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J02/25/2022 09:24 4024260101 HOLSTEIN VET CLINIC PAGE 2022 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF GLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT(S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF BLAIR — 218 S. 16TH ST — BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREF (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. 'PLEASE READ CAREFULLY*** YOU RE RE UIRED BYLAW TO LICENSE OUR PETS. 7HE CITY pF GLAIR RE IRES PRO K OF RABIES VACCINA710N. Failure to do so is a violation of City Ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSE RENEWALS ARE DUE L;Y 3 15 2022. 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 Owner Address City/State/Zip Phone # Pet Name: Tiffy Sandra Jack 2054 Washington Street Blair, NE 68008 402-278-4301 Age: 7Y Sex: Spayed Female Color: an White DOB: 02-20-15 Breed: Chi/Terr Michip # cro985112010030677 Rabies Tag # 11019 PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE): # RABIES VACCINATION DONE ON 106.07-19 Rabies Description: 1 YEAR ( 31EAR Holstein Veterinary Clinic Dr. Liss Schrum DVM : Dr, Kristo Holstein DVM 718 South 191h Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinic@gmail.COm FAXED 1 02-25-22 MA LICENSE. FEE& Intact Dog or Cat: $16.00 Dog or cat: $11.00 $6.00 Total $4- FAX TO BPD @ 402-426.7144 LI CITY OF BLAIR- 2022 PET LI"iAPION 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. i -?. „ ***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 tine 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. LICENSE FEES: Dog or Cat: $16.00 d D Cat- $li 00 Altere og or Replacement Fee for Last Tag: $5.00 Included is a State Fee of $1.25 being coilecte�d to fund the Nebraska Dog Bc Cat Operator Inspection Program PET #1 o ❑ Cat I$ Spayed/Neutered c`i b License Fee $ Pet Name �� S _ Birthdate Sex ** Color -fir Breed �b t � Ak,4 A Replacement $ ** _ e ared Dangerous or Potentially Dangerous Dog: ❑ Y Ilih N SU MI ROCHIP # _ (If _..applicable) RA IES VACCINATION DATE: / -2'6 Z (3 yr) X _ (lyr ) �.Tag # y � i 9��% �U PE # 2 10 Dog ❑ Cat X Spayed/Neutered License Fee $ JPet ame Birthdate 9 e ' Sex --Vr; Breed** Replacement $ ** Colo Decl red Dangerous or Potentially Dangerous og: ❑ Y )4N (If applicable) SUBTOTAL: $— MIC OCHIP # B ES VACCINATION DATE: 1-2q -ID (3 yr) _ (1 yr) City Tag # �� ®�� PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate Sex Breed** Color _ . 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 X If you have questions, please contact Blair Police Department at (402) 426-4747 •F . -F . t . . .-F . ..... i^ i• -r° . i-. . . . -t . . . =F . -F d- . . +. . -F . ^F •h........ -F . -h t . . i- . ..... ..... -F . ..... •I ... NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (Match 15/ate fee date not applicable fornewpets/new residents) Newly Acquired Pets: New Residents to Blair: ® Must be licensed within 10 days of ownership ® Must register pets within 10 days of • <OR> at 6 months of age if puppy/kitten residency. CERTIFICATE OF VACCINATION VETERINARY CLINIC Thone Animal Hospital 902 S Hwy 30 Blair, NE 68008 402-426-3630 This is to certify... PATIENT: Luna SPECIES: Canine SEX: S • and • Tri Signed Dr. Joe DiMari LT7=79=6 Certificate No: 1733 OWNER OF ANIMAL Richard Jahnel 2329 College Dr. Blair, NE 68008 County: I TAG NO: 005454 WEIGHT: 18.00 AGE: 17 months License: 3258 01-28-20 JRD Rabies Vaccination (3 Year), #005454 01-27-23 01-28-20 JRD Bordetella Oral 01-27-21 01-28-20 JRD DA2PPV+L 01-27-21 01-18-19 LL Rabies Vaccination (1 Year), #004536 01-18-19 LL Check up, DA2PPV+L 01-27-21 MFG BY: NOBIV SER.NO: 366861 LOT EXP: 01/12/21 ADM: SQ CERTIFICATE OF VACCINATION VETERINARY CLINIC Thone Animal Hospital 902 S Hwy 30 Blair, NE 68008 402-426-3630 This is to certify... Patient information... Certificate No: 1220 Previous Rabies Vaccination: OWNER OF ANIMAL Richard Jahnel 2329 College Dr. Blair, NE 68008 County: & : F I I � I I � F I � �� I I ; � A r - I I L M=• PATIENT: Snickers TAG NO: 005453 SPECIES: Canine WEIGHT: 11.00 SEX: N AGE: 3 years Dr. Joe DiMari License: 3258 01-28-20 JRD Rabies Vaccination (3 Year), #006453 01-27-23 01-28-20 JRD Bordetella Oral 01-27-21 01-28-20 JRD DA2PPV+L 01-27-21 10-09-18 LL Bordetella, P13 (Intra-trac 3) 01-27-21 10-09-18 LL Check up, DA2PPV+L 01-27-21 11-07-17 LL Check up, Rabies 3YR, #003738 01-27-23 10-12-16 LL Rabies Vaccination (1 Year), #003000 09-09-16 LL Check up, DA2PPV+CV 01/07/2022 14:55 4024260101 HOLSTEIN VET CLINIC PAGE 02/02 2022 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF GLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT(S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF BLAIR — 218 S, 16TH ST — BLAIR,, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE MUR PETS THE CITY OF BLAIR REQUIRES PROOF OF RA81E5 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 LI ENSE RENEWALS ARE DUE BY 3/15/2022 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 ddg 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 Owner Address City/State/Zip Phone # t� Pet Name: ray c e Age: 9Y DOB: 07-31-12 Breed: Maltese Joyce Janning 2087 Crestridge Dr. Blair, NE 68008 402-533-3266 Sex: Spayed Female I Color: White Microchip # �� Rabies Tag # 18813 PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE): # RABIES VACCINATION DONE ON 1 01-12-21 Rabies Description; 1 YEAR Holstein Veterinary Clinic Dr. Lisa Schrum DVM ; Dr. KrOts Holstein DVM 718 South 191" Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinic@gmail.com YEAR LICENSE FEF,6 Intact Dog or Cat: $16.00 Dog C'W cat: $11.00 Replacement Tag $5.00 Total $ ,O PETS THAT ARE ON THE ACTIVE PATENT/AL LY nAN� OR DANGERQUS DOG LIST NEED TO RE61STER DIgEC•TIYAT CITY HALL. 01/07/2022 14:55 4024260101 HOLSTEIN VET CLINIC PAGE 01/,02 2022 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN GLAIR CITY LIMITS AND OWN A DOGS) AND /OR LAT(S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE T0: CITY OF BLAIR — 218 S. 16TH ST — BLAIR,, N5 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 RESIDE9WTIAL OR DWELLING UNIT, ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS THE CITY OF BLAIR REQUIRES PROOF OF RABIES VACCINATION Failure to do so is a violation of City Ordinances 6,103 and carries a penalty of a fine Up to $150.00 per pet. PET LICENSE RENEWALS ARE DUE BY 3%15/2022. 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 Owner Address City/State/Zip Phone # �E Pet Name: fiver Age: 4Y DOB: 03-17-17 Breed: Lab Microchip # Sex: Neutered Male PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENE 1. RABIES VACCINATION DONE ON 10.08-21 Rabies Description: 1 YEAR Holstein Veterinary Clinic Dr. ,Lisa Schrum DVM : Dr. Krista Holstein DVM 718 South 191" Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinic@gmail.com Joyce Janning 2087 Crestridge Dr. Blair, NE 68008 402-533.3266 Color: Yellow Rabies Tag # 19536 (IF AVAILABLE): # 3 YEAR LICENSE FEES Intact Dog or Cat: $16,00 feted Dog # t: $11.00 Replacement Tag $5.00 Total $� PE .5THAT ARE ON THEACTIVE POTENTIALLY DANGEROUS OR DA GEROUSDOGLISTNEEDJOREGISTERDIRECTLYATCITYHALL., 01/03/2022 14:42 4024260101 HOLSTEIN VET CLINIC PAGE 2022 PET LICENSE VERIFICATION/APPLICATION FOR, CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOGS) AND /OR CAT(S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF 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.,CAT5 PER RESIDENTIAL OR DWELLING UNIT. ***PLEASE READ CAREFULLY' YMARE REQUIRED BY LAW TO LICENSE YOUR PEPS. TH[ CITY OF BLAIR REQUIRES PRQOF OF RABIES VACCINATION. Failure to do so is a violation of City Ordinances 6,103 and Carries a penalty of a fine up to $150.00 per pet. PET LICENSE RENEWALS ARE DUE BY 3/15/2022. 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 Betty Janssen Spouse Owner Address 736 S 13th St #12 City/State/Zip Blair, NE 68008 Phone # 402-812.8830 T --,- ---T-- —. . Pet Name: PaCO Age: 6Y DOB: 08-19-15 Sex: Neutered Male Color: Breed: Chihuahua Microchip # Rabies Tag # 19060 PLEAS~ INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE): # RABIES VACCINATION DONE ON 04-09-21 Rabies Description: 1 YEAR EAR Holstein Veterinary Clinic Dr, Lisa Schrum DVM , Dr. Krista Holstein DVM 718 South 19th Street Blair, NE 68008 402-426-7387 402-426-0101 Fax hoisteinclinic@gmaiI.com LICENSE FEES Intact Dog or Cat: $16,00 / red Do r cat: $11.0 Replacement Tay $6.00 Total $ v\,. 66 PETS THAT ARE ON THEACTIVE POTENTfAkLY DANGEROUS OR VANGEROUS DOG LIST NEED TO REGISTE/j PIRECTLY AT 67Y HALL. FAXED 01-03-22 BY Gliui "II.,ar, ��e". �i I I �... ,�'4 • tb,„ rN I • ; n4>n"+. � r: �� „�! F„ r•"' G R•.�y Y,� F��J•i^^� �i41 ' f a �lIY,� �i�!iY Hi c,�<t�.ra.:.� �;.,flL:cci• Il]�, r; i1:aA4Y di• lily-,.,u.l :. ij1• � • t,, pi`� � I 03/18/2022 16:29 4024260101 HOLSTEIN VET CLINIC PAGE 01/02 2022 PET LII VERIFICATION/APPLICATIQ IF YOU LIVE IN BLAIR CITY LIMITS AND OV COMPLETE THIS FORM AND RETURN W CITY OF BLAIR — 218 S. 16TN YOU MAY LEGALLY OWN A COMBINATIO BUT NO MORE THAN THREE (3) ADULT DOGS OR•THREE (3) A[ ***PLEASE READ Failure to do so Is a violation of City Ordinances 6,103 and The city shall recognize a microchip ID n It shall be unlawful for any dog or cat to wear any license or other city ID NEW PET LICENSING Must be licensed within 10 days of ownershir NEW RESIDENTS TO BLAIR Must register pets within 10 days of res ENSE V FOR CITY OF BLAIR I A DOG(S) AND /OR CAT(S), 'H A CHECK PAYABLE TO: r — BLAIR, NE 68008 OF FOUR (4) ADULT PETS, ILT CATS PER RESIDENTIAL. OR DWELLING UNIT. LLY* * * rries a penalty of a Fine up to $150,00 per pet, JE BY 3/15/2022. amber as the license number. )ther than that issued by the City of Blair for such dog or (OR) at 6 months of age if puppy or kitten Owner Name Lesley & Mike Jenkins . Spouse Owner Address 873 S. 16th St. City/State/Zip 31air, NE 88008 Phone # 402-880-6394 111 Pet Name: Piper Age: 6Y DOB: 02-27-16 Sex: Spayed Female Color: w� Brn Breed: - German Wirehair Microchip # Rabies ag # 20183 PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAIABLE: # RABIES VACCINATION DONEON d3-18-22 Rabies Description: 1 YEAR YEA Holstein Veterinary Clinic, Dr. ,Lisa Schrum 0VM ; Dr, Krista Holstein DVM '718 South 19th Street Blair, NE 68008 402-426-7387 402-426-0101 Fax, holsteinclinic@gmail,com LICENSE FEES Intact Dag or Cat: $16.00 Dog' cat: $1)T891 0 Rep/ac $5.00 ' Total $ `� DANGEROUS (BOG LIST NEED TO REQJ$r6R DIRECTLY AT CJTV HAL► FAXED 103-18-22 03/18/2022 16:29 4024260101 HOLSTEIN VET CLINIC PAGE 02/ > 2022 PET LICENSE VERIFICATION/APPLICATIO 4 FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OW I A DOG(S) AND /OR CAT($), COMPLETE THIS FORM AND RETURN W H A CHECK PAYABLE TO: CITY OF BLAIR — 218 S. 16T" — 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) AD LT CATS PER RESIDENTIAL OR DWELLING UNIT. ***PLEASE READ CAREFULLY*** Failure to do so is a violation of City Ordinances 6.103 and c4rrles a penalty of a fine up to $150.00 per pet. The city shall recognize a microchip ID n mber as the license number. It shall be unlawful for any dog or cat to wear any license or other city ID )ther than that issued by the City of Blair for such dog or 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 res clen,cy Owner Name Spouse Owner Address Ciky/State/Zip Phone # & Mike Jenkins S. 16th St. air, NE 68008 1 - iN 1 U1402-880-6394 Pet Name: Gus Age: 2Y DOB: 03-03-20 Sex: Neutered Male Color: Breed: German Wirehair Microchip # =RabiezCa0 # 19250 PLEASE INCLUDE CITY TAG NUMBER•IF THIS IS A RENEWAL (IF AVAI ABLE): # RABIES VACCINATION DONE ON 06-14-21 Rabies Description;: 1 YEAR 3 YEA ___T Holstein Veterinary Clin Dr. Lisa Schrum DVM : Dr. Krista Holstein DV 718 South 19'h Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holstainclinic@gmail.com LICENSE FEES Intact Dog or Cat: $16.00 or cat: $1 Replacement Tag $5.00 Total $ ' 1 -O 0 PETS THAT ARGON THEACTIVE POTEI��IALLYDANGEROUS OR DANGEROUS DOG L15T NEED TO REGISTER VIRECTLYAT OTY HALL. FAXED 03-18-22 BY 'U•1 •'��Ir ••• •'.fi I •I�,• �•` rw j;,v M�•V'•v, IlSi:i . ,0,�'v i• �- �u I��IP 41R 11 1 �•S� �ii :ira';•r•;;; II Irrti�iJ t a .;.l,•L•,1?; ihwl 14i s?�F,hTi,rll +'ra3 p`iyl of I�.-IN E/21/2022 3:11 PH FAX 4025332723 BLAIR SMALL ANIMAL � CITY OF BL.AIR - 2022 PET LICENSE APPLICATION 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 City of Blair • 218 S 16th Ste 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, 20.22 owner Name: owner Address: ZlA �^ city/ate/Zlp: Blair, NE 68008 Phone LICENSE FEES: Dog or Cat: $16.00 C a. 11 00 ***PLEASE READ CAREFULLY** You ARE REQUIRED 9Y LAW TO LICENSE YOUR pens. Failure to do so is a vlolatlon of city ordlnarim 6.103 and carries a penalty of a flne up to $iso.00 per pet. pET LICENSES RENEWALS ARE DUE BY Wig/Z,Q22, The City shall recognize a microchip Identification number as the litenso number, It 4hnll be unlawful for any dog or cat to Wear any license or other city identification other than that Issued by the City of Bair for such dog or cat. The City of Stair roqulres proof of rabies vaodnatfon. Altered Dog or a . $ . Replacement Fee for Lost Tag: $5.00 Cat program Included is a State Fee Of $L25 being collected to fund the Nebraska Dog PET #1 }}' .Dog 0 Cat 0 Spayed/Neutered License Fee $-Lc- Pet Name_L�&.Birthdate Sex - --- Replacement $ ** Color _„�1��-� Breed Declared Dangerous or Potentially Dangerous Dog: © Y N SUBTOTAL: $ MICROCHIP # (If applicable) RABIES VACCINATION DATE: 2 (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: C] y ❑ N MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) 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 # of applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (i yr) City Tag # �* *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee Is due along with License Fee if requesting at the time of license renewal.) Do Not Send Cash by Mail TOTAL. ENCLOSED $ if you have questions, please contact Blair Police Department at (4o2) 426-4747 ++++++++++++++++++++.++++++++++++++++.++++++++++++++++++++++++++++++++++++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (Mgt 15/atefwdamnotapp�wblefornewpetihewn . dents) ■ MUst be tiootsed W(bin 10 days of Opp ■ Must register pets wittlin 10 days of ■ <0R> at 6 months of age If PuPPy/ msidrixY' Y 01/05/2022 14:26 4024260101 HOLSTEIN VET CLINIC PAGE 01/01 Y 2022 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. 16TH ST — BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. ***PLEASE READ CAREFULLY*** YOU ARE REHIRED BY LAW TO LICENSE YelaR PETS THE CITY OF GLAIR REQUIRES PROOF OF RABIES VACCINATION. Failure to do so is a violation of City Ordinances 6,103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSE RENEWALS ARE DUE BY 3 15 2022. 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 Arnie Jensen Spouse Lois Owner Address 1933 Soren Dr City/State/Zip Blair, NE 68008 Phone # 402-426-3115 c rPetName: Kate Age: 5Y Sex: Female Color: Red DOB: 03-13-16 Breed: Irish Sett Microchip # 972274000204581 Rabies Tag # 18057 PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILARLF): # RABIES VACCINATION DONE ON 06-23-20 Rabies Description: 1 YEAR 3 YEAR Holstein Veterinary Clinic Dr. Lisa Schrum ,DVM : Dr. Krista Holstein DVM 718 South 191h Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteindlinic@9mail.com LICENSE FEES r tact' Do or. Cat: $16.00 Altered Dog or cat: $11.00 Replacement Tag $5.00 Total It PEPS rH T RE ON THE ACTIVE P07'E TIALLY DANGEROUS OR ,9ANa0DUS DOG LIST NEED TO RreffER DIRECTLYAT CITYHAl L C A, CITY OF BLAIR - 2022 PET LICENSE APP LICATION 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 —150 2022 Owner Name: Owner Address: I Ir e-a d city/state/zip: Blair, NE 68008 Phone # q()d _q�,j -_3Sqq LICENSE FEES: Dog or Cat: $16.00 Aii.,apori nn or Cat: okll 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/I5L2022. 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 0 0 P D p g ®Cat Spayed Neutered License Fee $ ET #1 Cat Birthdate qjlqjj-j Sex F -------P t Name C or Breed" -raavi Slizri-k-ity, Poo,%J-eze Replacement$ ex- D clared Dangerous or Potentially Dangerous Dog: J Y Vk N MI ROCHIP # —(If applicable) SUBTOTAL: $ ll _Y NA-aON DATE M 7 #,)3'rl BI V City Tag V yr) T Ll Q # 2 L3 Dog C at ------ Spy , _d eutered License Fee $ Pe Name— Birthd6f6 Sex lor Breed** Replacement $ Declared Dangerous or Potentially Dangerous Dog: Ll Y Ll N MICROCHIP # _(If applicable) SUBTOTAL:$ RABIES VACCINATION DATE: — (3 yr) __ (I yr) — City Tag # PET #3 LJ Dog Lj Cat Ll Spayed/Neutered License Fee $ Pet Name Birthdate Sex, Color Breed" Replacement$ Declared Dangerous or Potentially Dangerous Dog: L1 Y LJ N MICROCHIP 4 —(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$ Z/ If you have questions, please contact Blair Police Department at (402) 426-4747 ...................................................................... i ........ NEW PET/ NEW RESIDENT LICENSING REQUIREMENTS (March 151ate fee date not applicable for newpetqlnew resldent�) 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. f` r ,t ,fJ7� u 4 CITY OF BLAIR -=-2M 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. "'e ;" LICENSE RENEWALS /�ARE DUE: March 15, Owner Name: 2'& fl lt1 e-r � Je VA 6 �- vii, Owner Address: m)—of lyl -sf City/State/Zip: Blair, NE 68008 Phone # /l a d '�Z —/ ' _ J 4-, ) 9 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 3/1512021. 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 ET # 1 4 Dog ❑ Cat A Spayed/Neutered License Fee $ /< m et Name d" Birthdate 3 i.2o 8 Sex 41 ** olor '� j^eLAvti Breed** 11�Itiy1 Replacement$ J1eclared Dangerous or Potentially Dangerous Dog: ❑ Y Q N� 3C (MICROCHIP # (If a ble) / SUBTOTAL: $ RABIE 'ACCINATIO TE: I (3 yr ' PET �? ❑ a,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) _ yr) City Tag # ..2 6 C License Fee $ Replacement $ ❑N SUBTOTAL:$ (1 yr) City Tag # PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate Sex Replacement $ ** Color ** 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 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 new pets/new residents) Newly Acquired Pets: New Residents to Blair: ■ Must be licensed wifin 10 days of ownership ■ Must register pets within 10 days of ■ <OR> at 6 months of age if puppy/kitten residency. If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City Of Blair ® 218 S 16th St ® Blair, NE 68008 x You maylegally 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., ° J LICENSE RENEWALS ARE DUE: March 15� 2022 ***PLEASE READ c FULL ** ®caner Name: I0 ( } a ra q f YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS Owner Address' I I V dy �d 6-IiA 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: Blai7r, NE 68008 PET LICENSES RENEWALS ARE DUE BY 3115/2022. The City shall Phone # -71 C' M- 15 M - �� / car- / recognize a microchip Identification number as the license number. It j { c shall be unlawful for any dog or cat to wear any license or other city -7 I Z = Z 5 I o I — JUt o\ Identification other than that Issued by the City of Blair for such dog or cat. The City of Blair requires proof of rabies vaccination. LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.0n Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET #1 W Dog ❑ Cat IA Spayed/Neutered License Fee $ Pet Name ' Birthdate Z6 Zo _ Sex M6,1e _ Color _Z�� Breed** 'M;r�a fe ,j AALo�iL_Replacement$ C10 Declared Dangerous or Potentially Dangerous Dog: ❑ Y N N $ �� MICROCHIP # 9 5 ( f) P10 �l I Z Sf I ZZ 5 _(If applicable) SUBTOTAL: RABIES VACCINATION DATE: ( �Zo ZI __ (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 License Fee $ Replacement $ . SUBTOTAL: $ (1 yr) — City Tag# PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed** Rep/acement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ _ *. RABIES VACCINATION DATE: (3 yr) .. (1 yr) City Tag # — *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not send Cash by Mary TOTAL ENCLOSED $ 1 if you have questions, please contact Blair Police Department at (402) 426-4747 +.++++++++.++++¢.+.....l.+.l...+++++.+++.+....................... r...............+I- NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15late fee date not applicable fornewpets/new residents) Newly Acquired Pets: New Residents to Blair: • Must be licensed within 10 days of ownership n Must register pets within 10 days of • <OR> at 6 months of age if puppy/kitten residency. Date of Rabies Vaccination: 11-20-21 Next Rabies Vaccination On: 11-19-24 VETERINARY CLINIC Holstein Vet Clinic 718 South 19th Street Blair, NE 68008 402-426-7387 Certificate No: 0 Previous Rabies Vaccination: OWNER OF ANIMAL Sara Jensen 1105 N 28th St Blair, NE 68008 County: This is to certify... THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Floki TAG NO: 19634 SPECIES: Canine, WEIGHT: 33.00 SEX: N AGE: 16 months Color and markings... Red Signed Krista Holstein, DVM License: 3612 Rabies Vaccine Information... MFG BY: ZOETI SER.NO: 500084 LOT EXP: 08/09/22 ADM: SQ 03/28/2022 16:59 4024260101 HOLSTEIN VET CLINIC PAGE 02-,02 2022 PET LICENSE VERIFICATION/ APPLICATION FOR CITY OF BLAIR IF NOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CA ( ), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF BLAIR — 218 S. 16T" ST — BLAIR, NE 68008 OU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN T REE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. ***PLEASE READ CAREFULLY*** YOU AR RE Ulntu e up to $150.00 per pe rsr vruv v ��•�� - - - - Failure to dos is a violation of City Ordinances 6.103 and carries a penalty of a fint. p�T LICENSE RENEWAl5 AIDE DUE BY 3 15�2022. Th city Shall recognize a microchip ID number as the license number. It shall be unlawful for any dog r cat to wear any license or other city 10 other than that issued by the City of Blair for such dog or cat. NEW PET LICENSING Must b licensed within 10 dayS of ownership (OR) at 6 months of age if puppy or kitten NEW RESIDENTS TO BLAIR M Ast register pets within 1.0 days of residency Owner Name Peggy Jensen Spouse Tom Owner Address 2068 South Street City/State/Zip Blair, NE 68008 Phone # 402�699-0120 Pet Name,. Piper Age: 9Y Sex" Spayed Female Color: Whi/Blk/Br DOB; 05-13-12 EBreed;:Shih Tzu Mixp #Rabies Tag # 17236 PLSE INCLUDE CITY TAG UM13ER IF THIS IS A RENEWAL (IF AVAILABLE) RABIES VACCINATION DONE ON 09-11-19 Rabies Description: I 1 YEAR [ 3 YEAR LICENSE FEES Intact Dog or Cat: $16.00 A/t og or cat: $11.00 Rep/ad a9 $5.00 Total $ \ ` �O GETS THATARE ON THEACTIVE POrf:N (ALLY DANGEROUS OR p NGEROUS D G LIST NEED TO REGIST DIRECTLY T CITY HA L. Holstein V to r i n a ry Clinic FAXED 03-28-22 Dr. Lisa Schrum DV : Dr. Krista Holstein DVM BY 718 South 19'" Street Blair, NE 68008 402-4 402-426-0101 Fax r; holsteincli is@gmail.com Jan 13 22 03:47p CITY OF BLAIR - 2021 PEA' LICENSE APPLICATION rf 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, 2021 Owner Name:�� 1�\� Owner Address: Cityistate/Zip: Blair, NE "008� Phone # LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11.00 — In.—ment Free for Lost Tag: $5.00 ***PLEASE READ CAREFULLY*** YOU ARE REQUXRED BY LAW 10 LXCENSE 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 BYV IV2021. 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 Identlflcation other than that issued by the City of Blair for such dog or cat. The City of Blair requires proof of rabies vaccination. r Included is a State Fee of $1.25 being collected to fund the Nebraska Dog &Cat Operator Inspectilon Program PET #1 ❑ Dog C� Cat Spayed/Neutered License Fee $ _ Pet Na . e , �� Birthdate c-i, � -ti • \ILoSex Color _�\C �C�—� Breed** • Krk Replacement $ Declared Dangerous or Potentially Dangerous Dog. J Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: 7,(�- (3 yr) j,— (1 yr) City Tag # PET #2 ❑ Dog t,4 Cat t� Spayed/Neutered License Fee $ \\ Pet Name cvnay, \K Birtf'iaate -2Z•l d Sex NACXXt? Color of 'i Breed** (Y'- A, Replacement$ Declared Dang rous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: 1 V lu (3 yr) l (1 yr) City Tag PET # 3 Dog ❑ Cat j Spayed/Neutered License Fee $ Pet Name Birthdate t7.- It,- ilk Sex J: L\ Color :1a( ,Ar� Breed** ` •. I ,, (-') Replacement$ ** Declared Dangerous or Potentially Dangerous D : ❑ Y �, N MICROCHIP # (If applicable) SUBTOTAL: $ C276� RABIES VACCINATION DATE: 4 ~t \0(3 yr) (1 yr) City Tag # *PLEASE INCLUDE THE CITYTAG NUMBERIF 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 $ ?)-��.C1D If you have questions, please contact Blair Police Department at (402) 426-4747 4............F+++++i-......4........................................... NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15late (ee dafenot applicable (rnewpets/newresia�nts) Newly Acquired Pets- New Residents tto Blair: a Must be licelsed within 10 days cf owneltip ■ Must register pets within 10 daNG of ■ <OR> at 6 months of age if puppy/Idtten residency. CITY OF BLAIR'2 02LICENSE 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 a 218 816th 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 15a 2022 Owner flame: *117A � — Owner Address: city/State/zip: Blair, NE 68008 Phone® -- ***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 3l15/7022. 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. LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11.00 I?eplzcemc'nt rea 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 #1L ® Cat Spayed eutered License Fee $'�� p Dog Bi hdate I� eok Pet Name ** Replacement$ —®** Color _ Breed lqr Declared Dangerou or Potentially Dangerous Dog: ® Y IN SUBTOTAL: $ !� MICROCHIP #e (If applicable) (1 yr) City Tag RABIES VACCINATION DATE: 1-2( Y) ® Dog © Cat ® �`�' Z Spayed/Neutered License Fee $ — Pet Name Birthdate _______. Sex _ ** Color Breed** Replacement $ Declared Dangerous or Potentially Dangerous Dog: p l: Ll Y ®N SUBTOTAL: _ MICROCHIP #If r City Tag # RABIES VACCINATION DATE: (3 yr) (1 Y ) PET #3 ® Dog ® Cat Birt® a payed/Neutered License Fee $ — Pet Name *e Replacement$ ** Color Breed Declared Dangerous, or Potentially Dangerous Dog: LJ Y ®N SUBTOTAL: $ MICROCHIP # (If applicable) 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 Mai! TOTAL ENCLOSED If you have questions, please contact Blair Police Department at (402) 426-4747 .......... a++++.+..+¢+....+......++.-►.11............................+.++++... NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15late eeee date dneonaaPP11 ts to BbairornewWeis/new residents) Newly A aired Pets: Must register pets within 10 days of •Must be liwnsed within 10 days Rownership residency. ® <OR> at 6 months of age if puppy/ldtten CERTIFICATE OF VACCINATION Date of Rabies Vaccination: 02-12-21 Next Rabies Vaccination On: 02-12-24 VETERINARY CLINIC Holstein Vet Clinic 718 South 19th Street Blair, NE 68008 402-426-7387 This is to certify... Certificate No: 0 Previous Rabies Vaccination., OWNER OF ANIMAL Cailyn Johnson 1050 N 27th St Blair, NE 68008 County: THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Dax TAG NO: 18891 SPECIES: Canine WEIGHT: 69 SEX: N AGE: 14 months Color and markings... Gold Signed Lisa Schrum, DVM License: 2310 Rabies Vaccine Information... MFG BY: ZOETI SER.NO: 395414 LOT EXP: 06-15-21 ADM: SQ 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 • 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, 2022 Owner Name: ( lolnn Owner Address: I'ILy 1 V City/State/Zip: Blair, NE 68008 Phone # LICENSE FEES: Dog or Cat: $16.00 Alt d 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 3115/2022. 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. ere to 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 o ❑ Ca t�Spayed/Neutered License Fee $Pet Name4AD Birthdate - S ** Color Breed** Replacement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: 10-15.1 (3 yr) -><.,_ (1 yr) City Tag # I PET #2 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate Sex ** Color Breed** Replacement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate Sex ** Color Breed** 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 15late fee date not applicablefor new pets/new residents) Newly Acquired Pets New Residents to Blair: ■ Must be licensed within 10 days of ownership ■ Must register pets within 10 days of ■ <OR> at 6 months of age if puppy/kitten residency. Blair Small Animal Clinic PC David E.Johnson DVM 1734Front Street Blair, Nebraska, 60008 Chad Johnson 1740Park Street Blair, NE68UO8 ~//��\ y / �/7� ^� Page /1 Client ID: 1939 Invoice #: 154189 Date: 10/15/2019 Patient ID: 5045 ,� �_�[� Weight: pounds Patient Name: Max \u/�� -�& Birthday:1�M3�O1i Sex:Now��dNa� Species: Canine Breed: Dachshund Descriptio 10/15/2019 HearbwonnTeat-SnapRT Rabies Vaccination - Canine 3vr Examination General Reminder 12/20/2018 Monthly HeadtwonnPrevention 08/12/2020 Distemper HepbepPanvo-Annua| |Dtnanaoa|Bovdete||a/Pnnainfluenra 1«/15/2020 HearbwormTest - Snap RT h5/2022 Rabies Vaccination - Canine 3yr Staff Name Quantit David E.Johnson OVM 1.00 1.00 1.00 1.00 Patient Subtotal: Invoice Total: default Tax Rate: Total: Balance Due: Previous Balance: Balance Due: VISA Card Number: —XXX%9200: Less Payment: Balance Due: Total $34.71 $27.50 $24.45 $54.25T $141.80 $144.80 $0.00 $144.80 ($i44,80 ($144,8O) order your pets supplies online now through our wobubo vwww.Noiroma|Ian! ma|dinin.votsfrstohoioo.00m For questions contact us at 402-533-2722. 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 • 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, 2022 Owner Name: "' - Owner Address: l—� city/state/zip: Blair,, NE 68008 Phone # ` o LICENSE FEES: Dog or Cat: $16.00 It d D 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. A ere og Replacement Fee for Lost Tag: $S.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- -- Birthed** I�V Replacement $ ** Color Declared Dan rous or Potentially Dangerous Dog: ❑ Y I MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: l) (3 yr) (1 yr) City Tag # * PET #2 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name BBrteed** to Sex Replacement $ ** Color 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) _ 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 15late fee date not applicable for new pets/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: 10-30-20 Next Rabies Vaccination On: 10-30-23 VETERINARY CLINIC Omaha Animal Hospital 4908 L Street Omaha, NE 68117 (402) 734-5882 This is to certify... OWNER OF ANIMAL Kate Johnson 2862 S 93rd Plaza Apt 17 Omaha, NE 68124 County: Douglas THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Jackson SPECIES: Canine BREED: Great Dane SEX: N Color and markings... Harlequin Signed Danielle Pumphrey DVM TAG NO: 025916 AGE: 2Y WEIGHT: 105.00 License: 3554 Date Done DVM Services Due Date 08-21-21 CL Bordetella intranasal booster 02-19-22 10-30-20 6 DAPPV annual booster 10-30-21 10-30-20 6 Rabies (Canine 3 year), #025916 10-30-23 11-18-19 LB Rabies (Canine) Rabies Vaccine Information... MFG BY: INTER SER.NO: 407670A LOT EXP: 27JUL21 ADM: SQ 01/18/2022 12:19 40242601 V E RIFICATII IF YOU LIVE COMPLE CITY OF E YOU MAY BUT NO MORE THAN THREE (3) Fallure to do so is a The city sha It shall be unlawful for any dog or cat to M NEW PET LICENSING Must be licensed NEW RESIDENTS TO BLAIR Must regist HOLSTEIN VET CLINIC PAGE 01/02 2022 PET LICENSE N/APPLICATION FOR CITY OF BLAIR BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT($), THIS FORM AND RETURN WITH A CHECK PAYABLE TO: AIR — 218 S. 16r" ST -- BLAIR, NE 68008 GALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, >UI.T DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT_ "**FLEASE READ CAREFULLY' n of City Ordinances 6.103-and carries a penalty of a fine up to $150.00 per pet. PET LICENSE RENEWALS ARE DUE BY 3/15/2022. recognize a microchip ID number as the license number. ar any license or other city ID other than that issued by the City of Blair for such dog or cat. jithin•10 days of ownership (OR) at 6 months of age if puppy or kitten r pets within 10 days of residency Qwner Name Ryan Johnson Spouse Hillary Owner Address 2342 Clark St City/State/Zip glair, NE 68008 Phone # 402-250-9625 :. wim►AM Pet Name: Sassy Age: 9M DOB: 04-04-21 Sex: Fema a Color: W Breed: Eng Spr Sp Microchip # Rabies Tag # PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE). RABIES VACCINATION DONE ON 08-11-21 Rabies Description: 1 YEAIR 3 YEAR Holstein Veterin ry Clinic Dr. Lisa Schrum DVM : Dr. Kri to Holstein DVM 718 South 1911 Street Bla r, NE 68008 402-426-7387 402-426 0101 Fax holsteinclinic@gm it-Gom Dog or Cat: $16.00 Altered Dog or cat: $11.00 Replacement Tag $5.00 .I Total $ --- L(a PETS TH�TARE O�V THFACII'VE POTENTIALLY DANGEs?oU5 OR ,�C�(tOUS o0G LIST NEED TO REGISTER DIRECTLY AT CITYWALL. 01/18/2022 12:19 402426010 VERIFICATICJ IF YOU LIVE I COMPLETI CITY OF SI YOU MAY L BUT NO MORE THAN THREE (3) A HOLSTEIN VET CLINIC 2022 PET LICENSE N/AP'PLICATION FOR CITY OF BLAIR PAGE BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT(S), THIS FORM AND RETURN WITH A CHECK PAYABLE TO: AIR — 218 S. 16't" ST — BLAIR, NE 68008 GALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, 1ULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. ***,PLEASE READ CAREFULLY' Failure to do so is a vlolat* of City Ordinances 6.103 and carries a penalty bf a fine up to $150.00 per pet, 02/02 The city shall recognize a microchip ID number as the license number. It shall be unlawful for any dog or cat tow ar 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 Mthin 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 kyan Johnson Spouse Hillary Owner Address I 2342 Clark St City/State/Zip Blair, Ni~ 68008 g; Phone # CL 402-250-9625 Pet Name: Hank Age: 7V DOB; 09-01-14 Sex: Male Color; \N �A -T ' j j1ZJ--J Breed; Eng Spr Sp Microchip # Rabies Tag # PLEASE INCLUDE CITY TAG NUMBER IF HIS IS A RENEWAL (IF AVAILABLE): # RABIES VACCINATION DONE ON -04-12-21 Rabies Descriptlon: 1 YEA 3 YEAR .m Holstein Veterinary Clinic Dr, Lisa Schrum DVM : Dr. Krista Ho/stein DVM 718 South 19`h Street Blair, NE 68008 402-426-7387 402-426-9101 Fax holsteinclinic@gmarl-com LICENSIE FEES Intact g or Cat: $16.00 Altered Dog or cat: $11.00 Replacement Tag $5.00 Total $ — PETS THAT ARE ON THE ACTIVE POTENTIALLY DANGEROUS OR DANGEROUS DOG LIST NEED TO REGISTER DIRECTLYAT CITY HALL. L) r 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 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. s I LICENSE RENEWALS ARE DUE: March 15, 2022 ***PLEASE READ CAREFULLY*** Owner Name: Ci{'3'' (I c� / Y C C U r� YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Owner Address - 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. city/State/zip: Blair, NE 6800 1\ ) _ (� I ` PET LICENSES RENEWALS ARE DUE BY 3/15/2022. The City shall Phone # V h l- L� ( I-7 — 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. LICENSE FEES: Dog or Cat: $16.00 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 T #1 D o g ❑ Cat ❑ Spayed/N utered License Fee $ _ Pet Name Birthdate -LLB Sex ** Color e Breed** 11 z - LaiE rieRep/acement$ Decared Dangerous or Potentially Dangerous Dog: ❑ YV MICROCHIP # (9('�� (� _(If applicable) SUBT®TAL: $ F" RA IES VACCINATION DATE: JI Q (3 yr) ✓ (1 yr) City Tag # I .R P T #2 ❑ Dog 5( C a t ❑ Spared/Neutered License Fee $ Pet Name TY- X e _ Color �,r Birthdate Sex _ Breed** c. ' t o r A-1 �e-i V._ Replacement $ ** I{ !' 'I .�� Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP #r _(If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: 3 (3 yr) (1 yr) City Tag # a * PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Birthdate Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ License Fee $ Replacement $ ®* ❑N 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 22 -- If you have questions, please contact Blair Police Department at (402) 426-4747 .. . . ^F .. .-F i-.... # . i-.....l^ . . -F i- i- . i- . . ->•.... i^ °F . . . . . . ^F . °M.f^ ............................. NEW PET/NEW RESIDENT LICENSING REQUIREMENTS(March 15late fee date not applicablefornewpets/new residents) Newly Ada uired Pets: New Residents to Blair: al Must be licensed within 10 days of ownership la Must register pets within 10 days of • <,OR> at 6 months of age if puppy/kitten residency. 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 payab to: City of Blair • 218 S 16th St a Blair, -NE 68008 You'may.leplly own a Combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 1 ,F= Owner Name:owner Add Address: city/state/zip: Blair, NE 68008 Phone # L�o�'_ ��'� LICENSE FEES: Dog or Cat: $16.00 I d D Cat• $11 00 ***PLEASE READ CAREFULtY*" YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do do is a violatlon of City ordinances 6.iO3 and MOMS a penalty of a tine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 2/ 1SL2=. 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 ornatio cat. The city of Blair requires proof of cables vaerin. A tere og or .• Replacement Fee for. Lost Tag: $5.00. - Induded is a State Fee of $1.25 being eollecbed to fund the Nebraska Dog & Cat Operftr Inspection Program PET # 1 Dog O Cat Spayeda/Neuter5ex M ' �� License Fee $ �� Pet Name Bi�* �'� 4D11— Declared Replacement $ ** Color C`r� c c�\or_ _- Breed" Dangerous or Potentially Dangerous Y ❑ N MICROCHIP # gC_1r�`��C1�� C�1 (if applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) J` _ (1 yr) _ City Tag PET #2 ❑ Dog ❑ Cat Birt dS payed/Neute edx Color License Fee $ Pet Name Breed" Replacement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y O N MICROCHIP #(If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # PET #3 Cl Dog ❑Cat ❑ Spayed/Neutered B'rthdate Sex License Fee $ Pet Name CI Breed** Replacement $ 0 or Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP #i (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 ++++++++++++++++++++.r*+++++..+++.++++++++++**+++++++++++++++++++++++++++++++++ NEW pEr/NEW RESIDENT LICENSING REQUIREMENTS (Marti 15lat-fee datenotappllcab/efornewpeWnewn2Vdents) Nihyly AeguirAd Pets• New Reside to s'Ialr', ■ Must be licensed within to days of dip ■ Must reglSW pets within 10 days of ■ <OR> at 6 months of age if puppyAftri residency. M 01/10/2022 17:01 4024260101 HOLSTEIN VET CLINIC PAGE 02/02 2022 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF BL.,AIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT(S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF BLAIR — 218 S. 16TH ST — 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 RE(W41RED BY LAW TO LICENSE YOUR PETS THE CITY �BLAIR REQUIRES PROOF RABIES VACCINA IL N• Failure to do so is a violation of City Ordinances 6.103 and carries a penalty of a fine up to 5150.o0 per pet. PET LICENSE RENEWALS ARE DUE BY 3/1 5/2022. 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 Lennie Jones Spouse Owner Address 2354 Park St City/State/Zip Phone # Blair, NE 68008 402-426-8761 Pet Name: Remmington Age: 4Y pOB:—09-12-17 Sex: Neutered Male Color: Tan and White Breed: Corgi Mix Microchip # 985141002698274 Rabies Tag # 19329 PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE): # RABIES VACCINATION DONE ON 07-06.21 Rabies Description: 1 YEAR 3 YEAR Holstein Veterinary Clinic Dr. Lisa Schrum DVNI ; Dr. Krista Holstein DVM 718 South 191h Street Blair, NE 68008 402-426-7387 402-426-0101 Fax hoisteinclinic@gmail.Com LI EEC NSE FEES Intact Dog or Cat: $16.00 Dog or cat: $11.00 Replacement Tag $5.00 Total $ " -- PETS THAT ARE ON THC ACT1V_ LPOTENTIALLY DANGCOR DANGEROUS DOG LIST NEl b TO REGISTER DIRE9LY ITV HALL. FAXED 01-10-22 BY FAX TO BPD @ 402-426' 7144 ■j 01/10/2022 17:01 4024260101 HOLSTEIN VET CLINIC PAGE 01/02 ■ 2022 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF BLAIR OR CATS) IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOGS) AND I , COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF BLAIR -- 218 S. 16TH ST — BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS THE CITY OF BLAIR RECiU1RE5 DROOF OF RAeIFS VACCINATION. Failure to do so is a violatlon of City Ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSE RENEWALS ARE DUE BY 3 15 2022. 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 h f City of lir for r kitten such dog or cat. NEW PET LICENSING Must be licensed within 10 days of ownership (OR) at 6 months of agepuppy or NEW RESIDENTS TO BLALR Must register pets within 10 days of residency Owner Name Spouse Owner Address City/State/Zip Phone # 1'1 Pet Name: Stevie Nicks Age: 6Y Sex: Spayed Female DOB:-04-13-15 Breed: Lab MIX Microchip # PLEASE INCLUDE CITY TAG NUMBER IF TH RABIES VACCINATION DONE ON Rabies Description: 1 YEAR Lennie Jones 2354 Park St Blair, NE 68008 402-426-8761 Color: White/Orn Rabies Tag # 16640 3 A RENEWAL (IF AVAILABLE): # 03-29-19 3 YEAR Holstein Veterinary Clinic ,On Lisa Schrum DVM ; or. Krista Holstein DVM 718 South 1911 Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinic@gmail.com off- 360 r (� Cl' LICENSE FEE6- Intact Dog or Cat: $16.00 or cat: $11.00 Replacement Tag $5:00 Total $ i PETS THAT_ARE ON THE ACTIVE POTENTIALLY DANGER S OR DANGEROUS bOra_LIST NEED TO REGISTER DI RECTLY AT CITY HALL• FAXED 1 01-10-22 BY FAX TO RPD @ 402.426-7144 12/28/2021 12:55 4024260101 HOLSTEIN VET CLINIC PAGE 01/01 2022 PET LICENSE A 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. 16TH ST — BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL. OR DWELLING UNIT. ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS THE CITY OF BLAIR REQUIRES PROOF OF RABIES VACCINATION. Failure to do so is a violation of City Ordinances 6.103 and carries a penalty of a fine up to $150,00 per pet. PET LICENSE RENEWALS ARE DUE BY 3/15/Z022. The city shall recognize a microchip ID number as the license number. it shall be unlawful for any dog or cat to wear any license or other city ID otherthan that issued by the City of Blair for such dog or cat. NEW PET LICENSING Must be 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 _............. Tafida Jones Spouse Lucus 2276 Fieldcrest )Drive Owner Address City/State/Zip Blair, NE 68008 0hone # 402-278-2131 It4 Pet Name: Oakley Rein Age: 7M DOB: 05-07-21 Sex: Spayed Female Color: Merle Breed: Aussie X Microchip # 985141003661994 Rabies Tag # 19445 PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE): # RABIES VACCINATION DONE ON 08-28-21 Rabies Description: 1 YEAR 3 YEAR Holstein Veterinary Clinic Dr. Lisa Scprum DVM ; Dr. Krista Holstein DVM 718 South 191h Street Blair, NE 68008 402 426-7387 402-426-0101 Fax holsteinclinic@gmail.com LICENSE PEES Intact Dog or Cat: $16.00 .4 tered Dog or cat: $11.00 Replacement Tag $5,00 Total $ I PETS THAT ARE ON rHf: ACrIW POTENTIALLY DANGEROUS OR DANGEROUS DOG LIST NEED TO REGISTER p V T C HALL. FAXED 12-28-21 BY FAX . . ... BPD , , , J: ' . 1 A Feb 24 22 02:14p p.1 } Thone Animal Hospital (402) 426-3630 902 S Hwy 30 . Blair, NE 68008 ?AZT. CITY OF BLAIR - BOB PET LICENSE APPLICATION If you live in Blair City limits and own a dogs) and/or cat(s), complete this form and return with check made 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 15.2021 Owner Name:��C Jf7�d Owner Address: 439 N 14i\n csty/state/zlp: Blair, NE 68008 Phone # 4 rS-4- - 5 (9D - 012.4 LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11.00 Replacement Pee for Lost Tag: $5.00 ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so b a violation of City ordinances 6.103 and carries a penalty of a fine upto $150.00 per pet. PET LICENSES RENEWALS ARE DUE By,AL$/2021. The aty 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 cables vaccination. Induded Is a StaEie Fee of $1.25 being cwllectiM bo fund the Nebraska Dog & Cart Opefator inspection Program PET #1 A Dog ❑ Cat Spayed/Neutered License Fee $ 1\ Ob Pet Name 0% a BI date • Q- Lo Sex Mta12 Color VQJ Breed** �e moo Ta neyr Rep/acernent$ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y Pk N MICROCHIP # (If applicable) SUBTOTAL: $ ' I. Did RABIES VACCINATION DATE: (3 yr) (1 yr) _�_ City Tag # PET #2 ❑ Docg ❑ 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 PET #3 ❑ bog ❑ 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 *PLEASE INCLUDE THE CINTAG NUMBERIF 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) 426-4744w NEW PET/ NEW RESIDENT LICENSING REQUIREMENTS(Manh151atefee datenotapplicablefvrnewpeN/newinndents) N- ewty AAcaquimd Petro New Residents to Blair. ■ Must be lic� wilttin 10 days aP mneishlp r Must register pets within 10 days of ■ <OR> at 6 months of age if p 4W/14ftn residemy. 2022 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. 16TH ST - BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BYLAW TO LICENSE YOUR PETS. THE CITY OF BLAIR REQUIRES PROOF OF RABIES VACCINATION Failure to do so is a violation of City Ordinances 6.103 and carries a penalty of a fine up to $150,00 per pet. PET LICENSE RENEWALS ARE DUE BY 3/15/2022. 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 Shirley Jordan Spouse Bob Owner Address 735 N 14th Street City/State/Zip Blair, NE 68008 Phone # 402-278-2027 Pet Name: , Socks Age: 5Y DOB:—08-01-16 Sex: Spayed Female Color: Grey and White Breed: Domestic Shorthair Microchip # Rabies Tag # PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE): # RABIES VACCINATION DONE ON 05-01-20 luugBJ ��OuriNl till. >r dare - 3 YEAR Holstein Veterinary Clinic* Dr. Lisa Schrum DVM : Dr. Krista Holstein DVM 718 South 191h Street Blair, NE 68008 402-426-7387 402-426-0101 Fax-,'' holsteinclinic@gm.ail.com t LICENSE FEES Intact Dog or Cat: $16.00 Dog or cat: $11.00 Replacement Tag $5.00 Total $ l (1 60 PETS THAT ARE ON THE ACTIVE POTENTIALLY DANGEROUS OR DANGEROUS DOG LIST NEED TO REGISTER DIRECTLYAT CITY HALL FAXED 02-10-22 BY 44 Y {1 ... r„ r....i r -1 /nT 17n 2022 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. 16TH ST — (BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS, THE CITY OF BLAIR REQUIRES PROOF OF RABIES VACCINATION, Failure to do so is a violation of City Ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSE RENEWALS ARE DUE BY 3/15/2022. 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 I Owner Name Shirley Jordan Spouse Bob Owner Address 735 N 14th Street City/State/Zip Blair, NE 68008 Phone # 402-278-2027 1\e T Pet Name: Daisy Age: 11M DOB: 03-07-21 Sex: Spayed Female Color: Tri Color Breed: Beag/Dach Microchip # Rabies Tag # 19300 PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE): # RABIES VACCINATION DONE ON 07-01-21 Rabies Description: 1 YEAR 3 YEAR Holstein Veterinary Clinic. Or, Lisa Schrum DVM ; Dr. Krista Holstein DVM 718 South 191h Street Blair, NE 68008•''' 402-426-7387 402-426-0101 Fax hoisteinclinic@gmail.com .. V LICENSE FEES Intact Dog or Cat: $16.00 Alee Dog or cat: $11.00 Replacement Tag $5,00 . Total $ �l PETS THAT ARE ON THEACrIVE POTENTIALLY DANGEROUS OR DANGEROUS DOG LIST NEED TO REGISTER DIRECTLYAT CITY HALL. -Z 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 e 218 S 16th St 9 lair® NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March —1-5,,-2022 Owner Name: Owner Address: 2--LOS �e- LLILW City/State/Zip: Blair® NE 68008 Phone # 4L �A' LICENSE FEES: Dog or Cat: $16.00 r i. $j j nn ***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. Altered Dog or ca K Replacement Fce for Lost Tags $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET#11 EI Dog ❑ Cat D'Spayed/Neutered ' 11 t V License Fee Pet Name 1\'Q,A)0Birthdate,) 2(- 2-02-I Se?< Color Breed** au- I o-- Replacement Declared Dangerous or Potentially Dangerous Dog: LJ Y O'N MICROCHIP # (If applicable) ,SUBTOTAL:$ RABIES VACCINATION D (3 yr) (i yr) i,,/ City Tag # PET #2 L3 Dog Ll Cat . L3 Spayed/Neutered Pet Name Birthdate — Sex Color — Breed** Declared Dangerous or Potentially Dangerous Dog: Ll Y LJ N MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) — PET #3 Ll Dog LJ Cat Ll Spayed/Neutered Pet Name Birthdate Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: LJ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) — License Fee $ Replacement $ SUBTOTAL: $ (1 yr) — City Tag License Fee $ — Replacement $ 11 N 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.) d Do Not Send Cash by Mail TOTAL ENCLOSED $ I I 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 resIdenty) Newly Apguired Pets: New Residents to Blair: • Must be licensed within 10 days of ownership n Must register pets within 10 days of ® <OR> at 6 months of age if puppy/kitten residency. �CERTIFICATE,OF VACCINATION Date of Rabies Vaccination: 07-06-21 Next Rabies Vaccination On: 07-06-22 VETERINARY CLINIC Holstein Vet Clinic 718 South 19th Street Blair, NE 68008 402-426-7387 Certificate No: 0 Previous Rabies Vaccination: OWNER OF ANIMAL Linda Jorgensen 1049 Westridge Dr Blair, NE 68008 County: This is to certify... THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Tipper TAG NO: 19307 SPECIES: Canine WEIGHT: 6.70 SEX: F AGE: 18 weeks Color and markings... Brown/Bllk Signed Lisa Schrum, DVM Rabies Vaccine Information... License: 2310 MFG BY: ZOETI SER.NO: 455011 LOT EXP: 02/08/22 ADM: SQ IM (-N CITY OF BLAIR ® 2022 PET LICENSE APPLICATION 7- 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 15,2022 Owner Name" Owner Address: kh city/state/zip: Blair, NE 68008 Phone # LICENSE FEES: Dog or Cat: $16.00 r &-m tj j nn ***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. 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 i I o6 PET #1 Dog Ll Cat Spayed/Neutered N License Fee $ (' Pet Name' r Birt?date 15Y. U9 Sex Replacement $ " Color 0 Breed Declared Dangerous or Potentially Dangerous Dog: LJ Y A N (If applicable) SUBTOTAL: $ MICROCHIP # _ City Tag # RABIES VACCINATION DATE: (3 yr) V,"' (1 yr) j) Ccw> PET #2 p o g Ll C a t Bi "Ndi Spay d/Neutered _r. License Fee $ rn� D jj Sex ej e rtPdate Pet Name lacement $ Color Breed** Lj Y N — Rep — Declared Dangerous or Potentially Dangerous Dog 00 MICROCHIP # (If applicable SUBTOTAL: $ RABIES VACCINATION DATE: / (1 yr) __City Tag (3 yr) —V PET #3 L1 Dog LJ Cat L3 Spayed/Neutered Pet Name Birthdate Color -- Breed** Declared Dangerous or Potentially Dangerous Dog: L1 Y MICROCHIP # 1 (If applicable) RABIES VACCINATION DATE:,— (3 yr) — License Fee $ Replacement $ LJ N SUBTOTAL:$ (1 yr) i . 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 fornewpet5lnew residents) New Residents to Blair: — - 0 Must be limnsed within 10 days of ownership 0 must register pets within 10 days of w <OR> at 6 months of age if puppy/kitten residency. Date of Rabies Vaccination: 02-22-22 Certificate No: 0 Next Rabies Vaccination On: 02-21-25 Previous Rabies Vaccination: VETERINARY CLINIC OWNER OF ANIMAL Countryside Small Animal Ashley Judkins 1306 Stevenson 653 N. 14th Ave 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: Justice TAG NO: 22-0138 SPECIES: Canine WEIGHT: 65.80 SEX: S AGE: 24 months BREED: Mixed Microchip Number: Color and markings... White Signed Kaycee Points License: Vaccinations done... 02-22-22 KNP Canine Rabies Vaccn, 3 Yr, #22-0138 02-21-25 02-22-22 KNP Canine Bordetella Oral Vaccination 02-22-23 02-22-22 KNP Canine DA2PPL 02-22-23 Rabies Vaccine Information... MFG BY: ZOET SER.NO: 535207 LOT EXP: 4APR23 ADM: Sq 0 0 Date of Rabies Vaccination: 05-24-21 Next Rabies Vaccination On: 05-23-24 VETERINARY CLINIC Countryside Small Animal 1306 Stevenson Fort Calhoun, NE 68023 402-468-4060 Certificate No: 0 Previous Rabies Vaccination: OWNER OF ANIMAL Ashley Judkins 653 N. 14th Ave Blair, NE 68008 County: This is to certify... THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Badge TAG NO: 21-0406 SPECIES: Canine WEIGHT: 71.00 SEX: S AGE: 2 years BREED: Retriever, Labrador Microchip Number: Color and markings... Yellow Signed Kaycee Points Vaccinations done... License: 05-24-21 KNP Canine Rabies Vaccn, 3 yr, #21-0406 05-23-24 05-24-21 KNP Canine Bordetella Oral 05-24-22 05-24-21 KNP Canine DA2PPL 05-24-22 Rabies Vaccine Information... MFG BY: ZOET SER.NO: 428366 LOT EXP: 9NOV21 ADM: Sq