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W01/15/2022 10:41 4024260101 HOLSTEIN VET CLINIC PAGE ,_01/02 ■ 2022 PET LICENSE VERIFICATION/,APPLICATION FOR CITY,OF IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) c 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) A[ uLr DOGS OR THREE (3) ADULT CATS PER RESIpENTIAL OR DWELLING UNIT. ***PLEASE READ CAREFULLY*** IRE RLQV1Kr1J nT LM v ry L'�a —•� • — -- Failure to do so is d violation of OtV Ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. . n /� e! /•�n�•f VP 1 WI. "Cir nuvcvvnw —11, ram• The city shall recognize a microchip ID number as the license number. r for 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 f rlk titers such dog or cat. NEW PET LICENSING Must be licensed within 10 days of ownership (OR) at 6 months of age if puppy o NEW RESIDENTS TO BLAIR Must register pets within 10 days of residency Owner Name Spouse Owner Address City/State/Zip 'lone # Pet Name: Abbi Age: 9Y Sex. Sp DOB: 04-13-12 Breed: Dmh Microchip # PLEASE INCLUDE CITY TAG NUMBEF RABIES VACCINATION DONE ON Rabies Description: I I Female Chris Wallace Megan 1928 Colfax St Slair, NE 6800E 402-980-7211 Color: Grey and White I Rabies Tag # IS A RENEWAL (IF AVAILABLE): # 3 YEAR Holstein Veterinary Clinic Dr. Lisa Schrum ,DVM ,Or. K�'sta !-lolsteln OVM 718 South 1911 Street $I ir, NE 68008 402-426-7387 402-42 1 -0101 Fax holsteinciinic@ gMIail.com ;LICENSE FEES Intact Dog or Cat: $16.00 :i A/ter g ar •cat: 1.00 Replacement Tag $5.00 00 Total $ GETS THAT RE ON THE CTIVE POTENTIALLY DAN EROUS OR ANGEROU EED TO RE STER DIRECT VAT CITY H LL. DOG L15T N FAXED 01-15-22 BY 01/15/2022 10:41 4024260101 HOLSTEIN VET CLINIC PAGE 02/02 2022 PET LICENSE VERIFICATIO /APPLICATION A OR CDToYcOF BLAIR IF YOU LIVE M BLAIR CITY LIMITS COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO' CITY OF BLAIR — 218 S. 16TH ST -- BLAIR, N,E 68008 YOU MAY L r3ALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT DOGS ORTHREE (3) ADULT CATS PER RFSibENTIAL OR DWELLING UNIT. i ***PLEASE READ CAREFULLY*** YOU ARE UMULI S uauv 1%J I '--' . _._..,.- _ Failure to do so is a violati of City Ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. n PET LICENSE RELMEWALS ARE DUE By 15 2022. ; The city shall recognize a microchip ID number as the lic;ense number. It shall be unlawful for any dog or cat to w lire 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 l ithin 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 Chris Wallace Spouse Megan Owner Address 1928 Colfax St Blair, NE 68008 City/State/Zip 402-980-7211 'lone # I i Pet Name: Dave i Age: 10Y Sex: Neut red Male Color: Whi/Gray DOB: 04-13-11 Breed: DSH Microchip # I Rabies Tag # I pLEASE INCLUDE CITY TAG NUMBER IFITHIS IS A RENEWAL (IF AVAILABLE):=� RABIES VACCINATION DONE ON Rabies Description: //l YE4R ) 3 YEAR Holstein Veterinary Clinic Dr. Lisa Schrum DVM : Or, Zir, )to Holstein DVM 718 South 191h Street NE 68008 402-426-7387 402-42 -0101 Fax holsteinclinic@grr ail.com LICENSE _FEES Intact Dog or Cat: $16.00 A/tered a or cat: $1 .00 ,p'ep/acement Tag $5.00 Total $ � I �~ 01/04/2022 15:39 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(5), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF BLAIR. — 218 S. 16TH ST — BLAIR, NE 68008 LEGALLYYOU MAY BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. ***PLEASE READ CAREFULLY'** YOU ARE REQMIRED BY LAW TO LICENSE YI�UR PETS THE CITY OF BLAIR REQUIRES PRQ F OF RABIES VACCINATION_ Failure to do so is a violation of City Ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSE RENEWALS ARE DUE BY 3 15 z022. The city shall recognize a microchip ID number as the license number. It shall be unlawful for any dog or cat to wear any license or other city ID other than that Issued by the City of Blair for such dog or cat. NEW PET LICENSING Must be licensed within 10 days of ownership (OR) at 6 months of age if puppy or kitten NEW RESIDENTS TO BLAIR Must register pets within 10 days of residency Owner Name Spouse Owner Address City/State/Zip Phone # Pet Name; Jeff Age; SY DOB:—01-06-17 Breed: Pit Bull Microchip # INCLUDE Sex: Neutered Male TAG NUMBER IF THIS IS A RABIES VACCINATION DONE ON Rabies Description: 01-04-22 Holstein VetOrinary Clinic Dr, Lisa Schrum 0VM 718 South 19th Stre 402-426-7387 40 hoisteinclinic )r. Krieta Holstein DVM �t Blair, NE 68008 426-0101 Fax i gmail.com Chris Wallace Megan 1928 Colfax St Blair, NE 68008 402-980-7211 Color: Rabies Tag # 20003 (IF AVAILABLEI: # 3 YEAR LICENSE FEES Intact Dog or Cat: $16,00 A Dog r Cat: $11.00 Replacement Tag $5,00 Total $ 00 PETS HAT ARE N THE ACTIVE POT N %ALLV D EROL/S O DANGEROUS QQQ LIST NEE 7 0 REG15 R DIRECTLVAT CITY LL, FAXED 01-04-22 BY ,I�i �iY4�" ,liy� �: � iL . �,��. r.,lsyl ( ' .n y0 <�... � .•. �v%d Q1r.' �' ti i i• Ici. � 1 ��,t.:��.a M� 1 ', �S i�d i c'i�'�i 1 Ikidr'il��i��i�s P°d� � %s�t�l�' . � { y. 01/10/2022 14:28 4024260101 HOLSTEIN VET CLINIC PAGE 02/03 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*' YQ RE RE UIRED B W TO LICENSE R PETS. THE C OF BLAIR RE IRES PROOF OF N BIES VACCINATION. Failure to do so Is a violation of CIty Ordinances 6.103 and carries a penalty of a fine up to $15o.00 per pet. PET LICENSE RENEWALS ARE DUE BY 3 15 Z022. The city shall recognize a microchip ID number as the license number. It shall be unlawful for any dog or cat to wear any license or other city ID 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 # Rtf�'I'ed 1116 1707W Holstein Veterinary Clinic Dr, Lisa Schrum DVM , Dr. Krlsta Holstein DVM 718 South 191h Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinic@gmail.com Chris Wallace Megan 1928 Colfax St Blair, NE 68008 402-980.7211 LICE IM_ E FEES Intact Dog or Cat: $16.00 A Dog r cat: $11.00 Replacement rag $5.00 Total $� YEO MA Aft C Ury incALfIVL E ENTIALLYDAN ROUSOR DANGEROUS DOC UST NEED TO REG TER DIRECTLY AT CITY HALL. 2021 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF GLAIR IF YOU LIVE IN,BLAIR CITY LIMITS AND OWN A DOG(5) ANO /OR CAT(S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF BLAIR — 218 S. 16TH ST — BLAIR, NF 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 ***PLEASE READ CAREFULLY*** YOU ARE RE UIRED BYLAWTg LICENSE YOUR PETS. Failure to do so 15 a violation of City Ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSE RENEWALS ARE DUE SY 15 2021. The city shall recognize a microchip 10 number as the license number. It shall be unlawful for any dog or cat to wear any liceh$e or other city ID other than that Issued by the City of Blair for st 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 1Narne spouse Owner Address city/State/Zip '$hone # DL # or DOB Rot Name: Poppy jenny Wanzy James 164Q Grant 8t Blair, NE 68008 402-278-4459 fir) In 4 Age: 9Y Sex; Neutered Dale Color,, White DOB: 06-09-12 Breed: Great Pyrenees Microchip # Rabies Tag # 16271 RABIES VACCINATION CLONE ON 08-18-18 Rabies Description: 1 YEAR 3 Y R H'Olsteln Veterinary Clinic Dr. Lisa Schrum DVNI : Dr. krista ,Holstein DVM 718 South 19th Street glair, NE 68008 402-426-7387 402-426-0101 Fax hoisteinciiriicftmail.com Za/To 39dd DINI-10 13A HI318-I0H dog or LICENSE FEES Clog or rat. $10.00 orlcat. $1 K1 Total FAXED 06-30-21 BY TOT09ZbZUb ES:SZ ZZUZ/13E/90 2021 PET LICENSE VERIFICATION /APPLICATION FOR CITY OF BLAIR IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT(S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF BLAIR — 21$ S. 16TH ST BLAIR, NE 68008 YOU MAY LFCaALLY OWN A COMBINATION or FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNI' ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PET . Failure to do so is a vlQlation of City Ordinances 6.103 and carries a penalty of a fine up t4 $150.00 per pot. PET LICENSE RENEWALS ARE DUE BY, The city shall recognize a microchip ID number as the license number. It shall be unlawful for any dog or tat to wear any Ifzense or other city ID other than that issued by the City of Blair for su h dog or NEW PET LICENSING Must be licensed within 10 days of ownership (eft) 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 'shone # DL # or DOB Pet Name: Pebbles Age: 3Y I Sex: Female DOB: 03-13-18 Breed: Great Pyrenees Microchip # jenny Wanxy James 1640 Grant St Blair, NE 68008 402-278-4459 color: White Rabies Tag # 17054 RABIES VACCINATION DONE ON Ofi-22-1J Rabies Description: I YEAR 3 YEAR Holstein Veterinary Clinic Dr. Lisa Schrum DVI' : Dr. Krista Holstein bVNI 718 South jgth Street glair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinicfgma il.com FAXED BY 06-30-21 Dog or at: $1 Ai tared Dog or cav $1 Total No 30/30 39vd OINNI-10 13A f`=S101-1 Z0Z097,030P E5:9Z 3/Os/ ■ 02/25/2022 14:52 4024260101 HOLSTEIN VET CLINIC ■ 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 PAGE 01/01 ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW 1 LICENSE 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 8 15 Z022. The city shall recognize a microchip ID number as the license number - It shall be unlawful for any dog or cat to wear any license or other city ID 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 It Pet Name: Finnigan Age: 22M DOB: 04-18-20 Breed:. Beagle Sex: Neutered Male Microchip # 900217000002907 PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RABIES VACCINATION DONE ON 1 10-18-21 Rabies Description: 1 YEA.R. Lesly Ward Zach 1093 S 14th Ave Blair, NE 68008 402-812-2873 Color: Tri Rabies Tag # 19560 (IF AVAILABLE): # 3 YEAR Holstein Veterinary Clinic Dr. Liss Schrum oVM : or. Kr/sta Holstein DVM 718 South 191h Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinic@gmail-corn LICENSE FEES Intact Dog or Cat: $16.00 ---�Aftared Dog or cat: $11.00 Replacement Tag $5.00 Total $. PETS TN T A EON T14EACTIVEPOTENTIALLKLAbgggQUiO DANGER S DOG LIST NEE D REGISTER DI ECTLYAT CITY NALL FAXED 02-26-22 BY FAX TO BPb @ 402-426-7144 Feb 03 22 07;17a c,&�� C J�l p.1 Thane Animal Hospital (402) 426-3630 902 S Hwy 30 Blair, NE 68008 CITY OF BLAIR 2021, PET LICENSE APPLICA1ION If you live in Blair City fim its and own a dog(s) and/or cat(s), complete this form and return with check made payable to: Cityof Blair a 218 S 16th St • Blair, NE 68008 You may legally own a COMbination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult rats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: Mi1rch 15, 202:1FARIEP"LE-QUIRED �**pIF�ERfADCARER111Y*** owner Name: ��[1 0�qx BY LAW TO LICENSE YOUR PETS. owner Address:�YQS�Y a1��City�Siate/Zip: Blair, NE 680118 is a violaWn of City ordinances 6.103 and carries ne up to $150.00 per pet Phone AbZ• 5, 10- 7Siih PET LICENSES RENEWALS ARE DUE ByaLI-512021. The [Sty shalt recognize a microchip Identification number as the license number. It LICENSE FEES.- Dog or Cat: $16.00 shall be unlawful for any dog or cat to wear any license or other city Altered Dog or Cat: $11.00 Identification other than that Issued by The City or Blair for such dog or cat. The City of Blair requires proof of rables Yacdnatlon. Replacement Fee for Last Tag, $5.00 Intl uded is a State Ree of $1.25 being toll xtW tD fund the Nebraska Dog &tit Operator Inspection Program . - i ---]F . ay m *PLEASE INCWDE THE CITYTAG NUMBER IF THIS IS A RENEWAL ** (This fee Is due along with License Fee if requesting at the time of license renewal,) 0o foot Send Cash by Mai! TOTAL ENCLOSED $ 2 If you have questions, please contact Blair Police Department at (402) 426-474+++..........-f.+++.+..F...*++tf+++++.1........l-.H.i..r.....F.++++f.++.t f....i...++++.++++++ NEW PM NEW RESIDENT LICENSING REQUIREMENT'S(Marchl5/ate�datenaCavp/icali/efcvneiy�tsjn�i,,�ic�riLs) Newt ACQUIred Pets,New Residents to Eslair. _ ■ Must Ix ICJ riiq fn 10 py,fp ip ■ Must register pets within ]A days of i■ <OR> at 6 months of age If puppy)ldttien residel-tGy, \D 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 form and return with check made payable to:� City of Blair a 218 S 16th St * Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2021 Owner Name: v \ I � -�1i.,I LGOWCD5 Owner Address: 6;!i6UT Sf City/State/zip: Blair, NE 68008 '2� Phone # � 42 () LI �✓ Drivers License # or Date of Birth 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 ***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 3/15/2021, 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. 0 PET # 1 "Id; Dog ❑ Cat ❑ Spa ed/Neutered License Fee $ ((P , d Pet Name \ t�C Birthdate Se,�cc Color rl� ��nlc1 e.(-- Breed** Caoldett"�r ve r- Replacement$ �* Declared Dangerous or Potentially Dangerous Dog: ❑ Y Pk N MICROCHIP # (If applicable) SUBTOTAL: $ _ _ RABIES VACCINATION DATE: I0 - zt �/ ! 1 (3 yr) .�_ (1 yr) City Tag # 29'9 -) * PET #2 W. Dog ❑ Cat ❑ Spayed/Neutered ��— License Fee $ (o 0'Q Pet Name �-"� N c�6 Birthdate -lb r Sec Color s k G�o(� e. Breed** P L3 1( e, �`� cm ► Replacement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y AN MICROCHIP # (If applicable) SUBTOTAL: $ I (e dy RABIES VACCINATION DATE: 11 (3 yr) (1 yr) City Tag # Z000* 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.) VISA / MC # Signature DoNot 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 .++.++.++.+++.*.+..++*++......++*..+..+++++++++.... r+++...........*.++++.....+ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15/ate fee date notappllcable fornewpety/newresldenl!y) NewlyAcguired Pets: New Residents to Blair: ■ Must be lioansed wits do 10 days of ownership ■ Must register pets within 10 days of ■ <OR> at 6 months of age if puppy/kitten residency. 4 CITY OF BLAIR 2y 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 combihation'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:O Owner Address: ou SM ` + City/State/zip: Blair, NE 68008 Phone # 4oa - v '� - q `c c) V LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11.00 ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 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 ET # 1 Dog ❑ Ca t 8 Spay d/N utered License Fee $ Pet Na e 5 _ Birt sate �S 2q 1 Sex_ ' I Color dCLCY—Breed** C Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: d Y VN b r MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: I (3 yr) (1 yr) City Tag # u PST #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) _ �I (1 yr) License Fee $ Replacement $ SUBTOTAL: $ City Tag #V�* 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.) TOTAL ENCLOSE® 1 1 1 0 0. Do Not Send Cash by Mail If you have questions, please contact Blair Police Department at (402) 426-4747 ...............+¢++++.++++++++++++++++++f++.++.+++++++++.f+++++.....++++++.++. NEW PET/NEW RESIDENT LICENSING REQUIREMENTS(Narch15late fee date not applicable fornewpets/new residents) Newly Acquired Pets: New Residents to Blair: • Must be licensed within 10 days of ownership m Must register pets within 1.0 days of • <OR> at 6 months of age if puppy/kitten residency. CERTIFICATE O VACCINATION ,AO Date of Rabies Vaccination: 1/15/2021 Certificate No: 0 Next Rabies Vaccination On: 1/15/2024 Previous Rabies Vaccination: VETERINARY CLINIC OWNER OF ANIMAL Val Verde Animal Hospital, Inc. Shawn Watson 9841 Giles Rd. 8506 S. 143rd Ave La Vista, NE 68128 Omaha, NE 68138 402-932-6192 County: , This is to certify... THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Daisy TAG NO: 21-0132 SPECIES: Canine WEIGHT: 15.00 SEX: S AGE: 16 months Color and markings... Black Signed Dr. Mike Hord License: 2434 Rabies Vaccine Information... MFG BY: MERK SER.NO: 419390 LOT EXP: 09/14/21 ADM: SQ 0 y CITY OF BLAIR ® 2622 PET'LICENSE1. 'APPLICATI'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 e 218 S 16th St a Blair,, NE 68008 You may legally own- a combination of four (4) adult pets, but no more than three (3) adult dogs; or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2022 Owner Name: C cxrC_c Owner Address: City/State/Zip: Blair,, NE 68008 Phone # LICENSE FEES: Dog or Cat: $16.00 Altered Don or 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 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 I " "I PET #1 Ll' ?og EJ Cat U"Spayey/Nputerecl P-t Y-Y) License Fee $ Pet Name Birthdate Sex Color Breed" Replacement $ Declared Dangerous or Potentially Dangerous Dog: LJ MICROCHIP# q95)1,4, 00'2301 applicable) SUBTOTAL: $ RABIES VACCINATION DATE: C (3 yr) (1 yr) City Tag # Z r) ET #2 Q' Dog L1 Cat U yV/Neuterecl l Sex License Fee $ C a 11 e c6 Birthdate ill Color n� ke—Breed** —Replacement $ Declored Dangerous or Potentially Dangerous Dog: L1 Y LYN q, 2 4Dl)_� (if MICROCHIP # '5[ZnD [,�, j applicable) SUBTOTAL $ ----RABIES VACCINATION DATE:(3 yr) yr) City Tag PET #3 r LJ D o LJ Cat U-Spaye Neutered License Fee Pet Name Birthdate l�%g 11 _q Sex Color \4� �i_ Breed" tTc Replacement$ Declared Dangerous or Potlfl MLIngerous Dog: LJ Y @7W— MICROCHIP # �LG r:�ODc� (If applicable) SUBTOTAL:$ RABIES VACCINATION DATE: (3 yr) , tzl' (1 yr) _ City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not Send Cash by Mail TOTAL ENCLOSED$ If you have questions, please contact Blair Police Department at (402) 426-4747 .............................................................................. NEW PET/ NEW RESIDENT LICENSING REQUIREMENTS (March 15 late fee date not applicable for newpet5lneW residents) Newly Acquired Pets: New Residents to Blair: N Must be licensed within 10 days of ownership N Must register pets within 10 days of all <OR> at 6 months of age if puppy/kitten residency. 2022 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF GLAIR. IF YOU LIVE IN BLAIR CITY LIMITS AND OWN A DOG(S) AND /OR CAT(S) ..... . COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF BLAIR ® 218 S. 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*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS THE CITY OF BLAIR REQUIRES PROOF OF RABIES VACCINATION Failure to do so Is a violation of City Ordinances 6,103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSE RENEWALS ARE DUE BY 3/15/2022, The city shall recognize a microchip ID number as the license number. It shall be unlawful for any dog or cat to wear any license or other city ID other than that issued by the City of Blair for such dog or cat. NEW PET LICENSING Must be licensed within 10 days of ownership (OR) at 6 months of age if puppy or kitten NEW RESIDENTS TO BLAIR Must register pets within 10 days of residency Owner Name Dawn Wecker Spouse Nathan Owner Address 1379 Wilbur St City/State/Zip Blair, NE 68008 Phone # 402-216-6346 i a' .-et Name: Cookie 17) Age: 12Y DOB: 03-28-09 Sex: Spayed Female Color: Tan/Black Breed: Pug/Chi Microchip # Rabies Tag # 19040 PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE): # RABIES VACCINATION DONE ON 04-02-21 Rabies Description: 1 YEAR �EA 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 LICENSE FEES I Intact Dog or Cat: $16.00 Altered Dog or cat: $11.06 Replacement Tag $5.00 Total $ PETS THAT ARE ON THE ACTIVE POTENTIALLY DANGEROUS OR DANGEROUS DOG LIST NEED To REGISTER DIRECTLY AT CITY HALL. FAXED 03-17-22 06:TT ZZBZ/LT/60 X laq, CITY OF BLAIR - 2022 PET LICENSE APPLICATION If You live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair e 218 S 16th St 9 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: Cu/ 0 ( W e 6 (,-- 1'�t (" / te Owner Address: 1110 aze luactr'`z__Y..rP IF City/State/Zip: Blair, NE 68008 Phone # qoa 7.?e 6e4z LICENSE FEES: Dog or Cat: $16.00 Altered Don or 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 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 Identificatlon 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 to Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET #1 o �g(C a t �f Spayed/Neutered License Fee $ Pet Name Bi hdate Sex 14 Z O! SE -Le— Breed** -L i b ZZ,_d Replacement $ Declared Dangerous or Potentially Dangerous Dog: Ll Y 0 N MICROCHIP # VAA, (If applicable) SUBTOTAL: $ RABIES VACCIKATION DATE: 301,Z6 (3 yr) � �_(l yr) __ City Tag # TTn I/ PET #2 LJ Dog Lj Cat Ll Spayed/Neutered Pet Name Birthdate Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: Ll Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: __�yr W y License Fee$ Al—� Replacement$ —** SUBTOTAL: $ PET #3 LJ Dog Ll Cat LJ Spayed/Neutered License, Fee $ Pet Name Birthdate Sex Color Breed** Replacement $ Declared Dangerous or Potentially Dangerous Dog: LJ Y LJ N MICROCHIP # —(If applicable) SUBTOTAL:$ RABIES VACCINATION DATE: (3 yr) (I yr) — CitV Tag # A'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 151ate fee date notapplicable fornewpetslnewresldent5) Newly Acquired Pets: New Residents to Blair: im Must be lioensed within 10 days of ownership m Must register pets within 10 days of m <OR> at 6 months of age if puppy/kitten residency. Date of Rabies Vaccination: 04-30-20 Next Rabies Vaccination On: 04-30-23 VETERINARY CLINIC Holstein Vet Clinic 718 South 19th Street Blair, NE 68008 402-426-7387 This is to certify... Certificate No: 0 Previous Rabies Vaccination: 14146 OWNER OF ANIMAL Carol Weckmuller 2026 Northridge Drive Blair, NE 680008 County: THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Charlotte TAG NO: 179,15 SPECIES: Canine WEIGHT: 64.50 SEX: S AGE. 10 years Color and markings... Blue Merle Signed Lisa Schrum, DVM Rabies Vaccine Information... License. 2310 MFG BY: ZOETI SER.P,10: 412954 LOT EXP: 04-27-21 ADM: SO 03/05/2022 09:32 4024260101 HOLSTEIN VET CLINIC PAGE 01/01 2022 PET LICENSE ERIFICATION/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 MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. It shall be ur NEW PET LI Owner N Spouse Owner ***PLEASE READ CAREFULLY*** \RE Rt. UIRED BY LAw TO LICENSE YOUR PET`, . THE CITY Qr BLAIR REQUIRES PROOF F RABIES VA,GCINATION,_. Failure to do so is a Violation of City Ordinahces 6.103 and carrie's a pen2lty of a fine up to $150.00 per pet, j PET LICENSE RENEWALS ARE DUE Y 15 2022. The city shall recognize a microchip ID number as the'license number, for any dog or cat to wear any license or other city ID ottler than that issued by the city of Blair for such dog or cat. NG Must be licensed within 10 days of ownership (OR) at-6 months of age if puppy or kitten TO BLAIR Must register pets Within 10 days of residency ' Phone # I t i Pet Name: earlet I Age: 15M DOB; 11-11- Breed: Hus Microchip # PLEASE INCL RABIES V Rabies Sex: Spayed Female TAG NUMBER IF THIS IS A DONE ON ; r;,l YEAR Stacey Welch Kevin Reardon' 638 S 16th St Blair, NE 68008 402-669-3852 Color - Rabies Tad ## 19330 EWAL R AVAILABLE): # 07-14-21 3 YEAR I i i i Hol ein Veterinary Clinic ,Dr. I. Schru r D,VM : Dr. Krista Holstein 0V1W 718 outh 19�h Street Blair, NE 68008 2-4215 1387 402-426-0101 FaX hols' eiriclinic@gmail,com ' I LIGENSE FEES Intact ' Dog or Gat: $16.QO Dog or cat: $11.00 $5,00 Total $_,' pE7S THAT ARE'.ON THEACTIV� POTENTIALLY OAN6ER,10 0 OR DANGEROUS 00;LIST NEED TO REGISTER DIRECTLY AT C 7Yl HALL, 02/15/2022 13:52 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 — B)LAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICEN 1= YOUR PETS. THE CITY OF BLAIR REQUIRES PROOF OF RABIES VACCINATION. Failure to do so is a violation of City Ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSE RENEWALS ARE DUE BY 3 15 2022. The city shall recognize a microchip ID number as the license number. It shall be unlawful for any dog or cat to wear any license or other city ID other than that issued by the City of Blair for such dog or cat. NEW PET LICENSING Must be licensed within 10 days of ownership (OR) at 6 months of age if puppy or kitten NEW RESIDENTS TO BLAIR Must register pets within 10 days of residency Owner Name Kris Wendt Spouse Ryan Owner Address 230 Baronage Circle City/State/Zip Blair, NE 68008 Phone # 402-426-8997 Pet Name: Beasley Age: 4Y DOB: 01-05-18 Breed; Eng Setter Microchip # Sex: Spayed Female Color: Wh/Br/Blk Rabies Tag # 16909 PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A NENEWAL (IF AVAILABLE): # RABIES VACCINATION DONE ON 04-30-19 Rabies Description: 1 YEAR /3 YEAR Holstein Veterinary Clinic Dr. Lisa Schrum DVM : Dr. Krista Holstein DVM 718 South 19th Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinicC gmail,com LICENSE FEES Intact Dog or Cat: $16.00 %tare Dog r cat: $ 1.00 Replacement, Tag $5.00 Total $ PETS THAT ARC ON THE ACTIVE P07fN 1 LLY DANGEROUS DANGEROUS DOG LIST N�. D TO REG15-rtA pl CTLYAT CITY H FAXED 02-15-22 BY ^,, I;� ,,., �, ,,il . r�,;:r r•y:; r�i- .:�.;��"8.!�i. 1n., '• •M,+o-ni;%,: ��,� .+�A!i �;��, 5 jwry{ /}��)y/�.0 ��• �Y r�`,"�,j,�• •, fviria i.i.�:.p.l L�4� �i (Ilt tYa.`�}fs,i.j:,^ , :19: .`'n L4,C:�'.�(;ilji:�t'j;y�a�i "i•yli�X��:•ni'!i�,i, j,1� i•.: ;, i��:.•�,i.;;•..,, 'r„u �;;., ,.,:��;:'�,;,,r,:�i:,i,(a ;:r:.,; c;;:.; .rtzh'iill�z�%�� ;rr. �:��+�, 02/23/2022 08:54 4024260101 HOLSTEIN VET CLINIC 2022 PET LICENSE PAGE 01/01 VERIFICATION/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 T0: CITY OF BLAIR. r- 218 S. 16TH ST — BL.AIR, 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 U ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY I AW TO LICENSE YOUR PATS, THE CITY OF BLAIR REQUIRES PRQQF 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 I Kris Wendt Spouse Ryan Owner Address 230 Baronage Circle City/State/zip Blair, NE 68008 Phone # 402-426-8997 r: Pet Name: Rocky Age: BY DOB: 09-24-13 Sex: Neutered Male Color: Black and White Breed: Domestic Shorthair Microchip # Rabies Tag # PLEASE INCLUDI_ CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE): , RABIES VACCINATION DONE ON 02-23-22 Rabl®s Description: 1 YEAR 3.YEAR Holstein Veterinary Clinic Dr. Lisa Schrum VVM ; Dr. Krista Holstein DVM 718 South 19th Street Blair, NE 68008 402-426-7387 402-426-0101 Fax hoisteinclinic@gmail.com LICENSE FEES Intact Dog or Cat: $16.00 Altered Dog or cat: $11.00 Replacement rag $5.00 10d Total $ 1 PETS THAT ARE ON THE ACTIVE POTENTIALLY DAN6ERQI�s QR DANGEROUS DOG L15T NEED P2AEkLSTER OIREGTLYAT CIiY HALL. FAXED 02-23-22 BY —1::C(r5 rr.,r•�,�� r 1Vrr n "IY Il i 1'' j•II 1,I1i1"u. 1��IY � '�:4 I;�I il; Nt .4'.� n'Ir IG. LP•i � A: 1 w'iJli C� gwip:✓jm � ii@n,• I liv"iy Py"-Ir.,l.•,h4;tir;I�.i�d�'',d3lsl�;;'i}I�i:�!(1�y�,�li N;;,g,nhlla d Jan 18 22 03;48p p,1 I . Tho ( 02 nlr /!/ Nos . 9Q2 426-agea pltal 81air, N 6 �3 p oa CITY UE ECLAIR - 2021 PET LICENSE APPLICATION If you live in Blair City limits and awn 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,'Z021 Owner Name: \j\ ff T Owner Address: S _I In city/state/zip: Blair, NE 68008 Phone # A0 ? CO'Jq `; LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11.00 Replacement Fee for Lost Tag: $5.00 ***PLEASE READ CARERJLLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS, Failure to do $o is a violation of city ordinances 6.10s and carries a penalty of a fine up to $150.00 per pet, PET LICENSES RENEWALS ARE DUE 4YaJ1512021. 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. She City of Blair requires proof of rabies vWcination. Inducted is a Stag Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET #'1 Dog ❑ Cat �A Spayed/Neutered License Fee $ Pet Name Birthdate 00-'3ti 1 � sex _ Color,» ' �-,1 Breed** Replacement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y .M N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: i-k0 '"Ila7 (3 yr) _. (I yr) City Tag # PET #2 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed** Replacement$ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) 5UBTDTAL: $ RABIES VACCINATION DATE: _ (3 yr) (I yr) _ , City Tag PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Declared Dangerous or PotentiallyrReplacement$ Dangerous Dog: Lll Y ❑ N ** MICROCHIP # Of applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # *PLEASE INCWDE 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.) 001VOt send Cash by Mau TOTAL ENCLOSED $ If you have questions, please contact Blair Police Department at (402) 426-4747 .....+.+.N.a.+..f+++++i.++++++............r++++.................+.+++*........ f++f NEW K 11 NEW RESIDENT LICENSING REQUIREMENTS (March 151ate fee date not appljca* 1b(-neWp6t/newre5ideRt5) iNewlV Acquired Pets- New Residents f. Blain 0 Must be lio� wF"n 10 days Cf DNrei7shlp ■ Must register pets within 10 days of 11 <0P>. at 6 morift of age if puppyfidtlen residency. 02/14/2022 17:02 4024260101 HOLSTEIN VET CLINIC PAGE. 02/02 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 W11'H A CHICK PAYABLE TO: CITY OF BLAIR — 218 S. 1.6T" ST — GLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, PUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADUL,T CATS PER RESIDENTIAL OR DWELLING UNIT. ***PLEASE READ CAREFULLY"* U ARE REQUIRED BY LAW TO UCgNSE YOUR PETS THE CITY OE LAIR REQUIRES PROOF OF BARIES 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 2027. 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 41-AIR Must register pets within 10 days of residency Owner Name Larry West Spouse Paula Owner Address 2362 Hollow Rd City/State/Zip Blair, NE 68008 Phone # 402- (,;-1 Pet Name: Hobbes Age: 2Y DOB- 12-02-19 Sex: Neutered Male Color: Bilk Brn Breed: Dach Mix Microchip # Rabies Tag # PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL pF AVAILABLE): # RABIES VACCINATION DONE ON Rabies Description: -1 YEAR 3 YEAR Holstein Veterinary Clinic Dr, Lisa Schrum VVM ; Dr. Krista Ho/stein DVM 718 South 191h Street Blair, NE 68008 402-426-7387 40.2-426-0101 Fax holsteinclinic@gmail.com LICENSE FEES Intact Dog or Cat: $16.00 Altered Dog or cat: $11.00 Replacement Tag $5.00 Total $j PET THAT ARE ON THE ACTIVE, P T NTIAIIY DANGEROUS DANGEROUS DOG LIST NEED TO [i€GISTER DIRECTLYAT CITYHALL. FAKED 02-14-22 BY ':7ki(.;;l9iwf\�;'•�.i�•C1� •.•r ;�i�=;:x•�;IC,1•:�"':�:":I::�G:"',�`�y:r!�;I;pyC��,�n�,,,•�•,,,•Fri^i;:iHt�.�r.,�;;°:�tr•,Qq.,'✓,';'Ii;aS'a�'! '�5( ,;1 ., ,1, 7c; .�,j �.71�"°v�:i�• p'r'i�f�r f Cii'1'/:�d ••'�3. a, - , f's,1.l�IS"�ic�%?i; •ih ",C„ .c.ii. :1`. 'r'� c.r� in•. :..: _ .^: . r•�Ss: fi:%.i*?i 05/13/2022 12:19 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 OAT(s), COMPLUE THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF BLAIR. — 218 S. 16TH ST — BLAIR, NE +BBQBB 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 DWELLINQ UNIT, ***PLEASE READ CAREFULLY*** Y�ttU ARE REQUIREQ BY LAW Td LICENSE YQUR GE S, THE E1TY or FLAIR REQQIRF� PROOF tJF RABiE�i VACCINATION Failure to CIO 54 is a violation of l-Ity Ordinances 6.303 and carries o penalty of a fine Up to $150,00 por pat, PETJU FNSE RENEWALS ARE DUE 13Y3f1S 2022, The city shall reCOgnize a microchip ID number as the license number. It shall be unlawful far 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 Mint register pets within 10 days of residency Pet Name; Peaches Ag6; 11M ;TDB.—05µ20-21 Sex: Neutered Male Coloir: But( Breed: DSH Microchip # Rabies Tag #1 PLEASE INCLUDE CITY TAG NUMEFEFI IF THIS IS Rk NEWAL IIF AVAILABLE): # RABIES VACCINATION DONE ON 00-01-2I Rabies Description., EAR .3 YEAR Holstein Veterinary, Clinic Dr, Llso 60hrum DVM : Dr. Krista Holstein DVM 718 South 1 Bch Street 131a i r, N E 68008 402-426-7887 402-426-0101 Fax holsteincllnlG@gmaii.com LIOENSE,FEES Intact Clog or Cat: $16.00 Do Q cBt: $11.0 Replacement Tap $5.00 Total $'M P6TS THATARE ON THEACTIVEPOTEN R-IALLU,QNGEROUSOR DAIJERCyUS L10G LIST AlEFp Tj REGISTER L71REC7 YAT CITY HALL_ 05/13/2022 12:19 4024260101 HOLSTEIN VET CLINIC PAGE 01/02 2022 PET LICENSE VERIFICATION/APPLICATION FOR CITY OF GLAIR IF YOU LIVE IN BLAIR CITY LIMITTS AND OWN A DOG(S) AND /OR CAT(S), COMPLETE THIS FORM AND RETURN WITH A CHECK PAYABLE TO: CITY OF BLAIR — 218 S. 16`1 ST — BLAIR, NE 68008 YOU MAY LEGALLY OWN A COMBINATION OF FOUR (4) ADULT PETS, BUT NO MORE THAN THREE (3) ADULT DOGS OR THREE (3) ADULT CATS PER RESIDENTIAL OR DWELLING UNIT. ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TQ„LIG►y$( YOUR PETS. THE eITY OF GLAIR REQUIRES PROF OF_RAp1E5 VACCINATION. Failure to do so is a violation of City Ordinances 6.103 and carries a penalty of a Flne up to $�50.0d per pet. . PET UaNSE RENEWALS ARE QUE BY B `1S 202Z. The city shall recognize a microchip ID number as the license number. It shall be unlawful for any dog or cat to wear any license or Other city ID other than that issued by the City of Blair for such drag or cat, NEW PET LICENSINC5 Must be licensed within 10 days of ownership (OR) at G month$ of age if puppy or kitten NEW RESIDENTS TO BLAIR Must register pets within 10 days of residency Owner Nerve Briarla 1 oster#ielr1 Spouse Nate Owner Address 1140 South St City/State/zip Blair, NE 0$008 Phone # 402-45M786 Pet Name, Dipper Age: 17W DOB: 01.13.22 Sex: Male Color: , Brood; 0ernedoodle Microchip #• Rabies Tag # 203355 PLEASE IkCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE): # RABIES VACCINATION DONE ON Rabies Description: i YEAR 05-13-22 3 YEAR. t / Holstein Veterina' ry Clinic Dr. Lisa Rohrum DVM ; Dr. !gists Holstein DVM 718 South 19"' Stee+et Blair,- NE 68008 402-426-7387 402-425 0101 Fax h¢lsteinclinicgmaii.com ' LICENSE FEES h7taGt og or Cat: $16.OQ Dog or cat: $11,00 Rep/acement Tag $5.00 Total $ PETS THAT ARE ON THEACTIVE TENT1ALLVQANG0QqMR Qq DANGEROUS DOG LIST NEED TO REGISTER DIRECTLYAT CITY HALL. FAXED 05-13-22 BY Yi�gl'7:S,6tit•.n , �;� ..a ;;r�, � � ,. �o�,.r.�.:,�r1: • �ui„ �.� � i . +,1�',5"'u I ll l i 4 �� Ik>• ? i ! P'' t` tc �IJ., A�wrd'i.,�'fF��•"i'•'l� !: �i t �r1" 7ti'�j, ,. d."�; �,.1 ,,tt �!4 : i •i .. :fiti r,l•',,.r �Ji, �L+l, �i k. , '1 r,� j �1 t7 ; . '� �+ (,,M1x� ry i ai - •�i•' IV1j�jy' r :md min i.¢.Jlil w+mriniE .�:..I C17TY 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 1S, 2022 Owner Name: Owner Address: city/state/zip: Phone # Blair, NE 68008 4()a- you -I �> 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 lm a violation of City ordinances 6.103 and carries a penalty of a flna up to $1S0,00 per pet PET LICENSES RENEWALS ARE DUE BY 3115/2022. The City shall recognize h microchip Identification number as the license number, It shall be unlawful for any dog or cat to wear any license or other city Identification other than that Issued by the City of Blair for such dog or cat. TM Chy of Blair require$ proof of rable® vaccination. Replacement Fee for Lost Tag: $5.00 Included is a State Fee of $L25 being eolkx2 ed to fund the Nebraska Dog & Cat Operator Inspection Program PET # 1 ❑ Dog Cat �,ISpayedl/Neutered License Fee $ 6 - � Pet Name ��,-,,. Bi date S- -A5 Sex M/NX Color�,�„�... �� Breed** Rep/acement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y P MICROCHIP # (If applicable) SUBTOTAL: $ �•Q � RABIES VACCINATION DATE: 3--1Ua�r)� (1 yr) City Tag # 12 40 TT„ PET #2 ❑ Dog ,Cat 'payed/Neutered License Fee $,,�-� Pet Name aQb-it-S Birthdate lo-4--a_p Si )515 Color-" Breed** '�7 Rep/�acement$ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y MN MICROCHIP # ~"" (If applicable SUBTOTAL: $ )i�,C(-)l_ RABIES VACCINATION PATE:-—s2 j`yr) -� (1 yr) City Tag PET #3 ❑ Dog D Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed** Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: O Y 0 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.) �r Do Not Send Cash by Mal/ TOTAL ENCLOSED If you have questions, please contact Blair Police Department at (402) 426-4747 ++-r++++.**++++++++++*+++++++++++++++++++++++++++++++++++++++++++++++++++++++++ NEW PET/NEW RESIDENTLLCENSING REQUIREMENTS (March 15/alefee lornewpWiaewre_Mdants) Newly Aanuil d eft NewResidents to Blair:. ■ Mo be licensed within 10 days of miners ip ■ Must register pets wlthln 10 days of Is �<OR> at 6 am tts of age if ptrppy/killi t raWenw, ■ T000/TOOOIvj 'IVNINV 11VXS HIV19 C%ZCCSZOV XV3 XV LZ 6 ZZOZ/9Z/ 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 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 reAdentlal or dwelling unit. LICENSE RENEWALS ARE DUE: Mar. h 15. 2022 owner Name: owner Address: 1.,� city/statelzip: Blair, NE 68008 Phone # "c7&--.;kl"-1 - 8k"21C1 a LICENSE FEES: Dog or Cat: $16.00 D Cat• $11 00 ***PLEASE REM CAREMLLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Fa►lurt to do so la a vlolat10n of City ordinances 6.103 and ca HO$ a penalty of a fine up to $150.00 per pot. PLOT LICENSES RENEWALS ARE DUE BY A1.15/2421. The city shall recognize a microchip Identification number as the Iloenso number, it shall be unlawful for any dog or cat to wear any license or other city Identlficatlon other than that Issued by the city of Blair for such dog or cat, Tho City of Blair requires proof of rables viednatlon. Altered og or Replacement Fee for Lost Tag: $5.00 Induded Is a State Fee of $1.25 being aolletted to fund the Nebraska Dog & Cat Opwator Inspection Program PET # Dog ❑ Cat ❑ Spayed/Neuter' d License pee $ k Pet Name � Birthdat Replacement $„_ ** ColorBreed r Declared Dangerous or Potentially Dangerous Dog: O Y ON MICROCHIP # — (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: 3�-Gk�b'?4-oGt (3 Yr) XG (1 yr) City Tag # PET #2 O Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate — Sex Color Breed** Replacement $ Declared Dangerous or,Potentially Dangerous Dog: ❑ Y O N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # PET #3 ❑ Dog ❑ Cat 0 Spayed/Neutered License Fee $�• Pet Name BirthBreedd to Sex Replacement $ ColorDeclared 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 ** ('Phis fee is due along with License Fee if requesting at the time of license renewal.) Do Not Send Cash by Mall TOTAL ENCLOSED $ 1�o If you have questions, please contact Blair Police Department at (402) 426-4747 ++++++++++++++++++++++++++t.+++++++++++++++++++++++++++++++++++++r++++++++++++ NEW PET/NEW RESIDENT LICENSING REQUMMEN 3 (Mal>:h XSlat a date rX�tappoltab /ririlew/ae�s✓n�W I dEnL�) yr* a Must be kaiged wMh 10 daYs of mroft 0 Must regisIer pets widen 10 days of ■ <OR> at 6 months of age if puppy/ldten reWemy. T000/T000 [a ZdNINV ' 1vHS 2iIvgq CZLZCCSZOV XBd Nd8C : ZT ZZOZ/SZ/K 12/30/2021 13:10 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. 16TM 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 'SHE CITY OF BLAIR REQUIRES PROOF QP RABIES VACCINATION. Failure to do so Is a violation of City Ordinances 6.103 and carries a penalty of a fine up to $150,00 per pet. PET LICENSE RENEWALS ARE DUE BY 3/15/2022. The city shall recognize a microchip ID number as the license number. It shall be unlawful for any dog or cat to wear any license or other city ID other than that issued by the City of Blair for such dog or cat. NEW PET LICENSING Must be licensed within 10 days of ownership (OR) at 6 months of age if puppy or kitten NEW RESIDENT$ TO BLAIR Must register pets within 10 days of residency Owner Name Jamie Whitelock Spouse Becky Owner Address 1404 Colfax Street City/State/Zip Blair, NE 68008 Phone # 402-533-8254 Pet Name: Kane Age: 8Y Sex: Neutered Male Color: Brindle/Wt DOB: 12-29-13 Bread: Bull X Microchip # 985112005978803 Rabies Tag # 19706 PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILAHLE): # RABIES VACCINATION DONE ON 1 12-30-21 Rabies Description: 1 YEAR Holstein Veterinary Clinic Dr. Lisa Schrum DVM ; Or, Krista Holstein DVM 718 South 191" Street Blair, NE 68008 402-426-7,387 402-426-0101 Fax holsteinclinic@gmail.com 3 YEAR ]LICENSE FEES Intact Dog or Cat: $16.00 Altered Dog or cat: $11.00 $5.00 Total $j� �S rMAT ARE ON THEACTIVL^ POTENTIALLY DANGERQ S OR DANGECtQ&7 DOG LIST NEED r0 (IW TER DIRECTLYA T CITY HALL, ,E,T LICtNSE APPLICATION CITY OF BLAIR - If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made 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: wis SQm Whivef 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 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 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 Dog Ll Cat XSpayed/Neutered License Fee $ Pet Name X\1 Birthdate 07-10119.0 Sex Color U-111—c—T Breed** bd2ff MIX Replacement $ Dearecl Dangerous or Potentially Dangerous Dog: Ll Y N MI d OCHIP # (If applicable) SUBTOTAL: $ (1 yr) 0 RAB�VES VACCINATION DATE. (3 yr) City Tag # C a #2 Ll Dog *0 Cat '4'Spayed/Neutered Ime Birthdate Sex Breed" ed Dangerous or Potentially Dangerous Dog: Ll Y )CHIP # .,(If applicable) S VACCINATI ,QN,AT_D1 . E: _j� (3 yr) License Fee $ Replacement $ LI N SUBT I OTAL: $ (1 yr) V City Tag --PET #3 Li bog Ll Cat LJ Spayed/Neutered License Fee $ Pet Name Birthdate, Sex Color Breed** Replacement $ Declared Dangerous or Potentially Dangerous Dog: El Y El 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.) P I., Do Not Send Cash by Mail TOTAL ENCLOSED $ ')1,00 If you have questions, please contact Blair Police Department at (402) 426-4747 .............................................................................. NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 151ate fee date not applicable for newpet�lnew residents) Newly Acquired Pets: New Residents to Blair: • Must be licensed within 10 days of ownership 0 Must register pets within 10 days of • <OR> at 6 months of age if puppy/kitten residency. CERTIFICATE OF VACCINATION Q116001RIM, =� IV 041116 b'rt I P I I I r� 14 MA VETERINARY CLINIC Holstein Vet Clinic 718 South 19th Street Blair, NE 68008 402-426-7387 Certificate No: 0 IV-4'KTf tv-41"e' hklN��-�kwx-4f f ffivof f 0 OWNER OF ANIMAL Chris Whitwer 1024 Stone Creek Dr. Blair, NE 68008 County: This is to certify... THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. lZRIMTRUn�- •111 PATIENT: Roxy TAG NO: 19087 SPECIES: Canine WEIGHT: 63.20 SEX: S AGE: 14 month-, Color and markings... Brindl/Brn Signed Krista Holstein , DVM License: 3612 MFG BY: ZOETI SER.NO: 402242 LOT EXP: 07/20/21 ADM: SQ CERTIFICATE OF VACCINATION Date of Rabies Vaccination: 10-21-21 Next Rabies Vaccination On: 10-21-22 VETERINARY CLINIC Holstein Vet Clinic 718 South 19th Street Blair, NE 68008 402-426-7387 This is to certify... Certificate No: 0 • Rabies Vaccination: OWNER OF ANIMAL Chris Whitwer 1024 Stone Creek Dr. Blair, NE 68008 County: PATIENT: Chloe TAG NO: SPECIES: Feline WEIGHT: 13.60 SEX: S AGE: 16 years Color and markings... Tabby Signed Krista Holstein , DVM Rabies Vaccine Information... License: 3612 MFG BY: ZOETI SER.NO: 495129 LOT EXP: 09/13/22 ADM: SQ o. CITY OF BLAIR ® 2022 PET LICENSE APPLICATION i — _ _ , If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair • 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 (B) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15,2022 Owner Name: r a1 IyhVl r1V1ts l (� Owner Address: "► 1 l _ City/State/zip: Blair, NE 68008 Phone # gb,�'5`33'- 1692 LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $ii 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 Lust Tag: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Ins 'on Program ET #1 0 Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet NaMe Po v JIli Birthdate �= /�_ c°�Sex 10Y1 Color Replacement $* DeclarDan Brous or Potentially Dangerous Dog: ❑ Y j N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) :�ZL (1 yr) City Tag # ET #2 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed** Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # ET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed** Rep/acement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not send cash by Mail TOTAL ENCLOSED $ If you have questions, please contact Blair Police Department at (402) 426-4747 +++++-.....++++++..........++++++.....++++.++.+++++++++++++++++++..++++++++.+. NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15late fee date not applicable fornewpets/newlesidents) Newly Agguired Pets: New Residents to Blair: • Must be licensed within 10 days of ownership N Must register pets within 10 days of • <OR> at 6 months of age if puppy/kitten residency. Holstein Vet Clinic Patient Chart 718 South 19th Street Blair, NE 68008 402-426-7387 Printed: 01-11-22 at 11:31 a CLIENT INFORMATION Name Angela Wick (8689) Address 442 S 11th St Spouse John 402-213-8720 Blair, NE 68008 Phone 402 533-1087 PATIENT INFORMATION Name Jeremy Species Canine Sex Male, Neutered Breed Havanese Birthday 05-12-09 (unknown) Age 12y (unknown) ID 985112011219651 Rabies 19201 Color Black and White Weight 14.80 lbs Reminded (none) Codes Reminders for: Jeremy Last done 05-28-24 Denfensor 3 (3 Year Rabies) 05-29-21 07-26-22 Heartworm Test & Prevention 07-26-21 05-29-22 Vangard Plus 5 05-29-21 MEDICAL HISTORY - Vaccination View Date By Code Description Oty (Variance) Photo 05 29 21 LS 410005 Vanguard® Plus 5 { Distemper) 4RAB3 Defensor 3 {3Y RABIES ), #19201 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 680 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: t`Z �- � W Owner Address: city/state/zip: Blair, NE 68008 Phone # q u -S39- 6 S 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 PqlDog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name fin it,��_-Birthdate - Sex Color �,�»,,vr ' %1� t- Tn) Breed**** k. Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y N MICROCHIP # YV I I a005U -7-24a :)- (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: 1 (3 yr) ---- (1 yr) City Tag # PET #2 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Birthdate Sex — Color Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Birthdate Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ W7 (1 yr) (I yr) License Fee $ Replacement $ SUBTOTAL: $ City Tag # License Fee $ Replacement $ SUBTOTAL: $ City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not Send Cash by Mail TOTAL ENCLOSED $ If you have questions, please contact Blair Police Department at (402) 426-4747 ++++++.....++++++++++++..........++++++++++++.....++++++++++++.........++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (Match 15/ate fee date notapplicable fornewpets/newtesldenis) Newly Acquired Pets: New Residents to Blair: • Must be licensed within 10 days of amiership ® Must register pets within 10 days of e <OR> at 6 months of age if puppy/kitten residency. Holstein Vet Clinic 718 South 19th Street Blair, NE 68008 402-426-7387 Printed: 01-11-22 at 11:30a CLIENT INFORMATION Name Laurie Wick (3390) Address 2811 Westridge Drive Spouse Todd Blair, NE 68008 Phone 402 533-0536 Cell 402-533-4859 PATIENT INFORMATION Patient Chart Name Finley Species Canine Sex Female, Spayed Breed Beagle Birthday 03-02-17 (unknown) Age 4y (unknown) ID 985112005077862 Rabies 19654 Color Tri Color Weight 32.70 Ibs Reminded (none) Codes Reminders for: Finley Last done 12-02-24 Deneensor 3 (3 Year Rabies) 12-03-21 12-03-22 Vangard Plus 5 12-03-21 MEDICAL HISTORY Date By Code Description Oty (Variance) Photo 12-03-21 KKH SB Your Receptionist is Sadie 1 VAC Vaccinate & Mini Exam 4RAB3 Defensor 3 { 3Y RABIES }, #19654 410005 Vanguard® Plus 5 { Distemper } 12-03-21 OTC 2NAILS Nail Trim 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 1. 2022 Owner Name: M q City/State/Zip: Blair, NE 68008 Phone # �Aoa � 3 a _ LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11.00 ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3/15/2022. 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. Raplacament Fee for Lost r ag: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET #1 ❑ Dog 0 Cat �A Spayed/Neutered License Fee $ Pet Nameyvyn.n Birthdate .5 jam_ Sex M Color o ,� Breed** Short jar Replacement $ ** Declared Da g�i erous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # !21(Ar a►odi-1 �'IS� (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: �i�� (3 yr) __��___- (1 yr) City Tag �* TT`� PET #2 ❑ Dog �A Cat ISpayed/Neutered License Fee $ I I Pet Name 1= M-e, Birthdate J-Lli ir,� Sex _ Color Breed**-�xarsar�lx�}�- Rep/acement$ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # qS 6 i0i.6,i10 3 (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: olI I are (3 yr)_ (1 yr) City Tag # PEA' #3 ❑ Dog A Cat Spayed/Neutered License Fee $ Pet Name ecehn Birthdate ?tQji 1Sex Color. RNcr)A cir,j Breed** 4mer,,,cao '{-oc--I- l4wo Replacement $ ** Declared Dangerous or Potentially Dangerous nog: ❑ Y 131 N MICROCHIP # rol1au6OS1 4i (If applicable) SUBTOTAL: $ _ RABIES VACCINATION DATE: 11 Imp (3 yr) _4 (1 yr) City Tag # I ' * *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 .+++++.....++.+++++++++............................++++++.+¢++a-++++........ + NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March.t5/ate fee date not applicablefornewpets/newresidents) Newly Acquired 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. ant ID Client Name Patient ID Patient Blame Item ID/Description Type Date 1235 Hosch, Steve & Michelle Phone: (402) 533-2119 4285 Lucky Man 84 Rabies Vaccination - Feline L 6/1/2022 100 Rhino-Calici-Flu-PanLeu-Annual L 9/25/2022 176 Feline Leukemia Vac -Annual L 9/25/2022 4746 Little Sister 84 Rabies Vaccination - Feline L 6/1/2022 100 Rhino-Calici-Flu-PanLeu-Annual L 6/7/2022 7575 Echo 100 Rhino-Calici-Flu-PanLeu-Annual L 11/19/2022 84 Rabies Vaccination - Feline L 11/24/2022 Blair Small Animal Clinic PC Page 1 of 1 Date: 1/24/2022 I CITY OF BLAIR aTIO� ® LJ 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. g LICENSE RENEWALS ARE DUE: March 15, 2022 ***PLEASE READ CAREFULLY*** ®weer Name: ��SIc,I�,)rz,) �,��)�r�`"��1 >�" YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Owner Address: %'. ,�/ e� cv� (dC7 ! (/�3 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 3115/2022. 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 cat. The City of Blair requires proof of rabies vaccination. LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: 411.00 Peplacement 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 P T #1 ® Dog ❑ Cat EllSpayed/Neutered License Fee $ li.00 f P� Name j�m .s ;-BhtMatSex % 5 Or Breed** At,is-r ca r re- aa- Replacement $ ** s t ,Delared Dangerous or Potentially Dangerous Dog: ❑ Y a N I ROCHIP #� i 1- �c�� s�� l,� (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (/�.� e �� (3 yr)_ (1 yr) City Tag #�� y 'lo ET #2 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Birthdate Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ W (1 yr) License Fee $ Replacement $ * * SUBTOTAL:$ 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) (l 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 TOTALENCLOSED$ i 1, o o If you have questions, please contact Blair Police Department at (402) 426-4747 ++++++++-r++....+++++,....++++++..............+++++.........++++++.....+.+++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March15/ate fee date not applicablefornewpets/new residents) Newly Acquired Pets: New Residents to Blair: • Must be licensed within 10 days of ownership Its Must register pets within 10 days of • <OR> at 6 months of age if puppy/ldtten residency. CITY OF BLAIR - 2022 PET LICENSE APPLICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair e 218 S 1 th St s 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: city/state/zip: Blair, NE 68008 Phone# q0)-(cS, ()ItC1(0 Lc , wl LICENSE +r_ FEES: t, cr, Dog or b 16 00 Altered Dog or Cat: 11.00 ***PLEASE FULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS, Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3/15/2022. 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. r �. ; , � ;�, +i ` r• , � • � ,�., _ ,a ��: ' �� . d�., ; `ill .f '. �� r^ 6 �� - a•..� �� '; T #1 • Q"6 o g Ll Cat & Spayed/Neutered License Fee &. 0 0 Pet Name n Birthdate S I F3 Sex Color A Lit, k Breed** " Replacement . , ) * * Declared Dangerous or Potentially Dangerous Dog: ®Y N, MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATIOIN IDATE: L -I cl -22 _ (3 yr) (I. yr) . City Tag # * ET #2 lD o g 0 Cat "'Spayed/Neutered License Fee �C>C� Pet Name SA., � Birthdate -I Sex `na Color ': ,; w(L, of Breed** P p , kt_ U :� „< ° Rep/acement$ Declared Dangerous or Potentially Dangerous Dog: ® Y MICROCHIP # __(If applicable) S BTOTAL: $ L G 0 b Ty RABIES VACCIN/�T�,, �fnnl nATE: �I _-1 �l -�22 _ (3 yr) (1 yr) City Tag # * Srfl1�5 T #3 LJ Dog ® Cat ® Spayed/Neutered I 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,) ®o Not Send Cash by Mail TOTAL ENCLOSED $ 5 u 06 If you have questions, please contact Blair Police Department at (402) 426-4747 ... .+-F-h.... .. . .. . i-. .-F. . i^. .+•h . i• . sr .. dr fi° .-f ...I .....4.. ^i=-h..... i--h i- . . .--S-. . °i'. -i--i-.-9-+....... NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15late fee datenotapplicable fornewp9is/new residents) NewlyAoquired Pets: New Residents to Blair: * Must be lioensed within 10 days of ownership a Must register pets within 10 days of <OR> at 6 months of age if puppy/ldtten residency. 444 1 ? 0CITY 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 City of Blair a 218 S 16th St Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three. (3) adult:dogs, or three (3) adult cats per residential or dwelling unit. F LICENSE RENEWALS ARE E: March 15, 2022 ***PLEASE READ CAREFULLY*** Owner Name: /I `J YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. ��J3 c 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 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 P-eplacement Fee for Lost 'Tag: $5.00 Included is a Mate Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET #1 (Ell Dog ❑Cat Spayed/ Neut .red ,-� ` Ze C' Zo/ Sex Pet,Name��C License Fee $ C UCe Birthdate -- Color Breed** —Replacement $ ** ;. Declared Dangerous or Potentially Dangerous Dog: ❑ Y N �✓ MICROCHIP # (If applicable) SUBTOTAL: $ ✓ / RABIES VACCINATION DATE:-- `� (3 yr) (]. yr) _ Tom' City Tag # PET #2 Jd Dog ❑ Cat 5 Spayed/Neutered ' e 'A! License Fee $ ` Pei. Name arc it�!7 v_ Birthdate --'0Z0 Sex Color �, %� G, 4-' Breed** Replacement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y AN ! MICROCHIP # �- -� - ---- " �— (I applicable) SUBTOTAL: $ RABIES VACCINATION DATE: /- 2 _ (3 yr) (1 yr) City Tag # PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed** Rep/acement $ _ Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not Send Cash by Mail TOTAL L If you have questions, please contact Blair Police Department at (402) 426-4747 +.++++++++++...............+++++++++.++.++.++.................++++++-e ....++++. NEW PET/NEW RESID ENT LICENSING REQUIREMENTS (March .i5late fee datenot applicable for newpets/newre5idents) Newly Acquired Pets: New Residents to Blair: Must be licensed within 10 days of ownership N Must register pets within 10 days of Ell <OR> at 6 months of age if puppy/kitten residency. p , { dT q CITY OF BLAIR - �(i� PEl' LIC�1�5E �PL�� N 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. a t LICENSE RENEWALS ARE DUE: March 15, 2022 Owner Name: Owner Address: City/State/Zip: 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: $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 og,-)6 CatSpayed/Neutered License Fee $ Pet �a �� Birthda*te �� Sex _ ** �to Breed > d Replacement $ ecl. red Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N ' MICR OCHIP # (If applicable) 19 SUBTOTAL: $ZL B ES VACCINATI01 DATE: - / - ( (3 yr) (a yr) _ Cam_/City Tag # �✓ � ... r t w PET", #2 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Nme Birthdate Sex qgJjDr Breed" Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ W (1 yr) License Fee $ Replacement $ 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;, 1 v a { 3 yr) r-)Z .m- 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 C>0 If you have questions, please contact Blair Police Department at (402) 426-4747 ..........+++++++++++++++++.++,r++++.+++..........++++++++++++.....++++++++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15/ate fee date not applicable fornewpets/newresfdents) 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/fatten residency. %0.`,ITY OF BLAIR - 2022 PET LICENSE APPLICATIOV If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair e 218 S 16th St 9 Blair,, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwell LICENSE RENEWALS ARE DUE: March 15, 2022 Owner Name: Cie. )M(X_ \41Ln<� Owner Address: - 'LoA city/state/zip: Blair, NE 68008 Phone # (4 oz-) z] % W([ I ***PLEASE READ YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and TT�es a penalty of a fine up to $150.00 per pet. A n,- . I PET LICENSES RENEWALS ARE DUE BY 3/15/202 :—Tffe—CiW 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 Replacen-keritL 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 W Dog LJ Cat �d Spayed Neutered License Fee $ "-,Pet Name BIc"c u6-'l Birthdate iZ-jz_(ojtciSex 1---mccie, Color \Aiwkc, VIJJ V)I6(Ck- t=:r v -,, — Breed" P\AX,4\`1 (iv)VOA LL Replacement $ Declared Dangerous or Potentially Dangerous Dog: L3 Y N ICROCHIP # 'I V) i ZI o() 1 99-7 (1)09-(If applicable) SUBTOTAL:$ �IBIES '(3 �j TI jz4j zj (1 yr) 4(oXiity Tag # I VACCINATION DATE.- yr) PET #2 U Dog Ll Cat LJ Spayed/Neutered License Fee $ Pet Name Birthdate Sex dolor Breed" - - Replacement $ -,------,-,Declared Dangerous or Potentially Dangerous Dog: 0 Y LJ N MICROCHIP # (If applicable) SUBTOTAL:$ RABIES VACCINATION DATE: (3 yr) - (1 yr) __ City Tag # PET #3 0 Dog LI Cat LJ Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed" Replacement $ Declared Dangerous or Potentially Dangerous Dog: Ej Y 0 N MICROCHIP # (If applicable) SUBTOTAL:$ RABIES VACCINATION DATE: (3 yr) - (1 yr) - City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not Send Cash by Mail TOTAL ENCLOSED $ If you have questions, please contact Blair Police Department at (402) 426-4747 .............................................................................. NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 151ate fee date not applicable for newpet5lnew re5ldenly) Newly Acquired Pets: New Residents to Blair: • Must be licensed within 10 days of ownership 0 Must register pets within 10 days of • <OR> at 6 months of age if puppy/kitten residency. C�� CITY OF BLAIR - 2021PET 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 9 Blair, NE 68008 You may legally: own a combination of four (4) adult pets, but no more than three (3) adult or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE March 15 .2022 Owner Name: '.J('�A MYIS _ Owner Address: b (Is 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 'f #1 Dog ❑ Cat �4 Spayed N eutered Co Pit Name Birthdate Z. I e�c for r51cZv Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable; RABIES VACCINATION DATE __ ZI Z► _�'�(3 yr) _ J�a) . 0 PET #2 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Birthdate Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) (1 yr) License Fee $ Replacement $ SUBTOTAL:$ License Fee $ Replacement $ SUBTOTAL:$ 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.) s Do Not Send Cash by Mail TOTAL ENCLOSED If you have questions, please contact Blair Police Department at (402) 426-4747 +.+++......+.++++....+++.++.......+++++++.+++++++++....+++.++++++++........... NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15late fee date not applicable for newpets/newre5ldentS) Newly Acquired Pets: New Residents to Blair: • Must be licensed within 10 days of ownership o Must register pets within 10 days of • <OR> at 6 months of age if puppy/kitten residency. 73 Y 9 5" 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: March 15. 2022 Owner Name: QQn-e— A i � 1 1,4tyN S Owner Address: yrr-,1�3 ni kA srt City/state/zip: 'flair, NE 68008 Phone# 1111®� ` 10111 LICENSE FEES: Dog r l ,1; b ***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 'Tags: !M00 Included is a State Fee of $1.25 being collected to fund'the Nebraska Dog Ec Cat Operator Inspection Program T #1 IN Dog ❑ Cat ❑ Spaye Neutered N License Fee Pet Named Birthdate Sex Color Breed** Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y R N MICROCHIP # IW (If ap licable) SUBTOTAL: $ RABIES VACCINATION DATEI*q 1) 33 ) (1 yr) City Tag # r PET" #2 S Dog ❑ Cat ❑ Spayed/Neutered �^ License Fee $ 16.19 Pet N, m Birthdate Q--N-ex Color 1 eA w ; t-e Breed** ' h u a Rep/acement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y b N MICROCHIP # No (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: 1-(3 yr) 1 r City Tag # . ' t 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.) ®o Not send cash by Mail TOTAL L $ 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/newresldents) Newly Acquired Pets: New Residents to Blair: ® Must be lioensed within 10 days of ownership n Must register pets within 10 days of ® <OR> at 6 months of age if puppy/kitten residency. V) 9 75-�, � CITY OF BLAIR ® 2022 PET LICENSE APPLICATION 3 -- If you live in Blair City limits and own a clog(s) and/or cat(s), complete this form and return with check made payable to: City Of Blair a 218 S 16th St a Blair® NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult eats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15, 2022 Owner Name: Owner Address: 2- 2hr- e city/state/zip: Blair, NE 68008 Phone # y DE- 3 Lor1 Lt LICENSE FEES: Dog or Cat: $16.0__0 A7Lere 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:O0 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET 1 �' Dog ❑ CatAhUte payed/Neutered License Fee $ 0 U Pet Name S W L Bi z z Sex �ci ti e Color [31r�t�` Breed** pion Ir�c�u Rep/acement$ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y U"N CEO MICROCHIP # J0 (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: 1 Q,_=_ (3 yr) \ _ (1 yr) City Tag # PET # 2 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed** Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered 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 cases by Mail TT L N L ® � 6 , 0 0 If you have questions, please contact Blair Police Department at (402) 426-4747 ............... r+++++++++++++$+++-r+++a-++++++......++++++......¢+++++-r+++++++. NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15late fee date not applicablefornewpets/newresidentsJ Newly Acquired Pets: _ New Residents to Blair: • Must be licensed within 10 days of ownership 0 Must register pets within 10 days of • <OR> at 6 months of age if puppy/kitten residency. I�IL// ,z CITY OF BLAIR ® 2022 PET LICENSE APPLICATION If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made payable to: City of Blair a 218 S 16th St 9 Blair, NE 68008 You may legally own a combination of four (4) adult pets, but no more than three (3) adult dogs or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE DUE: March 15. 2022 Owner Name: Key"", IXJi /�i`s Owner Address: /266 S, /3 AV& City/State/Zip: Blair, NE 68008 Phone # goy -a 7111" / 9-5.s- 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 rope for Lost $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET #1 D o g ❑Cat ) Spayed/Neutered License Fee 00 Pet Name J Birthdate 6 -Is'-1 2 Sex M Color Rye X -e- Breed** v i4-nt dS L<- Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: 60 RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # 11* PET #2 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Birthdate Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: _ (3 yr) _ r Replacement $ ❑N SUBTOTAL: $ _ (1 yr) City Tag # ** * PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed** Replacement$ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) i City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) ®o Not Send Cash by Mail TOTAL ENCLOSED If you have questions, please contact Blair Police Department at (402) 426-4747 ..........++++++.+.it......-ai-+.............................. F.-h++.............. NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15late fee date not applicable fornewpets/new residents) Newly Acquired Pets: New Residents to Blair: • Must be lioensed wifin 10 days of ownership N Must register pets within 10 days of • <OR> at 6 months of age if puppy/Wen residency. f � i� �� K✓ � i �f~ t "� k t 'If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made City of Blair 9 28 S 16th St ® Blair, NE 6800 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:��a City/State/Zip: Blair, NE 68008 Phone # 401 hcjL-(_ I q 7 � LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11.00 ***PLEASE READ CAREFULLY*** to: 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. P.eplacernent Fee for Lost Tag: $5.00 Included is a Mate Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program ET # 1 Dog ❑ Cat Spayed/Neutered License Fee $ y UV Pet Name �� Bil- date Sex Color tlL Breed** � � 4\ar Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y AN MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE. (3 yr) X, (1 yr) City Tag # * V# ; e7 x PET #2 ❑ Deg ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed** Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag #�* PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed** Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not send Cash by Mail TOTAL ENCLOSED If you have questions, please contact Blair Police Department at (402) 426-4747 ++++++++++++++++++++++++++++++++++++......+++++++++++++++¢+++++++++++++.....++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15late fee date not applicable fornewpets/newresldents) Newly Acquired Pets: New Residents to Blair: ® Must be licensed within 10 days of ownership ® Must register pets within 10 days of • <OR> at 6 months of age if puppy/kitten residency. CERTIFICATE OF VACCINATION Date of Rabies Vaccination: 09-14-20 Next Rabies Vaccination On: 09-14-23 Certificate No: o Previous Rabies Vaccination: <oldtag> VETERINARY CLINIC Morgan Pet Clinic 16937 Audrey Street Omaha, NE 68136 402-895-1001 OWNER OF ANIMAL Kenneth Winter 320 $ 70th Ave Omaha, NE 68132 This is to certify... THAT 1 HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW: Patient information... PATIENT: Gus SPECIES: Canine SEX: Male Color and markings: Black TAG NO: 36232 WEIGHT: 33.60 AGE: 7Y BREED: Retriever, Labrador Signed Hafta Dr. Charlie Morgan License: 2996 vaccinations done... %41iEJ1wC 09-14-20 09-14-20 COM Rabies -Canine 3 year, #36232 09-14-23 COM Leptospirosis vaccine 09-14-21 COM Bordetella Booster Intranasal 09-14-21 COM DA2PPC 09-14-21 COM Rabies Canine 1 year, #29974 09-14-20 12-03-18 Rabies Vaccine Information... MFG BY: NOBIV S E R. N O : 282276A LOT EXP: 09/13/19 ADM: SQ If you live in Blair City limits and own a dog(s) and/or cat(s), complete this form and return with check made pay le City of Blair a 218 S 16th St a Blair, NE 68008 You may legally.own a combination of four (4) adult pets, but no more than three -(3) adult dogs or three (3) adult cats per residential or dwelling unit. eQ ---I - 2��_ Owner Name: W\h-4- Owner Address: 302,0 Lo � e- N City/State/Zip- Blair, NE 6800$ Phone # (jag-) cog - 13 W 6 ***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 ■ ve PIPE i #1 0 Dog ❑ Cat ❑ Spaye /Neutered License Fee $ Pet Name Sflat Birthdate 1'115111 Sex Vl9 Color \rJhi�� 1 lMd-rl� Breed** ,a poop, Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y a N MICROCHIP # (If applicable) SUBTOTAL: $ 1 RABIES VACCINATION DATE: _ (3 yr) _X— (1 yr) City Tag # T #2 4 Dog ❑ Cat ❑ Spayed/N utered License Fee $ Named Birthdate �,1 Sex F E0111A Breed** _ chocnla-e, 11,p Replacement$ ** red Dangerous or Potentially Dangerous Dog: ❑ Y ® N OCHIP # (If applicable) SUBTOTAL: $ ES VACCINATION DATE: 11) �JQ J M1 (3 yr) X (1 yr) City Tag # #'3 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate Sex Col r Breed** Replacement$ ** eclared 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 L 02a If you have questions, please contact Blair Police Department at (402) 426-4747 .+++++....+.++++++.++,.....................+.++++........++++++....++++++..++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15/ate fee date notapplicable fornewpets/newresidents) Newly Acquired Pets: New Residents to Blair: ® Must be licensed within 10 days of ownership m Must register pets within 10 days of • <OR> at 6 months of age if puppy/kitten residency. 1> pi (VI U tA�' CITY OF BLAIR - 2022 C)EN�i APki TIO 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 I or three (3) adult cats per residential or dwelling unit. LICENSE RENEWALS ARE UE:, March 15, 2022 Owner Name: Owner Address: Aj Z� City/State/Zip: Blair, NE 68008 Phone # 1-Y6 -1? 41 LICENSE FEES: Dog or Cat: $16.00 Aitarc&ri nn or Cat: itl I om"' ***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 Lostlag: $5.00 included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET #1 Dog LJ Cat 0 Spays 'Neutered License Fee $ Pet Name -h P, K Birthdate 42 i,,cSex V V Color Breed** - i)ij X o-cf, Replacement $ Declared Dangerous or Potentially Dangerous Dog: J Y Ur N ,4MROCHIP # (If ap�plicable),,, SUBTOTAL: BIJE�S YACCINATION DATE: Q (3 yr) (1 yr) — City Tag # PET #2 Ll Dog El Cat Ll Spayed/Neutered Pet Name Birthdate Sex Color Breed" Declared Dangerous or Potentially Dangerous Dog: LJ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: __ (3 yr) — 11111irl (I yr) License Fee $ Replacement $ SUBTOTAL: $ — City Tag # PET #3 0 Dog LJ Cat LJ Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed" Replacement $ Declared Dangerous or Potentially Dangerous Dog: LJ Y LJ N MICROCHIP #— (If applicable) I 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.) I I TOTAL ENCLOSED $ Do Not Send Cash by Mail If you have questions, please contact Blair Police Department at (402) 426-4747 ........................................................... 4 ................... NEW PET/NEW RESIDENTLICENSING REQUIREMENTS (Mal-ch 151ate fee date not applIcable fornewpelsInew re5ldenly) Newly Acquired Pets: New Residents to Blair: • Must be lioensed within 10 days of ownership 0 Must register pets within 10 days of • <OR> at 6 months of age if puppy/ldften residency. �'Zuw /� --) 6 6 6 " 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. $' C�'u � a ,n "I LICENSE RENEW LS ARE DUE: March 15 2022 Owner Name: �� Owner Address: City/State/Zip: Blair, NE 680008 v4 Phone # 1�eL-LI �1 LICENSE FEES: Dog or Cat: $16.00 Altered Dog or Cat: $11.00 ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Failure to do so is a violation of City ordinances 6.103 and carries a penalty of a fine up to $150.00 per pet. PET LICENSES RENEWALS ARE DUE BY 3/15/2022. The City shall recognize a microchip Identification number as the license number, It shall be unlawful for any dog or cat to wear any license or other city Identification other than that Issued by the City of Blair for such dog or cat. The City of Blair requires proof of rabies vaccination. Replacement Fee for Lost Tag: $5.00 Included is a State Fee of $1.25 being collected to fund the Nebraska Dog & Cat Operator Inspection Program PET #1 Dog ❑ Cat W Spayed/Neutered License Fee $ Pet Nam Birthdate Sex Color Breed** Replacement$ ** Declared angerous or Potentially Dangerous og: ❑ Y N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: 0 `� (3 yr) (1 yr) City Tag # j `l PET #2 ►M Don ❑ Cat L"payed eutered Pet Name t-4 Birthdate Se Color Breed** _ Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: . _ (3 yr) ' PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Birthdate Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ W IG License Fee $ Replacement $ ** SUBTOTAL: $ (1 yr) City Tag # 3 (1 yr) License Fee $ Replacement $ * * SUBTOTAL: $ City Tag # *PLEASE INCLUDE THE CITYTAG 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 �U If you have questions, please contact Blair Police Department at (402) 426-4747 +++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++.++++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (Marchl5/ate fee date not applicable fornewpets/newresldenis) Newly Acquired Pets: New Residents to Blair: ■ Must be licensed within 10 days of ownership ■ Must register pets within 10 days of ® <OR> at 6 months of age if puppy/kitten residency. /21/2022 3:16 PM FAX 4025332723 BLAIR SMALL ANIMAL � 0001/0001 p0"rA�QN R ^ �Q72 pF.T LICIENbc Payable to: or. S or Cat(s), complete this form and return with check made p y CX limits and own a dog(s) and/ a Blair, NE 6$008 F you live In Blair City of Blair • 218 S 16th 3 adult dogs cityets, but no more than three ( ) 4 adult p or three (3) adult cats per residential or dwelling unit. You may legally own a combination of four LICENSE RENEWALS ARE OUE 0— Owner Name: owner Address: NE 68008 city/state/zip: Bl��a//ir, phone # ***PLEASE RW CAREFUU:Y*** YOU ARE REQUMIED 6Y LAW To i.SCENSE YOB 6103 and carries Failure to do so is a viol $,jS 0ocity r nee anCos a Denalty of a floe up to $� 0• D pt:T l iGeNSES rteNMAtS ARe oue av 3 ' The city shall It or Cat to weer any IlcensN or ocher city recognize a mlcrochlp Identification number as the license number. shell be unlaytui for any dog Idcntif cation other than that Issue' eyf he Ci vof slain for Such o9 Or cat. The City of Blair rtpuir" P ►LIGENSE FEES: or Cat: $J.6.00 Dog -• Altered Dog or Gat: $11.00 t'Yron pram _ .. EtePlacerrte25 gooA collected to fund the Nebraska Clog Cat Operate Included is a Sty Fee $ ' & ! j C PET #1 i❑ Dog I� Cat pav /NelerSex�- Bi hdate License Fee ** Replacement $ _ -- Pet Nameo Breed** Color < — — Dangerous, $ Declared Dangerous or Potentially SUBTOTAL: City Tag # ` MICROCHIP # a� (3 yr) RABIES VACCINATION DATE: — r I Cat O Spayed/Neutered License Fee $ P� � e Dog Birthdate .�-- Sex Rep/acement Color Breed** Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N SUBTOTAL: $ _1 Declared (If applicable) MICROCHIP # (3 yr) (1 yr) City Tag RABIES VACCINATION DATE: PET #3 ❑Dog ❑ Cat ❑ Spayed/Neutered Sex License Fee $ Birthdate Pet Name Breed** Replacemef�t $ Color s Dog- ❑ Y ❑ N Declared Dangerous or Potentially Dangerro (If applicable) SUBTOTAL: $ MICROCHIP # r r CityTag# `* RABIES VACCINATION DATE: (3 y) ( Y) *PLEASE INCLUDE THE CCTV 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 +++;4+++.fi++*+++.++k.+++t++*t++.....+++++t+a.t++++t+++.+/r++....}*+ NEW pt` r/NEW RESIDENT LICENSING REQUIREMENTS (Hard t� 1Sl�fee date notapp _for new PWnervres/d ■ Mast be lioNised wittlin 10 days Of crvnershlp ■ Must register peb5 vvdllln 10 days of w <OR> ar 6 moms dfagLnItPuppY/ldtten res+denry, 1 12/31/2021 09:11 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 INQUIRED BY LAW TQ LICENSE YOUR PET, THE CITY OF BLAIR REQUIRES PROOF Q f 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 DICE BY 3/IS/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 I Leslie Wolfe Spouse Dustin Owner Address 1927 Crestridge Dr City/State/Zip Blair, NE 68008 Phoine # 402-426-5617 Pet Name: Jax Age: 20M Sex: Neutered Male Color: White DOB: 04-19-20 Breed: Westie Microchip # 985141002843990 Rabies Tag # 19365 PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE). # RABIES VACCINATION DONE ON 1 08-07-21 Rabies Description: 1 YEAR 3 YEAR Holstein Veterinary Clinic Dr. Lisa Schrum DVM : Dr, Krista Holstein DVM 718 South 191h Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinic@gmail.com LICENSE FEES Intact Dog or Cat: $16.00 �A/t9� Dog c3r�At: $l 1 00 Replacement ray $5.00 Total $ ``t PEES THAT ARE ON THE ACTIVE' POTENTIALLY DANGEROUS,�,„QE PANOEROUS DOG LIST NEED TO REGISTER DIRECTLY AT CITY'{ LPL. 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 DU ': OwnerName: March 15,20,E Owner Address: city/state/zip: Blair, NEJ680 8 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 ❑ Dog, Cat ,Spayed/Neutered License Fee $ 1 1,1)Q Pet Name _ Birthdate i°.S Sex M Color wn ` Breed** M Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # PET #2 ❑ Dog ❑ Cat ❑ Spayed/Neutered Pet Name Birthdate Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ License Fee $ Replacement $ ❑N , SUBTOTAL: $ (1 yr) City Tag # PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdate Sex Color Breed** Replacement$ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y ❑ N MICROCHIP # (If applicable) SUBTOTAL: $ RABIES VACCINATION DATE: (3 yr) (1 yr) City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not Send Cash by Mail TOTAL ENCLOSED $ If you have questions, please contact Blair Police Department at (402) 426-4747 ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15late fee date not applicable for new pets/new residents) Newly Acquired Pets: New Residents to Blair: ■ Must be licensed within 10 days of ownership ■ Must register pets within 10 days of ■ <OR> at 6 months of age if puppy/kitten residency. Date of Rabies Vaccination: 10-07 21 Certificate No: 0 Next Rabies Vaccination n: 10-07-22 Previ®us Rabies Vaccination: 18328 VETERINARY CLINIC OWNER OF ANIMAL Holstein Vet Clinic Debbie Woodard 718 South 19th Street 1355 Lincoln Blair, NE 68008 Blair, NE 68008 402-426-7387 County: Y This is to certify... THAT I HAVE VACCINATED AGAINST BIES THE ANIMAL DESCRIBED BELOW. Patient information... hi4TIE[oil' Jax. - _- e_ .:._ T 1"%GA O SPECIES: Feline, I1MMICHT: 18.90 SEX: N ACHE: 6 years Signed Holstein,Krista License: 3612 Rabies Vaccine Information... G Y: Z®ETI ER. O.: 495129 LOT EXP: 09113122, ADM: SCE �� 'E S i ✓ f �`J b i CITY OF BLAIR ® 2022 PEA" LICENSE APPLICATION If you live in Blair City limits and own a clog(s) and/or cat(s), complete this form and return with check made payable to: City Of Blair a 218 S 16th St 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: [CA-ML1l�jv( . jJ(-I- YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS. Owner Address: � � r, 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 3115/2022. The City shall -0(�._ a7 Phone # �i;(-� �� -9 �N 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: ®®g ®r Cat' 6.00 cat. The City of Blair requires proof of rabies vaccination. Altered Dog or Cat: $11,00 Replacement Fee for Lost Tag: $5.00 Tprlluide l is a ate Fee of $1.25 being colleclel to fe ind the Nebrarllm D39 & Cgat Operator Inspection Program ***PLEASE READ CAREFULLY"* 1 T ## 1 Dog ❑Cat ❑ Spay ed/ utered n License Fee '" � Birthdate 0' Sex b� I Pet Name vYv�, a ` Color Breed** r �� Replacement $ ** f . � Declared Dangerous or Potentially Dangerous Dog: ❑ Y W N MICROCHIP # If applicable)/ SUBTOTAL: $ ,RABIES VACCINATION RATE. I _ (3 yr) (1 yr) City Tag #- y� —�- PET #2 Dog ❑ Cat _ ❑ Spayed/Neutered License Fee $ (1 00 Pet Name i Birthdate, S x _ Color L�Breed** _ d = G Replacement $ ** Declared Dangerous or Potentially Dangerous Dog: ❑ Y N MICROCHIP # (If applicable) VWSUBTOTAL: $ RABIES VACCINATION DATE: a1 (3 yr) (1 yr) City Tag #J PET #3 ❑ Dog ❑ Cat ❑ Spayed/Neutered License Fee $ Pet Name Birthdaie Sex Color Breed** Replacement $ ** Declared Dangerous or Potentially Dan(erous 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.) r Do Not Sena cash by Mail TOTAL ENCLOSED If you have questions, please contact Blair Police Department at (402) 426-4747 +++.++++++++++++++++.++.++++..i14.............................................. NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15/ate Pee date notapplicable for newpeis/newre5/dents) Newly Agguired Pets: New Residents to Blair- ® Must be licensed within 10 days of ownership ® Must register pets within 10 days of ® <OR> at 6 months of age if puppy/kitten residency. 01/08/2022 09:54 4024260101 HOLSTEIN VET CLINIC 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. N ***PLEASE READ CAREFULLY*** YOU ARE REQUIRED BY LAW TO LICENSE YOUR PETS, THE CITY QF fILAIR REQUIRES PI�QOF 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. PI: r LICENSE RENEWAIs ARE DUE BY 3/1512P22. 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 dr 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 # Don Woodhull Betty 1047 S 13th Ave # 302 Blair, NE 68008 402-278-1427 Pet Name Gizzy Age: DOB: (none) Sex: Neutered Male Color: Black and White Breed: Shih Y`zu Microchip # Rabies Tag # 18248 PLEASE INCLUDE CITY TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE).* RABIES VACCINATION DONE ON 08-31-20 Rabies Description: 1 YEAR YEAR Holstein Veterinary Clinic Dr. Lisa Schrum DVM : Dr, Krista Ho/stein oV44 718 South 1911 Street Blair, NE 68008 402-426-7387 402-426-0101 Fax holsteinclinic@grnail.com LICENSE FEES Intact Dog or Cat: $16.00 q D cat: $11.00 Replacement rag $6.00 Total $ `I 01 PETS THAT ARE ON THE ACTIVE e0TENTIALLY DANGEROUS OR DANGEROUS DOG LISP NEED TO R�IREGTLV AT CITY NALL. 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 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.w LICENSE RENEWALS ARE DUE: March 15. 2022 F Owner Name: Owner Address:. city/state/zip: Blair, NE 68008 Phone # x` { ***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 PET # 1 f7i D o g ❑ Cat Pspayed/Neutered License Fee $ Pet Name Birthdate`�� Z Sexr color �� : �: Breed** r' Replacement $ Declared Dangerous or Potentially Dangerous Dog: ❑ Y N MICROCHIP #�`(Ifapplicable) SUBTOTAL: $ _ RABIES VACCINATION DATE:3 yr) (1 yr) City Tag # Ttn I i - T #2 4 Dog ❑ Cat 4 Spayed/Neutered License Fee $ et Name � s ��.� Birthdate � . ,-" Sex, �,,�� Color P',) . e Breed** � ° .v ��€ r ` Replacement $ n Declared Dangerous or Potentially Dangerous Dog: ❑ Y ,N MICROCHIP # -f, / /. f ,_ _(If applicable) SUBTOTAL: $ RABIES VACCINA�79,V,DATE:-1 ` L : r 4 (3 yr) (1 yr) City Tag #,J�* PET #3 d Dog ❑ Cat ❑ Spayed/Neutered Pet Name Birthdate Sex Color Breed** Declared Dangerous or Potentially Dangerous Dog: ❑ Y MICROCHIP # (If applicable) RABIES VACCINATION DATE: (3 yr) _ ■E License Fee $ Rep/acement $ SUBTOTAL:$ (1 yr) City Tag # *PLEASE INCLUDE THE CITY TAG NUMBER IF THIS IS A RENEWAL ** (This fee is due along with License Fee if requesting at the time of license renewal.) Do Not Send Cash by Mail TOTAL ENCLOSED $ If you have questions, please contact Blair Police Department at (402) 426-4747 ++++++.....++++++.....++++++++++++++++++++.+++++++++++++++.....++++++++++++... NEW PET/NEW RESIDENT LICENSING REQUIREMENTS (March 15/ate fee date notapplicable fornewpeis/newreslden&) 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. LAKE CITY VETERINARY CLINIC 1103 WEST MAIN LAKE CITY, IOWA 51449-1559 (712) 464-8911 Rabies Certificate Client ID: 2609 Patient ID: 9543 Client Name: Carl & Sara Gerber Patient Name: Lillie Address: 103 160th st. Species: CANINEBreed: KING CHARLES CAVALIER West Bend, IA 50597 Sex: Female Color: Phone: (515)360-3217 Markings: Birthday: 01 /01 /2015 Weight: Microchip ID: CAD71 Tag Number: 19-0413 Vaccination Date: 7/29/2019 Lot Number: 338146 'Expiration Date: 7/2912022 RABIES (KENNEL 3 YEAR) Producer: Nobivac K / MI-V / R: Killed Virus Staff Name: Dr. TREVOR SCHWARTZ License Number: Gk�L1P 112.,V22-N.y".e-(wc) cNey", Yy\ov^% " 1/, I�G/ leve 1111Yd _- cbweVAU S fanacur m ty -6- heav+ ua.Yd) +U-e .eas mays; i gC(Vo e6 f -)n (1�1C Ill 0LWj it j ) / j k I 01/12/2022 14:05 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. I.6TH 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 A E 12EQUIRED R LAW TO LIf NSE YOUR PATS. THE CITY QE BLAIR RE UIRES PRO FOP RABI 5 VACCINATION. r ;. 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 GUE 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 kitten 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 GLAIR Must register pets within 1.0 days of residency Owner Name Spouse Owner Address City/State/Zip "hone # Pet Name: Age; 6Y DOB: 04-01.15 die May Breed: Gold/Lab Sex: Spayed Female Carrie Wrightson 968 N 10th St Blair, NE 68008 402-533-9311 Color: Black and Tarr Microchip # Rabies Tag # 11751 PLEASE INCLUDE GIN TAG NUMBER IF THIS IS A RENEWAL (IF AVAILABLE); # RABIES VACCINATION DONE ON 102-26-20 Rabies Description: 1 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 holsteinclinic@9mail XCIm Am Intact Dog or Cat: $16.00 t ® g or cat: $11.00 Replacement Tag $6.00 Total $i— PETS TWAT ARE ON TH5 ACTIVE POTENTIALLY DANGERO_ 0R DANGEROUS DQG LIST NEED T REGISTER PIRECTLYAT LQ HALL.