OCITY OF BLAIR - 2023 PET LICENSE APPLICATION Vt
If you live in Blair City limits and own a clog(s) and/or cat(s), complete this form and return with check made payable to:
City of Blair e 218 S 16th St 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: 41� Nllke'y'
Owner Address: 121-112 S Of L-I
city/state/zip: Blair, NE 68008
Phone # te L1 I - i La 9 -
LICENSE FEES: Dog or Cat: $16.00
t12-10
***PLEASE CAUFULLY***
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 to Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program
/ 1_'
Dog)LJ Cat Spayed/Neutered License Fee $
o
Pet Name-Zei , -- Birthdate o5luio Sex Fto.ekle--
Color 'K I PlAckcL Breed** Replacement $
Declared Dangerous or Potentially Dangerous Dog: Ll Y'M N
MICROCHIP # Ll 9 0 10 C � 0 (y b —(If applicable) SUBTOTAL: $
RABIES VACCINATION DATE: 4 - ZAK (3 yr) '&_ (1 yr) _ City Tag #
PET #2 Ll Dog d('c'_at-> dSpayed/Neutered License Fee$
Pet Name Cot_;- Birthdate Sex pAlk
Color4 Breed" Replacement$
Declared Dah'6erou's or Potentially Dangerous Dog: Ll Y Q N
MICROCHIP # I 02GO'l 1121 J L1'3 (If applicable) ' SUBTOTAL: $
RABIES VACCINATION DATE: 10 - 7-1 -Z -L-- (3 yr) )�L_ (I yr) — City Tag # 0
PET #3 D4 ZJ Cat Spayed/Neutered License Fee $
Pet Name Birthdate 01 IU2;x Sex Pe &W,
Color btaJk,, f-,e - Breed" Replacement$
Declared Dangerous or Potentially Dangerous Dog: J Y U N
MICROCHIP # 141 VOS SO 12AA (If applicable) SUBTOTAL:$
RABIES VACCINATION DATE: Ct - I U -- VL_ (3 yr) — (1 yr) -#L City Tag # Y6
*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 late fee date not applIcable fornewpety1new re5ldenly)
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/Wtten residency.
Countryside Small Animal
1306 Stevenson
PO Box 119
Fort Calhoun, NE 68023
402-468-4060
FOR: Aimee Obrien
1979 Soren Dr,
Blair, NE 68008
(641) 569-3678
V
Printed:
02-23-23 at 3:58p
Date:
02-23-23
Account:
3488
Invoice:
69374
D' t
Date
For
Qty
Description Price iscoun
02-22-23
Daisy
1
Atropine sulfate 0.5 mg/rnL
02-22-23
02-22-23
02-22-23
02-22-23
02-22-23
02-22-23
02-22-23
02-22-23
02-22-23
02-22-23
1 Pre -anesthesia, IV Ketamine/Vahu
1 Catheterization, Intravenous
1 Lactated Ringers IL
1 Cerenia, 10mg/ml maropitant
1 Ovariohyster, Canine 26-50# 7mo-
1 Microchip, Home Again*
1 Registration, Lifetime, HomeAgain
1 Canine Bordetella Oral Vaccination
1 Nail Trim - 35 pounds or more 20.00
3 Previcox 227mg Chewable Tablet
Total charges, this invoice...
**Total discount included: 20.00
Tax...
Total, this invoice.,.
Your old balance,.,
Total payment(s) received...
02-23-23 Discover payment
Your new balance...
Your
invoice total reflects our Good Clients discount.
Reminders for: Daisy (Weight: 45.0 Ibs - 8m) Last done
02-22-24
Canine Bordetella Oral 02-22-23
10-13-23
Canine DA2PP Vaccination
09-16-23
Canine Rabies, 1 y
06-20-23
Heartworm Test, Antigen
Daisy's weight history (in Ibs)
02-22-23
45.00
01-09-23
41.40
Price
10.00
35.00
45.00
20.00
26.00
150.00
42.00
19.99
35.00
0.00 **
13.80
396.79
*2.94
399.73
0.00
399.73
399.73
0, 00
s
CX(jjtA �-'5 Q,
Date of Rabies Vaccination: 10-21-22
Next Rabies Vaccination On: 10-20-25
VETERINARY CLINIC
Thone Animal Hospital
902 S Hwy 30
Blair, NE 68008
402-426-3630
This is to certify...
Patient information...
INA:TfON
Certificate No: 0
Previous Rabies Vaccination:
OWNER OF ANIMAL
Aimee O'Brien
1979 Soren Dr
Blair, NE 68008
County:
PATIENT: Casper TAG NO: 008428
SPECIES: Feline WEIGHT: 0.00
SEX: N AGE: 14 months
Signed
Dr. Joe DiMari
Vaccinations done...
License: 3258
10-21-22 JRD Rabies Vaccination (3 Year), #008428
10-20-25
11-16-21 KF Fe 4Way (Rhino/Cali/Pant/Chia) 11-16-22
Rabies Vaccine Information...
MFG BY: ZOETI SER.NO: 583359
LOT EXP: 9-26-23 ADM: SQ
�e
�t��" °�' ��"�
If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to:
City of Blair e 218 S 16th St e Blair, NE 68008 #� ' `�
You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs
or three (3) adult cats per residential or dwelling unit.
l '1
I a FITFINT -IT! R
Phone #
LICENSE FEES: Dog or Cat: $16.00
Altered Dog or Cat: $11.00
***PLEASE READ FULLY***
YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS.
Failure to do so is a violation of City ordinances 6.103 and carries
a penalty of a fine up to $150.00 per pet.
PET LICENSES RENEWALS ARE DUE BY 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 & Cat Operator Inspection Program
PET 1 WDog ❑ Cat 4-Spayed/Neutered License Fee $%
Pet Narjie Birthdate 1 1-49 Sex _
Color 8 a.4 9- oA&0' Breed** Replacement$ **
Declared Dangerous or Potentially Dangerous Dog: ❑ Y 9,N
MICROCHIP # (If applicable) SUBT TAL:
RABIES VACCINATION DATE: 1—I W Vac9 ( (3 yr) '�&_ (1 yr) City Tag # *
PET #2 ❑ Dog ❑ Cat ❑ Spayed/Neutered
Pet Name Birthdate Sex
Color Breed"
Declared Dangerous or Potentially Dangerous Dog: ❑ Y
MICROCHIP # (If applicable)
RABIES VACCINATION DATE: (3 yr) _
PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered
Pet Name Birthdate Sex
Color Breed**
Declared Dangerous or Potentially Dangerous Dog: ❑ Y
MICROCHIP # (If applicable)
RABIES VACCINATION DATE: (3 yr) _
WE
M
(1 yr)
(1 yr)
License Fee
Replacement $ * *
•
— City ..
License Fee $
Replacement $
SUBTOTAL:$
*PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL
** (This fee is due along with License Fee if requesting at the time of license renewal.)
Do Not Send Cash by Mail TOTAL ENCLOSED $
If you have questions, please contact Blair Police bepartment at (402) 426-4747
++++++++++++++++++++++++++++++++++++++++++++++++++++++++++¢++++++++++++++++++.
NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15/ate fee date not applicable fornewpets/new residents)
Newly Acquired Pets: New Residents to Blair:
• Must be lioynsed within 10 days of ownership ■ Must register pets within 10 days of
• <OR> at 6 months of age If puppy/Idtten residency.
Arlington Pet Hospital
225 N. 3rd St.
P.O. Box 556
Arlington, NE 68002
402-478-4141
Printed: 1/14/2021 at 1:04p
FOR: Mr/Mrs. Kayleen O'Hanlon Date: 1/14/2021
753 N 11th Apt #2 Folder: 2330
Blair, NE 68008 Invoice: 311688
(402) 936-0632
Date For Qty Description Net Price
1/14/2021 Khloe
1
SIMPLE TOENAIL TRIM
13.20
1/14/2021
1
RABIES 3 YEAR
16.50
1/14/2021
1
DHLPP ADULT BOOSTER 2 YR
27.50
1/14/2021
1
BORDETELLA ANNUAL BOOSTER
20.00
1/14/2021
1
HEARTWORM AG TEST
30.80
1/14/2021
1
EXAM- WELLNESS
27.50
Total charges, this invoice...
135.50
Your old balance...
0.00
Total payment(s) received...
135.50
1/14/2021 Cash payment
140.00
1/14/2021 Cash Refund #VJR
-4.50
Your new balance...
0.00
it
Patient Total charges
Khloe 135.50
Reminders for: Khloe (Weight: 19,0 Ibs - 5y) Last done
01/24
RABIES 3 YEAR
1/14/2021
01/23
DHLPP ADULT BOOSTER
1/14/2021
01/22
LEPTO BOOSTER
1/9/2020
01/22
HEARTWORM AG TEST
1/14/2021
01/22
BORDETELLA VACCINATION
1/14/2021
01/22
EXAM- WELLNESS
1/14/2021
Doctor's Instructions
RABIES 3 YEAR
Your pet may experience some side effects from their vaccination. These may include
LETHARGY, MUSCLE SORENESS in the area of injection and LOW GRADE FEVER. If
this persists longer than 24 HOURS, please notify our office immediately!
BORDETELLA ANNUAL BOOSTER
02/02/2023 11:58 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 DOG(S) AND /OR CAT(S),
COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO,.
CITY OF BLAIR — 218 S-16711 ST — BLAIR, NE 68008
YOU MAY LEGALLY OWN A COMBINATION Or F01JR (4) ADULT PETS,
BUT NO MORE THAN THREE (0),ADULT DOGS OR THREE (3) ADULT CATS PEN RESIDENTIAL OR DWELLING UNIT,
***PLEASE READ CAREFULLY***
yoU AgIii REQUIRED BY LAW TO LICENSE YO IJR PETS. THE CITY OF BLAIR REQUIRES PRQQ1= OF RABIES VACCINATION.
Failure to do so is a violation of City Ordinances 6.103 and carries a penalty of a fine Lip to $150,00 per pat -
PET LICENSE RENEWALS
The city shall recognize a microchip ID number as the license number.
It shall be unlawful for any dog or oat to wear any license or other city ID other than that issued by the City of Blair for Such dog or cat,
NEW PET LICENSING Must be licensed wit ' hin 10 days of ownership (OR) at 6 months of age if puppy or kitten
�yy RESIDENTS TO BLAIR Must register pets within 10 days of residency
Owner Name
Spouse
Owner Address
citylstate/zip
Phone #
Rod Olsen
2445 College Dr.
Blair, NE 68008
402-533-9920
Pet Name: CAT #2
Tag #2685
Age: I 1Y Sex: Spayed Feinialle Color: Gray Tiger
DOE: 04-01-11
Breed. Domestic Shorthair
Microchip #
Rabies Tog#
PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE): #
HARIES VACCINATION DONE ON
05,04-22
YE R 3 YEAR
Rabies Dese, I riptiun: YEAR
Holstein Veterinary Clihic
Dr, Lisa Schrum DVM , 49/,, KrIsta Holstein DIAM
718 South 1 9th Street Blair, NE 68008
402-426-7387 402-426-0101 Fax
h1olsteinclirlic@gmail.com
LICENSE FEES
Intact
Dog or Cat. $16.00
der d
Dog "1 0
Replacement Tag
$5.00
1
Total
PETS THAT ARE ON THE ACTIVE POTENTIALLY DANGEROUS OR
DANGEROUS DOG Lf5TN
FAXED 02-02-23
BY
42
1 7 e
If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to:
City of Blair e 218 S 16tht o Blair, NE 68008
You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs
or three (3) adult cats per residential or dwelling unit.
LICENSE RENEWALS ARE DUE: March 15, 2023
Owner Name: 4J'-Lc i 411 )% '�e- /I
Owner Address:
city/state/zip: Blair, NE 68008
Phone #
LICENSE ES: 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 fair Lost Tag: $5.0U
Included is a State Fee of $1.25 being collected to fund the Nebraska Cat Operator Inspection Program
Dog ❑ Cat Spayed/NeItered License Fee $
Pet Nam `. � Birthdate �13�1 �tSex
Color Breed** >� Replacement $ **
Declared Dangerous or Potentially Dangerous Dog. ❑ Y ❑ N
MICROCHIP # (If applicable) SU TOTAL: $ t"aL
RABIES VACCINATION DATE: - (3 yr) --$,— (1 yr) City Tag
T #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) SU TOTAL:
RABIES VACCINATION DATE: (3 yr) (1 yr) 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
If you have questions, please contact Blair Police Department at (402) 426-4747
+++++++++.h.1......¢.+++++++.+++++++++++++++.+¢++++++¢+++++¢+++++++¢++++++......
NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 151ate fee date not applicable fornewpe&lnewresidents)
Newly Acquired Pets: New Residents to Blair:
Must be licensed within 10 days of ownership E Must register pets within 10 days of
<OR> at 6 months of age if puppy/Idtten residency.
Thone Animal Hospital
902 S Hwy 30
Blair, NE 68008
402-426-3630
•
Printed: 10-18-22 at 2:24p
FOR: Judy Olsen
Date: 10-18-22
1032 N. 18th
Account: 9825
Blair, NE 68008
Invoice: 112633
(402) 426-8012
Date For
Qty
Description
Net Price
10-18-22 Gracie
1
Examination
41.00
10-18-22
1
Ear Clean/Treatment
15.00
10-18-22
1
Pluck ears
10.50
10-18-22
1
Posatex 15gm #31504
50.00
10-18-22
1
Thank You!!!
0.00
10-18-22
Visa payment
-116.50
Merchant ID: 4445046763017, Approval code: 942871, Transaction ID: 2077067034
Ref #: 28394, Act #: ***"" ''2290, Exp: XX/XX, Entry: Contacticc, Card: VISA
Your card balance is not available
I AGREE TO PAY ABOVE TOTAL AMOUNT ACCORDING TO CARD ISSUER AGREEMENT
Old balance Charges Payments
0.00 116.50 116.50
Reminders for: Gracie
04-06-25
DA2PPV 3yr
04-06-25
Rabies Vaccination (3 Year)
04-07-23
Bordetella, P13 Intra-trac 3
04-07-23
Lepto 1 yr
05-22-22
Hwt Dog (Heartworm Test)
Last done
04-07-22
04-07-22
04-07-22
04-07-22
R,
You Can Order Your Pet Supplies On animalcareofblair.corn. Like us on Facebook!!
New balance
0.00
t-r- ) u cip" S Y
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 o 218 S 16th St @ Blair, NE 68008
You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs
or three (3) adult cats per residential or dwelling unit.
LICENSE RENEWALS ARE DUE: March 15, 2023
Owner Name: M < kl,"—
i 0l 1 S C4
Owner Address: i > /of lo r"-
City/State/Zip: lair® NE 68008
Phone #
LICENSE FEES: Dog or Cat: $16.00
***PLEASE READ CAREFULLY***
YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS.
Failure to do so is a violation of City ordinances 6.103 and carries
a penalty of a fine up to $I50.00 per pet.
PET LICENSES RENEWALS ARE DUE BY 3/1512023. The City shall
recognize a microchip Identification number as the license number. It
shall be unlawful for any dog or cat to wear any license or other city
Identification other than that issued by the City of Blair for such dog or
cat. The City of Blair requires Proof of rabies vaccination to
be submitted with your license application.
Replacement Fee for Lost Tag: $5.00
LT�- lta Doa & Cat ODerator InsDection Procira M,
PET #1 O�Dog Ll Cat payed/Neutered License Fee $
Pet Name CC 6," IX Birthdate 4'y Sex
Color r5 t 1� -ri 4 Breed" Replacement$
Declared Dangerous or Potentially Dangerous Dog: ®Y ® N
MICROCHIP # (If applicable) SUBTOTAL: $
RABIES VACCINATION DATE: (3yr)(1yr) Z, City Tag # Y/ , 12t-L
PET #2 L] Dog LJ Cat Ll Spayed/Neutered
Pet Name Birthdate Sex
Color Breed"
Declared Dangerous or Potentially Dangerous Dog: LJ Y
MICROCHIP # (If applicable)
RABIES VACCINATION DATE: (3 yr) _
License Fee $
Replacement $
Ll N
SUBTOTAL:$
(1 yr) - City Tag #
PET #3 Ll Dog LJ Cat LJ Spayed/Neutered License Fee $
Pet Name Birthdate Sex
Color Breed** Replacement$
Declared Dangerous or Potentially Dangerous Dog: LJ Y LJ N
MICROCHIP # (If applicable) SUBTOTAL:$
RABIES VACCINATION DATE: (3 yr) — (I yr) _ City Tag #
*PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL
** (This fee is due along with License Fee if requesting at the time of license renewal.)
Do Not Send Cash by Mail TOTAL ENCLOSED $
If you have questions, please contact Blair Police Department at (402) 426-4747
..............................................................................
NEW PET/ NEW RESIDENT LICENSING REQUIREMENTS (March 15 late fee date not applIcable for newpet5lnew resldent5)
Newly Acquired Pets- New Residents to Blair:
• Must be licensed vdfiin 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�, 4>
If you live in Blair City limits and own a clog(s) and/or cat(s), complete this form and return with check made payable to:
City of Blair 9 218 S 16tht 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 E LS ARE DUE: March 15, 2023
Owner Name: b a le () I ` s o d
Owner Address: c--) /a i9 d f-le S ,�.
City/state/zip: Blair, NE
-- 68008
Phone #11.7
LICENSE FEES: Dog or 1
o1
***PLEASE READ FULLY***
YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS.
Failure to do so is a violation of City ordinances 6.103 and carries
a penalty of a fine up to $150.00 per pet.
PET LICENSES RENEWALS ARE DUE BY 3115/2023. The City shall
recognize a microchip identification number as the license number. It
shall be unlawful for any dog or cat to wear any license or other city
Identification other than that Issued by the City of Blair for such dog or
cat. The City of Blair requires proof of rabies vaccination to
be submitted with your license application.
Replacement Lee for Lost Tag: $5.00
Included is a State Fee of $1.25 being collected to fund the Nebraska & Cat -Operator Inspection Program
D o g
❑Cat Neutered r-
License Fee $Pet
Name
s �' I
i Birt%Ppayep
=/ Sex h
Color
Breed** -& .b
Rep/acement$ **
Declared Dangerous or Potentially Dangerol��.Dog: ❑ Y 14 N ; N
MICROCHIP # �S _ �(If applicable) , SUBTOTAL: $
RABIES VACCINATION DATE: ' ;. (3 yr) (1 yr) City Tag #eY
PET #2 ❑ Dog ❑ Cat ❑ Spayed/Neutered
Pet Name Birthdate Sex
Color Breed**
Declared Dangerous or Potentially Dangerous Dog: ❑ Y
MICROCHIP # (If applicable)
RABIES VACCINATION DATE: (3 yr) _
PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered
Pet Name Birthdate Sex
Color Breed**
Declared Dangerous or Potentially Dangerous Dog: ❑ Y
MICROCHIP # (If applicable)
RABIES VACCINATION DATE: (3 yr) _
M
m
License Fee $
Replacement $
SUBTOTAL: $
(1 yr) City Tag #
License Fee $
Replacement $
SUBTOTAL: $
(1 yr) City Tag
*PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL
** (This fee is due along with License Fee if requesting at the time of license renewal.)
Do Not Send cash by Mail TOTAL ENCLOSED
M-
If you have questions, please contact Blair Police Department at (402) 426-4747
.....++++++.....+++++++++++++++++++++++++++++++++++++++++.++++++++++++........
NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15/ate fee date notapp/icab/e fornewpeis/new residents)
Newly Aoauired Pets: New Residents to Blair:
in Must be lioansed within 10 days of ownership m Must register pets within 10 days of
<OR> at 6 months of age if puppy/kitten residency.
Westgate Animal Clinic
8258 HASCALL ST
OMAHA, Nebraska 68124
402-769-0377 - contact@westgateomaha.com
Patient Information:
Archie
Canine, Basset Beagle, Neutered Male, 22 lb,
Client Info rmation:2314
L Birthday: 2021-02-28
� ` Neutered/Spayed:
Kathi Ortmeier 1 i! (� ()-Ui � U M M+ ?�
y v
6315 North 115th Circle Omaha, NE 68164
Microchip: 900085000962346
4024904938
kathiol02O@yahoo.com
Heartworm Status:Negative
Felv Status:
Fiv Status:
Vaccination Reminders for Archie Ortmeier
7-Jan 2023
Archie was examined at our practice. Please do not hesitate to call us if you have any questions.
Reminders for Archie
Exam
06-Sep 2023
Bordetella Vaccination
06-Sep 2023
Leptospirosis Vaccination
06-Sep 2023
Heartworm Test
06-Sep 2023
Rabies Vaccination
05-Sep 2025
DAPP 3-yr
05-Sep 2025
Sincerely,
Westgate Animal Clinic