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PIf 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 2181th 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: �f� i���r`^j ®nCi Owner Address: r h City/State/zip: Blair, NE 68008 Phone # b%0',;k- ` S 33 ­3 12 V 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 free for Lost Tag: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET #1 Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name S i AS C- Birthdate J,-2,o& Sex - r old Color " �'tr Breed** h4otlA L7f7f< Rep/acement$ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y X N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: / 7— ,;LJ (3 yr) (1 yr) City Tag #00 75A PET ##2 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Birthdate Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ ET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Birthdate Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ M (1 yr) (1 yr) License Fee $ Replacement $ SUBTOTAL: $ City Tag # License Fee $ Replacement $ SUBTOTAL: $ City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not Send Cash by Mail TOTAL ENCLOSED $ �• �� If you have questions, please contact Blair Police Department at (402) 426-4747 +++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++¢++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15/ate fee date notappllcable fornewpe&lnewresldenis) Newly Acquired Pets: New Residents to Blair: • Must be lioensed within 10 days of ownership m Must register pets within 10 days of • <OR> at 6 months of age if puppy/Idtben residency. /r 0 CITY OF BLAIR - 2023 PET LICENSE APPLICATION L5 ,)j,)_3 If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair • 218 S 16th St • Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15 2023 Owner Name: Owner Address: re, e-A 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 reauires proof of rabies vaccination to be submittdd with your license anDlication. 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 tea. PET # 1 � Dog ❑ Cat 'Spayed/Neutered w. License Fee $ 1106 Pet Name i i s Breed" - I Sex i Color * * r 0 �.� Replacement $ . _ * * I Declared Dangerous or Potentially Dangerous Dog: ❑ Y' MICROCHIP # (If applicable) SUBTOTAL: $ �+ RABIES VACCINATION DATE:"" (3 yr) (1 yr) City Tag # u/ PET #2 ❑ Dog Cat t Spayed/Neutered License Fee $ 0 Pet Name R,2-ri-in Birthdate Iq III Sex a. Color,, �� Breed** i, ` r� �� �.� Rep/acement $ Declared Dangerous a Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) SUBTOTAL: $r _ RABIES VACCINATION DATE: _ ' (3 yr) (1 yr) City Tag # PET #3 rJWDog ❑ Cat Spayed/Neutered License Fee $ Pet Name A� , i, Birt date N „K Sex ' Color � t �, Breed** I "n 5 r-(A �� '\ (" Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y a MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: i _ r (3 yr) (1 yr) Z 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 Mai/ 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 app/icab/efor newpety/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. Date of Rabies Vaccination: 02-02-23 Next Rabies Vaccination On: 02-01-26 VETERINARY CLINIC Countryside Small Animal 1306 Stevenson Fort Calhoun, NE 68023 402-468-4060 This is to certify... Certificate No: 0 Previous Rabies Vaccination: OWNER OF ANIMAL Stephenee Patterson 2753 Krejci Blvd Blair, NE 68008 County: THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Penny TAG NO: 23-0080 SPECIES: Canine WEIGHT: 11.40 SEX: S AGE: 6 years BREED: Dachshund, Longhaired Microchip Number: Color and markings... Red Signed Kaycee Points Vaccinations done... License: 02-02-23 KNP Canine Rabies Vaccn, 3 Yr, #23-0080 02-01-26 02-02-23 KNP Canine DA2PP Vaccination 02-02-24 07-26-22 KNP Canine Bordetella Oral Vaccination 07-26-23 Rabies Vaccine Information... MFG BY: ZOET SER.NO: 535242 LOT EXP. 18APR23 ADM: Sq DIN Date of Rabies Vaccination: 12-06-22 Certificate No: 0 Next Rabies Vaccination On: 12-06-23 Previous Rabies Vaccination: VETERINARY CLINIC OWNER OF ANIMAL Countryside Small Animal Stephenee Patterson 1306 Stevenson 2753 Krejci Blvd Fort Calhoun, NE 68023 Blair, NE 68008 402468-4060 County: This is to certify... THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Blaze TAG NO: 22-0936 SPECIES: Canine WEIGHT: 32.60 SEX: M AGE: 17 weeks BREED: Retriever, Labrador Microchip Number: Color and markings... Chocolate Signed Kaycee Points License: Vaccinations done... 12-06-22 KNP Canine Rabies Vaccn, 1 Yr, #22-0936 12-06-22 KNP Canine DA2PPL 12-06-23 10-24-22 KNP Canine Bordetelia Oral Vaccination 10-24-23 10-24-22 KNP Canine DA2PP Vaccination Rabies Vaccine Information... MFG BY: ZOETI SER.NO: 569634 LOT EXP: 15AUG23 ADM: Sq Client ID: 2470 Client Name: Patrick Patterson Address: 11009 S 186th Ave Omaha, NE 68136 Phone: (402)452-0602 Tag Number: 5987 Lot Number: 407670A Nobivac 3- Rabies Producer: Merck K / MLV / R: Killed Virus Chalco Hills Animal Hospital www.chalcohillsanimalhospital.com 10208 South 168th Avenue Omaha, NE 68136 (402) 884-0220 Rabies Certificate Patient ID: 4539 Patient Name: Bean Species: Feline Breed: Domestic Shorthair Sex: Neutered Male Color: Markings: Birthday: 05/14/2019 Weight: 10.70 pounds on 8/14/2020 Microchip ID: Vaccination Date: Expiration Date: Staff Name: Dr. Brizett Peterson, DVM License Number: 3969 8/14/2020 8/14/2023 CITY OF SLAIR - 2023 PET LICENSE APPLICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair a 218 S 16th St ® Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 5 2023 " ***PLEASE READ CAREFULLY*** Owner Name: ej�a 0 YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Owner Address: to 7S Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. city/state/zip: Blair, RE 68008 t PET LICENSES RENEWALS ARE DUE BY 3/15/2023. The City shall Phone #_ _ 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 or Cat. 16.00 cat. The City of Blair requires proof of rabies vaccination to LICENSE FEES: Dog • $ be submitted with your license application. Altered Dog or Cat: $11.00 A? .p: Ir►cErAaia'.rri-afuaL Y"Ce fui LuSL lat,].: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET # 1 ❑ eD o g , Cat ❑ Spaye / tered I License Fee $ � Pet Name Birthdate 10 1 x Color V Breed** eplacement$ ** Declared Dan erous or Potentially Dangerous Do : ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) A 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 ❑ N MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) (1 yr) (1 yr) License Fee $ Replacement $ SUBTOTAL: $ City Tag # License Fee $ Replacement $ SUBTOTAL: $ City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not Send Cash by Mail TOTAL ENCLOSE® $ If you have questions, please contact Blair Police Department at (402) 426-4747 ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15/ate fee date notapplicable fornewpets/newres/dents) Newly Acquired Pets: New Residents to Blair: ® Must be lioansed within 10 days of ownership ■ Must register pets within 10 days of ■ <OR> at 6 months of age if puppy/k'ften residency. Thone Animal Hospital 902 S Hwy 30 Blair, NE 68008 402-426-3630 Printed: 02-03-23 at 3:19p CLIENT INFORMATION Name Danielle Parr (10811) Address 736 S 13th apt 20 Blair, NE 68008 Phone 402 278-1108 PATIENT INFORMATION Name Loki Sex Male, Neutered Birthday 02-26-09 ID Color Orange Tig Reminded (none) MEDICAL HISTORY - Vaccination View Date By Code 03-05-22 DM R1 4 Patient Chart 1 .w Balance 0.00 Species Feline Breed Dlh Age 13y Rabies 007588 Weight 0.00lbs Codes Description Qty (Variance) Photo Rabies Vaccination (1 Year), #007588 Fe 4Way (Rhino/Cali/Pant/Chia) CITY OF BLAIR - 2022 PET LICENSE APPLICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair a 218 S 16th St a Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2022 Owner Name: hokee1A r- ftn Owner Address: f 030 FYO(. street City/State/Zip: Blair, NE 68008 Phone # 30Z - fl- 5D56 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 3/15/2022. ,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 State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET # 1 Dog ❑ Cat A Spayed/Neutered License Fee $ Pet Name Iotvr Birthdate • A• Sex Fetnna�E' Color &A MCAL Breed** iW Y Rep/acement$ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y 1A N MICROCHIP #C15(D•000 -CO-`-(z%•Zgy (If applicable) SUBTOTAL: $ D27 RABIES VACCINATION DATE: (v -19 - Z Z+ s _(3 yr) X (1 yr) City Tag # ?_ 7i PET # 2 �4 Dog ❑ Cat )d Spayed/Neutered License Fee $ . DO Pet Name Birthdate y 1LP- Se Color Breed** r Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y Aj N MICROCHIP # -113-00(D 'u52• q3t (If applicable) SUBTOTAL: $ � RABIES VACCINATION DATE: 10.mt•22-q•30•ZS(3 yr) -X— (1 yr) City Tag # 3 772 * PET #3 Dog ❑ Cat ❑ Spayed/Neutered License Fee $ 1(0• OO � l� Pet Name r Birthdate VAll Sex Male ** Color 0 Breed** %n)Dvok-e Welsh Cerra( Replacement $ — Declared Dan erous or Potentially Dangerous Dog: ❑ Y `A N MICROCHIP # 9R+� 10�PM 31 (If applicable) SUBTOTAL: $ I(PLO RABIES VACCINATION DATE: Io•01•ZZ^q•30•Z53 yr) --X— (1 yr) City Tag # 3 -/ �-O* *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 $ 38.� If you have questions, please contact Blair Police Department at (402) 426-4747 ++++++++++++++++++++++++......++++++++++++++++++.....+++++++++++++++++++++++•. NEW PET/NEW RESIDENTLICENSING REQUIREMENTS (March l5atefee date not applicable fornewpets/newresidents) Newly Acquired Pets: ew Residents to Blair: ■ Must be licensed within 10 days of ownership ■ Must register pets within 10 days of ■ <OR> at 6 months of age if puppy/kitten residency. CITY OF BLAIR ® 2023 PET LICENSE APPLICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair @ 218 S 16th St a Blair, NE 6008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2023 Owner Name: Dam % C �/t/ Owner Address: IS 6 ( W ,. b u it � L city/state/zip: Blair,, NE 68008 Phone # �' D IL q �, 0 LICENSE FEES: Dog or Cat: $16.00 Altered Do or Cat: $11 00 ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3/15/2023. The City shall recognize a microchip Identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city Identification other than that Issued by the City of Blair for such dog or cat, The City of Blair renuires proof of rabies vaccination to be submitted with your license application. g Replacement Fee for Lost Tag: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET #1 d Dog ❑ Cat 16 Spayed/Neutered License Fee $ l Pet Name TAU Birthdate Sex Fe it al e Color ro Breed** Carr;nl terr/r�r Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ZI N MICROCHIP # IA)y (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: B l9 L , y� _ a. (3 yr) X (1 yr) City Tag # Uoh' Kt1,3 PET #2 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Birthdate Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ (1 yr) License Fee $ Replacement $ ** SUBTOTAL: $ City Tag # PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed** Rep/acement$ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # *PLEASE INCLUDE THE CI Y TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not Send Cash by Mail TOTAL ENCLOSED $ 0 If you have questions, please contact Blair Police Department at (402) 426-4747 ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++¢+++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (Marchl5/ate fee date notapplicablefornewpets/newresidenis) 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. 01/25/2023 14:07 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 PAYAULE 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 D068 OR THREE (3) ADUL'I'CATS PER RESIDENTIAL OR DWELLING UNIT, "PLEASE READ CAREFULLY*** ION. Failure to do so is a violation of City (7rdinaraces 6.103 and carries � penalty of a fine up to $150,00 per }aet. PET LICENSE RENEWAL'S ARE DUE RY 8/15/7023. The city shall reooQnizQ a microchip ID humber as the license hurnber, It shall that issued by the Oity cif Blairfor such dog or cat, N9)6PET UtMENSMG Must be licensed within 10 days of ownership (OR) at 6 mohths of age If puppy or kitten NEW Bta(DENT S_jQ_BLAIR Must register pets within 10 days of residency Pot Name: Cooper Age: 13Y DOB: 10-09-09 Breed: Beagle Microchip # PLfASEINCL Tag #3425 Sex: Neutered Male Color. Tri Rabies 'Tag # 20831 CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE), # RABIES VACCINATION DONE ON 1 12-14-22 Rabies Description: 1 YEAR ( 3 YEAR / Holstein Veterinary Clinic 01', Lisa Schrum DIAM ; Dr. Krlstal-lolsteln DVM 718 South 1911) Street Blair, NE 68008 402-426-7387 402-426-0101 Fax h o I ste i nc I i n i c @ g ma i 1. oo m LICENSE FEES lfltdCt Dog or Cat: $16,00 09 or cat: $11 .00 Replacement Tag $5.00 Total Pe)'5 LTAREQN THE ACTIVE POTENTIALLY DANGEPOU5 OR D�/N FAXED 01-25-23 BY CITY OF SLAIR ® 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: -1-1-6141 -A- rl Owner Address: 1512/ City/State/Zip: Blair, NE 68008 Phone # L>'�' es'l %--1/11&& 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 P.eplacerrent Fee fore 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 Al Dog ❑ Cat A Spayed/Neutered License Fee $ Pet Name f k(,M,r Birthdate 3 . b - V� Sex f�,mAe- Color -rc, ,, r*A'%k � Breed** c'� .: I, ,t �G� �, ,;; I r � � �, � Rep/acement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y 0 N MICROCHIP # `YS11 d0c-,&.5- 6,r1 (, I (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: 1,2 -3 --2o,a j (3 yr) / (1 yr) City Tag # PET #2 IN D o g ❑Cat X Spayed/Neutered License Fee $ L" Pet Name /11rar Mrs Birthdate Sex zl2ale- Color , i ZrerlReplacement $ ** Declared Dangerous or Potentially Dangerousbog: ❑ Y 11 N I MICROCHIP # 98,511d (t) o 7 I/ y % 7 q (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: C9 L ? 2o,2o (3 yr) (1 yr) City Tag # 142* PET #3 2 Dog ❑ Cat 5M Spayed/Neutered License Fee $ _/ /. 6YJ Pet Name W, Ilc Birthdate 11 LAW 17 Sex be vn ctl e Color Pero moo; -, i,I re - Breed** Loh v,6k Replacement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y 3 N MICROCHIP # 1/P 5 11 d 0) 0 1172,2 � (If applicable) SUBTOTAL: $ 166 RABIES VACCINATION DATE: G/ 1.I;2ozr, (3 yr) —V—," (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 $ 33,-46 If you have questions, please contact Blair Police bepartment at (402) 426-4747 ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March IS/ate fee date notapplicable fornewpets/newresidentr) 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/k itben residency. 02/27/2023 17:15 4024260101 HOLSTEIN VET CLINIC PAGE 01/01 2023 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT(S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF BLAIR -- 218 S. IOT" ST — BLAIR, NE 68008 YOU MAY LEGALLY OWN A,COMMNATtON OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (2) ADULT DOGS OR THREE (�) ADULT CATS PER RESIDENTIAL OR DW41LING UNIT. ***PLEASE READ CAREFULLY*** YOU ARE REQUIRE] Y LAW10 LICENSE YQUR PET�THE CITY C1F BLAIR RECII;llR1rS PRCIOF OP RABIES VACCINATIc7N. Failure to do so is a violation of City Ordinances 6.103 and carries a pQnalty of a fine tap to $150.00 per pet. PET LICENSE RENEWALS ARE IDUE BY 3/9ai203. The city shall mcognite a microchip ID number as the license number. It shall be unlawful for any dog or Gat to wear any license or other city ID other than that issued by the City of Blair for such dog or cat. NgA PE��NSING Must be licensed within 10 days of ownership (OR) at 6 months of age if pulpy or kitten NSW ftESIdENTS TO Bl AIR Must register pets Within 10 days of residency Owner Name K Barbara Pierson —� rc Spouse Eddie Owner Address 915 N 28th St city/State/Zip Blair, NE 68008 Phone # 303-517-2417 Pot Name: Leia Tag #3456 Age: 4Y DOB:-07-23-18 Sex, Spayed Female Color, Cream Breed: Ger Shop X Microchip # 985141002095161 Rabies Tag # 20336 PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE.): # RABIES VACCINATION DONE ON 05-13-22 Rabies Description: 1 YEAR 3 YEAR Holstein Veterinary Clinic Dr, Lisa SchruM V VM : Dn Krista Holstein DVM 71.8 South 19t" Street Blair, NE 68008 402-426-7387 402-426-0101 Fax hoisteinclinic@gmail.com MNSE FEES /ritaat Dog or Cat: $1 G.00 are Do r cat: $11.00 Re lacers M00 Total $ PETS 1T ARE ON THE ACTIVE pOTENTlALLY Ds4N6EROUS OR DANGEROUS ,DOG LIST NEED TO REGISTER DIRECTI Y AT CITY HALL. FAXED 02-27-23 BY ., CITY OF BLAIR - 2023 PET LICENSE APPLICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made parable 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: �1 u i ��» E' ij owner Address: city/state/zip: Blair, NE 68008 Phone # (—Ih—� LICENSE FEES: Dog or Cat: $16.00 C t• 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 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 than that Issued by the City of Blair for such dog or cat. The Citv of Blair requires aroof of rabies vaccination to be submitted with vour license anDlication. Altered Dog or a . $ ---- - - -- — 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 Spay Ne tired License Fee $ Pet Name -� Gt L°-k" Birthdate ex ** Color � � �— Breed** � t Replacement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y 0 N MICROCHIP # Z3210 (If applicable) SUBTOTAL: $ _ ` - RABIES VACCINATION DATE: � , _ _ � (3 yr) (1r Y) City Tag#f �'�* Lia PET # 2 J# D o g ❑Cat w Spayed N utered License Fee $ • � � Pet Name r i Birthdate 7 �! Sex ** Color ar Breed** v i Rep/acement $ Declared Dangero s or Potentially Dangerous Dog: ❑ Y ® N SUBTOTAL: $ MICROCHIP # 5/ ' D (If applicable) RABIES VACCINATION DATE: 6 t 5'' •� (3 Yr) (1 Yr) _�'� -- City Tag #0* PET # 3 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate Sex ** Breed** Replacement $ Color Declared Dangerous or Potentially Dangerous Dog:❑ applicable) ❑ N MICROCHIP # RABIES 'VACCINATION DATE: (3 yr) 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.) TOTAL ENCLOSED $ o� Do Not Send Cash by Mail If you have questions, please contact Blair Police Department at (402) 426-4747 .....++++++++++++++++++++++++++++++++++++......++++++++++++..........++++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (Mardi 15/a e e Residents t/o Blair: fornewpets/new residents) NewlV Ao;lluired Pets - We — ■ Must register pets within 10 days of ■ Must be licensed within 10 days of ownership residency. ■ <OR> at 6 months of age if puppy/Idthen pa'czt 4, 1 b'� i kb CITY OF BLAIR ® 2023 PET LICENSE APPLICATION 3.- 3-)-,d-3 If you live in Blair City limits and own a clog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair e 218 S 16th St 9 Blair,, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2023 Owner Name: Owner Address: city/state/zip: Blair, NE 68008 Phone # LICENSE FEES: Dog or Cat: $16.00 iF Replacement Fee for Lost 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 $IS0.00 per pet. PET LICENSES RENEWALS ARE DUE BY 31 5/2023. The City shall recognize a microchip Identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city Identification other than that Issued by the City of Blair for such dog or cat. The City of Blair requires proof of rabies vaccination to be submitted with your license application. PET #1 53 Dog Ll Cat 4 Spayed/Neutered License Fee$ Pet Name Birthdate 1 P-, Sex, Color Breed**Replacement $ Declared Dangerous or Potentially Dangerous Dog: LJ Y O'N MICROCHIP # (If applicable)/, SUBTOTAL:$ RABIES VACCINATION DATE: (3 yr) (1 yr) — City Tag # 6 PET #2 J Dog Ll Cat L1 Spayed/Neutered Pet Name Birthdate Sex Color Breed" Declared Dangerous or Potentially Dangerous Dog: LJ Y LJ N MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) — PET #3 ' 0 Dog Ll Cat LJ Spayed/Neutered Pet Name Birthdate Sex Color Breed" Declared Dangerous or Potentially Dangerous Dog: El Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) — License Fee $ Replacement $ SUBTOTAL: $ (I yr) — City Tag #- License Fee $ Replacement$ J N 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 $ Z/4 I If you have questions, please contact Blair Police Department at (402) 426-4747 .............................................................................. NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 151ate fee date not applicable for newpelsInew 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/kitben residency. Countryside Small Animal 1306 Stevenson PO Box 119 Fort Calhoun, NE 68023 402-468-4060 ►UK" ra-9 Printed: 02-22-23 at 3:OOp FOR: Scott Polzin Date: 02-22-23 1939 Grant St. Account: 956 Blair, NE 68008 Invoice: 69352 (402) 709-8694 Date For Qty Description Price Discount Price 02-22-23 Jack 1 Examination w/ Vaccinations 0.00 02-22-23 1 Canine DA2PPL 50.00 02-22-23 11 Simplicef 100mg tab (Cefpodoxime 30.50 Give 1/2 (one-half) tablet by mouth every 24 hours until gone. Give with food. This is an antibiotic. 02-22-23 2 Heartgard Plus 0-251b 17.00 Total charges, this invoice... 97.50 Your old balance... 0.00 Total payment(s) received... 97.50 02-22-23 Check payment #178 97.50 Your new balance... 0.00 Reminders for: Jack (Weight: 20.3 lbs - 12y) Last done 02-22-24 Canine Rabies, 3 y 02-22-24 Canine DA2PP-L Jack's weight history (in Ibs) 02-22-23 20.28 02-10-22 18.56 02-22-21 18.51 03-05-20 19.60 01-09-20 17.75 03-07-19 17.00 NEW To Countryside Small Animal You can now access your pet's records onlinel Just provide us with your email address and cell phone # to sign up 02-22-21 02-22-23 1 1, 1111, If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair 9 218 S 16th St • Blair, NE 68008 . You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. Ail, fo t',.v. LICENSE RENEWALS ARE DUE: March 15, 2023 Owner Name: ` r 'c Owner Address,t ***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. city/state/zip: Blair, NE 68008 PET LICENSES RENEWALS ARE DUE BY 3l1512023. The City shall Phone # ck) Lie' 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 • DO or Cat' 16.00 cat. The City of Blair requires proof of rabies vaccination to LICENSE FEES • 9 : $ be submitted with your license application. Altered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.O0 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET #1 P Dog ❑ Cat 1A Spayed/Neutered License Fee $ Pet Name __ ee-V"� Birthdate Sex /''"1 Color Breed** 4:.\,; Replacement$ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y d N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # ) 9 - PET #2 ❑ Dog ❑ Cat 4 Spayed/Neutered License Fee $ � �- � U Pet Name Birthdate Sex 11 Color Breed** rrv,�, Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y El N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # 50°` 5 PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Birthdate Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ W (1 yr) License Fee $ Replacement $ SUBTOTAL: $ City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not Send Cash by Mail TOTAL ENCLOSED $ a. 0 0 If you have questions, please contact Blair Police Department at (402) 426-4747 ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15/ate fee date notapplicable fornewpets/newres/dents) Newly Acquired Pets: New Residents to Blair: ■ Must be licensed within 10 days of ownership ■ Must register pets within 10 days of ■ <OR> at 6 months of age if puppy/Idthen residency. Date of Rabies Vaccination! 02-21-22 certificate No: 0 Next Rabies Vaccination On: 02!-20-25 i . PreVlous Rabies Vaccination: VETERINARY CLINIC OWNER OF ANIMAL Countryside Small Animal Ericka Polzin 1806 Stevenson 2Q45 South St, Fort Calhoun, NE_ 68023 Blair, NE 68008 402-468-4060 County.; This is to certify... THAT I HAVE VACCINATED AGAINST RABIES THE, ANIMAL DESCRIBED BELOW. Patient: information,.. PATIENT: Stella TAG NO, 22,0128 SPECIES: Canine mid0f. 5 ' 0,60 SEX: S. AGE. 2 years BREED, Terrier, Jack Russell Mix Microchip Number: 98.10200.35.640496 Color and markings... Red and White ,Signed Kaycee Points License. 3770 Vaccinations done... 02=21-22 KNP Canine Rabies Vaccn, 3 Yr, #22-012.8 O2-20-25 02-21-22 KNP Canine I)A.2PPL 02-21 -2 3 08<1 7-20 KNP Canine Rabies Vaccn, 1 yr, #20�064.9 06-11-20 Canine Bordetella Oral 06-1 1-21 Rabies Vaccine Information... MFG BY: ZOET SER,NO, 542135 LOT EXP: 14FEB23 ADM: Sq CERTIFICATE OF VACCINATION Date of Rabies Vaccination: 08-27=20 Next Rabies Vaccination On: 08-.27-23 Certificate No: 0 Previous Rabies Vaccination: 17,0604 VETERINARY CLINIC UVVNr-K Ur ANIMAL Countryside Small Animal Ericka Polzin 1306 Stevenson 2045 South St... Fort Calhoun, NE 68023 Blair, NE 68008 402-4.68-4060 County: This is to certify... THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT. Reggie TAG NO: 20-0675 SPECIES: Canine WEIGHT. 39.60 SEX: N AGE: 12 years BREED, Terrier, Jack Russell Microchip Number: Color and markings— Tan and White Signed Kaycee Points Vaccinations done... License: 3770 02-21-22 KNP Canine DA2PPL 02-21-23 08-27-20 KNP Canine Rabies Vaccn, 3 yr, #20-0676 018-27-23 05-16-15 JJS. Canine H3N8 Influenza Rabies Vaccine Informatiom.. MFG BY: ZOET SER.NO: 367269B LOT EXP': 18MAY21 ADM,. Sq &�^������� ���� l ^^^~^~~~~'^^^ Vet Clinic 718South 19thStreet Blair, NE 68008 402-426-7387 Printed: 04-24'23od1:47p CLIENT INFORMATION Nome Kendra Powers (7083 Address 854Ni6thStreet Blair, NE 08008 Phone 402 420-4805 Cell 402'427'3214 PATIENT INFORMATION Name Helmut �� �- ��� Guo Male, Neutered &y Birthday 01-11'18 |D 985141002844514 Color White/Gray Reminded (none) Reminders for: Helmut 03-17'24 VETSCAN#Flex4HaartwormTest 0317-24 Vanguard@Rabies 1 {1YEAR} 03'17'24 Vonguerd@8ORAL {BordetaUa � n� \ �� ) ��~ Patient Chart Spouse Bon Species Canine Breed Pit Bull Age 5y Rabies 23160 Weight 77.20|bo Codes Last done 03-18-2} ' 03-18-23 U3-18-23 O3-18-23 718 South 19th Street Blair, NE 68008 402-426-7387 Printed: 04-24-23 at 1:47p CLIENT INFORMATION Name Kendra Powers (7083) Address 854 N 16th Street Blair, NE 68008 Phone 402 426-4805 Cell 402-427-3214 PATIENT INFORMATION Name Sex Pumpkin Female, Spayed Birthday 08-12-11 ID Color Red and White Reminded (none) Reminders for: Pumpkin l f-j; ,,O Patient Chart Spouse Ben Species Canine Breed Basset Hound Age 11y Rabies 18961 Weight 52.101bs Codes Last done 03-20-24 VETSCAN® Flex4 Heartworm Test 03-21-23 03-20-24 Vanguard® DAPP/1-4 {Distemper+L 03-21-23 03-04-24 Vanguard@ Rabies 3 {3 YEAR} 03-05-21 CITY OF BLAIR - 2023 PET LICENSE �) I ( � / ( c- - -4: 7 - I b � I/ I 1i k"' I If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair o 21816th 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, 2023 � Owner Name: 1114,4I1 , f,. I Owner Address: - City/State/Zip: Blair, NE 68008 Phone # LICENSE FEES: Dog or Cat: $16.00 Altered Do or Cat: $11 00 ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3/15/2023. The City shall recognize a microchip Identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city Identification other than that Issued by the City of Blair for such dog or cat. The City of Blair reap uiresroof of rabies vaccination to be submitted with your license application. g f ep!: cement Fec 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 d- Spayed/Neutered License Fee $ Pet Name :'> _ e' Birthdate ', ✓`i� Sex L Color Breed** ,,-r Replacement$ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y L N MICROCHIP # (If applicable) SUBTOTAL: $ _ RABIES VACCINATION DATE:'" (3 yr) (1 yr) City Tag # ` PET # 2 o g ❑Cat Spayed/Neutered � Pet Name -- l Birthdate Sex i Color Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Birthdate Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ W (I yr) (1 yr) License Fee $ Replacement $ CIUBTOTAL: City Tag # License Fee $ Replacement $ SUBTOTAL:$ *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not Send Cash by Mail TOTAL ENCLOSED $ 1--)-,,06 If you have questions, please contact Blair Police Department at (402) 426-4747 +++++++++++.++++++++++++++++++++++++++++++....++++++++++++++++++++++++++++++.. NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (Mardi 15/ate fee date notapplicable fornewpetslnewresidents) 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. (D (D = (D (D of 3 on w 0- -0 Ln fD " rD (D fD 0 rD x -0 0 0 _0 (D =3 -n 0 3 (D Ln 0 o r+ (D (D 0 0 1 CL 0 0 0 0 0 0 0 -n x � E7 Z C- E; r (D (D (D Q C Q Q Q 3 (D (D (D ro (D (D (A cr (n Ll Ln m (D rD M (D rD co -a r) > r- -n (D CL (D 3 m F'T z 0 Ln r+ h n c rD 3 CL (D Ln (D z z 0 0 w 1+ z 1+ Ln (A 3 n rD (D a 3 3 GQ 0 '0 3 m (D 3 EA =3 m C7 cr m (D O r+ El F- F" LU C) rQ LO 00 -- 00 w -- -- �j Ul lD z �j �j lD z rD 0 C m cr r1i NJ Ol m LO 00 O C) C) 00 Ln r+ U Nj < < ❑1:1 0 0 0 F5, 5' 0 0 0 0 0 0 0 0 0 3 @" ET > UQ aq aQ UQ m m Oq m aq D r+ r+ 0- 0 Ln V,* vi- V;- V17 0 V;, (D —0, CL _0 w < m n Ln > z (D (D n w n(D 0 m w r+ 0 V) Ln w m n n m 6- 3 w n Ln m CL -- CL nru r+ (D Z (D 0- u 00 po m 0 0 r+ m o Z G) m n (Dr+ 0 0 > nn n n n nn n null w w w w w w w w w r+ -t -t -t -t -t -t rt n Ln (A (A (A Ln (A Ln (A "D 3 O n n < v v (D 0 (D UQ (D m m (D n n (D 67 3 mv, rD CL (D CL 0 r+ F" =3 0 (D 0 Q LU w r+ (D fD F] F] Gentle Doctor Animal Hospitals Omaha, Nebraska wwvvogentler octoranib-nalhosputalsocom 15230 West Maple Road 68116 (402) 445-4400 12031 Blondo Street 68164 (402) 493-9650 8911 Grant Street 68134 (402) 397-4344 Vetick, Daley Sadie Acct Number: 31368 Patient ID: A Medical Alert: Address: 1813 N. 208th St. Sex: F Weight: 55,Ibs, Elkhorn, DOB: 09/23/2019 Age: 3 years and 4 months old Phone: H:' (531) 210-5253 W:( ) - ext: H:' (5 21 -5253 Species: Canine Breed: Mix Cell Phone: ( ) - Email Address: haley.veticic yahoo.com Microchip: Vaccine Name: Date Due: Date Given Rabies 03/11/2025 DHPP 03/11/2023 Leptospirosis 03/11/2023 Bordetella Services: Last Performed: Evaluate By: Fecal Analysis: Annual Exam: Senior Exam: Dental: Medical Assessment and ecomi-nendations Date Performed: Sep 26, 2022 Performed by: Dr. Sergio Valadez History • seizures started in February of this year • having seizures on one day a month, sometimes 2 days a month • will have multiple seizures with in that day • the number of seizures is increasing • last seizure was last Friday • not happening on a specific day/time of the month • does have anxiety to thunderstorms -owners thought that the seizures were indLiced by them • seizures tend to be spaced out 30 min to 1 hour • eating/drinking normally • diet - kibble and sometimes gets raw food to it • no vomiting/diarrhea • medications: fish oil, Levetiracetan�160�mg TID, Clonazepam for thunderstorms, no hwp/flea control tech: js Physical Exam Findings Heart Rate: 120 (normal dog=60-160, normal cat=120-240) Respiration: 30 (normal dog=10-40, normal cat=16-40) Weight: 55 Ibs General Appearance: Bright, alert, and responsive Body Condition: Sadie's body condition and weight arenormal. Ears: Normal, clean Eyes: Normal, clear Musculoskeletal: Sadle is ambulating normally, no pain palpated. Good range of motion. Heart/Cardiovascular: Sadie's heart is normal. The heart sounds are clear with no murmurs or arrhythmia heard. The pulses are normal. Lungs/Trachea: Sadie's lungs and trachea sound normal with no fluid, crackles or wheezes. Nose/Throat: Sadie's nose and throat are normal. Lymph nodes: Sadie's external lymph nodes (submandibular, pre -scapular, axillary and popliteal) all palpate normally. Page 1 of 2 Passionate about patient care � I i Q 3 CITY OF BLAIR - 2023 PETLICENSE APPLICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair 9 218 S 16th St • Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2023 Owner Name: Owner Address: city/state/zip: Blair, NE 68008 Phone #%6� LICENSE FEES: Dog or Cat: $16.00 Altered Do or Cat• $11 00 ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3115/2023. The City shall recognize a microchip Identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city Identification other than that Issued by the City of Blair for such dog or cat. The City of Blair renuires proof of rabies vaccination to be submitted with your license application. g Replacement Tree for Lost T ag: $6.0U Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET # 1 ❑ Dog Cat X Spayed/Neutered License Fee $ Pet Name p c Birthdate �Sex Color i cn Qtk/� W/�t„dl Breed** b6e* i&Z' �onP Ft- Rep/acement $ ** Declared Dangerous or Po ntially Dangerous Dog: ❑ Y N MICROCHIP #TWI jai IX 1if 40 (If applicable SUBTOTAL: $ RABIES VACCINATION DAtF:'. I t^j (3 yr) (1 yr) City Tags# PET #2 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Birthdate Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ WE (1 yr) License Fee $ Replacement $ * * SUBTOTAL: $ City Tag # PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed** Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not Send Cash by Mail TOTAL ENCLOSED $' If you have questions, please contact Blair Police Department at (402) 426-4747 ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15/ate fee date notapplicable fornewpets/newresldents) Newly Acquired Pets: New Residents to Blair: ■ Must be licensed within 10 days of ownership ■ Must register pets within 10 days of ■ <OR> at 6 months of age if puppy/kitten residency. CERTIFICATE OF VACCINATION' Date of Rabies Vaccination: 11-05-20 Next Rabies Vaccination On: 11-05-23 VETERINARY CLINIC Thone Animal Hospital 902 S Hwy 30 Blair, NE 68008 402-426-3630 This is to certify... Certificate No: 0 Previous Rabies Vaccination: OWNER OF ANIMAL Terry Pressler 758 S 16 St #264 Blair, NE 68008 County: THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Princess TAG NO: 006215 SPECIES: Feline WEIGHT: 12.75 SEX: S AGE: 3 years Color and markings... Signed Dr. Kamala Freeman Vaccinations done... License: 3894 11-05-20 KF Rabies Vaccination (3 Year), #006215 11-05-23 Rabies Vaccine Information... MFG BY: ZOETI SER.NO: 395414 LOT EXP: 06-15-21 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 9 218 S 16th St • Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE:�March 15 20202233 ***PLEASE READ CAREFULLY*** Owner Name: /0 d he r t� r' n �e ' —�S m I � YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Owner Address: rd'"L- Failure to do so is a violation of City ordinances 6.103 and carries b' a penalty of a fine up to $iso.0o per pet. city/state/zip: Blair, NE 68008 Phone # �/�o� ��3 5 55� �"'' �' PET LICENSES RENEWALS ARE DUE b r as the lice The City shall recognize a microchip Identification number as the license number. It v c%� J b shall be unlawful for any dog or cat to wear any license or other city &1d al 5 � ® 9!Identification other than that Issued by the City of Blair for such dog or cat. The City of Blair requires proof of rabies vaccination to LICENSE FEES: Dog or Cat: $16.00 be submitted with your license application. Altered Dog or Cat: $11.00 Replacement 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 Pog ❑ Cat Spayed/Neutered License Fee $ Pet Name Birthdate ; o/L/ Sex Color pf C-01- Breed** C Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # q5�53363 of 3 (If applicable) s SUBTOTAL: $ RABIES VACCINATION DAT i (3 yr) ✓ (1 yr) City Tag #�3 l5 TTn Q PET #2 Ld"'D o g ❑ Cat payed/Neutered License Fee $ Pet NameBirthdate .;2 o Sex /U41-f- Color oliq Breed** Rep/acement$ ** Declared Dangerous r Potentially Dangerous Dog: ❑ Y LI-N MICROCHIP # OA00 /71o37 to (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: £f A2 1 (3 yr) ✓ (1 yr) City Tag #_3 rSS'* 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) _ No 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 $a 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 for newpets/newresidents) Newly Acquired Pets: New Residents to Blair: ■ Must be licensed within 10 days of ownership ■ Must register pets within 10 days of ■ <OR> at 6 months of age if puppy/kitten residency. CITY OF BLAIR - 2023 PET LICENSE APPLICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair • 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 UE: March 15, 2023 Owner Name: j2—'� \ �� P\—^ Owner Address: c2 ®� '� '3� �� — 02\ city/state/zip: Blair, NE 68008 1 Phone # C `-� b�') 4 _1 iv %,L�� - 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 3/15/2023. The City shall recognize a microchip identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city identification other than that issued by the City of Blair for such dog or cat. The City of Blair requires proof of rabies vaccination to be submitted with your license application. Replacement Fee for Lost Tag: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET #1 Qog ❑ Cat Spayed/Neutered License Fee $ 1 Pet Name Birth ate I 1-a 1-- IOSex Color P�\, c G .>.�-- Breed** i.,O-6'C— Replacement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: I - 14> - .�k (3 yr) _�&— (1 yr) City Tag # PET #2 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Birthdate Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Birthdate Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ ■W (1 yr) (1 yr) License Fee $ Replacement $ * * SUBTOTAL: $ City Tag # * License Fee $ Replacement $ SUBTOTAL: $ City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not Send Cash by Mail TOTAL ENCLOSED $' 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 Aoquired 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/ldtten residency. CERTIFICATE OF VACCINATION Date of Rabies Vaccination: 1/16/2023 Next Rabies Vaccination On: 1/15/2026 VETERINARY CLINIC Arlington Pet Hospital 225 N. 3rd St. Arlington, NE 68002 402-478-4141 Certificate No: 0 Previous Rabies Vaccination: 024658 OWNER OF ANIMAL Joe Peleska 2023 North Ridge Circle Blair, NE 68008 County: Washington This is to certify... THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Rex SPECIES: Canine SEX: Neutered Male Color and markings: Black, Rust & White FRAL1•1 /1=M Signed GRANT 9TTLE, DVM License: 4022 Vaccinations done... 1/16/2023 GL RABIES 3 YEAR, #031608 1/15/2026 1/16/2023 GL LEPTO BOOSTER 1/1612024 5/3/2022 GL BORDETELLA ANNUAL BOOSTER 5/3/2023 1/14/2022 VTA DHLPP ADULT BOOSTER 2 YR 1/14/2024 Rabies Vaccine Information... MFG BY: NOBIV SER.NO: 588350 LOT EXP: 01/30/24 ADM: SQ ar 123 o8:47a 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: fnot Owner Address: city/state/zip: Blair, NE 68008 Phone #Z a ( a 00 — pa / 5: LICENSE FEES: Dog or Cat. $16.00 Altered Dog or Cat: $11.00 ***PLEASE READ CAREEULLYi'" 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 ofa fine up to $150.00 per pet, P9T LICENSES RENEWALS ARE DUE BY 3115/2023. The Clty shall recognize a microchip Identifcation number as the license number, It shall be unlawful for any dog or cat to wear any license or other c1y Identificatlon other than that Issued by the City of alalr for such dog or cat. The Citv of Blair recruires proof _of rabies v_acdnatian to be submitted with your license anolication. ft P!acz-kne;ft% Fee for Lost 1Gy: $5.00- Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Gat Operator Inspection Program PET # 1 Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet N Birthdate W� Sex k' Color Breed** Replacement$ ** Declare Danger s or Potentially Dangerous Dog: ❑ Y V) MICROCHIP # (If applicable) SUBTOTAL: $ 1 RABIES VACCINATION DATE: �3 � ' � _ (3 yr) (i yr) City Tag # 3746 m1r. PET #2 o g El Cat Spayed/Neutered License Fee $ Pet Na Birthdate kjffSex Color Breed** Replacement$ ** Declared Danger us ar Potentially Danger s Dog; 0 Y MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE:_ (3 yr) (I yr) ________ City Tag # 3745 PET #3 . ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Birthdate Sex Pet Name *,� Replacement$ ** Color Breed Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (i yr) _ City Tag # *PLEASE: INCLUDE THE CITY TACK NUMBER IP THIS IS A RENEWAL ** (This fee is due: along with License Fee If requesting at the time of license renewal.) 00 Not Send Cash by Mail TOTAL ENCLOSED $ 'r if you have questions, please contact Blair Police department at (402) 426-4747 .....++++++.....*+++++t++t++t++++++++++.t+++f+.... *++..++.+.-�+++++++.*+.++...+* NEW pET/NEW RESIDENT LICENSING REQUIREMENTS (March 15late fee date to not is pro BllairOrnewPO�/RCWle�ents) NewNew aired Pets, ■ Must register pets within 10 days of it Must be licensed within 10 days of mnership res�detxy. t <OR% at5 monti�s of age ii au'�i Yin If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair @ 218 S 16th St ® Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2023 Owner Name: Owner Address: City/State/Zip: Blair, NE 68008 Phone # Li 0 a ` '� -� � LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11.00 ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3/15/2023. The City shall recognize a microchip identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city Identification other than that Issued by the City of Blair for such dog or cat. The City of Blair requires proof of rabies vaccination to be submitted with your license application. Replacement Fee for Lost Tag: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET # 1 Dog ❑ CatSpayed/Neutered License Fee $ 0 , _% Pet NaW &-c- Birt date -)&-1 Sex Color n j Breed** ct t 0 CReplacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ° 3 N MICROCHIP # (If applicably SUBTOTAL: $ 1 RABIES VACCINATION DATE: ens ab (3 yr) (1 yr) City Tag #'� PET #2 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Birthdate Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ M (1 yr) License Fee $ 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 $ t,0 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 lioensed within 10 days of ownership ■ Must register pets within 10 days of ■ <OR> at 6 months of age if puppy/kitten residency. RABIES CERTIFICATE ** Gentle Doctor Animal Hospitals 8911 Grant Street 15230 W. Maple Road 12031 Blondo Street Omaha, Nebraska 68134 Omaha, Nebraska 68116 Omaha, Nebraska 68164 402-397-4344 402-445-4400 402-493-9650 Owner: Evan Persson 213 N 23rd St Blair, NE 68008 Patient: Mac Species: Canine Breed: Cattle dog Weight: 58.5lbs. Color: Brown -/Whit Sex: MN Microchip: Date Given: 05/21/2020 Duration: 3 Year Due Date: 05/21/2023 Tag Number: 20-0625 Serial No.: 18089C Vaccine Type: Killed Vac. Name: Imrab 3TF Producer: Merial I hereby certify that I have vaccinated this animal in accordance with the company's recommendation for the vaccine used on the above date. Signature : 6T�(?ltb,-- ----------------------------------------------------------- Dr. Taylor Morrison CITY OF BLAIR ® 2023 PET LICENSE APPLICATION..� If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City Of Blair @ 218 S 16th St a Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2023 Owner Name: / r�ck - A "T t'V Z��5'(,j f\ Owner Address: a I ?) %i . ,zl r city/state/zip: Blair, NE 68008 > Phone # " 10 �2 ® �s _ L] i ( 0 LICENSE FEES: Dog or Cat: $16.00 Altered Do or Cat: $11 00 ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3/15/2023. The City shall recognize a microchip Identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city Identification other than that Issued by the City of Blair for such dog or cat. The City of Blair renuires proof of rabies vaccination to be submitted with your license application. g Replacement Fee for Lost Tag: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program ET # ❑ � 1A Dog Cat 'Spayed/Neutered License Fee $ . - ) Pet Name ' 0- Birthdate�to Sex Breed*`y�-m�S1h %Color Replacement $ Declared Dangerous or Potentially Dangerous Dog: ❑ YN MICROCHIP #�f>`7�lai (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: -1 b _,30 1 (3 yr) _ ';K— (1 yr) City Tag # "2t'1 I PET #2 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Birthdate Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ 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) _ License Fee $ Replacement ❑N 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 E CL E $ 00 If you have questions, please contact Blair Police Department at (402) 426-4747 +++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++-r++++++++ NEW PET/ NEW RESIDENT LICENSING REQUIREMENTS (Marchl5/ate fee date notapplicablefornewpeis/newresldents) Newly Acquired Pets: New Residents to Blair: ■ Must be licensed within 10 days of ownership ■ Must register pets within 10 days of ■ <OR> at 6 months of age if puppy/kitten residency. Blair Small Animal Clinic PC David E. Johnson DVM 1734 Front Street Blair, Nebraska, 68008 (402) 533-2722 Patient ID: 9182 Client ID: 2279 Patient Name: Sophie Client Name: Mark & Gall Persson Species: Canine Address: 213 North 23rd Street Blair, NE 68008 Breed: Shepherd Mix Sex: Spayed Female Color: White Phone: (402)533-4765 Markings: Birthday: 12/07/2016 Weight: 50.00 pounds on 4/26/2019 Microchip ID: 985112007867657 Tag Number: 6526 Vaccination Date: 5/1012021 Lot Number: 18502 Expiration Date: 611012024 Imrab Rabies Vaccine Producer: Merial K / MLV / R: Killed Virus Staff Name: License Number: David E. Johnson DVM 1893 I 19 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 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: ._� 'eiC1) Y( e� "�`'e Owner Address: �� '�!M�`' city/state/zip: Blair, NE 68008 Phone # �4-n �J-�• i'- c� fir' , LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11.00 ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3/15/2023. The City shall recognize a microchip identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city Identification other than that Issued by the City of Blair for such dog or cat. The City of Blair requires proof of rabies vaccination to be submitted with your license application. Replacement Fee for Lost Tag: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET #1 M Dog ❑ Cat 0 Spayed/Neutered m,-► License Fee Pet Name L511 - C: ry L±, Birthdate � Sex 4 ** Color �� A� Breed** 76Replacement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y M N 0 MICROCHIP # . 5 (If applicable) SUBTOTAL: $ RABIES VACCI ATION DATE: t�,— (3 yr) (1 yr) City Tag # , S 9- 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) 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) _ License Fee $ Replacement $ * * SUBTOTAL: $ (1 yr) City Tag # License Fee Replacement $ ❑N 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.i5/ate fee date notapplicablefornewpets/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/Idtben residency. Blair Small Animal Clinic PC David E, Johnson DVM 1734 Front Street Blair, Nebraska, 68008 (402) 533-2722 Delores Peters 1171 Maple Drive Blair, NE 68008 Page 1 / 1 Client ID: 7985 Invoice #: 171502 Date: 1 /9/2023 (402) 426-4269 Patient ID: 9728 Weight: 20.06 pounds Patient Name: Princess Bella Birthday: 07/11/2017 Species: Canine Sex: Spayed Female Breed: Shih Tzu Description Staff Name Quantity Total 1/9/2023 Examination -Wellness David E. Johnson DVM 1.00 $30.00 Rabies Vaccination - Canine Syr 1.00 $30.00 Patient Subtotal: $60.00 Reminder 10/02/2020 Heartworm Test - SnapRT 02/0 /2 i 23 Distemper/Parvo DAPP-Annual Oral Bordetella/Parainfluenza � b` 01/09/2026 Rabies Vaccination -Canine Syr " + Invoice Total: $60.00 Total: $60.00 Balance Due: $60.00 Previous Balance: $0.00 Balance Due: $60.00 Cash : ($60.00) Less Payment: ($60.00) Balance Due: $0.00 Order your pets supplies online now through our website www.blairsmallanimalcilnic.vetsfirstchoice.com For questions contact us at 402-533-2722. ff"j- l (,�v I - 2023 PET LICENSE APPLICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair a 218 S 16th St a Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2023 Owner Name: d- > -PtIL Owner Address: w city/state/zip: Blair, NE 68008 Phone # 7z ©- 3 t-( -) � LICENSE FEES: Dog or Cat: $16.00 Altered Do or Cat: $11 00 ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3/15/2023. The City shall recognize a microchip Identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city Identification other than that Issued by the City of Blair for such dog or cat. The City of Blair reauires proof of rabies vaccination to be submitted with your license application. g Replacement Fee,for Lost Tag: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET #1 Dog ❑ Cat ❑ Spaye Neutered License Fee Pet Na a Birthdate Sex _](� Color Breed** � Replacement$ ** Declare Dangerous or Potentially Dangerous Dog: ❑ Y N MICROCHIP # /a V�l (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: Z-z (3 yr) � (1 yr) Ciiy 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) _ M W (1 yr) License Fee $ Replacement $ * * SUBTOTAL: $ City Tag # License Fee $ Replacement $ * * SUBTOTAL: $ (1 yr) City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not Send Cash by Mail TOTAL ENCLOSED $ If you have questions, please contact Blair Police Department at (402) 426-4747 ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++.+++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (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 ■ Must register pets within 10 days of ■ <OR> at 6 months of age if puppy/kitten residency. Client ID: 9101 Client Name: Maxie Petersen Address: 1458 Mount Hope Circle Blair, NE 68008 Phone: (720)347-7898 Tag Number: 7192 Vaccine: Imrab Rabies Vaccine Producer: Merial Brand: Imrab 3 TF Type: Killed Virus nner of Subcutaneously Administration: Staff Name: David E. Johnson DVM License Number: 1893 Doctor Signature: Blair Small Animal Clinic PC David E. Johnson DVM 1734 Front Street Blair, Nebraska, 68008 (402) 533-2722 Rabies Certificate Patient ID: Patient Name: Species: Breed: Sex: Color: Markings: Birthday: Weight: Microchip ID: Vaccination Date: Expiration Date: Lot Number: Drug Expiration Date: 13595 Roper Canine Labrador Retriever Neutered Male yellow 06/17/2015 83.00 pounds on 6/17/2022 7/13/2022 7/13/2025 18535 11 /17/2023 CITY OF BLAIR ® 2023 PET LICENSEAPPLICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair 9 218 S 16th St a Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2023 Owner Name: Owner Address: i 12 NI, T1 �?�j city/state/zip: Blair, NE 68008 Phone # 4D Z- _ 01� - U` ***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 t LICENSE FEES: Dog Or Cat' • $ 16.00 I be submitted with your license application. Altered Dog or Cat: $11.00 Replacement Free for Last 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 d. Cat Spayed/Neutered License Fee $ L Pet Name rK VA Birthdate Z0 (ire Sex r u , Color C�fl Breed** or t; Replacement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y N MICROCHIP #Itil U %•, 0qbq1 _(If applicable) SUBTOTAL: $� RABIES VACCINATION DATE: 9 liq 1 (3 yr) (1 yr) ', City Tag # 31 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) _ ■E (1 yr) (1 yr) License Fee $ Replacement $ SUBTOTAL: $ City Tag # License Fee $ Replacement $ SUBTOTAL: $ City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not Send Cash by Mail TOTAL ENCLOSED $ a If you have questions, please contact Blair Police Department at (402) 426-4747 ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March Mate fee date notappllcable fornewpets/newres/dents) Newly Acquired Pets: New Residents to Blair: ■ Must be licensed within 10 days of ownership ■ Must register pets within 10 days of ■ <OR> at 6 months of age if puppy/khen 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 o 218 S 16th St ® Blair, NE 68006 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DW'. 'March 15, 202? 4wner Name: c", Owner Address: vc` City/ State/ Zip; Blair, NE 68008 A Phone # LICENSE FEES: Dog or Cat: era 16.00 Replacement Fee for Lost 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 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 LI Cat LI Spayed/Neutered, License Fee $ Pet Name Birthdate i - Replacement $ Color (L. Breed'* �- 4 Declared Dangerous or Potentially Dangerous Dog: LI Y N j MICROCHIP # (If applicable) SUBTOTAL.$ — V' RABIES VACCINATION DATE: '2 (3 yr) (I yr) City Tag# 1-\'� L4-- PET #2 LJ Dog Ll Cat LI Spayed/Neutered Pet Name Birthdate Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: 0 Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) — M Replacement$ _** SUBTOTAL:$ City Tag # PET #3 El Dog Ll Cat Ll Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed** Replacement $ Declared Dangerous or Potentially Dangerous Dog: El Y EJ 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 Afall 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 f0rnewpelslnew residents) Newly Acquired Pets: New Residents to Blair: * Must be licensed within 10 days of ownership a Must register pets within 10 days of * <OR> at 6 months of age if puppy/ldften residency. Date of Rabies Vaccination: 10-23-23 Certificate No: 0 Next Rabies Vaccination On: 10-22-24 Previous Rabies Vaccination: VETERINARY CLINIC OWNER OF ANIMAL Countryside Small Animal Scott Polzin 1306 Stevenson 1939 Grant St. Fort Calhoun, NE 68023 Blair, NE 68008 402-468-4060 County: This is to certify... THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Dottie TAG NO: 23-0722 SPECIES: Canine WEIGHT: 26.20 SEX: F AGE: 16 weeks BREED: Australian Cattle Dog Mix Microchip Number: Color and markings... Tan and White Signed Kaycee Points License: 3770 Vaccinations done... 10-23-23 KNP Canine Rabies Vaccn, 1 Yr, #23-0722 10-23-23 KNP Canine DA2PPL 10-22-24 Rabies Vaccine Information... MFG BY: ZOETI SER.NO: 654641 LOT EXP: 27AUG24 ADM: Sq `` S- CITY ,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 218S 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: Djoj i '-VA\e,,n Owner Address: -'�51 c�. -:" city/state/zip: lair, NE 6800 g Phone # "> � �) — 1,90 0 -1 '�V) 119 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 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 #1Dog ❑ Cat ❑ Spa2mell red a License Fee $ Pet Name Birthdate Sex Color 6 Breed** Replacement ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y N MICROCHIP # (If applicable) SUBTOTAL: RABIES VACCINATION DATE: 1-1 (3 yr) (1 yr) City Tag # 'A 11 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 W (1 yr) (1 yr) License Fee Replacement $ — City Tag License Fee Replacement . , , *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not Send Cash by Mail TOTAL 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 new pets/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. M Bennington Animal Hospital 15615 C, W, Hadan Drive Bennington, NE 68007 F Phone: (402) 452-3585 a R� info@benningtonanimalhospital.com https://benningtonanimalhospital.com A N I MAL HOSPI TAL VACCINATION CERTIFICATE Patient and Owner Information Item Rabies Patient: Wrigley Breed: Havanese (canine) Sex: Female (intact) Color: Golden Sable Age: 17 Weeks Birthdate: Jan 18, 2623 Weight: 7.28 Ibs Chip: 992000002217420 Due Given May 17, 2024 May 17, 2023 Leptospirosis, 1st vaccination Jun 07, 2023 May 17, 2023 DAPPi 3-week puppy Jun 07, 2023 May 17, 2023 Reminder Details Owner: Steph & Dawn Kimsey & Pohlen Address: 257 S 25th St Blair, NE 68008 Phone: 402-278-0586 / 513-600- 7256 Email: sckimsey@hotmail.com Given By Christine Nickerson Christine Nickerson Christine Nickerson (Votes Tag Number: 4893 Product: Rabies, Canine 1 year Lot #: 18460 Manufacturer: Merial Item Given Due DAPPi 3-week puppy May 17, 2023 Jun 07, 2023 Leptospirosis, 1 st vaccination May 17, 2023 Jun 07, 2023 Bordetella Oral Vaccine Mar 20, 2024 Exam, Puppy Wellness May 10, 2023 May 10, 2024 Rabies, Canine 1 year May 17, 2023 May 17, 2024 Fecal Parasite Ex- PPD/Collect May 17, 2023 May 17, 2024 Page 1 of 2 CITY F BLAIR - 2023 PET LICENSE APPLICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair a 218 S 16th St • Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15 2023 Owner Name: A ur' i n P® Owner Address: Wq I N . 'Liz ai City/State/Zip: Blair,, NE 68008 Phone # (OE) (000® 001lP 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 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 a Dog ❑ Cat R Spayed/Neutered C License Fee $ Pet Name �elna Birthdate12-�1 19 Sex r Color P v-6w n Breed** Cyeyman Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: Vtt CM MICROCHIP # 945 1y1 002. 6130 91®(If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: It- t'L- 1-1 (3 yr) _y4— (1 yr) City Tag # _* PET #2 T Dog ❑ Cat N-Spayed/Neutered License Fee $ 11 Pet Name T-Ir rin i Birthdate 0 -0 -7.1 Sex Color Breed** (7adm ooM , Replacement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y LB N MICROCHIP #419 141 DO3 l $, 17 (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: ��l1� (3 yr) % (1 yr) City Tag # PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Birthdate Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ ■M (1 yr) License Fee $ Replacement $ SUBTOTAL: $ City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) TOTAL ENCLOSED $ 2.2.00 Do Not Send Cash by Mail If you have questions, please contact Blair Police Department at (402) 426-4747 ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++.....+ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (Marcie 15/ate fee date notapplicable Pornewpetslnewres/dents) Newly Acquired Pets: New Residents to Blair: ® Must be lioensed within 10 days of ownership ■ Must register pets within 10 days of ■ <OR> at 6 months of age if puppy/idtten residency. 5-�a--a-3 a3a o -_:�7- l 4 1 o % y CITY OF BLAIR ® 202LICENSE If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair 9 218 S 16th St • Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE Dr: Mar h 14i 2023 Owner Name: U\ V-5 Owner Address: -2`? 6LA v� 1 city/state/zip: Blair, NE 68008 Phone # � 0 A - S I)11 911 LICENSE FEES: Dog or Cat: $16.00 Altered Do or Cat• $11 00 ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3115/2023. The City shall recognize a microchip identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city Identification other than that Issued by the City of Blair for such dog or cat. The City of Blair requires proof of rabies vaccination to be submitted with your license application. g Replacement Fee far Lost Tag: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET # 1, Dog ❑ Cat ❑ Spaye /N utered License Fee $ Pet Name OA-S Birthdate "7 1 ' Sex Color 'F)ro ujn Breed** Li�rkA coA lcReplacement Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # tea 10 0r�c I (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: I o 1 A3,1,)o (3 yr) � (1 yr) City Tag # 0 * 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 $ Rep/acement $ ❑N ❑N SUBTOTAL: $ (1 yr) City Tag # License Fee $ Replacement $ SUBTOTAL: $ (1 yr) City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.),^"�' Do Not Send Cash by Mail TOTAL ENCLOSED If you have questions, please contact Blair Police Department at (402) 426-4747 ++++++..........+++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March Mate fee date notapplicable fornewpets/newres/denfs) 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. CERTIFICATE OF VACCINATION` Date of Rabies Vaccination: 10-23-20 Next Rabies Vaccination On: 10-23-23 VETERINARY CLINIC Thone Animal Hospital 902 S Hwy 30 Blair, NE 68008 402-426-3630 This is to certify... Certificate No: 2149 Previous Rabies Vaccination: OWNER OF ANIMAL Amber Pounds 2884 College Dr Blair, NE 68008 County: THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Boots TAG NO: 006185 SPECIES: Canine WEIGHT: 52.00 SEX: F AGE: 15 months Color and markings... Chocolate Signed Dr.Kamala Freeman Vaccinations done... License: 3894 10-23-20 Rabies Vaccination (3 Year), #006185 :10-:233::-2:3 10-23-20 A2PPV+L 10-23-21 10-23-20 KF Bordetella Oral 10-23-21 11-11-19 JRD Rabies Vaccination (1 Year), #005271 Rabies Vaccine Information... MFG BY: ZOETI SER.NO: 389791 LOT EXP: 05-04-21 ADM: SQ CITY OF BLAIR ® 2023 PET LICENSE APPLICATION 3 - 3 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 16thlair, 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. LICENSERENEWALS ARE DUE: March 1, 2023 Owner Name: Y' Owner Address: f city/state/zip: Blair,. NE 68008 Phone # ,)) -- — (c, )-. LICENSE FEES: Dog or Cat: $16.00 ***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 • ilpuff jl,A-75 If -al -I 'T WkIIWX1.N--1 to fund the Nebraska D29 & Cat Operator Inspection Program PET #1 Dog ® Cat Spayed/Neutered u R License Fee Pet Name ch Lynn Birthdate 10 Sex Color '6 Breed** r &> ,s,Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ® Y Ll N MICROCHIP # (If applicable) SU T TAL: $ RABIES VACCINATION DATE: I- l I (3 yr) (1 yr) Ci 'Tag # * PET #2 D o g Ll C at payed/Neutered License Fee Pet Name 'any+ Birthdate Sex _ Color r `7 Breed** Replacement ** Declared Dangerous or Potentially Dangerous Dog: ® Y Ll N MICROCHIP # (If applicable) SU TOTAL: $ RABIES VACCINATION DATE: I - - (3 yr) (1 yr) City Tag # 33 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) SU TOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not Send Cash by Mail TOTAL ENCLOSED If you have questions, please contact Blair Police Department at (402) 426-4747 ..........++++++.........++++++ .....................++++...... a+++.+..++++++.. NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15late fee date not applicable fornewpets/new residents) Newly Acquired Pets: New Residents to Blair: Must be licensed within 10 days of ownership Bill Must register pets within 10 days of o <OR> at 6 months of age if puppy/kitten residency. PP • 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 .# � Dr 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 # i C' 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 ;Zepiaceiiient 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 X Dog ❑ Cat ❑ Spayed/Neutered License Fee $� Pet Name ' Birthdate ' Sex M, I'e Color _ loA w\_e_r- \e Breed" _t_s � i' (? Replacement $ * * Declared Dangerous or Potentially Dangerous Dog: ❑ Y U N °MICROCHIP ' (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # PET #2 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Birthdate Sex _ Color Breed" Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Birthdate Sex _ Color Breed" Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) (1 yr) (1 yr) License Fee $ Replacement$ ** SUBTOTAL: $ City Tag # License Fee $ Replacement $ SUBTOTAL: $ City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not Send Cash by Mail TOTAL ENCLOSED $ If you have questions, please contact Blair Police Department at (402) 426-4747 ++++++++++++++++++.....+++++++++++++++++++++++++++++++++++++++++++++++++++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March I5/ate fee date notapplicable fornewpets/newres/dents) Newly AMuired Pets: New Residents to Blair: ■ Must be licensed within 10 days of ownership ■ Must register pets within 10 days of 0 <OR> at 6 months of age if puppy/Idtten residency. Date of Rabies Vaccination: 03-16-22 Certificate No: 0 Next Rabies 'vaccination On; 03-16-23 Previous Rabies Vaccination: 18272 VETERINARY CLINIC OWNER OF ANIMAL Holstein Vet Clinic Diane Pratt 718 South 19th Street 1315 Nebraska Street 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: Zeus TAG NO: 20174 --_SPECIES; Canine __-- ---- _ __. _ _ WEIG14-T: 65.00 SEX: M AGE: 3 years Color and markings... Blue Merle Signed Krista Holstein, DVM License: 3612 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 check made paya�to: City of Blair 9 218 S 16th St a Blair, NE 6808 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 C� Owner Name: M 'Al t'rJ t Owner Address: 73 1 /a city/state/zip: Blair, NE 68008 Phone # 'g o,)- v Y a G" O G/ 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 anDlication. Replacement Fee for Lost Tag: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET # 1 Dog ❑ Cat , Spayed/Neutered License Fee $ Pet Name Birthdate a o l a Sex Via/ Color p,(rt d�c Breed" ,)ire Y-een'er vire Replacement$ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y 4 N MICROCHIP # cl F 5 / / -� 0,0 � 6 7 7 q�P- (If applicable) SUBTOTAL: $ � 0 RABIES VACCINATION DATE: oL3J / Z/ �2 ;L _ (3 yr) / (1 yr) City Tag # a 02314 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 License Fee $ Replacement SUBTOTAL: $ _ (1 yr) City Tag # (1 yr) License Fee $ Replacement *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) ** * Do Not Send Cash by Mail TOTAL ENCLOSE 1L00 If you have questions, please contact Blair Police Department at (402) 426-4747 +++++++++++++++++++++++++++++++++++++++++++++++++++++¢++++++++++++....r+++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15/ate fee date not applicable fornewpets/newresldenis) Newly Acquired Pets: New Residents to Blair: ® Must be licensed within 10 days of ownership ■ Must register pets within 10 days of ■ <OR> at 6 months of age if puppy/Idtten residency. U C C,EATIFICAT'YOF VAC INATIO'N'. Date of Rabies Vaccination: 03-01-22 Next Rabies Vaccination On: 02-28-25 VETERINARY CLINIC Holstein Vet Clinic 718 South 19th Street Blair, NE 68008 402-426-7387 This is to certify... Patient information... Certificate No: 0 Previous Rabies Vaccination: 16811 OWNER OF ANIMAL Marge PWie 731 N 14th Ave Blair, NE 68008 County: PATIENT: Roxy ,:TAG NO: 2.0138' SPECIES: Canine 'WEIGHT: 16.00 SEX: S AGE,, 10 years Color and markings... Black and White Signed Krista Holstein, DVM License: 3612 Rabies Vaccine Information... MFG BY: ZOETI SER.NO: 543936 LOT EXP: 03/07/23 ADM: SQ k - 1 - 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 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 DU March 15, 2023 Owner Name: " Owner Address: City/State/Zip: Blair, NE 6800 " Phone # J - `1 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 Replacen rent Fee for Lost Tang: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET #1 Q o g ❑ Cat ® Spayed/N ere ,� License Fee $ Pet Name Birthdate t Color Breed** ' t Replacement$ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable SUBTOTAL: $ RABIES VACCINATION DATE I O (3 yr) k% (1 yr) City Tag # 1 PET #2 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Birthdate Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ W (1 yr) License Fee $ Replacement $ * * SUBTOTAL: $ City Tag # PET #3 . ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed** Replacement$ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not Send Cash by Mail TOTAL ENCLOSED $ i If you have questions, please contact Blair Police Department at (402) 426-4747 ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15/ate fee date notapplIcab/e fornewpets/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/ldtten residency.