF BLAIR REQUIRES PROOF OF RABIES VACCINATION. Failure to do so Is a violation of City Ordinances 6,103 and carries a penalty of a fine up to $150.00 per pet, PET LICENSE RENEWALS 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 10 other than that Issued by the City of Blair for such dog or cat. NEW PET LICENSING Must be lioensad within 10 days of ownership (OR) at 6 months of age if puppy or kitten NEW RESIDENT'S TO BLAIR Must register pets within 10 days of residency Owner Name I . James Kruse Ashley Owner Address 2029 Cauble Creek Circle City/State/Zip I - Blair, NE 68008 Phone # . 1 402-719-6050 Pet Name: Thor Tag #3249 Age: ' 7y' Sex: Neutered Male Color: Blue DOB, —11-011-115 Breed., Weimaraner Microchip # —Rabies Tag# PLEASE INCLUDE OITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE): # RABIES VACCINATION DONE ON 10-13-20 Rabies Description: 1 YEAR YEAR Holstein Veterinary Clinic Dr. Lisa Schrum DVA4 : Dr Krista Holstein DVM 718 South 19thStreat Blair, NE 68008 402.426-7387 402-426-0101 Fax holsteinclinio@gmaii.corn LICENSE FEES , Intaet Dog or Cat: $16-00 to L. at: $1 .00 $j- Replacement 7-ag $5.00 Total 01/24/2023 12:08 4024260101 HOLSTEIN VET CLINIC PAGE 02/02 2023 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMIT'S AND OWN A DOG(S) AND/OR CAT(S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF BLAIR — 218 S. 16TH ST — BLAIR. NE 68008 ADULT P$, BUT NO MORE THAN THREE (A) A ULTLEGLDOGS OR THREE OWN A (,3) ON ADULTIOF CATS PIER REST ENTIAL OR DWELLING UNIT. ***PLEASE READ CAREFULLY — YOU ARE QUI ED B AW LIC SE YOUR P S. T E CITV OF ni mn U) E RO OF R fES CCI TION Failure to do so Is a Violation of City ordinances 6,103 and carries a penalty of a tine up to $150.Op per pet. PIET LI NSE NEWALS DU BY / 5/2 The city shall recognize a microchip ID number as the license number. It shall be unlawful for any dog or cat to wear any license or other city ID other than that issued by the City of Blair for such NEW PET LICENS. INo Must be licensed within 10 days of ownership (OR) at 6 months of age if puppy or kitten dog or cat. NEW RESIDENTS TO BLAIa Must register pets within 10 days of residency Owner Name Spouse Owner ,Address City/state/,Zip Phone* Pet Name: Luna Age: 16M D013: 10-29-21 Breed; St',Bern Microchip # PLEASE NCLUD)i AG Sex: Spayed Female RABIES VACCINATION DONE ON ,lames Kruse Ashley 2029 Ceuble Creek C7ir le Blair, NIR 68008 402-719-9050 Color: Brown/Blk Rabies Tag # 23035 IF THIS IS A RENEWAL (IF AVAILABLE): # Rabies -Description! 1 YEAR 0'1-24-23 Holstein Veterinary Clinic Dr. Lisa ,Schrum DVIW : dr. KK10,0 Holstein DVM 718 South 19x" Street Blair, NE 68008 402-426-7887 402-426-0101 Fax hoisteinciinicG gmaii.com LICENSE FEES, Intact Dog or Cat: $16.OQ Itered Dog r cat: $11 0 Replacement Tag $5.00 Total $AA— LET� THAT ARI; ON THEfjOTIVE FpTENTIALCY DANGQR�US OR DANG ROUS D �, LIST NE�p TO REC�lSfER DIREG7ZY T CITYH LL, vs— If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair @ 218 S 16th St 9 Blairi, 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: n (`�l.t C Owner Address: C 0 1 City/State/Zip: Blair, NE 68008 Phone # I ' a 3 LICENSE FEES: Dog or Cat: $16.00 [r1(..)Altered Dog or Cat: 611.00J lTia-,4--Replacement Fee ror Lostr ag: $5.0ir Included State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program ***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. PET #1[ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ i Pet NameBirthdate �I -11 Sex lM ColorN,yQnBreed" 1rixrA v-esc Replacement ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y q N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: II 90 (3 yr) _ (1 yr) City Tag 4 1' #2 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Birthdate Sex _ Color Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) E , ❑ 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) (1 yr) License Fee $ Replacement $ SUBTOTAL: $ City Tag # License Fee $ Replacement VJUBTOTAL: City .. *PLEASE INCLUDE THE Cr Y TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) o Not Send Cashlby Mail TOTAL ENCLO If lw� j. If you have Clue ns, please contact Blair Police DepartmentTat402) 426 ......................... i NEW PET/NEW RESIDENT LICENSING REQUII Newly Acquired Pets: • Must be licensed within 10 days of ownership • <OR> at 6 months of age if puppy/kitten .........+++++ late fee date not applicable for new pets/new residents) New Residents to Blair: ■ Must register pets within 10 days of residency. Client ID: 7824 Client Name: Steve Kucirek Address: 1830 Colfax St Blair, NE 68008 Phone: (561)676-7063 Tag Number: 5880 Lot Number: 18445 Imrab Rabies Vaccine Producer: Merial K / MLV / R: Killed Virus Blair Small Animal Clinic PC David E. Johnson DVM 1734 Front Street Blair, Nebraska, 68008 (402) 533-2722 Rabies Certificate Patient ID: 10364 Patient Name: Marley Species: Canine Breed: Mixed Breed Sex: Neutered Male Color: Brown/White Markings: Birthday: 12/03/2011 Weight: 47.50 pounds on 7/11/2020 Microchip ID: Vaccination Date: Expiration Date: Staff Name: David E. Johnson DVM License Number: 1893 7/11/2020 7/11/2023 CITY OF BLAIR - 2023 PET LICENSE APPLICATION If you live in Blair City limits and own a clog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair • 218 S 16th St • Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2023 Owner Name: a i111) /1)GL,[ e �J-ULb) i Owner Address: 11009 56ulh Ave. city/state/zip: Blair, NE 68008 Phone # Yb), - L4 _ dQ l d- LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11.00 ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3/15/2023. The City shall recognize a microchip Identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city Identification other than that issued by the City of Blair for such dog or cat. The Citv of Blair reauires Droof of rabies vaccination to be submitted with your license application. Replacement Fee for Lost Tag: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET #1 ❑ Dog V4 Cat �d Spayed/Neutered Pet Name 546.(- Birthdate 21111,2a Sex Color 9(c c k / I,) in t (-e Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # 90,5 l 4 l 005 b'3+ (If applicable) RABIES VACCINATION DATE: a h l j, 5 (3 yr) _ License Fee $ . ®O Replacement $ El SUBTOTAL: $ 11, 0 (1 yr) City Tag # Volt PET # 2 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Birthdate Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) (1 yr) 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) _ WU (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 $ ( (. 00 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 Ibmsed within 10 days of ownership ■ Must register pets within 10 days of ■ <OR> at 6 months of age if puppy/Idden residency. Blair Small Animal Clinic PC David E. Johnson DVM 1734 Front Street Blair, Nebraska, 68008 (402) 533-2722 Rabies Certificate Client ID: 2737 Patient ID: 14158 Client Name: Ann & David Kuhl Patient Name: Star Address: 1009 South 16th Avenue Species: Feline Breed: Domestic Shorthair Blair, NE 68008 Sex: Spayed Female Color: Black/White Phone: (402)426-2812 Markings: Birthday: 02/11 /2022 Weight: 8.66 pounds on 2/11/2023 Microchip ID: 985141005608034 Tag Number: 000000 Vaccination Date: 2/11/2023 Vaccine: Imrab Rabies Vaccine Expiration Date: 2/11/2024 Producer: Merial Lot Number: 18535 Brand: Imrab 3 TF Drug Expiration Date: 11/17/2023 Type: Killed Virus Manner of Subcutaneously Administration: Staff Name: David E. Johnson DVM License Number: 1893 Doctor Signature: CITY OF BLAIR ® 2U23,PET LICENSE APPLICATI I -oo--)4\0 If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair e 21816th St 9 Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15. 2023 Owner Name: Ann �7��c \-"Q yrl 1 Owner Address: City/State/Zip: Blair, NE 68008 Phone # H 0,) LICENSE FEES: Dog or Cat: $16.00 Altered Do or Cat: 11 00 ***PLEASE FULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3115/2023. The City shall recognize a microchip Identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city Identification other than that Issued by the City of Blair for such dog or cat. The City of Blair reouires proof of rabies vaccination to be submitted with your license application. g Replacement Fee for Lost Tag: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET #1 ❑ Dog `0 Cat 'f J Spayed/Neutered Pet Name 5 to "e4,k e- Birthdate � Sex Color Breed" Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # CO` IA i60C,t+b44 U6 (If applicable) RABIES VACCINATION DATE: i i ld oi-� i (3--yr) _ 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) _ ❑N _ (1-yr") - ❑N _ (1 yr) License Fee $ ( t 0 () Replacement $ SUBTOTAL: $ _ City Tag # License Fee $ Replacement $ • PET # ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed" Replacement$ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) u0 Do Not send cash by Mail TOTAL L 11 -.. 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/Idtten residency. Diair Small Animal Clinic PC David E. Johnson DVM 1734 Front Street Blair, Nebraska, 68008 (402) 533-2722 Rabies Certificate Client ID: 2737 Patient ID: 2619 Client Name: Ann & David Kuhl Patient Name: Smudge Address: 1009 South 16th Avenue Species: Feline Breed: Domestic Shorthair Blair, NE 68008 Sex: Spayed Female Color: Black/Gray Phone: (402)426-2812 Markings: Tabby Birthday: 05/04/2008 Weight: 14.50 pounds on 11/28/2020 Microchip ID: 985121006484485 Tag Number: 000 Vaccination Date: 11/20/2021 Vaccine: Imrab Rabies Vaccine Expiration Date: 1112012023 Producer: Merial Lot Number: 18514 Brand: Imrab 3 TF Drug Expiration Date: 3/11/2023 'ype: Killed Virus ,Manner of Subcutaneously Administration: Staff Name: David E. Johnson DVM License Number: 1893 Doctor Signature: N a) u a w L O [I ❑ LL 4N L L O co 0 C_1 C O a1 L (U Q LL $ z Q CL p a) is a � 1— d N L.I C z a ai In U m > > 0- a) m L PP. 41 m RS c6 m m co (D ca ca f0 Ul 4+1 L . V u u u U u u U U U a ' 3 t o 0 CL Y C l N a 0 a) No LLB 3 ° O 0 L v a w cn Q � 3 N N a1 � z a N i � N \ L LU (D ) ❑% El DO ct c0 rn H 0 0 a) co L >- M (L) In L O CL III 1�- C (C .2 Q a) � fD 41 > z \ U O L: a) u u 0 � co 0 � (n o ca co m u .. c O c o c = z Q cn v m > > CL o � 0 a 0 °ul 0 0 0 0 0 0 0 0 0 ,o o p 0 0 0 0 0 0 0 0 0 ❑ > > coy ) o v f M L r uCL �V/y�q ,V 0 °° v -� 0 a1 N 0 m CL N N N CDih r4 r-I O -aN L' OU t cn L m Lu 06 Q Q� NN \ \ r-I o� N z lD a) c X o Ln m v z �_ +, a) � m H❑ Ln Lnn g 0 a) 3 v ry� \l/ z iD m L a) c v u = S u L1 N ® v L v +� D '�v�i 9) a) aJ Q c = a) a� E O .. v c a <® L' O N U .2 �-- Z L f0 .. in o N a z 4+ tD J '- O _ Ln U Q a) F— C (n L -a O > L O a) W L w E N .� a) L LL ca J a U t d_ m .. L 0 u a) C (n � c a) c a) c a) -0 a c a m u ca ^,) W L a) c L a) c L a) c L a) c L aJ c L a1 c L � a) -Q c w a °C CI tea+) / V QJ a) a1 a1 E v ❑ n a) E c c � v u u u � u a) a) a) 3 � � ' � � I' —1 :3 cc J _1 _I z J C:� rf, LL ® 0 0 0 0 0 0 0 z w Date of Rabies Vaccination: 03-30-22 Certificate No: 0 Next Rabies Vaccination On: 03-30-23 Previous Rabies Vaccination: VETERINARY CLINIC OWNER OF ANIMAL Holstein Vet Clinic Nicole Kuhl 718 South 19th Street 655 N 23rd St Blair, NE 68008 Blair, NE 68008 402-426-7387 County: This is to certify... THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Buddy TAG NO: 20213 SPECIES: Canine WEIGHT: 74.00 SEX: N AGE: 5 years Color and markings... Brind/Wht Signed Krista Holstein., DVM License: 3612 Rabies Vaccine Information... MFG BY: ZOETI SER.NO: 553917A LOT EXP: 04/25/23 ADM: SQ 02/20/2023 17:07 4024260101 HOLSTEIN VET CLINIC PAGE 03/03 2023 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF BLAIR Ir YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT(S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF BLAIR — 218 S. 16 T11 ST — BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, 5UT NO MORE THAN THREE 0 ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT, ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED -BYLAW TO LICENSE YOUR PETS. THE CITY or BLAIR REQUIRES PRoor OF RABIES VACCINATION. Failure to do so Is a Violation Of City Ordinances 6,103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSE RENEWALS ARE DUE BY 3/15/2023, The city shall recognize a microchip ID number as the license number. It shall be unI.9wful for any clog or cat to wear any license or other city ID other than that issued by the City of Blair for suet) dog or cat. NEW rJET LICENSING Must be licensed within 10 days of ownership (OR) at 6 rnonths of age if puppy or kitten NM M,=-wmT0 BLAIR Must register pets within 10 days of resin ency Owrier Name Kay Kult Spouse Owner Address 1005 Colfax city/stateaiip Blair, NE 68008 phano 4 4 0% :! A'%,- Ann& Pet Name: Mycl Tag #2380 Age: 13Y Sax: Spayed Female Colon Tan DOB: 08-19-09 Breed: Mix Microchip # les Tog # 20075 PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE). # RABIES VACCINATION DONE ON 02-01-22 Rabies Description: I YEAR ((3 YEAR Holstein Veterinary Clinic Dr. Lisa Schrum DVA4 : Dr. Krista Holstein DVIW 718 South 1911, Street Blair, NE 68008 402.426-7387 402-426-0101 Fax holsteindinic@gmail.00m LICENSE FEES 117tact Dog or Cat; $16.00 flA'Ve�rvd Dog or cat: $1 1A0 Replacer 70nt Tag $5.00 Total t � P6T$ThArAAf0N THEACVVE POTENJALLY DANGEROUS OR 'PAW 05 0 67-1VUL) To REGISTER DIRECTLYAT CITY HALL FAXED 02-20-23 BY 6y 26-4 L C o),3 CERTIFICATE OF VACCINATION Date of Rabies Vaccination: 04-29-23 Next Rabies Vaccination On: 04-28-24 VETERINARY CLINIC Thone Animal'Hospital 902 S Hwy 30 Blair, NE 68008 402-426-3630 Certificate No: 3850 Previous Rabies Vaccination: OWNER OF ANIMAL Andrew Kumm 1613 Little John Cir At12 Co. Bluffs, IA 51503 County: This is to certify... THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Akio TAG NO: 008973 SPECIES: Canine WEIGHT: 0.00 SEX: M AGE: 14 weeks Color and markings... Black Signed Dr. Joe DiMari License: 3258 Vaccinations done... 04-29-23 JRD Rabies Vaccination (1 Year), #008973 04-29-23 JRD DA2PPV 04-28-24 Rabies Vaccine Information... MFG BY: ZOETI SER.NO: 595587 LOT EXP: 11-7-23 ADM: SQ d- CERTIFICATE OF VACCINATION Date of Rabies Vaccination: 04-29-23 Certificate No: 3851 Next Rabies Vaccination On: 04-28-24 Previous Rabies Vaccination: VETERINARY CLINIC OWNER OF ANIMAL s Thone Animal Hospital Andrew Kumm - "-I 'I)- 902 S Hwy 30 -1-61-3-Littt�Jo-K-n-Cir4VI72-- Blair, NE 68008 C-o-.--Btuffs-,-1A--5t5n- 402-426-3630 County: This is to certify... THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Izzy TAG NO: 008974 SPECIES: Canine WEIGHT: 0.00 SEX: F AGE: 14 weeks Color and markings... Black Signed Dr. Joe DiMari License: 3258 Vaccinations done... 04-29-23 JRD Rabies Vaccination (1 Year), #008974 04-29-23 JRD DA2PPV 04-28-24 Rabies Vaccine Information... MFG BY: ZOETI SER.NO: 595587 LOT EXP: 11-7-23 ADM: SQ CITY OF BLAIR ® 2023 PET LICENSE APPLICATION tit , If you live in Blair City limits and own a dogs) and/or cat(s), complete this form and return with check made payable to: City of Blair 9 218 S 16th St 9 Blair, NE 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: Auku-y\�o-rv-\ AYA�'4 Jj\`--A,,y- OwnerAddress: IJA5 AJ. 1J':5�- r 10 City/State/Zip: Blair,. NE 680 Phone # 11 " c�-4 114 LICENSE FEES: Dog or Cat: $16.00 Altered Don or Cat: $11 00 ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $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 aonlication. 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 X? Spayed/Neutered License Fee $ J' Pet Name OA�tf Birthdate oK-Ai- FP Sex m Color \ c am Breed** ��ur T�,; -P Rep/acement $ * * Declared Dangerous or Potentially Dangerous Dog: ❑ Y W N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: o4-o-a�- (3 yr) �Q (1 yr) City Tag # PET #2 ❑ Dog [gyp Cat ll5payed/Neutered License Fee $ Pet Name 'A o-- Birthdate ul,o9,0 Sex Color Breed** LtAL i,L. >�u-�l� Rep/acement$ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y 'INN _ MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: 61- k9JP (3 yr) - O (1 yr) City Tag '` te, 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 +++++++++++++++++++++++++++++++++++++++++++++++++++++.++++++++++++.....+a-¢++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15late fee date notappllcable fornewpets/new residents) Newly Acquired Pets: New Residents to Blair: • Must be licensed within 10 days of ownership ■ Must register pets within 10 days of • <OR> at 6 months of age if puppy/kitten residency.