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400 -458y City of Yelm a 105 Yelm Ave. W., Yelm, WA 98597 �- - Phone: (360) 458-3244 Fax: (360) 458-4348 W41yw.cl.yeIm.wa.us XP 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:r�f t_ +ACL-5Q1k Owner Phone #: Physical Address: _lt�L S 2i Cif ie- \i,s,- 0_ .�« 5-�E-mail Address:, aC_V_U_ # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: IrOLL 0 .._............ ..... Male: * Female: Spayed or Ne ter o N Breed: -'zs�t 1 1-J,ICJ Color: b� pu-�n / l�� � 2. Name of Dog: Breed: 3. Name of Dog-- Breed: og:Breed: Male: Female: Spayed or Neutered: Y / N Color: 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 1 f1 Date license(s) issued, Tag Numbers: 1. V ` V� 2. 3, Replacement Tag: YN 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: VAOva 7K City of Yelm 1. 0 105 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: b rand I e Kik " cobq Owner Phone #:(,qU') � ,> s6 Physical Address: 41 SD pr(A+I-IC V IS i �.; , E-mail Address: k)''6f1141r 114 4,q 1C2r�A6) # of Dogs: ✓ (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: iM o O Male: _ Female: Spayed or Neutered: (y N Breed: V Grctc-r r I l -e_........j r X —..._ Color: Y 1Uwr1 2. Name of Dog: V5-( Gn-r Male: Female:x Spayed or Neutered: N Breed: k i �zL-- Mc04-Q�,e Color: C rz a-n/l 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- �y Tag Numbers: 1. 1-A-04- 3. Replacement Tag: Y1 hI replacement tag, then enter original tag number here: ) Proof of rabies enclosed: Yes_ No (please explain) Date Information entered into database: By Whom: _ Kevised 05/05/10 sjd 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. 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: L , 4'1c' 1414 Owner Phone #: Physics! Address: II Z s �r_ C 1 _ acy �i� mai! Address: f �f rr►-,T 2003 ccm # of Dogs: -;Z (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: _ &-n c1 Male: Female: _ Spayed or Neutered: N Breed: / _ a c)a 1"e'- 2. "e'- 2. Name of Dog: Breed: 3. Name of Dog: Breed: Color: -3Ic,c/c irtzd,/ AP Male: Female: _ Spayed or Neutered:( N Color: e-V22cVt 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 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.T 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) 458-4343 !w.mw.0.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. 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) 1 Owner Name: Physical Addr( # of Dogs: E-mail Address: (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: ! ,C t? Male: _ Female: Spayed or NeuteredL) N Breed' 1 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.yefrn.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) 453-8406. For office use only Date license(s) issued: Tag Numbers: 14 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 05/06/10 sjd By Whom: City of Yelm 105 Yelm Ave. W., Ye/m, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 WWw.Ci. 'eln'i.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: �V-r-� Owner Phone #: Physical Address # of Dogs: 5 5 i5 T,/ [ e r T -e-r r-c� c c— c T S r E-mail Address: VtnntthWTkao-xS830L- io.,l.ia� (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: V'pwXG`h Male: -X Female: _ Spayed or Neutered: Y / 9) Breed: Lc7-� \c%k(-( Color:�G�C k- 2. Name of Dog: _�.�v) Male: Breed: (�,rtv�-� P 4 +'c n -t { S Color: 3. Name of Dog: A c- \ tS Male: Breed: 1 -)0b? -Y' vv-�-O\�V1 Color: Female: %K Spayed or Neutered: lrir N \ 4 -e -- Female: Spayed or Neutered: Y / N ?�Gc� 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) 458-8406. For office use only Date license(s) issued: Tag Numbers: 1- i !! 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 Q �] City of Yelm a. m 105 Yelm Ave. W., Yelm, WA 98597 ..:,. Phone: (360) 458-3244 Fax: (360) 458-4348 Www,ci.yelrro.wa.tas 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. Reqistrations cannot be issued unless proof of current rabies inoculation is provided with this agglication. The dogs are required to wear the rabies tag issued by the veterinarian. (Yelm Municipal Code - Chapter 6.12) Owner Name: Owner Phone #: ' ! U n Physical Address: ! L: �' �:� (�i �,{' E-mail Address: e' i # of Dogs: - I (Maximum of three allowed per YMC Chapter 6.08.030) c� 1. Name of Dog:V Male: Female: Spayed or Neutered:o N Breed: W-{,( (\-e--r- NA ► Color: � 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: 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. 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 sjd By Whom: City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.Ci'V.qIM.wa.us Application for Dog License Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070) The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Registrations cannot be issued unless proof of current rabies inoculation is provided with this application. The dogs are required to wear the rabies tag issued by the veterinarian. (Yelm Municipal Code — Chapter 6.12) Owner Name: t' ci�GIRW11CR-1 A Owner Phone #: (+)•� ] Physical Address: ~ 1 �, CG ►�i"C't E-mail Address:t � LICE 7t 1Y a i �V <! �—'- Iv� # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) Q—ncl-p– 1. Name of Dog: Male: Female: X Spayed or Neutered. Y CW Breed: _ ;AeL S�A buk(e E► C1 _ Color: _L .k+e 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 Date license(s) issued: Z - I Tag Numbers: 1. t I I 2. 3. Replacement Tag: Y / N (If replacement tag, then enter original tag number here: Proof of rabies enclosed: Yes No (please explain) I 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: L�� Z''� "1 1"71Owner Phone #: �� 1 Physical Address: 1.4 Gi vicif CEJ E-mail Address: # of Dogs: ! (Maximum of three allowed per YMC Chapter 6.08.030) Name of Dog: Yor lel1 Male: Breed: T�i"c- r o,ml'G vi Color: 2. Name of Dog: Breed: 3. Name of Dog: Breed: Female: Spayed or Neutered'. N C1?,-, Ct, k- I c itt 0 &1 1.1 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 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 Fee Schedule: 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 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: V� Owner Phone Physical Address: JE -mail Address: I L �o- 6) 44,6 # of Dogs: _ I (Maximum of three allowed per YMC Chapter 6.08.030) 1� 1. Name of Dog: j��Aelrtri _ Female: Spayed or Neutere / N Breed: I t y\ � Color: Mu `. U 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 1 Date license(s) issued: 4� Replacement Tag: <2[ [ f replacement tag, then enter original tag number hcre.;­�— l ) Tag Numbers: A 4 -�D 2. __ 3. Proof of rabies enclosed: Yes_ No (please explain) Date Information entered into database: By Whom: Revised 05/05/10 sjd vp 'r -He wawa City of Yelm 105 Ye/m Ave. W., Ye/m, WA 98597 Phone: (36®) 458-3244 Fax: (3f®) 458-4348 www.ci.velm.wa.us Application for Dog License Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code – Chapter 6.08.070) The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Registrations cannot be issued unless proof of current rabies inoculation is provided with this application. The dogs are required to wear the rabies tag issued by the veterinarian. (Yelm Municipal Code – Chapter 6.12) Owner Name:/L/.? 6i}�. �e cc2k Z� - Owner Phone #: C; 5'� '� Ci 7 Physical Address: E-mail Address: # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: ,%46 // Male: , Female: Spayed or Neutered:(!y N Breed: r;CAtlgkZ-F►�Z Color: J A I r 2. Name of Dog: Male: Female:4— Spayed or Neutered: Y Breed: GP2-�_✓? _ Color: 6L A t- t-tZ .Z 3. Name of Dog: 1 l/� Male: Female: Spayed or Neutered: Y / Breed:., Color: 61.9-c-4` 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 flag by mail if requested. o -ifyou have an animal -complaint please call our Public Works Department at (360) 458-8406. For office use only �(/' �/ Date license(s) issued: / U I Tag Numbers: 1. q I' -I 2. / I'5� 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 'll!'rl' 1.c1a'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: V'I-Mb �- L� Ciwri� �k n�#: Physical Address: _ J l_G_ . Y' `'{ l E-mail Address: VO-aer, War Maximum of three allowed er YMC Cha ter 6.08.030 ( omo� I # of Dogs: ( p p ) Lo ry-) 1. Name of Dog:.y ly Male: -61 Female: _ Spayed or Neutere0 N Ll Breed. 00 Color: "W I-1 2. Name of Dog: L/ Male: Female: _ Spayed or Neutered Y / N Breed: !, ©fy� Color: Y �1�-� 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-Teport-a-lost-doV oT-iFyou have an anir'yai-co paint-pl-eas-e--call-our Public Works Department at (360) 458-8406. For office use only Date license(s) issued: Tag Numbers: 1. 414b_ 2. 3. Replacement Tag: Y Of replacement tag, then enter original tag number here: ) Proof of rabies enclosed: Yes No (please explain) _ Date Information entered into database: Revised 05/05/'! G sjd By Whom: of Tuip., 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: rL �..) � Owner Phone #: l 79, —LI 71q Physical Address: Qq q S F Sc E-mail Address: # of Dogs: _ (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: _ L.0 vc- - Male:y Female: Spayed or Neutered: Y /G Breed: f'W'i Color: 1. I 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 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 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: 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.chyelm.wa.us Application for Dog License Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code - Chapter 6.08.070) The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Registrations cannot be issued unless proof of current rabies inoculation is provided with this application. The dogs are required to wear the rabies tag issued by the veterinarian. (Yelm Municipal Code - Chapter 6.12) Owner Name: �i' til Owner Phone #: L,55" zzia- 67-gL1 Physical Address: j��jY1Y� E-mail Address: [t?4 # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog:{ �1! k _ Male: _X Female- _ Spayed or Neutered: /S'y N Breed: � � aA' QJ jt 0-!- Color: 77c 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. ---moo port a-I�s dng-orif-youlrave an animal-com-plaint please call-o-ur Public Works Department at (360) 458-8406. For office use only f I Date license(s) issued: a 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: L Revised 05/05/10 sjd City of Yelm 105 Yelm Ave. W., Yelm, VITA 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: t w' c Owner Phone #: (9 S�'" OUB l �� /A to 3C1 Physical Address: _Wtp3q C -t I.an kap' -Avf # of Dogs: M \/'dV►\ q�t� E-mail Address: LbCLLd'era-) (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name ooff Dog: �'AL SCt1r 4 2.V' Breed: ]dUO&it ajo PlriStAk'L. 2. Name of Dog: Breed: ` 3. Name of Dog: Breed: Male: -Z Female: _ Spayed or Neutered N Color: ] lctc,L w Amp tryyayic y tnk !A�e s 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. - %ortepo>r-a-tast-idog oT-fiyou have an animal-com-plaint-please--cAI o-ur Public Works Department at (360) 458-6406. For office use only '] Date license(s) issued: L —�. l 1 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 Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci.yelm.wa.us XU.:LM. 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: G 4 �+- Owner Phone #: 7&0 7" —16-36 Physical Address: C S awn G br s_ �e,lvn ls,�F E-mail Address: _ ✓a # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: 0 Male: Female: _ Spayed or Neutered -.(2l' N Breed: _ L-ow�_yo�Q6,. Color:�ts 2. Name of Dog.�3.2,sco Male: �c Female: _ Spayed or Neutered:/ N Breed: ^ r'x:41 SL►° /j . Color: /L -a A 411-k _ 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.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 pl4ase call our Public Works Department at (360) 458-8406. For office use only Date license(s) issued: -��= I % Tag Numbers: 1. 2. 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 sjd By Whom: _ M fit �iow%%Aw��City of Yelm -kjp 105 Yelm Ave. W., Yelm, WA 98597 Phoeae: (36®) 458-3244 Fax: (360) 458-4348 u,t,af. , i.rwi�:�.ara. gas 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) yy Owner Name: _ f �V 1 6t d T L I^' r 1�1 ~Owner Phone #: Physical Address: L '1'^''��` {''� A.'rC 64--A& & E-mail Address: # of Dogs: f (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog Breed: La % KI) 11 lr,- Male: J Female: Spayed or Neutered.�l)/ N Color: 2. Name of Dog: Fr" p,A Male: _ Female: v Spayed or Neutered' I N Breed: , �a'�,�37�"r r - Color: 3. Name of Dog: Breed: Male: _ Female: u 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-dtg-orif-you have an animal complaint -phase call our Public Works Department at (360) 458-8406. For office use only Date license(s) issued: Tag Numbers: 1.`'14 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: 1WCity of Yelm 105 Yelm Ave. W., Yelm, VITA 98597 �! Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci.ve1M.uva.us -E All 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. Rearstrations cannot be issued unless proof of current rabies inoculation is provided with this application. The dogs are required to wear the rabies tag issued by the veterinarian. (Yelm Municipal Code - Chapter 6.12) Owner Name: - t-AMEL.A AWge DAV a 0 /1u GG Owner Phone #: a- irl. _(3-0) 7y2-9997 Physical Address: 7pa -7 7-Ao, )?&sr A,, _SE E-mail Address: yQa ;k # of Dogs: 7&jo _ (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: "3� 2 -7 -\A' \ Male: _ Female: V-"*' Spayed or Neutered: (5 N Breed: LAB 2. Name of Dog: MA GE 2kq-. Breed:. — 1: 3. Name of Dog: Breed: Color: 01/4-C Male: Female: Spayed or Neutered: (9 N Color: 13L -.,4c/<, 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 compfaint please calf our Public Works Department at (360) 458-8406. For Office use only Date license(s) issued:40 Tag Numbers: 1. 2. 3. Replacement Tag: <iV ( 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 �wak rH�,a�9 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 The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Your lost dog is a phone call away when your dog wears their registration tag. The dogs are required to wear the rabies tag issued by the veterinarian. (Yelm Municipal Code — Chapter 6.12). Applications can be obtained at City Hall, Monday through Friday 8:00 am to 5:00 pm or by printing the form from our website at www.ci.yelm.wa.us. Completed license applications may be mailed or delivered to Yelm City Hall, 105 Yelm Ave. W., Yelm, WA 98597. Tags are issued at City Hall and can be mailed to your address, if requested. Owner Name: __ � P` � ��� rl N (� &" Owner Phone #: 2 r 45 - 21'a4 Physical Address: Jrl)-t7 f0c u C'+<L Cf�­e ©oip E-mail Address:Se_ m 62 a iyj"0" # of Dogs: 1 (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: L Male. Female: Spayed or Neutered: i0 N Breed:l ylotfra,V, Color: W4 u, 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 2. 3. Replacement Tag: Y / N (If replacement tag, then enter original tag number here: ) Rabies Tag #-�� 1-[ 7� T_1V� Date Information entered into database: By Whom: Revised 02111 ape -rue, 1 �Q City of Yelm m 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 rallies 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) �^/q j� r Owner Name: Owner Phone #: _ I© z s- l7 -mail Address: Address: r (� _ -[C+ � Ya C(M � IJA-2 mail Address: # of Dogs: �. (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: Loh, � Male: _ Female: ?'- Spayed or Neutered:lcYi/ N Breed. —_ XEX wn1- . Color: BOL/0-k 2. Name of Dog: Male: Female: _ Spayed or Neutered: Y / N Breed: Color: 3. Name of Dog: Male: _ . Female: Spayed or Neutered: Y / N Breed: Color: Completed applications (including proof of rabies inoculations) may be mailed or delivered to Yelm City Hall, 105 Yelm Ave. W., Yelm, WA 98597. Incomplete applications will be returned. Applications may be obtained at City Hall, Monday through Friday 8:00 am to 5:00 pm or by visiting our website at www.ci.yelm.wa.us. Tags are issued at City Hall. You may receive the tag by mail if requested. To report a lost dog or if you have an animal complaint please call our Public Works Department at (360) 458-8406. For office use only Date license(s) issLied: Tag Numbers: 1.q3 j 2. 3. Replacement Tag: Y / N (If replacement tag, then enter original tag number here: ) Proof of rabies enclosed: Yes_ No (please explain) _ 1 Date Information entered into database: By Whom: d Revised 05/05/10 sjd City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 "1/'1V"V.Ci.ve1M.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 ataolication. The dogs are required to wear the rabies tag issued by the veterinarian. (Yelm Municipal Code — Chapter 6.12) A&I�VA-741Owner OwnerName; k Phone #: Physical Address: I� ��� lc .- � ` E-mail Address: JlAecy"t'j (@M' . lv� # of Dogs t (Maximum of three allowed per YMC Chapter 6.08.030) Name of Dog:P'(2�"v Male: V Female: _ Spayed or Neutered:/ 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: 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. —T-a-report-w1ost-dog or -if you have an animal complaint please call our Public Works Department at (360) 458-8406. For office use only Date license(s) issued: Tag Numbers: 1.5� 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 Of Vie ,o City of Yelm a 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 rI www.ci.velm.wa.us Application for Dog License Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070) The City of Yelm requires all dogs to be registered annually and have current rabies inoculations, Registrations_ cannot be issued unless proof of current rabies inoculation is provided with this application. The dogs are required to wear the rabies tag issued by the veterinarian. (Yelm Municipal Code — Chapter 6.12) Owner Name: MOA0�LV CJ 14zOwner Phone #:L _0 Physical Address: E -m i ddress: 1 b@ # of Dogs: [ Maximum of three allowe } �I �I �l�t I . Wrr g , ( d per�C Chap e� i 0) 1. Name of Dog: M R Male: Female: Spayed or Neutered: Y N Breed: \V\\ 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 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. 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 �pf lie[ p� 1 City of Yelm m 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci.yelm.wa.us x 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. Rertistrations cannot be issued unless proof of current rabies inoculation is provided with this application. The dogs are required to wear the rabies tag issued by the veterinarian. (Yelm Municipal Code — Chapter 6.12) r_ Owner Name: Owner Phone #: ��to � 1�] 3 Physical Address: E42�E-mail Address: # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: l/1 CA.2 Male Female: Spayed or Neutered N Breed: Color: _.. )Lir 2. Name of Dog: Male: Female Spayed or Neutered/ N Breed: N'�WCl lei D - Color7Lk\ LLL L+ 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, 2. 3.T 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.c1.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 #: Physical Address: E-mail Address: Ci* • uad-1! �1,GMA # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) Name of Dog: CwaeA Male: _ Female: Spayed or Neutered N Breed: OJM�� 13OLLtNe, 111A�X Color: UJ�fiiAG� 2. Name of Dog: wvv Male: _)L Female: _ Spayed or Neutered:/ N Breed: Color: V fl 'k ` `m- to 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: 1._� _Iq. �V 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., Ye/m, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci.yelm.wa.us Application for Dog License Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070) The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Registration s cannot be issued unless proof of current rabies inoculation is provided with this application. The dogs are required to wear the rabies tag issued by the veterinarian. (Yelm Municipal Code — Chapter 6.12) r Zl Owner Name: 1 a � � � �1 Owner Phone #: �� � � v I - � � Z j 1 t, Physical Address: _ yl ��� a�n�rn &�, be, E-mail Address: � Y• co # of Dogs: 3 (Maximum of three allowed per YMC Chapter 6.08.030) Name of Dog: O1V1t � Male: K Female: _ Spayed or Neutered: D N Breed: PWYColor: �).]L lf � _� &ow n 6 Name of Dog: �I VA t Male: Female: A Spayed or Neutered: Y0 N Breed: d�G �� 4 _ Color: C �1 Name of Dog: ti� WSO Male: X Female: Spayed or Neutered: 0 N Breed: j1j��(�-Q i�l 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 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. LII 2. �L� 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: WE 0 THE City of Yelm s 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 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 rnovided 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 L'v 'Ccvl Owner Phone #:_ 76 Physical Address: 11 E-mail Address: # of Dogs: - (Maximum of three allowed per YMC Chapter 6.08.030) Name of Dog: (vvL '.tel/ Breed: ox W (h 2. Name of Dog: . 1 4.- 1 Male: Female: _ Spayed or Neutered: OY N Color: Male: -X— Female. _ Spayed or Neutered: Cy// N Breed �Lt aa.r;►}Ctln-Y 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 reporta los#-dog or ifyou have an animal comphatnt-please call our Public Works Department at (360) 458-8406. For office use only Date license(s) issued: �- V 1 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) Date Information entered into database: By Whom: Reprised 05/05/10 sjd OV, THE., qw City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci.yelm.wa.us a� z. z►x 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: Ur �l� "l L+ C ILiL{�� WVt r Owner Phone #: Physical Address:. S+% S '1-e—t W � -e( r -a E-mail Address: 0 rkk # of Dogs: 1 (Maximum of three allowed per YMC Chapter 6.08.030) Name of Dog: C--� cI I .. Male Breed Et\G I L1LSVl Wn,q 2. Name of Dog: Breed: 3. Name of Dog: Breed: Female: X Spayed or Neutered: Y /a Color: _ �Yb w � C -A'KaA P,4>L+D 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.yiqj j Wwq. 1s.. 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. 12. 1 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 Off rrtP+, sw City of Yelm L 105 Yelm Ave. W., Yelm, WA 98597 Phone. (360) 458-3244 Fax: (360) 458-4348 1 www.ci.yelm.wa.us f L v 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: <�'—i �'�� AA -t i'en TG Owner Phone #: 364 — Physical Address: 1 L'� ) B�_/-_ SF , E-mail Address: J�'1 •'a K X1.1 "T)c 13A L C> u) e # of Dogs: (Maximum of three allowed per YMC Chapter 6.000) —F<-& O 1. Name of Dog: i"VC f) Male: _Female: _ Spayed or Neutered�Y ' N Breed. Color: 2. Name of Dog:I�c�-) C_ Male: k Female: _ Spayed or Neutered: N Breed: I-- -� k Cc, QP Color: G,ck-' 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 Pubilic- Works Departmennt at (364} 458-8406. For office use only ,-`r -1') Date license(s) issued: \ v Replacement T N(If replacement tag, Rabies Tag # It, 9) (j, r �. qq o Date Information entered into database: 10/13 Tag Numbers: 19L-1 9 2. 3, then enter original tag number here: By Whom: D� THE f, z City of Yelm ' 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 l 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) I c� Owner Name: T L C�;(,v� Owner Phone #: - 7f C.- j f Physical Address: 1YtW�,, E-mail Address: - c' 6t�Tw,�rr �•C�� # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: Male: _ Female: .x Spayed or Neutered: OY N Breed: Color: _ L� t � A, ,i 2. Name of Dog: u' f Male: Female: Spayed or Neutered: N Breed: % f f i * 1 + 3. Name of��D//og: Male: � i Y� Female: ` Spayed or NeuteredN Breed: /d'y-iG I/Tk ,� '1 C" Color: Ile- 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: win Tag Numbers: 1.4 2.� Replacement Tag: 1 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: 1z Revised 05/05/10 sjd s� City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci.yei m. wa. u s I. roH Application for Dog License Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070) The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Registrations cannot be issued unless proof of current rabies inoculation is provided with this application. The dogs are required to wear the rabies tag issued by the veterinarian. (Yelm Municipal Code — Chapter 6.12) Owner Name: � �C�'t�l `IG Owner Phone #: SL��LLu�I� Physical Address: �� 2 � '.� i Qil 0� E-mail Address: Cho+ • t-&qhe640Irr� W"' # of Dogs: _ _ (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of.Do : Male: Female: Spayed IeUtered& N Breed:(1 II,. � Color: G 1' CA— "Z" 2. Name of Dog: r'� Male: Female: Spayed or Neutered: Y /0 Breed: t Color: TU d- uUa- _ 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. �T1r-Wortmlortdorg or-Ifyou have -an -animal --complaint please calf our Public Works Department at (360) 458-8406. For office use only Date license(s) issued: 5I7 — I Tag Numbers: I .' 2. I �C 3. Replacement Tag: Y / N (If replacement tag, then enter original tag number here: f� Proof of rabies enclosed: Yes] No (please explain) + / 7 1C/ 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.yetm.wa.us Application for Dog License Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code - Chapter 6.08.070) The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Reriiistrations_ 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: Mri_&�_,re s (� 6, t ( , 6'- Owner Phone #: _ (i CA ' 12(L -i `'`d t j S"' Physical Address: _1 �� �_ ] ()� +� uj l 4 4)l_ E-mail Address: ,��M� L (, <��Ca�.� l �r i q9 # of Dogs: ( p p ) J 1. Z Maximum of three allowed per YMC Chapter 6.08.030 1. Name of Dog:K�� c1 2 Male: _ Female: _,L' Spayed or Neutered: Y / NP Breed: Color: 2. Name of Dog: A 0 Male: f Female: Spayed or Neutered: >�1/ N Breed: (twcfor: 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. 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. Tc-report-alys"og-or if you have an animal-co-miahatnt please call— our-Public Works Department at (360) 458-6406. For office use only Date license(s) issued: Tag Numbers: 1. S'S— 2. 145 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 r� By Whom: Orr TKE"111 aCity of Yelm n 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci.velm.wa.us EL1M 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 les g issue by the veterinarian. (Yelm Municipal Cade — Chapter 6.12) Ck-- 010 L � �l Owner Name: if t K(. 0,0 � Owner Phone #: l r5z .S -3 .-Z Physical Address:r-1.21 1 �E-mail Address: Ck- # of Dogs: ` � (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: �� Male: _ Female:✓Spayed or Neutere%YNBreed: �Lr1it..i` �— Color:� 2. Name of Dog: Male: Female: !' Spayed or Neutere Y 1 N f Breed."V'I a, rt_ Color: °I- 3. Name of Dog: Breed: Male: _ . Female: Spayed or Neutered: Y I 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) issucd 6�Tag Numbers: 1�-V _ 2.�—Bb 1 Replacement Tag: Y f 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: