582-599 4 of frig A
l.
City of Yelm
a m 105 Yelm Ave. W, Ye/m, WA 98597
Phone: (360)458-3244 Fax: (360)458-4348
il'``' 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) n !!11 1 +
Owner Name: 6y-it-ha In.t/ Cha prylain Owner Phone#: �V Eck 1,c8 011
Physical Address: t("1' V �lr\C\ \ 1�F.1 t'C'[r E-mail Address: -� r
Nou2
,k(0,Brto
#of Dogs: (Maximum of three allowed per YMC Chapter ) r
r0-1
iv .k t i C< (1�
1. Name of Dog: e-NCOU) 3r Male: X Female: _ Spayed or Neutered: Y/
1?-13-\\
Breed: \i�'t A\ IC)0(1,4,r6 i/1\ Color: /0\1��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.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: 9 its ( Tag Numbers: I g(--3''
'' ?. 3.
Replacement Tag: 'Cc ,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
°F THE City of Yelm
a re 105 Yelm Ave. W., Ye/m, 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: t ]� �i t1 r 'AIR Owner Phone#: b()��' 72 r/
? s
Physical Address: / 11 ( i 60 ( E-mail Address- CJI 6 /"/�C..o .c15-7/ • (1/--
L.
#of Dogs: ... . (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: U n O 9 ' Male: Female: K- Spayed or Neutered N
r ( /
Breed: GSD Color: h1.- f�C k 7-4/. / 5,4 or-
2.
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:
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._5 a.3 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:
IN
Pak�4 TE�p'° City of Yelm
cc t a.
105 YeIm Ave. W., Yelm, WA 98597
Phone: (360)458-3244 Fax: (360)458-4348
E '..!,;11._ y www.ci.velm.wa.us
YELM
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: ?�irk� ( k[1Y IS�a`A Owner Phone#: 33- 13U9 - I -1
Physical Address: /000--1 -Ty kah C-'t- •w E-mail Address:0-v( sc.ou,� ,,,k{terr A)csk*mail Om
#of Dogs: 1 (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: n6 i A- Male: 1 Female:_ Spayed or Neutered �/ N
Breed: 1--L-)A>1 1 X Color: I AC;k -k--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.
For office use only
r-- .4
Date license(s)issued: 1. S" , co Tag Numbers: l. •.__)0 - 2. 3.
Replacement Tag: Y�I�,}(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
DTHEp f
City of Yelm
Cs. , 105 Yelm Ave. W., Yelm, WA 98597
Phone: (360)458-3244 Fax: (360)458-4348
11‘. �,. L www.ci.yeim.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 isprovidedwith this
application. The dogs are required to wear the rabies tag issued by the veterinarian. (Yelm Municipal Code —
Chapter 6.12)
Owner Name:Sco}-r ctI I Owner Phone#: S0e 3 7/ 7 22c.(
Physical Address: 1006'1 �`-ree`"ri‘tr C T SC— E-mail Address: She 1 k ci a Yr,tor,.coh,
#of Dogs: Z (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: \.0"4 'eg`Ax Male: 1/ Female: payed or eate1rd:c19/ N
Breed: -olden vc'-c- Color: Gcpsden
2. Name of Dog: T k I �,Od eci o)G Male: V. Female:_ Spayed or Neutered OP/ N
Breed: G1ThOc f e LP Color: C�OGIa Ff,
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: q� l k...0 Tag Numbers: 1.5E 5 2. 0 3.
Replacement Tag: Y/N (If replacement tag, then enter original tag number here: )
Proof of rabies enclosed: Yes No(please explain)
r 'I �
Date Information entered into database: C11 J I7" l ( By Whom: r "I
re.THE 1 City of Yelm
105 YeIm Ave. W., Ye1m, WA 98597
s Phone: (360)458-3244 Fax: (360)458-4348
ifiCwww.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:Sa-QG. /�� (- Owner Phone#: 'PO rt t -`
Physical Address: I /-PS f Li? &Z.Pa l E-mail Address:
#of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: Male: c/ Female: _ Spayed or Neutered QP N
Breed: ( 17:12-PP 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/Q(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
w°v City of Yelm
rz , 105 YeIm Ave. W., Ye1m, 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: I! +a °1 I Al: r-TJ Owner Phone#: C( - .7 7--a,
Physical Address: //,) SrtilaS d tS E-mail Address: tirtIJ er/,p7L 1/c&J)9;7147
#of Dogs: ) (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: boa e__. Male: Female:— Spayed or Neutered/Y N
�1
Breed: / 7��ff VA5`'UL/1 C? Color: h/l>7l
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: 1.5 Q t] 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
Yr1t k
°F City of YeIm
a.
105 YeIm Ave. W., Ye/m, 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)
� � + r Chi - p y�
Owner Name: \L� I t ��}1�� _)t).--1\ti,--i•-- Owner Phone#: C`[ k G.0b I's i 9:3 3
Physical Address: [54 VI/ C?1//C? 6)e. s E-mail Address: '13))/C?S'177/ D,'
efizy
#of Dogs: I (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: Vv Male: X, Female: Spayed orlater d. Y ' N
Breed: IOC Color: u)L 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.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: C/�7 / 5 S-61
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: O f- By Whom:
Revised 05/05/10 sjd
THE
City of Yelm
105 YeIm 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 YeIm 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: ri.),j� . 1n(`h. J Owner Phone#: 7C 7� 7a��
Physical Address �]� 1 4f t 1-)-4 f' ' E-mail Address: � y ,
.Cd�
#of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: Male: ✓ Female:_ Sp yed or Neutered: Y/
R
Breed: -I .? r i ]( ; ?' Color: �, )�'1[ C. R jY]C.z ✓
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 ff
Ck d
Date license(s) issued: Tag Numbers: 1._2 1 V 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` � I� By Whal;
om:
Revised 05/05/10 sjd
THE
°�- " I City of Yelm
a , 105 YeIm Ave. W., Ye/m, WA 98597
- ' : Phone: (360)458-3244 Fax: (360)458-4348
fsir
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)
.5�� g i aA41k' VS--I a 1U, 4i\ i*". o1C 3 ("5Owner Name: �! )g 2
9 Owner Phone �'�a• (02
Physical Address: IN t 1760 e (c Sp, E-mail Address:
#of Dogs- 1J (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: 66- a )2tW t Male: io Female: Spayed or Neutered: Y/ ‘V
Breed: 'i. `?c..1 ` Color: 1,141 1e
2. Name of Dog: Lr d I'r. )694A Male: /0 Female _ Spayed or Neutered: Y/
Breed: fi 4- fl(' Color: _3raw/I
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 /
Date license(s) issued: q. �v �` Tag Numbers: 1.567 ( 2. ✓ (C 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 — By Whoii. 111
_
Revised 05/05/10 sjd
71.
THE" City of Yelm
105 YeIm Ave. W., YeIm, WA 98597
Phone: (360)458-3244 Fax: (360)458-4348
www.ci.veim.wa.us
k
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: Owner Phone#: c 3 Lf . Z�/
Physical Address: 4 1 1 `'U
y � ClC� Iv ��a-rte-{-cam,-� � -� E-mail Address: rt f C�-u� G�
#of Dogs: Z. (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog t l-�`t Male: Female: _ Spayed or Neutered:0 N
Breed: 611cliln.c�___ Color:
2. Name of Dog: a\ i'G•- Male: )( Female: _ Spayed or Neutered: Y N
Breed: ati h\ rr, �, rte..(c-k06.. Color: �Z
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) I issued: � `r ca
Tag Numbers: 1. r 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- u 3 1L., By Whom:
Revised 05/05/10 sjd
cr-•* Tfft b
! ' City of Yelm
• -;e, 105 Yelm Ave. W., Yelm, WA 98597
Phone: (360)458-3244 Fax: (360)458-4348
www.ci.yelm.wa.us
•
141E
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: 4r
], ;'-� /(A,}v-t Owner Phone#: 2`70- )72- 9,0(3
Physical Address- (wrcv41.— 'E-mail Address: 4it/J), (:- w1,C("
#of Dogs: / (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: 57,--e-//0, Male: Female: Spayed or Neutered:CY) N
Breed: w 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: 0-69 7-1(,42 C Tag Numbers: 1.5Ct J 2. 3.
Replacement Tag: Y/N (If replacement tag, then enter original tag number here: )
Proof of rabies enclosed: Yes No(plejase explain)
le
Date Information entered into database: `� J By Whom: ,42,_
Revised 05/05/10 sjd
Fig Titeit•tr.
e City of Yelm
a t 105 YeIm Ave. W., Ye/m, WA 98597
Phone: (360)458-3244 Fax: (360)458-4348
www.ci.yelm.wa.us
ajjciT
iii
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:M I L dl&L( Cr t47._ Owner Phone#: 620S)3-1 I - cI G (3
Physical Address: I2-1/I+ 611 St Ave- 56 E-mail Address: hccicru.22 -sv iai). «m
#of Dogs: I (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: jlc)L Male: _ Female: X Spayed or Neutered:f N
Breed: Chow ) Lgbrctdoi- Color: PPIa —/ Frown
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
67Date license(s)issued: - - / ` Tag Numbers: 1. j/(0 2. 3.
Replacement Tag: Y/N (If replacementtag, then enter original tag number here: )
Proof of rabies enclosed: Yes y No(please explain)
Date Information entered into database: q-c9- O ai�/L-, By Whom: '
Revised 05/05/10 sjd
°vT City of YeIm
a , 105 Yelm Ave. W., Yelm, WA 98597
Phone: (360)458-3244 Fax: (360)458-4348
www.ci.yelm.wa.us
TELT
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..inf,S * 3-e'39 LA '-'1',(-(-1a Pik Owner Phone#: -36,0- 3I-A`c-\ ;3 360--- V\-5`1
Physical Address: 99,5 0\ f Alk) 5A Se E-mail Address: G1Ca( c%1\r r-62.,�v ial l . Can
#of Dogs: }l (Maximum of three allowed per YMC Chapter 6.08.030) U
1. Name of Dog: Z 1 U Pc Male: Female: X Spayed or Neutered:C / N
Breed. 60 akac (-DV\C., Color: 6 .k'C`‹_ 4 i.)he_
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 1
Date license(s) issued: I V y"[--I-L- Tag Numbers: 1._u 6t 2. 3.
Replacement Tag: Y/N (If replacement tag, then enter original tag number here: )
Proof of rabies enclosed: Yes No(please explain) ti
_
Date Information entered into database: t,)_i --I L 2 By Whom:
Revised 05/05/10 sjd
°F rHA p City of Yelm
105 YeIm Ave. W., Yelm, WA 98597
Phone: (360)458-3244 Fax: (360)458-4348
www.ci.yelm.wa.us
Application for Dog License
14)
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: KaLliCi C-7tv'l a'C niAr? Owner Phone#: M.5--,37&?
Physical Address: 99&O drwccel ��� �'j E-mail Address: ,� '���I� /11q
/iCCsll
#of Dogs: / (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: L)iCf.a Male: _ Female:,( Spayed or Neutered-4/ N
11/7
Breed: 1/ VVIa t7/T Color. Prirkjfe
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 S�(
Date license(s)issued: Tag Numbers: 1. U ( 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: -���, a..�
Revised 05/05/10 sjd