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504-537City 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 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'". �f r�' • ►,�, ]ar�� N �e.s Owner Phone #: (2-!3/)y �P 6 Physical Address: /�i3Y�1 L�a� %,� ��� _ E-mailAddress: �yo%r4M►dS115,um # of Dogs: g � (Maximum of three allowed per YMC Chapter 6-08.030) 1. Name of Dog: Ve a Breed: Male: [f Female: Spayed or Neutered: Y / 2. Name of Dog: A,71 I.4 Male: Color: - > i Breed: —Fry S K ✓ Color: 3. Name of Dog.- Breed: og: Breed: i Female: Spayed or Neutered: 61 N _ - . 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. 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: VU 'z Revised 05/05/10 sjd THE w0fr, � City of Yelm a 105 Yelm Ave. W., Yelm, WA 98597 WPhone: (360) 458-3244 Fax: (360) 458-4348 www.ci.yel_m.wa.us 3Y I.. Application for Dog License - Free Your lost dog is a phone call away when they wear their registration tag. Applications and license tags can be obtained at City Hall, Monday through Friday, 8:00 am to 5:00 pm or by printing the application from our website at www.ci.yelm.wa.us. Dog owners completing an application and returning it to City Hall will be issued a license tag. If you prefer to mail in your application, a tag can be mailed to you. The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Dogs are required to wear the rabies tag (Yelm Municipal Code — Chapter 6.12) and furnish proof to a Yelm Animal Control Officer, if requested. Current rabies tags are issued by a veterinarian. Owner Name: �j� C V! t2Y� `t' �[.Ltn i �� l Owner Phone #: 3(o Physical Address: 1 ��� Du ray-&- bc. E-mail Address:`' # of Dogs (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: CDUCr- Breed: C�apv O Male: Z Female: Color: b a4V Spayed or NeuteredCY / N 2. Name of Dog: C-��GQct Male: Female: Z Spayed or Neutered CJ N Breed: _ � C�I� Color: L kd ('e- D V -0-h l ctc-0) 3. Name of Dog: Male: Female: Spayed or Neutered: Y N "W - Breed: Color:!�C bti,�-u�'l Y/G 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. 50Cd 2. �l JI 3. 50'6 Replacement Tag: Y / N (If replacement tag, then enter original tag number here: ) Rabies Tag #:_ Date Information entered into database: 10/13 By Whom: �� 0 ' City of Yelm 0 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.ciyelm.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.ye1111. W@. LIS. 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: Y Y�u'J11 t 1� IV�1 1 1 Owner Phone #:',����� S �� Physical Address: JG E-mail Address4iftaslmii li # of Dogs: �. (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog:kkn ,, s Male: Female: Spayed or Neutered:(y)/ N Breed(�U - VN qwu Color -1510 Muir) 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._ 6Z9 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: City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci.yelm,wa.ns 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 I 1 ,�[;'v'C _ Owner Phone #: 5t!, ®—�i��'yLIC' Physical Address: _..,`�(�`j iJa skjv,U,lvnl Q E-mail Address: SLC C�')M ! (Om # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) V n` 1. Name of Dog. `I-1 ►c Ls Ck Male: _2�, Female: _ Spayed or Neutered. -0Y N P� iS3,q Breed: { : , ( �e A40 Color: �,,� „1 I,)�LA Yelm, o V12- Name of Dog: Male - Female- Spayed or Neutered: Y / N Breed: Color: 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. J ' 0 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: 1� ___ __ - yHt of City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.ciyelm.wa.us 1� L Application for Dog License - Free Your lost dog is a phone call away when they wear their registration tag. Applications and license tags can be obtained at City Hall, Monday through Friday, 8:00 am to 5:00 pm or by printing the application from our website at www.ci.yelm.wa.us. Dog owners completing an application and returning it to City Hall will be issued a license tag. If you prefer to mail in your application, a tag can be mailed to you. The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Dogs are required to wear the rabies tag (Yelm Municipal Code – Chapter 6.12) and furnish proof to a Yelm Animal Control Officer, if requested. Current rabies tags are issued by a veterinarian. Owner Name: itl lQ� Owner Phone #: M-1) –1) RT7, 9'7U Physical Address: Q C ]Cab }p (\W SE E-mail Address: Yr\ # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: D,, Xo iii Male: ',,/ Female: _ Spayed or Neutered:/ N Breed: _rtrm GLA 1 W\NV Color: 2. Name nf nnrr- Breed: 3. Name o Breed: Unle: e: Female: Spayed or Neutered: Y / N r: �I\\emale: —\S p ayed or utere\dY / Color: Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code – Chapter 6.08.070) To report a lost dog or if you have an animal complaint please call our Public Works Department at (360) 458-8406. For office use only Date license(s) issued: Tag Numbers: 1. 2. 3. Replacement Tag: Y / N (If replacement tag, then enter original tag number here: ) Rabies Tag #: Date Information entered into database: By Whom: 10/13 �wo,p THE,, l City of Yelm AF 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.d.yelm.wa.us 1� Z. 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: Cbmoo Owner Phone LA y �W5 1 IL. �` 1 E- Physical Address: # of Dogs: - I,– (Maximum of three allowed per YMC Wa ter 6.08.030 ( p P ) 1. Name of Dog: Male: _ Female: Spayed or Neutered/ N Breed: ] Ci�D t�l� Color: &_CAC©Y-: k 2. Name of Dog: Breed: 3. Name of Dog: Breed: Male: . Female: Spayed or Neutered: Y / N Color: Male: Female Color: Spayed or Neutered: Y / N Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070) To report a lost dog or if you have an animal complaint please call our Public Works Department at (360) 458-8406. For office use only Date license(s) issued: _ Tag Numbers: 1. 51D-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: ONO--"� City of Yelm 105 Yel m Ave. W., Yel m, WA 98597 Phone: (360) 456-3244 Fax: (350) 4513-4348 www_d .yel m.wjj.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.ciyelmma.us. Dog owners completing an application and returning it to City Nall 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 tog (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: _z1�r_¢n„ 2 i� i ric:6 wr les Owner Phone #: 01. J40 -73'-! - 7,z 11 Physical Address: ,-1 S At dev" S wj,4 E-mail Address: +Vi Ski u.k5ipuutsn, (rk-m S of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) 1 _ Name of Dog: _:5-a zx Male: — Female: le!� Spayed or NeuteredX9! N Breed: Ciro' Color: 2. Name of Doti: Breed: Male: _ Female: _ Spayed or Neutered: Y / N Color: 3. Name of Dog: _ Male: ,,,,_ Female: _ Spayed or Neutered: Y 1 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: i.� 2: 3,,. Replacement Tag: Y / N (If replacement tag, then enter original tag number here Rabies Tag 9 Date Information entered into database: 10M By Whom: � 'd H6c 'ON HAOS9 AVN:c c[az 'E[ ,uPr City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.c ye 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 r Owner Phone # Physical Address: �� E-mail Address CtVJ S I l if e. iVV # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog S e Breed: T�>6 XQ-T J1 x- 2. Name of Dog: Vj i l S C?(1 Breed � ryn 3. Name of Dog: _ Breed - Male: _ Female: Spayed or Neutered:%/ N Color: ^a V\ Male: I Female: Color: ( c'\>-_ Male: Female: Color: Spayed or Neutered:(/ 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: _ Tag Numbers: 1. 5� 2. CJ (� 3. Replacement Tag: Y / N (If replacement tag, then enter original tag number here: _ ) Rabies Tag #. Date Information entered into database: _ By Whom: _ _ 10/13 City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www,ci.yelm.wa.us Application for Dog License - Free Your lost dog is a phone call away when they wear their registration tag. Applications and license tags can be obtained at City Hall, Monday through Friday, 8:00 am to 5:00 pm or by printing the application from our website at www.ci.yelm.wa.us. Dog owners completing an application and returning it to City Hall will be issued a license tag. If you prefer to mail in your application, a tag can be mailed to you. The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Dogs are required to wear the rabies tag (Yelm Municipal Code — Chapter 6.12) and furnish proof to a Yelm Animal Control Officer, if requested. Current rabies tags are issued by a veterinarian. Is Owner Name: S+RAJ� 1 t �OL okt Owner Phone #: 5- 59 3 ' �D Physical Address: l Li v� �3 Pau rL e VI,S-k-1 !R-O� M E-mail Address:4.-L1jXi' gl7j # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog:H oPit� Male: Female: _ Spayed or Neutered:/ N Breed: p �-}'_ Color: a r I b1' lI)ALa 2. Name of Dog: T�2 Male: X Female: _ Spayed or Neutered:0 N Breed: 3111_b "I`ZJLI_ Color: Wil 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: I.5 L lta 2. 511 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: �z City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 wwuv.ci.yelnn.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: u - 1 � �'� }� Owner Phone #: "1413 C�J- JW� Physics! Address: "IZZZ�Ui1 E-mail Address: rrfll'C6� # of Dogs: 1 (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: Male: Breed: vpu�'_d 2. Name of Dog: Male: Breed: 3. Name of Dog: Breed: Male Female: Spayed or Neutered:/ N Color: Color: Color: Female: Spayed or Neutered: Y / N Female:._ 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 Date license(s) issued: Tag Numbers: L 91 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.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 Nam �I.k&CLL' P * 1 `' ' ' Owner Phone #: S-1 aS _4q 3` '7 � Q S Physical Address:CdoCkgt�3 q 1� k jZtM E-mail Address: CdM # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: 5 �- _ Male: Breed:. JLUOU) VD 2. Name of Dog: Female -y Spayed or Neutered: Y /5i) Color: � e__ Male: � Female: i Breed: � Vly1C1 kv1.Ck, Color: cff 3. Name of Dog: Breed Male: Female Color: Spayed or Neutered: Y /e Spayed or Neutered: Y / N Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070) To report a lost dog or if you have an animal complaint please call our Public Works Department at (360) 458-8406. For office use only Date license(s) issued: Tag Numbers: 1. 6 ( -1 2. 5dO 3. Replacement Tag: Y / N (If replacement tag, then enter original tag number here: ) Rabies Tag #: Date Information entered into database. By Whom: _ V 10113 City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.ciyelm.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: ,10y� S h kpc oaod( '_ Owner Phone #: c) 10 '- c) -U -i • Physical Address:- '3 � _(c� S F • S1 t/,,lGiy E-mail Address: ,c,vI'sh h�.rnc dcz� rl �K�c # of Dogs: i (Maximum of three allowed per YMC Chapter 6.08.030) J 1. Name of Dog: _"G X'V. Breed:.._Q�C e i 2. Name of Dog: Breed: 3. Name of Dog: Breed: Male: ✓ Female: _ Spayed or Neutered: Y /(N) Color:I h_i`K a Male: Female: Color: Spayed or Neutered: Y / N Male: Female: Spayed or Neutered: Y / N Color: Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070) To report a lost dog or if you have an animal complaint please call our Public Works Department at (360) 458-8406. For office use only Date license(s) issued:_ Tag Numbers: 1. 5 - 1- 2. 3. Replacement Tag: Y / N (If replacement tag, then enter original tag number here: ) Rabies Tag #: Date Information entered into database: By Whom: 10/13 �rte" City of Yelm r^U; 105 Yelm Ave. W., Yelm, WA 98597 Phone: M<M 458-3244 Fax: (360) 458-4348 www.ci.yelm.wa.us Application for Dog License - Free Your lost dog is a phone call away when they wear their registration tag. Applications and license tags can be obtained at City Hall, Monday through Friday, 8:00 am to 5:00 pm or by printing the application from our website at www.ci.yelm.wa.us. Dog owners completing an application and returning it to City Hall will be issued a license tag. If you prefer to mail in your application, a tag can be mailed to you. The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Dogs are required to wear the rabies tag (Yelm Municipal Code — Chapter 6.12) and furnish proof to a Yelm Animal Control Officer, if requested. Current rabies tags are issued by a veterinarian. Owner Name: 111) P)UW Owner Phone #: -243--b -0,57)3/ Physical Address: 9&& �YA_V% LAJ �f_ 5 E-mail Address: l 1��Ti'"6LU116 # of Dogs: _ (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: &&' Male: Female: YC Spayed or Neutered: 6/ N Breed: 6 )Lj f�l_c- x/gg Color: &,/i a, 4��T_f_ 2. Name of Dog: Breed: 3. Name of Dog: Breed: Male: Female: Spayed or Neutered: Y / N Color: Male. Female: Spayed or Neutered: Y / N Color: Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070) To report a lost dog or if you have an animal complaint please call our Public Works Department at (360) 458-8406. For office use only Date license(s) issued: Tag Numbers: I 3. Replacement Tag: Y / N (If replacement tag, then enter original tag number here: ) Rabies Tag #: Date Information entered into di i I a base: By Whom: 10/13 rli�j 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- ; �(�. i1C IiQ.IL� Owner Phone #: a' 3(071 - 9— Physical Address: I(05W Co &DW [tar NQ_. 'SE E-mail Address: MM, . jWidi R, Gli) eqmI.cha # of Dogs: a(Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: 1,400e Male: _ Female: 1C Spayed or Neutered Y ! N Breed: 2a t iCrrj'QK Color: l r I ud or 2. Name of Dog: VV I - —E _ Male: Y Female: ` Spayed or Neutered: Y 1 N Breed: I Xed 3. Name of Dog: Breed: Color:,.NQck Cal(# Ialo 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. t� 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 Animal Care Veterinary Hospital 502 McMillan Ln Greenville, NC 27834 (252)758-9971 Account: 14800 Invoice: 353544 Date: 04/05/2017 Time: 3:31 PM Page: 1 Julia Andrews Patient: HOPE Age: 4 2234 Penny Hill Rd. Species: CANINE Sex: FE Greenville NC 27834 Breed: Rat Terrier Tag: 44354 Bordetella Vaccine Color: Tricolor Weight: 15.00 Yearly Physical Doctor: Dr.Ross Shaffer 35.37 35.37 Phone: (252)367-9289 1.00 6.24 6.24 Service/item Qty Price Amount Intestinal Worm Exam 1.00 15.92 15.92 Heartworm, parasite serology 1.00 28.61 28.61 Bordetella Vaccine 1.00 16.64 16.64 Yearly Physical 1.00 35.37 35.37 Annual DHLP/PARVO Vaccine 1.00 6.24 6.24 Extended blood panel 1.00 42.45 42.45 Nail Trim 1.00 10.60 10.60 Rabies 3 Year Vaccine 1.00 14.57 14.57 Sentinel 11-25 lbs 1.00 41.71 41.71 Simparica 11.1-22 (3 MONTHS) 2.00 T 32.83 65.66 Tax 4.60 Net Invoice 282.37 Previous Balance 0.00 Payment 0.00 Balance Forward 282.37 Reminders: April 5, 2018 Intestinal Worm Exam April 5, 2018 Heartworm,parasite serology April 5, 2018 Bordetella Vaccine April 5, 2018 Yearly Physical April 5, 2018 Annual DHLP/PARVO Vaccine April 4, 2020 Rabies 3 Year Vaccine Aug. 23, 2017 Sentinel 11-25 lbs May 25, 2017 Simparica 11.1-22 (3 MONTHS) - A BOOSTER IS REQUIRED ONCE A YEAR ON THE BORDETELLA VACCINE. - Sentinel is the only monthly oral preventive that guards against heartworms, adult roundworms, adult hookworms, whipworms, and prevents the development of flea eggs. Sentinel requires a prescription from your veterinarian. Thank You M subject to tax City of Yelm RP-C.PIVED 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 FEB 21 2017 www.ci.yelm.wa.us Application for Dog License - Free Your lost dog is a phone call away when they wear their registration tag. Applications and license tags can be obtained at City Hall, Monday through Friday, 8:00 am to 5:00 pm or by printing the application from our website at www.ci.yelm.wa.us. Dog owners completing an application and returning it to City Hall will be issued a license tag. If you prefer to mail in your application, a tag can be mailed to you. The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Dogs are required to wear the rabies tag (Yelm Municipal Code – Chapter 6.12) and furnish proof to a Yelm Animal Control Officer, if requested. Current rabies tags are issued by a veterinarian. Owner Name:N—'C\,fe,, oko Owner Phone #: Physical Address: k�)-2_`7�) ye-wir, rE E-mail Address: C.,NCX " Zj+- Rae,) # of Dogs: Z (Maximum of three allowed per YMC Chapter 6.08.030) V\ 1. Name of Dog: i Male: _ Female: X_ Spayed or Neutered:0 N Breed: Color:j�G+[��L' 2. Name of Dog: l',]L1 Male: _ Female:.yC Spayed or Neutered: Q N Breed: C Color:-�1�1_�(,t 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. S a S 2. So 3. Replacement Tag: Y / N (If replacement tag, then enter original tag number here: ) Rabies Tag #: Date Information entered into database: By Whom: 10/13 City of Yelm 105 Yelm Ave. W., Yelm, WA 95597 Phone: (360) 455-3244 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. 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) Owner Name: _ �� i��AC�1 CX� Owner Phone #: O l 23� 0 Physical Address: O v GroeJr—� E-mail Address: -e' 1 I c sw een 8 to ct 0� Con # of Dogs: I (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: ��qMQ4)'Ll SSM Male. Female: —ZSpayed or Neutered:@�Y N Breed: CL t I CA K 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 flag 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.-5W 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.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:Qwow �W)aoAc�Owner Phone #: I 1 " 14 09 4 r� Physical Address:�WO V [lloxty � E-mail Address � eon . P�wr-(1) # of Dogs: 0) (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog.c Male: _ Female: �� Spayed or Neutered:/ N Breed: r y of ry�1 r 2. Name of Dog: l l L Male: ` Female: LJ Spayed or Neutered Y/ N Breed: �ll Color: j Vo i,1-) 3. Name of Dog: 1 Male: _ Female: -payed or Neutered:/Y A N Breed: l '� r Color: LSV e LL 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 Date license(s) issued: Tag Numbers: I . 92. 50� - f 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: 05/22/2017 MON 11:48 iR-ADV C5250 2001 ***************** *** TX REPORT *** ***************** JOB NO. 3643 ST. TIME 05/22 11:46 SHEETS 49 FILE NAME TX INCOMPLETE TRANSACTION OK \\yelmexchserver\AdminFin Data Michelle ERROR ----- 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.proo#. 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) q Owner Name: _ L��4�1. 1�`r' Owner Phone #: 7 Physical Address: V JLdetm E-mail Address; �/VjC)C�QQ��y � (tir�� UIK # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: o�L _ Male:Female: _ Spayed or Neutered N Breed: ' Q _ Color: (.- C P�a✓[� l �vy� 2. Name of Dog: L 1 Male: _ Female: SpayedorNeuteredd' N Breed: Color: 3. Name of Dog: �(' I�� Male: . Female: Spayed or NeuteredcY " N Breed: �� 1�� Color: P�A� 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. 531 5 3 2-- 513-E5 I �v Of Tilt, r• �19L City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone. (360) 458-3244 Fax: (360) 458-4348 www&L elm wa nU 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 Niall 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 Aninal Control Officer, if requested. Current rabies tags are issued by a veterinarian owner Name: S Owner Phone M Physical Address:00 _ vc Ell r�] D4 St V c� E-mail Address: C.' karx� r t d�" rrr r , Cn 0 of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) Name of Dog: Breed: kl LW 0C ° }� Gb.�l 1 - Male: Female: Spayed or Neutered: Color: Y 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: � 2 3. Replacement Tag: Y / N (If replacement tag, then enter original tag number here: ) Rabies Tag # _ Date Information entered into database:_ By Whom: 10/13 THE 9w City of Yelm a 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci.yelrn.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. L]►3`f - ./lf�[5�- -7 Owner Name: Owner Phone Physical Address: �K9 � � _ �' E-mail Address: # of Dogs: J (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of /Dog: 0— OD P e,C Male: X Female: _ Spayed or Neutered:/ N Breed: L� ' ' ° Color: 2. Name of Dog. �� C�_ S 0 N Male:Female: _ Spayed or Neutered: N Lo s s� � Breed: L o 1, Color: B f a_c 3. Name of Dog: W1 I10tw Breed: Cfect4 hremeos Male: Color: Female: x Spayed or Neutered: (D N �+� Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070) To report a lost dog or if you have an animal complaint please call our Public Works Department at (360) 458-8406. For office use only Date license(s) issued: Tag Numbers: 1, S3E S3(p _ 3. 6,377 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: