234-300City of Yelm
105 Yelm Ave. W., Yelm, WA 98597
Phone: (360) 458-3244 Fax: (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.
Registrations cannot be issued unless proof of current rabies inoculation is Drovided with this
application. The dogs are required to wear the rabies tag issued by the veterinarian. (Yelm Municipal Code —
Chapter 6.12)
Owner Name: _E_:rf\l j\ A '�� �� Owner Phone #:
Physical Address: E-mail Address: ]� c��ti CZ)
Vphap � CSC YY
# of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: Yo� Male: f Female: _ Spayed or Neutered: Y CN�
Breed:L�n,,�°�li_ Color:
i
2. Name of Dag: y=r—��X Male: _ Female: Spayed or Neutered: Y 1(N-)
Breed:�c�,n Color: ICAC' 1 C"t lrl
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.
For office use only
Date license(s) issued:
Tag Numbers: 1. -q39 2.��3 _s-- 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 sjd
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.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: L ut(�/ rl 5 6 to -' x' Owner Phone #:
Physical Address: K-0 -;I,, w -Y e l ki
# of Dogs:
1. Name of Dog:
Breed: GQ
2. Name of Dog:
Breed:
3. Name of Dog:
Breed:
�2 5-L3 -- 0 _�7 5
U � 0 E-mail Address: Ldp �`� reyoa "Al
(Maximum of three allowed per YMC Chapter 6.08.030)
Male: >1 Female:
Color: 9cla,
Spayed or Neutered: &)/ N
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: BY2_ 2. 3.
Replacement Tag: Y / N (If replacement tag, then enter original tag number here: )
Rabies Tag #:
Date Information entered into database:
10/13
f
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.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: ��GS 1� o �L Owner Phone #: . GOA 02- - 2_'=363
Physical Address: 1 35 �e,r r-, Vie,7 L-4. SE E-mail Address: J
vse,So1- cs ( Lk Vl%'A
# of Dogs: 1 (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: 7_A M C, o _ Male: _/ Female: _ Spayed or Neutered N
Breed: C1 EdZ-MA,I �')kEPA ?--!-_, _ Color: %'�t'_eac L
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:12 J Tag Numbers: 1. `t "�
�-
2.— 3.
Replacement Tag: Y / N (If replacement tag, then enter original tag number here: )
Rabies Tag #: r
Date Information entered into database: _ By Whom: l
10/13
Vo1< TfiE ' y City of Yelm
qj105 Yelm Ave. W. Yelm, WA 98597
Phone: (360) 458-3244 Fax: (360) 458-4348
www.ci.velm.wa.us
L
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: 5 Vi Y� �C. S L�Owner Phone #:
Physical Address: tl Y I�Q d E-mail Address: q V\L cC.q u i 0
# of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030)
l� YS 0 Cd .1.
Name of Dog:
a X Male: _ ' Female:_ Spayed or Neutered:
(Y N
Breed: �C�1
Yl
I j
n �1 2 e- i- Color: l a c to
2. Name of Dog:
Breed:
Male: Female: Spayed or Neutered: Y / N
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: 1.9 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
(M
LMadwh-b-.1-M
105 Yalm A vel W., 'fel 9, WA 9859T
Phone (360) 458-32-44 Fax: (360) 458-4348
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.
Registrations cannot be issued ageless proof v� cwraent rabies inacWaiion is rsravided with iirais
apc'lication. The dogs are required to wear the rabies tag issued by the veterinarian_ (Yelm Municipal Code —
Chapter 6.12)
Owner Name: _�,. jp"' � ri-., Owner Phone
Physical Address: _[Lf --1 L f a oA1- !lVe- 56 84,- U E-mail Address: oJC (1 b 7
_�7n ` t41hc L , Gti.
11-1 1
# of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: 6 V 6 iSm Male: _C Female: _ Spayed or Neutered / N
Breed: cj Color: 6 L n -c -k ( ry'-)
2. Name of Dog: 1 Male: Female: Spayed or Neutered:/ N
Breed: �A S vv ,j J Color. 71�
N') C
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. UPJ., Yelm, WA 98597. Incomplete applications will be returned. Applications may be obtained at
City Mall, Monday through Friday 8:00 am to 5:00 pm or by visiting our website at wwgv.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) 458-8406.
For ace use only
Date license(s) issued: "
Tag Numbers: ' Z/ 5 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
w 105 Yelm Ave. W., Yelm, WA 98597
Phone: (360) 458-3244 Fax: (360) 458-4348
www.ci.yelm.wa.us
x'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.
RegOstrations. 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: nn� � irk" 5 mtwna" _ Owner Phone #: IP kO 3157), -
Physical Address: !J'�l E-mail Address: kLey )a16ftAa ea"
# of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030)
Name of Dog: Male: _ Female: -K- Spayed or Neutered:�j(%/ N
Breed: rel(ov Lr1f1C-L- gine Q- Color:
2. Name of Dog:
Breed:
3. Name of Dog:
Breed:
Male: Female: Spayed or Neutered: Y / N
Color:
Male: Female: Spayed or Neutered: Y / N
Color:
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 I
9 Date license(s) issued: r 50 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) — — - N (\ n
Date Information entered into database: By Whom: AtJ '-�
Revised 05/05/10 sid
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.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 61LOwner Phone #:J�.3
Physical Address: ��laoZ ����'%2�U •�• E-mail Address:.
# of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: -V 9 Male: Female: Spayed or Neuter N
Breed: Color: (J-
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: I. 2.
Replacement Tag: Y / N (If replacement tag, then enter original tag number here_
Rabies Tag #. __ _
Date Information entered into database:
10/13
By Whom:
3.
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.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: /&Q � & fi Owner Phone #:.i w 61 f � 4
Physical Address: / I� y /VU n
# of Dogs:
I
E-mail Address:
(Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: — jL
Breed: 1-44 14 ��2,rEL IL
2. Name of Dog:
eCd4AL
Male: _ Female: V Spayed or Neutered:&/ N
Male:
Color: NO 1011t"
Breed: �, A h A10 u_.L;d Color:
3. Name of Dog:
Breed:
Female: Spayed or Neutered:/ N
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:
10/13
City of Yelm
iia 5 Yelm Ave. W, Yelm, WA 98597
Phone: (360) 458-3244 Fax: (360) 458-4348
www.c].airyIm7 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.
RaoisAtrations cannot be issued unless proof of current rabies inoculation is provided with this
applicatio . The dogs are required to wear the rabies tag issued by the vet inarian. (Yelm Municipal Code -
Chapter 6.12) 1 0 -7J
Owner Name: v Owner Phone #_ C
I r
Physical Address: '�'V E-mail Address: Lr(L f
# of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030)
�1 In
Name of Dog: L Male
Breed:
2. Name of Dog:
Breed:
3. Name of Dog:
Breed:
Female: _ Spayed or Neutered: ON
Color: P (0-e� � "
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.cl.yel'm.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 aro animal complaint please call our
(Public Works Department at (360) 456-6406.
For office use only
Date license(s) issued:
�,I
Tag Numbers: 1. , 5J 2.
Replacement Tag: Y / N (I£ 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
a+ay.y s04 a vaiaj
105 Yelm Ave. W, Yelm, WA 98597
Phone; (360) 438-32-44 Fax: (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.
Registrations cannot be Issued unless proof of current rabies 'r,nocuiation is provided with this
application. The dogs are required to wear the rabies tag issued by the veterinarian. (Yelm Municipal Code -
Chapter 6.12)
Owner Name: S(NVV ' 0 4t)�i3"S�-01 +
Physical Address: 9 2 i�) can a L TA S6
# of Dogs:
Owner Phone #: �-_--)o - 3 & I.( -q 45 `
E-mail Address: z G.J=L t-)
(Maximum of three allowed per YMC Chapter 6.08.030) Cd J'?i�� l
Name of Dog: ' A� 4Male: Fernale:x Spayed or Neutered: 31 N
Breed: B(Dx/e
Color: _ W /E)ItIt
0�
_
2. name of Dog:
A6k.I i bU
Mate: Female
Spayed or Neutered: (3) / N
Breed: Rv- 90\\ Color: 116,( is
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 wtrrw.ci.yelrr_i.wa.us. Tags are
issued at City Hall. You may receive the tag by mail if requested.
To report a lost slog 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 5c_ - 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 sjd
By Whom:
�w r City of Yelm
d 105 Yelm Ave. W., Yelm, WA 98597
Phone: (360) 458-3244 Fax: (360) 458-4348
www,_ciy_elm.wa.us
Application for Dog License j 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: 3 caner Phone #:6O
Physical Address: lbyi �ka fi rrl __ + aE _ E-mail Address: it by 4 kcA.L Adan 0
# of Dogs:
Maximum of three allowed per YMC Chapter 6.08.030 •
1. Name of Dog: j P
Breed: 'qnn LA
2. Name of Dog: SkAro"A.11
Breed: I ice' L46
3. Name of Dog:
Breed:
Male: _)(_ Female:
Color: 1-61 K_
Spayed or Neutered: In N
Male: X_ Female: Spayed or Neutered: ®/ N
Color: L �
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. oC. --77
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: �N
City of Yelm
105 Yelm Ave. W., Yelm, WA 98597
Phone: (360) 458-3244 Fax: (360) 458-4348
wwwxyelm.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: ;0\ fl N 1'y2t�6 )-fT- Owner Phone #: 6 6 / - 3Sd - L Z S
Physical Address: r N AVE � C- - E-mail Address: I TQCTP Sf��L��
# of Dogs:. (Maximum of three allowed per YMC Chapter 6.08.030)��� CIiM
1. Name of Dog: Z()d Z 00 Male: Female: K Spayed or Neutered'/ N
Breed: ? Color: _(�0/�/yt�
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. �`f' 2
Replacement Tag: Y / N (If replacement tag, then enter original tag number here:
Rabies Tag #:
Date Information entered into database:
10/13
By Whom:
3.
T}lL+p
City of Yelm
105 Yelm Ave. W., Yelm, WA 98597
Phone: (360) 458-3244 Fax: mam 458-4348
www.ci.y_elm.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 .' �l'� L�t1l fna�yl nOwner Phone #: (GipV1'S��
Physical Address: ��i� opl2incA ! Ax-) J,t, E-mail Address:LunAni�Cti� �iJYYI
# of Dogs (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: Y0,ja 1E,Male: _ Female:x_ Spayed or Neuteredcl N
Breed: Ad- Color:
2. Name of Dog:" 1r),��1� Male: /�_ Female: Spayed or Neutered:c" N
Breed: Color: QLGC ��rt
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: —
Replacement Tag: yZMf)_1 If reph cement tag,
Tag Numbers: i 6WW 2. ()()->I 1 3.
then enter original tag number here: }
� 1_
Rabies Tag #: yeJ p\� Vt^'�
Date Information entered into database:
10/13
By Whom:
City of Yelm
105 Yelm Ave. W., Yelm, WA 98597
Phone. (360) 458-3244 Fax: (360) 458-4348
www.ci.ye_lm.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 — ChaRter 6.12) and furnish proof to a Yelm
Animal Control Officer, if requested. Current rabies tags are issued by a veterinarian.
+rt3 Owner Phone #: 3(ed
Owner Na � ) ✓Yl� � �_ )
Physical Address: �OZ W yt /h1 -CE-mail Address:
# of Dogs: 2 -
(Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog:. 0-1I& Male: _ Female: Spayed or Neutered:/ N
Breed:I r,,�p kin Vc _ Color:
2. Name of Dog: I e- _ Male: X Female: Spayed or Neutered / N
Breed: Pj+ VWsY Color: 10 coyon
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: 9-
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:
�OF THJe A
City of Yelm
105 Yelm Ave. W., Yelm, WA 98597
Phone: (360) 458 3244 Fax: (360) 458-4348
L
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: _ {1 c.[ �tCly [J Owner Phone #: LA ( C-5 _j
Physical Address:�-7�_ Iii ,- • r i l�],;� E-mail Address:,?r-r� 0'1,,a l
# of Dogs: . ) (Maximum of three allowed per YMC Chapter 6.08.030);
1. Name of Dog:ri �� ; Male: , Female: X Spayed or NeuteredoY N
r'
Breed:(- I�. i.'t .k 4- Color:
2. Name of Dog: j'L,Male: % Female: _ Spayed or Neutered: Yqs
Breed: Color: -r 1 ri
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 r ii
Date license(s) issued: I 'Tag Numbers: 1.,� � 1 2. 3.!
Replacement Tag: Y / N (If replacement tag, then enter original tag number here: )
Rabies Tag #:
Date Information entered into database: ` /7 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
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- S OA I n� e / " � u SIS 01/ Owner Phone #: S �U — S� 7
Physical Address: 7 (o Dyyayi+ Dt-ye SE E-mail Address: 5( P,hl C, 1?)11IYlSoh0o
# of Dogs- _ '7?1 _ (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: -2t_ /�w Male: X7 Female: _ Spayed or Neuters Y• N
Breed:c [/1 fColor: -4 0/kV
2. Name of Dog:. S� 5�( M)V�J Male: X Female: Spayed or Neutered: yo
N
Breed: PC) 0Cale Color: S�I�
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
l �
Date license(s) issued: �1 ' I Tag Numbers: 1.�
Replacement Tag: Y / N (If replacement tag, then enter original tag number here:
Rabies Tag #:.
Date Information entered into database: (� ` - F7
10/13
By Whom: rF
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.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: ��Rn-��.\�e. J W?,�?12� Owner Phone #:pd --1
Physical Address: I(DE)LAX .rl i s V:e_L.,5 E-mail Address:ccr�-
"i
# of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: UC_�Q, Male: _ Female:N Spayed or Neutered: Y /9
Breed ��� t71J f Color: lam" IbKZLA�0
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:___'Jo Tag Numbers: 1 2, 3.
Replacement Tag: Y / N (If replacement tag, then enter original tag number here: )
Rabies Tag #: - n
Date Information entered into database:
10/13
By Whom:
City of Yelm
105 Yelm Ave. VI/, Yelm, INA 98597
Phone: (360) 450-3244 Fax: (360) 458-4348
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.
Recristrations 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: 11-Q Owner Phone #: _ iIUU ~ J ell
Physical Address: ell4" 4 1� E-mail Address:
# of Dogs: ( (Maximum of three allowed per YMC Chapter 6.08.030)
Name of Dog: Male: Female: Spayed or Neuteredpi
N
f�d l0�
Breed: Color: ����
2. Name of Dog:
Breed:
3. Name of Dog:
Breed:
Male: Female: Spayed or Neutered: Y / N
Color:
Male: Female: Spayed or Neutered: Y / N
Color:
Completed applications (including proof of rabies inoculations) may be mailed or delivered to Yelm City Hall,
105 Yelm Ave. W., Yelm, WA 98597. Incomplete applications will be returned. Applications may be obtained at
City Hall, Monday through Friday 8:00 am to 5:00 pm or by visiting our website at www.ci.yeIm-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) 466-6406.
For office use only
Date license(s) issued: Tag Numbers: 1.� �O(�2 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 sid
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.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: (' (.0b CG 5 A Owner Phone #:
Physical Address: 10 -3 0 -2 —1-p ou A w f // 4tJ L N � � `�� jry_ E-mail Address: � a co� cas�"aS ��1�!�R � ao c ®fil
# of Dogs:.. =,�.._ (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: _ 60aIU-C.- Male: J( Female: Spayed or Neutered: Y N
Breed: Q cn Color: Co �j n)
2. Name of Dog
Z0C�-
Male: Female: 4 Spayed or Neutered: 6)1 N
Breed: kwtr all =&11:1 Ctl Color: 8/0'-
3.
/0C
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: l .d.(I (I
Replacement Tag: Y / N (If replacement tag, then enter original tag number here:
Rabies Tag M
Date Information entered into database:
10/13
By Whom:
�. IZ6' K
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.
Registration cannot be issued unless roof of current rabies inoculation is rovided 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`C Owner Phone #: 2:s-�b • 364 - Low3
Physical Address: c] I G' E-mail Address: �`��yU(• �N
# of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: I J Male: _ Female: �L Spayed or Neutered N
Breed: Color: Ms i et + Px-otyn
2. Name of Dog: &A
Breed: �4U, -
3. Name of Dog:
Breed:
Male: \4 Female: Spayed or Neutered: 1 N
Color:.) 9?6mk- �yyLV Lt
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.ciyelm.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. 7O 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: WN j
Kevisea uniuon u spa
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.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(S90;
'����f
Physical Address: / e9 vV E-mail Address:
# of Dogs: I _ (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: i Male: _ Female: _X Spayed or Neutered6)} N
Breed:. Color:
2. Name of Dog:
Breed:
3. Name of Dog:
Breed:
Male: Female: _ Spayed or Neutered: Y / N
Color:
Male:.. _ Female: ^ Spayed or Neutered: Y / N
Color:
Fee Schedule:
Dog License: FREE
Replacement Tag: $2.00
Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070)
To report a lost dog or if you have an animal complaint please call our
Public Works Department at (360) 458-8406.
For office use only
Date license(s) issued: _ Tag Numbers: 1. }2. 3.
Replacement Tag: Y / N (If replacement tag, then enter original tag number here: )
Rabies Tag #:
Date Information entered into database: By Whom:
10/13
%..9Uy sri a 03431
105 Yelm Ave. W, 'helm, WA 98597
Phone (3"60) 45$-32-44 Fax: (360) 458-4348
�v,n,�iv.c3. yredrr�. wa.t�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.
fLegistrations cannot be Issued unless Rroof 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) —
-4o 4-� �g q
Owner Name. L.►"" r5 l 1 Owner Phone #:
Phvsica{ Address:
E-mail Address:
# of Dogs:
C�4 Yy�
(Maximum of three allowed per YIVIC Chapter 6.08.030) i
Name of Dog: � ['�_ _ Male: ^ Female: _ Spayed or Neuteredo/ N
Breed: J a Color: tiLL'D 01c.
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, VIA 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 VMW.ci. eIm.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) 458-8406.
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:
Revised 051050 0 sid
%.-,Ly VA a =1141
905 Yelps Ave. L'6, 11elm, WA 98597
Phone. (4169) 453-3244 Fax: (368) 458-4348
w'lvvu'-c9, elM.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 dame: l/�Gt ���2�5 Owner Phone #:I U Ll0
Physical Address: �.� � E-mail Address: CD 6�LU& e idt-YK
# of Dogs: �1 (Maximum of three allowed per YMC Chapter 6.08.030)
1. dame of Dog: r Yl Male: ✓ Female: _ Spayed or Neutered: Q N
Breed. `M �N i !�20Nn ry ,U 7- -P/\c- Color: 1( 16 _
2. dame of Dog: Male: V --Female: i Spayed or Neutered: Y) N
Breed: �[ti.w U L Color: �, Wl o L -V
3. Name of Dog: �U� �-1 Male: V"'
Female:
_ Spayed or Neutered:0 N
Breed: �, l,l � ► �I CVV Y LV( Color:
tt�Al
-/0/"IA
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. Applicatinns may be obtained at
City Hall, Nlonday through Friday 8:00 am to 5:00 pm or by visiting our website at wym.ci.yelm.wa.us. Tags are
issued at City Hall. You may receive the tag by mail if requested.
To report: a lost dog or if you have an animal complaint please call our
Public Works Department at (360) 458-6406.
For office use only
Date license(s) issued:
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 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.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.
(ra,o C4 J r
Owner Name: _�Tc.F o [j' S Owner Phone #:
Physical Address: /(0,_-7-) Z f rA.v JA_4 / A, -5E-mail Address:
# of Dogs
(Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: C A.P. 41t, Male: __X Female: _ Spayed o Neutere N
Breed: Z- _ lA X 4 X Color: U, AN 72-
2. Name of Dog:
Breed:
Male: Female: Spayed or Neutered: Y / N
Color:
3. Name of Doggy _ 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 -7
Date license(s) issued:_ Tag Numbers: 1. (; [ V 2. 3,
Replacement Tag: Y / N (If replacement tag, then enter original tag number here: )
Rabies Tag #:
Date Information entered into database: By Whom:
HIM
105 Years& Ave. W., leelm, LSA 98597
Phone; (�60) 458-3244 Fax: (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.
Rac;is'traq-ons cannot be issued unless proof of current rabies inoculation €s provided with this
applicat on. The dogs are required to wear the rabies tag issued by the veterinarian. (Yelm (Municipal Code—
Chapter 6.12)
Owner Flame: N � Owner Phone : - '-7)
Physical Address: _'j IG - E-mail Address: �7G Gt v� cqp
# of Dogs: (Maximum of three allowed per YIV1C Chapter 6.08.030)
1. Name of Dog: Male: V Female: _ Spayed or Neutered: Y C
Breed: Color: G'' -A t''l
2. name of Dog:
Breed:
3. Dame of Dog:
Breed:
Male: _ Female: Spayed or Neutered: Y / N
Color:
Male: Female: u Spayed or Neutered: Y / N
Color:
Completed applications (including proof of rabies inoculations) may be mailed or delivered to Yelm City !-call,
109 YPIm Ave.W., Yelm, WA 98597. Inr..nmpiete 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 ww x.ci.yelm.wa.us. Tags are
issued at City Mall. 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 ace 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:
evised 05M50 0 sid
By Whom:
y- N., 14.y sr a a c a i 11
# 105 Yelm Ave. W., 'helm, WA 98597
Phone (360) 458-3244 Fax: (380) 458-4348
gra 'ARV. ci. as IM . 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 cannot be issued unless proof of current rabies inoculation is orovi-ied with this
application. The dogs are required to wear the rabies tag issued by the veterinarian. (Yelm Municipal Code -
Chapter 6.12) �L
Owner Name: _ �LI'I�� L/�l C'.�J Owner Phone IL? �f S
T _ -
� j A//
AA
Physical Address: �02 /�-1I `/ E-mail Address:
#k of Dogs:
(Maximum of three allowed per YMC Chapter 6.08.030)
1. dame of Dog: C>a/" Male: Female: ! Spayed or Neutered-( T N
Breed: 6'1i l �i rn 01�r % Color.
2. Name of Dog: c �� In e'Male: Female:,-"' Spayed or Neutered N
Breed: L.[' IIIA/.mak Color: l?Ircl�/��,/
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, SNA 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 ww1v.ci.velrn.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 (350) 458-8406.
For office use only
Date license(s) issued:.
Tag Numbers: l .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:
Revised 05/051.10 sjd
L rs �5 'f`8�189 Ave. Is�V, '��/1CH, WA 98597
Phone: (360) 458-3244 Fax: (360) 458-4348
�vn�,�•_cl, edrra.v�ra.�s
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.
Registrations cannot be issued unless proof of current rabies inoculation is vrnvided with this
application. The dogs are required to wear the rabies tag issued by the veterinarian. (Yelm .Municipal Code -
Chapter 6.12)
Owner dame: ( J YkAxN s, Owner Phone #:
Physical Address: J S� 9_CS S -ft-)N E-mail Address: h, IcjCkraC 0
`1bSTT
# of Dogs: (Maximum of three allowed per YMO Chapter 6.08.030)
1. Name of Dog: sd er\c;- Male:: Female: '/If Spayed or Neutered/ N
Breed: r� :r 1. 1�� ��.� 1'Y1�X Color: GtC
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 Ball, 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 slog 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. �y �' 2. 3.
Replacement Tag: Y / N (If replacement tag, then enter original tag number here: j
Proof of rabies enclosed: Yes_ No (please explain)
Date Information entered into database: By Whom -
Revised 05105i'I0 sid
} f05 Yt?lf9 Ave. VK, Yelm, WA 98597
Phone (360) 458-3244 Fax: (360) 4:68-4348
Mr1VW.c3. elM.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: Ct 614,-)d
Physical Address: l D
# of Dogs:
Z
Owner Phone #:
�r
E-mail Address: ALIS190V�Ar""
(Maximum of three allowed per YMC Chapter 6.08.030)
dame of Dog: �41AA Male: Female: Spayed or Neutered:(Y)/ I\1
Breed: �[� tColor:
Dame of Dog: � 1 Male: _ Female:)L Spayed or Neutere() / N
Breed: C-cA D ud-o w Color:
baym
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 Nall, 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 clog or if you have an animal complaint please call our
Public 'works Department at (360) 458-8406.
For of -flee 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:
avtsed Ub/U`J/I0 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.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: J(Yemu 4 Am 6YIffil(l Owner Phone #: (06' 5) LIQ -`t511 I YY1�1�
Physical Address: 1 5?4 4 E-mail Address: mffn1Yh
I
.1
# of Dogs: I (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog:
Sats (f)
Male: _ Female: X
Spayed or Neutered:`Y I N
Breed C11r*JCN}
LQh
Color: _ I"7/ twig
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 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:
10/13
Q& TuirA
aw $ City of Yelm
4 105 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.
�Va
Owner Name:ladna l Lktn6fi' ner Phone #:
Z/171
Physic I Address: I '� T jr SIJ /6 .! l V 6 SEE -mail Address: lan'l.
# of ogs: (Maximum of three allowed per YMC Chapter 6.08.030)
A.1 i h
1. Name
Breed:
2. Name(
Breed:
3. Name of Dog:
Breed:
I& Female: _� Spayed or Neutered: &/ 1 N
Color:I al U
le: Female: -A Spayed or Neutered: Y 1 N
Color: � lar
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 I 1
Date license(s) issued: A l L l, l
Replacement Tag: Y / N (If replacement tag,
Rabies Tag #:
Date Information entered into database:
10113
Tag Numbers: 1. 2 S�6 2. 0 3.�
then enter original tag number here -
By Whom:
C ofil
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.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: 6 -kr M 0r-6 Owner Phone #:
Physical Address: �3S-a' 1�7_ 14\Pe 5 E-mail Address: �t d °, fi x:r •r � <a�^
# of Dogs: 2 (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: PnC Fo j5 _ Male: _ Female: 0 Spayed or Neutered:( / N
Breed: ; n 9 15 C , Ci Ck C L(0 Color: Bc-&U it
2. Name of Dog: Sn�Lk�rS Male: Female: _ Spayed or Neutered: Ly
N
Breed
3. Name of Dog:
Breed:
Male:
Color:
Color:
Female: Spayed or Neutered: Y / N
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: l )M D 2. 1
Replacement Tag: Y / N (If replacement tag, then enter original tag number here: )
Rabies Tag #:
Date Information entered into database:
10/13
By Whom: 0 '/
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.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: n'1 C �' Owner Phone #:
Physical Address _ �� 3 �f �7`,6� wr9 t S A E-mail Address:
# of Dogs:
(Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: I'� Male: emale:Spayed or Neutered: N
Breed: t�- Color: N
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: l.:t% 3.
Replacement Tag: Y / N (If replacement tag, then enter original tag number here: )
Rabies Tag #: „ n f .l
Date Information entered into database:
By Whom:
L r{ 05 Yal Ave. W., I elm, ■ A 098597
Phone (360) 458-3244 Fax: (360) 4.58-4348
L
Application for Dog License
Fee Schedule:
Dog License: FREE
Replacement Tag: $2.00
Annual Registration for Dangerous Dog: $500.00 (Ye(m Municipal Code – Chapter 6.08.070)
The City of Yelm requires all dogs to be registered annually and have current rabies inoculations.
Reg istrations cannot be issued Ls r less P roof of current rabies Inoculadon is provided with this
a oii�on. The dogs are required to wear the rabies tag issued by the veterinarian. (Yelm Municipal Code –
Chapter 6.12)
Owner game: le' F`t_�M_Owner Phone #:
f� l _
Physical Address: VY E-mail Address: �Lr1y �' Jeyii
r mo? --1
# of Dogs:
2
(Maximum of three allowed per YMC Chapter 6.08.030) CCWya*C
Mame of Dog: Z_� Male: \� Female: _ Spayed or Neutered(21 1 N
Breed: �6� \ _ Color:.- ,Xw\
Dame of Dog:Male: X Female: Spayed or NeutereY N
Breed: ZLA Color: �—'Cno n
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 Nall, Monday through Friday 8:00 am to 5:00 pm or by visiting our website at wvPjv.ci.y.elm_wra.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. o lJ 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 05/0511 o sjd
105 Yelm Ave. W., Yelm, AWA 98597
Phone; (360) 458-3244 .Fax: (360) 458-4348
Application for Dog License
Fee Schedule:
Dog License: FREE
Replacement Tag: $2.00
Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070)
The Cibj of Yelm requires all dogs to be registered annually and have current rabies inoculations.
Registrations cannot he issued urfless proof of current rabies inoculation is provided with this
appi€cat'ion. The dogs are required to wear the rabies tag issued by the veterinarian. (Yelm Municipal Code —
Chapter 6.12)
Owner dame: s, s&,,— Owner Phone e-zr 66)3')
Physical Address: �� �� �� �►� 5 a S-� _ til t_J E-mail Address:
# of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: Lam: b t C Male. -v---, Female: _ Spayed or Neutered: i$/ N
Breed: ,'j_ 1 Z Color:
2. Name of Dog: Male: _ Female: Spayed or Neutered: Y / N
Breed:
3. Name of Dog:
Breed:
Color:
Male: ` Female: Spayed or Neutered: Y/ N
Color:
Completed applications (including proof of rabies inoculations) may be mailed or delivered to Yeim City Hall,
105 Yelm Ave. Vii., 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.ciyelm.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 (350) 458-8406.
For office use only . - /
I
Date license(s) issued: V 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: 1V Z
Revised 05105i'10 aid
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.yel.m_.. L 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: t L ,� 1 Owner Phone #: a� '04 033(l
Physical Address:,�Q'] r�1� V E-mail Address:
# of Dogs: _ ) (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: 11164 Male: ✓ Female: ` Spayed or Neutered6D N
Breed: 'J ,`/A(_ Colo' L ; t jj-11`7-
2. Name of Dog:
Breed:
3. Name of Dog:
Breed:
Male: _ Female:
Color:
Male: Female
Color:
Spayed or Neutered: Y / N
Spayed or Neutered: Y / N
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 i� �7
Date license(s) issued: 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
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._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: d7 of el It ill l�4 le Owner Phone #: 72 c(
Physical Address:_ _ E-mail Address: ePC %.,/([rG�/..
# of Dogs:
(Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: i'15 _ 6e XM e f Male: _ Female: ✓ Spayed or Neutered& N
Breed: Ce V,.�,e r i<,A,j C�li,'Irs _ 5&,i• - / Color: /3l r.Z 4 r r io
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 - A I
1 /
Date license(s) issued: /� 17 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
City of Yelm
105 Yelm Ave. W., Yelm, WA 98597
Phone: (360) 458-3244 Fax: (360) 458-4348
www.ci.ye_hn.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: 4ala Owner Phone #:_V-
Physical Address: CS 9/0 % %9-0� 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 Neutere61 N
Breed: [k)[A..e.-- Color: w rd Cky-)
2. Name of Dog:
Breed:
Male: Female: Spayed or Neutered: Y / N
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.
Replacement Tag: Y / N (If replacement tag, then enter original tag number here:
Rabies Tag #:
Date Information entered into database:
10/13
By Whom:
3.
Ova TWA
,� City of Yelm
105 Yelm Ave. W., Yelm, WA 98597
Phone: (360) 458-3244 Fax: (360) 458-4348
www.ci.yelin.wa.us
L
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: M11A� - 1e 1U1 k� �Pilone #: i /i�0 �1� ZVI C41;6� -70
Physical Address: C-� :',. ,Wail Address: _
# of Dogs:
.Z
(Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: T661 Male: Female:
Breed: 1 Color: F6IAA�
2. Name of Dog: LA -IL
1(
Breed: r Lill `
3. Name of Dog:
Breed:
Spayed or Neutered:01 / N
Male: _ Female: I Spayed or Neutered: & 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: ' U 3- I J Tag Numbers: 1. 2. 0 3.
Replacement Tag: Y / N (If replacement tag, then enter original tag number here: )
Rabies Tag 0:
Date Information entered into database:
10/13
By Whom: Ma/