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541-586ATtu: � O'k p City of Yelm a 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 registraflon 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.yeli-n.wt].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: A( *_E4 " _ Owner Phone #: Physical Address: 5d ��ire ��Arc( y fj SF__ E-mail Address: u0Pa,d prdF�'ioA/9J.a��rvQ,Cvu� # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: STDuy Male: _ _ Female: X Spayed or Neutered 0/ N Breed:. �_ ta(/ CH1404- Color: 1710 /NJ°L. 2. Name of Dog: Breed: 3. Name of Dog: Breed: Male: _ Female: Spayed or Neutered: Y / N Color: Male: Female:._ Spayed or Neutered: Y / N Color: 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 �j Date license(s) issued: _ Tag Numbers: 1. ✓0 2. 3, Replacement Tag: Y / N (If replacement tag, then enter original tag number here: ) Rabies Tag # Date Information entered into database. ! By Whom: Revised 02111 City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci.yelrn.wa.es 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.cyelm.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. �r r Owner Name: r �J wner Phone #: LES 'J_"! G' 7 i b Q Physical Address: lo-,I-Ng_TH rw e &i t - !!!(A m S'cf�-mail Address: M( 1)/ m � [ dj o # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) q U I •(p(J� 1. Name of Dog: _ _ r(� (off_ Male: Female: _Spayed or Neutered: Y Breed: S 112L Vi 41 V1 4 J Cb _ Color: - 2. Name of Dog: Breed: 3. Name of Dog: Breed: Male: Female: Spayed or Neutered: Y / N Color: Male: - . Female:. Spayed or Neutered: Y / N Color: 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. Replacement Tag: Y / N (If replacement tag, then enter original tag number here: Rabies Tag # Date Information entered into database: Revised 02111 By Whom: a City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci.yelm.wams 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.cyelm.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: _ f Wt lol iN say %, Owner Phone #: n s-�=10j z1 k Physical Address: JL� Ike �n e.V Vf _&= _Vt E-mail Address: a" ED M # of Dogs: 1. Name of Dog: �o1Qh Breed: oaa� 2. Name of Dog. Breed: 3. Name of Dog: Breed: (Maximum of three allowed per YMC Chapter 6.08.030) Male: -.4- Female: _ Spayed or Neutered: V N Color: t_,V-A v Male: Female: _ Spayed or Neutered: Y / N Color: Male: Color: Female: _ 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 II Date license(s) issued: _q Tag Numbers: 1.5 a2 2. 3. Replacement Tag: Y / N (If replacement tag, then enter original tag number here: ) Rabies Tag # Date Information entered into database: Revised 02/11 BY Whom: City of Yelm 105 Yelm Ave. W., Yelm, WA 98,597 Phone: (360) 458-3244 Fax: (360) 458-4348 • www.ci.yelm.wa.us -Vr.:r-M 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. Recaistrations 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: Owner Phone Physical Address: `�\ �� l 1 S 1-`�L� �J E-mail Address: +-0, Ihu 3Jon t # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) hCAACY) bk') • c.'�ir Name of Dog: -T'1 e— .1(Aip Male: Female: w� Spayed or Neutered Y / N Breed: � V�YI Color: U) ,LVe 2. Name of Dog: Breed: 3. Name of Dog: Breed: Male: Female: Spayed or Neutered: Y / N Color: Male: Female: Spayed or Neutered: Y / N Color: Completed applications (including proof of rabies inoculations) may be mailed or delivered to Yelm City Hall, 105 Yelm Ave. W., Yelm, WA 98597. Incomplete applications will be returned. Applications may be obtained at City Hall, Monday through Friday 8:00 am to 5:00 pm or by visiting our website at www.ci.yefrn.wa.us. Tags are issued at City Hall. You may receive the tag by mail if requested. ---To report-wi-astdog or if you have an animal-com-phain-pleasei-caU our Public Works Department at (360) 458-8406. For office use only Date license(s) issued: Tag Numbers: 1.5 q 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: Revised 05/05/10 sjd By Whom: 3. City of Yelm a 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 " www.ci. elm.wa.us 7 L 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.velm.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: 'L P_CkrdA0L Owner Phone #: Physical Address: E-mail Address: c ��JClt�x # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: Lpo�_i e Breed: 2. Name of Dog: Breed: 3. Name of Dog: Breed: Male: Female:\ Spayed or Neutered/ N Color: .—Lk&l )S 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.� 2. 3. Replacement Tag: Y / N (If replacement tag, then enter original tag number here: ) Rabies Tag # Date Information entered into database: Revised 02111 By Whom: City of Yelm rz 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci.yelm.wa.us TT ''++• 5 L Axb 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.yeiiaa.wra.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. �yy Owner Name: �� t� _ 1C 11 1 (7 Owner Phone 0 [ ) Z �_ Physical Address: -_-D9.-VosM0\� E-mail Address.J�1 # of Dogs:. .I (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: _EAM—P� Male: Female: Spayed or Neutered: YQ Breed: _0 Color: 2. Name of Dog: Male: _ - Female: _ Spayed or Neutered: Y / N Breed: Color: 3. Name of Dog: _ Male: Female: _ Spayed or Neutered: Y / N Breed: Color: Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code – Chapter 6.08.070) To report a lost dog or if you have an animal complaint please call our Public Works Department at (360) 458-8406. For office use only Date license(s) issued: Tag Numbers: 15�3 2. 3. Replacement Tag: Y / N (If replacement tag, then enter original tag number here: ) Rabies Tag # Date Information entered into database: Revised 02111 By Whom: City of Yelm i 105 Yelm Ave. VI/., Yelm, VITA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 = •'. .� www.ciyeim.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: 4 4c1 J'a lf_I tzoO - Owner Phone #: ' 306— 7LY6 a # 700 Physical Address: _ I-�� r� e G � E-mail Address: p (AlMa// CVA- # of Dogs /-WO (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: 00 ( it Breed: 4a 2. Name of Dog: Breed: 3. Name of Dog: Breed: JQ d a Cab Male: 1"` Female:__ Spayed or Neutered N Color: 4AM eta �✓ / Male: _ Female: ?0 Spayed or Neutered N Color: h fir l,� Male: Female: Spayed or Neutered: Y / N Color: Completed applications (including proof of rabies inoculations) may be mailed or delivered to Yelm City Hall, 105 Yelm Ave. W., Yelm, WA 98597. Incomplete applications will be returned. Applications may be obtained at City Hall, Monday through Friday 8:00 am to 5:00 pm or by visiting our website at www.cl.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. J 3. Replacement Tag: Y / N (If replacement tag, then enter original tag number here: ) Proof of rabies enclosed: Yes_ No (please explain) Date Information entered into database: By Whom: Revised 05/05/10 sid 011 City of Yelm 105 Yehn Ave. K Yehn, WA 98597 Phone: (360) 4S8-3244 Fax: (360) 458-4348 HMN-CLYCIM.wa.us L Application for Dog License - Free Your lost dog is a phone call away when they wear their registration tag. Applications and lioense 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 yourappllcation, 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 fumish proof to a Yelm Animal Control Officer, if requested. Current rabies tags are issued by a veterinarian Steve 360-286-6778 Owner Name: Steve Hurd /Alex Hesse -Siegert Owner Phone #: Alex 360-840-0697 steve2bears gmiail.corn Physical Address: 15633 Parkview Dr SE E-mail Address: alex2bears ginail.corn # of Dogs: 1 1. Name of Dog: Arcl ie Breed: Shepherd Mix (Maximum of three allowed per YMC Chapter 6.08.030) Microchip: AMID 065598556 2. Name of Dog: Breed: 3. Name of Dog: Breed: Male: XX Female: _ Spayed or Neutere Color: Black /Tan Male: Female:.__ . Spayed or Neutered: Y I 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) 4588406. For office use only j�-% Date Iicense(s) iswed- � Tag Nuwmbers: 1 2, 3 Replacement Tag: Y J N (If replacement tag, then enter original tag number hare: ) Rabies Tag # Date Information entered into database: in 13 By Whom: _ _ — w Yelm Veterinary Hospital 1120 Yelm Ave W. Yelm, WA 98597 360-458-7707 Rabies Certificate Client ID: 38176 Client Name: STEVE HURD Address: PO BOX 683 YELM WA 98597 Phone: (360) 286-6778 Tag Number: 50193 Lot Number: 176696C Producer: NOBIVAC K / MLV: Killed Virus Patient I D: 109503 Patient Name: ARCHIE Species: CANINE Breed: SHEPHERD/MIX Sex: Color: Markings: Birthday: Weight: Vaccination Date: Neutered Male TAN/BROWN/BLACK 7/5/2011 82.1 7/5/2017 Expiration Date: 7/5/2020 Microchip# = Staff Name: EMILY FRENCH, DVM License Number: 60109047 City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci.yelm.wa.us Application for Dog License - Free The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Your lost dog is a phone call away when your dog wears their registration tag. The dogs are required to wear the rabies tag issued by the veterinarian. (Yelm Municipal Code – Chapter 6.12). Applications can be obtained at City Hall, Monday through Friday 8:00 am to 5:00 pm or by printing the form from our website at www.ci.yelm.wa.us. Completed license applications may be mailed or delivered to Yelm City Hall, 105 Yelm Ave. W., Yelm, WA 98597. Tags are issued at City Hall and can be mailed to your address, if requested. Owner Name:r YOTAOwner Phone #: dress: 3 �C5 7 f� 7 cJ Physical AdO �V 1) M C4 ✓1(.t ✓Yj S 6 SE E-mail Address: J6! ffogfi o (S►iri'4'TL (C)A1 # of Dogs:. I (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: C"' c' e so_r Male: Female: , Spayed or Neutered: yN Breed: yYl t_�1 F (J� {,��— Peg0(� (�. Color: 2. Name of Dog: Breed: 3. Name of Dog: Breed: Male: Female: Color: Male: _ Female: Color: Spayed or Neutered: Y / N Spayed or Neutered: Y / N 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: Revised 02111 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 The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Your lost dog is a phone call away when your dog wears their registration tag. The dogs are required to wear the rabies tag issued by the veterinarian. (Yelm Municipal Code — Chapter 6.12). Applications can be obtained at City Hall, Monday through Friday 8:00 am to 5:00 pm or by printing the form from our website at www.ci.yelm.wa.us. Completed license applications may be mailed or delivered to Yelm City Hall, 105 Yelm Ave. W., Yelm, WA 98597. Tags are issued at City Hall and can be mailed to your address, if requested. Owner Name: Owner Phone #: � ,. Physical Address: � � �_ 1� LT � � E-mail Address: m6& il4l, , _ l/ # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog:S[. _ Male: Female:X Spayed or Neutered:/ N Breed:►'r' n A21l . Color: In C* W� , 2. Name of Dog: 615 Male: X Female: _ Spayed or Neutered: Y / 6 Breed: �:� ,.� I �' .f e �r Color: W c' 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: 14.5y 2. 3. Replacement Tag: Y / N (If replacement tag, then enter original tag number here Rabies Tag # Date Information entered into database: Revised 02/11 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 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. _ I Owner Name: # of (Maximum of three al Name of Dog: Male: Male Breed: t c K("/\ 2. Name of Dog: Breed: 3. Name of Dog: Breed Phone :�].{3(��-/� E-mail Address: �W 6i�'�J�` oeiVYMC Chapter 6.08.030) f F male: '� Spayed or Neutered: Y / Color' 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 �( r� Date license(s) issued: U / Tag Numbers: 1. 5�-7 ,50 2. 3. Replacement Tag: Y / N (If replacement tag, then enter original tag number here: __. ____ Rabies Tag # Date Information entered into database: Revised 02/11 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 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. r +� Owner Name: A'ZI-L Yj j07 � j�y� E, Owner Phone #: Physical Address: J • _ A -r._ px • E-mail Address: # of Dogs: 1 1. Name of Dog: /_; `/ (Maximum of three allowed per YMC Chapter 6.08.030) Breed: --,of 2. Name of Dog: Breed: 3. Name of Dog: Breed: Male: —Female: X Spayed al Neutered: Y / Color: G ►1! .4 Male: Female: _ Spayed or Neutered: Y/ N Color: Male: _ Female: f 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 2. 3. Replacement Tag: Y / N (If replacement tag, then enter original tag number here: ) Rabies Tag # Date Information entered into database: Revised 02111 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 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.ciyelm.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: !� �11 J 0 l V ff)�Ls Owner Phone #: SW � 1� I L90 Physical Address:._ � S� 2.17 0Zr)d Lj_-1ul Jt` E-mail Address: # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: Male Breed:_S,r Female: Spayed or Neutered: Color: b�c r 2. Name of Dog:1�1) 1 Male: Female:y Spayed or Neutered1& N Breed: `) ��' r06 I1 S�90h e, Color: }�C �L , C i om ] r 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: I, I 'i6_ 1 � Tag Numbers: 1.65D- 2.6 3. Replacement Tag: Y / N (If replacement tag, then enter original tag number here: Rabies Tag # Date Information entered into database: _ _ By Whom: Revised 02111 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 1175 Owner Name: �: 1 ` t ��\\ t + Owner Phone #: (A k I (O� L4 D 15 Physical Address. 15iiC� B CrAaI 'k e Pie_ �� . E-mail Address: ' a 5 21 �JW01 I -MY) # of Dogs: Z (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog:_V',ne_kb Male Female: 7 Spayed or Neutered:0 N Breed: Ankn(1I Ci1Oflwhoa AL Color: 'P)ICC\"-- 2. Name of Dog: �� i )� Male: X Female: _ Spayed or Neutered:(Y Y N Breed: 1�\ fl+[.; ti::t r: �C��- 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 I C Date license(s) issued: Tag Numbers: 1. 2. 9� 3. Replacement Tag: Y / N (If replacement tag, then enter original tag number here: ) Rabies Tag # Date Information entered into database: By 10/13 City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.cii.yelm.wa.us Application for Dog License - Free The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Your lost dog is a phone call away when your dog wears their registration tag. The dogs are required to wear the rabies tag issued by the veterinarian. (Yelm Municipal Code — Chapter 6.12). Applications can be obtained at City Hall, Monday through Friday 8:00 am to 5:00 pm or by printing the form from our website at www.ci.yelm.wa.us. Completed license applications may be mailed or delivered to Yelm City Hall, 105 Yelm Ave. W., Yelm, WA 98597. Tags are issued at City Hall and can be mailed to your address, if requested. Owner Name; Owner Phone #: Physical Address: E-mail Address: # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: ?c1 q � _ Male: Female: ?K_Spayed or Neutered N Breed:.. mxee� (23w,- ff _r71'ff,iz71Z Color: If�/� 1 frJ & eL _ s-A-9paroO 2. Name of Dog: r Male: Female: Spayed or Neutered N Breed: Q'c _ U Color:7i1�� d 3. Name of Dog: Aila-f Male: V Female: Spayed or Neutered: Y Breed: Ur DII J� _ G 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.__ Replacement Tag: Y / N (If replacement tag, then enter original tag number here: Rabies Tag # Date Information entered into database: By Whom: Revised 02111 O THE t 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 r �J 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.velm.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: a lf�l 1 1 I"� C)C]r�' Owner Phone #: 2(93 9966 Physical Address: f Q( H baH hj 1K ED St E-mail Address: nqroVda110 Ili gM��'� # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: C 1 1� Mal Breed: (� w 2. Name of Dog: Breed: 3. Name of Dog: Breed: Female: v Spayed or Neutered: Y / I� Color: _ `lUw 1 C_) 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 4, 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. °f, 4Ep R City of Yelm a 105 Yelm Ave. W., Yelm, WA 98597 . i. Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci.yelm.wa.us YrXM[ 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.c 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. _ f Owner Name:YA jkl V"I 01, Owner Phone #: I�q VC J1f� t7�3o . Physical Address: � o � mail Address: e c # of Dogs: I (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: 60% Male: Female: _ Spayed or Neutered: Y / Breed: 6bUJ^ IftkVColor: C -1A ku 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: �O " I 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:vik2 Revised 02111 City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci.yelm.wa.us Application for Dog License - Free The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Your lost dog is a phone call away when your dog wears their registration tag. The dogs are required to wear the rabies tag issued by the veterinarian. (Yelm Municipal Code – Chapter 6.12). Applications can be obtained at City Hall, Monday through Friday 8:00 am to 5:00 pm or by printing the form from our website at www.ci.yelm.wa.us. Completed license applications may be mailed or delivered to Yelm City Hall, 105 Yelm Ave. W., Yelm, WA 98597. Tags are issued at City Hall and can be mailed to your address, if requested. _ Owner Name: � � U �, ��1�c�n Owner Phone #: Physical Address: 7 Of-oo� 6' E-mail Address: # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: _ A . Male: Y_ Female: T Spayed or Neutered N a D x'1 Breed: f— 1 Y Color: 6 t OWy\ 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. 2. 3 Replacement Tag: Y / N (If replacement tag, then enter original tag number here: Rabies Tag # Date Information entered into database: Revised 02/11 By Whom: City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci.yelm.wams 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.velm.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. (5Oq) q q f- 9 3 4 co Owner Name: KW t � �j n l--lyd YQ6 eYLI,_S I C Owner Phone #: z) 9) 3 Lo 9— I (-oao Physical Address: 1497S 101,St 4 E-mail Address: &)P r I I 11�; i C h% G� _ �a 7 # of Dogs: (Maximum f,thr allowed pe�C�Chapter 6.08.030) J rn�r • C M 1. Name of Dog: U Q e r Male: K Female: _ Spayed or Neutered: Y /8 ++A Breed: l Color: —Er 1 Fn W n 2. Name of Dog: Breed: 3. Name of Dog: Male: Femov;--'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: 1.56/2. 6 3. Replacement Tag: Y / N (If replacement tag, then enter original tag number here: ) Rabies Tag # Date Information entered into database: Revised 02/11 By Whom: � ffj City of Yelm m 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci,yelm.wa.us 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.velm.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: X;C—&C'j . (Rrt) ►^ Owner Phone #: o�s3'ge C�'� 775 Physical Address: 9923 9 Crcc'n lea7' /-yD2 S �,. E-mail Address:YnChrQwv, 47��*cr 400. Cdr # of Dogs: 1 (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: Ju ; ,.g, Male: Female: Spayed or Neutered: Y Breed: 1)7�41a'fu>rc ell ccxet Color— lac4 '*-/arl 2. Name of Dog:_ Breed: 3. Name of Dog: Breed: Male: Female: Color: Male: Female: Color: Spayed or Neutered: Y / N Spayed or Neutered: Y / N 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 licensc(s) issued: Tag Numbers: 2. Replacement Tag: Y / N (If replacement tag, then enter original tag number here:_ Rabies Tag # Date Information entered into database: 10/13 By Whom: N\ 3. City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci.yelm.wa.us Application for Dog License - Free The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Your lost dog is a phone call away when your dog wears their registration tag. The dogs are required to wear the rabies tag issued by the veterinarian. (Yelm Municipal Code — Chapter 6.12). Applications can be obtained at City Hall, Monday through Friday 8:00 am to 5:00 pm or by printing the form from our website at www.ci.yelm.wa.us. Completed license applications may be mailed or delivered to Yelm City Hall, 105 Yelm Ave. W., Yelm, WA 98597. Tags are issued at City Hall and can be mailed to your address, if requested. Owner Name:#a ��f ��,�� Owner Phone #: r r Physical Address:.��%'({ �` Sf _ E-mail Address: G4em # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) Name of Dog: Male t Breed: LL� 2. Name of Dog: Breed: 3. Name of Dog: Breed: Female:t! Spayed or NeuteredOY/ N Color: mw A �L ) t ps 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.� 2. 3. Replacement Tag: Y / N (If replacement tag, then enter original tag number here: ) Rabies Tag # Date Information entered into database: By Whom: RP �P� n9ii 1 Copiers Northwest Olympia - Major Accts Customer: City Of Yelm Attn: Accounts Payable 105 Yelm Ave W Yelm, WA 98597 Sales Order Picking List S.O. Date: 07/17/2017 S.O. Number: 50357717 Printed Date: 7/17/2017 8:14:40AM x-, (`+�-,x��I D Entered by: cpernori I Jul_ 1 X017 ' Ship To: City Of Yelm Attn: Accounts Payable 105 Yelm Ave W Yelm, WA 98597 Account Number Payment Terms P.O. Number Ship Method Date Required 200651-P 30 Days UPS Ground 08/01/2017 Notes Sales Person Debbie Raphael Qty. to Item Description Serial Number um On Hand Qty. B/O Pick Warehouse Bin 2801BO03AC Canon Toner Yellow GPR 30 C5051 C5045 C5250 C5255 38k yld 6/cs 480/pl Signature: EA 450 0 1 615ALASKA 127802 Date: _ Page 1 of 1 City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci.yelm.wa.us Application for Dog License - Free The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Your lost dog is a phone call away when your dog wears their registration tag. The dogs are required to wear the rabies tag issued by the veterinarian. (Yelm Municipal Code - Chapter 6.12). Applications can be obtained at City Hall, Monday through Friday 8:00 am to 5:00 pm or by printing the form from our website at www.ci.yelm.wa.us. Completed license applications may be mailed or delivered to Yelm City Hall, 105 Yelm Ave. W., Yelm, WA 98597. Tags are issued at City Hall and can be mailed to your address, if requested. Owner Name: Ca (4o -,R rKCt_-ve"- Owner Phone #: zo - SO 8'1 Physical Address: qq s.3 O W4 -54. E-mail Address: cu j4pA .1. r��c�5 f�� rrY.ti�.Corti1 # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: fl e ;n hp Male: X Female: _ Spayed or Neutered: TY N Breed:�6u, I I rAn-LA-kep Color: y, c,— enc 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: 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: Revised 02111 By Whom: �k City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci.yelm.wa.us Application for Dog License - Free The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Your lost dog is a phone call away when your dog wears their registration tag. The dogs are required to wear the rabies tag issued by the veterinarian. (Yelm Municipal Code — Chapter 6.12). Applications can be obtained at City Hall, Monday through Friday 8:00 am to 5:00 pm or by printing the form from our website at www.ci.yelm.wa.us. Completed license applications may be mailed or delivered to Yelm City Hall, 105 Yelm Ave. W., Yelm, WA 98597. Tags are issued at City Hall and can be mailed to your address, if requested. Owner Name: _tW16: `] Physical Address: �) V # of Dogs: Z 1 Owner Phone #: l I q '301. t_e7 -7�0- `_4 5''c E-mail Address:—r(r+\q`-L%q S l qmz t1.c, (Maximum of three allowed per YMC Chapter 6.08.030) Name of Dog: Male: Females: Breed: �j i dpi -1� Color: I_T�N Spayed or Neutered: N 2. Name of Dog: Male: ` Female Spayed or Neutered: Y /(D Breed: 1--V_11-V39_1P11��V1___ 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. S �� 2. S (0'j? 3. Replacement Tag: Y / N (If replacement tag, then enter original tag number here: ) Rabies Tag # Date Information entered into database: By Whom: Revised 02/11 City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci.yelm.wa.us Application for Dog License - Free The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Your lost dog is a phone call away when your dog wears their registration tag. The dogs are required to wear the rabies tag issued by the veterinarian. (Yelm Municipal Code — Chapter 6.12). Applications can be obtained at City Hall, Monday through Friday 8:00 am to 5:00 pm or by printing the form from our website at www.ci.yelm.wa.us. Completed license applications may be mailed or delivered to Yelm City Hall, 105 Yelm Ave. W., Yelm, WA 98597. Tags are issued at City Hall and can be mailed to your address, if requested. Owner Name: rt_�LQ1� Owner Phone #: IR �_ Physical Address: cz�j-11 E-mail Address:yl # of Dogs: � (Maximum of three allowed per YMC Chapter 6.08.030) Name of Dog: 1"1`c dj\� Male: Breed: GyyyyIIiUn� .oa tu: SKS 2. Name of Dog: Breed: 3. Name of Dog: Breed: Female -k) Spayed or Neutered: Y /9 Color: QC�_ N 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 / J Date license(s) issued: r — Tag Numbers: 1. � (%�l y 2. 3. Replacement Tag: Y / N (If replacement tag, then enter original tag number here: ) Rabies Tag # Date Information entered into database: Revised 02111 By Whom: r �rere ti Of p� Cit f Yelm U� .4 �. yo 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 i ��•-` 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.u.Yelim.wams. 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: r { Owner Phone #: " 11 Physical Address: '-[ E-mail Address~ y D�Mb Ica a �\Orgx.l • r..vr►A # of Dogs (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: Ko Male: Female: * ' Spayed or Neutered:0 N Breed: rn 1 Color: 2. Name of Dog: Male: _ Female: v Spayed or Neutered: N Breed: Color: Af N :N 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. 5 7 1 2. 7d__ 3. Replacement Tag: Y / N (If replacement tag, then enter original tag number here: Rabies Tag # Date Information entered into database: Revised 02111 By Whom: C-",/ 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. ey lm,wa.us. Completed license applications may be mailed or delivered to Yelm City Hall, 105 Yelm Ave. W., Yelm, WA 98597. Tags are issued at City Hall and can be mailed to your address, if requested. Owner Name: �p [Qyj6UAy Owner Phone #: 3�op _ S I S- b Physical Address:b 1� �C� S E-mail Address: 0,n 't no�r,P d 2S # of Dogs: l (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog. j] 0'\ _ Male: _ Female:✓ Spayed or Neutered/ N Breed: C'k1k 01_11 "G _. Color: '?) raw n �- 2. Name of Dog: Breed: 3. Name of Dog: Breed: Male: , Female: _ Spayed or Neutered: Y / N Color: Male: _ Female: ^ Spayed or Neutered: Y / N Color: 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: 15 �3 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. City of Yelm 105 Yelm Ave. W., Ye/m, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci.yelm.wa.us Application for Dog License Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code – Chapter 6.08.070) The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Reuistrations 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) Jt rJ Owner Name:4LCLt-=—c�� /�U►�h Owner Phone #: 7/1? e -20 60 66 Physical Address: /0290 (/Q -Z--,7 PW'4 E-mail Address: o i' I �� # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) Cool 1. Name of Dog: -e- 6C e5 _ Male -64 Female: _ Spayed or Neutered. Breed: .T en "'W/ x Color: [_ 2. Name of Dog: Breed: 3. Name of Dog Breed: Male: _ Female: _ Spayed or Neutered: Y / N Color: Male: _ Female: Spayed or Neutered: Y / N Color: Completed applications (including proof of rabies inoculations) may be mailed or delivered to Yelm City Hall, 105 Yelm Ave. W., Yelm, WA 98597. Incomplete applications will be returned. Applications may be obtained at City Hall, Monday through Friday 8:00 am to 5:00 pm or by visiting our website at www.ci.yelm.wa.us. Tags are issued at City Hall. You may receive the tag by mail if requested. 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 L Date license(s) issued: Tag Numbers: I . 2. Replacement Tag:I (1 eplacemernt 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 3_ City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci.yelm.wa.us Application for Dog License - Free The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Your lost dog is a phone call away when your dog wears their registration tag. The dogs are required to wear the rabies tag issued by the veterinarian. (Yelm Municipal Code - Chapter 6.12). Applications can be obtained at City Hall, Monday through Friday 8:00 am to 5:00 pm or by printing the form from our website at www.ci.yelm.wa.us. Completed license applications may be mailed or delivered to Yelm City Hall, 105 Yelm Ave. W., Yelm, WA 98597. Tags are issued at City Hall and can be mailed to your address, if requested. Owner Name: d SO,'aJ,_ Ceram Owner Phone #: 2� 3 - 3�0 -�a� 2�z s3 -3or' 33,E Physical Address: 312 bl rt lM X857" E-mail Address: MieWea.( Qo 4 )2- 01 fket' I # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: S�k'� T Male: /-I Female: _ Spayed or Neutered:0 N Breed: -f 1ca... 1pl< 44-0r1�11 — Color: W�kLt-e Barr got t -p 2. Name of Dog: b4 -e Male:6L Female: _ Spayed or Neutered/ N Breed: Ro51 jxqj- > Vy-i Color: __ � �G 3. Name of Dog: Breed: 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. 2. S 7 , 3. Replacement Tag: Y / N (If replacement tag, then enter original tag number here: } Rabies Tag # Date Information entered into database: By Whom: Revised 02111 y City of Yelm ai 105 Yelm Ave. W., Yelm, WA 98597 = Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci.yelm.wams 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.c .yelm.wa.us. Completed license applications may be mailed or delivered to Yelm City Hall, 105 Yelm Ave. W., Yelm, WA 98597. Tags are issued at City Hall and can be mailed to your address, if requested. Owner Name: i1 �1 � &G -T Lw Owner Phone #: oq "l 26 10 Physical Address: St Q,� "A E-mail Address:njq� Mdi � coJv► # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) Name of Dogl)��, L r- Male: Breed: b16") 2. Name of Dog: Breed: 3. Name of Dog: Breed: Female: L Spayed or Neuterede N Color: a". ) �Z 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. 2. — 3. Replacement Tag: Y / N (If replacement tag, then enter original tag number here: ) Rabies Tag # Date Information entered into database: By Whom: Revised 02/11 City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci. ey Im.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.cl. elm m.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: V-2) STS /J q 1 A1 I N l2 Physical Address: PGO L -T So: Owner Phone #: 0'r, O 1522 - i G 2'; E-mail Address: oleur;� �v 5;'k c, (c5)h,co' - Ue-0 LI # of Dogs: { (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: Male: Female: " Spayed or Neutered: Y /[.� Breed: �� 7C'Crnsa� o �l�v D _ Color: �1 �aC� 1 h Glc J 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. S � ? 2. _ 3. Replacement Tag: Y / N (If replacement tag, then enter original tag number here: Rabies Tag # _ Date Information entered into database:. _ _ _ By Whom: - Revised 02/11 City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.d.yelm.wa.us Oki 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. Adl Owner Name:9Q� ��NAA !j _ Owner Phone #: 3601, , _5y l � Physical Address: /J� L�2A/ 21 r (" le- LP E-mail Address: # of Dogs (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: I� l Male: _ Female: 1/ Spayed or Neuteredo N Breed: C_ l P f4w A—,,a U ►Q 6'aL6Y A414 Color: k�r7z4z 2. Name of Dog: Male: ` Female: Spayed or Neutered: Y / N Breed: Color: 3. Name of Dog: Male: _ Female:. Spayed or Neutered: Y / N Breed: Color: Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code – Chapter 6.08.070) To report a lost dog or if you have an animal complaint please call our Public Works Department at (360) 458-8406. For office use only Date licenses) 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 City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci.yelm.wams Application for Dog License - Free The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Your lost dog is a phone call away when your dog wears their registration tag. The dogs are required to wear the rabies tag issued by the veterinarian. (Yelm Municipal Code — Chapter 6.12). Applications can be obtained at City Hall, Monday through Friday 8:00 am to 5:00 pm or by printing the form from our website at www.ci.yelm.wa.us. Completed license applications may be mailed or delivered to Yelm City Hall, 105 Yelm Ave. W., Yelm, WA 98597. Tags are issued at City Hall and can be mailed to your address, if requested. Owner Name: Owner Phone #:] tsG� �2'I�F] Physical Address: 2��VV_Qy6LS S W E-mail Address: # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) Name of Dog: �Sl.� Male: Female: _�& Spayed or Neutered: N Breed: ?rlc\0V_U Color: 2. Name of Dog: �\&a&OoA0JOC10 Male: Female: _K Spayedd or Neutered:0 N Breed: �-oOL4_m Color: � � W kk Z`C, 3. Name of Dog: Y-7 cU_ Male: K Female: Spayed or Neutered: Y Breed: l'E"10LA1U 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: 1571 2. 58( 3. Replacement Tag: Y / N (If replacement tag, then enter original tag number here: ) Rabies Tag # Date Information entered into database: Revised 02/11 By Whom: fA 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.veim.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: o, –,� 3AIUa 4 Owner Phone #: -� " � &-S " _� > 6 Physical Address: j � �i3 c_1W C -r SL^ E-mail Address:�- # of Dogs: ©/VC (Maximum of three allowed per YMC Chapter 6.08.030) Name of Dog: > RAA) SCC / Male: Y-1 Female: _ Spayed or Neutered:G/ / N Breed: A�U Color: 2. Name of Dog: Breed: 3. Name of Dog: Breed: Male: _ Female: _ Spayed or Neutered: Y / N Color: Male: _ Female: _ Spayed or Neutered: Y / N Color: 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. 3._ Replacement Tag: of replacement tag, then enter original tag number here: _ ) Rabies Tag # Date Information entered into database: By Whom: 10/13 LVA 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.yelrR.,Wp.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: A i wks Owner Phone #: Physical Address:3� ��_� E-mail Address. e� CS�Y"7 # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: �Ngx n Breed: 2. Name of Dog: Breed: 3. Name of Dog: Breed: Male: )� Female: Spayed or Neutered:, Color: w xfl . 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: 1.4 3. Replacement Tag: Y / N (If replacement tag, then enter original tag number here: ) Rabies Tag # Date Information entered into database: By Whom: Revised 02/11 i1F Tif@ H law City of Yelm a 105 Yelm Ave. W., Yelm, WA 98597 _ Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci.yelm.wa.us Y7�r. 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.yeim.WS.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: k/ ,Itrv� Owner Phone #: Physical Address: l "T � T q -f f_� 5` S L ;� I aR 9azo E-mail Address: M4444t Anf iNi) I,160% # of Dogs: I (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: Y (1'�� Male: z Female: _ Spayed or Neutered: & N Breed: krbAn Color: 2. Name of Dog: Breed: 3. Name of Dog: Breed: Male: ` Female: Color: Male: _ Female: Color: Spayed or Neutered: Y / N Spayed or Neutered: Y / N 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:c Tag Numbers: 1. 2. 1 Replacement Tag: YO/N t I ['replacement tag, then enter original tag number here: ) Rabies Tag # /'j Date Information entered into database: Revised 02111 By W 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 Name: Owner Phone #: 15W POLArJ - 14 Loa I Physical Address: a--), MM V d • 'EXJP_1 A'\1R RM159E-mail Address: K.yansh grnA,� l • # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) Cori-) 1. Name of Dog: Ttik, P_ _KGQt, Male: —._ Female: _-K, Spayed or Neutered: Y I yko) Breed: Color: - r)061 11 BMUZ �ktO 2. Name of Dog: Effi"&r PA.W+pf,aQ, Male: _Y_ Female:' Spayed or Neutered: C'1 N Breed:E=_d_kY CaWte.lm.'r Color: -a0d 4 W�f1j Q 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 9,S ;J 3. Replacement Tag: Y / N (If replacement tag, then enter original tag number here: Rabies Tag # Date Information entered into database: 10113 By Whom: —MO, /__ City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 Application for Dog License Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070) The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Registrations cannot be issued unless proof of current rabies inoculation is provided with this application. The dogs are required to wear the rabies tag issued by the veterinarian. (Yelm Municipal Code — Chapter 6.12) 1 Owner Name Jl �� C4.� + � 1� Un l Owner Phone #: 4 �7 19 P3 Physical Address: kvL E-mail Address: # of Dogs: �_j (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: Male: Female: _ Spayed or Neut��e``r��ed: Y /0 Breed: ICs Color: � ' \Cdo 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 flag by mail if requested. - To report-aAost dog or -if you have -an animalcorn-phatnt-please call -our- ------ -- Public Works Department at (360) 458-8406. For office use only Date license(s) issued: Tag Numbers: 1._S&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: 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.cl.yeimma.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: JA(esIt-') �S�l �a Owner Phone #: �0j ° � n Physical Address: 10-96 _1d(= j �a n� A� �, ��, j Sd(= E-mail Address: ��. cdbccr.l'�S ��a�no.con # of Dogs: L, (Maximum of three allowed per YMC Chapter 6.08.030) Name of Dog: cc- z5 Male: Breed: 2. Name of Dog: Breed: 3. Name of Dog: Breed: Female: Spayed or Neutered:/ @ Color: C4�--e1/ _ 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. 'J� Replacement Tag: Y / N (If replacement tag, then enter original tag Ember- here: ) Rabies Tag # Date Information entered into database: By Whom: Revised 02/11 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. 1 jI_ 2.52 29q 12?� Owner Name: a v'6 A Yt 4 D I?0V Ker Owner Phone #: 96o 4-77 %O g Physical Address: 73 V60C i mop .sf E-mail Address: a cG We 7� r��p� m�7A Bsy� Yp)a� ad -co rn # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) Name of Dog: .8e //0 - Male: _._ Female: /X, Spayed or Neutered: S N Breed: D -.b `" �o 1e. Color: Cly 2. Name of Dog: Male: Male: Female: X Spayed or Neutered: Y / N Breed: ��m 1)C _......_ Color. ah� DIU�1� _........ 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: t Replacement Tag: Z f/�N acement tag, Rabies Tag # Date Information entered into database: Revised 02/11 Tag Numbers: 1.5 u 1 then enter original tag number here: By Whom: City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 SIJIhW,L:f. C'If+1,L'V�1,lES 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:(:IX�sOwner Phone #:� Physical Address: 1�`�l 1 �� — (�I �� - E-mail Address: dna 0 �� # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) C°� �-'�• Name of Dog: DiiiJJJJ ��( ale: Female: Spayed or Neutered:(SN Breed: e �� J W Color: �Q, r��l] Vl U,7� 1�-- 2. Name of Dog:WDo�� D�_ Male: Female:._ Spayed or Neutered: Y / Breed: �)rx 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.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, 'S 9 l 25 ), - 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 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 Owner Name:��dY Owner Phone #: �5 s X U r3dqj Physical Address: 901(4 1„f�� i(II1� C+ 5c' E-mail Address: _ # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) Name of Dog: Male: Female: / Spayed or Neutered: Y / N Breed: Color: B I 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 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.Sq� 2. Replacement Tag: Y / N (If replacement tag, then enter original tag number Proof of rabies enclosed: Yes_ No (please explain) Date Information entered into database: Revised 05/05/10 sjd By Whom: 3. DV THE., �Q City of Yelm a 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.cLyeim.wams 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.yeim.waA.:s. Completed license applications maybe 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. �" G Owner Name: J a cG��+ne �`pE� Owner Phone #: 5M —S,3 O ^365 Physical Address: 153.s9Q KoW a sA _ E-mail Address: , ec lett . # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) @ i3e`h oo ' r- a m 1. Name of Dog:.....'r�)p/'....................._.........__.. _ Male: Female: Spayed or Neutered: Y / N Breed: �4- - ��c n �uJL" Color: --4-001 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: 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. `' q Ll 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. City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci.yelm.wa.us Application for Dog License - Free The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Your lost dog is a phone call away when your dog wears their registration tag. The dogs are required to wear the rabies tag issued by the veterinarian. (Yelm Municipal Code — Chapter 6.12). Applications can be obtained at City Hall, Monday through Friday 8:00 am to 5:00 pm or by printing the form from our website at www.ci.yelm.wa.us. Completed license applications may be mailed or delivered to Yelm City Hall, 105 Yelm Ave. W., Yelm, WA 98597. Tags are issued at City Hall and can be mailed to your address, if requested. Owner Name: Owner Phone #:. �3 Physical Address: 1152101 E-mail Address: Cry,_ # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: r��Pr� Male: Female: X Spayed or Neutered? N Breed: Color: geae,� 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,�,�4 2. Replacement Tag: Y / N (If replacement tag, then enter original tag number here: Rabies Tag # Date Information entered into database: By Whom: Revised 02111 a City of Yelm a 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www,ci.yelM.wa.us ! L; VE'LM 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.u0,. 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. (q -),Q GZ40 1 �e Owner Name: ' /�i "� 0 i<t r,s Owner Phone #: -go-) or oYoSO yeiM q9s-11q1) Physical Address: j�b:ppo /,Ti E-mail Address: # of Dogs: ^ (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: �Male: _ Female: ,V— Spayed or Neutered: (2) N Breed: Color: 2. Name of Dog: Breed: 3. Name of Dog: Breed: Male: Color: 1'e1)01 1 Female: 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. 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. City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci.yelm.wa.us Application for Dog License - Free The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Your lost dog is a phone call away when your dog wears their registration tag. The dogs are required to wear the rabies tag issued by the veterinarian. (Yelm Municipal Code — Chapter 6.12). Applications can be obtained at City Hall, Monday through Friday 8:00 am to 5:00 pm or by printing the form from our website at www.ci._yelm.wa.us. Completed license applications may be mailed or delivered to Yelm City Hall, 105 Yelm Ave. W., Yelm, WA 98597. Tags are issued at City Hall and can be mailed to your address, if requested. Owner Name: Owner Phone #: _�� 4w, s:7 Physical Address:I1 E-mail Address: # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: Male:emale: Spayed or Neutered: Y Breed: ff a Color: 2. Name of Dog: Breed: Male: ` Female: _ Spayed or Neutered: Y / N 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: 1.5 2. 3. Replacement Tag: Y / N (If replacement tag, then enter original tag number here: ) Rabies Tag # Date Information entered into database: By Whom: Revised 02/11 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.velm.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. '� 1 , Owner Name: r ][�i lY1 l 1 �'� Owner Phone #: Physical Address: "1"Ltl,, 1 E-mail Address. # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) Name of Dog: _ k�" X Male: )_� Female: _ Spayed or Neutere :y`4 Breed: Mtn 14 Color: VV Oc 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 C� r Date license(s) issued: U Tag Numbers: 1. 2.__ 3. Replacement Tag: Y�l (If replacement tag, then enter original tag number here: Rabies Tag # Date Information entered into database: Revised 02111 By Whom: ._ %� ) aF rrie; �o City of Yelm b 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 F-• yw;ti� ► WWw.ci.yelm.wa.us 1E T_ 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.o.yelrnVa.us. Completed license applications maybe 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: L L e- i�/ Ci Owner Phone #: Physical Address: A Dd . S E-mail Address: V1"1_L< 1 �� # of Dogs: _ _ (Maximum of three allowed per YMC Chapter 6.08.030) �1e. Name of Dog:PEI nLr SS_ Male: _ Female: _2L� Spayed or Neutered: N Breed: Color: 2. Name of Dog: Breed: 3. Name of Dog: Breed: Male: Female: _ Spayed or Neutered: Y / N Color: Male: Female: Spayed or Neutered: Y / N Color: 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 f l Date license(s) issued: � Tag Numbers: 1. I (1 V 1 2. 3. Replacement Tag: Y / N (If replacement tag, then enter original tag number here: _ ) Rabies Tag # Date Information entered into database: Revised 02/11 By Whom: _e) City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci.velm.wams Application for Dog License - Free The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Your lost dog is a phone call away when your dog wears their registration tag. The dogs are required to wear the rabies tag issued by the veterinarian. (Yelm Municipal Code — Chapter 6.12). Applications can be obtained at City Hall, Monday through Friday 8:00 am to 5:00 pm or by printing the form from our website at www.ci.yelm.wa.us. Completed license applications may be mailed or delivered to Yelm City Hall, 105 Yelm Ave. W., Yelm, WA 98597. Tags are issued at City Hall and can be mailed to your address, if requested. Owner Name: I CSs 4- '!:)1 «LLA Owner Phone #: $ti 3 - -7,13 —19-/ y Physical Address: /NySB 91'" 9 -AM 5, E-mail Address: S d, ieHa_ / nAr"V4 # of Dogs: S (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: Leop)r3As Male: X Female: Spayed or Neutered: Y / Breed: 14vSK4 NNBAjo 2. Name of Dog: X Ewn Breed: PoM - cNI 3. Name of Dog: Oso Breed: ?PMiz%1M'4W Color: CAA t „; Npwr' Male: _ Female: ZC Spayed or Neutered: Y / IC Color: ..f AS cer Male: X Female: Spayed or Neutered: P/ N Color: SAa c e - 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: Goa Tag Numbers: 1. �M 2. aQJ 3. d Replacement Tag: Y / N (If replacement tag, then enter original tag number here: } Rabies Tag # Date Information entered into database: By Whom: -Mb Revised 02/11 ��w pCity of Yelm ilk 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 • _ www.ci.yelm.wa.us 'Y�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) o2S3- 355- gZ3 \ Owner Name: amu. � O� Owner Phone* a5 3` 3SS— a -T k �__ Physical Address: IPS E-mail Address: wAot,;tLA. �DO�+ y�4�•Coc # of Dogs:._ o (Maximum of three allowed per YMC Chapter 6.08 030) `L 1. Name of Dog: c Male: >C Female: Spayed or Neutered:QY ( N Breed:\111 -.� �eS��er Color: �la. �l.L ��o W y l-- 2. Name of Dog:` �c Male: I/ Female: ` Spayed or Neutered: Y / Breed: i t w! --o �� 3. Name of Dog: . Breed: Color: )b�`k, V. . Male: _ Female: Color: Spayed or Neutered: Y / N Completed applications (including proof of rabies inoculations) may be mailed or delivered to Yelm City Hall, 105 Yelm Ave. W., Yelm, WA 98597. Incomplete applications will be returned. Applications may be obtained at City Hall, Monday through Friday 8:00 am to 5:00 pm or by visiting our website at www.ci.yelm.wa.us. Tags are issued at City Hall. You may receive the tag by mail if requested. To report a lost dog or if you have an animal complaint please call our Public Works Department at (360) 458-8406. For office use only Date license(s) issued: Tag Numbers: 1.�OCj 2. &a;a 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: '11)�o / 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. I / y Owner Name: /y/ 1 Owner Phone #: 36 00') Physical Address:+ r� �Yl E-mail Address: l � n Irl R ojA� # of Dogs: ` (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: Male: _ Female: hayed or Neutered: Y Breed: 4& A,YU4eJ'n Color:.. r�+CAI Tq✓� 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. Replacement Tag: Y 6Nf replacement tag, then enter original tag numbf Rabies Tag # Date Information entered into database: Revised 02111 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 The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Your lost dog is a phone call away when your dog wears their registration tag. The dogs are required to wear the rabies tag issued by the veterinarian. (Yelm Municipal Code — Chapter 6.12). Applications can be obtained at City Hall, Monday through Friday 8:00 am to 5:00 pm or by printing the form from our website at www.ci.yelm.wa.us. Completed license applications may be mailed or delivered to Yelm City Hall, 105 Yelm Ave. W., Yelm, WA 98597. Tags are issued at City Hall and can be mailed to your address, if requested. Owner Name: _ ' '�rY"� 1 C�] Owner Phone #: Physical Address:-/,fJj]1 (` E-mail Address: ('VM # of Dogs: p� (Maximum of three allowed per YMC Chapter 6.08.030) Name of Dog: �!� Male: Female: Spayed or Neutered(o N Breed: �, c Color:r. I� 2. Name of Dog: M41120 Male: Female: jC Spayed or Neutered N Breed: Color:i3.1J 3. Name of Dog: Male: _ _ Female: Sp d 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: � Replacement Tag: Y Er !v Y I f replacement tag, Rabies Tag # Date Information entered into database: Revised 02111 Tag Numbers: lU.—IL 2. �OA then enter original tag number here. By Whom: 3. 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.cyelm.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: f7f I Owner Phone #:'?[] -��' Physical Address: '4avA 1CLIY `lD-A <-- E-mail Address: jk �CafS �� LLOLIca COrv1 # of Dogs: i (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: \ Male: /C Female: _ Spayed or Neutered-( / N Breed: -?iA yj�-�� Color: 65kor7 _ 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: 116 Replacement Tag: Y / N (If replacement tag, then enter original tag numbe Rabies Tag # Date Information entered into database: Revised 02111 By Whom: q City of Yelm a 105 Yelm Ave. W., Yelm, WA 98597 ' [� Phone: (360) 458-3244 Fax: (360) 458-4348 l [� 1 . .. :, �:.•_ 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.ciyelm.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: WG Owner Phone #: Physical Address: 1 j\ l V �-) s- S' E-mail Address: i e -t h # of Dogs: 1_ _ (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: Male: k Female:_ Spayed or Neutered:& N Breed: Color. ��\c� rl .�iW �_._ Color: _ )`2 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: 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: Revised 02111 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 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.velm.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: Owner Phone #: g—iy ?Sant Physical Address: Z N E-mail Address: sc�1 ate\ - Cprl # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: Male: X i-emale: Spayed or Neutered: Y '0 Breed:a-vc>\aenax�\T, Color: 2. Name of Dog: Breed: 3. Name of Dog: Breed: Male: Female Color: Male: Female: Color: Spayed or Neutered: Y / N Spayed or Neutered: Y / N 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 �' u Date license(s) issued: ATag Numbers: 1. 2. 3. Replacement Tag: N O/N (If replacement tag, then enter original tag number here: ) Rabies Tag # Date Information entered into database: By Whom. Revised 02111 City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci.velm.wa.us Application for Dog License Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code - Chapter 6.08.070) The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Registrations cannot be issued unless proof of current rabies inoculation is provided with this application. The dogs are required to wear the rabies tag issued by the veterinarian. (Yelm Municipal Code - Chapter 6.12) Owner Name: Lr rxd c,,, 4- Joy, Owner Phone #: Physical Address: I9U ( 6&,tn b - E I4yr Wfi 1&511 E-mail Address: LJc,mo e-S&Jyvict,�, # of Dogs: 2— (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: pty-)n I Male: _ _ Female: X Spayed or Neutered:( N Breed: L& Color: kav-\ 4 Lok 2. Name of Dog:�obLA Male: K Female: _ Spayed or Neutered:(D N Breed: ✓1raIYe U Color: S4d+ `( vu- 3. Name of Dog: Breed: Male: Female: Color: Spayed or Neutered: Y / N Completed applications (including proof of rabies inoculations) may be mailed or delivered to Yelm City Hall, 105 Yelm Ave. W., Yelm, WA 98597. Incomplete applications will be returned. Applications may be obtained at City Hall, Monday through Friday 8:00 am to 5:00 pm or by visiting our website at www.ci.yelm,wa.Us. Tags are issued at City Hall. You may receive the tag by mail if requested. To 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. W-5-- 2. 3, Replacement Tag: Y / N (If replacement tag, then enter original tag number here Proof of rabies enclosed: Yes_ No (please explain) Date Information entered into database: Revised 05/05/10 sid By Whom: qk pF i ite'°,� City of Yelm z r% 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.a.yelin.wa.Lis. 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. r Owner Name: Owner Phone #'lam [ 1V)�Q- 3_I Physical Address: _I Lo g ao CgY1O_- C�- E-mail Address: r\Ohj Cpn e gyy�, C C 4n # of Dogs:. (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: Af kC c\ C) Male:-&, Female: - Spayed or Neutere N 1 Breed:Color: 2. Name of Dog: Breed: 3. Name of Dog: Breed: Male: Female: _ Spayed or Neutered: Y / N Color: Male: Female: Spayed or Neutered: Y / N Color: 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. l [ �. 3. Replacement Tag: Y / N (If replacement tag, then enter original tag number here: 1 Rabies Tag # �r Date Information entered into database: By Whom: Revised 02111 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. I Owner Name: n -e Owner Phone #: -71 j Physical Address: 5/ E-mail Address: i'4 -7,c4 d�eu ed) # of Dogs: 2- (Maximum of three allowed per YMC Chapter 6.08.030) i 1. Name of Dog: ' Male: <- Female: _ Spayed or Neutered:/ N -Sex /z Breed: Color: _814e. 2. Name of Dog: z V Male: )5;� Female: _ Spayed or Neutered:/ N Breed: C e d�k Color: l Gd A q' 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. 2.(�2 L 9 3. Replacement Tag: Y / N (If replacement tag, then enter original tag number here: ) Rabies Tag # Date Information entered into database: Revised 02/11 By Whom: City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.cLyelm.wams 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 maybe mailed or delivered to Yelm City Hall, 105 Yelm Ave. W., Yelm, WA 98597. Ta are issued at City Hall and can be mailed to your address, if requested. Owner Name: y-,4WM)l a We., Yo1` Owner Phone #:.J�� Physical Address: S� _ E-mail Address: ► c fo d d 'gt'� # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030)cr< Name of Dog: ........... Breed: &A r 2. Name of Dog: Breed: _ Male: (tel emale: Spayed orute� 17/ N Color: �/ "/ Male: _...... Female:- _ Spayed or Neutered: Y / N Color: 3. Name of Dog: _ Male: Female: _ Spayed or Neutered: Y / N Breed: Color: Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code - Chapter 6.08.070) To report a lost dog or if you have an animal complaint please call our Public Works Department at (360) 458-8406. For office use only Date license(s) issued: Tag Numbers: 1. 2. 3, Replacement Tag: Y / N (If replacement tag, then enter original tag number here: Rabies Tag # Date Information entered into database: Revised 02/11 By Whom: P%kCity 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 ww_w.ci._y_e)m.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: Owner Phone #: � ''-- 6 Physical Address: Y c_.) ` 0 WE -mail Address: 1 r—:-> o�a " l Ifn # of Dogs: _ (Maximum of three allowed per YMC Chapter 6.08.030) U Name of Dog: ' -DI Male: Female: _ Spayed or Neutered[ Y N Breed: 4Color: 16r, � -�.�. � .sz ��]�4o 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: /'A,,17 Tag Numbers: 1. 2. 3. Replacement Ta//g:: Y / N (If replacement tag, then enter original tag number here: ) Rabies Tag # V 221! Date Information entered into database: Revised 02111 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 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. ° 0 7. Owner Name: Owner Phone #: 'A 1 V t I I Physical Address:��E-mail Address: gj,Dq 7 # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: Hj(l les Breed: \l 2. Name of Dog: Breed: 3. Name of Dog: Breed: Male: _�_ Female: _ Spayed or Neutered: Y /LJ Color:.bre.MO.) - — 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: Tag Numbers: 1.10 26 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. �f. I He City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci.velm.wa.us -V3Fx x+ Application for Dog License Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code – Chapter 6.08.070) The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Regi_stration5_cannot. be -issued unless proof of current rabies inoculation is provided with this application. Thedogsare re uired t weay t-hip� rabies tag issued by the veterinarian. (Yelm Municipal Code -- Chapter 6.12) 1 jr't: I 1 � I cl!� �/ a q d � C� 1 Owner Name: h -Q iNl l ' ((A Owner Phone #: a 10 clg � � a c�• Physical Address: �o �"I �I r"\-Gn G S E E-mail Address: K C` lac hO � C©reA n # of Dogs: cel (Maximum of three allowed per YMC Chapter 6.08.030) Name of Dog: KIJ(1 0 Male Breed: W, mud 2. Name of Dog: (� I V) QC_X- Male: Breed: Ivl_I XJLA b_r' LQ 3. Name of Dog: Breed: I- Female: 1 Spayed or Neutered: Y /S \ Color: L 1 D U3 Female: V Spayed or Neutered: Y IQ 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.0.ye1rn.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: (za 2. l/ 0.. � 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 a 105 Yelm Ave. W., Yelm, WA 98597 `:. Phone: (360) 458-3244 Fax: (360) 458-4348 `¢ www.ci.veim.wa.us x r ei 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) lr�r� Owner Name. 11 1?M" 41xr�� V IVI� Owner Phone y Physical Address: L (' �,��1� �y�� E-mail Address:.Krko1 e jwt Clow' # of Dogs; (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: RMale: Female Spayed or Neuterefl N Breed: %t'Iy7p__]'t k �YColor: Name of Dog:"iLIQ c�m& Male: & Female: _ Spayed or Neutered: Y Breed: A t K, Color: Name of Dog: Vk6k c� Male: J' Female: Spayed or Neutered: Y / N/� Breed('. 'k T1 __ YI � 1.� Color: 2c—I�/vyl�P 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: Revised 05/05/10 sid By Whom: City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 WWW.ci'y0l111.Wa'(1S 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: soler Y L t l —I u w n �_ Owner Phone #: �3 T ��C 6 l� 4o Physical Address: 14q q9 q 6+h fw N. s. E-mail Address: I &k41�,3c��i h co•� # of Dogs (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: (k 10c Male: _ Female: d Spayed or Neutered N Breed: un r .'Ie- P00 Color. ±2 h 2. Name of Dog: Male: Female:.........__ Spayed or Neutered: Y / N Breed: 3. Name of Dog: Breed: Color: Male: Female: Spayed or Neutered: Y / N Color: Completed applications (including proof of rabies inoculations) may be mailed or delivered to Yelm City Hall, 105 Yelm Ave. W., Yelm, WA 98597. Incomplete applications will be returned. Applications may be obtained at City Hall, Monday through Friday 8:00 am to 5:00 pm or by visiting our website at www.ci.yelm.wa.us. Tags are issued at City Hall. You may receive the tag by mail if requested. To report a lost dog or if you have an animal complaint please call our Public Works Department at (360) 458-8406. For office use only Date license(s) issued: Tag Numbers: 1. 2. 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 M 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 wyyyy.Ci•VeIT11'vv l.us Y E M Application for Dog License Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $50.0.00 (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) ir Owner Name: C1�0. �1 �ni� Owner Phone Physical Address: ��f]�[CJ0- I�L}�' Int E-mail Address: CACI�An� ��(�mu, j. Cart, # of Dogs: ( (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: Male: Female: Spayed or Neutered: Y / V Breed: V /,7_(�4 L4 Color: 2. Name of Dog: Breed: 3. Name of Dog: _ Breed: Male: . .... ....... Female: Spayed or Neutered: Y / N Color: Male: Female: Spayed or Neutered: Y / N Color: Completed applications (including proof of rabies inoculations) may be mailed or delivered to Yelm City Hall, 105 Yelm Ave. W., Yelm, WA 98597. Incomplete applications will be returned. Applications may be obtained at City Hall, Monday through Friday 8:00 am to 5:00 pm or by visiting our website at www.ci. eim.wams. 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.� - 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.velm.wa.us Application for Dog License Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070) The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Registrations cannot be issued unless proof of current rabies inoculation is provided with this application. The dogs are required to wear the rabies tag issued by the veterinarian. (Yelm Municipal Code — Chapter 6.12) , r, Owner Name: .� �l Owner Phone Physical Address: 106 1 Cf kfic 44Il li. { f�c�� _ E-mail Address: VO(r)�Q�'�' C # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: 6Wjq Male: Breed: �►l� �� Name of W.45 Breed: 3. Name of Dog: Breed: . _ Female: Spayed or Neutered: Y /9 Color: 1Z til, Male: Female: Color: Male: Female: Color: Spayed or Neutered: Y / N Spayed or Neutered: Y / N Completed applications (including proof of rabies inoculations) may be mailed or delivered to Yelm City Hall, 105 Yelm Ave. W., Yelm, WA 98597. Incomplete applications will be returned. Applications may be obtained at City Hall, Monday through Friday 8:00 am to 5:00 pm or by visiting our website at www.ci.yelm.wa.us. Tags are issued at City Hall. You may receive the tag by mail if requested. To report a lost dog or if you have an animal complaint please call our Public Works Department at (360) 458-8406. For office use only Date license(s) issued: —J Tag Numbers: 1.�(�� 2. 3. Replacement Tag: Y / N (If replacement tag, then enter original tag number here.- Proof ere: Proof of rabies enclosed: Yes_ No (please explain) Date Information entered into database: Revised 05/05/10 sjd By Whom. SOF THE p Wo City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone. (360) 458-3244 Fax: (360) 458-4348 www.ci,yelm.wa.us V ELM 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: meJ1 5--,a+ EVC lal a Yl_ _ Owner Phone #: ?500 • & a R ..2 -705_ Physical Address:6)R q� e_,tYl/ e_cJ LC1p °_J_C E-mail Address: h6YIeU 61232"m uy. ecrw� # of Dogs: _� (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: L�`` Male: _ Female//:: _ // Spayed or Neutered/ N Breed S n Oi.TU i i Q Color. _ 'A.) h I Te. She.Pht -d 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: 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: 0__'/ 15 Tag Numbers: 1. �! 2. 3. Replacement Tag: Y / N (If replacement tag, then enter original tag number here: ) Rabies Tag k cz Date Information entered into database: 10/13 By Whom: °4P T City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: mam 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: V r L—�Co{' M, ,jAac%�-S Owner Phone #: Physical Address: q s l Cl 1rJ roylC +i # of Dogs: i 'EIj= . Leal E-mail Address: (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: C NAtggi c� Male: Breed: C\A.Z \n„rk 2. Name of Dog: Breed: 3. Name of Dog: Breed: Female: V Spayed or Neutere<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: /. [) I - / / Tag Numbers: 1.-(( 2. 3 Replacement Tag: Y / N (If replacement tag, then enter original tag number here: ) Proof of rabies enclosed: Yesl No (please explain) Date Information entered into database: Revised 05/05/10 sjd By Whom: 1'1� 0*Tffp p City of Yelm IV 0 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci.yelrq.wa.uS L Application for Dog License - Free The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Your lost dog is a phone call away when your dog wears their registration tag. The dogs are required to wear the rabies tag issued by the veterinarian. (Yelm Municipal Code — Chapter 6.12). Applications can be obtained at City Hall, Monday through Friday 8:00 am to 5:00 pm or by printing the form from our website at www.ci.yelm.wa.us. Completed license applications may be mailed or delivered to Yelm City Hall, 105 Yelm Ave. W., Yelm, WA 98597. Tags are issued at City Hall and can be mailed to your address, if requested. Owner Name: O t a f Owner Phone #: 99G'(21 / --- �.5 d` U Physical Address: S� F�/ [� . 1 E-mail Address: C Co YVI # of Dogs: _. (Maximum of three allowed per YMC Chapter 6.08.030 JJ Name of Dog: Male Breed: i Name of Dog: 7 Breed: 3. Name of Dog: Breed Female: Spayed or Neutered N Color: ale fV Female: _ ..._ Spayed or Neutered Yy 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 J� � �31 3._ Replacement Tag: Y / N (If replacement tag, then enter original tag number here: ) Rabies Tag # Date Information entered into database: By Whom: Revised 02/11