571-580 City of Yelm
105 Ye/m 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) p� �, 1 --��,,rr
Owner Name: 1 A/L �{ i/dt () J,W1) Owner Phone#: f 1-59 ?�'717,54�A4014
Physical Address: I5 F 7 CbIL Au . (VIA E-mail Address: LA QL . UQ(' yl ;taus.
#of Dogs: 3 (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: ss, 1Z Male: _ Female: X0 Spayed or Neutered: Yl N
Breed: QJr Color: r_C }I\ /tib
2. Name of Dog: Male: .: Female: Spayed or Neutered: Y N
Breed: Ty,...cy-ex Color: Fo(\ /�O b4k b
3. Name of Dog: kOC.J1 Male: _ Female: Spayed or Neutered:0 N
Breed: PXJXPX Color: F003,1 / `�kret
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. 0 7 2. 5 i a-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: Af G
Revised 05/05/10 sjd
rir�* rtri:
City of Yelm
4 ' ' 105 Yelm Ave. W., Yelm, WA 98597
Phone: (360)458-3244 Fax: (360) 458-4348
tivww.ci.yclur.w;�.�i5
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. C-Ilrel..)e.,11 Owner Phone#: 02 53 -
Physical Address: Vy-kki4 (Le. G E-mail Address S+eurivmiolatl'Eeetilhou• C-01►'
#of Dogs: 62, (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: 1 Y1(A. JSa n Male: Female: a Spayed or Neutered: N
Breed: S Nnvt Zea(` Color: le-Q,\/
2. Name of Dog: Kiv)a Male: 0� Female: Spayed or Neutered: Y /
Ql�J
Breed: p 1 AC.k /-46 Color: h) C/K
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:_ r 3 1 - I ('> Tag Numbers: 1. 2. 3-7C93.
Replacement Tag: Y/N (If replacement tag, then enter original tag number here: _ )
Rabies Tag# 1
Date Information entered into database: 5- 3 ^ 16)_ By Whom:
'ir°* THE;71 City of YeIm
rri 105 YeIm Ave. W., Ye/m, WA 98597
Phone: (360)458-3244 Fax: (360)458-4348
c!.'4' www.ci.velm.wa.us
7c ELM
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.
gistrations 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. iVt lamb &1i2 r Owner Phone#(5(1d5oS
Physical Address: 1 Do 214 Tenewn D 1'' E-mail Address: ghLI OC
#of Dogs: _ (Maximum of three allowed per YMC Chapter 6.08.030) Oi�imcaS n[
1. Name of Dog. sitz Male: V Female:_ Spayed or Neutered:al / N
Breed: M l Ce h n(7Uk7fK Color: b ic1
2. Name of Dog: S _ Male: V Female: _ Spayed or Neutered N
Breed: M L 1 take, nal/.7-tic' Color: a rcic.,t
3. Name of Dog-£��yy hUUhk71_'\ Male: Female: ✓ Spayed or NeuteredddY N
Breed: 1k I}'1l.Glkure,Sohn QjU.Zep Color: E r 1/J
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: 1.5 77 2. 5-73. 5 7
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: Allr
Revised 05/05/10 sjd
4i.7 4:
Fr?. T '6 City of Yelm
105 Yelm Ave. W., Yelm, WA 98597
Phone: (360)458-3244 Fax: (360)458-4348
www.ci.yelm.wa.us
milithigui- 1,
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 �j
Owner Named / � f- "/7 Owner Phone#: J� -S-7,0S)
Physical Address: Z-2/,-57.'5 �r�-{�19 J cJ(� E-mail Address:4Yi /Ze / 11
#of Dogs: / (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog:Z.----IMale: Female: Spayed o Neutered 2 N
Breed:,/�1 ,449/9/-72,/,--1--7:7)///£Color: /-04/7. ql ge-e--P.----7
2. Name of Dog: Male: _ Female: _ Spayed or Neutered: Y I N
Breed: 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.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. 5, C� 2. - 3.
Replacement Tag: Y/N (If replacement tag, then enter original tag number here: )
Proof of rabies enclosed: Yes No(please explain) _ k
Date Information entered into database: _ , By Whom
Revised 05/05/10 sjd