050-70City of Yelm
205 Yelm Ave. W., Yelm, WA 98597
Phone: (360) 458-3244 Fax. (360) 458-4348
www.cii.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: Shawn- i Momdl_lnt7 Owner Phone #: ,A - W00S
Physical Address: IM%?- Cf -5P_Q 1 Un AVe SE -
# of Dogs:
1
E-mail Address: i P TWA -el
(Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog. ae-e Male: _ Female: _)c Spayed or Neutered: a N
Breed: Color:
�►u9 hy, -169 4 598 *%-%u*a Lea-4er\woc� ransxs L0(0048
2. Name of Dog:
Breed:
3. Name of Dog:
Breed:
Male: _ Female: _ Spayed or Neutered: Y / N
Color:
Male: _ Female: _ Spayed or Neutered: Y / N
Color:
Fee Schedule:
Dog License: FREE
Replacement Tag: $2.00
Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070)
To report a lost dog or if you have an animal complaint please call our
Public Works Department at (360) 458-8406.
For office use only
Date license(s) issued:
Tag Numbers: 1. ED 2. 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:
Dear City of Yelm/Clerk,
November 7, 2016
I am submitting this early before we are even in-state. We purchased 10012 Cascadian Ave SE and will
be moving into it on November 22. However, because that is also the week of Thanksgiving and because
we will be busy with the movers next week with packing, and the drive there, and then the unpacking,
etc, I didn't want to wait to get this form submitted to you. I am sure that this is perhaps a bit unusual. I
was wondering if you could either mail the tag to us here in Kansas, where we could put it on our dog
and have it all ready to go, or if you could wait to mail it to our address because the postal service will
not be delivering our mail to Cascadian until November 22 and I do not want the tag to be routed back
to you or lost in the mail.
If you are willing to mail us the tag here in Kansas, our mailing address (until Nov 17`h) is:
Shawn and Mandi Jenkins
60 7th Cavalry Road
Fort Leavenworth, KS 66027
Otherwise, if I could please ask you to refrain from mailing the tag until November 22, 1 would sincerely
appreciate it.
We will see you soon and are very excited about this move.
Thank you so much,
Mandi Jenkins
MEN-
v§Ly %jA a %1141 105 1i"al'3' Ave. V1, °fe.�m, WA 98597
Phone: (3760) 438-3244 Fax: (360) 458-4343
iy.c].+ie1m.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.
Ranistrations carraot be issued un4ess proof of current rabies inoculation is_prav_ided with this
appilication. The dogs are required to wear the rabies tag issued by the veterinarian. (Yelm Municipal Code -
Chapter 6.12)
Owner Marne: LN i N o .'Y1 k- i -k' an CA(AY�j i Dl'vr ger Phone #: � L� • C�� c_ 1
Physical Address: ] 14 4-h )'Ve E-mail Address: tt r: _5 r er- Ci� cmc, A.
C c3rh
# of Dogs: 2 (Maximum of three allowed per YMC Chapter 6.08.030)
1. dame of Dog:
Y 01-x 0'-
Male.- Female: _ Spayed or Neutered:Y / N
Breed: I- UsGt_L' Color: V_ t. L)R-
2. Name of Dog: l nC.-c: Male: Female: 7)Y- Spayed or Neutered:CY)/ N
r
Breed: f' lAY c.Lti CA fN � �v� .... i � (L{. Lt � Color:
3. Dame 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. Vel., 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 anirnai complaint please call our
€ ublic;f arks Department at (360) 458-8406.
For office use only
Date license(s) issued:
Tag Numbers: i. S I 2. S 3.
Replacement Tag: Y / N (If replacement tag, then enter original tag number here:
Proof of rabies enclosed: Yes_ No (please explain)
Date Information entered into database: By Whom:
N\ IL
Revised 05/05/10 sid
� 105 YeIn Ave. W., Yelyn, ISA 98597
M
Phone: (360) 458-3244 Fax: (360) 458-4348
nrrv+►v. c9. ae,i rr� . vua. �a 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 unfessproof of current rabies inoculation is iorovided with this
appi,ication. The dogs are required to wear the rabies tag issued by the veterinarian. (Yelm .Municipal Code -
Chapter 6.12)
Owner blame: /ValGr'-e- 1AA-Q Owner Phone* a70 I7 (a_�7
(
Physical Address: LJL ,, �r , _ S � .1 +, r'7 E-mail Address: 1&L'ij 9'3L-- C2a_16.:I c
## of Dogs: ;,L (Maximum of three allowed per YMC Chapter 6.08.030)
1. flame of Dog: % , Male: _k Female: _ Spayed or Neutered: Y / IE�
Breed: �c:v�Color:^.I-
2.
2. Name of Dog: in X; Male: ,%- Female: _ Spayed or Neutered: Y /amu
Breed:�
3. dame of Dog:
Breed:
Color: , 3�'*e/. -_ -
Male: Female: _ Spayed or Neutered: Y / N
Color:
Completed applications (including proof of rabies inoculations) may be mailed or delivered to Yelm City Hall,
105 Yelm Ave. Vii., Yelm, WA 98597. Incomplete applications will be returned. Applications may be obtained at
City Ball, Monday through Friday 8:00 am to 5:00 pm or by visiting our website at yiww.ci.yelrn.wa.us. Tags are
issued at City Hall. You may receive the flag by mail if requested.
To report a lost slog or if you have an animal complaint please call our
Public Works Department at (360) 458-8406.
For office use only
Date license(s) issued: Tag Numbers: 1. 2. ( 3.
Replacement Tag: Y / N (If replacement tag, then enter original tag number here: )
Proof of rabies enclosed: Yes_ No (please explain)
Date Information entered into database: By Whom:
Revised 05105i'I 0 sid
Fee Schedule:
v,'_y WA a G114J
105 Yelm Avav W, Yelm, WA 98597
Phone (360) 458-32-44 Fax: (360) 458-4348
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 uness proof of current rabies inoculation is proed with this
applicatiorQ. The dogs are required to wear the rabies tag issued by the veterinarian. (Yelm Municipal Code —
Chapter 6.12)
Owner Name: tlyA (ltkC0,0 Phone #: Ey�b 'SIU uq ;�
Physical Address: 31O L.22Q'( 6Nn S -V , E-mail Address: TCkC �-
# of Dogs: 1 (Maximum of three allowed per YNIC Chapter 6.08.030)
1. Mame of Dog: Male: 1 Female: Spayed or Neutered: Y f, -ND
Breed:(�)`\ ��� ]�`!� .Y.��1y Color: LQ .
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 caH our
Public 'works Department at (360) 458-8406.
For office use only
Date license(s) issued:.
Tag Numbers: 1.55 2.
Replacement Tag: Yr 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:
R,evised 05/051'1 0 sid
# A 105 Yeim Ave. VIK, Yelm, WA 98597
Phone (360) 453-32.44 Fax! (1pQJ14.58-4348 —
rrn�►u•.r3.alp. nra.�is
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 inorc lation is C3ro hided with this
application. The dogs are required to wear the rabies tag issued by the veterinarian. (Yelm Municipal Code -
Chapter 6.12)
Owner dame: --_11 r � � � `��C. i Owner Phone #:3&n - H!�58 - 0 1 ) 0
Physical Address: 3 9L;�' UD�i" �`.�� �`}'L E-mail Address.
# of Dogs:Z (Maximum of three allowed per YMC Chapter 6.08.030) C-0"
1. Name of Dog: 751 .n Male. -"-A Female: Spayed or Neutered: Y /0
Breed: PA - � Eva Color: V- [ Cl -L--
9 \ �- `CNS -
2. flame of Dog: Male: Female: Spayed or Neutered: Y / N
Breed:
3. fume of Dog-
Breed:
og:
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 uvww.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 oafl our
Public Works Department at (360) 458-8406,
For office use only
Date license(s) issued: Tag Numbers: 1. :r 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
A Y1L 6J1 K G!!dl
4 105 Yelm Ave. �V., Yelm, WA 9,3597
Phone: (360) 458-3244 Fax: ( 60) 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.
Rag strat]{)n s cannot be issued unless proof of currant rabies inoculation is provided with this
a fo? catiar�. The dogs are required to wear the rabies tag issued by the veterinarian. (Yelm Municipal Code —
Chapter 6.12) 9"/]/Owner dame:Ly-Zl Owner Phone �: S II/ 3 1� 2 5 /
Physical Address: f 5/1 (j, � PC l� * '� 5E -mail Address: U �� �P'f ����y��� ��
# of Dogs: -lam (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: crib, F'e Male: _k Female: Spayed or Neutered:oY / N
Breed: --Color: n
2. game 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 Yeim 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 wv+rrt.ci.yeIm.wa.us. Tags are
issued at City Hail. You may receive the tag by mail if requested.
To report a lost dog or if you have an anarnal complaint please call our
Public' Ncrks Department at (360) 458-8406.
For o1flee, use only
Date license(s) issued:../ r Tag Numbers: 1. 2. 3,
Replacement Tag: Y / N (If replacement tag, then enter original tag number here: )
Proof of rabies enclosed: Yes_ No (please explain)
Date Information entered into database: [ I - 1 � -1
-Revised 05/05!10 sid
By Whom:
vIiY W1 a =1111
105 Yei�d''I }Ave. W, Yelm, WA 98597
Phone: (3169) 433-3244 Fax: (360) 458-4348
n1�i3S
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 o currArr rabies inoculation is provided with this
application. The dogs are required to wear the rabies tag issued by the veterinarian. (Yelm Municipal Code —
Chapter 6.12)
Owner Marne: _flavo-U � i l,f�_ Owner Phone #:
Physical Address:
# of Dogs
E-mail Address: � IY�ILL.E`'gy�
�I 00
(Maximum of three allowed per YNIC Chapter 6.08.030)
1. dame of Dog: _:2u -ice Male -4 Female: ^ Spayed or Neutered( N
Breed: 1/��v�l� l� 6' CU 2L ;jlaa-_ Color: reJ
2. Name of Dog--
Breed:
og: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. VV., Yelm, WA 98597. Incomplete applications will be returned. Applications may be obtained at
City Mall, Monday through Friday 8:00 am to 5:00 pm or by visiting our website at ww1v.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' i:� rks Department at (350) 458-8406.
For office use only
-I Date licenses) issued -.41, , 1'" Tab Numbers: 1_ ,J 2. 3. .
Replacement Tag: Y / N (If replacement tag, then enter original tag number here: )
Proof of rabies enclosed: Yes^ No (pleasexplain)
Date Information entered into database. By Whom:
-Ravised 05/05i'I 0 sid
r 105 Yelm Ave. W, afelm, WA 98597
Phone; (3$0) 458-3244 Fax: (360) 458-4348
1ffifnrW.cj.ye1ry.Wa.Us
Application for Dog License
Fee Schedule:
Dog License: FREE
Replacement Tag: $2.00
Annual Registration for Dangerous Dog: $500.00 (Yefm Municipal Code – Chapter 6.08.070)
The City of Yelm requires all dogs to be registered annually and have current rabies inoculations.
Rawistrations_cannot be Issued unless_yroof 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) �&W_o
Owner dame: �Ca
Physical Address:&.vl [0 bo (t{„ tt J� E-mail Address:
) y
#fi of Dogs--. (Maximum of three allowed per YMC Chapter 6.08.030)
1. Dame of Dog: Male: Female: 5� Spayed or Neutered/ N
Breed: _ ?]DWr CPI I�� ted "S—WCoior: ) 1-k 14,k4echAst
Owner Phone #:&(�
2. Name of Dog:
Breed:
3. Dame 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. Vel., 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 w1xw.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 cce use only
Date license(s) issued:
1
Replacement Tag: Y @1replacement tag,
Tag Numbers: 1_ 2.
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
3.
vIiY %if a c1111
1105 Yelm Ave. W., Tela, WA 98597
Phone (360) 458-3244 Fax: (368) 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 canniat_be Issued unless_ proof of current rabies inoculation is tarovided with this
ajoo9ication. The dogs are required to wear the rabies tag issued by the veterinarian. (Yelm Municipal Code —
Chapter 6.12)
Owner dame:(.,kr;j L ''- 1,0 Owner Phone #: 7C r^ 2;50_ ~Fl gS
Physical Address:
# of Dogs: 2
1 S 4 t f P0,fkq iQw 0r YQ 1 '^ 4J4- qrW E-mail Address: f'i<-(' gfg��w �Sj �In,a� 1� cor,_�
1. Name of Dog:
Breed: L,, b
2. Name of Dog
Jae It
Breed: 0 wC_kS�"VLP
3. Dame of Dog:
B reed:
(Maximum of three allowed per YMC Chapter 6.08.030)
Male: _ Female: X Spayed or Neutered: (�/ N
Color: ye (6t,
Male: X Female: _ Spayed or Neutered: Cl N
Color: 6roc„ L.
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,gLyelm.wa.us. Tags are
issued at City Hail. You may receive the tag by mail if requested.
To report a lost dog or if you have an animal complaint please call our
Public's arks Department at (360) 458-8406.
For office use only
r�
Date license(s) issued: I J " Tag Numbers: 1 L 2. 3.
Replacement Tag: Y / N (Lf replacement tag, then enter original tag nuxn'oer here: )
Proof of rabies enclosed: Yes_ No (please explain)
Date Information entered into database: ``3 ol C By Whom:
Revised 05105/10 sid
vlLy vu a c1211
fO5 Yelm Ave. W., 'felm, ''& A 98597
Phone; (360) 438-3 244 Fax: (360) 4:58-4348
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 ino.cuiadon is provided with this
applicatia�ra. The dogs are required to wear the rabies tag issued by the veterinarian. (Yelm Municipal Code —
Chapter 6.12)c�
Owner Marne: 5���� +10� lU%�S_I-�-'' 1 Owner Phone #: Iii J�O
Physical Address: 12 S 9 Loc .1.c-4 C t -�,G , MrY) 19S1 % E-mail Address: Sw MOW r1lo, I I 1 Co al
# of Dogs:
2—
(Maximum of three allowed per YMC, Chapter 6.08.030)
1. Name of Dog: (� t�I_
Breed: i ' V +t' .
2. Name of Dog: ad el. �e
Male: %� Female: 1� Spayed or Neutered N
Color: L ANI �+
Male: Female: Spayed or Neutered: ®/ N
Breed:
190CclL
Color:
9hi`IC
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 Yeim City Hall,
105 Yelm Ave. W., Yelm, SIA 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 wynv.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 anirnal complaint please call our
Public's Drks Department at (360) 458-8406.
For office, use only
f�1�
Date license(s) issued: Tag Numbers: 1.0 2. 3.
Replacement Tag: Y / N (If replacement tag, then enter original tag number here: )
Proof of rabies enclosed: Yes_ No (please explain)
Date Information entered into database: By Whom:
Revised 051050 0 sld
City of Yelm
105 Yelm Ave. W., Yelm, WA 98597
Phone: (360) 458-3244 Fax: (360) 458-4348
►+v_�vw„ciy, of tn.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.yoim.wams. 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� Owner Phone #:
Physical Address: tir3 E-mail Address:
# of Dogs:._... (Maximum of three allowed per YMC Chapter 6.08.030)
R1
1. Name of Dog: Male: �,_ Female: Spayed or Neutered:�Y! N
Breed: Id Color:
2. Name of Dog:
Breed:
3. Name of Dog:
Breed:
Male: Female: Spayed or Neutered: Y / N
Color:
Male Females 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;
1
Tag Numbers: 1. �: L 2. 3.
Replacement Tag: Y / N (If replacement tag, then enter original tag number here:
Rabies Tag #;
Date Information entered into database:
10113
By Whom: