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01-37City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci.yelm.wa.us YEI 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:k A�l fl -A Owner Phone #: Physical Address: / j16 S- �v��vt f ;j-. SL E-mail Address: # of Dogs: 9101 1. Name of Dog: Breed: Pu (Maximum of three allowed per YMC Chapter 6.08.030) Male: _ Female: )(- Spayed or Neutered: (Y�/ N Color: R /a c -k- 2. Name of Dog: A' ko. Male: _ Female: Spayed or Neutered: Y Breed: Color. 3. Name of Dog: Breed: Male: Female: Color: Spayed or Neutered: Y / N 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 f /n 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 (pleasg explain) Date Information entered into database: 110M. Revised 05/05/10 sjd Oct, IUP p �� �Q City of Yelm 4, 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.cl.4a.1111. wu.us YFL 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: Christopher Bernhardt Owner Phone #: 314-537-3706 Physical Address: 16482 Greenbrier ST SE E-mail Address: c.bernhardt8g anvahoo.com # of Dogs: 2 (Maximum of three allowed per YMC Chapter 6.08.030) ►kabre- s (4 00 k3 / 1. Name of Dog: _Cas1�_ Male: X Female: _ Spayed or Neutered- Y/ N Breed: Lab / Rhodesian Ridgeback Mix Color: _Brown / Tan 2. Name of Dog- Milo Male: X FemalP U pS ayed or Neutered Y / N Breed:i h.>t . Mix Color:o . a 3. Name of Dog - Breed: Male: Female: Spayed or Neutered: Y / N Color: Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070) To report a lost dog or if you have an animal complaint please call our Public Works Department at (360) 458-8406. For office use only Date license(s) issued: Tag Numbers: I . tom) 3 2. 0 L 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 V Tilt, 'gym City of Yelm a m 105 Yelm Ave. W., Yelm, WA 98597 A Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci.yelm.wa.us yE:r 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. y- istrations. 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. �accL 1�� Y1 _, Owner Phone �or'J �rl� b 0 Physical Address: _ �[: 9C L"� 4'u\S.-- `t �� K} _W E-mail Address: .+IVti[1YV,m,,f (-)F- ?Jx 2 kc;L j (p # of Dogs. (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: S E' Male: _ Female: Breed: �3 �{ } L Color: 2. Name of Dog: Breed: 3. Name of Dog: Breed: Male: Female: Color: Spayed or Neutered: Y /& Spayed or Neutered: Y / N Male: _ Female: _ Spayed or Neutered: Y / N Color: Completed applications (including proof of rabies inoculations) may be mailed or delivered to Yelm City Hall, 105 Yelm Ave. W., Yelm, WA 98597. Incomplete applications will be returned. Applications may be obtained at City Hall, Monday through Friday 8:00 am to 5:00 pm or by visiting our website at www.ci.yelm.wa.us. Tags are issued at City Hall. You may receive the tag by mail if requested. To report a lost dog or if you have an animal complaint please call our Public Works Department at (360) 458-8406. For office use only V rM1 / f Date license(s) issued: 1 f 'j / lti 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) _ -d f1 Date Information entered into database: l / � 'B� Whom: Revised 05/05/10 sjd City of Yelm 105 Yelm Ave. W, Yelm, WA 98597 Phone: (360) 453-3244 l=ax: (360) 458-4348 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. Reuistrations cannot be issued unless proof of current rabies inoculation is Drovided with this aplalication. The dogs are required to wear the rabies tag issued by the veterinarian. (Yelm Municipal Code — Chapter 6.12) r Owner Name: ' .iV 1�1 r ��cl Owner Phone #: a E723 d 3cr �r Physical Address: 02r3,9 4 KOU N +01 U/ C W O�1,A S C, E-mail Address: # of Dogs: r (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: NC� cl Male Breed: _ l C' -j 1/ x 2. Name of Dog: Breed: 3. Name of Dog: Breed: Female:' Spayed or Neutered/ N Color: Male: _ Female: Spayed or Neutered: Y / N Color: Male: _ Female: Spayed or Neutered: Y / N Color: Completed applications (including proof of rabies inoculations) may be mailed or delivered to Yelm City Hall, 105 Yelm Ave. W., Yelm, WA 98597. Incomplete applications will be returned. Applications may be obtained at City Hall, Monday through Friday 8:00 am to 5:00 pm or by visiting our website at www.ci.yelm.wa.us. Tags are issued at City Hall. You may receive the tag by mail if requested. To report a lost dog or if you have an animal complaint please call our Public Works Department at (360) 466-6406. For office use only Date license(s) issued: Tag Numbers: 1. V 'C 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 Yelm 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: Owner Phone #:('1-71) S-70) 5� Phys�c�)rels: '�-" Z E-mail Address: M "b o Dt- c # of Dogs: Name of Dog: �1�a I Breed: r (�� co e 2. Name of Dog: Breed: V 0 ` (\ 3. Name of Dog: & 1 I � Breed: 5�l•r'-Z v (Maximum of three allowed per YMC Chapter 6.08.030) Male: _ Female: A Spayed or Neutered: (D N Color: 131c,e,1e- J���`}-e Male: _ Female: ASayed or Neutered: ©/ N Color: Male: Color: Female:/ Spayed or Neutered: ®/ N IT)srlc 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:�? 2. 3. dr� 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: Revised 05/05/10 sjd By Whom: �. City of Yelm Ar 105 Yelm Ave. W, Ye/m, WA 98597 Phone: (350) 458-3244 Fax: (360) 458-4348 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 vrovided with this application. The dogs are required to wear the rabies tag issued by the veterinarian. (Yelm Municipal Code - Chapter 6.12) /�/� Owner Name: S i 1I Owner Phone #: / Uv` �-` 5-6 11 [� Physical Address: I +� _ _ E-mail Address: # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: 1 " 1� "_! _ Male Breed: Ez* V) 2. Name of Dog:(,/'h6�I I I I Male r7 Breed: 3. Name of Dog: Breed: Female: Z Spayed or Neutered: Y [ N J Color: Female: Z Spayed or Neutered: Y N Color: 4,n!�v= n.L) Male: _ _ Female: Spayed or Neutered: Y / N Color: Completed applications (including proof of rabies inoculations) may be mailed or delivered to Yelm City Hall, 105 Yelm Ave. W., Yelm, WA 98597. Incomplete applications will be returned. Applications may be obtained at City Hall, Monday through Friday 8:00 am to 5:00 pm or by visiting our website at www.ci.yelm.wa.us. Tags are issued at City Hall. You may receive the tag by mail if requested. To report a lost dog or if you have an animas complaint please call our Public Works Department at (360) 456-6406. For office use only Date license(s) issued: o 'd` �1 Tag Numbers: L/0 2. / 3. Replacement Tag: Y / N (If replacement tag, then enter original tag number here: Proof of rabies enclosed: Yes_ No (plearseexplain) r Date Information entered into database: i b -? I— I L! By Whom: Revised 05/05/10 sid City of Yelm 105 Yell Ave. W, Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 Vrlyw. 'LV9lrra.wa.U8 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 gp9iication. The dogs are required to wear the rabies tag -issued by the veterinarian. (Yelm Municipal Code - Chapter 6.12) Owner Name: C17:i Owner Phone #: ? L_, -m T !Z � -Z 2- 7 � Physical Address: �pj ;� Z P'1C'a E-mail Address_ ## of Dogs: / (Maximum of three allowed per YMC Chapter 6.08.030) 1. dame of Dog: �� �' -_ Male: ^ Female: D- Spayed or Neutered: Y / Breed: � 2t�I~�� ►Z Color: fa , fpn/ V--" -�S — 4+ -Irk 2. Name of Dog: Breed: 3. Name of Dog:, Breed: Male: Female- Spayed or Neutered: Y / N Color: Male: _ Female: Spayed or Neutered: Y / N Color: Completed applications (including proof of rabies inoculations) may be mailed or delivered to Yelm City Hall, 105 Yelm Ave. W., Yelm, WA 98597. Incomplete applications will be returned. Applications may be obtained at City Hall, Monday through Friday 8:00 am to 5:00 pm or by visiting our website at www.ci.ueirn.wa.us. Tags are issued at City Hall. You may receive the tag by mail if requested. To report a lost clog or if you have an animal complaint please call our Public Works Department at (360) 456-64060 For office use only Date license(s) issued: Tag Numbers: 1. 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: Revised 05/05/10 sid By Whom: City of Yelm 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.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: Owner Phone #: Physical Address: 100 1-3, E-mail Address: - a[7jftw% cbm # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) Name offDog: Male: -)<- Female. J_ Spayed or Neutered: � N Breed: tG AA Color: R)a lam! Ja n 2. Name of Dog: Breed: 3. Name of Dog: Breed: Male: — Female: _ Spayed or Neutered: Y / N Color: Male: _ Female: _ Spayed or Neutered: Y / N Color: Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code - Chapter 6.08.070) To report a lost dog or if you have an animal complaint please call our Public Works Department at (360) 458-8406. For office use only Date license(s) issued: _ _ _ _ Tag Numbers: 1. 2. 3. Replacement Tag: Y / N (If replacement tag, then enter original tag number here: ) Rabies Tag # Date Information entered into database: By Whom: . . ff&e� 10/13 IF City of Kelm i 105 Yelm Ave. W, Yelm, WA 98597 Phone: (350) 458-3244 Fax: (360) 458-4348 www.ci.yelm.wa.us 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 can -not 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:eL-i2c_j' '] 1n YY`ffiOwner Phone #:q l /_- q.,60- -1a,_0q Physical Address:l`,�i—I���( '1{`l(� VI -w- E-mail Address: # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) Name of Dog;-S-� _ Male: _ Female"L Spayed or Neutered: Y IrN ) Breed: mL _ _ Color: F 2. Name of Dogs��a'\r Male: Female: Breed��t� a��--� 1 � ��.A)L 3. Name of • L • Spayed or Neutered: Y G) nn Color -1 C- � `{'�'. �: _ Female: h Spayed or Neutered: Y i N . Color:_ 2P,�o Completed applications (including proof of rabies inoculations) may be mailed or delivered to Yelm City Hail, 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 tali our Public Works Department at (360) 458-8406. For office use only Date license(s) issued: Replacement Tag: Y 1 N 1f replacement tag, Tag Numbers: 1.�_ 2. 3. ` then enter original tag number here: Proof of rabies enclosed: Yes_ No (please explain) Date Information entered into database: Revised 05/05/10 sid By Whom: City of Kelm 105 Ye,J� Ave. W., Yelm, 'IN,' 98597 Phone: (368) 458-3244 Fax: (360) 458-4348 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. Registratilons cannot be issued unless proof of currant rabies inocu: ation is provided with this anoiication. The dogs are required to wear the rabies tag issued by the veterinarian. (Yelm Municipal Code– Chapter 6.12) f_ (� 1 ®caner Name: 1 I C'`� I� "t I Owner Phone J - I l Si2i dPA, N w Physical Address: E-mail Address:`- # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: ..... __....... ._ Male. Female: Spayed or Neutered N Breed: �[� V �I���' 1 Color—a&_�K- ho G' 2. Name of Dog: _-LIEU, Male: _ Female Spayed or Neutered- Y}/ N L Breed: Gly Color: V o� 3. Name of Dog: Breed: Male: Female: Spayed or Neutered: Y / N Color: Completed applications (including proof of rabies inoculations) may be mailed or delivered to Yelm City Hall, 105 Yelm Ave. VV., 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.cj.yeIm.wa.us. Tags are issued at City Hall. You may receive the tag by mail if requested. To report a lost clog or It you have an anlnial complaint please call our Public Works Department at (360) 456-6406. For o ice use only Date license(s) issued: Tag Numbers: 1.1 2. 3. Replacement Tag: Y / N (If replacement tag, then enter original tag number here: Proof of rabies enclosed: Yes_ No (please explain) Bate Information entered into database: Revised 05/05/10 sid By Whom: Gtf V ' City of Yelm 105 Yelm Ave. W, ',felrn, SNA 98597 Phone: (360) 458-3244 Fax: (368) 458-4348 �+r`Af+rv.Ci.+ e3rra.v�ra.s�: 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 canpot be issued unless hof of current rabies inoculation is Vrovided with this application. - The dogs are required to wear the rabies tag -issued by the veterinarian_ (Yelm Municipal Code — Chapter 6.12) Owner dame: 014 G; JU h %I S r, V1 _ Owner Phone #: [ 3L; $ I - J 7 C/ Physical Address: _[ U *� v., E-mail Address: r �,_ i # of Dogs: -Z' (Maximum of three allowed per YMC Chapter 6.08.030) Name of Dog: wr+v>n Male: X_ Female: _ Spayed or Neutered: Y /(EL) Breed: n1('L11_ S� I Q Q �8 (W ir[.( Color: la( 1 C_I ( Icn9 huk rc(,-l) 2. Name of Dog: 141,p _�)o q Male: Female: X Spayed or Neutered:e/ / N NJ Breed: _&M_ e- '%o 1 e,1-\ 3. Name of Dog: Breed: Color: R I o' Q Male: _ Female: Spayed or Neutered: Y / N Color: Completed applications (including proof of rabies inoculations) may be mailed or delivered to Yelm City Hall, 105,Yelm Ave. W., Yelm, WA 98597. Incomplete applications will be returned. Applications may be obtained at City Hall, Monday through Friday 8:00 am to 5:00 pm or by visiting our website at www.ci.yeIm.wa.us. Tags are issued at City Hail. You may receive the tag by mail if requested. To report a lost dog or if you have an arab fal complaint please Public Works Department at (360) 456-6406. / For o f rce use only Date license(s) issued: V �` Tag Numbers: 1. 2. 3. Replacement Tag: Y / N (If replacement tag, then enter original tag number here: l 1 l ) Proof of rabies enclosed: Yes_ZNo (please explain) Date Information entered into database: / b - J 1— l By Whom: Revised 05105!'1 0 sid City of Yelm 105 Yelm Ave. W, Yelm, WA 98597 Phone: (369) 458-3244 Fax: (360) 458-4348 Application for Dog License Fee Schedule: r6.O8.070) 3 l di Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Cha / The City of Yelm requires all dogs to be registered annually and have current rabies inocuT;� iens____-1 Registrations cannot he 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: ZU Ch (A rU Gj(,C if, �Y! Owner Phone Physical Address: } ] ! f o. Z Q,�IP_ `� E-mail Address: # of Dogs: 3 (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: U n V) Male: Z Female: Spayed or Neutered Yr N Breed: ou0 Co lor l Gift -A L 1) �f 2. Name of Dog:NA ( 1_ J Y 1-(� ET\ Male: - Female: _ Spayed or Neutered: Y ! N Breed: � ] �1 ( CLJU1 Q(_ - Color: MZ e� U]n � L 3. Name of Dog: Z o LI Male: Z Female: _ Spayed or Neutered: Y Breed: ZG l A�� huho Z_ Color: _ 1 a'kfj 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 Nall, Monday through Friday 8:00 am to 5:00 pm or by visiting our website at WWW.ci. elm.wa.us. Tags are issued at City Hall. You may receive the tag by mail if requested. To report a lost dog or if you have an animal complaint please call our Public Works Department at (360) 458-6406. For office use only Date license(s) issued: Tag Numbers: 1. 2.02 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: Revised 05105/10 sid By Whom: City of Yelm 105 Yelm Ave. 1+1., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 'WPrJV.C].1re1 7'a . wa. tUs 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: ru Owner Phone 'q �0 — 5� j Physical Address:. Ii?�i l 3-71 i �- l Cl Y� ��� �. E-mail Address: i 3C #of Dogs: ,�y��I[L�G'YVI �j (Maximum of three allowed per YMC Chapter 6A8.Q30) �I I 1. Name of Dog: Male: _ Female: Spayed or Neutered N Breed: ( e. t 6 Lab __ Color: Zed sl i Lb_1.-V> 2. Name of Dog: I ( u �cc `Cc _ Male: _ Female -x_ Spayed or Neutered: Y Breed: V (ill , ja.Le ).a Color % 3. Name of Dog: w ���(�� Male: _ Female:X Spayed or Neutered: Y N Breed: C Ls ,d0)(3jouoe Color: 3.��&A C& Completed applications (including proof of rabies inoculations) may be mailed or delivered to Yelm City Hall, 105 Yelm Ave. W., Yelm, USIA 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.. i.y_eim .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: Revised 05/05/'10 sld By Whom: T rftea _Qw City of Yelm a l�n 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci.yelm.Nvams 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: Owner Phone #:3�90 Physical Address: �V S E-mail Address: Y7locoma11 e -' # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) h Name of Dog: TRU S Male -7"'4.. Female: _ ttSpayed or Neutered:0 N Breed: _J,IY) [ Color: L.V Name of Dog: Male: Femal� Spayed or Neutered( ' N Breed: 1 '.Lk_ -\k Color: S'cAck 4- d ow n 3. Name of Dog: Breed: Male: _....._ Female:._ Color: Spayed or Neutered: Y / N Fee Schedule: +p"bre he,no t 0 n Dog License: FREE 11UeS t , � LAS' 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 licenses issued:_U "i Tag Numbers: 1. -7 2. a�U( 3. Replacement Tag: Y / N (If replacement tag, then enter original tag number here: Rabies Tag # Date Information entered into database: 10/13 By Whom: City of Yelm 105 Yelm Ave. W, Yelm, WA 98597 Phone: (359) 458-3244 Fax: (360) 458-4348 rv,n�w.Ci.� ad�.wta.as 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 appliicatirara. The dogs are required to wear the rabies tag -issued by the veterinarian. (Yelm Municipal Code — Chapter 6.12) Owner Name:/'/al) h Owner Phone Physical Address: L5757.& 'o—Pili i lt(. 5E E-mail Address:1i1C7'Y'}`,M # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) Name of Dog: "my Male: k Breed: PhyatxP1� Color: 2. dame of Dog: Breed: 3. Name of Dog:. Breed: Male: Color: Female: _ Spayed or Neutered-@ N rz 6J&L Female: Spayed or Neutered: Y / N Male: ^ Female: _ Spayed or Neutered: Y / N Color: Completed applications (including proof of rabies inoculations) may be mailed or delivered to Yelm City Hall, 105 Yelm Ave. W., Yelm, WA 98597. Incomplete applications will be returned. Applications may be obtained at City Hall, Monday through Friday 8:00 am to 5:00 pm or by visiting our website at wArw.ci.yelrn.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) 456-6406. For office use only /,, Date license(s) issued: I ' �J/ 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 sld City of Yelm a } 105 Yelm Ave. In6, °fe/ars, WA 98597 Phone: (350) 458-3244 Fax: (380) 4.58-4348 vWmw.ci.yelm. wa.us z 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. Recistrations 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 Marne: , i ,C r'I_�-Cl• Owner Phone #: Physical Address: y{�( L r1y`�1�,i )(� �� �.� E-mail Address: _S�r�•,.Lrb,;�� C7�'y # of Dogs: 12 J g (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: b", Breed: Male: I—' Female:_ Spayed or Neutered:/ N Color: _ 9L41 2. name of Dog: 12��C Male: Female: Spayed or Neutered: Y! Breed: _ R)re'4110 1)6 _ Color: til 3. Name of Dog-` Male: _ Female: Spayed or Neutered: 0 N �' Breed: at �� Color: &6 /\ 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 tali our Public Works Department at (360) 456-6406. G o l For office use only 2 Date license(s) issued: Tag Numbers: 1.3 2. 3 33 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 sid "+ City of Yelm 105 Yelm Ave. W, Yelm, WA 98597 Phone: (360) 458-3244 l=ax: (360) 458-4348 wraw.cl.yelm.via.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 dame: I YYl Owner Phone #:� �(,p -a%7 -7l, a a Physical Address: I ` q ,S ;� 1 L,- �5E, E-mail Address: ## of Dogs: i (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: 1 1 ` Male: _ _ Female: _ Spayed or Neutered: Y / N Breed: (�) i l,� Q}t, y ' Color: E mwo 2. Dame of Dog: Breed: 3. Name of Dog-., Breed: Male: ` Female: Spayed or Neutered: Y / N Color: Male: Female: ` Spayed or Neutered: Y / N Color: Completed applications (including proof of rabies inoculations) may be mailed or delivered to Yelm City Hall, 105 Yelm Ave. W., Yelm, WA 98597. Incomplete applications will be returned. Applications may be obtained at City Hall, Monday through Friday 8A0 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 clog or if you have ars animal complaint please call our Public Works Department at (360) 458-6406. For office use only Date license(s) issued: R -lo —I Tag Numbers: 1.3s- 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: M'z Revised 05105/10 sid 3, 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: P'QTP_4L e ft3 Owner Phone #: &(9 j 2 -?V— 6V6T Physical Address: [ (o&S 0 6 (Leey /_ e-1 F A GIE Sc�- E-mail Address: # of Dogs ._ (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog. 06-0 Male Y Female: _ Spayed or Neutered& N Breed: DiA-c(e LAS e* -r b A o -e Color: -R,A�(�'_ / Y 2. Name of Dog: "t-Vae 7Z. Male: � Female: _ Spayed or Neutered: 6/ N Breed: TA ( R Color: 13 C«C L1,Sn oK e7 3. Name of Dog: Breed: Male: Female: Spayed or Neutered: Y / N Color: Completed applications (including proof of rabies inoculations) may be mailed or delivered to Yelm City Hall, 105 Yelm Ave. W., Yelm, WA 98597. Incomplete applications will be returned. Applications may be obtained at City Hall, Monday through Friday 8:00 am to 5:00 pm or by visiting our website at www.ci.yelm.wa.us. Tags are issued at City Hall. You may receive the tag by mail if requested. To report a lost dog or if you have an animal complaint please call our Public Works Department at (360) 458-8406. U� 1 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: Revised 05/05/10 sjd