038-499A, '+'N City of Yelm
m 105 Yelm Ave. V1, Yelm, WA 98597
Phone: (360) 458-3244 Fax: (360) 458-4348
�nrn�vv.cLvelm. wa.us
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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.
Real- trations cannot. be issue..u- iess_Proof of current rabies inoculation is Iorovi€#ed with this
agol'icatiorn. The dogs are required to wear the rabies tag -issued by the veterinarian. (Yelm Municipal Code —
Chapter 6.12)
Owner dame: SILL, r R (_L< u Owner Phone #: .e� �y
Physical Address: - f_5���� (27 VX -ti E-mail Address:
# of Dogs:_ (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: Kati2 Male: _ Female: Paye or Neutered:(' N
Breed:— L f�rp Color:_1�_
2. Mame of Dog: l` j1�p_ Male: _ Female: _�L Spayed or Neutered: Y /C�
Breed: L�Lg ftdael Color: _ _ t�
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 clog 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. 23 _ 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 05105i'I 0 sid
By Whom:
City of Yelm
105 Yelm Ave. ids, Yelm, WDA 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 (Ye(m Municipal Code — Chapter 6.08.070)
The Cibj of Yelm requires all dogs to be registered annually and have current rabies inoculations.
Registrations cannot be Issued unless proof of current rabies inoc:.alaiion is pfovided with this
application. The dogs are required to wear the rabies tag -issued by the veterinarian. (Yelm Municipal Code —
Chapter 6.12)
Owner Name:[-3-t1cs.�n�
Owner Phone #: o�'s 3 - -,AS a — O 'V
Physical Address: n C- t c) C E-mail Address;Kn tr, ,iU,��w yc��eo��
# of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030)
1. Mame of Dog: Odd, _/17y _ Male: Female: X Spayed or Neutered: Y /
Breed.- 1', !_:e 41� z"/� Color: _f� r�W1'1
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
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 wwN.cl.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:
Tag Numbers: l. 2
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:
3.
City of Yelm
105 Yelm Ave. W, Yelm, WA 98597
Phone: (369) 458-3244 Fax: (360) 458-4348
wvvw.c3. eirn.wa.us
Application for Dog License
0 0-+—.5 c j �
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 nmol: of current rabies inoculation is vrov€ded with this
application. The dogs are required to wear the rabies tag issued by the veterinarian. (Yelm Municipal Code —
Chapter 6.12)
Owner Name: Lt Owner Phone #: 253 - �j��7 23 83
Physical Address: 55 (P � _ R QA. S E-mail Address: Owl
# of Dogs:
(Maximum of three allowed per YMC Chapter 6.08.030)
Name of Dog: Li i Male: _ Female: V_ Spayed or Neutered: Y / [N�
Breed: -i-`► Color: L C - u�
V
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. 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.ci.yelrn.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. 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:
�' y City of Yelm
105 Yelm Ave. 1V6., 11(elm, WA 98597
Phone: (858) 458-3244 Fax: (360) 458-4348
W'ffW. CL Ve1M, vera. u 9
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 rsroof of current rabies inoculation is provided with this
application. The dogs are required to wear the rabies tag issued by the veterinarian. (Yelm Municipal Code —
Chapter 6.12)
Owner Name: 1 Owner Phone #: a�Jr ' aSc� ' (Da i(D9
Physical Address: ��� v�� lJvm.yi�' �� SQ— E-mail Address: 4,1kl"q<&ZA"aa4
# of Dogs:
(Maximum of three allowed per YMC Chapter 6.08.030)
1. dame of Dog: za ()/i.% _
Breed: zc
2. Name of Dog:
Breed:
3. Name of Dog:,
Breed:
Male: Female: X Spayed or Neutered: 0 N
Color: Iq (2 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 wyiw.ci. 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) 456-6406.
For office use only
Date license(s) issued:
Tag Numbers: 1. �` l_�_ 2
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:
3.
9
City of Yelm
i 195 Yelm Ave. l., Yelm, WA 98597
Phone: (360) 458-3244 Fax: (360) 458-4348
%01WW.ci. eirra.Wa.U3
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 vrovidedi with this
applicatio . The dogs are required to wear the rabies tag issued by the veterinarian. (Yelm Municipal Code —
Chapter 6.12) q
Owner Name: vt-'O.� Owner Phone #:
Physical Address: I � . CJ °�� �+�E-mail Address: `' y gf�,.col"
# of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog:
Breed:
2. Name of Dog:
Breed:
3. Name of Dog:
Breed:
bo,f bc>S S
� rIL, -�
Male: � Female: _ Spayed or Neutered: Y /(K)
Color: �aey-j cj)k4
I
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) 456-6406.
For office use only
I ,J
Date license(s) issued: I r / / 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 sid
City of Kelm
f 05 Yelm Ave. W., Yelm, ISA 98597
Plane: (350) 458-3244 Fax: (380) 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 goof 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)
!`� �G on Whony -� - _ -1Owner Name: - ,
Physical Address:E-mail Address:
# of Dogs: J (Maximum of three allowed per YMC Chapter 6.08.030) �v
Name of Dog:
Male: _ Female:
Spayed or Neutered0y N
Breed: �.� 1
y� I �I
Color
2. Mame 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 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.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.
Replacement Tag: Y / N (If replacement tag,
Tag Numbers: 1.—Qq
then enter original tag number nere:
Proof of rabies enclosed: Yes_ No (please explain)
Date Information entered into database: By Whom:
Revised 05/05/10 Sid
3.
City of Yelm
105 Yelm Ave. VI., Yelm, WA 96597
Phone: (360) 458-324.4 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 unlessLoof of current rabies Inoculation is vrovided with this
applicatioro. The dogs are required to wear the rabies tag -issued by the veterinarian. (Yelm Municipal Code -
Chapter 6.12)
0q,?3
Owner Name: Owner Phone vs -o
Physical Address: _ 1 L le— A'V`M email Address:
# of Dogs:
2
(Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: 144ckG3 Z, Male: _ Female: i/ Spayed or Neutered: Y /®
Breed: _�`,.rhl.sL, 1&4/1•��rl• Color:._;
2. name of Dog:Male: Female: t/ Spayed or Neutered: Y
Breed: -ZI a Color: P4 LSC,.,
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 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) 456-6406.
For office use only
Date license(s) issued:
Tag Numbers: I. 2.4' 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: �N V
Revised 05105/10 sid
City of Yelm
105 Yalu Ave. V1., Yelm, WA 98597
Phone: (369) 458-3244 Fax: (360) 458-4348
yvWW.ci.yedan.WR-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 inoculations Provided with this.
application. The dogs are required to wear the rabies tag issued by the veterinarian. (Yelm .Municipal Code -
Chapter 6.12)
Owner Name: Es'Io2LQrz.L \fit e Owner Phone
Physical Address:_4- 4ZA sA E-mail Address:
# of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: Male: X Female: Spayed or Neutered: Y
Breed:-1�1�r-�c'_��x Color:��eLC__ K
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
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) 456-6406.
For off ee use only
Date license(s) issued: Tag Numbers: 1.4_ 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 05105i'I 0 sid
City of Yelm
105 Yalm Ave. W., Yelm, WA 98597
Phone: (360) 458-3244 l=ax: (360) 458-4348
ti�r�wv+r. ci.��alar�.uva. � 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 cannot be issued unless pLoof of current rabies inoculation is provided with this
application. The dogs are required to wear the rabies tag issued by the veterinarian. (Yelm Municipal Code -
Chapter 6.12)
Owner Name: ( C Gk- 0t Owner Phone
Physical Address: l Q C_j rc_.Lf- le- V l S i- 6�, L_c1n(' E-mail Address:
# of Dogs: t (Maximum of three allowed per, YMC Chapter 6.08.030)
1. Name of Dog: /\ � 1 _ Male: _ Female: Spayed or Neutered: 6YD N
Breed: S hk Vr),jCl 1 aa -3 Color: Lk) �_k--
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 Hail,
105 Yelm Ave. Vii., 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.ye1rn.vva.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 ars animal complaint please call our
Public Works Department at (360) 456-6406.
For office use only
Date license(s) issued: Tag Numbers: 1. L 2. 3.
Replacement Tag: Y / N (If replacement tag, then enter original tag number here:
Proof of rabies enclosed: Yes_ No (please explain) j
Date Information entered into database: By Whom: V�
Revised 05/05/10 sid
City of Yelm
105 Yelm Ave. W., Ye/m, WA 98597
Phone: (360) 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: $500.00 (Yelm Municipal Code — Chapter 6.08.070)
The City of Yelm requires all dogs to be registered annually and have current rabies inoculations.
Registrations cannot_be i$sued unless proof of current rabies inoculation is arovided with this
application. The dogs are required to wear the rabies tag issued by the veterinarian. (Yelm Municipal Code —
Chapter 6.12)
Owner Name: h,01Aua � S Owner Phone #:.
Physical Address: Q Sr— E-mail Address: � f !S C0)
# of Dogs- (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: ?2I -V Male: -�/— Female: Spayed or Neutered: Y
Breed: _ l}Y� 1lfP. I-Vn b. _ Color: (-)oH 4 & � w )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:
Completed applications (including proof of rabies inoculations) may be mailed or delivered to Yelm City Hall,
105 Yelm Ave. W., Yelm, WA 98597. Incomplete applications will be returned. Applications may be obtained at
City Hall, Monday through Friday 8:00 am to 5:00 pm or by visiting our website at www.ci.velm.wa.us. Tags are
issued at City Hall. You may receive the tag by mail if requested.
To report a lost dog or if you have an animal complaint please call our
Public Works Department at (360) 458-8406.
For office use only
Date license(s) issued: _
Tag Numbers: L q 9 - 2. 3,
Replacement Tag: Y / N (If replacement tag, then enter original tag number here: )
Proof of rabies enclosed: Yes No (please explain)
j I
Date Information entered into database: By Whom: - —
Revised 05/05/10 sjd
City of Kelm
i 105 Yelm Ave. W., Yelm, WA 98597
Phone; (360) 458-3244 Fax: (380) 458-4348
tiV`aw+nl.�1.�1eSo r�.y���.3.w 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.
Realstrat¢ons cannot be issued un..less._.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: Owner Phone #:
Physical Address: '36�_ V-" T'7" -A f7 PJ If- E-mail Address:
# of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog:Male: Female: _ Spayed or Neutered: Y /
Breed: Color:yimI���
2. Dame of Dog: Male: _ Female: Spayed or Neutered: Y / N
Breed: Color:
3. Name of Dog: Male: _ Female: _ Spayed or Neutered: Y/ N
Breed:
Color:
Completed applications (including proof of rabies inoculations) may be mailed or delivered to Yelm City Hall,
105 Yelm Ave. W., Yelm, WA 98597. Incomplete applications will be returned. Applications may be obtained at
City Hall, Monday through Friday 8:00 am to 5:00 pm or by visiting our website at www.ci.yelm.wa.us. Tags are
issued at City Hall. You may receive the tag by mail if requested.
To report a lost dog or if you have an animal complaint please call our
Public Works Department at (360) 458-8406.
For office use only
Date license(s) issued:
r
Tag Numbers: 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