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CITY F
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
1 ***PLEASE READ CAREFULLY***
Owner Name: 1[7n'Acv' I /cA �1 t? 1—
YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS.
Owner Address: 72 A) Zi {fl Ai/e 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 # 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
LICENSE FEES: Dog or Cat: $16.00 cat. The City of Blair requires proof of rabies vaccination.
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 A D o g ❑ Cat bf Spayed/Neuter d
?Qex
License Fee $ lI a06
Pet Name Birt hdate &,W, Me.(e
Color h,-a�► Breed** i0�n 0,Avedve,"
Replacement $ **
Declared Dangerous or Potentially Dangerous Dog: ❑ Y Of N
4'
t
MICROCHIP # q.33 coo 319 267 (If applicable)
SUBTOTAL: $
RABIES VACCINATION DATE: le -z zi (3 yr) (1 yr) _1� City Tag # am
TTq
#2 Dog ❑ Cat ❑ Spayed/Neutered
License Fee $ /1.00
M'Nrk
1P6 Name JC Birthdate ) Sex
Color bled,, Breed** 1 (; ero e-dt-4e
Replacement $
Declared Dangerous or Potentially Dangerous Dog: ❑ YA N
MICROCHIP # - (If applicable)
SUBTOTAL: $
RABIES VACCINATION DATE: Iz -27 .-z1 (3 yr) (1 yr)
X City Tag # 06i l fS*
PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $
Pet Name Birthdate Sex
Color Breed** Rep/acement$ **
Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N
MICROCHIP # (If applicable) SUBTOTAL: $
RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag #
*PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL
** (This fee is due along with License Fee if requesting at the time of license renewal.)
Do Not Send Cash by Mail TOTAL ENCLOSED -?z�c-3
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 applicable for newpets/newresidencs)
Newly Acquired Pets: New Residents to Blair:
• Must be lioensed within 10 days of ownership el Must register pets within 10 days of
• <OR> at 6 months of age if puppy/kitten residency.
CERT11T1 CATE,. OF :VACCINATION
Date of Rabies Vaccination: 12-27-21
Next Rabies Vaccination On: 12-27-22
VETERINARY CLINIC
Morgan Pet Clinic
16937 Audrey Street
Omaha, NE 68136
402-895-1001
This is to certify...
Certificate No: 0
Previous Rabies Vaccination: <oldtag>
OWNER OF ANIMAL
John VanBeek
10840 S 204th AveCir #306
Gretna, NE 68028
THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW:
Patient information...
PATIENT: Caicos TAG NO., 40835
SPECIES: Canine WEIGHT: 0.00
SEX,: Neuter,6d'Male AGE: 16M
Color and markings: Golden BREED: Retriever, Golden
004zASigned Amw'
Kayla Renee Clark
Vaccinations done...
License: 3448
12-27-21 MRC Bordetella Booster Intranasal
12-27-22
12-27-21 MRC DAP+C4L 12-27-22
12-27-21 MRC Rabies Canine 1 year, #40835
12-27-22
12-22-20 CL Leptospirosis vaccine 12-22-21
11-17-20 MRC DA2PPC 11-17-21
Rabies Vaccine Information...
MFG BY: MERIA SER.NO: 22108
LOT EXP: 7/29/22 ADM: SQ
CERTIFICATE OF VACCINATION.
Date of Rabies Vaccination: 12-27-21
Next Rabies Vaccination On: 12-27-22
VETERINARY CLINIC
Morgan Pet Clinic
16937 Audrey Street
Omaha, NE 68136
402-895-1001
Certificate No: 0
Previous Rabies Vaccination: <oldtag>
OWNER OF ANIMAL
John VanBeek
10840 S 204th AveCir #306
Gretna, NE 68028
This is to certify...
THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW:
Patient information...
PATIENT: Mud
SPECIES: Canine
SEX: Neutered Male
Color and markings: Tri Color
Kayla Renee Clark
TAG NO: 40836
WEIGHT: 0.00
AGE: 15M
BREED: Bernese Mountain Dog Mix
License: 3448
Vaccinations done...
12-27-21 MRC Bordetella Booster Intranasal
12-27-22
12-27-21 MRC DAP+C41- 12-27-22
12-27-21 MRC Rabies Canine I year, #40836
12-27-22
02-08-21 MRC Leptospirosis vaccine 02-08-22
12-22-20 CL DA2PPC 12-22-21
Rabies Vaccine Information...
MFG BY: MERIA SER.NO: 22108
LOT EXP: 7/29/22 ADM: SQ
Morgan Pet Clinic
16937 Audrey Street
Omaha, NE 68136
402-895-1001
"Our Goal is to Make Your Pet Healthy and Happy"
FOR: John Vangeek
10840 S 204th AveCir #306
Gretna, NE 68028
Date For Qty Description
Printed:
08-11-21 at 5,28p
Date:
08-11-21
Account:
12306
Invoice:
252521
Services by Kayla Renee Clark
08-11 -21 Caicos 1 Pre -Anesthetic Panel
08-11-21 1 Pre Anesthetic Medication 51-100 Ibs
08-11-21 1 Anesthesia (Isoflurane Induction)
08-11-21 1 Castration - Canine >50lbs
08-11-21 0,89 Hydromorphone 2mg/ml
08-11-21 14 Carprofen 75mg tab*
08-11-21 1 Discharge Instructions
Give medication as directed. Do not allow Caicos to lick or chew at the incision.
An e-collar or taste deterrent spray should be used as needed to prevent this
behavior. You should restrict activity somewhat for the next 5-7 days while
healing begins. Discourage running, jumping and rough play during that time.
Monitor the incision daily and call if you notice any excessive redness, swelling, or
discharge from the site, The sutures are buried under the skin and absorbable
and do not require removal.
Please call with any questions or concerns.
08-11-21 Mud 1 Pre -Anesthetic Panel
08-11-21 1 Pre Anesthetic Medication 51-100 Ibs
08-11-21 1 Anesthesia (Isoflurane Induction)
08-11-21 1 Castration - Canine >50lbs
08-11-21 0.74 Hydromorphone 2mg/ml
08-11-21 14 Carprofen 75mg tab*
Give 1 tablet by mouth twice daily as needed for pain and inflammation.
08-11-21 1 Discharge Instructions
Give medication as directed. Do not allow Mud to lick or chew at the incision. An
e-collar or taste deterrent spray should be used as needed to prevent this
behavior. You should restrict activity somewhat for the next 5-7 days while
healing begins. Discourage running, jumping and rough play during that time.
Monitor the incision daily and call if you notice any excessive redness, swelling, or
discharge from the site. The sutures are buried under the skin and absorbable
and do not require removal,
Please call with any questions or concerns.
Price
48,00
35.00
65.00
75.00
26.92
22.16
0.00
48.00
35.00
65.00
75.00
26.51
22.16
CITY OF BLAIR - 2022 PET LICENSE APPLICATION
If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to:
City of Blair • 218 S 16th St • Blair, NE 68008
You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs
or three (3) adult cats per residential or dwelling unit.
LICENSE RENEWALS ARE DUE: March 15, 2022
Owner Name: � ��®,
Owner Address: I iICVUvd
City/State/Zip: Bl Ir, NE„68008
B
Phone # �7 lJ �' WW 12-0
LICENSE FEES: Dog or Cat: $16.00
Altered Dog or Cat: $11.00
***PLEASE READ CAREFULLY***
YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS.
Failure to do so is a violation of City ordinances 6.103 and carries
a penalty of a fine up to $150.00 per pet.
PET LICENSES RENEWALS ARE DUE BY 3115/2022. The City shall
recognize a microchip identification number as the license number. It
shall be unlawful for any dog or cat to wear any license or other city
identification other than that issued by the City of Blair for such dog or
cat. The City of Blair requires proof of rabies vaccination.
Replacement Fee for Lost Tag: $5.00
Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program
PET #1 ❑ Dog A Cat U Spayxed/Neutered License Fee $_
Pet Name Birthdate 9-Z3- Sex
Color Breed** PMVA Replacement $ **
Declaredqbanderous or Potentially Dangerous Dog: ❑ Y I N
MICROCHIP # (If applicable) SUBTOTAL: $
RABIES VACCINATION DATE: o (3 yr) (Lyr)_ City Tag #
PET #2� - ❑ Dog Cat Spayed/Neutered License Fee $ I i �M
Pet Na e _ Birthdate 5,140 Sex
Color Breed** DMCy Rep/acement$ **
Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N
MICROCHIP # (If applicable) S BTOTAL: $
RABIES VACCINATION DATE: P7-` &2. I (3 yr) (2 yr) City Tag #
PET #3 A ❑ Dog % Cat ,Spa ed/Neutered � License Fee $ L •Q0
Pet Name P—S, _ Birthdate �'L Sex
Color 9(�_ Breed** Replacement $
Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N
MICROCHIP # (If applicable) SUBTOTAL: $
RABIES VACCINATION DATE: (3 yr) (.yr)_ City Tag #*
*PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL
** (This fee is due along with License Fee if requesting at the time of license renewal.)
Do Not Send Cash by Mail TOTAL ENCLOSED $
If you have questions, please contact Blair Police Department at (402) 426-4747
++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++
NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15late fee date not applicable for new pets/new residents)
Newly Acquired Pets: New Residents to Blair:
■ Must be licensed within 10 days of ownership ■ Must register pets within 10 days of
■ <OR> at 6 months of age if puppy/kitten residency.
Client ID:
Client Name:
Address:
I Phone
Tag Number:
Vaccine:
Producer:
Brand:
Type:
inner of
Administration:
Staff Name:
License Number:
Doctor Signature:
5319
Luann Voss
2100 Herman Blvd.
Blair, NE 68008
(402)680-2898
0000
Imrab Rabies Vaccine
Merial
Imrab 3 TF
Killed Virus
Subcutaneously
David E. Johnson DVM
1893
Blair Small Animal Clinic PC
David E. Johnson DVM
1734 Front Street
Blair, Nebraska, 68008
(402) 533-2722
Rabies Certificate
Patient ID:
11223
Patient Name:
Rocky
Species:
Feline
.r
Breed:
Domestic Longhair,`
Sex:
Neutered Male
Color:
Grey
Markings:
White
Birthday:
09/23/2009
Weight:
10.87 pounds on 7/31/2021
Microchip ID:
Vaccination Date:
7/31/2021
Expiration Date:
7/31/2023
Lot Number:
18507
Drug Expiration Date: 1/20/2023
Client ID:
Client Name
Address:
I Phone:
Tag Number:
Vaccine:
Producer:
Brand:
Type:
inner of
Administration:
Staff Name:
License Number:
Doctor Signature:
5319
Luann Voss
2100 Herman Blvd.
Blair, NE 68008
(402)680-2898
0000
Imrab Rabies Vaccine
Merial
Imrab 3 TF
Killed Virus
Subcutaneously
David E. Johnson DVM
1893
Blair Small Animal Clinic PC
David E. Johnson DVM
1734 Front Street
Blair, Nebraska, 68008
(402) 533-2722
Rabies Certificate
Patient ID:
4324
Patient Name:
Princess Lea`
Species:
Feline
Breed:
Domestic Shorthair ,
Sex:
Spayed Female
Color:
Calico
Markings:
Birthday:
05/01 /2010
Weight:
11.56 pounds on 7/31/2021
Microchip ID:
Vaccination Date:
7/31/2021
Expiration Date:
713l/2023
Lot Number:
18507
Drug Expiration Date: 1/20/2023
Blair Small Animal Clinic PC
David E. Johnson DVM
1734 Front Street
Blair, Nebraska, 68008
(402) 533-2722
Rabies Certificate
Client ID:
5319
Patient ID:
11225
U
Client Name:
Luann Voss
Patient Name:
Agnes
Address:
2100 Herman Blvd.
Species:
Feline
Breed:
Domestic Shorthair
g
Blair, NE 68008
Sex:
Spayed Female
Color:
Brown Tabby
Phone:
(402)680-2898
Markings:
Birthday:
09/23/2009
Weight:
10.31 pounds on 7/31/2021
Microchip ID:
Tag Number:
0000
Vaccination Date:
7/31/2021
Vaccine:
Imrab Rabies Vaccine
Expiration Date:
7/31/2023
Producer:
Merial
Lot Number:
18507
Brand:
Imrab 3 TF
Drug Expiration Date:
1/20/2023
Type:
Killed Virus
anner of
Subcutaneously
Administration:
Staff Name: David E. Johnson DVM
License Number: 1893
Doctor Signature: