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City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.yehnwa.gov Application for Dog License - Free For City of Yelm Utility Customers Only Your lost dog is a phone call away when they wear their registration tag. Applications and license tags can be obtained at Yelm City Hall, Monday through Friday, 8:00 am to 4:30 pm or by printing the application from our website at www.yelmwa.gov. Dog owners completing an application and returning it to City Hall will be issued a license tag. If you prefer to mail in your application, a tag can be mailed to you. The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Dogs are required to wear the rabies tag (Yelm Municipal Code — Chapter 6.12) and furnish proof to a Yelm Animal Control Officer, if requested. Current rabies tags are issued by a veterinarian Owner Name: �Jsse q Pe+11`� Owner Phone #: �� � "� % " 3,� Ll6 Physical Address: �G2Z$ Vo�C) L C-1 Se E-mail Address: JSP✓ % ,u, # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog:V f 42 Li Male:5 Female: _ Spayed or Neutered Breed: C � G [y Color: 2. Name of Dog: Breed: 3. Name of Dog: Breed: Fee Schedule: Y No Male: _ Female: _ Spayed or Neutered: Y / N Color: Male: _ Female: _ Spayed or Neutered: Y / N Color: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070) To report a lost dog or if you have an animal complaint please call our Public Works Department at (360) 458-8406. For office use only Date license(s) issued: ? , Replacement Tag: Y /N If replacement tag, Rabies Tag # Date Information entered into database: Revised 06/25/2018 Tag Numbers: 1)0 L— 2. then enter original tag number here: By Whom: tv) 3. City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.yehnwa.gov Application for Dog License - Free For City of Yelm Utility Customers Only Your lost dog is a phone call away when they wear their registration tag. Applications and license tags can be obtained at Yelm City Hall, Monday through Friday, 8:00 am to 4:30 pm or by printing the application from our website at www.yelmwa.gov. Dog owners completing an application and returning it to City Hall will be issued a license tag. If you prefer to mail in your application, a tag can be mailed to you. The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Dogs are required to wear the rabies tag (Yelm Municipal Code - Chapter 6.12) and furnish proof to a Yelm Animal Control Officer, if requested. Current rabies tags are issued by a veterinarian Owner Name: le-) (a U ficin Owner Phone#: li-7-663-063q Physical Address: �_ ay� peLei s�,ye�rrl SNA E-mail Address: �zX�`aa61 a I.�dM %5-47 #of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: Cy n nt'r Male: /-< Female: _ Spayed or Neutered:/ N Breed: LuI C; nctd or - Lfc-, eye Color: MO C IL. 2. Name of Dog: Breed: 3. Name of Dog: Breed: Fee Schedule: Male: _ Female: _ Spayed or Neutered: Y / N Color: Male: _ Female: _ Spayed or Neutered: Y / N Color: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code - Chapter 6.08.070) To report a lost dog or if you have an animal complaint please call our Public !Works Department at (360) 458-8406. For office use only Date license(s) issued: Tag Numbers: 2. 3. Replacement Tag: YO f replacement tag, then enter original tag number here: ) Rabies Tag 9 Ll 1p Date Information entered into database: Revised 05/2/2018 By Whom: City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone. (360) 458-3244 Fax: (360) 458-4348 www.yelmwa.gov Application for Dog License - Free For City of Yelm Utility Customers Only Your lost dog is a phone call away when they wear their registration tag. Applications and license tags can be obtained at Yelm City Hall, Monday through Friday, 8:00 am to 4:30 pm or by printing the application from our website at www.yelmwa..gov. Dog owners completing an application and returning it to City Hall will be issued a license tag. If you prefer to mail in your application, a tag can be mailed to you. The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Dogs are required to wear the rabies tag (Yelm Municipal Code — Chapter 6.12) and furnish proof to a Yelm Animal Control Officer, if requested. Current rabies tags are issued by a veterinarian Owner Name: IZou+'*'gn!aqT_ /V4m ti� C� ,r,�Owner Phone #: a6O)-7$N -1835 lt�6O) 7047665 Physical Address: t5_ZZ& GW ave, S -f. yVth wA- " T -mail Address:y^ol, a.► S`riSAP V1 # of Dogs: D- (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: 0SC 2-r Male: X Female: _ Spayed or Neutered: (Y / N Breed: 4,-L ",_ W-- e.1/e v Color: YQ,((a0 2. Name of Dog: a scx:> Male: X Female: _ Spayed or Neutered: (0/ N Breed: %hs,f»L pw. 5L&4a PAlx Color: ice- 4 tJ��-ti 3. Name of Dog: Breed: Male: _ Female: _ Spayed or Neutered: Y / N Color: Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070) To report a lost dog or if you have an animal complaint please call. our.. Public Works Department'at'(360).458-8406. For office use only Date license(s) issued: Tag Numbers: 1. 2. S v ' 3. Replacement Tag: Y / N of replacement tag, then enter original tag number here: ) Rabies Tag # Date Information entered into database: Revised 06/25/2018 By Whom: City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.yelmwa.gov Application for Dog License - Free For City of Yelm Utility Customers Only Your lost dog is a phone call away when they wear their registration tag. Applications and license tags can be obtained at Yelm City Hall, Monday through Friday, 8:00 am to 4:30 pm or by printing the application from our website at www.yelmwa.gov. Dog owners completing an application and returning it to City Hall will be issued a license tag. If you prefer to mail in your application, a tag can be mailed to you. The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Dogs are required to wear the rabies tag (Yelm Municipal Code — Chapter 6.12) and furnish proof to a Yelm Animal Control Officer, if requested. Current fAbies tags are issued by a veterinarian Owner Name: �h 9, cl j5j��nn '/ / Owner Phone #: "_360 -70 1 % Physical Address: W113 I` e_,j r--e.,� e r '5,5 E-mail Address: Wk Q rl e v # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) Name of Dog.- Breed: og: (11.10 Breed: G �} b�/ p� ✓y1 �; Male: Female: Spayed or Neutered: a/ N Color: a,--;,7 El /,,, 2. Name of Dog: til ) Male: _ Female: 1'Spayed or Neutered:D N Breed: G r-�" b Color: g --e 3. Name of Dog:rMale. v Female: _ Spayed or Neutered: )/ N Breed: Color: Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070) To report a lost dog or if you have an animal complaint please call our Public Works Department at (360) 458-8406. For office use only Date license(s) issued: Tag Numbers: 1. 2. 7 3. V Replacement Tag: Y / N (If replacement tag, then enter original tag number here: ) Rabies Ta- #5o1p(�c `z 8� y c� ��� �S�`��� f7lG���✓,p�J� n i Date Information entered into database: Revised 08/25/2018 By Whom: City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 % www.yelmwa Dov (�cc Application for Dog License - Free For City of Yelm Utility Customers Only Your lost dog is a phone call away when they wear their registration tag. Applications and license tags can be obtained at Yelm City Hall, Monday through Friday, 8:00 am to 4:30 pm or by printing the application from our website at www.yelmwa.gov. Dog owners completing an application and returning it to City Hall will be issued a license tag. If you prefer to mail in your application, a tag can be mailed to you. The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Dogs are required to wear the rabies tag (Yelm Municipal Code — Chapter 6.12) and furnish proof to a Yelm Animal Control Officer, if requested. Current rabies tags are issued by a veterinarian Owner Name: �f Ad'►►e5 Owner Phone #: _ 02 3 307 1(g j'_[(j Physical Address: /`7WS !/ihP /�m s-5 t",� °19597 E-mail Address: Jcidc4cG u7337F moi,'/ # of Dogs L/ (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: ( k� �JGLn►P� Male: ,C Female: _ Spayed or Neutered" Y // N Breed: 4m e_ l L4+} 1" �J o Q Color: 2. Name of Dog: Breed: 3. Name of Dog: Breed: Male: _ Female: _ Spayed or Neutered: Y / N Color: Male: _ Female: _ Spayed or Neutered: Y / N Color: Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070) To report a lost dog or if you have an animal complaint please call our Public Works Department at (360) 458-8406. For office use only 1 Date license(s) issued: 1 Replacement Tag: YV3NIf replacement tag, Rabies Tag # Date Information entered into database: Revised 06/26/2018 Tag Numbers: 1.� 2. 3. then enter original tag number here: ) City of Yelm 105 `helm, Ave. W., Yet mY , VIA 98597. Phone: (360) 4583244 Fax: (360) 458-4348 www.c1.ye1rn.wa.us Application for Dog License Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code - Chapter 6.08.070) The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Registrations cannot be issued unless proof of current rabies inoculation is provided with this application. The dogs are required to wear the rabies flag issued by the veterinarian. (Yelm Municipal Code - Chapter 6.12) \ I Owner Name: �,.�)1 �1 h I� �✓I Owner Phone #: Physical Address: q0( 3Ol - r i AUL -10 W GSA ��n�77E-mail Address: # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: a►'Male: x• Female: _ Spayed or Neutered:CY / N Breed: kob mix Color: Mn CL `"W�ci2 C- sf 2. Name of Dog: 14- Lt ae c,t Male: _ Female: X Spayed or Neutered: 0 N � Breed: t X Color: b 1A k w/uj4e- 4k 4 o h VI -k`? -2- e, Pa w, a�ck 4A l 3. Name of Dog: Breed: Male: Female: _ Spayed or Neutered: Y / N Color: Completed applications (including proof of rabies inoculations) may be mailed or delivered to Yelm City Hall, 105 Yelm Ave. W., Yelm, WA 98597. Incomplete applications will be returned. Applications may be obtained at City Hall, Monday through Friday 8:00 am to 5:00 pm or by visiting our website at www.ci.yelm.wa.us. Tags are issued at City Hall. You may receive the tag by mail if requested. To report a lost dog or if you have an animal complaint please call our Public Works Department at (360) 453-6406. Foir office use only Date license(s) issued: Tag Numbers: 1.5b 2...51/ 3. Replacement Tag: Y / N (If replacement tag, then enter original tag number here: ) Proof of rabies enclosed: Yes_ No (please explain) Date Information entered into database: By Whom: Revised 05/05/10 sjd O� TFf�P �\ ow �� City of Yelm a �e 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.yelmwa.gov YELM Application for Dog License - Free For City of Yelm Utility Customers Only Your lost dog is a phone call away when they wear their registration tag. Applications and license tags can be obtained at Yelm City Hall, Monday through Friday, 8:00 am to 4:30 pm or by printing the application from our website at www.yelmwa.gov. Dog owners completing an application and returning it to City Hall will be issued a license tag. If you prefer to mail in your application, a tag can be mailed to you. The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Dogs are required to wear the rabies tag (Yelm Municipal Code - Chapter 6.12) and furnish proof to a Yelm Animal Controicer, if requested. Current rabies tags are issued by a veterinarian Owner Name: Owner Phone #: ;3ao - q (a b -- 3 (oO Physical Address: AftJ Q,,, e2 u s v i c Lj CT - E-mail Address: po, L, j C., htic 1 / L # of Dogs: n „> 17 (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: � C_> c Male: ✓ Female: _ Spayed or Neutered: (D N Breed: C us- a- m Wl t ! ? Color: Q L (A ck,_ /;3 Ko ,,-) ,v 2. Name of Dog: Breed: 3. Name of Dog: Breed: Male: _ Female: _ Spayed or Neutered: Y / N Color: Male: _ Female: _ Spayed or Neutered: Y / N Color: Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code - Chapter 6.08.070) To report a lost dog or if you have an animal complaint please call our Public Works Department at (360) 458-8406. For office use only / Date license(s) issued: Tag Numbers: 1.5 2. 3. Replacement Tag: Y / N (If replacement tag, then enter original tag number here: ) Rabies Tag # Date Information entered into database: Revised 06/25/2013 By Whom: Fee Schedule: City of Yelm 105 Yehm Ave. W., Yeirn, VIA 98597 Phone; (360) 458-3244 Fax: (360) 458-4348 www.cl.yelm.wa.us Application for Dog License Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code - Chapter 6.08.070) The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Registrations cannot be issued unless proof of current rabies inoculation is crovided with this application. The dogs are required to wear the rabies tag issued by the veterinarian. (Yelm Municipal Code - Chapter 6.12) Owner Name:Owner Phone #: Physics! Address: E-mail Address: r jA U�6 Z/# of Dogs: (Maximum of threeallowed per YMC Chapter 6.08.03) 6-© I � 1. Name of Do Male: Female: _ Spayed or Neutered(9 1 Breed: L- Color: 2. Name of Dog: Breed: 3. Name of Dog: Breed: Male: Female: Spayed or Neutered: Y / N Color: Male: _ Female: Spayed or Neutered: Y / N Color: Completed applications (including proof of rabies inoculations) may be mailed or delivered to Yelm City Hall, 105 Yelm Ave. W., Yelm, WA 98597. Incomplete applications will be returned. Applications may be obtained at City Hall, Monday through Friday 8:00 am to 5:00 pm or by visiting our website at www.ci.yelm.wa.us. Tags are issued at City Hall. You may receive the tag by mail if requested. To report a lost dog or if you have an animal complaint please call our Public Works Department at (360) 453-6406. For office use only Date license(s) issued: J ' p Tag Numbers: 6cc5 2. Replacement Tag: Y / N (If replacement tag, then enter original tag number here: ) G7 / Proof of rabies enclosed: YesT L No (please explain) 7 Date Information entered into database: 1c-- www 1, aju By Whom: City of Yelm 105 Yelm Ave. W., Yehn, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.yelmwa.gov Application for Dog License - Free For City of Yelm Utility Customers Only Your lost dog is a phone call away when they wear their registration tag. Applications and license tags can be obtained at Yelm City Hall, Monday through Friday, 8:00 am to 4:30 pm or by printing the application from our website at www.yelmwa.gov. Dog owners completing an application and returning it to City Hall will be issued a license tag. If you prefer to mail in your application, a tag can be mailed to you. The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Dogs are required to wear the rabies tag (Yelm Municipal Code — Chapter 6.12) and furnish proof to a Yelm Animal Control Officer, if requested. Current rabies tags are issued by a veterinarian , Owner Name: &N. L1 5�l c�, � Owner Phone #: �],®� �� Physical Address: `�` ��' C',( U,9-- LP Pe E-mail Address: •cam # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: 1p(� Male: k— Female: — Spayed or Neutered:/ N 2. Name of Dog: Breed: 3. Name of Dog: Breed: Male: _ Female: _ Spayed or Neutered: Y / N Color: Male: _ Female: _ Spayed or Neutered: Y / N Color: Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070) To report a lost dog or if you have an animal complaint please call our Public Works Department at (360) 458-8406. For office use only Date license(s) issued: Tag Numbers: 1.5G (a 2. 3. Replacement Tag: Y / N (If replacement tag, then enter original tag number here Rabies Tag # Date Information entered into database: Revised 06/25/2018 By Whom: Application for Dog License , OYES WASHINGTON ns and license tags can be obtained at City Hall Monday through Friday, 8:00 am to 4:30 pm. Dog owners will be issued a license tag from City Hall. The City of Yelm requires all dogs to be registered annually and to have current rabies inoculations. Dogs are required to wear their rabies tag(Yelm Municipal Code -Chapter 6.12) and furnish proof to a Yelm Animal Control Officer, if requested. Current rabies tags are issued by a veterinarian. Fee Schedule o Dog Liscense: FREE o Replacment Tag: $2.00 o Annual Registration for Dangerous Dog:$500.00(Yelm Municipal Code - Chapter 6.08.070 To Report a Lost dog or if you have an animal complaint please call our Public Works Department at 360-458-8406 Owner Name:* Owner Phone #:* Address* Linda K Trevino Marroquin 8087994297 Street Address 14471 100th ave SE city Yelm F bstal / Zip Code 98597 State / Frovince / F-egion Washington I Maximum of three dogs per YMC Chapter 6.08.030 Name of Dog* M/F* Spayed/Neutered* Breed Color* Prince F r Spayed Husky Red [' Neutered r Other V\O City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.yelmma.gov 5 l Q Application for Dog License - Free For City of Yelm Utility Customers Only Your lost dog is a phone call away when they wear their registration tag. Applications and license tags can be obtained at Yelm City Hall, Monday through Friday, 8:00 am to 4:30 pm or by printing the application from our website at www.yelmwa.aov. Dog owners completing an application and returning it to City Hall will be issued a license tag. If you prefer to mail in your application, a tag can be mailed to you. The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Dogs are required to wear the rabies tag (Yelm Municipal Code — Chapter 6.12) and furnish proof to a Yelm Animal Control Officer, if requested. Current rabies tags are issued by a veterinarian ¢ Name: }{� C�e�� Owner Phone #: �%� ^ -i- Owner Physical Address: q'503- CL' 1 I-enS S'E E-mail Address: # of Dogs: \ E7) (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog -.—KIA(2P` Male: v Female: _ Spayed or Neutered: Y K Breed: QUA -tel. I � Color: B C"&�- W/ 2. Name of Dog: Breed: 3. Name of Dog: Breed: Male: _ Female: _ Spayed or Neutered: Y / N Color: Male: _ Female: _ Spayed or Neutered: Y / N Color: Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070) To report a lost dog or if you have an animal complaint please call our Public Works Department at (360) 458-8406. For office use only Date license(s) issued: Tag Numbers: 1. 2 Replacement Tag: Y / N (If replacement tag, then enter original tag number here Rabies Tag # Date Information entered into database: Revised 06/25/2013 By Whom: 3. japplication for Dag License Y E L WASHINGTON AN, .,,ns and license tags can be obtained at City Hall Monday through Friday, 8:00 am to 4:30 pm. Dog owners will be issued a license tag from City Hall. The City of Yelm requires all dogs to be registered annually and to have current rabies inoculations. Dogs are required to wear their rabies tag(Yelm Municipal Code -Chapter 6.12) and furnish proof to a Yelm Animal Control Officer, if requested. Current rabies tags are issued by a veterinarian. Fee Schedule • Dog Liscense: FREE o Replacment Tag: $2.00 o Annual Registration for Dangerous Dog:$500.00(Yelm Municipal Code - Chapter 6.08.070 To Report a Lost clog or if you have an animal complaint please call our Public Works Department at 360458-8406 Owner Name:* Owner Phone #:* Address * Kristin Ramos 3607896818 Street Address 15350 104th way SE aty Yelm Fbstal / Zip Code 98597 State / Frovince / Region Washington Maximum of three dogs per YMC Chapter 6.08.030 Name of Dog* M/F* Spayed/Neutered* Breed Color* Sophie F r Spayed Chihuahua/ Mini Black/ Brown r Neutered Schnauzer r Other 51q City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.yelmwa.gov Application for Dog License - Free For City of Yelm Utility Customers Only Your lost dog is a phone call away when they wear their registration tag. Applications and license tags can be obtained at Yelm City Hall, Monday through Friday, 8:00 am to 4:30 pm or by printing the application from our website at www.yelmwa.gov. Dog owners completing an application and returning it to City Hall will be issued a license tag. If you prefer to mail in your application, a tag can be mailed to you. The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Dogs are required to wear the rabies tag (Yelm Municipal Code — Chapter 6.12) and furnish proof to a Yelm Animal Control Offic%, if requested. Curre ties to are issued by a vets. inarian Owner Name: �/ � / I ` caner ZPho e #:x"n� Physical Address:.�na 0 / /�Qnail Address: # of Dogs: _ 1. Name of Dog: Breed: 2. Name of Dog: Breed: 3. Name of Dog: Breed: per YMC Chapter 6.08.030) Male: _ Female: X Spayed or Neutered:y N Color: Male: _ Female: _ Spayed or Neutered: Y / N Color: Male: _ Female: _ Spayed or Neutered: Y / N Color: Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070) To report a lost dog or if you have an animal complaint please call our Public Works Department at (360) 458-8406. For office use only Date license(s) issued: 1 ` 10 )q Tag Numbers: 1. S ---P 2 Replacement Tag: Y / I�(If replacement tag, then enter original tag number here Rabies Tag # � t j a�91-f Date Information entered into database: Revised 06/25/2018 By Whom: 3 City of Yelm 105 Yelm, Ave. W., Yel m, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.cLyelm.wa.us Application for Dog License Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070) The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Registrations cannot be issued unless proof of current rabies inoculation is provided with this application. The dogs are required to wear the rabies tag issued by the veterinarian. (Yelm Municipal Code — Chapter 6.12) Owner Name: S na r c ��. J Owner Phone #: Z� Cl g a t 3 Physical Address: 010 E-mail Address: civ # of Dogs (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: M OA l v` Male: Female: _ Spayed or Neutered: Y / ' Breed: L Qk r e4 c� ivr V --P- A -f-\ exj v,r Color: 2. Name of Dog: Breed: 3. Name of Dog:. Breed: Male: _ Female: _ Spayed or Neutered: Y / N Color: Male: _ Female: _ Spayed or Neutered: Y / N Color: Completed applications (including proof of rabies inoculations) may be mailed or delivered to Yelm City Hall, 105 Yelm Ave. W., Yelm, WA 98597. Incomplete applications will be returned. Applications may be obtained at City Hall, Monday through Friday 8:00 am to 5:00 pm or by visiting our website at www.ci.yelm.wa.us. Tags are issued at City Hall. You may receive the tag by mail if requested. To report a lost dog or if you have an animal complaint please call our Public Works Department at (360) 458-6406. For office use only Date license(s) issued: 1 ' l' ' ( Tag Numbers: 1 2. 3 Replacement Tag: Y / N (If replacement tag, then enter original tag number here: ) Proof of rabies enclosed: Yes No (please explain) f _ — " Date Information entered into database: By Whom: Revised 05/05/10 sid City of Yelm 105 `lehrn Ave. W., Ye0rn, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci.yelm.wa.us Application for Dog License Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070) The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Repistratio_ns cannot be issued unless proof of current rabies inoculation is provided with this application. The dogs are required to wear the rabies tag issued by the veterinarian. (Yelm Municipal Code — Chapter 6.12) LLI I q Owner Name: j3Uf n �� Owner Phone #: 1 1 (Q �� C ^`7rj Physical Address: L ')A' � C-- ,,S - Yd M E-mail Address: GmLC, 49m, /I VVI ��97 # of Dogs: �- (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: _t✓(Ltz Vl Male: _ Female: Spayed or Neutered( Y�/ N Breed: � Cbc, i7 v 0 Color: , r�I DTit�2- 2. Name of Dog: Breed: 3. Name of Dog:. Breed: Male: _ Female: _ Spayed or Neutered: Y / N Color: Male: _ Female: _ Spayed or Neutered: Y / N Color: Completed applications (including proof of rabies inoculations) may be mailed or delivered to Yelm City Hall, 105 Yelm Ave. W., Yelm, WA 98597. Incomplete applications will be returned. Applications may be obtained at City Hall, Monday through Friday 8:00 am to 5:00 pm or by visiting our website at www.ci.yelm.wa.us. Tags are issued at City Hall. You may receive the tag by mail if requested. To report a lost dog or if you have an animal complaint please call our Public Works Department at (360) 458-8406. For offaee use only � + I Date license(s) issued: Tag Numbers: 1 2. 3. Replacement Tag: Y 0Nf replacement tag, then enter original tag number here: ) Proof of rabies enclosed: Yes_ No (please explain) Date Information entered into database: By Whom: Revised 05/05/10 sjd City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.yelmwa.gov Application for Dog License - Free For City of Yelm Utility Customers Only Your lost dog is a phone call away when they wear their registration tag. Applications and license tags can be obtained at Yelm City Hall, Monday through Friday, 8:00 am to 4:30 pm or by printing the application from our website at www.yelmwa.gov. Dog owners completing an application and returning it to City Hall will be issued a license tag. If you prefer to mail in your application, a tag can be mailed to you. The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Dogs are required to wear the rabies tag (Yelm Municipal Code - Chapter 6.12) and furnish proof to a Yelm Animal Control Officer, if requested. Current rabies tags are issued by a veterinarian 1 Owner Name: e 19A 1ST 14AI �. !�✓egniq Owner Phone �,.-:T-Jr 4j X % 0 � � 3 -�'3 Physical Address: 14 13 T % Ave SE -7 y r -t Mf k/ E-rrlall X ddress: CfW-SAA+- N&P (P`pt.4lg Go Al # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: L 0 L A- Male: _ Femaley- Spayed or Neutered: Y // Breed: (� G X T *A( 9H OP 60 Color: 4 f� f� �f'ly� ZR -W 2. Name of Dog: Male: — Female: — Spayed or Neutered: Y / N Breed: 3. Name of Dog: Breed: Color: Male: — Female: — Spayed or Neutered: Y / N Color: Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code - Chapter 6.08.070) To report a lost dog or if you have an animal complaint please call our Public Works Department at (360) 458-8406. For office use only Date license(s) issued: Tag Numbers: 1. 2. 3. Replacement. Tag: Y / N (If replacement tag, then enter original tag number here: ) Rabies Tag # Date Information entered into database: By Whom: Revised 06/25/2018 City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.yelmwa.gov Application for Dog License - Free For City of Yelm Utility Customers Only Your lost dog is a phone call away when they wear their registration tag. Applications and license tags can be obtained at Yelm City Hall, Monday through Friday, 8:00 am to 4:30 pm or by printing the application from our website at www.yelmwa.gov_ Dog owners completing an application and returning it to City Hall will be issued a license tag. If you prefer to mail in your application, a tag can be mailed to you. The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Dogs are required to wear the rabies tag (Yelm Municipal Code — Chapter 6.12) and furnish proof to a Yelm Animal Control Officer, if requested. Current rabies tags are issued by a veterinarian Owner Name: /_ 9A, ,fill \ 5C 1J't-�%/t_/ Owner Phone #: Physical Address: f 9c y&Z/�2 A 9 � E-mail # of Dogs: / (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: �,&26 Male: __k_ Female: _ Spayed or Neutere`L% N Breed:�y�Ci/���L3�JT7A�(/�1 Color: 2. Name of Dog: Breed: 3. Name of Dog: Breed: Male: _ Female: _ Spayed or Neutered: Y / N Color: Male: _ Female: _ Spayed or Neutered: Y / N Color: Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070) To report a lost dog or if you have an animal complaint please call our Public Works Department at (360) 458-8406. For office use only Date license(s) issued: Tag Numbers: 1. 5 /�] 2. 3. Replacement Tag: Y / N (If replacement tag, then enter original tag number here: ) Rabies Tag # Date Information entered into database: By Whom: Revised 06/25/2018 T�AA \ `Y City of Yelm a 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.yelmwagov YELM �sW�aTe� Application for Dog License - Free For City of Yelm Utility Customers Only Your lost dog is a phone call away when they wear their registration tag. Applications and license tags can be obtained at Yelm City Hall, Monday through Friday, 8:00 am to 4:30 pm or by printing the application from our website at www.yelmwa.gov. Dog owners completing an application and returning it to City Hall will be issued a license tag. If you prefer to mail in your application, a tag can be mailed to you. The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Dogs are required to wear the rabies tag (Yelm Municipal Code - Chapter 6.12) and furnish proof to a Yelm Animal Control Officer, if requested. Current rabies tags are issued by a veterinarian Owner Name:CA i"Owner Phone #: Physical Address: _1 Tt-6wt bu I,�� l� Sl' E-mail Address: L DdC-, `6ap18L� c C�" J *of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: f c-) . -De)a�S Male: Female: _ Spayed or Neutered: Y /(NN Breed: Cccv" Color: V 2. Name of Dog: Male: )" Female: _ Spayed or Neutered: Y/ o Breed: cc�C 4r52a t rp` L4 a' b P-- Color: L j 3. Name of Dog: Breed: Male: _ Female: _ Spayed or Neutered: Y / N Color: Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code - Chapter 6.08.070) To report a lost dog or if you have an animal complaint please call our Public Works Department at (360) 458-8406. For office use only Date license(s) issued: Tag 1 � S 2. Numbers: I. I ; Replacement Tag: Y / N (If replacement tag, then enter original tag number here: Rabies Tag # Date Information entered into database: Revised 06/25/2018 BY Whom: c City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone. (360) 458-3244 Fax: (360) 458-4348 www.ye1mwa.gov Application for Dog License - Free For City of Yelm Utility Customers Only Your lost dog is a phone call away when they wear their registration tag. Applications and license tags can be obtained at Yelm City Hall, Monday through Friday, 8:00 am to 4:30 pm or by printing the application from our website at www. elmwa. ov. Dog owners completing an application and returning it to City Hall will be issued a license tag. If you prefer to mail in your application, a tag can be mailed to you. The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Dogs are required to wear the rabies tag (Yelm Municipal Code — Chapter 6.12) and furnish proof to a Yelm Animal Control Offi cer, if requested. Current rabies tag((,s� are issued by a veterinarian � " Owner Name: ,— n� Thbmd- G1 ' owner Phone #: (J J� -d 3.31p-7 Physical Address: �< Y TWO i�G�( �"�w) �'.� � �.6 E-mail AddressAbYysh l� oqJad1 0044-Wi CO tri # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: it+heal Male: _ Female: _L Spayed or Neutered: Y / 0 Breed: l_�f' i'� ���P�Qr-1 Color: Y1I LIE f wwr) 2. Name of Dog: Rhea Male: _ Female: Spayed or Neutered: Y /Cpl Breed: b r](4 Color: (in 1 3. Name of Dog: Male: _k Female: _ Spayed or Neutered: Y /I Breed: \J it Color: 8/hii-K I Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070) To report a lost dog or if you have an animal complaint please call our Public Works Department at (360) 458-8406. For office use only Date license(s) issued: Tag Numbers: 1. J� 2. c�l 3.�_L - Replacement Tag: Y / N (If replacement tag, then enter original tag number here: Rabies Tag # Date Information entered into database: Ravised 06/25/2018 By Whom: �) City of Yelm 305 Yehmn A-ve. W, e'eitn, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.cLyelm.wa.us Appflcation for Dog License Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code - Chapter 6.08.070) The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Registrations cannot be issued unless proof of current rabies inoculation is provided with this application. The dogs are required to wear the rabies tag issued by the veterinarian. (Yelm Municipal Code - Chapter 6.12) Owner dame: -A-066h1f cavi tom'( 5 e- ��'i�tsc� Owner Phone#: 360 gc,G Physical Address: -0YC'4 S9 5e E-mail Address: # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: ez-c° o 5 Male Breed: (S f a � 'Da'l'e 2. Name of Dog: Breed: 3. Name of Dog: Breed: : V Female: _ Spayed or Neutered: Y /CN ) S 1 CiC� / � 1 f 2 (4c ' o n Color: l (� � Ctx.S Male: _ Female: _ Spayed or Neutered: Y / N Color: Male: _ Female: _ Spayed or Neutered: Y / N Color: Completed applications (including proof of rabies inoculations) may be mailed or delivered to Yelm City Hall, 105 Yelm Ave. W., Yelm, WA 98597. Incomplete applications will be returned. Applications may be obtained at City Hall, Monday through Friday 8:00 am to 5:00 pm or by visiting our website at www.ci.yelm.wa.us. Tags are issued at City Hall. You may receive the tag by mail if requested. To report a lost dog or if you have an animal complaint please call our Public Works Department at (360) 458-8405. For ®fflee use only Date license(s) issued: Tag Numbers: 1.56 2. 3. Replacement Tag: Y / N (If replacement tag, then enter original tag number here: ) Proof of rabies enclosed: Yes_ No (please explain) ot Date Information entered into database: By Whom: Revised 05/05/10 sjd P$SOF Tp City of Yelm a m 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.yelmwa.g_ov ON Application for Dog License - Free For City of Yelm Utility Customers Only Your lost dog is a phone call away when they wear their registration tag. Applications and license tags can be obtained at Yelm City Hall, Monday through Friday, 8:00 am to 4:30 pm or by printing the application from our website at www.yelmwa.gov. Dog owners completing an application and returning it to City Hall will be issued a license tag. If you prefer to mail in your application, a tag can be mailed to you. The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Dogs are required to wear the rabies tag (Yelm Municipal Code - Chapter 6.12) and furnish proof to a Yelm Animal Control Officer, if requested. Current rabies tags are issued by a veterinarian I` Owner Name: f' 11(�I J A-�x 1 1�� Q(Y\0An Owner Phone #: �' �� ' `t3(40 Physical Address: )D(,YlW jtn . ,;t- E-mail `I� E-mail Address: _`�efyaq2nO�Vi`1 # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) J 1. Name of Dog: MUmb Male:'t Female: _ Spayed or Neutered: Y / Breed: NCKV11,4 �afl& Color: &bit- 4 2. Name of Dog: Breed: 3. Name of Dog: Breed: Male: _ Female: _ Spayed or Neutered: Y / N Color: Male: _ Female: _ Spayed or Neutered: Y / N Color: Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code - Chapter 6.08.070) To report a lost dog or if you have an animal complaint please call our Public Works Department at (360) 458-8406. For office use only Date license(s) issued: Tag Numbers: 1. 2. 3. Replacement Tag: Y / N (If replacement tag, then enter original tag number here: ) Rabies Tag Date Information entered into database: By Whom: Ll i Revised 06/25/2018 City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.yelmwa.gov Application for Dog License - Free For City of Yelm Utility Customers Only Your lost dog is a phone call away when they wear their registration tag. Applications and license tags can be obtained at Yelm City Hall, Monday through Friday, 8:00 am to 4:30 pm or by printing the application from our website at www.Velmwa.gov. Dog owners completing an application and returning it to City Hall will be issued a license tag. If you prefer to mail in your application, a tag can be mailed to you. The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Dogs are required to wear the rabies tag (Yelm Municipal Code — Chapter 6.12) and furnish proof to a Yelm Animal Control Officer, if requested. Current rabies tags are issued by a veterinarian Owner Name:l 4. z-� e �� i Owner Phone #: 3 o Physical Address: 16 Z 7 lf4'7 C' C .f S e E-mail Address: r V SSS 14 ' •• L # of Dogs: ! (Maximum of three allowed per YMC Chapter 6.08.030) Name of Dog: Male Female: _ Spayed or Neutere : 3Y / N Breed: Color: `'S `c C 2. Name of Dog: Breed: 3. Name of Dog: Breed: Male: _ Female: _ Spayed or Neutered: Y / N Color: Male: _ Female: _ Spayed or Neutered: Y / N Color: Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070) To report a lost dog or if you have an animal complaint please call our Public Works Department at (360) 458-8406. For office use only Date license(s) issued: Replacement Tag: N O/N (If replacement tag, Rabies Tag # Date Information entered into. database: Revised 06/25/2018 Tag Numbers: l .&003-1. then enter original tag number here: By Whom: 3. City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.yelmwa.gov Application for Dog License - Free For City of Yelm Utility Customers Only Your lost dog is a phone call away when they wear their registration tag. Applications and license tags can be obtained at Yelm City Hall, Monday through Friday, 8:00 am to 4:30 pm or by printing the application from our website at www.yelmwa.gov. Dog owners completing an application and returning it to City Hall will be issued a license tag. If you prefer to mail in your application, a tag can be mailed to you. The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Dogs are required to wear the rabies tag (Yelm Municipal Code — Chapter 6.12) and furnish proof to a Yelm Animal Control Officer, if requested. Current rabies tags are issued by a veterinarian Owner Name: 1 ffY \ %G�P_ Ue- N d 11 11 _ Owner Phone #: w CaO --?O t — Ch i r) Physical Address: WH I S � u YYIc, Ct- E-mail Address: # of Dogs: I (Maximum of three allowed per YMC Chapter 6.08.030) Name of Dog: 1�0 Male: _ Female: Spayed or Neutered: Y / N Breed: L- � Color: C- 2. Name of Dog: Breed: 3. Name of Dog: Breed: Male: _ Female: _ Spayed or Neutered: Y / N Color: Male: _ Female: _ Spayed or Neutered: Y / N Color: Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070) To report a lost dog or if you have an animal complaint please call our Public Works Department at (360) 458-8406. For office use only Date license(s) issued: Tag Numbers: 1. 2. 3. Replacement Tag: Y / N (If replacement tag, then enter original tag number here: ) Rabies Tag # Date Information entered into database: By Whom: Revised 06/25/2018