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Kgoz,rf 7 5367 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 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: Owner Name: Owner Address: City/state/zip: Blair, NE Phone # LICENSE FEES: Dog or Cat: $16.00 1 d D 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 tare og or !3eplacA:r:Q::t Fee for List "fag: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator In spe�ion Program PET 1 Do ❑ Ca payed Neutered License Fee $ Pet Name�_C- Birt date U Sex Color V_ __ Breed** Replacement$ ** Declared Dangerous or Potentially Dangero s Dog: Y ❑ MICROCHIP # applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # PET #2 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Birthdate , Sex Color _ Breed** _ Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # _(If applicable) RABIES VACCINATION DATE: _ (3 yr) _ PET #3 El Dog ❑ Cat ❑ Spayed/Neutered Pet Name _ Birthdate Sex Color Breed** _ Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ W License Fee $ —� replacement $ SUBTOTAL: $ (1 yr) City Tag # ** 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 .........+++++++++++++•I ...........+.+......... i-....++++.+.........4..........+. NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15late fee date not applicable for newpets/newresldent�) Newly Aceluired Pets:.,. New Residents to Blair: • Must be licensed within 10 days of ownership 0 Must register pets within 10 days of • <OR> at 6 months of age if puppy/ldtten residency. �■ 02/01/2022 14:35 4024260101 0 BUT NO MORE It shall be unlawful NEW PET LICENSI NEW RESIDENTS' Owner Name Spouse Owner Addres City/State/Zip hone # Pet Name: Lk HOLSTEIN VET CLINIC PAGE 2022 PET LICENSE FICATIO N /APPL'ICATION 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 CHOCK PAYABLE TO: CITY OF BLAIR ® 218 S. 16Tw S7 - BLAIRr NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, [AN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. ***PLEASE READ CAREFULLY' of a fine up 14 $ 150,00 per pet. to do so is a violation of Clty Ordinances 6.10� and carries a penalt PET LICENSE RENEWALS ARE [1UE BY 3 15 2022. The city shall recognize microchip ID number as the license number. y dog or cat to wear any license or other city ID other than that Issued by the City of Blair f renlkittch dog or cat. ust be licensed within 10 days of ownership (OR) at 6 months of age if puppy AlR Must register pets within 10 days of residency Age: 8Y Sex: Spayed Female DOB: 12-26.13 Breed: Cairn (Nancy Kaiser 2406 Meadow Dr. Blair, NE 68008 402-426-5948 Color: Brown/Blk micr®chip 913 020005470398 PLEASE INCLUDE CI TAG NUMBER IF THIS IS A RENEWAL RABIES VACCII ATIy N DONE ON 103-07-20 Rabies Description:) 1 YEAR HolsteinVeterinary Clinic Dr. Lisa St hrL m DVM : DI: Kr/sta Holstein DVM 718 ScutScuth 1911 Street Blair, NE 68008 402 42 -7387 402-426-0101 Fax hol einclinic@9mail.com Rabies Tag # 17184 (IF AVAILABLE): # AM LICENSES Intact Dog or Cat: $16.00 g or cat: $11.00 Replacement Tag $5.00 Total $A-,— prT THAT ARC N THE ACTIVE poTE TIALLY DAN EROUS 06 DANOE OUS DOG IST NEED O REGISTE DIRECTLY T CITY H LL. 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. 4 LICENSE RENEWALS ARE DUE: March 15, 2022 ***PLEASE READ CAREFULLY*** 5� 2 Owner Name:__ YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Owner Address' g ? i Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. City/State/Zip: Blair, NE 68008 ! ' PET LICENSES RENEWALS ARE DUE BY 3/15/2022. The City shall Phone # I 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 PET # 1� , C _ a D p g ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name A I` ` Birthdate S ** Color Breed**' ` �� `�"Replacement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y 0 N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE (3 yr)�. (1 yr) City Tag #.�° Co M T # 2 ❑ Dog ❑ Cat ❑ Spayed/Neutered Name Birthdate Sex )r Breed** lared Dangerous or Potentially Dangerous Dog: ❑ Y ;ROCHIP # (If applicable) TIES VACCINATION DATE: (3 yr) _ M PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Birthdate Sex — Color Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) License Fee $ Replacement $ SUBTOTAL: $ (1 yr) City Tag # ** License Fee $ Replacement $ ** SUBTOTAL:$ (1 yr) City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not Send Cash by Mail TOTAL ENCLOSED $ 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. I NVOI Omaha Pet Vaccination Clinic 2911 S. 120th St. Omaha, NE 68144 402-443-2006 Affordable Pet Vaccination Clinics with NO OFFICE CALLS OR EXAM FEES Printed: 10-13-20 at 10:68a FOR: Kristen Kaluza Date: 10-13-20 0 750 N 18th Ave Folder: Invoice: 221076 Blair, NE 68008 (402) 990-8606 Date For Qty Description Net Price 10-13-20 Sierra 1 Canine Rabies Vaccination, 3Y 24.00 24,00 10-13-20 1 Canine DA2PP Vaccination, 1Y 24.00 10-13-20 1 Canine Lepto Vaccination, 1Y 10-13-20 1 Canine Bordetella Vaccination, 1Y .00 10-13-20 1 Heartworm Antigen 1 Tri-Heart, Plus Chew Tabs 26-50 Ibs 6 pkg 32 .00 39.00 10-13-20 10-13-20 Check payment -167.00 Old balance Charges Payments New balance 0.00 0.00 167,00 167.00 t; Reminders for: Sierra (Weight: 44.2 Ibs - 6y) Last done 10/23 Canine Rabies Vaccination, 3 Y 10-13-20 10/21 Canine DA2PP, 1 Y 10-13-20 10/21 Canine Leptospirosis Vaccinati 10-13-20 10/21 Canine Bordetella Vaccination 10-13-20 Doctor"s Instructions Canine Rabies Vaccination, 3Y A transient local reaction may occur at the injection site following subcutaneous administration. In rare instances, administration of vaccines will cause lethargy, fever, and inflammatory or hypersensitivity types of reactions; If you notice any other these reactions, consult your veterinarian as soon as possible. Thank you for your businessl www,DRDOBESH,com CITY OF BVSR� 2022 PET LIC :1-E) 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 '� -Ad a You may legally own a combination of four(4) adult pets, but no more than three ahul gs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 5 2022 Owner Name: Al jy Owner Address: �� city/state/zip: Blair, NE 68008 Phone # 033 LICENSE FEES: Dog or Cat: $16.00 Dog im &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 V%j or U Pxp!=-c-_.-r=nt Fac for Last Tag: *,5.0e r Inspection Program included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat operator PET #1 _1E8 Dog LI Cat )Spayed/ e tered License Fee$ ILD _0 �ex Replacement $ 00 Pet Na Birthdate Color t�a� I Breed" ' Declared Dangerous or Potentially Dangerous Dog: Ll Y N MICROCHIP # (if applicable) SUBTOTAL: D0 RABIES VACCINATION DATE: (3 yr) � (1 yr) - City Tag #.2 Ui PET #2 4Dog Lj Cat [payecl/Neutered License Fee $ Birthdate ex et Nam LI Replacement lor Breed** $ Clare Dangerous or Potentially Dangerous Dog: ❑ Y N 0 ICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION ATE: (3 yr) � (1 yr) - City Tag #j� PET #3 L) Dog 4,Cat 14Spayed Neutered License Fee $ Pet Na e Birthdate V Se Breed" Replacement $-5-- Color IT4= ms� Declared Dangerous or Potentially Dangerous Dog: Ll Y LI N 1 SUBTOTAL: $ (If applicable) MICROCHIP # RABIES VACCINATION DATE: t9 (3 yr) (1yr) 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 Mot Send Cash by Mail TOTALENCLOSED$ Do If you have questions, please contact Blair Police Department at (402) 426-4747 .............................................................................. hl ee Ca pet5 e Iden ts) NEW PET/ NEW RESIDENT LICENSING REQUIREMENTS (Marc 51atef datenotappll blefornew Inew r 5 Newly Acquired Pets, New Residents to Blair: qpj_ • 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. Holstein Vet Clinic 718 South 19th Street Blair, NE 68008 402-426-7387 Check out our online store at www,HOLSTEINVET.com for home delivery! Printed: 06-18-21 at 3:39p FOR: Jennifer Kalvoda Date: 06-18-21 1435 S St Account: 10449 Blair, NE 68008 Invoice: 119218 (402) 949-0331 Date For 06-18-21 Cat 06-18-21 06-18-21 06-18-21 06-18-21 Lucy 06-18-21 06-18-21 06-18-21 06-18-21 Old balance 0.00 Qty Description 1 Vaccination/Exam/Group Rate 1 Defensor 1 { 1Y RABIES } 1 Felocell 3 { Feline Distemper) 1 Felocell FeLV { Feline Leukemia } 1 Vaccination/Exam/Group Rate 1 Vanguard® Plus 5 L4 { Distemper+Lepto } 1 Vanguard® B ORAL { Bordetella } 1 VETSCANO Flex4 Rapid Test ( HWT ) Visa paymen' Charges Payments 216.75 216.75 Reminders for: Cat Last done 06-18-22 Defensor 1 { 1Y RABIES } 06-18-21 06-18-22 Felocell 3 { Feline Distemper 06-18-21 06-18-22 Felocell FeLV { Feline Leukemi 06-18-21 Reminders for: Lucy Last done 06-02-23 Defensor 3 { 3Y RABIES } 06-02-20 06-18-22 Vanguard® Plus 5 L4 { Distempe 06-18-21 06-18-22 Heartworm Test & Prevention 06-18-21 06-18-22 Vanguard® B ORAL { Bordetella 06-18-21 Thanks for choosing us to take care of your pet's health care needs! Net Price 12.00 26.50 25.25 32.00 12.00 28.00 26.00 55.00 -216.75 New balance 0.00 Date of Rabies Vaccination: 09-08-20 Next Rabies Vaccination On: 09-08-23 VETERINARY CLINIC Thone Animal Hospital 902 S Hwy 30 Blair, NE 68008 402-426-3630 This is to certify... Certificate No: 0 Previous Rabies Vaccination: OWNER OF ANIMAL Jennifer Kalvoda 1435 South St Blair, NE 68008 County: THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Dixie SPECIES: Canine SEX: S Color and markings... Black Signed Dr.Kamala Freeman Vaccinations done... TAG NO: 006081 WEIGHT: 0.00 AGE: 18 months License: 3894 09-08-20 KF Rabies Vaccination (3 Year), #006081 09-08-23 09-08-20 KF DA2PPV 09-08-21 Rabies Vaccine Information... MFG BY: ZOETI SER.NO: 389791 LOT EXP: 05-04-21 ADM: SQ ■ 02/07/2022 ■ 12:39 4024260101 HOLSTEIN VET CLINIC PAGE 01/03 VE BUT NO Fa It shall be unlawful for NEW PET LICENSING Owner Name Spouse Owner Address City/State/Zip Phone # 2022 PET LICENSE �,IFICATION/,APPLICATION FOR CITY OF GLAIR IF YOU LIVE IN GLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT(S), COMPLETE -THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF BLAIR -- 218 S. 16'H SX — BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION Or POUR (4) ADULT PETS, THAN THREE. (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. ***PLEASE READ CAREFULLY' V IfYV H 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 I 2022. The city shall recognize a microchip ID number as the license number, y 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- ust be licensed within 10 days of ownership (OR) at 6 months of age if puppy or kitten AIR Must register pets within 10 days of residency Sharan Keegan Joe Foster 1749 South Street Blair, NE 68008 ' 402-598-6396 ' )N, / Ai A. I Pet Name: Bugg Age: 6Y DOS: 01-12-16 Sex: Neutered Male Color: Black and White Breed: Boston Ter' ier Microchip # 93300 32027861 Rabies Tag # PLEASE INCLUDE CI TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABL,E); # RABIES VACCINATi 3N DONE ON 04-07-21 Rabies Description: 1 YEAR I Y Holstei Dr. Lisa S'chi 718 Soul 402-4; hol Veterinary Clinic 7 AVM : Dr. Krista Holstein DVM 191h Street Blair, NE 68008 •7387 402-426-0101 Fax ;inclinic@gmail.com LICENSE FEES /nract Dog or Cat: $16,00 eyed, • ,;' Do orca•. r Replacement ad $5.00 , ?,'r Total $ To , P� THAT ARE ON THE ACTIVE POTENTIALLY DANGEROUS OR DANGEROUS DOG LIST NEED TO aFGISTER DIRECTLY AT CITYHALL. FAKED 02-07-22 BY ,r: ,; .�.,1;,, � ,A'�,..,,• �.,• '.� `y�yJijl�Yi! .,4�t� 'ir. `" �`�'�: a'+�1��i1 �.� �„� IL+; 7i< S; >� i1 1141,irp tt /'1 �21� ii.4VSr♦w t'Jl�i�/��f�`, /y;n4i�T ill. �,,9 1,V��:1 02/07/2022 12:39 4024260101 HOLSTEIN VET CLINIC PAGE 02/03 2022 PET LICENSE VERIFICATION/APPLICATp ON FOR. CITY/OR �OF� BLAIR TF YOU LIVE IN BLAIR CITY LIMITS A ( ). Q COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE T0: 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 - BUT READ CAREFULLY*** Failure to do so is a violation of City Ordinances 6.103 and carries a penalty of a fine up to $150-00 per pet, PET LICENSE RENEWALS ARE DUE BY 3 15 2022. The city shall recoghize a microchip ID number as the license number. It shall be unlawful for ny dog or cat to wear any license or other city ID other than that issued by the City of glair for such dog or cat. NEW PET LICENSING ust be licensed within 10 days of ownership (OR) at 6 months of age if puppy or kitten NFW RESIDENTS TO LAIR Must register pets within 10 days of residency Owner Name Spouse Owner Address City/State/Zip Phone # Sharan Keegan Joe Poster 1749 South Street Blair, NE 68008 402-598-6396 WMIWO Pet Name: Ester Age: 8Y DOB:—0940-13 Sex: Spayed Female Color: Brn Tab/Wt Breed: Domestic Shorthair Microchip # Rabies Tag # PLEASE INCLUDE CIT" .TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE): A# RABIES VACCINATI DN DONE.A / 10-29-21 Rabies Description: rly EAR 3 YEAR Holstein Veterinary Clinic Dr. Lise Schru 77 DVM ^ Dr. Kr/sta Holstein DVM 718 South 1 91hStreet Blair, NE 68008 402-42 -7387 402-426-0101 Fax hols.einclinic@ gmail.com LICENSE FEES intact Dog or Cat: $16.00 /ter d D g or cat:. $11 00 Re/p/acement:Tag $5.00 Total $—L� PETSr TAREONTHEA POTENTIALLYD NGEROUSOR DANGERO . DOG LIST NEED TO REGISTER DIR@ .YAT CITY HAL 02/07/2022 12:3' VEF BUT NO MORE 4024260101 HOLSTEIN VET CLINIC PAGE 03/03 2022 PET LICENSE FICATION/APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT(S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF BLAIR — 218 S. 16T" ST — BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, IAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. ***PLEASE READ CAREFULLY*** T %j W M"U D - _ - rallu a to do so is a violation of City Ordinances 6.103 and tattles a penalty of a flee up to $150.Ob per pet. PET LICENSE RENEWALS ARE 0 9 BY 3AS12022, The city shall recognize a microchip ID number as the license number. It shall be unlawful for ny dog or cat to wear any license or other city ID other than that issued by the City of Blair for'such dog or cat, NEW PET LICENSING k4ust be licensed within 10 days of ownership (OR) at 6 months of age if puppy or kitten NEW RESIDENTS TO LAIR Must register pets within 10 days of residency I Owner Name • Sharan Keegan Spouse Joe Foster Owner Address 1749 South Street City/State/Zip Blair, NB 68008 Phone # I 402-598-6396 Pet Name: Moe ,Age: 7Y Sex,, Neutered, Male Color: DOB: 09-05-14 Breed: Boston Terrier Microchip # Rabies Tag # 19629 PLEASE INCLUDE CI TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE): # RABIES VACCINATI DN DONE ON 11-18.21 Rabies Description:) 1 YEAR 3 YEAR Hol$tei Dr, Lisa Schl 718 Soul 402-4; hol Veterinary Clinic i DVM ; Dr. Krista Holstein DVM 19t" Street Blair, NE 68008 -7387 402-426-0101 Fax ainclinic@gmail.com LICENSE FEES Intact Dog or Cat:"$16.00 Alter�d og or cat: $ 0 11A Rep/ecemeht;7'ag $5.00 Total $� PE75 THATAM ON THE A TiVf eQTENTIALLY DANGEROUS OR DANGER 0U DOG LIST NEED TD REGISTER DIRECTLY T CITY HALL. FAXED 02-07-22 BY AM! I 12/31/2021 11:24 4024260101 HOLSTEIN VET CLINIC PAGE 01/01 2022 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT(S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF BLAIR — 218 S. 16TH ST — BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. ***PLEASE READ CAREFULLY' YOU ARE REc11RED a LAW TQ LICENSE YOUR PET$ THE CITY OF BLAIR REQUIRES PROQF QF RABIES VACCINA ION 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. NEWTET 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 Anne Keenan Spouse Owner Address 2155 Front City/State/zip Blair, NE 68008 Phone # 402-278-2589 Ifi ,fA IiWORIM Pet Name: Binky Age: 2Y DOB: 06-25-19 Sex: Neutered Male Color: Breed: Siamese Microchip # 985141002128402 Rabies Tag # PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE): # RABIES VACCINATION DONE ON 06-17-21 Rabies Description: 1 YEAR 3 YEAR Holstein Veterinary Clinic Dr. Lisa Schrum DVM : Dr. Krista Holstein DVM 718 South 1 91hStreet Blair, NE 68008 402-426-7387 402-426-0101 Fax hoisteinclinic@gmaii.com 03/03/2022 12:09 4024260101 HOLSTEIN VET CLINIC PAGE 01 2022 PET LICENgE ... ... ... 'VERIPIC'ATION/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 Se 16TH ST — FLAIR, 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 $1S0,00 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 Jean Kelley Spouse Austin Owner Address 2400 Meadow Drive City/State/Zip Blair, NE 68008 Phone # 402-779-6518 Pet Name: Addie Age: 8Y' DOB:—01-01-1.4 Sex: Spayed Female Color: Tri Color Breed: Min Aussie Microchip # Rabies Tag # 18992 PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE): # RABIES VACCINATION DONE ON 03-18-21 Rabies Description: 3 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 LICENSE FEES Intact Dog or Cat: $16.00 or cat: $11.00 Replacement Tag $5.00 Total $ f/-y D PETS THAT ARE ON THE ACTIVE POTENTIALLY DANGEROUS OR DANGEROUS DOG LIST NEED TO REGISTER DIRECTLY AT CITY HALL. FAXED 03-03-22 BY F>p►� YO �P� � �02 4�6 '�1��. I CITY OF BLAIR - 2022 PET LICENSE APPLICATION If you live in Blair City limits and own a clog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair e 218 S 16th St 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 1 0 Owner Name: -1,4, i S(i � C,-,— Owner Address: City/State/Zip: Blair, NE 68008 Phone # v �;,o LICENSE FEES: Dog or Cat: $16.00 hitArpri nnn nr Cat, t11.00 ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3/15/2022. The City shall recognize a microchip Identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city Identification other than that Issued by the City of Blair for such dog or cat. The City of Blair requires proof of rabies vaccination. Replacement Fee for Lost T ag: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET #1 L3 Dog 14 Cat LJ Spayed/Neutered License Fee $ I/ il, Pet Name e v Birthdate , Sex e Color (ij4 4 bPA,4& Breed" —tebb L) $ 6 Replacement Declared Dangerous or Potentially Dangerous Dog: L] Y J N MICROCHIP # 9k/126A`A .�, iIII (If applicable) SUBTOTAL:$ RABIES VACCINATION DATE: 0 --` S1 (3 yr) 1 r City Tag # -13 PET #2 El Dog LJ Cat Ll Spayed Neutered License Fee Pet Name 0'/&o Birthdate - Sex Color Breed** 7-a669 Replacement $ 1. oto Declared Dangerous or Potentially Dangerous Dog: LIYXN MICROCHIP # (If applicable) SUBTOTAL:$ RABIES VACCINATION DATE:' (3 yr) City Tag PET #3 LJ Dog Ll Cat L3 Spaye Neutered License Fee $ &I Pet Name Birthdate el,2o Sex 4�- Replacemen Color/7— Breed" = t$ Q5 Declared Dangerous or Potentially Dangerous Dog: Q Y LJ N MICROCHIP # 1*q5Iqloo kQ1,5,2- --(If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: 21 (3 yr) —C_(fy& City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not Send Cash by Mail TOTAL ENCLOSED$ 00 If you have questions, please contact Blair Police Department at (402) 426-4747 .............................................................................. NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15 late fee date not applicable for newpelylnew residents) Newly Acquired Pets: New Residents to Blair: is Must be licensed within 10 days of ownership 0 Must register pets within 10 days of R <OR> at 6 months of age if puppy/kitten residency. 6 145SSv CITY OF .,LAIR — 2021 PET LICENSE APPLICATION - If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair * 218 S 16th St a Blair NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15 2021 Owner Name: PV- /e v- d- /—I err,_ Owner Address: city/state/zip: Blair, NE 68008 Phone #��„ Drivers License # or Date of Birth U/ 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 ***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 3115/2021. 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. the Nebraska Doc1 & Cat PET # 1 ❑ Dog LJ11 Cat Q/§paye /Neutered License Fee $- Pet Name o Birthda*te ,� �1oj / ? Sex _ ffi4c� Replacement ** Color ('r ��, 6 1. Breed t bh / r $ Declared Dangerous or Potentially Dan erous Dog: ❑ Y N MICROCHIP #9'�` // 0/0-)w5/ a :3 (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: Id •-5 Zo � (3 yr) (1 yr) X City Tag # ' PET #2 �_. ❑ Dog Cat L)'Spaye /Neutered License Fee $ / 1 60 Pet Name ._� �� Birthdate "20 Sex Color ` Breed** -- t�G� Replacement$ ** �> ��--� s S "I 1,/ - Declared Dangerous or Potentially Dangerous Dog: ❑ Y 0-,N MICROCHIP # q / q 1 C,6 2 -5 if applicable) SUBTOTAL: $ RABIES VACCINATION DATE: J--/o - 2cx_V J (3 yr) (1 yr) City Tag ## PET #3 ❑ Dog Cat .4Spayed/Neutered License Fee $ , Pet Name ' o Bi hdate ' `� o Sex ✓�� Color 00 Breed** ��,hy Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # /)i 75 / i WcJ Lq `i 90,1 (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: a1ca v, (3 yr) (1 yr) City Tag # -ot *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.) VISA / MC # Signature Do Not Send Cash -by Mail TOTAL ENCLOSED $ Expires Security Code: If you have questions, please contact City Hall at (402) 426-4191 or by Fax: (402) 426-4195 ++++++++++++++++++++..........++++++++++++++++++.....++.++++++++++++¢+++++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15/ate fee date notapplicable fornewpets/newre5idenfsJ 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/Wen residency. n CITY OF BLAIR - 202 LICENSE APL.ICA ON 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: mu=��Owner Address: P city/state/zip: Blair, NE 68008 Phone # HO `U 0_33-1-1 ***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. 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 � ET # 1 ® Dog ❑ Cat M Spayed/Neutered License Fee $ 100 Di�t Name i3e� 1 Birthdate] Iy-18 Sexe I� ** for 1?-ABC — T'n Breed** f`j6s RUSArta�— at eplacement $ t, eclared Dangerous or Potentially Dangerous Dog: ❑ Y ►� N I. ICROCHIP # q$ S 112 Uoq 21D 900 (If applicable) SUBTOTAL: $ U U BIES VACCINATION DATE: �-) 5 P I q (3 yr) �/ (1 yr) City Tag # 4"1 PET # 2 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Birthdate Sex P�'101�arrecl ame Breed** Replacement$ecDangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate Sex ** Color Breed** Replacement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ r RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not Send Cash by Mail TOTAL ENCLOSED $ t I . 0 0 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 newpetylnewresidents) Newly Acquired Pets• New Residents to Blair: ■ Must be licensed within 10 days of ownership ■ Must register pets within 10 days of ■ <OR> at 6 months of age if puppy/ldtten residency. CERTIFICATE OF VACCINATION] VETERINARY CLINIC Holstein Vet Clinic 718 South 19th Street Blair, NE 68008 402-426-7387 Certificate No: 0 Previous Rabies Vaccinafiori- OWNER OF ANIMAL Connie Kephart PO Box 663 Blair, NE 68008 County: This is to certify... THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BEI-OthV. T7- *IATIENT: Bella SPECIES: Canine SEX: S Color and markings... Tri Coll Signed Krista Holstein , DVM Due Date / Vaccinations TAG NO: 17178 WEIGHT: 12,50 AGE: 13 months License. 3612 08-14-20 Bronchi Shield - Oral Bordetel 08-14-20 Vangard Plus 5 L4 08-14-22 Denfensor 3 (3 Year Rabies) Rabies Vaccine Information... MFG BY: ZOETI SER.NO.- 328008 LOT EXP: 07-07-20 ADM: SO i , /% n,-, , - -J n , /1; 1, , J-70 -- 7-07,0 CITY 0 GF BLAIR - 2022VP LICENSE APPLICATIO If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair ® 218 S 16th St e Blair, NE 65008 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. A'-1 LICENSE RENEWALS ARE DUE: March 15, 2022 Owner Name: 'Si Owner Address: city/State/zip: Blair, NE 6800 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 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: $15.00 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 Dog ❑ Cat UA Spayed/Neutered License Fee $ Pet Name f la5t, Birthdate °t? i, 8 Sex p' I Breed" �� i01, — Replacement clared Dangerous or Potential) Dangerous Dog: ❑ Y ® N MICROCHIP # i 1.� "' 1 s �L (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: ib l f _- _ (3 yr) k (1 yr) City Tag #-�_u PET # 2 ❑ Dog W Cat O(Spayed/Neutered License Fee $ 1 J� ,Pet Name fist/ _ Birthdate n-ry- `f Sex (� Color ice. I �i Breed** -� �, �ip Replacement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y 51 N MICROCHIP #'' (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE:/ _ (3 yr) (1 yr) City Tag # jj PE #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet N me Birthdate Sex License Fee $ Color Breed** ReplacemenIWA t $ Declar Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICRO HIP # (If applicable) SUBTOTAL: $ Y� RAB ES ACCINATION DATE: (3 yr) (i yr) City Tag # \' Uhis CL DE THE CITY TAG NUMBER IF THIS IS A RENEWAL fee i 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 ++++++++++++++k+++......+++++++++++......++++.... r+++++.....++++++.....+++•a+.. NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15late fee date not applicable fornewpets/new residents) Newly Acquired Pets: New Residents to Blair: ® Must be licensed within 10 days of ownership R Must register pets within 10 days of <OR> at 6 months of age if puppy/kitten residency. Jan 2122 08;26a p,1 Thane Animal Ho (402) 426-36 902 S Hwy 8 Blair, NE 6800 CITY OF BLAIR - 2021 PET LICENSE APPLICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete this farm 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: Owner Address: 3 city/state/zip: Blair, NE 68008 C Phone # 1 % � S�j 0'q p 3 LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS, Failure to do so Is a violation of City ordinances6.103 and carries a Penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 311512021. 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 Identiffcation other than that Issued by the Clty of Blair for su:h dog or cat. The City of Blair requires proof of rablesvaccination. Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET #1 ❑ Do gg ❑ Cat 'i4 Spayed/Neutered License Fee $(� Pet Name_I'm C V Birt date D • - 'tcA Sex M Color ` N,\L Breed** _ 10,b I (,\1t Replacement$ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y 51 N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE; V \t5 •'Z\ (3 yr) (1 yr) City Tag # � PET #2 Dog ❑ Cat ❑ Spayed/Neutered License Fee $ _l Ll .06 Pet Name Birthdate 1D•� Sex Color Breed** tarp Replacement$_ Declared Dangerous or Potentially Dangerous Dog: ❑ Y t, N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: '1D=2 ,7 (3 yr) (1 yr) City Tag PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed** Replacements$ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL,: $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag i# I < ' r +vc L1'V-LVUC I nI: "I T I AL+ IVUMMK iF TKIS 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 +++++++++++++++++.++f+++++++++.....4...................... 4..++++++.....+++t++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (Marh15lateiLed3lenot Nolicat,e fcrnewp&lnewrtvb(a7&) NeWlyAcquilred Pets: New Residents to Blair• ■ MLst be liic l Wthn 10 days of o4vrl rAp ■ Must register pets Within 10 days of ■ <OR> at 6 months of age if puppy/idtten „esideryy. 03/22/2022 16:25 4024260101 HOLSTEIN VET CLINIC PAGE 01/01 i 2022 PET LICENSE vFRrFtCOTION/APPLICATION FOR CITX OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOGS) AND /OR CAI (S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO: C'ITY OF BLAIR — 2118 S. 16TH ST — BLAIRO NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF POUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL. OR DWELLING UNIT. ***PLEASE READ CAROULLY* YOU ARE �EOUIRED BY LAW TO LICENSE YQUR PETS. THE CITY OF BLAIR REQUIRES PRQOF OF RABIES VAC' INATIO� Failure to do so Is a violation of City Ordinances 6.103 and cattries 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, or cat. It shall be unlawful for any dog or cat to wear any license or other city ID ether than that issued by he City of Blair for such dog NEW PET LICENSING Must be licensed within 10 days of ownership i(OR) at 6 months of age if puppy or kitten NEW RESIDENTS TO BLAIR Must register pets within 10 days of residency Owner Name Zachary $L Meka Kick Spouse Meka Owner Address 2262 Jackson St City/State/Zip lair, NE 68008 I Phone # j 402-707-7680 - B Pet Name: Buddy Age: IllySex: Neutered Male DOB:-11.23.10 Breed: Lab Microchip # PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RABIES VACCINATION DONE 4N 103-22-22 Rabies Description: `—/ 1 YEAR Color; I Chocolate Rabies 'Tag # 20191 (IF AVPIILABLE): # 3 YEAR Holstein Veterinary Clinic Dr, Lisa Schrum DVM : Dr. Krista H0/5tein OVM 718 South 1911 Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinic@grnail-COm LICENSE F-S Intact Dog or Ca - .00 /tered Do or Cat: $11 Replacement Tay $5.00 l `•b16• Total $. PETS THAT ARE ON THE ACTIVE POTENTIALLY QANGEROUS OR DAIVGEROU5 D G LIST NEf TO REGISTER DIRE LY AT CITYIH ALL<• FAXED 103-22-22 M 03/11/2022 17:23 4024260101 HOLSTEIN VET CLINIC PAGE 01/06 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, PUT NO MORI; 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 QF 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 3115/2022. The city shall recognize a microchip 11) number as the license number, It shall be unlawful for any dog or cat to wear any license or other clay 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 Molli Kies Spouse Owner Address 1160 Highland Drive City/State/Zip Blair, NE 68008 Phone # 402- Name: Roxi Age: 4Y DOB: 04-28-17 Broad: Heeler Sex: Spayed Female I Color, Red Microchip # 985112007971453 I Rabies Tag # 19596 PLEASE INCLUDE CITY TAG NUMBER IF THIS -IS A RENEWAL (IF AVAILABLE): # RABIES VACCINATION DONE ON 1 11-03-21 Rabies Description: ( 1 YEAR ) - 3 YEAR Holstein Veterinary Clinic Dr Lisa Schrum DVM : Dr. Krista Ho/stein DVM 718 South 191h Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinic@gmail.com LICENSE FEES Intact Dog or Cat: $16.00 Dog or cat: $11.00 Replacement Tag • $5.00 Total $ PETS THAT ARE ON THE ACTIVE POTENTIALLY DANGEROUS OR DANGEROUS D06 LIST NEED TO REGISTER DIREGTLYAT CITY (j FAXED 03-11-22 BY rni�ryl�p�:!;11�gi}"d::,.1'^l zh�i;;, �y(•.i.�,' �',' �I�yrl�` ;IS•S' �'��)`Si�x i�;�f�•9�`��! �� °��''�,".I;i6� �i�i�..� ::d„�yi>si::,,,:�i��•,,;.,.,:.��'��:;;,;�tis��h�!.;��::.:::�,hr��,'�c��;:1 �,'�a's � F,��l':�f�r�.:.,..,..�s 03/11/2022 17:23 4024260101 HOLSTEIN VET CLINIC PAGE 2022 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF BLAIR Ir YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(5) 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 OP 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 AR. REQUIRED ILY LAW TOM NSE YOUR PETS. THE CITY QF 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 Molli Kies Spouse Owner Address 1160 Highland Drive City/State/Zip Blair, NE 68008 Phone # 402 �pf o Pat Name: Sugar Age: BY I Sex: Female DOB: 02-08-13 Breed: Lab Color: Yellow Microchip # I Babies Tag # 19332 PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE): # RABIES VACCINATION DONE ON 1 07-15.21 Robles Description: l Ty Holstein Veterinary Clinic Dr. Lisa Schrum DVM ; Dr. Krista Holstein DVM 718 South 19t" Street•Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinic@gmail.com LIGME FEES Intact Dog or, Cat: $16,00 Aher 'd og or cat: $11.00 Replacement Tag $5.00 Total $ PETS THAT AIjF ONTHE ACTNE POTENI7ALLV DANGF/j0U5 OR DANGEROUS QOG LIST NEED TO REGISTER DIRECTLY A7 CITY HALL. FAXED 03-11-22 BY ��a,,.a,;RI•I'lo,.,�.::�.,;1•,,i��;•R�•I'n��I��:S:�I';Y::�:: G,IL.�_�4•ISii�,l'�Y'st:G�: �. ��•A. �, :'�••..�.�`�.; ii;•. .;i nP" i.l:nf,,, :;t,,•., n}.7',,1,'`y''eiu.i�i'i aid; 'A:<: �i yepa �`:!rl',i��C- >'��,; �I`�ti., oiP�;�p•","f'„••a;,,,•,:"r, .•' ,,,..°.•,., .. ...1 .,,: •��,n>�'.I e: te,:.,,r.:: ,tt!.,•: •I,S I'a �4�:•.a., 01/19/2022 14:08 4024260101 HOLSTEIN VET CLINIC PAGE 02/02 2022 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF BI-AIR IF YOU LIVE IN113LAIR CITY LIMITS AND OWN A DOG($) AND /OR CAT(S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF GLAIR — 218 S. 16TH ST — BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ACIULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. i i ***PLEASE READ CAREFULLY*** YOU RE RE VIREO BY LAW TO LICEN E YOU PETS. THE ITY OF B IR -REQUIRES PRp F OF RABIES VAC (NATION. Failure to do so is a Violation of City Ordinances 6,103 and carries a penalty of a fine up to $150.00 per pet. !PET LICENSE RENEWALS ARE DUE BY 3115 20Z2- The city shalljrecognize a microchip I0• number as the license number. It shall be unlawful for any dog or cat to wear any license or other city ID other than that Issued by the City of olrlk kitten or such dog or cat. NEW PET LICENSING Must be licensed Nkithin 10 days of ownership (OR) at 6 months of age if puppy NEW RESIDENTS TO BLAIR Must register pets within 10 days of residency i Owner Name Lance King k Spouse Owner Address 276 N. 23rd Street City/$fate/tip Glair, NE 68008 402-237.0420 'Ohone # Pet Name: Penny Age: 6Y DOB:—02-17-15 Breed: Boxer X Sex: Spayed Female i color: Sable Microchip # 982000365652435 Rabies Tag # 17664 PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE): # RABIES VACCINATION DONE ON 101-31-20 Rabies Description: 1 YEAR i I i Holstein Veterinary clinic Dr. Lisa Schrum DVM : Dr. Krists Holstein DVM 718 South 19'h Street Blair, NE 68008 402-426-7387 402-4216-0101 Fax holsteinclinic@gmail,COM 9MOU LICENSE FEE. /ntact Dog or Cat: $16.00 Dog br dat: $11- lY Replacement Tag $5.00 Total P TS THAY RE ON T CTIVt: POTENTIAL DANG OUS OR DANGEROUS DO.._ IST NE€P TO RC ISTG ER DIRECTLYA"rCITY HALL, ■ ■ 01/19/2022 14:08 4024260101 HOLSTEIN VET CLINIC PAGE 01/02 ■ 2022 PET LICENSE ■■ VERIFICATION/APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMIT'S AND OWN A DOG(S) AND /OR CAT(S), COMPLETE!THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OP Bl 'AIR — 218 S. 16T" ST — BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT - ***PLEASE READ CAREFULLY*** 11[G ftG Vinci v � rryr♦ ........-..-� --- - _ . _ _ ._ Failure to do so is a vlolatid,n of CitV ordinance9 6.103 and 0reles a penalty of a fine up to $150.00 per pet. The city shallrecognize 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 Ilcensed 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, Betty Age: 10Y Sex: DOB: 11-29-11 Breed: Retriever, Golden Nlicrochip # PLEASE INCLUDE CITY TAG RABIES VACCINATION DONE ON Rabies Description: 7 Lance King 276 N. 23rd Street Blair, NE 68008 402-237-0420 1Q j Female Color:. Gold Rabies Tag # 16896 THIS IS A RENEWA 704-22-_19' (IF AVAILABLE); # 3 YEAR Holstein Veterinary Clinic Dr. Lisa Schrum DVM : Dr. Kltsta Holstein DVM 718 South 191" Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinic@gnail.com LIDENSE FF. Intact Dog or Cat: $16.00 to e Dog r G V $ 1.00 Rep/ac ag $5.00 0 Total $_ PET THAT ARE N THEACTIV POTENT I LY DAN6EROUS OR DANrEROUB DOG LIST NEED T. REGISTE DIRECTLYAT CITY HALL. 022 r mLICENSE 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 6t e Blair, NE 68008 You may legally own a combination of four (A) 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: ,�r6 i rlC� i ..i Owner Address: �7 d fl I to Ke� o \/ V i r° k k city/state/zip: Blair, NE 68008 Phone # q o �-� - — S 11 LICENSE FEES: Dog or Cat: $16.00 Altered Do or Cat• $11 00 ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 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. 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 a Cat La Spayed/Neutered License Fee $ � v� Pet Name(A); , L4-r Birthdate q--: a O Sex KNUS e— Color 0.6Breed** jJ2 Replacement $ ** Declared Da gerous or Potentially Dangerous Dog: ❑ Y ❑ N SUBTOTAL:$ MICROCHIP # C�3 T:� ` (If applicable) RABIES VACCINATION DATE: of�-J'4 -IS (3 yr) 2� (1 yr) City Tag PET #2 ❑ Dog 0 Cat ® Spayed/Neutered License Fee $ Pet Name &.1,1n Birthdate 3= a 4 Sex j, — Color I�� Breed** Replacement $** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # 9fl 0' bi2`3�a L(yoozy 291 (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: �T -) (3 yr) (1 yr) X 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 ENCLOSE® - If you have questions, please contact Blair Police Department at (402) 426-4747 .............. +. +++++++++...... ++. ++..... ++.. ++... +. +.................. .... + + NEW PET/NEW RESIDENT LICENSING REQUIREMIENTS (March 15/ate Fee date rlotappllcable lbrnewpet5/newre5ldents) Newly Acquired Pets: New Residents to Blair: ® Must be lio nsed within 10 days of ownership m Must register pets within 10 days of ® <OR> at 6 months of age if puppy/kitten residency. v UNFAreffiffm Thone Animal Hospital 902 S Hwy 30 Blair, NE 68008 402-426-3630 Printed: 07-20-19 at 9:44a FOR: Margret Kingrey Date: 07-20-19 2264 Hickory Cir Account: 8149 Blair, NE 68008 Invoice: 86992 (402) 533-8311 Date For Oty Description Net Price 07-17-19 Wilber 1 Effipro Feline 12.60 07-20-19 3 Board Medium Cage* 48.75 07-20-19 Visa payment -64.66 Merchant ID: 4445046763017, Approval code: 01765C, Transaction ID: 1857289170 Ref #: 6136, Act #: ************1166, Exp: XX/XX, Entry: Contacticc, Card: VISA Your card balance is not available I AGREE TO PAY ABOVE TOTAL AMOUNT ACCORDING TO CARD ISSUER AGREEMENT X Old balance Charges Tax Payments New balance 0.00 61.25 *3.41 64.66 0.00 Reminders for: Wilber Last done 05-13-22 Rabies Vaccination (3 Year) 05-14-19 05-13-20 Fe 4Way (Rhino/Call/Pant/Chla 05-14-19 You Can Order Your Pet Supplies On animalcareofblair.com. Like us on Facebookl I I CERTIFICATE OF VACCINATION Date of Rabies Vaccination: 07-24-21 Certificate No: 2874 Next Rabies Vaccination On: 07-24-22 Previous Rabies Vaccination: VETERINARY CLINIC OWNER OF ANIMAL Thone Animal Hospital Margret Kingrey 902 S Hwy 30 2264 Hickory Cir 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: Bella TAG NO: 006958 SPECIES: Feline WEIGHT: 7.75 SEX: S AGE: 16 months Color and markings... White/Blac Signed Dr. Donna Mertz License: Vaccinations done... 07-24-21 DM Rabies Vaccination (1 Year), #006958 Rabies Vaccine Information... MFG BY: ZOETI SER.NO: 470342 LOT EXP: 5-10-22 ADM: SQ AR 1&(�NS' T'ION CITY OF BLIPET L � Aeto If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to. City of Blair * 218 S 16th St e Blair, NE 68008 t, ogs You may legally own a combination.of,four (4) adult pets, but no more than three (3).adul d or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2022 Owner Name: Owner Address: V City/State/Zip: Blair, NE 68008 Phone # Q 0a.- L42 LICENSE FEES: Dog or Cat: $16.00 Al+=p*&j nn nrrat: 'k1l 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. fteplacen, ent Fee foi- Lost T ag. $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program L1Do g ',at Spayed/Neutered M License Fee $ — et,!Na e e 6 Birthdate 1 Sex Sliloe Bre d** T4L\73- Replacement$ $I -TV )lar d Dangerous or Potentially Dangerous Dog: J Y P�N CHIP 9Z\( (If a ble) SUBTOTAL: go( q% Ll (D 5 -1; 1 INCR $ CH P # S V C( City -RON DATE: -7 If 8 yr) CBI S VACCINA V (n(3yr Tag PE�k#2 LJ Dog 4 Cat !payed/Neutered License Fee $ Pet me Birthdate OS-)- Sex --"—Replacement $ 'Color Co Breed" ,'-De red Dangerous or Potentially Dangerous Dog: LJ Y N MICROCHIP # 53102(If ,,a4ppli ble) SUBTOTAL:$ RABIES VACCINATION DATE: .12 - 19 -1(1 yr) -- City Tag ,-C 10-dv 142av->r PET #3 Dog 0 Cat Spayed/Neutered "License Fee $ Pet Name 70"V-N K Birthdate �S -,a0a1i Sex Color 3) l g \,d C Breed** �-t.2 - — ,- �"I Replacemen t$ Declared Dangerous or Potentially Dangerous D-bg: El Y 'KN SUBTOTAL:$ MICROCHIP # -:1 (If applicable) RABIES VACCINATION DATE: 00Le (3 yr) ;WCity 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.) L4 0, 0 i�) Do Not Send Cash by Mail TOTAL ENCLOSED $ L If you have questions, please contact Blair Police Department at (402) 426-4747 .............................................................................. h cab e pe& e NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (Marc 151ate fee date notappll le forn w In w residents) Newly Agguired Pets: New Residents to Blair: N Must be licensed within 10 days of ownership m Must register pets within 10 days of In <OR5 at 6 months of age if puppy/kitten residency. -116 6\ �C awe SoA-va a, 6e- D(-\j (Z- covi� - CITY OF LAIR �2�2) PET L SIAP Lil N .r 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 Blain * 218 S 16th St o Blair, NE 68008 k 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 RENEWAL ARE. DUE:March 15. 2022 Owner Name: % } Owner Address: � e 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 3/15/2022. The City shall recognize a microchip Identification number as the license number. It shall be unlawful for any dog or cat to wear any license or other city Identification other than that Issued by the City of Blair for such dog or cat. The City of Blair requires proof of rabies vaccination. Replacement Fee for Lost Tag: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET # 1 „ Q) Dog ❑ Cat Spa�eclg,,�ut red License Fee $ ..__. .. Pet Name 11 fir- Birthdate,/ ex Cool r h, Breed**__� z _Replacement $ I ; ' e ared Dangerous or Potentially Dangerous Dog: Y ROCHIP # (If applicable) SUBTOTAL: $ ,n�—a * , df jRA IES VACCINATION DATE: i°'-� (3 yr) --- (]. yr) City Tag #y i t E #2 Dog ❑ Cat Spayed/Neutered License Fee $� Pet Name_ d�' �c Birthdate I�`" Sex Col r � � Breed** T Replacement$ �** v- De dared Dangerous or Potentially Dangerous Dog: ❑ Y l N 7 M .ROCHIP # �°,`'L 1e e (If applicable) SUBTOTAL: $ � BIES VACCINATION DATE: ,i (3 yr) _ (i yr) City Tag # aL`' 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) .__ 1W (1, yr) License Fee $ Replacement $ ''PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) 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 fornewpets/new)-esidents) Newly Acquired Pets: New Residents to Blair: ® Must be licensed within 10 days of ownership m Must register pets within 10 days of • <OR> at 6 months of age if puppy/kitten residency. TRTIVICATF OF VACCINATION Date of Rabies Vaccination: 07-14-21 Next Rabies Vaccination On: 07-13-24 VETERINARY CLINIC Thane Animal Hospital 902 S Hwy 30 Blair, NE 68008 402-426-3630 This is to certify... -1110.1112"id 011? 11 I I i I . A Certificate No: 0 Previous Rabies Vaccination: OWNER OF ANIMAL Annie Kirby 2046 Colfax St Blair, NE 68008 County: PATIENT: Kirby TAG NO: 006916 SPECIES: Canine WEIGHT: 0.00 SEX: S AGE: 2 years ymn- Signed Dr. Kamala Freeman mmgqfl��M 07-14-21 KF Rabies Vaccination (3 Year), #006916 07-13-24 07-14-21 KF Bordetella Oral 07-14-22 07-14-21 KF DA2PPV+L 07-14-22 MFG BY: ZOETI SE .NO: 440592 LOT EXP: 12-28-21 ADM: SQ OF GLAIR - 2022 PET LICENSE APPLICATION de payable to: If you live in Bla�Yty limits and own a dog(s) and/or cat(s), complete this form and return with the P Y City of Blair • 218 S 16th St • Blair, NE 68008 . You may legally own,,a combinatidn 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 owner Name, L-5 n Owner Address: 7119 city/state/zip: Blair, NE 68008 Phone # (" 0 ***PLEASE READ CAREFULLY*** YOU ARE RrQu1RED BY LAW TO LICENSE YOUR PETS. Failure to do $o Is a violation of city ordinances 6.103 and ca►ri4s a penalty of a tine up to $130.00 per pet. PET LICENSES RENEWALS ARE DUE BY 31151Z0221 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 Slaw requires proof of rabies vaccination. LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11.00— _ _ Replacement-Fere-%rL*st Tag: -$5.00 - do program Induded is a Skate Fee of $1.25 being eollecbed to fund the Nebradm Dog & Cat Operator YrrspecO pET #1 E(D o g ❑ Cat 'Spayed/Neutered License Fee $ A Pet Name Birthda*e aa-a�N.oSex Replacement $ _�** Color Breed R« � Declared Dangerous or Potentially Dangerous Dog: ❑ Y SUBTOTAL: $ k\ "c MICROCHIP # (Zf applicable) 3 r 1 r _ City Tag # RABIES VACCINATION DATE: LAA1 a - ( Y) - — ( Y )*V ❑ Cat Q Spayed/Neutered License Fee $ PET' #2 ❑Dog Birthdate Pet Name_ Breed** —Sex Replacements Color Declared Dangerous or Potentially Dangerous Dog' ') 0 N SUBTOTAL: $ MICROCHIP # flr City Tag # RABIES VACCINATION DATE: (3 yr) -- ( y ) ❑ Cat ❑ Spayed/Neutered License Fee $ _ rpertName 3 Ca Dog Birthdate — Breed** ex Replacement$ .�** Declared Dangerous or Potentially Dangerous Dog: CI Y Q N SUBTOTAL: $ MICROCHIP # (If applicable) City Tag # RABIES VACCINATION DATE: (3 yr) — (1 yr) *PLEASE INCLUDE THE CCIY TAG NUMBER IF TNIS IS A RENEWAL ** (This fee Is due along with License Fee if requesting at the time of license renewal.) Da Not Send Cash by Mail TOTAL ENCLOSED $ If you have questions, please contact Blair Police Department at (402) 426-4747 .1..+.1. *.+++*.....+++* *.....................++i• * t........4 ....................... Mardi 15/ale ice date not applicable fornewP&lnew A%1416ntV NEW PET/NEW RESIDENT LXCENS,ING REQUIREMt:NTS , o�.;ae..k to Pclair• ■ Must Q be Ii l 1in 10 � of ownerStllP ■ Must rEg►5ter pets within to days of residency. ■ <OR> at 6 months of age If pupPY/n 14� mom 01/19/2022 11:57 4024260101 HOLSTEIN VET CLINIC PAGE 01/02 VERIFIC,ATIO IF YOU LIVE it CITY OF I YOU MAY BUT NO MORE THAN THREE (3) 2022 PET LICENSE 4/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 . 16TH ST — B LAI R, NE 68008 GALLY OWN A COMBINATION OP FOUR (4) ADULT PETS, )ULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT, ***PLEASE READ CAREFULLY*** Failure to do so is a violation of City Ordinances 6.103 and terries a penalty of a fine up to $150.00 per pet. PET UGENSE RENEWALS ARE ouE BY 3 15 2022. The city shall!1 recognize a microchip ID number as the license number. It shall be unlawful for any dog or cat to wgar 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 regist�r pets within 10 days of residency Owner Name i Dan Kloster Spouse I Deanna M--� Owner Address i 1930 Washington St City/State/Zip Blair, NE 68008 402-533-4042 Phone # I Pet Name; Mitzi v LICEN _ EB 1"EES Age: 10Y Sex: Spay) d Female Color: Brown Intact DOB:-•02-15-11 Dog or Cat: $16.00 Breed: Shih Tzu I ere Do or cat: $11.00 Microchip # Rabies Tag # 20046 PLEASE INCLUDE CITY TAG NUMBER ICI THIS IS A RENEWAL (IF AVAILABLE): # R9pIg ag $5.00 RABIES VACCINATION DONE ON I 01.19-22 l Total $ Rabies Description: 1 Y I i Holstein Veterinary Clinic Dr, Lisa Schrum DVM : Dr. Kriste Holstein DVM 718 South 191h Street Bl�ir, NE 68008 - 402-426-7387 402-426 0101 Fax holsteinclinic@grliail.com YEAR DANGEROUS DOG I_IST NEED TO RT R OI EGI RECTLi T CITY HALL, FAXED 01-19-22 SY .e'rn J r'+p� ,,y , .,p •nryi;1� e3sj hu Stu 01/19/2022 11:57 4024260101 HOLSTEIN VET CLINIC PAGE 02/02 2022 PET LICENSE VERIFICATIOWAPPLICATION FOR CITY OF BLAIR IF YOU LIVE IM AIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT(S), COMPLETS FORM AND RETURN WITH A CHECK PAYABLE T0= CITY OF BIZ — 218 S. 16T" ST — BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. ***PLEASE DEAD CAREFULLY*** yqyAKC NC 4Incu 01 Failure to do so is a Vlolati in 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,m'ttrochip ID number as the license number. It shall be unlawful for any dog or cat to WE ar any license or other city ID other than that issued by the City of of it for such dog or cat. NEW PET LICENSING Must be licensed within 10 days of ownership (OR) at 6 months of age if puppy NEW RESIDENTS TO BLAIR Must registeir pets within 10 days of residency Owner Name .DzIn Kloster Spouse i Deanna Owner Address i 1930 Washington St , City/State/Zip i Blair, NE 68008 ' 402-533-4042 Phone # I Pet Name: Charlie �`� / t_ICFNSE FEES Age: 11Y Sex: Neutered ale Color: White Intact' DOB: 10-21.10 ' Dog or Cat: *16.00 Breed: Makipoo I A( ®red . i og or cat: $11.00 Microchip # Rabies Tag # 18440 Rep/acement Tag ' CITY TAG NUMBER IF THIS IS A RFNEWAL (IF AVAILABLE): # • PLEASE INCLUDE $5.00 RABIES VACCINATION DONE ON 12-17-20 " \.Total $_ Rabies Description: 1 YEAR EAR Holstein Veterinary Clinic pr. Lisa Schrum DVM : Dr. Kr%Mla Holstein DVM 718 South 19t" Street Blair, NE 68008 402-426-7387 402-42'6-0101 Fax hoisteinclinic@gmail.cam 03/10/2022 14:54 4024260101 HOLSTEIN VET CLINIC PAGE 01 2022 PET LICENSE BLAIR CATION/APPLICATION FOR CITY OF V ERIFI IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT(S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF BLAIR — 218 S, 16TH ST — BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. ***PLEASE READ CAREFULLY*** y U ARE RE UIRED BY LAW LIC Sh Y n rn - I � �- Failure to do so Is a violation of City Ordinances 6,103 and Carrie$ 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. ID other than that issued by the City for su It shall be unlawful for any dog or cat to wear any license or other city of Blair tten ch dog or cat. NEW PET LICENSING Must be licensed within 10 days of ownershlp (OR) at 6 months of age if puppy NEW RESIDENTS TO BLAIR Must register pets within 10 days of residency ':. Heath Kloster Owner NaMe Lynette Spouse Owner Address 2045 Jackson St ' ' City/State/tip ' `,81air, NE 68008 402-27M0061 Phone # r F7Cat: Pet Name: Fred Sex: Neutered Male Color: Yellow/Wht Age: 22M Dog DOB: 05-16.20- Breed: Basset Hound # Microchip # 985141003117020 Rabies Tag 19509 pep/acement Tag PLEASE INCLUDE CITY TAG NUMBf"R IF THIS 1S A RENEWAL (IF AVAILABLE). # $6,00 �� RABIES VACCINATION DONE ON 09-25-21 Total $Y— Rabies Description: 'I YEAR 3 YEAR PETS THAT ARE ON THE CTIVE POTENTIALLY DA GER US O DANGEROUS Devi LIST NEED TO REGISTE _ DIRE LCT YAT C17YHA L. Holstein Veterinary Clinic Dr, Lisa Schrum DVM . Dr. Krista Holstein p 718 South 19th Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinie gmail.com 03/10/2022 14:54 4024260101 HOLSTEIN VET CLINIC PAGE 02/02 2022 PET LICENSE OF BLAIR VERIFICATION/APPLICATION FOR CITY 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. 16r" 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**'" _ __ _- verl WaT10N. YOU ARE RE UIREp BY LAW TO Failure to do so is a violation of City Ordinances 6.1,03 and carries a penalty of a fine up to $150,00 per pet. PET LI ENSE RENEWALS RE DUE BY 3 15 2022. The city shall recognize a microchip ID number as the license nu that issued by he Gity of'elair for such dog or cat. It shall be unlawful for any dog or cat to wear any license or other city ID other than months of age if puppy or kitten NEW PET LICENSING Must be licensed within 10 days of ownership ( ) i NEW RESIDENTS TO BLAIR Must register pets within 10 days of residency —� Heath Kloster owner Name Lynette Spouse 2045 Jackson St owner Address Blair, NE 68008 City/State/Zip 402-278-0061 Phone �� Pet Name; Tilly Age: 10Y Sex: Spayed Female DOB: 08-04-11 Breed: Lab Microchip # PEASE INCLUDE CITY TAG NUMBER RABIES VACCINATION DONE ON Rabies Aescrlption: 1 YEAR Color: Chocolate Rabies Tag # 16834 "ARENEWAL (Ir A ILABLE): # 03.26-19 • 3 YEAR Holstein Veterinary Clinic M Dr, ,Lis,, Schrum DVM . Dr. Krista Holstein 718 South 191h Street Blair, NE 68008 402-426-7387 402-426-0101 Fax hoisteinclinicC 9mail .cam MGgRa F Intact Dog or Cat: $16,00 ' tered Dog o cat: $1 .00 Replacement rep $5.00 Total VETS T AT AREON THE ACTIVE P ENTI LLV D NGER US D DANGERO , S DOG. LIST NEED T REGISTER DI , ECTLY T CI HAL CI1Y OF BLAI v 20 2 P LI EIVE P A If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City Of Blair a 218 S 16th St ® Blair,, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three4(3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 1.50P 2022 ***PLEASE READ CAREFULLY*** Owner Name: ai YOU ARE REQUIRE® 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 $1S0.00 per pet. City/State/Zip' Blair® NE 68�10 }0$ PET LICENSES RENEWALS ARE DUE BY 3/15/2022. The City shall Phone # �� (�J 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 $1.2.6 being collected to fund the Nebraska Dog Fa Cat Operator inspection Program _ ET # 1 Q Dog ® Cat ,Spayed/Neutered License Fee $ 1 et` rame� BBreed to Sex�� Replacement' $ Colo ** G �j ; "fDeclar d Dang us Potentially Dangerous Dog: Il Y ® N o MICR HIP # (If applicable) SUBTOTAL: $ d . RABIE VACCINATION DATE:�L 3 yr) — (1 yr) _ City Tag Dog ®Cat Spayed/Neutered License Fee $ 11 ` r �e Birthdate �r�S�ex o Breed** —,�!-� Replacement$ _ ** Declar d Dangerous or Potentially Dangerous Dog. ❑ Y Ll N MICR HIP # (If applicable) SUBTOTAL: $ RABIF VACCINATION DATE: (3 yr) _ (1 yr) City Tag PET #3 LI Dog O Cat ® Spayed/Neutered License Fee $ Pet Name Birthdate _ Sex Re lacement Color Breed** p $ --- Declared Dangerous or Potentially Dangerous Dag: ® Y LJ N MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) SUBTOTAL: $ (1 yr) ' —City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) TOTAL ENCLOSED $ 2_`q) 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 15/ate fee date not applicable fornewpets/newre5ldents) Newly Apguired Pets: New Residents to Blair: • Must be licensed within 10 days of ownership w Must register pets within 10 days of. • <OR> at 6 months of age if puppy/kitten residency. Rabies Vaccination Certificate Jack Knight Owner 64 0 0 D U ICE �-1 VETERINARY CLINIC Goodrich Veterinary Clinic 14120 S St, Omaha NE (402)896-4511 1 lnfo@goodrichveterinary.com http://goodrichveterinary.com/ NAME Merissa Knight STREET ADDRESS 102 Riverview Dr STATE ZIP CODE PHONE NUMBER CITY Blair NE 68008 (712) 249-0565 Patient I NAME SPECIES GENDER Jack Canine Neutered male AGE MICROCHIP BREED Schnauzer - Miniature 4 years N/A COLOR MARKINGS/TATTOO WEIGHT Salt And Pepper N/A i 24.2 lbs RABIES TAG NUMBER RABIES TAG EXPIRATION ANIMAL CONTROL LICENSE 521197 10/09/2024 N/A Rabies vaccine information VACCINE NAME DOSE TYPE DATE GIVEN EXPIRES Rabies Vaccination I rabies 3 yr j Booster dose 10/09/2021 N/A MANUFACTURED BY DELIVERY METHOD VACCINE TYPE Nobivac Subcutaneous (SQ) inactivated/Killed SERIAL NUMBER LOT NUMBER LOT EXPIRATION DATE N/A 518859 12/20/2022 IAMOUNT LOCATION COUNTY 1 1 ml- RF limb Douglas Administering veterinarian information LICENSE NAME N/A Sarah Mongan Rabies Vaccination Certificate Miss Daisy Knight Owner GOODWIPCH VETERINARY CLINIC Goodrich Veterinary Clinic 14120 S St, Omaha NE (402)896-4511 1 lnfo@goodrichveterinary.com http://goodrIchveterInary,com/ NAME Merissa Knight STREET ADDRESS 102 Riverview Dr CITY STATE ZIP CODE PHONE NUMBER Blair NE 68008 (712) 249-0565 Patient NAME I SPECIES IGENDER Miss Daisy Canine I Spayed Female BREED AGE MICROCHIP Yorkshire Terrier 3 years N/A COLOR MARKINGS/TATTOO WEIGHT N/A N/A i 3A lbs RABIES TAG NUMBER RABIESTAG EXPIRATION ANIMAL CONTROL LICENSE 521196 10/09/2024 N/A VACCINE NAME i DOSE TYPE DATE GIVEN IEXPIRES Rabies Vaccination rabies 3yr Booster dose 10/09/2021 I N/A MANUFACTURED BY DELIVERY METHOD i VACCINE TYPE Nobivac Subcutaneous (SQ) Inactivated/Killed SERIAL NUMBER LOT NUMBER LOT EXPIRATION DATE N/A 518859 k 12/20/2022 AMOUNT LOCATION COUNTY 1 ml- RF limb Douglas Administering veterinarian information NAME LICENSE Sarah Mongan N/A 1 V C r - 4�3 �l CITY OF B I ® 22 PET I ENSE 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 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 RENEW LS A E DUE: March iSL 2022 ***PLEASE READ CAREFULLY*** Owner Name: YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. r Owner Address' Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. City/State/zip: Blair, NE 68008 r PET LICENSES RENEWALS ARE DUE BY 3/15/2022. The City shall Phone # 1 l .I 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 Tog: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program T 1� o g ❑ Cat 4 Spayed/Neutered ,t Name Birthdate Sex — )lor Breed** �clared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N ICROCHIP # (If applicable)/ %BIES VACCINATIONrDATE: (3 yr) T# 2 ❑ D o g❑ `Cat ❑ Spayed/Neutered Name Birthdate Sex it Breed** fared Dangerous or Potentially Dangerous Dog: ❑ Y ROCHIP # (If applicable) DIES VACCINATION DATE: (3 yr) W License Fee $ Replacement $ SUBTOTAL: $ License Fee $ Replacement $ SUBTOTAL: $ — (I yr) City Tag # T #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdte Sex Replacement ** Color Breed**p $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: — _ (3 yr) . (I. yr) City Tag # *PLEASE INCLUDE THE CITY 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 Ma;, TOTAL ENCLOSED ® IL 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/newlesldents) Newer Acquired Pets, New Residents to Blair: is Must be lioensed within 10 days of ownership in Must register pets within 10 days of is <OR> at 6 months of age if puppy/Idtten residency. All Reminders Omaha Animal Medical Group Paul Kolb 823 N 25th Ave Blair, NE 68008 Ace. No: 12092 Phone 1: (402) 533-3253 Phone 2: None Reminders for Raiya SSCHEWG Sentinel Spectrum Chew 8-25# SSCHEWG Sentinel Spectrum Chew 8-25# SAPE Senior Bi-Annual Physical Exam SENR Senior Wellness Appt Reminder RABV3 Rabies 3 Year 1040 Distemper (DA2P) BOOSTER 3yr 5250 FECAL EXAMINATION (FLOTATION) 5300 HEARTWORM TEST ELISA 1010 Bordetella BOOSTER 1260 Parvovirus BOOSTER 1020 CORONA BOOSTER (3 YEAR) \V[,'2 Annual Wellness Exam II w250 FECAL EXAMINATION (FLOTAT'ION) 9012 Dental Cleaning As of: 02/10/2022 Due Date 02/18/2022 08/09/2022 07/30/2022 07/30/2022 02/13/2023 02/13/2023 02/10/2023 02/10/2023 02/10/2023 02/10/2023 Overdue 03/03/2017 Overdue 03/04r2015 Overdue 03/05/2019 Ovc:rdrre 04/20/2021 Page 1/1 Mar 30 22 02:51 p p,1 Thone Animal Hospital (402) 426-3630 902 S Hwy 30 Blair, NE 68008 Z0LZ. CITY OF BLAIR - 2132 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, 2Q21 Owner Name: �Cll�d�\i Owner Address: A E7\'7 ii. city/state0p: Blair, NE 68008 Phoned 4 "L I GI Lu ' 1 S'N LICENSE FEES: Dog or Cat: $16.00 Altered Dag or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 ***PLEASE MD CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure bo do so is 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 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. Induded is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET #3 ❑ Dog 'A Cat ASpayed/Neutered License Fee $ Pet Name -�CW Birthdate Sex Color Breed** C )5'r1 Replacement $ ** Declared Dang roes or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # '"" (If applicable) SUBTOTAL: $ t RABIES VACCINATION DATE: 2.1 (3 yr) _ (1 yr) City Tag # i PET #2 0 Dog ❑ Cat 14 Spayed/Neutered License Fee $ Pet Name KSrY(a Birthdate tt , tSex LYY'_.\e Color �%7), r 7 Breed** r-xh I C c \�� Replacement$ ** Declared Dangerous or Potentially Dangerous Dog: ID Y 4 N MICROCHIP # (If applicable) SUBTOTAL: $ \1 Ly RAPIES VACCINATION DATE; 'Zto Ll (3 yr) _ (1 yr) City Tag PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee$ Pet Name Birthdate Sex Color Breed** Replacement$ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE; (3 yr) (1 yr) City Tag # *PLEASE INCLUDE THE CnY TAG NUMBER IF THIS IS A RENEWAL ** ('this fee is due along with License Fee if requesting at the time of license renewal.) Do Nor Send Cash by Mail TOTAL ENCLOSED $ 2-2.yb If you have questions, please contact Blair Police Department at (402) 426-4747 ....++k+++........ .............-P.......++++++. t+++++............+.f +++++....+ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15/ate fee dale not go da5lefa•newpe,&1mw/es1cLf7C5) Newly Acquired Pets: New Residents to Blair. ■ Mist be llc eC a vlttin 1D Cays vrw4=-5hlp ■ Must register pets within 10 days of ■ <OR> at 6 months of age if puppy/ldttan residexy. 0/04/2022 10:28AM FAX 4025332723 BLAIR SMALL ANIMAL 20001/0001 CITY OF GLAIR - 2022 PET LICENSE APPLICATION -3 If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable o, 'm I 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„(S).adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2022 Owner Name: , 4 L� k1, � o� Owner Address; /y 3I <fo L r—aX 5 r city/state,/zlp: Blair, NE/ 68008 Phone 0 LICENSE FEES: Dog or Cat: $16.00 Altered DL7 or Cat: t11 00 ***PLEASE READ CAREFUU.Y*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS, Failure t0 40 So Jr. a vlolation of City ordinances 6.3,03 and Carries a penalty of a fine up to $150.00 per pet PET LICENSES RENEWALS ARE DUE Sy 3115f2Q22- Tho City shall recognize a microchip Identification number all the Ilcense 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 requirea proof of rables vaccination. g Replacement Fee for-lost-Tzg: $5.00- Included is a State Fee of $1.25 being c011ecbed to fund the Nebraska Dog & Cat Operator Inspect5on Program PET #1 W. Dog ❑ Cat J4 Spayed/Neutgred / License Fee $ //.�0 Pet Na a 5�Birthdate 1��(s Sex" Color � _ Breed** �aa i Rep/acement$ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y `4 N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yrL% (I yr) City Tag PET #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) 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) _ (1 yr) _ City Tag *PLEASE INCLUDE THE CL7Y TAG NUMBER IF THIS IS A RENEWAL, ** (This fee is due along with license Fee It requesting at the time of license renewal.) Do Not Send Cash by Mall TOTAL ENCLOSED $ If you have questions, please contact Blair Police Department at (402) 426-4747 ++++++++++++++* j. ................................................ *... ++++++++++ NEW PEr/NEW RESIDENT LICENSING REQUIREMENTS (Mach 51,ate fee date notapplicablefo1,newpetF1newmsldenh') Ngwly Now Rani Blair. to be IlrQ�d within 10 days of awma5hlp ■ Must regisb�r pets within 10 days of Jill <011> at 6 months of age If puppy/IdtOcn residency. 01/29/2022 13:00 4024260101 HOLSTEIN VET CLINIC PAGE 01/01 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 T0: CITY OF BLAIR — 21.8 S. 16TH ST ,- BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO OR THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. ***PLEASE READ CAREFULLY*** Fall re 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 unlawfu 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 LICENS NG Must be licensed within 10 days of ownership (OR) at 6 months of age if puppy or kitten NEW RESIDENTS O 6LAIR Must register pets within 10 days of residency Owner Name I I I , Michael Kraft Spouse I I I Cari Owner Addr* I 1 1015 North 14th St City/State/Zip I I I Blair, NE 68008 Phone # 402-536-92 66 Pet Name: Lil LICENSE FEES Age: 12Y Sex: Spayed Female Color: Black and Tan DOB: -01-01-10 Intact Dog or Cat: $16.00 Breed: Dachshund Bred D06 or cat: $11,0 Microchip # Rabies Tag # 19534 PLEASE INCLUDE CITY TAG NUPABER IF THIS IS A RENEWAL (IF AVAILABLE): # Replacement Tag $5.00 RABIES VACCINATIC N DONE ON 10-08-21 Total $ Rabies Description: 1 YEAR ((3—YEAR PETS TH T AIiE ON THE ACTIVE POTENT�LLYOANGERDU� Oa DANGEROUS DOG LIST NEED TO REGISTER DIRECTLY AT Cl HALL Holstein Veterinary Clinic Dr Lisa Sah um DVM r Dr, Krista Ho/stein DVM 718 Soul h 1 91h Street Blair, NE 68008 402-4 6- 387 402-426-0101 Fax hol to ndinic@gmail,com 12/17/2021 11:2b 4IJZ4LbYJ1U1 -. 2022 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN GLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT(S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYA9LE TO: CITY OF BLAIR — 21.8 S. 1.6TH ST — BLAIRr NE 613008 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 flE U RED LAW To LICENSE YOUR PETS. T E CETY OF BLAIR R��UIRES PROOF OF rtABII:5 VACCINATION. Tallure to do so is a violation of LILY 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 forsuch dog or cat. NEW pr_T LICENSING Must be licensed within 10 days of ownership (09) at 6 months of agepuppy itten NEW RESIDENTS TO GLAIR Must register pets within 10 days of residency Owner Name Spouse Owner Address City/State/Zip phone # pet Nam Fran gene Age: 5M I Sex: Mate DOB:-07.20-21 Breed: DOMOStIc Shorthair chip # IE INCLUDE CITY T Kelly Krueger N `Josh Tanner 543 20th AVE Blair, NE 68008 402-350-5162 Color: Gr 'Tabby Rabies Tag # 19659 NUMBER IF THIS IS A RENEWAL (IF AVAILABLE); # RABIES VACCINATION DONE ON 111.11-21 Rabies Description: C I YEAR 3 YEAR Holstein Veterinary Clinic Dr. Lisa Schrum 'IDVM Dr. l<rista Holstein DVM 718 South 191h Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinciinic@gmall.com i IQ NSE FI+ES Intact Dog or Cat: $16.00 Altered Dog or cat: $11.0 Replacement rag $5.00 Total $—]I-- TARE ON THE A poT NTI LLY D N EAOUS O PAN_ kROUS DpG LIST NEE T4 REGISTER DIRECTLYAT CITY HALL. FAXED 1 12-17-21 FAX TO BPD @ 402-426,7144 6 12/17/2021 11:26 4024260101 HOLSTEIN VET CLINIC PAGE 03/07 2022 PET LICENSE VERIFICATION/APPL.ICATION 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 DWELL-ING UNIT. ***PLEASE READ CAREFULLY' YOU ARE RE ►RED BY LAW TO LI ENSE YOUR P . THE CITY OF BLAIR REQUIRES PROCIF OF RABIES VACCINATION. Failure to do so is a violation of City Ordinances 6.103 and carrles 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 # Kelly Krueger Josh Tanner 543 N 20th AVE Blair, NE 68008 402-350-5162 Pet Name: Paco Age: 5Y DOB: 12-15-16 Sex: Neutered Male Color: Tan Breed: Pitbull X Microchip # Rabies Tag # 19660 pLEASE INCLUDE CITY TAG NUMBER ir- THIS IS A RENEWAL (IF AVAILABLE): # RABIES VACCINATION DONE ON 12-08-21 Rabies Description: 1 YEAR C3 YEAR Holstein Veterinary Clinic Dr. Lisa Schrum DVM ; Dr. Kristo Holstein DVM 718 South 192h Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinic@gmail-corn Intact Dog or Cat; $16.00 tere og or cat: $11. Replacement Tay $5.00 Total $ 1 1 - - PETS THA7 ARE ON THE ACTIVE P T NT1 LLY DANCE S OR DANGEROUS QQQ 11ST NEED TO REGISTER DIRECTLY-A7 C►TY HALL. \6 03/11/2022 17:23 4024260101 HOLSTEIN VET CLINIC PAGE 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. 03/ [ _ ***PLEASE READ CAREFULLY*** YV(U ARE REQUIRED BY LAW TO LICENSE YQUR PETS THE CITY OF BLAIFj REQUIRES PItGIOF OF RABIE$ 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 3/1512022, The city shall recognize a microchip ID number as the license number. It shall be unlawful for any dbg 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 I Megan Krumvieda Spouse Owner Address 1 828 N 16th St City/State/Zip I Blair, NE 68008 Rhone # ' 1 402-955-9751 eet Name: Scariett Age: 14M I Sex: Spayed Female I Color: Gold DOB: 12-18-20 Breed: Golden Retriever Microchip # I Rabies Tag # 20163 PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE): # �I RABIBS VACCINATION DONE ON 1 03-11-22 Rabies Description: 1 YEAR ( 3 YEAR Holstein Veterinary Clinic Dr. Lisa Schrum DVM : Dr. Krista Holstein DVM 718 South 1911 Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinic@gmail-com LICENSE FEES Intact Dog or Cat: $16.00 or cat: $11.00 Replacement Tag $5.00 Total $ f PETS THAT ARE ON THE ACTIVE POTENTIALLY DANGF OUS OR DANGEROUS DOG UST NEED TQ REGISTER DlRECTLV ql CITV HALI. FAXED 03-11-22 BY �'r.�i�fFi1(�"'�+'"iifrjpiPr��i<�":"'ir}yrhil..,y�ni�.`�tet:'i`'s,.p,r:U,��f!{.� •;u.aVnVllf r�ili, -, •'jyG� i i:<ry.ga7e` ,is,�,:•'�,�y7�r�,.i;ld�jtP. ��1+�{i:. 1 �lii� �.,, I:.lit>.i;:i�:vLV�'��n"��:;61f±�.lis1'��,'i�:.aN:.yC+�i��'�..�rY, l•�i .f.ivP�fae�5�li6i��i>1�:�n ^l_d��`�j'!l JL ,�ii:e 03/11/2022 17:23 4024260101 HOLSTEIN VET CLINIC PAGE 2022 PET LICENSE 04/ VERIFICATION/APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT(S), COMPLRTE 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 TMF 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 o fine up to $150.00 per pet. PET LICENSE RENEWALS ARE DUE 4Y 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 gf residency Owner Name Megan Krumviedo spouse Owner Address 828 N 16th St City/State/Zip Blair, NE 68008 Phone # 402-955-9751 Pet Name: Beau 1 T\ 1 TAG 2-1 Age; 3Y DOB: 04-21-18 Sex: Neutered Male Color: Breed: Golden Retriever Microchip # Rabies Tag # PLEASE INCLt1pE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLIE): # (> a RABIES VACCINATION DONE ON 11-13-19 Rabies Description: 1 YEAR 3 EAR LICENSE FEES Intact Dog or Cat: $16.00 g or cat: $11.00 Replacement Tag $5.00 Total $ -":� �_--� PETS THATARF ON THE ACTIVE POTENPALLY DANGEROUS OR DANGEROUS DOG VST NEED 'IO RRGISTER DIRECTLY AT CITY HALL, Holstein Veterinary Clinic Dr. ,Cisa Schrum DVM , Dr. Krista Holstein DVM 718 South 191h Street Blair, NE 68008 402-426-7387 402-426-0101 Pax holsteinclinic@gmail.com FAXED 03-11-22 BY IN - r- a• I s i,?U r n 71 �a< I y ci r 1, �7ri,r `i� t„any'[ ,ttrl�14:1ru`�JY Irr�qafxl !v r, 11 ll i' w t I r..rl;i: ,.i1Gl I � I �;en �nd Nri•� r 1.,. , ar I p r a r^n + ,.; rr 01/10/2022 11:31 4024260101 HOLSTEIN VET CLINIC PAGE 02/02 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 per. 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 Qwner Name James Kruse Spouse Ashley Owner Address 206 E. Riverview Drive City/State/Zip Blair, NE 68008 Phone # 402-719-6050 Pet Na Thor Age: 6Y DOB:—11-01.15 Sex: Neutered Male Color: Blue ` Breed: Welmaraner Microchip # Rabies Tag # PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE): # RABIES VACCINATION DONE ON 10-13-20 Rabies Description: 1 YEAR 3 YEAR Holstein Veterinary Clinic Dr. Lisa Schrum DVM ; Dr. Krista Holstein DVM 718 South 191h Street Blair, NE 68008 402-426-7887 402-426-0101 Fax holsteinclinic@gmail.com LICENSE FEES ,Intact Dog or -Cat: $16.00 Alt&ed Dog or cat: $11.0 Replacement Tag $§.00 Total $ ` �" 0� RL PETS THATARE ON TFIE ACTIVE POTENTIALLY DANGEROUS OR DANGEROUS DOGl.L NEED TO REGISTER DIRECTLY AT CITY HALL.. %N 01/10/2022 11:31 4024260101 HOLSTEIN VET CLINIC PAGE 01/02 2022 PET -LICENSE Q� VERIFICATION/APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT(S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO; CITY OF BLAIR — 218 S. 16T" ST �- BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORF THAN THREE (3) ADULT BOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. I ***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 UCENSE RENEWALS ARE DUE BY 3/1 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 James Kruse Spouse 'Ashley Owner Address City/State/Zip Blair, NE 68008 Phone # 402-719-6050 21FTEFORNE WNWISOM Pet WOO Redd Age: SY DOB:—02-15-13 Sex: Male Color: Block and Tan Breed: German Shepherd Microchip # Rabies Tag # 19299 PLEASE INCLUDE CITY TAG NUMBER IF THIS 1S A RENEWAL (IF AVAILABLE): # RABIES VACCINATION DONE ON 07-01-21 Rabies Description: 1 YEAR 3 YEAR Holstein Veterinary Clinic Dr: Lisa Schrum DVM : Dr. Krista Holstein DVM 718 South 1W1 Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinic@gmail.com • 3 LICENSE FEES t ct, Do �rnca to ; $16.0 Altered Dog or cat: $11.00 Replacement Tag WOO Total $ �� PEU THAT ARE ON THE ACTIVE POTENTIALLY DANGEROUS OR pAN�ERQUS t�OG LIST NEED TO REGISTER DIRECTLYAT CITY HALL. FAXED 01-10-22 BY <0 ■ M :BSAC FAX NO. :402-533-2722 Jan. 21 2022 11:1ew P1 CITY OF SLAIR - 2022 PET LICENSE APPLICA`rION 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 legallyoirun a combinatiomof four (4)-adult pets,,but no,more than'threa (3).adult or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ,ARE DUE: Margh 15, 2022 f � Owner Name: �0 e, Owner Address: cityistate/zip: Blair, NE 68008 Phone # 1�CQ 1 la 11,0 -7 b(a 3 LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11.00 ***PLEASE READ CAREF)LLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS, Fallure to do so Is a violation of city ordinances 6,103 and carries a penalty of a fine up to $180,06 per pet. PET LICENSES RENEWALS ARE DUE BY 31I1112a. The City shall recognlzo a microchip Identlflratlon number as the license number. It shall bs unlawful for any dog or cat to wear any Ilcenso 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 . „ ,.., , 1..... ... ....... _.. „ Included Is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET #1 Dog ❑Cat SpaEm license Fee $ Pet Name Birthdatex Color �� i r Breed** Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y &R N MICROCHIP # (If applicable) SUBTOTAL; $ RABIES VACCINATION DATE: Z-t ("1 (3 yr) ✓� (1 yr) City Tag - _ TTn PET # 2 ►d Dog u Cat &Spaye / ' utered License Fee $ Pet Name�a. x e Birthdate I Sex -An Color oW t� y��I�� , Breed* �c u_ . e_ Replacement $ Declared Dangerous or Potentially Dangerous Dog; ❑ Y ❑ N RABIES VACCINATION DATE:if applicable) I SUBTOTAL: $ It za ((3 yr) (I yr) , City Tag. PET #3 LJ Dog ® Cat Q 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 $ ti Replacement $ V N SUBTOTAL: (I :yr) CityTag #f,° *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-, DoNot•.Send cash by Mai/ TOTAL ENCLOSED $ '2_2.� If you have questions, please contact Blair Police Department at (402) 426-4747 ++.*+..++t.+++.-b++..+++..++.++++-t,+++,.*+++*++t.....+++.*++^F..... ,*-•F++.++-F..+++.+ NEW PET/NI;W RESIDENT LICENSING REQUIREMENTS (Mardi 151at Thedatea,0nap�ljcable inrnewP8&,1newrnWents) N4YYIY�/ uS ulred Pets: a ir, ■ Must be li�nsecl wifftln 10 days of ownership ■ Must register pets within 10 days of 0 <OR> at 6 months of age if puppy/Idtten rwa ldency. 0 V�11 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 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 ***PLEASE READ CAREFULLY*** Owner Name: �j 1 �� 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 $150.00 per pet. city/state/zip: Blair, NE 68008 PET LICENSES RENEWALS ARE DUE BY 3/15/2022. The City shalt Phone # 42-- Z45 13, H) recognize a microchip Identification number as the license number. It Arlo �� shall be unlawful for any dog or cat to wear any license or other city y05Z - Z� — (� 5 Identification other than that Issued by the City of Blair for such dog or LICENSE FEES: Dog or Cat: $16.00 cat. The City of Blair requires proof of rabies vaccination. Altered Dog or Cat: $11.00 Replacement Free for Lost Tag: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection program T #1 ❑ D o g - Cat Q Spayed/Neutered License Fee $ ,\ Pet Name I i n � Birthdate 5 do6a Sex F rU Color PSI/a r.k df Breed** Replacement $ eclared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N „o # gB5Ia Ion,�`75o445 (If applicable) SUBTOTAL: $ tICROCHIP BIES VACCINATION DATE: 11 _ (3 yr) (1 yr) City Tag # 1�185 PET #2 ❑ Dog �j Cat '0 Spayed Neutered Pet Name 5nALc6(te Birthdate ')4 aoc>b Sex Color '5 c&cs� LL� Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # G85 (a 1006 4 t44a5 (If applicable) RABIES VACCINATION DATE: I I W Idoa-t \R (3 yr) _ PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Birthdate Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # _(If applicable) RABIES VACCINATION DATE: (3 yr) _ V ❑N (1yr)_ ❑N yr) License Fee $ II „o Replacement $ ** SUBTOTAL: $ I Jv City Tag # I jbb * License Fee $ Rep/acement $ 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.) �o Do Not Send Cash by Mail TOTAL ENCLOS �,_ If you have questions, please contact Blair Police Department at (402) 426-4747 -r++++++++++++++++++++++++++++++++.+++++++.....-+++++++++.+..............+++.. NEW PET/NEW RESIDENT LICENSING REQUIREMENTS(March 15late fee date not applicablefornewpets/new residents) Newly Acquired Pets: New Residents to Blair: • Must be licensed within 10 days of ownership m Must register pets within 10 days of ® <OR> at 6 months of age if puppy/Idtlen residency. Client ID: Client Name: Address: Phone: Tag Number: Vaccine: Producer: Brand: ` �pe Manner of 273 Ann & David Kuhl 1OO8South 16thAvenue Blair, NE 68008 00 |mnabRabies Vaccine YNoha| |mnob3TF Killed Virus Subcutaneously Staff Name: David EiJohnson DVM License Number: 1893 Doctor Signature: Blair Small Animal Clinic PC David E.Johnson DVM 1734 Front Street Blair, Nebraska, 68008 Patient ID: 2618 Patient Name: Mini Species: RaUma Bread: Do[naaUc8horthar Sex: Spayed Female Color: Gray/Black N1oMkiOgo: Tabby Birthday: 05/04/2008 Weight: 12.12pounds on11/28/2O2O Microchip ID: 985121007750445 Vaccination Date: 11/20/2021 Expiration Date: 11120/2023 Lot Number: 18514 Drug Expiration Date: 3/ 1/2O23 Client ID: Client Name: Address: Phone: Tag Number: Vaccine: Producer: Brand: TNIpe: .anner of Administration: 2737 Ann & David Kuhl 1009 South 16th Avenue Blair, NE 68008 (402)426-2812 000 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 Patient ID: 2619 Patient Name: Smudge Species: Feline Breed: Domestic Shorthair Sex: Spayed Female Color: Black/Gray Markings: Tabby Birthday: 05/04/2008 Weight: 14.50 pounds on 11/28/2020 Microchip ID: 986121006484485 Vaccination Date: 11 /20/2021 Expiration Date: 11/20/2023 Lot Number: ' 18514 Drug Expiration Date: 3/11/2023 03/30/2022 16:48 4024260101 HOLSTEIN VET CLINIC PAGE 01/01 r 2022 PET LICENSE VERIFI ATION/APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT($), 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 T REE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. 'PLEASE READ CAREFULLY' Failure to do so Is a violation of City Ordinances 6,103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSE RENEWALS ARE DUE BY 3/15 2022. The city shall recognize a microchip ID number as the license number. it shall be unlawful for any dogor 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 b licensed Within 10 days of ownership (OR) at 6 months of age if puppy or kitten NEW RESIDENTS TO BLAIR M st register pets within 10 days of residency Owner Name Nicole Kuhl Spouee Steve Owner Address 655 N 23rd St City/State/Zlip Blair, NE 68008 Phone # 402-658-0136 Pet Name: BuddyJi Age: 5Y DOB: 01-01-17 Se : Neutered Male Color: Brand/Wht Breed: Ger Shop X Microchip # Rabies Tag # 20213 PLEASE INCLUDE CITY TAG NIJIMBEIR IF THIS IS A RENEWAL (IF AVAILABLE): # RABIES VACCINATION DONE ON 03-30-22 Rabies Description: (71'y-�EAR) 3 YEAR Holstein Ve erinary Clinic Dr. Lisa Schrum DVM ; Dr. Kr/sta Holstein DVM 718 South 19t' St eet Blair, NE 68008 402-426-7387 02-426-0101 Fax holsteinclin c@gmail.com LICENSE FEES . Intact .Dog or Cat: $ 6.00 Alt bo or cat; $11.00 Replacement Tag $5.00 Y' Total $A`^n�, PCTS TNAT ARE ON THE ACTT VE PQr61V 1ALLY DANGEROUS OR DANGEROUS DOG LIST NEED TO RE'GISTrR DIRECTLY —AT CITY HALL. FAXED 03-30-22 BY p�{�p::Fl Ilia, {Mf ,::E•C i' 'h,7%�,% r, lji�;'l4ax'i'�'?diiil'f4•I�I�II:rl.; ..L�LI ": 7,. _.i �aip:j!i;"�l:.l�;:.��s, �',:'j'"��TS'!'�,i��•tiI'�l r"�'��.'i 1:;1iI�nT,ol �, ..ion:<�:.L:4:il':"P/;!'ti4�.p:Q��ilt'lihs;'s•..��., 02/01/2022 14:1 VIR BUT NO MORE it shall be unlawful NEW PET LICENSII NEW RESIDENTS' Owner Name Spouse Owner Address city/State/Zip "hone # Pet Name: Age: 12Y DOB: 08-19-09 ` Breed: Mix Microchip # PLEASEINCLUDE RABIES VACCIP Rabies Descripi 4024260101 HOLSTEIN VET CLINIC PAGE 01/01 2022 PET LICENSE FICATION/APPLICATION FOR CITY OF GLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG($) AND /OR CAT(S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF BLAIR — 218 S. 16T" ST — GLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, AN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. ***PLEASE READ CAREFULLY*** nav v a 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 15 2022, The city shall recognize a microchip ID number as the license number, ny 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. (lust be licensed within 10 days of ownership (OR) at 6 months of age if puppy or kitten LAIR Must register pets within 10 days of residency Sex: Spayed Female TAG NUMBER IF THI ,N DONE ON 1 YEAR IS A 02.01-22 Kay Kult 1005 Colfax Blair, NE 68008 402-426-4286 Color: Tan Rabies Tag # 20075 L (IF AVAILABLE). # Holstein Veterinary Clinic Dr, Lisa St brb m DVM : Dr. Krista Holstein DVM . 718 SO Uth loll Street Blair, NE 68008 402 42 -7387 402-426-0101 Fax holI einclinic@gmail.cOm LICE SN l EEE.S Intact Dog or Cat: $16.00 /t Do or at: S1'1.00 Rep/acement rag $5.00 Total $ PET THATAR THEA IVEPOTEN /ALLYDANEROUSOR DANGESQUS DOG ! ST NEED TO REGIS R-PLR-E--C-TL-Y-AILC-IT-Y--H-A-L.L- 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: A 1A71LA � K `i j::N 7 owner Address: 1a(.0 $ tV \ CJ� �-S� �Q} T city/state/zip: Blair, NE 68008 Phone # ��5 - 2-1 -7 -C s( !,VLD LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11.00 ***PLEASE READ CARER.ILLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. ftllure to do so Is a violation of City ordinances 6.203 and carries a penalty of a lino up to $150.00 per pat: PET LICENSES RENEWALS ARE DUE BY 3/15/2022. The City shall recognize a microchip Identification number as the license number. It shall be unIAMul for any dog or cat to wear any Ilconse or other city Identification other than that Issued by the City of Blair for such dog or cat. The City of Blair ropu)res proof of rables vaccination. Replacement Fee for Lost Tag: $5.00 Ittduded is a State Fee of $1.25 being c oile ded to fund the Nebraslm Dog & Cat Operator Inspection Program PET # 1 ❑ Dog � C a t �$ Spayed/Neutered License Fee $ t _ co Pet Name U :\JJ\ � _ Bi date q-M Sex Color Breed** V)c he —:BAN : r- Rep)acement $ ** Declared Dangetbus or Potentially Dangerous Dog: ❑ Y P N MICROCHIP # (If applicable) SUBTOTAL: $ \ .06 RABIES VACCINATION DATE: (3-yr) _ (I yr) City Tag # PET #2 J6` Dog ❑ Cat ,Spayed/Neutered License Fete $ 1l Pet Name Birthdate H-&�-ao� U Sex MN Color R7Breed**Rep/aCement$ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y aN MICROCHIP # (If applicable) SUBTOTAL: $� RABIES VACCINATION DATE: (3 yr) K_ (1 yr) City Tag # i a t PET #3 tt Dog ❑ Cat 'd Spayed/Neutered License Fee $ ,06 Pet Name �Q\ c. Birthdate Li-c�-�-O�a Sex � Color 't Breed** _�� cb.V� m �, Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y `A 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 Mall TOTAL ENCLOSED $ If you have questions, please contact Blair Police Department at (402) 426-4747 +++++++++++++++..****.+++++++++++.r+++++++++++++++++.*+++++..+++++++++.+++++.++ NEW PET/NEW RESIDENT LICENSING WUIREMENTS (March ISlatr° � date net apF✓k�ble �orr,�w pr ts/n�ew�'at�its) li�l1Y IIdE14 Pef .: New RWdg0M to Blair. ■ Must be lonad wft 10 days ofamielshlp ■ Must r egisbar pets within 10 days of ■ <OR> at 6 months of age If puppy/fin residerxy.