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R2023 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF BLAIR IF YOU LiVr= 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.16YH 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 DWFWNG UNIT. ***PLEASE READ CAREFULLY*** YOU ARE REOUC BY LAW TO iICENSE YtStIR pTS. THE CITY O% BLAIR REQUIRES PROOF OF RABIES VACCIIj) TA ION. Failure to do so Is a violation of City Ordinances 6.10a and carries a penalty of a fine up to $150.00 per pet. PET LICENSE RENEWALS ARE DUE BY 3/15/2023, The city shall recognize a microchip (1) number as the license number. It shall be unlawful for any dog or cat to weer any license or other city ID other than that issued by the City of Blair for such dog or cat, NEW PET LIC�N�,)IyG,MUst be licensed within 10 days of ownership (OR) at 0 rnontM of ago if puppy or kitten NEW y ,jf,$_1QENjaj0 BLAIR Must register pets within 10 days of rosidency Owner Name Brent Ramsey spoose Terri Owner Address 669 N 16th City/State/Zip Blair, NE 68008 Phone # 402-426-4887 Pet Nume: Smokey Tag #3522 Age: 14Y DOB, -01-05.09 Sex: Spayed Vernale color; Breed: Microchip # Rabies Tag # PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE): # RABIES VACCINATION DONE ON 03.15-22 R pl�ie$ Description: 3 YEAR \j .Holstein Veterinary Clinic ,or, Usa Schrum DV114 .' Dr, Kdsta Holstein DVM 718 801-1th 191hStreet Blair, NE 68008 402-426-7387 402-426-0101 Fax hoisteinclinic@qmAil.com LICENSE FEES Intact Dog or Cat: $16.00 All Dog or H&PIOW0074917t T09 $55-00 Total $ \, PF TS, THA T ARE ON THE -A-q!C�Tl �VT6NT1AW'QANGFRQUS OR VANGfROUS 006 QSTN6tQ T0.86GISVER.PIR15CrLI'A.TCI'FYHAL6, TA—kE—D03-15-23 BY C, 1TXi r710/To 39vd DINI-10 13A N=S-101-1 TOT09i7,P60P 66:TT C60�/SWCO 2023 PET LICENSE VERIFICATIONIAPPLICATION FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT(S), CQMI`LLTE THIS FORM AND RETURN WITH A CHE:0K PAYABLE TO: CITY OF 13LAIR — 218 S. 16T" ST BLAIR, NEE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MQRE THAN THREE (3I ADULT DOGS DR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT, ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BYLAW TO LICENSE YOUR PETS, H>t`QJT.,YJ)E ;LAIR REQUIRES PROOF OF RABIES VAUCINATIOM Failure to do so is a violation of City Ordinances 6,100 and carries a penalty of a fine up to $150,00 per pet, RET J,QF,N,aE RENEWALS ARE f1UE BY 3LIUL2023. The city shall recognize a microchip ICE number as the license number. It shall be unlawful for any dog or cat to wear any license or other city ID other than that issued by the City of Blair for such dog or cat, tN PET LICENSING Must be licensed within 10 clays of ownership (OH) at 6 months of age if puppy or kitten jj. W RESIDENTS TO BLAIR Must register pets within 10 drays of residency Ownler' Name � Wm k�mn Brent Ramsey Spousen� Terri Owner Address 669 N 16th City/Mete/Zip Blain NE 66008 Rhone #x 402-426-4887 Pet Name: Little Red m� "Tag #3664 Age: 12V Sex: Neutered MaleM Color: DOB: 03.01.1 1 Breed,. Domestic Microchip ## Rabies Tag # PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE): ## RARIES 'VACCINATION DONE ON 05-11-22 Rabies Description: 'I 1� AR 3 YEAR Holstein Veterinary Clinic DI: -Lisa $07rum DVM : Dr. Krista Holstein DVM 718 South 19t� Street Blair, NE 68008 402-426-7387 402-426 -0101 Fax hulsteinclinic@gmaif,cam Intact Dog or Oat: $16,00 A/ L�! d Dog or at: 11.00 Replacement Tap $5.00 l� Total PET'ShNATARE.,Q.N,L ACTIVEPGiTENTIALLYDANGEROUSOR DANGEROUS DOG LIST N€ffP-0,REt�ISTER UIREc'TLYAT CITYNALL. FAXED 03-16-23 BY 30/30 30kJd OINI00 13A NI3IS-10H T9T093V7,017 Zz:TT C303/5T/E0 O AIR - 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 16h St e Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2023 Owner Name: ��� { i�� � - n Owner Address: city/State/zip: lair NE 68008 z Phone # y� ® �._ zlub LICENSE FEES: Dog or Cat: $16.00 Altered no or Cat: $11 00 ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3/15/2023. The City shall recognize a microchip Identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city Identification other than that Issued by the City of Blair for such dog or cat. The City of Blair requires proof of rabies vaccination to be submitted with your license application. g Replacement Fee for Lost Tag. $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET #1 Ld Dog ❑ Cat GY Spayed/Neutered License Fee $ A� Pet Name 7t Birthdate Sex NA(I\f ** Color \Nj,f Breed** Replacement $ Declared Dangerous or Potential) Dangerous Dog: ❑ Y N MICROCHIP #ram �� �� >���(If applicable) % SUBTOTAL: $ RABIES VACCINATION DATE: 7-WQ Z (3 yr) V (1 yr) City Tag # _......... PET #2 ❑ Dog l( Cat UdSpayed/Neutered License Fee $ Pet Name M C Birthdate -7-Zo\-] Sex �aA\ Color C?,�n�,~�� Breed** Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) BTOTAL: ti)i00 RABIES VACCINA ON DATE: ®� (3 yr) (1 yr) V City Tag #W&�n* 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 L E $ 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 (March Mate fee date notapp/icab/e fornewpets/newresidenty) Newly Acquired Pets: New Residents to Blair: • Must be lioensed within 10 days of ownership n Must register pets within 10 days of • <OR> at 6 months of age if puppy/kitten residency. I N V 0 1 C E Holstein Vet Clinic 718 South 19th Street Blair, NE 68008 402-426-7387 Check out our online store at www.HOLSTEINVET.com for home delivery! Printed: 03-01-23 at 3:45p FOR: Samantha Rasmussen Date: 03-01-23 1517 Jackson Street Account: 9603 Blair, NE 68008 Invoice: 135496 Date For Qty Description Net Price 03-01-23 Milo 1 Exam - Annual Physical Exatri 20.00 03-01-23 1 Vanguard@ Feline RCP {Distemper) 29.00 03-01-23 1 Vanguard@ Rabies 1 {1 YEAR) 29.25 03-01-23 Visa payment-.78.25 Old balance Charges Payments New balance 0.00 78.25 78.25 0.00 Reminders for: Milo (Weight: 11.8 Ibs - 5y) Last done 02-29-24 Vanguard@ Rabies 1 {1 YEAR) 03-01-23 02-29-24 Vanguard@ Feline RCP {Distempe 03-01-23 Thanks for choosing us to take care of your pet's health care needs! CITY OF BLAIR ® 2023 PET LICENSE APPLICATION I, If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair e 218 S 16th St e Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS DUE: March 15 2023 Owner Name: `oA t f inr\, 5Lt&o '\ *,eharcl�+l/ Owner Address: 3b gere,19g., city/state/zip: Blair,. NE 6800 Phone # 11sg3 yyz Wb-Zo%- LICENSE FEES: Dog or Cat: $16.00 Altered Do or Cat- $11 00 ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3/15/2023. The City shall recognize a microchip identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city Identification other than that Issued by the City of Blair for such dog or cat. The City of Blair requires proof of rabies vaccination to be submitted with your license application. g Replacement Fee for Lost Tag: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program T #1 Dog ❑ Cat M Spay d/Neutered License Fee $ rl Pet Name 4 Birthdate z I Sex Al Color Breed** 661-,1, Rot 1 Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y N MICROCHIP # (If applicable) SUBTOTAL: I d RABIES VACCINATION DATE: 1 17 t4 (3 yr) .(1 yr) City Tag # ,_* T Dog ❑ Cat �d Spay d/N61 utered Pet Name 6 u-3 Birthdate 5 291 Sex Color _� arc-- Breed* Declared Dangerous or Potentially Dangerous Dog: ❑ Y Al N MICROCHIP # (If applicable RABIES VACCINATION DATE: `Illy 1 ZoIO (3 yr) (1 yr) License Fee $ Replacement $ ** YA I ❑ 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 $ 29-, 0 0 If you have questions, please contact Blair Police Department at (402) 426-4747 ++++++++++++++++++++++++++++++++++++++++++++++++++++++++¢+++++++++++++++.....+ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March Mate fee date notapplicable fornewpety1newre51dents) Newly Acquired Pets: New Residents to Blair: • Must be Iloensed within 10 days of ownership ■ Must register pets within 10 days of ` residency. •<OR> at 6 months of age if puppy/Idtten `§ `(g 3�13( 13 Ca�l� CITY OF BLAIR - 2023 PET LICENSE APPLIC`1YibN3 b y If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair e 218 S 1 th St e Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2023 Owner Name: > r L11 Owner Address: ,a City/State/Zip: Blair,, NE 68008 Phone #f', T 1 LICENSE FEES: Dog or Cat: $16.00 Alt red Do or Cat° $11 00 ***PLEASE READ FULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3/15/2023. The City shall recognize a microchip Identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city Identification other than that Issued by the City of Blair for such dog or cat. The City of Blair requires proof of rabies vaccination to be submitted with your license application. e g . Replacement Fee for Lost Tag: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program Dog ❑ Cat Spayed/Neutered License Fee $ Pet Name L i I , c, Birthdate 3 izj r Sex CBreed** L y. >v_ ;p Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y I N MICROCHIP # rs='I (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: D 01 � _ (3 yr) ` (1 yr) City Tag # PET # 2 Ll Dog ❑ Cat Ul Spayed/Neutered License Fee $ Pet Name :t Birthdate Sex Color Breed** ' `: Replacement $ li0 Declared Dangerous or Potentially Dangerous Dog: ❑ Y 51❑ N MICROCHIP # 1.4/ A (If applicable), SUBTOTAL: $ RABIES VACCINATION DATE �� (3 yr) X (1 yr) City Tag # 10 k` � PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed** Rep/acement$ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not Send Cash by Mail TOTAL ENCLOSED If you have questions, please contact Blair Police Department at (402) 426-4747 ++++++++++++++++++++++++++++++++++++.....++++++++++++++++++++++++.........+++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15/ate fee date notapplicable fornewpets/newre5ldenis) Newly Acquired Pets: New Residents to Blair: • Must be licensed within 10 days of ownership m Must register pets within 10 days of • <OR> at 6 months of age if puppy/ldtten residency. 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(D ° < j m 1+' (D n m a z °r' 3 o ::anD m (D o � yQ r+ �' c . m (D ? O m (D O 0 ° o rD W 0 c Ln CL < (D OEl KJ W N G) W T N FA m N K n (D D � D NJczn = z -a to m cO M m G c � (D p m I rt ;:a O- (D o O (D D c v v n oni oni nni nni nni ........ C r+ r+ r+ r+ rf r+ r+ r+ r+ r+ E E v ( � N cu (D D < < W n (nD z m n (Dv ((DD G (D n n (D ° o (D(mD 3 1 f O c r+ rc+ �, m `^ Q � z m —I m c' (D g (D '1 3 �° fl; cu o m c v � m ° r+ r+ r+ c w p � in o 3 �r+ rt ro rr+ ❑ ❑ 0 3 x D n (D Thone Animal Hospital 902 S Hwy 30 Blair, NE 68008 402-426-3630 Printed: 03-09-23 at 1:55p CLIENT INFORMATION Name Daniel Rubin (9822) Address 2104 Jackson St Blair, NE 68008 Phone 402 PATIENT INFORMATION Name Lily Sex Female, Spayed Birthday 05-21-15 ID Color Gray/Blk Reminded 06-10-21 MEDICAL HISTORY Date By Code Description 03-09-23 KF THANK R3 F3 57V 05-27-20 JRD R3 4 57V Patient Chart Balance 0.00 Species Feline Breed Siam/Manx Age 7y Rabies 008777 Weight 0.00lbs Codes Qty (Variance) Photo Thank You!!! Rabies Vaccination (3 Year), #008777 Fe4Way 3yr Vaccination Exam Rabies Vaccination (3 Year), #005791 Fe 4Way (Rhino/Cali/Pant/Chia) Vaccination Exam Thone Animal Hospital 902 S Hwy 30 Blair, NE 68008 402-426-3630 Printed: 03-09-23 at 2:25p CLIENT INFORMATION Name Daniel Rubin (9822) Address 2104 Jackson St Blair, NE 68008 Phone 402 Balance PATIENT INFORMATION Name Sophie Species Sex Female, Spayed Breed Birthday 05-21-14 Age ID Rabies Color BlackNVht Weight Reminded 06-10-21 Codes Next appointment for Sophie Qty 03-09-23 At: 3:00p With: Dr.Kamala Freeman Check up, Vax, losing weight, feeling skinnier MEDICAL HISTORY - Vaccination View Date By Code Description 03-09-23 KF R3 F3 05-27-20 JRD R3 4 rem Feline Dlh 8y 008778 0.00 Ibs Patient Chart Qty (Variance) Photo Rabies Vaccination (3 Year), #008778 Fe4Way 3yr Rabies Vaccination (3 Year), #005792 Fe 4Way (Rhino/Cali/Pant/Chia) &&t�f- l o`ft,i 2 CITY OF BLAIR- 2023 PET LICENSE APPLICA a--p - : If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City Of Blair e 218 S 16th St e Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2023 Owner Name: 1-c'w ", 1" oa\ a(''yy( � /'xr Owner Address: rPti>�(11� I C`�� C Y , city/state/zip: Blair, NE 6800 Phone # ((CN LICENSE FEES: ®o or Cat: $16.00 c6red Do or Cat: $11 00 ***PLEASE FULLY*** ��.. YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 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 vour license anDiication. g Replacerneiii 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 Spaed/Neutet License Fee $ Pet Name o �i'c' i , irthdat `Color ' Breed** Replacement $ ' � . t:' Declared Dangerous or Potentia ly Dangerous Dog: ❑ Y�lq N ` MICROCHIP ','5,(If applicable) SUBTOTAL: $ RABIES VACCINATION DATE. ij: �t i`Y ((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) _ 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 License Fee $ Replacement $ SUBTOTAL: $ (1 yr) City Tag # License Fee $ Replacement $ SUBTOTAL: $ (1 yr) City Tag *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not Send Cash by Mail TOTAL t If you have questions, please contact Blair Police bepartment at (402) 426-4747 ++++++++++++++++++.....++++++++++++++++++++++++++++++++++.+++++++.....r¢++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (Marchl5/ate fee date not applicable fornewpets/new residents) Newly AMuired Pets: New Residents to Blair: • Must be licensed within 10 days of ownership ■ Must register pets within 10 days of • <OR> at 6 months of age if puppy/MtIten residency. "Blair Glne8Animal Clinic PC David EJohnson DVM 1734Front Street Blair, Nebnsoke, 08008 Rabies Certificate Client ID: 8834 Patient |Cr 18183 Client Name: Travis @NotaaohoNaU1 nor Patient Name: Ellie Address: 3O33VVesthdgeDrive Species: Conine Breed: Boxer Blair, NEB8OD8 Sex: Spayed Female Color: tan/black Phone: /402>426-1758 Markings: Birthday: 10/02/2021 Weight: 85.OUpounds on2Y1O/2O23 Microchip ID: 833000320667525 Tag Number: 7556 Vaccination Date: 2/10/2023 Vaccine: |nlnabRabies Vaccine Expiration Date: 2110/2026 Producer: K8er|a| Lot Number: 18535 Brand: |mcobOTF Drug Expiration Date: 11/17/2023 — Killed Virus ...annerof Subcutaneously Staff Name: David E.Johnson DVM License Number: 1893 Doctor Signature: CITY OF BLAIR - 2023 PET LICENSE APPLICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair e 218 S 16th St e Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2023 Owner Name: 4'tnel's "0'a tf:� Owner Address: .4466� Lwel alk(r"ev, City/State/Zip: Blair, NE 6808 Phone #� LICENSE FEES: Dog or Cat: $16.00 Altered nog 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. o Replacement Fee for Lost Tag: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program Dog ❑ Cat ,'gLSpayed Neutered License Fee $ ill Pet Name iyleinLLwk Birthdate of Sex J✓Ia/e, Color a lu4-k Breed** Replacement$ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y N MICROCHIP # q92 - 532 ' 3,5—) (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: ✓` r"7 �02�- (3 yr) _� (1 yr) City Tag .2'1'7&1* T #2 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed** Rep/acement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SU TOTAL: RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # PET 3 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Birthdate Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ m 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 for newpets/newresldenty) Newly Acquired Pets: New Residents to Blair: Ill Must be licensed within 10 days of ownership m Must register pets within 10 days of <OR> at 6 months of age if puppy/kitten residency. --77777- CERTWICATE OF VACCINATION Date of Rabies Vaccination: 11/17/2022 Next Rabies Vaccination On. 11 /16/2025 VETERINARY CLINIC Arlington Pet Hospital 225 N. 3rd St. Arlington, NE 68002 402-478-4141 Certificate No: 0 Previous Rabies Vaccination: 024446 OWNER OF ANIMAL Francis Rahlfs 1064 Grant St. Blair, NE 68008 County: Washington This is to certify... THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Mohawk SPECIES: Canine SEX: Neutered Male Color and markings: Signed /,,' /' MATT TALBOT, DVM Vaccinations done... Grey And Black TAG NO: 031194 WEIGHT: 21.20 AGE: 4Y License: 3220 11/17/2022 MT RABIES 3 YEAR, #031194 11/16/2025 11/17/2022 MT LEPTO BOOSTER 11/17/2023 11/17/2022 MT BORDETELLA ANNUAL BOOSTER 11/17/2023 11/17/2021 MT DHLPP ADULT BOOSTER 2 YR 11/17/2023 11/27/2018 MT RABIES 1 YEAR, #022865 Rabies Vaccine Information... MFG BY: NOBIV SER.NO: 595584 LOT EXP: 10/03/23 ADM: SQ iiiiivii Pill 11111111 1111 Z All! If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair e 218 S 16th St 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: <l L City/State/Zip: Blair, NE 68008 Phone # �' `; /.. LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11.00 ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3/15/2023. The City shall recognize a microchip Identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city Identification other than that Issued by the City of Blair for such dog or cat. The City of Blair requires proof of rabies vaccination to be submitted with your license application. Replacement Fee for Lost Tag: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET # Dog ❑ Cat 'Spayecl Neutered License Fee $ Pet Name TSI:y Birthdate /0 Sex _ Color 02i t /Wk-1. Breed** ��: y.- �il,r >:- . �l,c Rep/acement$ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # ` I `ii- uL" ip 4� `i9 ��J (If applicable)-- SUBTOTAL: $ RABIES VACCINATION DATE: S' n-34) m, % (3 yr) (1 yr) '�. City Tag # PET # 2 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee Pet Name Birthdate Sex Color Breed** Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Birthdate Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ (1 yr) License Fee $ Replacement $ ** SUBTOTAL: $ City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not Send Cash by Mail TOTAL 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 for newpets/newresidents) Newly Acquired Pets: New Residents to Blair: • Must be licensed within 10 days of ownership m Must register pets within 10 days of ■ <OR> at 6 months of age if puppy/Ivtten residency. 1'c CITY OF BLAIR - 2023 PET LICENSE APPLICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair • 218 S 16th St • Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2023 Owner Name: ' i'" 1 J�'1 l i<r� r kei-1 a Owner Address: I t< ')a �T- city/state/zip: Blair, NE 68008 Lit s. Phone # (`? o ,- LICENSE FEES: Dog or Cat: $16.00 Altered Do or Cat• $11 00 ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6,103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3/15/2023. The City shall recognize a microchip Identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city Identification other than that Issued by the City of Blair for such dog or cat. The City of Blair requires proof of rabies vaccination to be submitted with your license application g Replacement Fee for Lost Tag: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET # 1, °- (4 Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name N BirthdateSex Colo�� i Br r eed** �..� �. Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y I N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE ? (3 yr) (1 yr) City Tag #'v� PET # 2 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Birthdate Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) License Fee $ Replacement $ ❑N SUBTOTAL: $ (1 yr) City Tag # PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed** Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ 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.) DoNot Send Gash by Mail TOTAL ENCLOSED If you have questions, please contact Blair Police Department at (402) 426-4747 ++++.++++++++++.**+.++++........+++++++++++.++.+++++++++++.*+.++......++++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (Match 15late fee date not applicable for newpets/newresideMs) Newly Acquired Pets: New Residents tQ Blair: ■ Must be I'Ioensed within 10 days of am)ership ■ Must register pets within 10 days of ■ <OR> at 6 months of age if puppy/Idtten residency. Client ID: Client Name Address: Phone Tag Number: Vaccine: Producer: Brand: Type: inner of Administration: 5762 Steve & Heather Rauch P O Box 141 Blair, NE 68008 (402)237-8007 7834 Imrab Rabies Vaccine Merial Imrab 3 TF Killed Virus Subcutaneously Staff Name: David E. Johnson DVM License Number: 1893 Doctor Signature: Blair Small Animal Clinic PC David E, Johnson DVM 1734 Front Street Blair, Nebraska, 68008 (402) 533-2722 Rabies Certificate Patient ID: Patient Name: Species: Breed: Sex: Color: Markings: Birthday: Weight: Microchip ID: Vaccination Date: Expiration Date: Lot Number: Drug Expiration Date: 7053 Percy Canine Australian Shepherd Male Tri-Color 11 /23/2013 47.80 pounds on 8/31/2023 8/31 /2023 8/31 /2026 18567 9/28/2024 01/21/2023 11:44 4024260101 HOLSTEIN VET CLINIC PAGE 01/01 2023 PET LICENSE VERIFICATIONIA,PPLICATION 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. IWH ST— BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. 'PLEASE READ CAREFULLY*** YOU ARE REQUIRED BYLAW TO LICENSE YOUR MS THE CITY OF BLAIR REQUIRES P [M, OF RABIES VACCINATION Failure to do so is a violation of City Ordinances 6.103 end carries a penalty of a fine up to $150.00 per pet. PET LICENSE RENEWALS ARE DIJE BY 3/15/2023. The city shall recognize a microchip 1D number as the license number. It shall be unlawful for any dog or cat to wear any license or other city ID other than that Issued by the City of Blair for such dog or cat. NEW PET LICENSING Must be licensed within 10 days of ownership (OR) -at 6 months of age if puppy or kitten NEW RESIDENTS TO BLAIR Must register pets within 10 days of residency ' Owner Name Terry Ray Spouse Jean Owner Address 734 N 14th St City/State/Zip Blair, NE 68008 Phone # 402-533-4996 Pet Name: Bret Tag 7 Age: 3Y DOB: 05-09-19 Sex: Spay6d Female Color. Fawn/Blk Breed: Fr Bulldog Microchip # 956000007610019 Rabies Tag # PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (1P AVAILABLE): # RABIES VACCINATION DONE ON 11.05-20 Done- Z C.OmtvL{ df-, StM-acl 22NAt VA -al .P1. CGLt4jou-v� Rabies Description: 1 YEAR C 3 FEAR Holstein Veterinary Clinic Dr. Lisa Schrum DVA4 : Dr. Krista Holstein DVM 718 South 1911 Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinice gmall,+com Intact Dog or Cat: $16.00 /tared 1)4 �av$i ReP/acement Tag $6,00 Total $ i ��" %ffATARE ON TNEAGTIVE PDTENTIALLY DANGEROUS C/R DANGEROLI$ C1tI� !.l$T NEED TD REGISTER DIRECTLYAT C1TV NALL. FAXED 01-21-2$ BY CITY HALL @ 402-426-4195 Jan 13 23 05:43p p,1 CITY OF BLAIR - 2023 PET LICENSE APPLICATION If you live in Blair City limits and own a clog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair 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 1502 Owner Name: `1�K.�� lam—® D 11x Owner Address: r city/State/Zip: Blair, NE 68 08 Phone # ±b1? 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 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 rewires Proof of rabies vaccination to be submitted With your GcenseaDnlication.. Replacement Fee for Lost Tag: $5.00 Induded is a State Fee of $1225 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET # 1 '� o ❑ Cat Spayed Neu ered License Fee $..� Pet Nam Bi h ate Sex Color Breed** ha OUA Tn=R-eplacement$_ ** DeclamRis 6-r-0bfentially Dangerous Dog: ❑ Y ❑ N f MICROCHIP # (If applicable) SUBTOTAL: $ 1 RABIES VACCINATION DATE: (3 yr) (I yr) City Tag # a2L * PET #2 ❑ D o g O Cat ❑ Spayed/Neutered Pet Name Birthdate Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) El (1 yr) License Fee $ Replacement $ SUBTOTAL: $ City Tag # 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 +++++t.+t++...........++*++........++++++.......4....... 4...++++++++++++t+++++ NEW PETINEW RESIDENT LICENSING REQUIREMENTS (MarO15/ale fee date notaAnkaMefor newp lylnewresidents) Newly&Muhed Pets: New Residents to Blair. ■ Mtlst be kux) d wit In 10 days of wnership ■ Must rlegister pets within 10 days of 0 <OR> at 6 months of age if puppy/kitten residency. If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair e 218 S 16th St 9 Blair,, NE 68008 r,44€<: `'4- You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs' or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2023 Owner Name: I�' Owner Address: 47� City/State/Zip: Phone # Elair, NE "11 LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11.00 ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3/15/2023. The City shall recognize a microchip identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city Identification other than that issued by the City of Blair for such dog or cat. The City of Blair renuires proof of rabies vaccination to be submitted with your license application. Replacement Fee for Lost Tag: $5."00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program Dog ❑ Cat 41 Spayed/Neutered � License Fee $ i u Pet Name Birthdate Sex Color ^. Breed** °: + Replacement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y p N MICROCHIP # (If applicable) SUBTOTAL: $ iL ,, RABIES VACCINATION DATE: 4 < ? 2-1 (3 yr) (1 yr) City Tag # �5 * 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) License Fee $ Replacement $ * * SUBTOTAL: $ (1 yr) City Tag # ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed** Replacement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not send Cash by Mail TOTAL 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 not applicable fornewpeOlnewresldents) Newly Acquired Pets: New Residents to Blair: • Must be Iloensed within 10 days of ownership m Must register pets within 10 days of • <OR> at 6 months of age if puppy/kitten residency. Thone Animal Hospital Patient Chart 902 S Hwy 30 Blair, NE 68008 402-426-3630 Printed: 04-20-22 at 4:32p CLIENT INFORMATION Name Ron Rech (4270) Address 360 Baronage Cir Spouse Janice Blair, NE 68008 Phone 402 515-2446 Work:402-290-0445 Balance 0.00 PATIENT INFORMATION Name Sophie Species Canine Sex Female, Spayed Breed Lab Mix Birthday 04-20-18 Age 4y ID Rabies 006656 Color Yellow Weight 68.00lbs Reminded 04-06-22 Codes MEDICAL HISTORY - Vaccination View Date By Code Description Qty (Variance) Photo 04-20-22 KF 7 DA2PPV 3yr B1 Bordetella Oral 04-22-21 JRD R3 Rabies Vaccination (3 Year), #006656 2 DA2PPV+L B1 Bordetella Oral 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 0f 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: - �j� t Owner Address: 1V city/state/zip: Blair,, NE 68008 I _ Phone # l D ? - ,� LICENSE FEES: Dog or Cat: $16.00 Alt d D or Cat° $11 00 ***PLEASE FULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3115/2023. The City shall recognize a microchip Identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city Identification other than that Issued by the City of Blair for such dog or cat. The City of Blair requires proof of rabies vaccination to be submitted With your license application. ere og . Replacement Fee for Lost Tag: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET #1 ❑ D o g Cat Spayed Neutered License Fee $ Pet Name k� >r Birt date � l Sex ** Color %t,�-y— Breed** sip In Replacement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: `6 1� U (9 yr) (1 yr) City Tag # 3Y3* 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) T #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Birthdate Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ m License Fee $ Replacement $ SUBTOTAL: $ (1 yr) City Tag # (1 License Fee $ R�` placement $ SUBTOTAL: yr) City Tag *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWALS UD Lf 3 l ** (This fee is due along with License Fee if requesting at the time o license renewal.) Do Not Send Cash by Mail TOTAL LL-p If you have questions, please contact Blair Police bepartment at (402) 426-4747 +++++++++++++++•r+++++++++++++++++++++.+++++++++++++++.+++++++++++++++.++++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15/ate fee date notapplicable fornewpets/new residents) Newly Acquired Pets: New Residents to Blair: • Must be licensed within 10 days of ownership n Must register pets within 10 days of ■ <OR> at 6 months of age if puppy/ldtten residency. Ud/lb/ 2023 14:35 4024260101 HOLSTEIN VET CLINIC PAGE 01/01 2023 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY OMITS AND OWN A DOG(9) AND /OR CAT(S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO; CITY OF BLAIR — 218 S. 16TH ST — BLAIR, NE 68008 YOU MAY LI GALLY OWN A COMBINATION OF FOUR (4) ADULT PEIGr BUT NO MORE THAN THREE (3) ADULT DOGS QR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. *"PLEASE READ CAREFULLY*** YOU ARE REQUIRED 15Y.1 Failure to do so is a violation of City Ordinances 6,103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSE NEWAILS ARE DVEAy_W1E12Q2j The city shall recognize a microchip ID number as the license number. It shall be unlawful for any dog or cat to wear any kenso or other city ID other than that issued by the City of Blair for such dog or cat, NEW PET LICENSING Must be licensed within 10 days of ownership (OR) at 6 months of age if puppy or kitten NEW rSIQE4TLjQ Q J,ALA Must register pets within 10 days of residency Owner Name Julie Rob(fing Spouse Charles Owner Address 1270 South 16th Street citylstatelzip Blair, N15 68008 Phone # 402-426-8339 Pet Name. Greta Tag #4053 T- 6 ---F`ex' Female Color. Trl —T Age: 16W Sex: Female Color. Tri 0013: 11-21-22 Breed: Shep Mix Microchip # I Rabies Tag # 23164 PLEASE INCLUDE CITY TAG NUMBER, jrmis IS A RENEWAL (ir- AVAILABLE): # RABIES VACCINATION DONE ON _ 103-16-23 Rabies Description- `/ 1 YEAR 3 YEAR Holstein Veterinary Clinic ,?r, Lisa Sel7rilm DVM : 0/-. Krista Holstein 01AM 718 SOUth 1911 Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteind i ni c @g rnail.corn LICENSE —FEES Intact act Dog 'Cat: $1 0) Altered Dog or cat: $11 .00 ,Replacement Tag $5.00 Total $iW--,— PU,5THAT ARE _OpjTiiCACTIVE POTENTIALLY —DANGERO 508 QANqERQU5 QQG _�ISTWFD TO ReG FAXED 03-16-23 BY Mar 20 23 02:49p p.1 CITY OF BLAIR - 2023 PET LICENSE APPLICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair • 218 S 16th St • Blain 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 cal:s per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2023 Owner Name-, A Owner Address: tct l.... City/Skate/zip: Blair, NE 68008 Phone # .-An LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11.00 ***PLEASE REAL? 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 $15o.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3115f2D23. 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 dQg 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 Gat Spayed/Neutered License Fee $ Pet Name MNBirthdate i 22 Sex ' Color Breed**�> Rep/acement$ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # ~-- (If applicable). SUBTOTAL: $� _ RABIES VACCINATION DATE: :::�, 20. 'L3 (3 yr) _ (1 yr) City Tag ## 391__* mm _ PET #2 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Birthdate Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) License Fee $ Rep/acement $* ❑N SUBTOTAL: $ (I yr) City Tag # PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate Sex _ Color Breed** Replacement $* Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL. ** (J is fees issue along with License Fee it requesting at the time of license renewal.) Do Not Send Cash by Mafl TOTAL ENCLOSED $ '\ -OL) If u�>rgve questions, please contact Blair Police Department at (402) 426-4747 +++++*+++++.+++++++..+++++++.++++++++++.+++++.+++++++....+.++++++++.+++++.+ NEW PET/NEW RES I D E N T LIC E N SIN G REQUIREMENTS(Mardtl5late ILedate not applicablelnrnew peNlnewresidenis) NewlyACauired Pets: New Residents to Blair: ■ Most be lioamd within 10 days ofowr>e ship ■ Must register pets within 1D days of a <OR> at 6 months of age if puppy/kiden residei-q, Date of Rabies Vaccination: 03-29-22 Certificate No: 0 Next Rabies Vaccination On: 03-28-25 Previous Rabies' Vaccination: VETERINARY CLINIC OWNER OF ANIMAL Thone Animal Hospital Sandi Ross/'W,� 1 902 S Hwy 30 833 N 13th St Blair, NE 68008 Blair, NE 68008 402-426-3630 County: This is . ertify... TW4T I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED• Patient information... PATIENT: Gabe '14 Ll SPECIES: Canine SEX: N Color and markings... Brindle Signed Dr. Donna Mertz TAG NO: 007673 WEIGHT: 0.00 AGE: 5 years License: 3630 03-29-22 DM Rabies Vaccination (3 Year), #007673 03-28-25 03-29-22 DM DA2PPV 3yr 03-28-25 03-29-22 DM Lepto lyr 03-29-23 Rabies Vaccine Information... MFG BY: ZOETI SER.NO: 542135 LOT EXP: 02-14-23 ADM: SQ M i-2S7 61 )111'1u.�3 CERTIFICATE OF VACCINATION I Date of Rabies Vaccination: 04-29-23 Certificate No: 3249 Next Rabies Vaccination On: 04-28-26 Previous Rabies Vaccination: VETERINARY CLINIC OWNER OF ANIMAL Thone Animal Hospital Sandi Ross/g?,-, f(,6,0 902 S Hwy 30 833 N 13th St Blair, NE 68008 Blair, NE 68008 402-426-3630 County: This is to certify... THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Rocky TAG NO: 008972 SPECIES: Canine WEIGHT: 0.00 SEX: N AGE: 3 years Color and markings... Brown/Whit Signed Dr. Joe DiMari Vaccinations done... License: 3258 04-29-23 JRD Rabies Vaccination (3 Year), #008972 04-28-26 04-29-23 JRD DA2PPV 3yr 04-28-26 04-12-22 DM Rabies Vaccination (I Year), #007737 Rabies Vaccine Information... MFG BY: ZOETI SER.NO: 595587 LOT EXP: 11-7-23 ADM: SQ If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair o 218 S 16th St ® Blair, ME 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 RENE%(ALS ARE DUE: March 15, 2023 Owner Name: s Owner Address: City/State/Zip. Blair, NE 68008 Phone # LICENSE FEES: Dog or il $16.00 5& GO - ***PLEASE READ CAREFUll YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3115/2023. The City shall recognize a microchip Identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city Identification other than that issued by the city of Blair for such dog or cat, The City of Blair requires Proof of rabies vaccination to be submitted with your license application. Replacement Fee for Lost Tag: $5.00 ra M466", YZA= PET #1 U Dog I Cat Spayed/Neutered License Fee $ Pet Name BiAdate P ilia sex Color fi-v _6 Breed** � 1 4 j -j Replacement $ Declared Dangerous or Potentially Dangerous Dog: El Y El N MICROCHIP # Al r"I (If applicable) SUBTOTAL:$ 11 ' RABIES VACCINATION DATE: b 0�/ (3 yr) _ (I yr) L--" City Tag # PET #2 El D o 9 Ll C`a t El Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed** ReplacemenBreed** Declared Dangerous or Potentially Dangerous Dog: LJ Y El N MICROCHIP # (If applicable) SUBTOTAL:$ RABIES VACCINATION DATE: (3 yr) — (1 yr) _ City Tag # PET #3 LJ Dog LI Cat LI Spayed/Neutered Pet Name Birthdate Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: I] Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) — W Replacement $ SUBTOTAL:$ "I yr) _ City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not Send Cash by Mail TOTAL ENCLOSED$ If you have questions, please contact Blair Police Department at (402) 426-4747 .............................................................................. NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15 late fee date not applicable for newpets1new resIdents) NewIv Acquired Pets: New Residents to Blair. * Must be licensed within 10 days of ownership 111 Must register pets within 10 days of * <OR> at 6 months of age If puppy/ldften residency. Bar-S Veterinary Clinic 595 South 4th Street David City, NE 68632 Phone: (402) 367-3036 Fax: (402)367-3037 barsvetclinic@gmaii.com https://www.barsveterinaryclinic.com VACCINATION CERTIFICATE Patient and Owner Information Patient: Baby Girl Owner: Deb Rouse Breed: Poodle (canine) Address: 758 S 16th st y�{ Blaire, NE 68008 Sex: Female (spayed) Phone: 9703247466 Color: APRICOT Email: Age: 7 Years 2 Months 1 Week Birthdate: May 01, 2016 Weight: Chip: Vaccination Details Item Due Given Given By Notes Tag Number: 23473 Product: Rabies -1 Year Rabies Jun 30, 2024 Jun 30, 2023 Brittany Kovar Lot #: 12676 Manufacturer: 6101650970 Expiration: Oct 06, 2024 Veterinarian Information Signature: Name: Brittany Kovar License: 4249 Date: Jul 10, 2023 Page 1 of 1 ,CITY OF BLAIR - 2023 PET LICENSE APPLICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair o 218 S 16th St o Blair, ME 68006 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE FEES: Dog or Cat.- $16.00 ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3/15/2023. The City shall recognize a microchip Identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city Identification other than that Issued by the City of Blair for such dog or cat, The City of Blair reciulres proof of rabies vaccination t be submitted With your license application Replacement Fee for Lost Tag: $5.00 7 ".'tn ..... ..... tn tn tn tn tn tn tn tn PET #1 A Dog U Cat ' I Spayed/Neutered License pee $ ou Pet Name Birg8ate Sex M Color Breed" mliq 0 a tutclr Replacement $ Declared Dangerous or Potentially Dangerous Dog: L3 Y L3 N 00 MICROCHIP # 1A (") ( ) L -1, 11 �132 (If appl'Lcable) SUBTOTAL: $ -J� RABIES VACCINATION DATE: -1 1 yr (1 yr) _ City Tag # 'A,* PET #2 El Dog LJ Cat L] Spayed/Neutered Pet Name Birthdate Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: El Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ PET #3 El Dog EJ Cat Ll Spayed/Neutered Pet Name Birthdate — Sex Color Breed" Declared Dangerous or Potentially Dangerous Dog: LJ Y MICROCHIP # .(If applicable) RABIES VACCINATION DATE: (3 yr) — Replacement $ E3 N MEN SUBTOTAL:$ City Tag # Replacement $ SUBTOTAL:$ (I yr) _ City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL (This fee is due along with License Fee if requesting at the time of license renewal.) 00 ®o Not Send Cash by Mail TOTALENCLOSED$ If you have questions, please contact Blair Police Department at (402) 426-4747 .............................................................................. NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15 late fee date not applIcable for newpet5lnew residents) Newly Acquired Pets: New Residents to Blair. ia Must be lioensed wfthin 10 days of ownership m Must register pets within 10 days of im <OR> at 6 months of age If puppy/14tten residency. Blair Small Animal Clinic PC David E. Johnson DVM 1734 Front Street Blair, Nebraska, 68008 (402) 533-2722 Rabies Certificate Patient ID: 8332 Client ID: 442 Patient Name: Wally Client Name: Beate Miller Species: Canine Address: 1135 Adams Breed: Schnauzer -Miniature Blair, NE 68008 Sex: Neutered Male Color: Black Phone: (402)426-5445 Markings: Birthday: 09/13/2015 Weight: 25.80 pounds on 5/17/2021 Microchip ID: 985112006311482 Tag Number: 65.3c5 Lot Number: 18502 Imrab Rabies Vaccine Producer: Merial K / MLV / R: Killed Virus Vaccination Date: Expiration Date: Staff Name: David E. Johnson DVM License Number: 1893 5/17/2021 5/17/2024 Mar 20 23 12:36p .31 CITY OF BLAIR - 2023 PET LICENSE APPLICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with Check made payable to: City of Blair • 218 S 16th St * Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2023 Owner Name: Owner Address: It city/stateJxip: ir, NE 68008 Phone # �Z,V;. � �~ LICENSE FEES: Dog or Cat: $1.6.00 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 $11519023, 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 equires proof of rabies vaccination to be submitted with your license ai7mlication. Replacement Fee for Lost Tag: $5.00 Included is a State Fee of $1..25 being w9ected to fund the Nebraska Dog & Gat Operator Inspection Program PET #1 ', Dog ❑ Cat Spayed/Neutered License Fee $ LL Pet NargeBirthdate '71. 3. ''-i Sex l Color In .an , Breed** Replacement$ ** Declared Dangerous or Potentiaily Dangerous Dog: ❑ Y, N MICROCHIP # (If applicable). SUBTOTAL: $ RABIES VACCINATION DATE: Z Z Z-2 (3 yr) . (I yr) City Tag # #3083 PET #21 ❑ Dog ❑ Cat O 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) (I yr) City Tag PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed** Replacement$ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (I yr) City Tag # *pt:EASE 1lNC-L.UDE THE CTIYTAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) 'l Do Not Send Casty by Mail TOTAL ENCLOSED $ If yo Aave questions, please contact Blair Police Department at (�402) 426.4747 *++ I.-1t•r 1yz-+t....++.++*+..t+f.+..+.++.+++.+++*++*++....++..++•+++.r++.++*++.+++ NEW PET/NEW RESIDENT LICENSING: REQUIREMENTS (Mard515fate fee date not applicable fornewpels/newla;idents) Newly Agiluired Pets• New Residents to Blair: -a Must be licensed w0lia 10 days of wrieiship ■ Must register peels W6in 10 days of ■ <OR> at 6 months of age if puppy/kN)an residency. Mar 20 23 12;36p p.2 AT. -':'-OF VACCINATION Date of Rabies Vaccination: 02-22 22 Next Rabies Vaccination On: 02-21-25 VETERINARY CLINIC Thone Animal Hospital 902 S Hwy 30 Blair, NE 68008 402-426-3630 Certificate No: 2682 Previous Rabies Vaccination: OWNER OF ANIMAL Gay Rush 1040 State St Blair, NE 68008 County: This is to certify... THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT. Puppy TAG NO: 007543 SPECIES: Canine WEIGHT: 17.00 SEX: N AGE: 10 years Color and markings... BIITan Signed Dr, Donna Mertz Vaccinations done... License: 3630 02-25-23 KF Bordetella Oral 02-25-24 02-25-23 KF DA2PPV 3yr 02-24-26 02-22-22 DM Rabies Vaccination (3 Year), #007543 02-21-25 02-22-22 DM Bordetella Injectable 02-26-24 02-22-22 DM DA2PPV 03-18-21 KF Rabies Vaccination (1 Year), #006551 Rabies Vaccine Information... MFG BY: ZOETI SER.NO: 542135 0A4, i � 6 K CITY OF BLAIR - 2023 PET LICENSE APPLICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair o 2181th St e Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2023 Owner Name: // Owner Address: 2 % Go 1 licit r. city/state/zip: Blair, NE 6800 Phone # 631- 7Z 1- 67001 LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat- $11.00 ***PLEASE READ FULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3/15/2023. The City shall recognize a microchip identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city Identificatlon other than that Issued by the City of Blair for such dog or cat. The Citv of_Blair _renuires proof of rabies vaccination to be submitted with your license application. Replacement Fee for Lost Tag: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program Dog ❑ Cat ZSL Spayed/Neutered License Fee $ Pet Name kow IQBirthdate 3 2014 Sex Color t5yow WW fit, Breed** 13brdbr co 1 I I tt Replacement $ Declared Dangerous or Potentially Dangerous Dog: Li Y WN MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: MIZZ (3 yr) __�L (1 yr) City Tag # * PET #2 Dog ❑ Cat 't4 Spayed/Neutered License Fee $ 1 1 Pet Name Birthdate LI Z®6 Sex Color i / Breed** %L j Replacement $ ** Declared Dangero s or Potentially Dangerous Dog: ❑ Y g N MICROCHIP # (If applicable) SUBTOTAL: $_ V ZZ RABIES VACCINATION DATE: Ll /l /ZZ (3 yr) �X (1 yr) City Tag #�aSLO* PET # , ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed** Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not Send Cash by Mail TOTAL . If you have questions, please contact Blair Police Department at (402) 426-4747 ++++++++++++++++++++++++++++++++++++++.+++++++++++++++++++++++++++.....+¢+++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March I5/ate fee date notappllcable fornewpets/newresidents) Newly Aouired Pets: New Residents to Blair: ■ Must be licensed within 10 days of ownership m Must register pets within 10 days of • <OR> at 6 months of age if puppy/kitten residency. nl/bb/2023 14:17 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 DOGiS) AND /OR CATM, COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO; CITY OF BLAIR - 218 S. 16T" ST •- BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR 14) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CAWS PER RESIDENTIAL OR DWELLING UNIT, ***PLEASE READ CAREFULLY*"* YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. THE CITY F 13LAIl REQUIRgS PROOF OF RABIES VACCINATION. Failure to do so is a violation of City Ordinances 6.103 and carries a penalty of a fine up to $150,00 per pet. PET LICENSE RENEWALS ARE Q!J BE Y 3/1� 2/ 023. The city shall recognize a microchip ID number as the license number. It shall be unlawful for any dog or cat to wear any license or other city ID other than that Issued by the City of Blair for such dog or cat. NEW PET LICENSING Must be licensed within 10 days of ownership (OR) at 6 months of age if puppy or kitten NEW RESIDENTS TO BLAIR Must register pets within 10 days of residency Owner Name Spouse Ownelr. Address City/State/Zip Phone # Pet Name: Willow Age: 3Y DOB: 08-03-19 Breed: Goidendoodle Sex: Spayed Female Microchip # 985112011517591 PLEASE INCLUDE CITY TAG NUMI RABIES VACCINATION DONE ON Steve Ryan Linda 198 Arthur Blair, NE 68008 402-426-4609 23 Color: Rabies Tag # 18370 THIS I$ A RENEWAL (IF AVAILABLE): # Rabies Description: 1 YEAR 11-02-20 Holstein Veterinary Clinic Dr. Lisa Schrum DVM Dr, Krlsta Holsteln DVM 718 South 191h Street Blair, NE 68008 402-426-7387 402-426.0101 tax holsteinclinic@gmail.com YEAR LICENSE FEES Intact Dog or Cat: 00 A Bred Dog or at: $1)10 Replacement 7-aaq $5.00 �l Total $i— PETS THAT ARE ON THE ACTIVE PdTENTlALLY (DANGEROUS OR OAN�EROUS POG LIST NE'� TO REGIS ER DlRE'CTLY AT CITY HALL FAXED 01-06-23 BY