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001-83 c. City of Yelm \Q 105 Yelm Ave. W., Yelm, WA 98597 1 �' Phone: (360)458-3244 Fax: (360)458-4348 (v www.cl.yelm.wa.us Application for Dog License - Free Your lost dog is a phone call away when they wear their registration tag. Applications and license tags can be obtained at City Hall, Monday through Friday, 8:00 am to 5:00 pm or by printing the application from our website at www.ci.velm.wa.us. 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,a 4I IIS� }G 'r Owner Phone#: (1060 "' y 30 -c4bittiils�3 0 Physical Address: 110117 0.4 Ret- E-mail Address:r7 yr,� m[(• Cru5a #of Dogs: Y (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: b - Male: E/ Female: Spayed or Neutered:0 N Breed: � I(1' e Vt4- Hilt S! IPY maw Color: efts +AAA i F � 2. Name of Dog: T-e,,f)peir Male: Female: !7- Spayed or Neutered: Y 1C) Breed: pi( Color: .0.4.0.-k4i(12t lJ 3. Name of Dog: Male: Female: Spayed or Neutered: Y/ 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. _ 3._ _ Replacement Tag: Y/N (If replacement tag, then enter original tag number here: _ ) Rabies Tag# Date Information entered into database: _ By Whom: 1 0/1 3 City of YeIm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360)458-3244 Fax: (360)458-4348 5 www.ciyelm.wa.us Application for Dog License - Free Your lost dog is a phone call away when they wear their registration tag. Applications and license tags can be obtained at City Hall, Monday through Friday, 8:00 am to 5:00 pm or by printing the application from our website at www.ci.velm.wa.us. 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: ( R(S I C P H CR UP ror i Owner Phone#: 36D -- n�j 'Oo 6 , Physical Address: 2�2MC lv`` r E-mail Address: G prN . g1 r ,• s ciI #of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: 5 A H I 1 ` Male: Female:A_ Spayed orNeutered:[ N Breed: H ick?_ T t %es- se Color: 6_10(4 ) 1' I11 f '51 2. Name of Dog: Male:_ Female:_ Spayed or Neutered: Y/ N Breed: Color: 3. Name of Dog: _ Male:_ Female: Spayed or Neutered: Y/ 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. 3. Replacement Tag: Y/N (If replacement tag, then enter original tag number here: ) Rabies Tag# Date Information entered into database: _ By Whom: �pY He e t \A City of Yeim 105 Yelrn Ave. W, Yelm, WA 98597 Phone: (360)458-3244 Fax: (360)458-4348 www.ci.yelm.wa.us0 v.... 6 Vs(-'1 Application for Dog License - Free Your lost dog is a phone call away when they wear their registration tag. Applications and license tags can be obtained at City Hall, Monday through Friday, 8:00 am to 5:00 pm or by printing the application from our website at www.ci.yelm.wa.us. 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:4/1",1-77-/y1=, .4��J Owner Phone#: ,MM. —33:2.— to 47/ Physical Address: / 2)7 /.(/17 p,, 5'L'------ E-mail Address:A iL6J� 4454. #of Dogs: A (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: a Male: Female: 10/ Spayed or Neutered3/ N Breed: t•,�4f• ,57/4=7-40, Color: g.4./�2[i,i/ 4— 7.172/ 2 Name of Dog: Qi i,_.A=j% Male: Female: A/Spayed or Neutered:6D N Breed: 4,6-441, z-f i Color: ,4. / ci- 771,v 3. Name of Dog: Male: Female: . Spayed or Neutered: Y I 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. 3. Replacement Tag: Y/N (If replacement tag, then enter original tag number here: ) Rabies'lag# Date Information entered into database: By Whom: 1 iv):1 ri City of YeIm 105 Yelm Ave. W., YeIm, WA 98597 101 Phone: (360) 458-3244 Fax: (360)458-4348 www.ci.velm.wa.us 1 ( fc„ 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: Vc i Pfl r- .s APE E A/6 uvc.✓ Owner Phone#: Ot4-IIf q i-c2 ► c Physical Address: .LS- 5 I G-Tfi CT S. E. Y«, W,4 `/89-4-E-mail Address: .L,J.11 pr. +i-c:u'IA' 6r1/tzi,cor-t #of Dogs: ± _ (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: PARI _ Male: Female: ✓ Spayed or Neutered:&'/ N Breed: L c cL R ,A.L2x Color: /.76oc,i/V AA,ro wNTrs 2. Name of Dog: Male: Female: Spayed or Neutered: Y/ N Breed: Color: 3. Name of Dog: Male: Female: Spayed or Neutered: Y/ N Breed: 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.velm.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 office use only Date license(s)issued: II S I- - Tag Numbers: 1. 00 J 2. 3._ Replacement Tag: YN.( F replacement tag, then enter original tag number here: ) Proof of rabies enclosed:Yes No(please explain) i Date Information entered into database: By Whom: c\a/// Revised 05/05/10 sjd rt_- City of Yelm .'r 105 Yelm Ave. W., Yelm, WA 98597 e.:::, ,w Phone: (360) 458-3244 Fax: (360) 458-4348 0 a';;:-. 2. www.ci.velm.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: ,,lr.,e.:r.k . i H,P.,,-. Owner Phone#: 36 d -hi"g Y— 7 C Physical Address: // / /0q� O ,c f rk5.1/ r u) c (-- E-mail Address: #of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: .4;_-1.0. /\ra - Male: _ Female: i/Spayed or Neutered:0/ N Breed: — Color: (4) )) 1-1 e_ t ur�1. I, ruh.,,\ ecr r S 2. Name of Dog: `_� i p S e 1 Male: V Female: Spayed or Neutered&/ N Breed: fYtit k.,CA Color: !ro,ti n 1-314.14 G.1h i ie 3. Name of Dog: Male: Female: _ Spayed or Neutered: Y/ N Breed: 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.velm.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 office use only F (5U , Date license(s)issued: 1 _ Tag Numbers: 1. - 2. 3. Replacement Tag: Y N 14If replacement tag, then enter original tag number here: • ) Proof of rabies enclosed:Yes No(please explain) id Date Information entered into database: __ By Whom: Revised 05/05/10 sjd OY"iHEA ' � City of Yelm - „, 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 rf3 www.ci.velm.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) p Owner Name: �/1� Owner Phone#: 010 (! t � Physical Address: 004 1 Fr.) bR, SE E-mail Address: VSoi it ( RaTM41,_,&vM #of Dogs: '2— (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: I1A 1 MS Male: / Female: Spayed or Neutered(Y 1 N Breed: ?FOG,-LE/-IColor: r1Z 2. Name of Dog: L u IKE Male: V Female: Spayed or Neutered('Y l N Breed: — 1 /1O -' Color: T14"1`-) 3. Name of Dog: Male: _ Female: Spayed or Neutered: Y/ N Breed: 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. I ] .4) For office use only �1� Date license(s)issued: I f _ — I Tag Numbers: 1. SCJ LI 2. , 3. _ Replacement Tag: Y f replacement tag, then enter original tag number here: ) Proof of rabies enclosed:Yes No(please explain) \\\j Date Information entered into database: By Whom: Revised 05/05/10 sjd IrwTHS "� A City of Yelm a • -�, 105 Ye1m Ave. W., YeIm, WA 98597 - Phone: (360) 458-3244 Fax: (360)458-4348 www.ci.velm.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 we- - -• - .tg is •=s by the veterinarian. (Yelm Municipal Code- Chapter 6.12) Owner Name: yiii9a,J-1-- 1.)�1CQQ.ed Owner r one#: C110-9-16-•❑19-j Physical Address: 157.`]2) ii\Ctsf\Cr -' - SC E-mail Address:{:,]ppor-v-,+' i-1 4 Incrhv c'l co 0,1 #of Dogs: 7 (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: \-2,c),i\ Male: Female: yC Spayed or Neutered:( I N Breed: )L. Color: Aa`Lll,, h -\-- 'E- 2. Name off Dog: Xl Male:_ Female: X Spayed or Neutered:t Y;/ N Breed: 1 )(C- Color: 1ckr )[,Jhi\'_ 3. Name of Dog: Male: Female: Spayed or Neutered: Y/ N Breed: 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. 620 n For office use only I� Date license(s)issued: Tag Numbers: 1. Q0 Q 2. Or, 1 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: \ 16 ti Revised 05/05/10 sjd ov 1 • TN_ p�J. City of Yelm I - : " 105 Yelm Ave. W., Yelm, WA 98597 1.0-14. Phone: P10)458-3244--Fax: (360)458-4348 ;':. www.ci.velm.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)4 Owner Name. 4 ll 4,,44, Owner Phone#: 6 - 64)6-- �46 Physical Address:/ 3 1 L 49 E-mail2/ 6 c�i�L Address:CA [ ] 6) #of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: it14J NMale: Female: Spayed/] or Neutered/ N Breed: OTGe�v�l//z`72 42/X / 1_Color: C 'Jc772431 c-0 Ai Lai/]---, C IV 2. Name of Dog:_ Male: Female: Spayed or Neutered: Y/ N Breed: Color: 3. Name of Dog: Male: Female: Spayed or Neutered: Y/ N Breed: 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. 020 / For office use only Date license(s)issued: Tag Numbers: 1.00g 2. v 3. Replacement T t 0 I eplacement tag, then enter original tag number here: Proof of rabies enclosed:Yes No(please explain) 1 i Date Information entered into database: _ _ _ By Whom: Revised 05/05/10 sjd T : ,, v,o N City of Yelm ar a. 105 Yelm Ave. W., Yelm, WA 98597 Phone: r360l458=3244 -Fax: 38Qf 45843-4W ii*- 1,rY '-- www.ci.velm.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: dA6 il n Dv a S Owner Phone#: 2s -W/ /q 5-3 Physical Address: MI 2B Lp 5 t _ E-mail Address: t • .-1-4 jn.00 0 lg eD #of Dogs: _ (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: j� `"lek1/455l-e_ Male: Female: Spayed or Neutered:/ N Breed: 1( L L Color: R10.dtc. 2. Name of Dog: 1900 Male: Female:_ Spayed or Neutered/ N Breed: Color: -4-a rx I 1 3. Name of Dog: Male:_ Female: Spayed or Neutered: Y/ N Breed: 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. Q.n. ( V7 For office use only Date license(s)issued: Tag Numbers: 1, OR 2. 1 0 3. - Replacement Tag: Y if rep acement tag, then enter original tag number here: ) Proof of rabies enclos :Yes No(please explain) Date Information entered into database: _ By Whom: ',►_. ,. Revised 05/05/10 sjd C7v. ,Ni , $ „ • ,'t- ' City of Yelm a m 105 Yelm Ave. W., Yelm, WA 98597 .44..., Phone: (360)4584244-Fix: (360) 458-4348— - - - ,: Atiiihti 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. 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) R\Je c Owner Name:Ea. xk- LO 4' &Jc c\, c. Owner Phone#: L t0U6 t '1-' &901,.p Physical Address: 1%-kL•\21 99'11 \ �s \\-e sr1 E-mail Address: Sc�1aa nz A_ ` c '1 #of Dogs: I (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: - Fc z7 l-e Male: X Female:_ Spayed or Neutered: Y/ N Breed: ---)p\cue c c c N-e Color: se)\ cc - 2. Name of Dog: - Male: Female: _ Spayed or Neutered: Y/ N Breed: Color: 3. Name of Dog: Male: Female: Spayed or Neutered: Y/ N Breed: 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. l For office use only - Date license(s) issued:iii Tag Numbers: 1- , 2. 3. Replacement T: N (If placement tag, then enter original tag number here: ) , Proof of rabies enclosed:Yes No(please explain) _ Date Information entered into database: By Whom: all Naomi— Revised Revised 05/05/10 sjd City of Yelm 105 Yel m Ave.W.,Yel m,WA 98597 Phone: (360)458-3244 Fax: (360)458-4348 www.ci.yel m.wa.us ELa>.N.MiN Application for Dog Li cense- Free Your lost dog is a phone call away when they wear their registration tag. Applications and license tags can be obtained at City Hall, Monday through Friday, 8:00 am to 5:00 pm or by printing the application from our website at www.ci.velm.wa.us. 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: Tann achy Pd 'lnc]Owner Phone#:10hn -1LV•L 514 I 38(0 Physical Address: 11-V-D G y �E E-mailAddress:� add ano 1W'-Coin #of Dogs: I (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: Oren Male: l7Female: Spayed or Neutered: 1)' N Breed:Cler(Ylaf ��`�t'(� Color: [J l a(. i!L E 1 f (.'. 2. Name of Dog: Male: Female:_ Spayed or Neutered: Y/ N Breed: Color: 3. Name of Dog: _ Male:_ Female:_ Spayed or Neutered: Y/ 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 r (--L2 Date license(s)issued: _ Tag Numbers: 1. 2. 3. Replacement Tag: Y/N (If replacement tag, then enter original tag number here: ) -,\(= Rabies Tag# 1 Date Information entered into database: By Whom: 10/13 YeIm Veterinary Hospital 1120 Yelm Ave W. Yelm, WA 98597 360-458-7707 Rabies Certificate Client ID: 34287 Patient ID: 99081 Client Name: JOHN PARKINSON Patient Name: OREO Address: 14851 99TH WAY SE Species: CANINE YeIm Breed: GERMAN SHEPHERD WA 98597 Sex: Male Phone: (302) 419-5411 Color: BLACK/TAN Markings: Birthday: 11/14/2013 Weight: 72.8 Tag Number: 46108 Vaccination Date: 1/17/2015 Lot Number: S407984 Expiration Date: 1/17/2018 Producer: NOBIVAC Microchip#= K/ MLV: Killed Virus Staff Name: CLAIRE, DVM GRIFFIN License Number: 8764 r qty oy THE A7f ire . City of Yelm :� 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360)458:3244 Fax: (360)458-4348 www.ci.velm.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: 6,5 ( Q i 4 ner Phone#: (96 79/ — Physical Address:507 VCS ti ry7r� N/A) E-mail Address: l{) 1'j7 lI/CCA@AIV.Ait #of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: M/ 3J7 Male: /Female: Spayed or NeuterediON Breed:1il i o.0 j'7 i Color: k71VI())/1 2. Name of Dog: I Male: /Female: Spayed or Neutered: N Breed: ?)(.f,'/yY7hP/-' Color: , 3. Name of Dog: Male: Female: Spayed or Neutered: Y/ N Breed: 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 office use only Date license(s)issued: l f t (S. Tag Numbers: 1. 3 2. / 3. Replacement Tag: Y Off 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 rj4viW 0V TFa City of Yelm a 105 Ye1m Ave. W., Ye1m, WA 98597 Phone: (360)-458-3244--Fax:(36O)458-4348 www.ci.veim.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: L-- GJ � • " �. S Owner Phone#: �j(1Q •�c/ ' 3 3 3`, Physical Address: a()3 4i S+ 5 E-mail Address: Ck4, 1e -aoY P--tiCkivAi4 Got #of Dogs: I (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: IJ 1Sfo i / i\A r P_, Male:, Female:X Spayed or Neutered: Y/i i Breed: Wits p #` Color: lois n-XI C_ 2. Name of Dog: Male: Female: Spayed or Neutered: Y/ N Breed: Color: 3. Name of Dog: Male: . . Female:_ Spayed or Neutered: Y/ N Breed: 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. 0 1 (tO For office use only _J Date license(s)issued: 1 ) ,U Tag Numbers: 1. 01S 2. 3, Replacement Tag: Y/100.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 irsto-r 'Ail City of Yelm „oft., 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360j4584244 Fax: (360)458-434 - www.ci.velm.wa.us nal= 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: In,AN_1 CAg, L✓/Jb, s Owner Phone#: 9,31- S'22 7%77 Physical Address: /5–`7W W (Aw ,ir E-mail Address: ASAzv��> co c,,-, #of Dogs: ] (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: /124 X Male: X Female:— Spayed or Neutered: N Breed: -1/}/'/( )PLASr` Color: illi,i_ /4r„- 2. Name of Dog: Male: Female: Spayed or Neutered: Y/ N Breed: Color: 3. Name of Dog: Male: Female: Spayed or Neutered: Y/ N Breed: 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.velm.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 office use only r • Date license(s)issued: i — \ — N Tag Numbers: 1. (..� _ 2. 3. Replacement Tag: Y Ie(If replacement tag, then enter original tag number here: ) ` „ / / t �. ::::::::::: : explain)database: By Whom: Revised 05/05/10 sjd V. ` City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360)458-3244 Fax: (360)458-4348 www.ci.yetm.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: iCV ZC,N2Q9 Owner Phone#: '� �.C CóB V -1[-. fI Physical Address: G-Ô34 1L\ E-mail Address: CI{ .11.J\IBL "C1����ll \` 1 #of Dogs: _ _ 1 (Maximum of three allowed per YMC Chapter 6.08.030) J ` t 1. Name of Dog: Z�- LMale: Female: Spayed or Neutered:6.0 N Breed: 1t Color: l--LL( 2. Name of Dog: Male: Female: Spayed or Neutered: Y/ N Breed: Color: 3. Name of Dog: Male: Female: Spayed or Neutered: Y/ N Breed: 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 office use only Date license(s)issued: }I b10 - Tag Numbers: 1. 1 S Z- 3. ReplacementTag: i (I - •lacement 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., YeIm, WA 98597 Phone: (360)4584244 Fax: (360)458-4348 www.ci.yelm.wa.us De 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: IgY]\r_x_(il _9__c Owner Phone#: 151- 81-1- (a l s Physical Address: i540-1 Clco t - E-mail Address: rna-k t 1(..,./0Sc) Cirnc.1 I. Com #of Dogs: 02 (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: 1 1 in I Q Male: Female: Spayed or Neutered: Y/0) Breed: A_. Liabroxlcr �-krit ..rer Color: (7)-e_1(L�l� 2. Name of Dog:CVO S. Male: Female: Spayed or Neutered: Y/OD Breed: (rrrfcfn he 0-e rd Color: S0.L71C_./ 2e c\ 3. Name of Dog: Male: Female: Spayed or Neutered: Y/ N Breed: 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 office use only i Date license(s) issued: 1 a 3 l S Tag Numbers: 1. ( q. 2. DA 3. Replacement Tag: Yn(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 City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360)458-4348 www.ci.yelm.wa.us &Limn Application for Dog License - Free The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Your lost dog is a phone call away when your dog wears their registration tag. The dogs are required to wear the rabies tag issued by the veterinarian. (Yelm Municipal Code-Chapter 6.12). Applications can be obtained at City Hall, Monday through Friday 8:00 am to 5:00 pm or by printing the form from our website at www.chyelm.wa.us. Completed license applications may be mailed or delivered to Yelm City Hall, 105 Yelm Ave. W., Yelm, WA 98597. Tags are issued at City Hall and can be mailed to your address, if requested. Owner Name: ire <),y s;7=-4.4 j'Lie i��c Owner Phone#: a - -719 - e 5 '7 Physical Address: J 4,41. / C. $ C a .1 , c h 44 v 5/ E-mail Address: 4,5 C; > 4 L Y Ca(n #of Dogs: / (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: _31)� Male:X Female: Spayed or Neutered Y N Breed: Eh (i)cam.(,43 Color: �� rrffu 1)1i- t'i- �rf-e 2. Name of Dog: Male: Female: Spayed or Neutered: Y/ N Breed: Color: 3. Name of Dog: Male: Female: Spayed or Neutered: Y / 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 c our Public Works Department at (360) 458-8406. For office use only Date license(s)issued: Tag Numbers: 1. V°1 2. 3. Replacement Tag: Y/N (If replacement tag, then enter original tag number here: . f l Rabies Tag# _ Date Information entered into database: By Whom: Revised 02/11 � „„He AN "0`. City of Yelm �� per❑v� 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360)458-3244 Fax: (360)458-4348 www,ci,yelm.wa.us Application for Dog License - Free Your lost dog is a phone call away when they wear their registration tag. Applications and license tags can be obtained at City Hall, Monday through Friday, 8:00 am to 5:00 pm or by printing the application from our website at www.ci.yelm.wa.us. 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: Js-r !a_ 3 u e--1< 1 .ffi Owner Phone#: 3 6,e, _ 9S/ -6, S a,' Physical Address: /07?.9 Lin,toh min 51 •nE E-mail Address:oda-r/2. j -4.,,r,0,;,n7 4�74L #of Dogs: vl, (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: // r /,_ti Male:_ Female: ✓ Spayed or Neutered / N Breed: C - v S A ark Color: LtJ1t .7r—e-, cam/ #r1 ed7 /Y r,C/ z 2. Name of Dog: -53-‘,04....) -P/A_.Ce_ Male:_ Female: ✓ Spayed or Neutered / N Breed: ')a_1,-f-i poo Color: Ct n,fi7e__> 3. Name of Dog: Male:_ Female: Spayed or Neutered: Y/ 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 ^�act t _Date license(s)issued. l I " -L_ Tag Numbers: 1. c ( 2. (22c . 3. Replacement Tag: YN If replacement tag, then enter original tag number here:_ ) Rabies Tag# Date Information entered into database:__ By Whom: if)(\a-------------r7V City of Yelm 105 YeIm Ave. W., Yelm, WA 98597 Phone: (360)458-3244 Fax: (36(1)458=4348 www.ci.velm.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: 1 1 - )� 5 k 1 /u t-UOwner Phone#: 3 6 (3 3S. o 9 'C16 T) LG SNIRLL'I Q, COQ Physical Address: 1 S (3 9 a N Q -V L E-mailSe' Address: #of Dogs: I (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: Shl 6 k 1/44-7 Male: Female: Spayed or Neutere+lb N Breed: 4 4 R., Color: 2. Name of Dog: _ Male: Female: Spayed or Neutered: Y/ N Breed: Color: 3. Name of Dog: Male: Female: Spayed or Neutered: Y/ N Breed: 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.velm.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 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: ) Proof of rabies enclosed:Yes No(please explain) Date Information entered into database: _ _ _ _ By Whom: _ 11(1k Revised 05/05/10 sjd r City of Yelm �� 105 YeIm Ave. W., YeIm, WA 98597 Phone: pm)4M-3244-Fax: (360)458-4348 www.ci.velm.wa.us muk-aim 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) 1 n ] [ 5. Owner Name: l•C\,^c'l 1 e S l__-e‹ Owner Phone#: Lf J } ,� Physical Address: c L'-)_3 C,-!� I 5f. S �`-' pwet ue.Co y � ra In� � E-mail Address: C1��z 6� #of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) 1;1. Name of Dog: 1.A ( �'�_ Male: X Female: Spayed or Neutered: N Breed: 141-4,5 5 e e v-c Color: 0 I G. i\ ( 5iOw rn 1 1-011-( c 2. Name of Dog: e____ Male: Female: Spayed or Neutered: Y/ N Breed: C0`' Color: y 1 ( 6 ^-) 6 3. Name of Dog: CZ_N"\_ Male: Female. Spayed or Neutered: Y/ N I l Breed: � S `�.C- 1�Color: /C-L I c 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 office use only ii / Date license(s)issued: 11 W iS Tag Numbers: 1. C9 2.A.0 3. `� Replacement Tag: Y/(N JUf replacement tag, then enter original tag number here: _ ) Proof of rabies enclosed:Yes Nolease explain) k i (P P ) 11 Ill Date Information entered into database: By Whom: Revised 05/05/10 sjd F. . City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360)458=3244-Fai: (360)-45843-48— 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. 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:�eit,ik0001l Owner Phone#: 8-55' gap() Physical Address: Nola' t0± Wet,t3 E-mail Address: , DD U.]�t1- r dov JG-s}•-- #of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: Z _ Male: ( Female: Spayed or Neutered N Breed: felSb Color: i-ai ct vnG loeP1 Car 2. Name of Dog: GWbC I-' Male: )C Female:_ Spayed or Neutered N Breed: r l Ik I 2 L.& Color: 3. Name of Dog: Male: Female: Spayed or Neutered: Y/ N Breed: 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 office use only Y 1 2 Date license(s)issued: • 1 —L_S_ Tag Numbers: 1. 01. I 2. 3. Replacement Tag: Y/Off 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 ro*THEN Cit of Yelm 0 �' b5(`s o Q � Y • 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 MIMI; 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. 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:l.' ckC~5[]r '4,60r c- Owner Phone#: 3( Lis- -1So6 Physical Address: 02.16 1G,\\ \1 V4,6. c'10 - 30c E-mail Address: N / Pt eA YYI, vv A c1 S— #of Dogs: 1 _ _ _. (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: �c,,�,`G Male: ✓ Female:_ Spayed or Neutered:0 N Breed: Mvn PtOs..3101 Color: 1?-)c-0,_,-_Ai 2. Name of Dog: Male: Female:_ Spayed or Neutered: Y/ N Breed: Color: 3. Name of Dog: Male: Female: ._ Spayed or Neutered: Y/ N Breed: 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 office use only Date license(s)issued: ` 1 Tag Numbers: 1. cgq 2. 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: 1 ) By Whom: )1j0 Revised 05/05/10 sjd Healthy Pets Animal Hospital Patient Chart 2022 4th Ave. E. Olympia, WA 98506 360-943-8900 Printed: 06-06-15 at 9:18a CLIENT INFORMATION Name Carson Robbins(6279) Address 2218 Thurston Ave Spouse Madelaine Olympia,WA 98506 Phone 360 943-8639 Balance 0.00 PATIENT INFORMATION Name Jackie Species Canine Sex Male Breed Mini Aussie Birthday 04-12-10 Age 5y ID Rabies 11241 Color Brown&White Weight 23.90 lbs Reminded 09-13-11 Codes Jackie's weight history(in lbs) 02-28-15 23.90 10-03-14 26.10 09-05-14 26.90 09-19-13 24.80 10-03-12 23.10 01-04-12 26.00 10-02-10 13.50 08-23-10 9.60 MEDICAL HISTORY-Vaccination View Date By Code Description Qty(Variance) Amount 07-26-10 HP 051 DHPP (2nd) 19.50 08-23-10 HP 052 DHPP (3rd) 19.50 10-02-10 HP 053 DHPP Annual 19.50 070 Rabies, 1 Year,#6504 19.50 10-04-11 065 Canine Bordetella-Annual DHPP3 DHPP 3yr 01-04-12 HP 070 Rabies. 3 Year,#8106 19.50 10-03-12 WS 065 Canine Bordetella-Annual 18.52 09-19-13 WT 065 Canine Bordetella-Annual 18.52 09-05-14 WT DHPP3 DHPP 3yr 18.52 065 Canine Bordetella-Annual 18.52 02-28-15 WT 070 Rabies, 3 Year,#11241 18.52 CT: 02-28-15 at 11:32a: � k 0 (- 05(S. mv T 00 City of Yelm a. 105 Yelm Ave. W., Yelm, 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. 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: Y)Ca�`ca h c a s Owner Phone#: 3 e,M -11-102 qqc.L Physical Address:j1 IS kal,no C{s1. kVA30+_ E-mail Address: t / /: S-591- #of Dogs: i (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog:12,0, Male: ✓Female: Spayed or Neutered:,' N Breed: pcic,1-\-Q Color: LA)hAQ 2. Name of Dog: Male:! Female: Spayed or Neutered: Y/ N Breed: Color: 3. Name of Dog: Male:_ Female: Spayed or Neutered: Y/ N Breed: 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.velm.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 office use only f Date license(s)issued:I p2 1✓ 1 C) Tag Numbers: 1. 0 2. 3 Replacement Tag: Y/N (If replacement tag, then enter original tag number here: ) Proof of rabies enclosed:Yes No(please explain) 1 / Date Information entered into database: 0- By 1 l Whom: A-4 Revised 05/05/10 sjd Yelm Veterinary Hospital 1120 YeIm Ave W. Yelm, WA 98597 360-458-7707 Rabies Certificate Client ID: 34711 Patient ID: 100288 Client Name: BARBARA RHODES Patient Name: RAGS Address: 215 KILLION RD SE#305 Species: CANINE YeIm Breed: MALTESE • WA 98597 Sex: Neutered Male Phone: (360) 742-8999 Color: WHITE Markings: Birthday: 5/1/1998 Weight: 9 Tag Number: 46747 Vaccination Date: 5/1/2015 Lot Number: S413125 Expiration Date: 5/1/2018 Producer: NOBIVAC Microchip#= K/MLV: Killed Virus Staff Name: RENEE HILBIBER, DVM (Fl\-) "?' -:-.\ \:. .. )14F :� -N'' License Number: i _ 1.. • p�; City of Yelm (00056' ° ° 105 YeIm Ave. W., Yelm, WA 98597 111.1 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. Registrations cannot be issued unless proof of current rabies inoculation isprovided with this application. The dogs are required to wear the rabies tag issued by the veterinarian. (Yelm Municipal Code – Chapter 6.12) Owner Name: -\,ma-S r,_res. Owner Phone#: 3C„O L/ Isoc Physical Address: .l5 11;,11<<.., t;yl rij P, p4 7 2 0 E-mail Address: N / 'ecru, viA #of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: 1-,anc\ Male: Female: ✓ Spayed or Neutered: Y/ N Breed:_,1-,\\n -7 i -- Color: a r,/ b%,111 Ayr --- 2. Name of Dog: Male: Female: Spayed or Neutered: Y/ N Breed: Color: 3. Name of Dog: Male: -- _ Female: Spayed or Neutered: Y/ N Breed: 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 office use only Date license(s)issued: ,) ” 1' I.T 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)- Date Information entered into database: "i _ ` � By Whom: Revised 05/05/10 sjd Yelm Veterinary Hospital 1120 Yelm Ave W. YeIm, WA 98597 360-458-7707 Rabies Certificate Client ID: 34942 Patient ID: 100835 Client Name: JAMES AKA JP PIERCE Patient Name: LENA Address: 215 KILLION RD NW Species: CANINE YeIm Breed: SHIH TZU • WA 98597 Sex: Female Phone: (360) 458-1800 Color: Tan/White Markings: Birthday: 6/19/2009 Weight: 13.3 Tag Number: 47082 Vaccination Date: 6/19/2015 Lot Number: S413125 Expiration Date: 6/19/2018 Producer: NOBIVAC Microchip#= K/ MLV: Killed Virus Staff Name: EMILY FRENCH, DVM 1 • )1. License Number: 60109047 • A • YeIm Veterinary Hospital Page 1 / 1 1120 YeIm Ave W YeIm,WA 98597 (360)458-7707 JAMES AKA JP PIERCE Client ID: 34942 215 KILLION RD NW Invoice#: 229770 ROSEMONT Date: 6/19/2015 Yelm, WA 98597 Patient ID:100835 Species:CANINE Weight: 13.30 pounds Patient Name:LENA Breed:SHIH TZU Birthday:06/19/2009 Sex: Female Description Staff Name Quantity Total 6/19/2015 OFFICE CALL EMILY FRENCH, DVM 1.00 $46.07 BLOOD DRAW- FELV/FIV/HW TEST 1.00 $5.00 HEARTWORM TEST 1.00 $51.14 DAP'VACCINE 3 YR 1.00 $19.73 BORDETELLA INTRA NASAL VACCINE 1.00 $18.37 RABIES CANINE 3 YEAR 1.00 $18.37 BIOHAZARD DISPOSAL FEE 1.00 $2.03 Strongid T/cc 1.50 $0.00 Activyl Canine 4-14# 1.00 $15.94 T THANK YOU KATIE, VT 1.00 $0.00 Patient Subtotal: $176.65 Reminder 19/2016 BORDETELLA INTRA NASAL VACCINE u„i19/2018 DAP VACCINE 3 YR RABIES CANINE 3 YEAR Invoice Total: $176.65 Sales Tax: $1.39 Total: $178.04 Balance Due: $178.04 Previous Balance: $0.00 Balance Due: $178.04 Visa: ($178.04) Less Payment: ($178.04) Balance Due: $0.00 WE ARE OPEN MONDAY-FRIDAY 7:00 AM-8:00 PM SATURDAY 8:00-5:00 SUNDAY 10:00-5:00.IF YOU HAVE A MEDICAL EMERGENCY AFTER HOURS PLEASE • CONTACT OLYMPIA EMERGENCY CLINIC@ 360-455-5155. TACOMA EMERGENCY CLINIC@ 253-474-0791.PACIFIC AVENUE ANIMAL EMERGENCY @ 253-537-0241. PLEASE VISIT OUR WEBSITE AT YELMDVM.COM,AND LIKE US ON FACEBOOK! irc City of YeIm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360)458-3244 Fax: (360)458-4348 www.ci.velm.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: 1-120\cna c\\o x- Owner Phone#: 3W)' k- )/(-)() Physical Address:aIS KM.r,:1 Rc] r apt E-mail Address: N r, e\m, vJ'A a gt c * #of Dogs: l (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: e)a\rt Male: Female:✓ Spayed or Neutered: Y/Q Breed: Ch 0(I00.\,\u G Color: 1 oxc_ / tan 2. Name of Dog: Male: Female: Spayed or Neutered: Y/ N Breed: Color: 3. Name of Dog: Male: Female: Spayed or Neutered: Y/ N Breed: 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 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: ) Proof of rabies enclosed:Yes No(please explain) Date Information entered into database: r 1 By Whom: -81.1 Revised 05/05/10 sjd YeIm Veterinary Hospital 1120 Yelm Ave W. YeIm, WA 98597 360-458-7707 Rabies Certificate Client ID: 35384 Patient ID: 101986 Client Name: THELMA MILLER Patient Name: BABY Address: 215 KILLION RD NW APT 102 Species: CANINE YeIm Breed: CHIHUAHUA WA 98597 Sex: Female Phone: (360) 458-1800 Color: BLACK/WHITE Markings: Birthday: Weight: 14.5 Tag Number: 46398 Vaccination Date: 9/23/2015 Lot Number: S517554B Expiration Date: 9/23/2018 Producer: NOBIVAC Microchip#= K/ MLV: Killed Virus Staff Name: CHARLES KEGLEY, D.V.M. , ---- 2-1-1-#2 4111111011001011, icense Number- 2491 • r T :' i +. : (Ai- f 01— (-) " City of helm 105 Yelm Ave. W, Yelm, WA 98597 alk441. Phone; (360)458-3244 Fax: (360)458-4348 www.ci. elm.wa.us Application for Dog License Pee Schedule: Reg License: placement Tag:EE me h Annual Rtegistralt-r�ar^pan Ree'ftafiq Yelm repo+res f gerous Dog: $500.00 (Yelm Municipal Code-Chapter 6.08.070) a lic ns cannot all dogs to be r art°n Th a issued unless egistered annually and have current rabies inoculations. Chapter 6.12) a dogs are requireq to ear f of of current rabies inoculation is rovided with this he rabies tag issued by the veterinarian. (Yelm Municipal Code - FhYsi #of D�'- Owner Phone#: 3“) 46=4-6-'241 h. 1mr Wq -R � Z�1 E-mail Address: IN1 � _ (Maximum of three allowed per YMC Chapter 6.08.030) f Dog: _ _ Male: Female: Spayed or Neutered: 0 N 2. p ---- Color: og: B — Male: Female: Spayed or Neutered: Y/ N 3. Nam - ----- Color: Breet Male: Female: Spayed or Neutered: Y/ N Completed a — 105 Yel pplica Color: City H m Ave., mondeW t► din f ssveq alt City Ha t ua$597. oMoo f o rabies inoculations) maybe mailedor delivered to Yelm CityHall, am to plate y$00 applications Will be returned. Applications maybe obtained at To repoieoe�ve the tag b'OD pm or by vlsiting our website at vwvw.ci.velm.wa.us. Tags are Y mail if requested. Ic Worksdog or y°� have an animal s p a i complaint please call our '°� office epartment at (360) 458-8406. use only Date licenSe(S)i55 ued; /" ' RephieC1neni Tai; Y i'rcnFaf (l� Tag Nutnb� rs: 1. 3 2_ 3. rabies enol rent to used: yes g then enter ori date InFUr giiral tag number here: ) data❑n I:lease ex entered into t plait9_ sed 05105170 ski r ay v[lhoxxx: � ;ompanion Veterinary Hospital, P.S. INVOICE - 75661 5710 Ruddell Road, SE, Suite 2 Date: SEP 19 13 Lacey, WA 98503 Time: 10:21 Phone: 360-455-8090 Fax: 360-456-6296 Account: 5356 Operator: JMS DEBRA LARSONPage: 1 1615 JUDD ST SE LACEY,WA 98503 Birthday: JAN 28 09 --ff':: Name: LUCY Gender: FEMALE SPAYED - *y.; Species: CANINE Weight: 31 lbs . .,: .~l A Breed: TIBETAN TERRIER Rabies Tag' 1191 ID1:985121005788632 �,�`•'�^�;-. - --•-- -- Pr Qty Price Total Units 47.95 * :,x: Date iptlOfl PS 1.00 EACH 47.950 10100 SEP 19 13 DOCTOR CONSULTATION&EXAM 22.00 " PS 1.00 EACH 22.000 22.00 * 5072711SEP 19 13 RABIELEPTOS (DOG)3YRL ACCCINE PS 1.00 EACH 22.000 22 04 51160 SEP 19 13 RAt31E5[DOG}3YR VACCINE PS 20.00 EACH 1.172 30118 SEP 19 13 CEPHALEXIN-ANTIBIOTIC 500 MG6.504 96105 SEP 19 13 HELD CHECK FEE PS 1.00 EACH 6.500 Subtotal: 121.89 — SUBTOTAL: 121.89 WA: 2.04 *TAX EXEMPT TOTAL THIS VISIT: 123.93 PAYMENTS: Check#-1127 Check: -61.97 TOTAL: -61.97 CHANGE: 0.00 A4 (_, G- - 10 k I 1 13 TOTAL NOW DUE: 61.96 **The best compliment you can give us is the referral of friends and family As s a thanThank youk you, lfapplly a u$5.00** credit to your account for every new client who mentions you as the referring REFUNDS: If you are not satisfied with a prod ort wdre will credit your account for the purchase price. -(Sorry, no cash refunds or refunds on sery ) Please note that PAYMENT IS DUE AT TIME OF SERVICE. Balances accrue a service charge of 1.5% per month. ' We are including important information concerning ernni ngyourvisii hesitate to thuh s today. Please take a few moments to review it. If you have any questions, please .. o i - 0545 °° City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360)458-4348 www.ci.velm.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: ���4\QC., Z-0(-\04 _ Owner Phone#: LISA-3719 Physical Address:aIS \kc�►1 fact . rl lam) P t- 30Z_ E-mail Address: , vNA g8-5"IR #of Dogs: j (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: L i � _ Male:_ Female: v Spayed or Neutered:® N Breed: c ' rj \nuck Color: t_h��Q 2. Name of Dog: . Male: Female: Spayed or Neutered: Y/ N Breed: Color: 3. Name of Dog: Male: Female: Spayed or Neutered: Y/ N Breed: 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.velm.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 office use only Date license(s)issued: 0- -I—167 Tag Numbers: 1. 39 2. 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: 1 By Whom: Ad Revised 05/05/10 sjd Yelm Veterinary Hospital 1120 YeIm Ave W. Yelm, WA 98597 360-458-7707 Rabies Certificate Client ID: 30269 Patient ID: 87539 •Client Name: SHELLEE JONES Patient Name: LILLY Address: 215 KILLION RD NW Species: CANINE YeIm Breed: CHIHUAHUA WA 98597 Sex: Spayed Female Phone: (360) 458-3719 Color: TAN Markings: Birthday: 1/27/2007 Weight: 5.8 Tag Number: 45759 Vaccination Date: 7/17/2014 Lot Number: S313832B Expiration Date: 7/17/2017 Producer: NOBIVAC Microchip#= K/ MLV: Killed Virus • Staff Name: RENEE HILBIBER, DVM („A0f License Number: ' • ,THel Fcak City of Yelm i �5, © 0 105 Yelm Ave. W., Yelm, WA 98597 V I Phone: (360)458-3244 Fax: (360)458-4348 www.ci.velm.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: Eva tqL,\��L Owner Phone#:..3“..j i71.5-3--/61217 Physical Address: 15 K,\\ion 9.6. fl LA3 Pr155 E-mail Address: N / A eV-N(1, vel of #of Dogs: Z (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: eyaiw Male: v Female: Spayed or Neutered: ./ N Breed: ;Ec-cnoc-If\ot-w%cy Color: ) 2. Name of Dog: Male: Female: Spayed or Neutered: Y/ N Breed: Color: 3. Name of Dog: Male: Female: Spayed or Neutered: Y/ N Breed: 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 office use only Date license(s)issued: - I -I C Tag Numbers: 1. 3 5 2. 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: _ 1 I `( By Whom: ✓`Q ' _ Revised 05/05/10 sjd 04 02 2014 11: 5 .5 5 • • r Yelm Veterinary Hospital 1120 Yelm Ave W. Yelm, WA 98597 360-458-7707 Rabies Certificate Client ID: 17125 Patient ID: 72483 Client Name: EVELYN BELLOWS Patient Name: BENJI Address: P.O. BOX 1210 Species: CANINE McKenna Breed: TERRIER/NORWICH WA 98558 Sex: Neutered Male Phone: (360) 458-1567 Color: GOLD/BLUE Markings: Birthday: 9/28/2005 Weight: 7.5 Tag Number: 44205 Vaccination Date: 9/19/2013 Lot Number: S288730B Expiration Date: 9/19/2016 Producer. NOBIVAC Microchip#= 4701415476 K/ MLV: Killed Virus Staff Name: Jerry W. Brown, DVM License Number: 2660 �� V�°F TNA •f City of Yelm - • - 105 Yelm Ave. W., Yelm, WA 98597 �.;s �F ` :=,..r� Phone: (360) 438=3244 Fax: (3801458=414B 4; F www.ci.velm.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) { r [� Owner Name: l(NiT\OeK i Owner Phone#: .0 —CO l 10 } �� Physical Address: O 1V \J \ E-mail Address: Ng ; V-Qr 3(00 e J lc,,\ #of Dogs: 1 (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: QjCeS2)\ _ Male: / Female:_ Spayed or Neutered: Y/01 Breed: M Color: 1O\a te / U3\./N\\eA 2. Name of Dog: _ Male: Female: Spayed or Neutered: Y/ N Breed: Color: 3. Name of Dog Male: Female: Spayed or Neutered: Y/ N Breed: 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 office use only }} Date license(s)issued: a-I ` l S Tag Numbers: 1.31 _ 2. 3. Replacement Tag: Y 1 N S 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 Cr'- Tit! A f City of Yelm a m 105 Yelm Ave. W., YeIm, WA 98597 ,� Phone: (360)458-3244 l=ax: (360x458.4348 ►,'' www.ci.yelm.wa.us 01,4 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: CL o1 0Y &NA Owner Phone#: C@S.J ?J' h oZ 13 Physical Address: tSq,a. Uu..QU tuke adoLtiS CA- A E-mail Address:cra 13661 /_co ' c om #of Dogs: ` (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: A VL -C Male: _ Female: X Spayed or Neutered/ N Breed: S l 1j kA) o t+L1.014..)1/4-1,- Color: e\K 2. Name of Dog: Male:_ Female: Spayed or Neutered: Y/ N Breed: Color: 3. Name of Dog: Male: . Female: Spayed or Neutered: Y/ N Breed: 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 office use only , Date license(s)issued: J Tag Numbers: 1. 2. _ 3. Replacement Tag: YN&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 ftel °li 7 City of YeIm 105 Yelm Ave. W., YeIm, WA 98597 Phone: (360)4584244—Fax:-(360)4:58-4348 www.ciyeintwa.us Eakin. 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) / ►J -_ / / "J C� Owner Name: J l 414-"Ory .5 [ 7�-1 _ Owner Phone#: .2Co 0 -5 I S ` ! 1 Physical Address: 3/..� r ivi Av.-L.. E-mail Address: Avitkonrsh feC'$8e 64''"(•ca # of Dogs: -4- (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: g'c _4 71/ey. Male:X Female: Spayed or Neutered: Y is Breed: ?i'f 6 ., ll 4C.c0-' Color: aPxy 2. Name of Dog Male: Female: Spayed or Neutered: Y/ N Breed: Color: 3. Name of Dog: Male: Female: Spayed or Neutered: Y/ N Breed: 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 office use only _) Date license(s)issued: \.` _ Tag Numbers: 1. 8 2. 3. Replacement Tag: I -replacement tag, then enter original tag number here: ) J Proof of rabies enclosed:Yes No(please explain)_ t r\i- r Date Information entered into database: _ By Whom: h� Revised 05/05/10 sjd City of Yelm = 105 Yelm Ave. W., YeIm, WA 98597 . one: , I)458-3244 Fax: 0601458 4M13 www.ci.yelm.wa.us gal= 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 thin eterinarian. (Yelm Municipal Code- Chapter 6.12) 1 y� OWLd , r� �� 7/�Owner Name:1 lic l°fl c. � ` ) II] ] Owner Phone#:5100 /? !C ) //47.490 Physical Address: - �^] " �� m1C{"1--110 t. . E-mail Address: �tt`f��([ #of Dogs:_ L� • (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog`1-\DZ\- Yl Male: , Female: X Spayed or NeuteredrY) N Breed: Aii-k\,(Ape..1\ \CX- Color: 6.0, n I 0 2. Name of Dog:�� i.�1�Y1 � Male: X, Female:_ Spayed Neutered: Y(/ N Breed: 4.A.1p2_'l.l Color: \'\L ► 1 Qf 3. Name of Dog: - _ Male: Female: Spayed or Neutered: Y/ N Breed: 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 office use only -6(1 LO Date license(s)issued: Tag Numbers: 1. I 2. 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 "THE.Nff Cityof Yelm �11U a, 105 Yelm Ave. W., Yelm, WA 98597 Phone: (3801 458:3244 Fax: (360)458-4348 www.ci.velrn.wa.us ' EI.M,.,., 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) I �,� Owner Name: a—i- V `try�� Owner Phone#: 3 6v ^-le? ( 3 LI Physical Address: c1 V e).-4f /3 rfrrl y.I' a/).3 E-mail Address: #of Dogs: k _ (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: A n r(`.- Male: Female: : Spayed or Neutered: Y Breed: gc.k l i u55,E Color: 1,i1+1i'L 2. Name of Dog: . — Male: Female: Spayed or Neutered: Y/ N Breed: Color: 3. Name of Dog: Male: Female: Spayed or Neutered: Y/ N Breed: 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 office use only Date license(s)issued: _ _ Tag Numbers: 1. H 2. 3. Replacement Tag: Y L.s�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 F7-0,THE ir- ��p. City of YeIm ft. 105 Yelm Ave. W., YeIm, WA 98597 Phone: (360)458.3244 Fax: (360) 458-4348 V.V.' aSulifai. , www.ci.ve1rn.wa.us Y L 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: )'-. L )L ) 1 r AA i i c e. Owner Phone#: 31�O i J / ) 0 4 Cf Physical Address: E 7 6 3 Yc.r Ai T crtAl s C E-mail Address: pi,l f i i ,](F 1S .*ti M£ #of Dogs: I (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: Tu 1t � Male: Female:_ Spayed or Neutered(Y'/ N Breed: (. M- 1 IV)0 Color: 6 A w A.J 2. Name of Dog: Male: Female:_ Spayed or Neutered: Y/ N Breed: Color: 3. Name of Dog: _ Male: Female: Spayed or Neutered: Y/ N Breed: 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 office use only 4� u Date license(s)issued: 1 `� \ ,? Tag Numbers: 1. 1" 2. 1 Replacement Tag: Y{�Ni(If replacement tag, then enter original tag number here: ) Proof of rabies enclosed:Yes No(please explain) _ Date Information entered into database: By Whom: W Revised 05/05/10 sjd City of Yelm • 105 YeIm Ave. W., Yelm, WA 98597 - ' one: . 0)4584244 Fax: (360)458-4348 4r www.ci.yelm.wa.us f 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) {{ ben l Owner Name: kICAI (A l I{? cA n t: i( ( Owner Phone#: 3(ob 13 Physical Address: RD i 4� IL Io iiCi 1 S E-mail Address:frf i l ie eJl•t'i' - dmaiI ( #of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) ( ovn 1. Name of Dog: nn \C\ Male: sY Female:_ Spayed or Neutered: Y/ } Breed: C.\'-) \ �� .�'-i I 1.0 Color: - D�� W[ y:)LGt C d 2. Name of Dog: 5a rC Male: Female: Spayed or Neutered: 0 N Breed: L C b 1 to 06e( Color: r-a or--) I-t-oOl n 3. Name of Dog: 9n C Male:_ Female: /\ Spayed or Neutered: Y D Breed: OU C1 (_DUC\ nn)( le. Color: hri ne11 ' sheDard I- rn e a I un \--krec [ac (� Co eted XlUibfig-(inc-IU&n proordf 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 a 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 office use only _ Date license(s) LB ut_.{ l-issued: _ Tag Numbers: 1. 2. ` • .i.� 0 Replacement Tag: Y/N (If replacement tag, then enter original tag number here: ) / Proof of rabies enclosed: Yes No(please explain) !l Date Information entered into database: By Whom: Revised 05/05/10 sjd °F Tk " City of Yelm 105 Yelm Ave. W., YeIm, WA 98597 Phone: (360)-45842-44-Fax: (360)458-4348 ii."4-.71:;:44. www.ci.velm.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: C-J7C-1(-- , ct.��-C �_. Owner Phone#: 70 (-1-74/ - 1./6. 77 Physical Address: 9"„z/.I fCJ,0-e-J2--5 E-mail Address: CA c -kkt0-tib c.- c-_ #of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) C ma 1Gam 1. Name of Dog: C��k- ___ — _ Male: _ Female: kV Spayed or Neutered: N Breed: G /Lee.fG,� Color: g (a_c.k.' w re_ I'"o.c=e�5 f'e/c'r f 2. Name of Dog: _ _ Male:_ Female: Spayed or Neutered: Y/ N Breed: Color: 3. Name of Dog: _ _ Male: Female: Spayed or Neutered: Y/ N Breed: 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 office use only LADate license(s)issued: ta,---) ..i s _ Tag Numbers: 1. I 2. 3. Replacement Tag: Y/lam 1 replacement tag, then enter original tag number here: ) Proof of rabies enclosed:Yes No(please explain) ■ Date Information entered into database: By Whom: Ili Revised 05/05/10 sjd Fa,meACity of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360)458-4348 www.ci.yelm.wa.us i=;- A,_ Application for Dog License - Free The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Your lost dog is a phone call away when your dog wears their registration tag. The dogs are required to wear the rabies tag issued by the veterinarian. (Yelm Municipal Code—Chapter 6.12). Applications can be obtained at City Hall, Monday through Friday 8:00 am to 5:00 pm or by printing the form from our website at www.ci.yelm.wa.us. Completed license applications may be mailed or delivered to Yelm City Hall, 105 Yelm Ave. W., Yelm, WA 98597. Tags are issued at City Hall and can be mailed to your address, if requested. Owner Name: iha -AO rf i U Owner Phone#: , —;--37., DO ri Physical Address: )0--C2 l fittU f_.JE 1(C-4--- 7 E-mail Address: /VJhy t 1 ' .e L #of Dogs: ' _ __ (Maximum of three allowed per YMC Chapter 6.08.030) I 1. Name of Dog: J7 Male: A Female: Spayed or Neutered:I�2Y All Breed: 12/ pd�&14 yr c-"71' f 4,. Color: �cJ� L/141 � -7 ��--�� 2. Name of Dog: Male: Female: Spayed or Neutered: Y/ N Breed: Color: 3. Name of Dog' _ _ _ Male: Female: Spayed or Neutered: Y / 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:] 2 --7--If Tag Numbers: 1. Li T 2. 3. _ Replacement Tag: Y/N (If replacement tag, then enter original tag number here: _ ) Rabies Tag# 1/ r Date Information entered into database: I By Whom: _ Revised 02/11 City of Yelm 105 Yelm Ave. W., YeIm, WA 98597 Phone: (360)458 2'44 x:-(360)-458-4341 _. ►nrww.ci.yelm.wa.us Application for Dog License �i Fee Schedule: O 3 -5o S 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: ES L- '&rA- Owner Phone#: 1 - M .–t (o Physical Address: 15-31le? A .- Ste. E-mail Address: OriAN*3'?0:1-?-- ' f."� 1.,co,^ #of Dogs: a _ (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: q Male: X Female: _ Spayed or Neutered:(Y) N Breed: 140( Color: L co-k-f 8r2-o � 2. Name of Dog: S�or�� )l Female: _ Spayed or Neutered: �Y-I N �±_ Male: Breed: Color: C4-t0GC- .13c a.J ) 3. Name of Dog: _ _ Male:_ Female: Spayed or Neutered: Y/ N Breed: 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.velm.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. 0261(P For office use only II Date license(s)issued: i Tag Numbers: 1. 9 2.ST) 3. Replacement Tag: Y c1f replacement tag, then enter original tag number here: Proof of rabies enclosed:Yes No(please explain) _ A Date Information entered into database: By Whom: Revised 05/05/10 sjd sTh ' City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (36-0)4584244 Fax: (360) 4584348 gpr;;ii �:;- .= www.ci.velm.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: A l 10.n \--&:3,..,e 1(b Owner Phone #: 2 S.- 22 EC( .06 Physical Address: (49 4K L.©c LAV-E ct 3 e E-mail Address: a I ICtn.0'.-e\lo P7,,,,,i •C� #of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) T 1. Name of Dog: Lkcl'ct Male: Female: X Spayed or Neutered: N Breed: . BeRoN1C' Color: 1 ' i _ 2. Name of Dog: k'c -%,:)c_ Male: Female: ,K Spayed or Neutered:® N Breed: i?[• L, ie Color: Tyr.' 3. Name of Dog: Male: Female: Spayed or Neutered: Y/ N Breed: 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.velm.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 office use only 5 ) 3. Date license(s)issued: 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) Date Information entered into database: By Whom: Revised 05/05/10 sjd City of YeIm 105 Yelm Ave. W., YeIm, WA 98597 Phone: 060T-4584244 Fax:[360)4584348 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. 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: � ❑ Va 111,U` Owner P one#: O - Zg e."2`'65 Physical Ad r VimIk,� Address: 3 /LAI d GAS �, �'1 �- E-mail Address: O/1 Q �� #of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: cC h. 1 0 e_ Male: Female aye or Neutered Y I N c Breed: cil1' 4 Color: 2. Name of Dog: Male: +✓ Female: Spayed or Neutere / N Breed: UC K7(. / V L t Color: C f f 3. Name of Dog: Male: Female: Spayed or Neutered: Y/ N Breed: 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 office use only i IT-1-7 U_I Date license(s)issued: I I 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) Date Information entered into database By Whom: Revised 05/05/10 sjd 'i° T • City of YeIm 105 Yelm Ave. W., Ye1m, WA 98597 Phone: (360)-458-3244-fax: (360)458-4348 } };,.,' www.ci.yeim.wa.us Application for Dog License Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.0.0 (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: (CLO ',/_e_k Owner Phone#: 1 0 V _ 7j0,_103 Physical Address: /0064/ /diiiaN b.-5E E-mail Address: j/ 94p i i I.0)1.1 #of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of D :Q ?r t._ Male: X. Fem payed or Neutere Y / N Breed: ie . , 56 - Color: a 2. Name of og: 47 , 71e: Female: Spayed or Neuter-• 1 N Breed: s'kd iCy y1br ,� Color: 3. Name of Dog: Male: Female: Spayed or Neutered: Y I N Breed: 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 office use only Date license(s)issued:, ILA — 1 Tag Numbers: 1.55 2. -� 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: [ ''1 l3y Whom: Revised 05/05/10 sjd s °. - :. City of Yelm a.;:: - ,':,5, 105 Yelm Ave. W., Yelm, WA 98597 4,-inetiiii: Phone: (360) 458-3244 Fax: (360) 458-4348 •,- r'74.14- www.ci.yelrn.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: -1\14 e0 SCR Owner Phone#: D[j�") — 1 , ,� c91 ,r7 Physical Address: CV Van J rut rn p E-mail Address: #of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: i\ ]Q.\() Male:`Female: Spayed or Neutered: Y/ N Breed: RL)Od.. j Color: W 2. Name of Dog: Male: Female: Spayed or Neutered: Y/ N Breed: Color: 3. Name of Dog: Male: Female: Spayed or Neutered: Y/ N Breed: 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.velm.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 office use only Date license(s)issued: __ Tag Numbers: 1. 57 2, 3. Replacement Tag: YC;)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 r TIlei a� City of Yelm 105 YeIm Ave. W, Ye1m, WA 98597 Phone: (360)458-3244 Fax: (360) 458-4348 ►vwlv.ci.yel ni.%•va.us Woo` .ip. Application for Dog License - Free Your lost dog is a phone call away when they wear their registration tag. Applications and license tags can be obtained at City Hall, Monday through Friday, 8:00 am to 5:00 pm or by printing the application from our website at www.ci.yelm.wa.us. 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: -) Ar9-0'G=4 il6A er Owner Phone#: AC2—L//'&--` C) Physical Address: -z)e-)`7 5,-)/A e-< 4/.d)tU E-mail Address: #of Dogs: / _ (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: L";-/..) %.416 Male: Female— Spayed or Neutere Y11 N Breed: yv)i / - �� Color: /7 c •� r ) ) 2. Name of Dog: Male: Female: . Spayed or Neutered: Y/ N Breed: Color: 3. Name of Dog Male: Female. Spayed or Neutered: Y/ 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: _ 1 — 15— -((P Tag Numbers: 1. O 2. 3. Replacement Tag: ft) if replacement tag, then enter original tag number here: Rabies Tag#: V Date Information entered into database: By Whom: l Ir\\ 10/13 r*-. .a City of Yelm k 105 Yelm Ave. W., YeIm, WA 98597 Phone:7 60T458=.f244 F x:136O)43 348 www.ci.velm.wa.us 110.4 i ,; 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) Wr Owner Name: cd- 1 K�� ►� Owner Phone#: 3 6 d b� Q (F 6 Physical Address: / 5S ! L G `f TM-- T- E-mail Address: S7'1''`6 e/ai:rV '(. e e�L #of Dogs: ( (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: 5 t74-4- Male: Female: payed or Neutered:/ N Breed: eife C d L 7-, ( 4--6 Color: 2. Name of Dog: Male: Female: Spayed or Neutered: Y/ N Breed: Color: 3. Name of Dog: Male: Female: Spayed or Neutered: Y/ N Breed: 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 office use only Date license(s)issued: Tag Numbers: 6R 2. 3. Replacement Tag: Y/N (If replacement tag, then enter original tag number here: _ ) Proof of rabies enclosed:Yes No(please explain) 1 c.:9." Date Information entered into database: 1 By Whom: Revised 05/05/10 sjd -t °R,< City of Yelm ° 105 Ye1m Ave. W., YeIm, WA 98597 Plione: (360)458-324T Fax: (360)458;43-48 .ice• - . www.ci.velm.wa.us liVa 'WI Application for Dog License Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (YeIm 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) ``�� �j Owner Name: _Z4 I J� CZ Owner Phone#:_ Jf, C L Cf‘•-'2J' f E-mail Address: Physical Address: /22 1../9Z--497,/ (�'P�.� .J� #of Dogs: _ : (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: /9:e ri cey/ Male: _ _ Female:47 Spayed or NeuteredZ N Breed: (h4 6, 4h"m/re Color: :o4-/H 2. Name of Dog: ,Ad H Male: Female: Spayed or Neutered:N Breed: /Porn A oe Color: .4 3. Name of Dog: _ Male: Female: Spayed or Neutered: Y/ N Breed: 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 office use only Date license(s)issued: ' - —- ( \^ Tag Numbers: 1.(00 2. CO 1,L 3. 1 Replacement Tag: Y N • acement 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 of THJ 4. City of Yelm 7. a, z„ 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360j 458-3244 Fax: (3601458-4348 lk.-, `r 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. 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) / _ C� Owner Name: _/d-i(CL I-1 �Lk i rcx- Owner Phone#: 33( o /(6O /(37 Physical Address: l ?q 8' Pr a_.1 ft„ L j � 0 S r r< Lc.,e)p E-mail Address:+'u-fu incl k_k iia e 9 rn,k(,‹ #of Dogs: 1 (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: 46( _ Male: Female: V Spayed or Neutered: N t Breed: S ped/Ha.5 K\( Color: (� L(L! 6}-3ce i\ 2. Name of Dog. Male:— Female: Spayed or Neutered: Y/ N Breed: Color: 3. Name of Dog: Male: Female: Spayed or Neutered: Y/ N Breed: 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.velm.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 office use only J Date license(s)issued: �4V=L Tag Numbers: 1.._(4.-j-- 2. _ 3. - Replacement Tag: Y/N .I f 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:4360)458-4348 www.ci.velm.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 ve erinarian. (Yelm Municipal Code— Chapter 6.12) U f\66 -tl liat Owner Name: . . A,.),:I Owner Phone#: -./C9-2) 1 -56U Physical Address: Au /3.tD E-mail Address: #of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog:- 1,( 4fllnil Male: Female: Spayed or NeuteredN Breed: M,X lab, OArPAP,PA Color: 101 k Ar7, 2. Name of Dog: Male: Female: Spayed or Neutered: Y/ N Breed: Color: 3. Name of Dog: Male: Female: Spayed or Neutered: Y/ N Breed: 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.velm.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 office use only 7 Date license(s)issued: 1 .I.---IS Tag Numbers: l 2. 3. Replacement Tag: f replacement tag, then enter original tag number here: Proof of rabies enclosed:Yes No(please explain)_ Date Information entered into database: By Whom: \r\kr.(V Revised 05/05/10 sjd K-OF 'Cllr A �'� .: 911 City of YeIm t a 105 Yelm Ave. W., YeIm, 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. 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: ‘00O['1 it•r Owner Phone#: Physical Address: /53 v /U / /1-L/C JC; _ E-mail Address: ,1e..2Ci fi d'ercc��' x'cts'T J -zee #of Dogs _ _ (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: lora re( Male: Female: x Spayed or Neutered:/ N Breed: i lb p.rra-A kU-S Color: 1 K/ J t � �2 t'713 eS _ 2. Name of Dog: Fe 4 C Male:^ Female: X. Spayed or Neutered: Y 14 Breed: ti j (-7. 14,1:1 Color: ( k/Lcd ><-e/ ;1 y t()/Z1? eYvS 3. Name of Dog: Male:_ Female:_ Spayed or Neutered: Y/ N Breed: 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.velm.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 office use only f Date license(s)issued: )•-• a3— �' Tag Numbers: 1. ��L{ 2.(OS 3. Replacement Tag: YR)(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 r i .., Yelm Veterinary Hospital 1120 Yelm Ave W. Yelm, WA 98597 360-458-7707 Rabies Certificate Client ID: 34623 Patient ID: 100043 Client Name: DOUG SNYDER Patient Name: AURORA Address: 15344 105TH AVE SE Species: CANINE YeIm Breed: HUSKY WA 98597 r Sex: Female Phone: (360) 701-9676 Color: BLACK &-WHITE Markings: Birthday: 5/1/2009 Weight: 48 Tag Number: 46481 Vaccination Date: 4/11/2015 I IL Lot Number: S407984 Expiration Date: 4/11/2016 Producer: NOBIVAC Microchip#= K/ MLV: Killed Virus i, ¢'t Staff Name: CHARLES KEGLEY, D.V.M. !: r 0.-.- bia<r;i, 6:7 -. 21/1-F License Number: 2491 i<. Mountain View Veterinary Hospital 4620 Whitman Lane S. E. Lacey, WA 98513 (360)438-9623 ** * VACCINATION CERTIFICATE * * * Owner: Doug Snyder 15344 105th Ave SE Yelm, WA 98597 (360) 701-9676 Patient: Fenice Species: Canine Breed: Siberian Husky Weight: 23.11bs--- 2-(m Color: Gray/Black/White Sex: F Microchip: 985112006684930 REMINDER DATE GIVEN DATE DUE DHPP Vaccine 12/23/2015 12/22/2016 Lepto Vaccine 12/23/2015 12/22/2016 Bordetella Vaccine Comprehensive Wellness Exam 12/23/2015 12/21/2016 Heartworm Test Dental Care RABIES INFORMATION: Date Given: 12/23/2015 Tag Number: 28477 Serial No.: S51087C Duration: 1 year Vaccine Type: Killed Vac. Name : Defensor 3 Producer: Zoetis exp 13SEP16 GL1Signature: yin„w Kristin Williams Vag THE A / 1 City of Yelm a. 105 YeIm Ave. W., YeIm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci.velm.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: '�u1�.,±L �`�L vi. Owner Phone#: Physical Address: /( i'9 q eak r� �-� S E E-mail Address: #of Dogs: 5 (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: d r Male: Female: /Spayed or Neutered/ N Breed: A &.„11(1.51 Color: \A.-) - /10-Dio,C. r/t, /14 2. Name of Dog:_ i c� �. Male: Female: 1/ Spayed or Neutered:/ N Breed: i ' V;4 hi, _ Color: iv ,.r;\ J L.) 3. Name of Dog: 11A Male: Female: _V Spayed or Neutered:CD/ Breed: ./"_ 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 office use only Date license(s)issued: r �L Tag Numbers: 1. (p( 2. 16,1 3.(0 Replacement Tag: Ya(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 y City of YeIm 105 Ye/m Ave. W., YeIm, WA 98597 Phone: (360) 458-3244 Fax: (360)458-4348 www.ci.veirn.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: (Y\ar, CA. v 0✓l eISII Owner Phone#: Physical Address: t d (? 7-. ✓`� S� N • E-mail Address: lilt (J►'t I 7 6,?..9µA61; 163 #of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: CO3,-I- Male. Female:X Spayed or Neutered: Y/) Breed: flU` Color: v (,0 c,J v 2. Nene of Dog: I-tAC�/ Male: Female: Spayed or Neutered: Y/ Breed: ?r) /AA,, / Color: ' DC7 / 3. Name of Dog: Male: Female: Spayed or Neutered: Y/ N Breed: 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.velm.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 office use only Date license(s)issued: Tag Numbers: 1. 1,9 2.7 0 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 (LI% City of Yelm 105 YeIm Ave. W., YeIm, WA 98597 Phone: (360) 458-3244 Fax: (360)458-4348 www.ci,velm.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) C h of n 0L.-5 S k i' Owner Name: Ice.r'N i t✓I i_, (.7-1-TC.;ct Owner Phone#: 3 6 D - y 04.) '-/ _ Z 3 Physical Address: /,5 6 a is 9,_) n(I (A)e4,y LSC E-mail Address: 0441'14 ' to #of Dogs: 2 (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: ,Rj c„.}-, c1 Male: Female: Spayed or Neutered: Y/ N Breed: c,Q aGV1.5 rt LA,A U Color: E I c-k 2. Name of Dog: C p I- k‘e- _ Male: 1,7--Female: Spayed or Neutered:VN Breed: poM>fccn an/P2okne.,Jf / Color: —7---4.d 3. Name of Dog: Male: Female: Spayed or Neutered: Y/ N Breed: 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 office use only 9 Date license(s)issued:1)-3('/ Tag Numbers: 1.7( 2. 7 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: i , '3j 1-I L ? By Whom:/4,6, Revised 05/05/10 sjd I of r i 9w • _ City of Yelm 4. q 105 Yelm Ave. W., Ye/m, WA 98597 ,.�, ..:. ._ ,;... Phone: (360) 458-3244 Fax: (360)458-4348 Y+ a wwvv.i.v,ai m.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: (7.-m - fI '�tC+N' Si lei- Owner Phone#: 3 6 D,N 0 a,/2 Z3 Physical Address: 1.5 b D„ ?6,)v- CJ A y S L E-mail Address: #of Dogs: .2_ (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: J 6- C.--K Male: ✓ Female: Spayed or Neutered.jJ N Breed: F]VrYlc- 1) t /j)& p I)v34 My.\ Color: I 4_J./ 2. Name of Dog: .j I`'(�� -eJ Male: Female: Spayed or Neutered&/' N Breed: i_‘; :Zr" 3Y�c.e ile&(-e1' M''' Color: '3 iii.eA -- i- i_-.I. k,:4-e S-pla c_k l a 3. Name of Dog: _ Male: Female: Spayed or Neutered: Y/ N Breed: 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 office use only J 7 G Date license(s)issued: .( Fj-31-IC' 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) Date Information entered into database:/D -3 k I S— By WhoV Revised 05/05/10 sjd l ov SiffR`Pi '� ;__ : City of Yelm '..P'''--. i r� 105 Yelm Ave. W., Yelm, WA 98597 R., Phone: (360) 458-3244 Fax: (360)458-4348 r; {'' 4 www.ci.velm.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) Val Owner Name: Val 1-(T VNIA A ,__ Owner Phone#: b.0 L 3 2)01 -) Physical Address: :/ 1 \ 4,b 1 ((==.),i . -. C ; _�r E-mail Address: mOn 7_1 .i I o V e m`1 I,cgvL #of Dogs: i (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: A►1 Yi rre aI 1/t' / Male: Female: x Spayed or Neutered Y J N Breed: x(00 via 04 1,4 C J Color: QY?:1 1- U 0 2. Name of Dog: Male: Female: Spayed or Neutered: Y/ N Breed: Color: 3. Name of Dog: Male: Female: _ Spayed or Neutered: Y/ N Breed: 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 office use only �] Date license(s)issued: _ Tag Numbers: 1.7 2. 3. Replacement Tag: ' (If re• acement tag, then enter original tag number here: ) Proof of rabies enc . •. . es No(please explain) Date Information entered into database: By Whom: ----------. Revised 05/05/10 sjd °v T " City of Yeim 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360)458-3244 Fax: (360) 458-4348 www.ci.yelm.wa.us Application for Dog License - Free Your lost dog is a phone call away when they wear their registration tag. Applications and license tags can be obtained at City Hall, Monday through Friday, 8:00 am to 5:00 pm or by printing the application from our website at www.ci.yelm.wa.us. 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: Wig r t Owner Phone#: 1 3 40 4 s, Co V 2 0 Physical Address:3(/ LIN) T fl t& P 41`€. IVF". • E-mail Address: ori .•weq7 #of Dogs: / (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: 14 3 )l Male: Female: Spayed or Neutered:9 N Breed: Skrp1ev-J /iexit.) Color: LL13ck �- W(` [ � Ve_41v1-� 2. Name of Dog: Male Female: Spayed or Neutered: Y/ N Breed: Color: 3. Name of Dog: Male. Female: — Spayed or Neutered: Y/ 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 L � Date license(s)issued: I I 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: 10/13 79. 44'° +i .„5 City of Yelm as 105 Yelm Ave. W., Yelm, WA 98597 • Phone: (360)458-3244 Fax: (360)458-4348 www.ci.yelm.wa.us maj.4400. Application for Dog License - Free Your lost dog is a phone call away when they wear their registration tag. Applications and license tags can be obtained at City Hall, Monday through Friday, 8:00 am to 5:00 pm or by printing the application from our website at www.ci.yelm.wa.us. 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 4SZ--- 1 oOc fl a Owner Phone#: ,‘. (_()0 4 ( A-1. Physical Address:_ \J 1 1A5 Y^ N W E-mail Address: #of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: -..]',....:.i 7 1 `Q _ _ Male: _ Female:IX Spayed or Neuter/ N Breed:12-( Color:' C.. CY--- v 2. Name of Dog: Male:_ FemaleX Spayed or Neutere() N Breed:P \J-03\ Color: r1Q. 3. Name of Dog: Male: Female: Spayed or Neutered: Y/ 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 1 �] Date license(s)issued: / - IP Tag Numbers: 1. l 2. 1 Replacement Tag: Y/N (If replacement tag, then enter original tag number here: _ ) Rabies Tag#: Date Information entered into database: By Whom: c::?-V 10/13 Tr'k„-79i City of Yeim —1 rei 105 Yelm Ave. W.,Yelm, WA 98597 Phone: (360)458-3244 Fax: (360)458-4348 www.ci.yelm.wa.us : L ' Application for Dog License- Free Your lost dog is a phone call away when thiy wear their registration tag. Applications and license tags can be obtained at City Hall, Monday through Friday, 8:00 am to 5:00 pm or by printing the application from our website at www.ci.velm.wa_us. 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:Cr l s}L fN e_xosurrk(\ _ Owner Phone#: 2c73 • l32... 159 Physical Address:1L0440 MIA-11Z E-mail Address: #of Dogs: 1 (Maximum of three allowed per YMC Chapter 6.08.030) f 1. Name of Dog: 014 i' Male: k Female: Spayed or Neutered: Y/CN Breed: 21) /0 C I ■ Color: will e Crearrt Name of Dog: Male: Female:_ Spayed or Neutered: Y/ N Breed: Color: > Name of Dog: Male: Female: _ Spayed or Neutered: Y/ 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: I. 2. 3. Replacement Tag: Y/N (If replacement tag, then enter original tag number here: ) Rabies Tag# c\f\(\ Date Information entered into database: By Whom: of me City of Yeim 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360)458-3244 Fax: (360)458-4348 www.ci.yelm.wa.us Application for Dog License - Free Your lost dog is a phone call away when they wear their registration tag. Applications and license tags can be obtained at City Hall, Monday through Friday, 8:00 am to 5:00 pm or by printing the application from our website at www.ci.yelm.wa.us. 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: &/\.4-)X sc, (5 i\-1%,_C ' c, ( Owner Phone#:(LPo 2) `A-17---]7) Physical Address: 1 D-Z07 -TY�.i�ri \�-V-v) ( \U SSW E-mail Address: 0-,,r`—i 2VYin 7)-(24,c, u� #of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) 11--k 1. Name of Dog:---O CCk- Breed: Male: Color.Female Spayed or Neutered / N 1 I 1 ln1�i� \ \- 2. Name of Dog:C3:Do\1e-- Male: Female: Spayed or Neutered: Y/ D \ a Breed: l 'J✓N, ���� �-�� Color: 9-,\�.cJ1-� --C c"-v'\ 3. Name of Dog: _ _ Male Female: _ Spayed or Neutered: Y/ 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. g/O _ 2- ei 3. Replacement Tag: Y/N (If replacement tag, then enter original tag number here: ) Rabies Tag#: _ Date Information entered into database: By Whom: 10/13 City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360)458-3244 Fax: (360) 458-4348 www.ci.yelm.wa.us 1 Application for Dog License - Free Your lost dog is a phone call away when they wear their registration tag. Applications and license tags can be obtained at City Hall, Monday through Friday, 8:00 am to 5:00 pm or by printing the application from our website at www.ci.yelm.wa.us. 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: ien.. L. ` Yigner Phone#: 95 9 5 ti-77(4 7 Physical Address: 961d1 (4 dA 17e.�v- _ At, 5t. Ven,Zi/16i- iiddress: C t te{i y77ey,lve #of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) 41 1. Name of Dog: Male: /Female: Spayed or Neutered: 6,7 N G� ,.�I r ae_._ 1Breed: -,'..L.,=✓.?',17; r,.. I rrri.r:,7t.r'e Color: �W fi 2. Name of Dog:3:,42‘,1,664, Male: I/ Female: ._ Spayed or Neutered N Breed: /1,- CC_ Pack Color: PA- 3. Name of Dog: Male- Female: _ Spayed or Neutered: Y / 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 ' �j Date license(s)issued: I-LI -I. `C Tag Numbers: 1.C8-7-- 2. 25:-- 3. Replacement Tag: Y/N (If replacement tag, then enter original tag number here: ) Rabies Tag#: D Date Information entered into database: By Whom: 9 10/13