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463-503City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 wvvw. c i. Ye I rn.wa. u 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 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) —7 Owner Nam6�,� �' �-� 'l]�1 V� Owner Phone #: Physical Address: (3 Ski aa E-mail Address: # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog? uw _) Male: Female: _ Spayed or Neutered: Y / N Breed:l\fit ���1 Color: C -w 1(` 2. Name of Dog������ _ Male: Female: Spayed or Neutered: Y N Breed: Color: T'�'.ua'uc) 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 host ogorif-you-have an animal com- faint-piaas-e-call-o-rr -- Public Works Department at (360) 458-8406. For office use only Date license(s) issued: Tag Numbers: 1. `� (e32. 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: owoF T�t�p� 7 City of Yelm a 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci.yelm.wa.us YE 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) __ JJ �/) 0 , I Owner Name: Kt V1 e td 1 �Y-t d►} � - Owner Phone #: �� �`� 5 5`5 `� Physical Address: 58gq (CA #1, -N-e. se y om E-mail Address: Imrsr ee . a2 - A— # ZA— # of Dogs: 2— (Maximum of three allowed per YMC Chapter 6.08.030) <_ D m 1. Name of Dog: B1(tw+y S Male: '�' Female: _ Spayed or Neutered: LJ N Breed:. r m+ Vic_ Color: 2 Name of Dog: W Breed: Gr CA�0Ur1E, 3. Name of Dog: Breed: Male: _ Female: I Spayed or Neutered: 0 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: L 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: A � 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 - 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-yedm.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: M.r —6 b -k L,'42 Owner Phone #: Physical Address: _ l��i� E-mail Address: r1 -j # of Dogs:(Maximum of three allowed per YMC Chapter 6.08.030)�� 1. Name of Dog:(_ __....--.. Breed: 2. Name of Dog.- Breed: og:Breed: 3. Name of Dog: Breed: Male: -.. Female: )0 Spayed or Neutered: d N Color: 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 Date license(s) issued:s '— X1 Tag Numbers: 1. 2. 1 Replacement Tag: Y(/"'I (If replacement tag, then enter original tag number here: ) Rabies Tag # Date Information entered into database: By Whom: Revised 02/11 ys City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 l ' 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 provided with this application. The dogs are required to wear the rabies tag issued by the veterinarian. (Yelm Municipal Code — Chapter 6.12) + ��� C Owner Name: Owner Phone #. Physical Address: l "1�t l � 9 E-mail Address: # of Dogs: S _ .......... (Maximum of three allowed per YMC Chapter 6.08.030) Name of Dog: Male: Female: Spayed or Neutered: Y / N Breed:Oua WA '� s Color: Vx_1 ' - 2. Name of Dog: Breed: 3. Name of Dog: Male: Female: _ Spayed or Neutered: Y / N Color: 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 +vvnd-ci.t/Ir�� _yt :3s. 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) t 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.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. Pagistrations cannot be issued unless proof o,' 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: 12cdaz. 6I;[IA -e Owner Phone Physical Address: 15 `6 j I,;"moi S c t. # of Dogs: z E-mailAddress: (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: ( Malo: Fcmalo: ✓. Spayed or Neutered: Y Breed: w eer 1 —e _ _. _- Color: 2. Name of Dog.-,, L i l t"x, &Ory, c_ Male: ^ Female: Spayed or Neutered: `r N Breed: 0\/ „� Color: _ 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-Past-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:5__ 17 Tag Numbers 1.(5#�r7 2. 9D 3. Replacement Tag: Y / N (If replacement tag, then enter original tag number here: ) Proof of rabies enclosed: Yes _X No (please explain) S 0 3 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 1N11VW.Ci. ve1M.uva, u 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. Re-gistrations 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: , Physical Address: ] 01 vex n' IK U knp A \i # of Dogs: 0 LoU- 5�S'6 -C---13ZsL( hY-r, Owner Phone #: Ll 0 a^cl 5 i cc / f E-mail Address: 1, 1 ci l� p %J �Jz hno- c o" (Maximum of three allowed per YMC Chapter 6.08.030) Name of Dog: G tr 4110 Male: 4Female. Spayed a ed ur Neutered: Y / N 7 Breed: I- Sk L!c }CPY ]� ii �.t Color: at c_!� 2. Name of Dog: . i'1 PS Maier Female: Spayed or Neutered: 0/ N Loo V - Breed: ��d �,.� �-� Color: .{7 .'- r� �...,...— . 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.c's.yelm.wa.us. Tags are issued at City Hall. You may receive the tag by mail if requested. -_— ToreFort-a-lost-log-or-ifyro[rhave an animal compha[M-Please calf -our Public Works Department at (360) 458-8406. For office use only Date license(s) issued, Tag Numbers: 1.41' 2. 3. Replacement Tag: N replacement tag, then enter original tag number here: ) Proof of rabies enclosed: Yes_ No (please explain) Date Information entered into database: Revised 0::. By Whom - �wUk z ire y. City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 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. 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) 4 t (Jr r Owner Name: j�' 1� Owner Phone #:� Physical Address: I � —j �( >Jr E-mail Address: # of Dogs: �3 (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: %a4 Male: _ Female. Spayed or Neuleied: Y / Breed:A�}i Color: F ( 2. Name of Dog: n _.._ Male: V Female: _ Spayed or Neutered.Y / N Breed: _ ZA10 Color: �,��{ [ �i �( 7-z 3. Name of Dog: " Male: Female: v Spayed or Neutered: 'iD N Breed:[ �kl Color: ^,� 2 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 repo a .ti.J& ...,g or if youATave an- animal compha1nt-p1aasa ca 1-wr- -- Poihlir_ Wnrkc Department at (360) 458-6406. For office use only Date license() issued:�51 Tag s Numbers: 1.01� 2. 3.ft Replacement Tag: Y /JR711k-epla.cement tag, then enter original tag number here: Proof of rabies enclosed. -777s_ No (please explain) Date Information entered into database: By Whom: Revised 05/05/10 sjd City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci.yelm.wa.us Application for Dog License - 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.yeJm.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: 1�1 ,9.r�col.d ........... ___ Physical Address: /,-f5 Owner Phone #: 520 E-mail Address: # of Dogs: ( (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog:Male: V Female: _ Spayed or Neutered: Q/ N Breed: La�......_ _ _ Color: KK , 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 (Yeim 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. —j / 2. 3. Replacement Tag: Y / N (If replacement tag, then enter original tag number here: ) Rabies Tag # Date Information entered into database: J By Whom: Revised 02111 City of Yelm a m 105 Yelm Ave. W., Yelm, WA 98597 .; Phone: (360) 458-3244 Fax: (360) 458-4348 www.cl.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. Relations cannot be issued unless proaf 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) 1 Owner Name: _ ! f%�f} Lam_ Owner Phone #: _.�� 4�0 CT7 Physical Address: / Ll D 5 y �9 A 'altle . # of Dogs: J E-mail Address: 1 v Cc el a ccs 1Ma,i• (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: �.(G _ Male: Female: Spayed or Neutered: Y Breed: 1 l Color: 2. Name of Dog: Male: Female: Spayed or Neutered: Y/ Breed:, Color: te- lalrte', 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. __qa3. Replacement Tag: Y / T I1'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 a 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. Reciistrations 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) j Owner Name: i �?�'v, Owner Phone #:`�' Physical Addre s: 'Cr i41vq's G+r+� ' E-mail Address: ! 7 Kj�"Y # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) I. Name of.Dog:! 'J_ Male:U Breed: r%' Color: 2. Name of Dog: Breed: 3. Name of Dog: Breed: Female: Spayed or Neuterec'G 1 N .L• b 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.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 licenses issued: Tag Numbers: 1. 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: By Whom: -t-� ( � z 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.yelrn.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. Reclistrations 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,. �I>� 1 f}2 C ! E�' Owner Phone #: V 8d 2is— i Physical Address: % / ��� /✓O fSbh Sr E-mail Address: tra k ' rc..I G0. '7p cg '.LOm # of Dogs (Maximum of three allowed per YMC Chapter 6.08.030) Name of Dog: Ottde- Male: _,V_ Female: Spayed or Neuterece/ N Breed: 19G Color: %r/`�QI e LI 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 T-Wyou have an animal-complahit-please-call-ow Public Works Department at (360) 458-8406. For office use only Date license(s) issued: Tag Numbers: 1. H 9 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: 1-�evisec WDIUW I s1a City of Yelm 105 Ye/m Ave. W., Yelm, VITA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 �-•eYY ■y www.ci.y-e1m.wa.us :F: a L 1►]. 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. Recsistra#ions 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) c Owner Name: L� �i �C- Owner Phone #: _ ` l9, Physical Address: J/0 C r2CX, (%t �� �✓1 E-mail Address: C ." • e, # of Dogs:- (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Male: Fernale: Spayed or Neutered: Y! N Breed: 1 Color: L 8 Q.13 2. Name of Dog:.��,('�Y�� Breed:��1 3. Name of Dog: Breed: Male: Female: f Spayed or Neutered: Y,1 N Color: F_t,,? P'-) 1 1�- 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.c.yelm.wa.us. Tags are issued at City Hall. You may receive the tag by mail if requested. ---- ---T-o report-alost g-oT-if-you have an anirnai cpm -plaint please call-ozrr Public Works Department at (360) 458-8406. For office use only Date license(s) issued: Tag Numbers: 1. LfS1 2.�13' 3. Replacement Tag: Y N if replacement tag, then enter original tag number here: ) Proof of rabies enclose :Yes_ No (please explain) Date Information entered into database: By Whom: Reprised 05/05/10 sjd City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci.Velrn.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) C� Owner Name: �^ "� �� Owner Phone #: �' =� C' Physical Address: t CfiLe r'r .... :] r E-mail Address: ZK!� K & Cotu,i�' . . _ # of Dogs: �F (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: !: 1 (�_C_ Breed: _) CkCK A �JSI'D IL 2. Name of Dog: Breed: 3. Name of Dog: Breed: Male: Female: Spayed or Neutered f) N Color: rpt <,,,� ��_ (,•� �L C 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. 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 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 sjd By Whom: wcf TSE A. 11 City of Yelm 105 Yelm Ave. W., Yelm, VI/A 98597 Phone: (360)458-3244 Fax: (360) 458-4348 www.ci.yelm-wa.us x • x. xv� 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. Reaistrations 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: /Amse� ?, oLVi �Fl �bect- Lc.UY&AL Owner Phone #:(3L-6) CO9--69,�A Physical Address: k j 10 W CLS11" rx40 n Ave-, S tj-�, E-mail Address:W uee LItS %51906DU k ao oD # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) ,1 Name of Dog:�- Male: �/ Female: Spayed or Neutered. Y CN Breed: eOVIA- � d' -L Color: ') icick LJ�x 2. Name of Doig: �IipaL1 _ Male: Female: I✓ Spayed or Neutered: Y /N Breed: U�"""UC.;l Xo.r Color: Wojr-1C 1.7) Mo�lc,-K on 6c, d' c �6 Re3a.IC 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.cLyelm.wa.us. Tags are issued at City Hall. You may receive the tag by mail if requested. To report a fost dog or if you have an animal complaint please calf our Public Works Department at (360) 458-8406. For office use only Date license(s) issued: Tag Numbers: 1.gs 2. A 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 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. Re-gistrations 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: /�-� `� o �+ ,r `�/� S� Owner Phone #: Physical Address: zlO,7®5-- ��{ c� lc� f �i'�� S F E-mail Address: SFS kicss �' G,, �• % ��.. # of Dogs: C>111- (Maximum of three allowed per YMC Chapter 6.08.030) 1. Nan ie ol` Doy: _ i� �7 Male: Female: k- Spayed or Neutered: !Vl N Breed: iecl�tpe-/ Color: A1l9--z" 4" -7� 2. Name of Dog: '6 HCl • , Male: Female: Spayed or Neutered: Y / 41;1Breed: �I� ClC L'VColor: �'(/-,7 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.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. L2 ' 2.499 9 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; 3. w�yp xrr� f,� �. City of Yelm a 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 y www.ci.yelm.wa.us VVLM 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) r Owner Name: J'-� �Y[ P�7;' Owner Phone #: i� ` `� Physical Address: r E-mail Address # 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: Male:. Female: Spayed or Neutered Y / N Color: Male: Female: Spayed or Neutered: Y / N Color: Male: Female:...... Spayed or Neutered: Y / N Color: Completed applications (including proof of rabies inoculations) may be mailed or delivered to Yelm City Hall, 105 Yelm Ave. W., Yelm, WA 98597. Incomplete applications will be returned. Applications may be obtained at City Hall, Monday through Friday 8:00 am to 5:00 pm or by visiting our website at www.ci.yelm.wa.us. Tags are issued at City Hall. You may receive the tag by mail if requested. To report a lost dog or if you have an animal complaint please call our Public Works Department at (360) 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., Ye/m, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 IN W Nl-C i.yaj ria. liya. u 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. i?egistradons 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: 1 Owner Phone #: Physical Address: /o�o(p q� S'� �(�, yM E-mail Address: ��� # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) Name of Dog: �J►�� v'�� Male:tK Female: _ Spayed or Neutered:N Breed:*)I� �U – Color: W�e 2. Name of Dog: "T'Uner Male: X Female: Spaye ld or Neutered: 0 N Breed:�, `']�b� Color: a 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.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-havLw--an-animal.--C..O iplat6tplease-call-our- - Public Works Department at (360) 458-8406. For office use only Date license(s) issued: Tag Numbers: 1. U 2. 491 I 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: ..- Realised 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 - 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.zren 2 Owner Name: rj eZ re L Owner Phone #: Physical Address: �.� t ` t' L'f' E-mail Address: -Hy tarn Y!![K.1�L # of Dogs: rK ((.'I �' 6 g � , (Maximum of three allowed per YMC Chapter 6.08,030} Name of Dog:Male: Breed: L' rLllt.Lg / CC L(05dt ff'[l Female:: f Spayed or Neutered5l N Color: Zzhzt r 2. Name of Dog: Ct 2 f Male: Female: � Spayed or Neutered6?1 N Breed: &Lh6(&,LA Lk 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 LN a 2. Replacement Tag: Y / N (If replacement tag, then enter original tag number here: Rabies Tag # Date Information entered into database: Revised 02111 By Whom: 3. ] Anima/ Control Invoice For: PAYMENT j„ .fp n n,efCity Hail GLt 105 Yelm Ave W, 1 �`l Yelm WA 98597 1 Phone 360 458 3244 Date �o ed Date S a - Impound Number PICKUP DELIVER/PICKUP Animal Control Public Works Facility 901 Rhoton Rd N Yelm WA 98597 360 458 8402 OTHER Transport Fee -Impound livestock 100.00 YMC 6.08.050 Dangerous - Annual registration if 500.00 deemed dangerous. TOTAL I� mpound 9 -3'�oi7 X # days (e0 00 Make al/ checks payable to C/ty of Yelm YMC 6.08.030 (1) Fees: per dog LOST & IMPOUND FEE FOUND First Day, or any portion of first 35.00 day Dally- Second - Fifth Day 15.00 Dog License Free ADOPTION ADOPTION FEE 55.00 Dog License Fres VOLUNTARY VOLUNTARY RELEASE - RELEASE Release form must accompany 45.00 payment and pickup. OTHER Transport Fee -Impound livestock 100.00 YMC 6.08.050 Dangerous - Annual registration if 500.00 deemed dangerous. TOTAL I� mpound 9 -3'�oi7 X # days (e0 00 Make al/ checks payable to C/ty of Yelm Animal Control Invoice For: PAYMENT j City Hall 105 Yelm Ave W, � Yelm WA 98597 Phone 360 458 3244 YMC 6.08.030 (1) Fees: per dog LOST & IMPOUND FEE FOUND First Day, or any portion of first day Daily- Second - Fifth Day Dog License ADOPTION ADOPTION FEE Dog License VOLUNTARY VOLUNTARY RELEASE - RELEASE Release form must accompany payment and pickup. OTHER Transport Fee -impound livestock YMC 6.08.050 Dangerous - Annual registration If deemed dangerous. Date / , I I-0 Impound Number 65 PICKUP DELIVER/PICKUP Animal Control Public Works Facility 901 Rhoton Rd N Yelm WA 98597 360 458 8402 _Impound #-. 35.00 15.00 X # 6q, Free 55.00 Free 45.00 100.00 500.00 TOTAL Make all checks payable to City of Yelm T a ryF 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. Reoistrations cannot be issued unless proof of current rabies inoculation is oroviided with this application. The dogs are required to wear the rabies tag issued by the veterinarian. i(Yelm Municipal Code — Chapter 6.12) 22 Pj 3e xckknS c eAk Owner Name:'Ju'cV_�'t1k/-x i(411 � h� ��6 Owner Phone #: t3J_'-(,U Physical Address: QQ 2—/� Q� � 'S E 1 1YY11 L... E-mail Address: •)G'(c- Un •�c� i � 019 I -- # of Dogs: I (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: MA&.\ cvlale: Female: L Spayed or Neutered -E) N Breed: O r'Aa �Ol�l P, _., _ Color:yyhly- Com \I'P 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. 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.�J. 2. 3. Replacement Tag: Y / N (If replacement tag, then enter original tag number here: ) Proof of rabies enclosed: Yes_ No (please explain) Date Information entered into database: By Whom: Revised 05/05/10 sjd City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci,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. Thugs are required to w the rabies tag issued by the veterinarian. (Yelm Municipal Code – Chapter 6.12) / V & , C Owner Name: Physical Address: Phone #: r — I Address: —� # of Dogs. _ ! (Maximum of three allowed per YMC Chapter 6.08.030) ti 1 f 1 � 1, dame of Qo ::: � _ Male: Fe V Spayed or Neutered! N Breed: �jColar: ameo og. Bim. 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 .11� 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 a 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 rs ... Www.Ci.jlGali-n.wams T 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. Reraistrations 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: 311 ltal� A_ 4-e� 1i'e, Le—tA6Owner Phone (c44 — ,�a 1,0L Physical Address: _};5J,3C11_ _1 L&{ ' Aw, 5 jy E-mail Address: 9 # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) mw L . c,, v" 1. Name of Dog:_ s �, Male: Female: V/ Spayed or Neutered: (D N Breed:_ ri`( ��1 �'`L1r4L�i� �`e� �CXn� to or: �rar inQ�, 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 { Date license(s) issued: y I 4; Tag Numbers: 1. 2. 3. Replacement Tag: 1 N ['replacement tag, then enter original tag number here: ) Proof of rabies enclosed: Yes_ No (please explain) Date Information entered into database: By Whom: ---LLLL Revised 05/05/10 sjd City of Yelm 105 Ye/in Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www-ci.velm.wca.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: k'? C' -C'; e_ 1 RS- Owner Phone #: Physical Address:100,Sj cT '3E _YQls ..... E-mail Address: # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: qck< Male: Y- Female: Spayed or Neutered/ N Breed: ���1�.......__...........� Color: 2. Name of Dog: "SS Male: _ Female: >Z- Spayed or Neutered/ N Breed: Color: 0 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. Tc repca L a-IOStziog ar-fiyou have -an animal-oomphatnt please,c2ltl-our Public Works Department at (360) 458-8406. Favi- office use only r Date license(s) issued:_ 7 ccv\e;vj Tag Numbers: 1. Unc L4 4 2. 000V 3. Replacement Ta J 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: ti f City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 t Phone: (360) 458-3244 Fax: (360) 458-4348 .... t www.ci.yeIm.wa.us Application for Dog License Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070) The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Renistrat€oras 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:LtI-C�f_I- 1�1�]� I Owner Phone Physical Address: �� � t[ l .,'� V��Yit �� E-mail Address: IYUMmk(l �i1 r�1i�la�� # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) n1 1. Name of Dog:, l Y'� _ Male Breed: cm") 2. Name of Dog: Breed: 3. Name of Dog.- Breed: og:Breed: Female: _ Spayed or Neutered: Y' N Color: 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 repod-a-k st-dog-orifi you have an animal complsint-pteas�e-ali-o-ulr Public Works Department at (360) 458-8406. For office use only Date license(s) issued: Tag Numbers: i!� 2. 3. Replacement Tag: Y 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: 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.velm.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�'� �J�'y `/��,�'rL'.;,1 Lh-1& Z_ Owner Phone #: Physical Address: C� r /I/ C E-mail Address: # of Dogs: __� (Maximum of three allowed per YMC Chapter 6.08.030) Name of Dog: Breed: li !,L 11 h Male: __X Female: _ Spayed or Neutered: N Color: . �6-C 4" �r 'r� ;h- 2. Name of Dog: Male: __, Female: X Spayed or Neutered: N Breed: ) /. � )�C;o_' " Color: Az/j cr�J� / - 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 .S00 2. S01 3. 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: _ 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) �53'11-):3--)rSla. CCT) Owner Name: CA vV%. t 10 •-r tAmp-?So N 60MRAJ 4 - Owner Phone #: 3, -- ;t a rte. ( gt) Physical Address: 1(0 305 lU% E-mail Address: bcc�►�.�(se41t28�ori�,. oma; i , cam,,,, # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: (, 14 1 E f Male: V1 Female: Spayed or Neutered: (O/ N Breed: S T- '96W&n Alb Color: agoc- n & V-1 i r C ! t5 LA tk- 2. Name of Dog: -- l OT Male: Female: ✓ Spayed or Neutered N Breed: :3►i,-3©o rA kYL Color: _ L-3 k-\ 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.cs. Tags are issued at City Hall. You may receive the tag by mail if requested. T"Vert a- lostdal o -r -if -you have an anirnal complaint -please call Public Works Department at (360) 458-8406. For office use only Date license(s) issued: W1 Y l Tag Numbers: 1.(Z0 oa2.(VS6'3 3. Replacement Tag: Y / N (If replacement tag, then enter original tag number here: ) Proof of rabies enclosed: Yes_ No (please explain) � V I ( Date Information entered into database: By Whom: Revised 05/05/10 sid