552-586City 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: i ' 1 P "� °2 `� Owner Phone #: C) z 5! -
Physical Address: / : f
E-mail Address:
# of Dogs: « �-- tf7l � (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: L " 1� ""'0 1-__ ` -c-' Male: Female: Spayed or Neutered/ N
Breed: C CD C_ bZ VLJ k x Color: -r A
2. Name of Dog: Male: Female: f Spayed or Neutered: Y / N
Breed: Color:
3. Name of Dog: Male: ` Female: _ Spayed or Neutered: Y / N
Breed: Color:
Fee Schedule:
Dog License: FREE
Replacement Tag: $2.00
Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070)
To report a lost dog or if you have an animal complaint please call our
Public Works Department at (360) 458-8406.
For office use only
Date license(s) issued:
Tag Numbers: 1 L 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: l F (I D to foLs Owner Phone #: 36 S L9 1 ' l9 !�
Physical Address: iS- I0 01 �, )j Liq1� SC E-mail Address: �kS]�s�3®hD�r� if,Gvrr
# of Dogs: 2– (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: DL'� )
Breed:
Male:- Female: Spayed or Neutered: DO)
Color:.{ _ tei n
(� r
2. Name of Dog: Male: Female: Spayed or Neutered& N
Breed: G(Y1G i% Color: �i[i L� L e� ] 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 O Tag Numbers:
Replacement Tag: Y / N (If replacement tag, then enter original t�
Rabies Tag #
Date Information entered into database:
Revised 02111
2
City of Yelm
105 Yelm Ave. W., Yelm, WA 98597
Phone: (360) 458-3244 Fax: (360) 458-4348
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: bc-cxk 1"1 Owner Phone #: �� - 55
Physical Address: WS- I I� J c -->L E-mail Address:�Ylr 1ob-j ,f.�n
# of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog:'r'( �Q-iJ�'e � Male: Female: Spayed or Neutered Y 1 N
Breed: _L . � ` Nn_ Color: �. l F� I bra �r, - s
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-Fastdog orifiyou--have— n -animal -c m-plait-sieas catho-ur- -- -
Public Works Department at (360) 458-8406.
For office use only
Date license(s) issued:
Tag Numbers: l .1t 2. 3.
Replacement Tag: Y / N (If replacement tag, then enter original tag number here: )
Proof of rabies enclosed: Yes_ No (please explain)
Date Information entered into database: _ By Whom:
Revised 05/05/10 sjd
City of Yelm
105 Yelm Ave. W., Yelm, WA 98597
Phone: (360) 458-3244 Fax: (360) 458-4348
www.ci.velm.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: bCEaOW� Owner Phone #:I obi oko ---i 0— 75
Physical Address: _6r--7 I? M E-mail Address: c rkY
# of Dogs: _ (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: CpckC -i f__ Male:._ Female: Spayed or Neutered/ N
Breed: ' -P- m1x _ Color: I L�K_
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:—�r Tag Numbers: I.
Replacement Tag: Y / N (If replacement tag, then enter original tag number here: }
Rabies Tag #
Date Information entered into database: By Whom:
Revised 02111
❑C Tl�+A
�V14 City of Yelm
d 105 Yelm Ave. W., Yelm, WA 98597
Phone: (360) 458-3244 Fax: (360) 458-4348
www.ci.yelm.wa.us
x.
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.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:fYN_irt4tNE Owner Phone #I��k�1O 766'Y/
Physical Address: � C)(:) S SV �p3v.-25t E-mail Addres;D-y�,>A 1
# of Dogs: I (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: 1 Male: _ Female:Y_ Spayed or Neutered: Y f
Breed:�.�C) A_X— — 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: J.— 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: _
City of Yelm
105 Yelm Ave. W., Yelm, WA 98597
Phone: (360) 458-3244 Fax: (360) 458-4348
www.ci.yaim.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: f t �1?� ✓ U� �i�J a0 Owner Phone #: % 3�' ���a � �y�f!o A # 700
Physical Address: llgt ���/-� Ye G �� E-mail Address: Lel i�rA��- coh-
# of Dogs: 14ve (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog-
Breed: GQY�
Male: )� Female: _ Spayed or Neutered N
Color: 4-414 A.+�� / �---
2. Name of Dog: .-7-Q a a Male: _ Female: 70 Spayed or Neutered N
Breed: _ a 6 I Kai X2 Color: b o' d l k _
3. Name of Dog:
Breed:
Male: Female: Spayed or Neutered: Y / N
Color:
Completed applications (including proof of rabies inoculations) may be mailed or delivered to Yelm City Hall,
105 Yelm Ave. W., Yelm, WA 98597. Incomplete applications will be returned. Applications may be obtained at
City Hall, Monday through Friday 8:00 am to 5:00 pm or by visiting our website at w_w_ w_ .ci._yelm.wa.us. Tags are
issued at City Hall. You may receive the tag by mail if requested.
- -
—To -report -a Inst-dozf-or if you Frave an animal complaint pftas—call our
Public Works Department at (360) 458-8406.
For office use only
Date license(s) issued: / -- ! 7 Tag Numbers: 1.2�YL( 2. 5715 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
1OS Yeim Ave. K Yehn, WA 98697
Phone. (360) 458-3244 Fax: (360) 458-4348
Application for Dog License - Free
Your Iost 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 fumish proof to a Yelm
Animal Control Officer, if requested. Current rabies tags are issued by a veterinarian
Owner Name: Steve Hurd /Alex Hesse -Siegert
Physical Address: 15633 Parkview Dr SE
# of Dogs:
1
1. Mame of Dog: Archie
Breed; Shepherd Mix
Steve 360-286-6778
Owner Phone #: Alex 360-840-0697
steve2bears gntail.com
E-mail Address: alex2bears grnarl.carn
(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: _ 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 I icense(s) issued: / J � � Tag Niunbers; Its 3
Replacement Tag: Y l N (If mplacement tag, then enter original tag number here: )
Rabies Tag N
Date Information entered into database; R}, Whom
101,13
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 ID: 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.cl.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:l kilo r Owner Phone #:
Physical Address: � 6 tV M (0441 t M '3C SE E-mail Address: 1J6tt�Q9JVY& 67M,4YL, 6dy11
# of Dogs: I (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: C'0' e"Li _ Male: Female: Spayed or Neutered: N
Breed: _ Wlc n, �,i-t�re Pod Imo— Color: �..%i
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: f 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:
OI T
Wag)City of Yelm
105 Yelm Ave. W., Yelm, WA 98597
Phone: (360) 458-3244 Fax: (360) 458-4348
www.cLyelm.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.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; r r� � f 2z , Owner Phone #:
Physical Address: ,�1�' lD ��'� 21 5z %LILA 5�x E-mail Address: 414•� � ��
# of Dogs: �'-" (Maximum of three allowed per YMC Chapter 6.08.030)
Name of Dog: Male: Female: Spayed or Neutered: /Y7/ N
Breed: �1f; . s� 11 . Color: Iraiq -Vww ;
Name of Dog: �� Male: X Female: _ Spayed or Neutered: Y /
Breed: C LGinc ��� Color: f(VA_�_�-i b���G -
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: 1.5y 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:
OV -
City r��p 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: Adtre–," Owner Phone #:
Physical Address: Jia / /U W 'a-4 E-mail Address:
# of Dogs:. / _—(Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: �r ` Male: Female: _X Spayed or Neutered: Y to
Breed: Color: c�J��c�[} ►ll rf
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: '-7" 7- Tag Numbers: 1. 50 2. 3.
Replacement Tag: Y / N (If replacement tag, then enter original tag number here: )
Rabies Tag #
_ _ _ M�r
Date Information entered into database: By Whom:
Revised 02111
M`,cN— L%NN
� City of Yelm
105 Yelm Ave. W., Yelm, WA 98597
Phone: (360) 458-3244 Fax: (360) 458-4348
www.ci.yelm.wa.us
LM
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: 1 a l �\ Owner Phone #: Q k l (O l P H o `J5
Physical Address. 15LAO R C_CA1I1 Q div E-mail Address: ► �,Q 5�t � aCl1G1+ � CbM
# of Dogs:
Z
(Maximum of three allowed per YMC Chapter 6.08.030)
Name of Dog: -_Ve,ne_k ' e-- Male: _ Female: Spayed or Neutered: (2) N
Breed: ClW Mi Y Color: �11GtC�
2. Name of Dog: ►�� i )S
Male: X
Female:
Spayed or Neutered:(2 N
Breed: l"11 Q "VC06\9_
Color:
4 `)00<.
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- _TT� Tag Numbers: 1. 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:
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: At, E-mail Address: rCl'21727
# of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: 7p)o 0 Male: _ Female: Spayed or Neutered N
Breed: Rc�%1.,�i ,r_. _.�7. Color: L k 1)"aA_
2. Name of Dog: ` Zzy Male: _ Female: Spayed or Neutered N
Breed: aCk Q U!f:) Color: —4f�Ed4--/If
3. Name of Dog: Male: Female: Spayed or Neutered: Y ( N
Breed: U -Irz , 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 cc cc
Date license(s) issued: Tag Numbers: 1.SS5 2 SS - 3. S -Is-
Replacement Tag: Y / N (If replacement tag, then enter original tag number here:
Rabies Tag #
Date Information entered into database:
rCCVKjVU UL/ I I
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: t MoOre Owner Phone #: 2(93 19 us
l -
Physical Address: L��� �� E-mail Address: rni'�CaijO?Ej"'� C - Un
# of Dogs:. (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: vle 1 Male: Female: -\/ Spayed or Neutered: Y / I�
Breed: V_ C)T Q \ \ U y- Color: ?A 0J Y)
2. Name of Dog:
Breed:
3. Name of Dog:
Breed:
Male: , Female: _ Spayed or Neutered: Y / N
Color:
Male:. _ Female: _ Spayed or Neutered: Y / N
Color:
Fee Schedule:
Dog License: FREE
Replacement Tag: $2.00
Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070)
To report a lost dog or if you have an animal complaint please call our
Public Works Department at (360) 458-8406.
For office use only
Date license(s) issued:
Tag Numbers: 1 5—!1.2,
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:
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: r l OVA- is Owner Phone #
y -
Ph sical Address: mail Address: T"r j LIICSo�L��.i (°tl J��`
LOVK
# of Dogs: _ I (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: 1�, Male: Female: _ Spayed or Neutered: Y /
Breed: 41 �v�,�,�_� Color: C --O\
l-
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: �� O " I� 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:
_ qK2
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: 1 U� �. �O VlY1�Qln Owner Phone #:
i�:)aq Llll
Physical Address: E-mail Address:
# of Dogs: J— (Maximum of three allowed per YMC Chapter 6.08.030)
7
1. Name of Dog: �� orj� Male: Female: _ Spayed or Neutered Y N
r
Breed: Q i�"11 Color: G � ow V'\
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. 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:
L�
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. (5Oq) g q i- 9 3 4 (O
Owner Name: Ke - l n _ZAM r24 -RKLI-S I Ch Owner Phone #:
Physical Address: JL4976 1015-� S— E-mail Address: f pe Fr i,! 5 i C h 76:)
Gl rn, i� 5 7 �ma.i i .e 01 �m
# of Dogs: _ (Maximum of three allowed per Y C Chapter 6.08.030)
1. Name of Dog: LA i Male: X Female: ^ Spayed or Neutered: Y It N
Breed: CJ O- Color: 'TI- I Fn Lin
�i
2. Name of Dog:
Breed:
3. Name of Dog:
Male: Femme 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: 1.5 6 / 2. 3.
Replacement Tag: Y / N (If replacement tag, then enter original tag number here: j
Rabies Tag #
Date Information entered into database:
Revised 02/11
By Whom: _ � )IV—,)
City of Yelm
105 Yelm Ave. W., Yehn, WA 98597
Phone: (360) 458-3244 Fax: (360) 458-4348
www.cl.yelm.wams
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: / r / e /1 QCl 4-. VU►^ci� Y'� Owner Phone #: as -7 -VO -3-7
j
Physical Address: V" 9 (;�rCrh lit �QPV s• . E-mail Address:Yn C krowr 47WLQ-),ya!?0o. C0�
# of Dogs:
(Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: 0-411, Male: Female: _ Spayed or Neutered: Y 10
Breed: 4i4ia' Ve v'ntChf?r Color: &ac4 f*-/arl
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. 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.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.c.i.yelm.Vq.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 �� q9
Owner Name: _ ��� �, � ��. �[ � 1�)ir Owner Phone #: ��� � � e
Physical Address: E-mailAddress: fQ�
# of Dogs: _ (Maximum of three allowed per YMC Chapter 6.08.030)
Name of Dog: .7) 3 _ _ Male: Female:y Spayed or Neutered Y f N
Breed: Lc�h} � _ _ Color:4AC r v!'l )
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 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.
Copiers Northwest Olympia - Major Accts
Sales Order Picking List
S.O. Date: 07/17/2017
S.O. Number: S0357717
Printed Date: 7/17/2017 8:14:40AM
T-'T-4`<-``P-XiTED Entered by: cpernori
i
f
017
JUL 1 X
Customer: City Of Yelm _ Ship To: City Of Yelm
Attn: Accounts Payable Attn: Accounts Payable
105 Yelm Ave W 105 Yelm Ave W
Yelm, WA 98597 Yelm, WA 98597
Account Number Payment Terms P.D. Number Ship Method Date Required
200651-P 30 Days UPS Ground 08/01/2017
Notes 1 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:
FA 450 0 1 61SALASKA 127602
Date:
Page 1 of 1
$°.* 1C "#
�� 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 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: Cc) (-a►Z Re2!,ye5 Owner Phone #: 01 )-1 — zolz- SU 8'1
Physical Address: qq S.3 Or'o 4 S4. E-mail Address: culiA,�.y�C' MGti�.Cow�
# of Dogs: L_ (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: le Male: X Female: F Spayed or Neutered: 7V N
Breed: iatL4Pa .tea` Color:. ,N, t c�
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 v 2.
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
O'0 Ine A
a� City of Yelm
4 105 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
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: _ 1M�'ZikL� � Owner Phone #: I � � 22 -�
Physical Address: —� '`� 5">✓ E-mail Address:_r,^Not_k�4 CA, P,11-
� S l
# of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: Male: 11� Females: _ Spayed or Neutered: N
Breed: f2 i-i-�P � Color:
2. Name of Dog: Male: Female Spayed or Neutered: Y /CN
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. 510 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
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. ely m.waus. 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 Owner Phone #:
Physical Address: S"�C ,y� E-mail Address:��i�
# of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: di� Male: _ FemalOC Spayed or Neutered: Y
Breed: C1PY .� t(a ick Color: Dtc_ `�
2. Name of Dog:
Breed:
3. Name of Dog:
Breed:
Male: ^ Female:
Color:
Spayed or Neutered: Y / N
Male: _ Female: _ Spayed or Neutered: Y / N
Color:
Fee Schedule:
Dog License: FREE
Replacement Tag: $2.00
Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070)
To report a lost dog or if you have an animal complaint please call our
Public Works Department at (360) 458-8406.
For office use only I
Date license(s) issued: 7 / / Tag Numbers: 1.5 (%tel
v 2. 3,
Replacement Tag: Y / N (If replacement tag, then enter original tag number here: ^ )
Rabies Tag # N
Date Information entered into database:
Revised 02/11
By Whom:
City
it f Yelm V� J
�$
105 Yelm Ave. W., Yelm, WA 98597
—t Phone: (360) 458-3244 Fax: (360) 458-4348
www.ci.yelm.wa.us
•vE:x.m
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 #: r� �'C!r
Physical Address: E-mail Address:
# of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: <Q� Male: _ _ Female: � Spayed or Neutered: 0 N
Breed: O_ -LJ rn 1 , _ Color: R)Vt)WrN
2. Name of Dog: Male. "k Female: Spayed or Neutered:' N
Breed: Color:A fL\.i, Ulla _
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, 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:
Op 'CNS
City of Yelm
4 105 Yelm Ave. W., Yelm, WA 98597
Phone: (360) 458-3244 Fax: (360) 458-4348
www.ci.yelm.wams
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.plm.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: J- ' 110 [ Owner Phone #: 3A.0 - SIS- 6 T b
Physical Address: b 12 �(", cl S� E-mail Address: s a zSe
# of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: CLV---1,,J10" Male: Female:✓ Spayed or Neuteredo-Y / N
Breed: Color:
2. Name of Dog:_ _ Male: Female: _ Spayed or Neutered: Y/ N
Breed:
3. Name of Dog:
Breed:
Color:
Male: _ Female: _ Spayed or Neutered: Y / N
Color:
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: 15132. 3.
Replacement Tag: Y / N (If replacement tag, then enter original tag number here: 3
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: M,k-J, 4 Sar Cic»rcL_ Owner Phone #: 26 3 " 3�D—�a12�Z 53 -- 3 v "33-�
Physical Address: 312 5" Q Q�- 101AJ UMo k4 F6597 E-mail Address: )1 je ec,..( Qa.r4 iacl
# of Dogs: Iz (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: S� t k'� Male: /_ Female: _ Spayed or Neutered: N
Breed: Color: Oki -A --e Ct.) Bri,.J tt p
2. Name of Dog: Male: 9— Female: _ Spayed or Neutered.01 N
Breed: )3c,5 .ldF' Arr i Color: �r'°'w V&/s
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. 1 S7 , 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:
V THE
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: i:l,C tf'14 l f � CtY u Owner Phone #: �1 � �� o� d — l.� (P
Physical Address: 5k'D Vim E-mail Address: n1t~�I fylGii�
caJVl
# of Dogs: 11(Maximum of three allowed per YMC Chapter 6.08.030)
Name of Dog: �� &g e— Male
Breed: Lo -1 l Esw MA lA X
2. Name of Dog:
Breed:
3. Name of Dog:
Breed:
Female: L Spayed or Neuteree N
Color:1
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:
Revised 02/11
By Whom: — OL02
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: VAI V7 /J I N Owner Phone #: 0'r, C) S22 ' G 2�
Physical Address: PG r CT S07 E-mail Address: oi-e ; w�
# of Dogs: l (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: b Male: Female: V Spayed or Neutered: Y /
Breed:) -c- Dov—S 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. S � ? 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 l
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:( AV c` Adn nEl��.r l- _ Owner Phone #: �6 7-5 l 3 �%
Physical Address: _ / 43 �2AL21_C (�j E-mail Address:
# of Dogs. I (Maximum of three allowed per YMC Chapter 6.08.030)
AILI�l� A��IZ� � [3v�c �(('� Fun
1. Name of Dog: -5,/ -Male: Female: Spayed or Neutered N
Breed: �(� C EJ [[ �l �J6- �!2 i Color: i3LACZ,/ZA,()
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
t_
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:
10/13
By Whom:
��TtlF1'�
City of Yelm
105 Yelm Ave. W., Yelm, WA 98597
,i
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.V d �� Owner Phone
Physical Address: E-mail Address:.
# of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: Male: _ Female: y Spayed or NeuteredY N
Breed: Color:
2. Name of Dog: V&Q.�,00Ck0_ c10 Male: _ _ Female: K, Spayedd� or Neutered:O N
Breed _`_00V'A Color: !6toVJX4 W kt Z'C�
3. Name of Dog: _ rb Male: k Female: h ,p Spayed or Neutered: Y /ON
Breed: V A� Ou&Q Color: `�3 A -L
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: 1579 2. 58" 3. 8 1
Replacement Tag: Y / N (If replacement tag, then enter original tag number here: f
Rabies Tag # \e/
Date Information entered into database: By Whom: 1
Revised 02111
City of Yelm
105 Yehn Ave. W., Yelm, WA 98597
Phone: (360) 458-3244 Fax: (360) 458-4348
www.cLyelm.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: o—r21
3Ati0,4 Owner Phone #: 3s--6
Physical Address:.G Vr- Jul` E-mail Address:
# of Dogs: e9lj - (Maximum of three allowed per YMC Chapter 6.08.030)
Name of Dog: r AJ ICG IAJ Male: K Female: _ /Spayed or Neutered:G/ / N
Breed: &' S1(kj /1'��� �U� Color: 12���� LA) Lf-(
C3 4-4A)
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: ISJ�
Replacement Tag:1 N if replacement tag, then enter original tag number here: _ )
Rabies Tag #_
Date Information entered into database.
10/13
By Whom:
MA
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 &�/ `- )/nO k --- Owner Phone #:
Physical Address: C E-mail Address. v�0 CS'N`1
# of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog; �VVan Male: )� Female: _ Spayed or Neutered:,
Breed: 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: 1.4 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 G�
Owner Name: t k/ i�r�tIM Owner Phone #: I 1 �"70
Physical Address: I '6 I- _ E-mail Address: f iN )',c6ft,
# of Dogs: S (Maximum of three allowed per YMC Chapter 6.08.030)
�
1. Name of Dog: DI'W _ Male: Female: Spayed or Neutered: (Y-,)/1/ N
Breed:. (�J'iIsn_ _j°�.�( 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 _
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
LZe
Revised 02111
City of Yelm
105 Yehn Ave. W., Yehn, 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.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; i-1AG �.il�i1� �Qlli6�[l Owner Phone #: 150ZJ'r3LI5- Wfia I
Physical Address: tA1�l IZCL � �Q� i W11, Rbr0cl1'4 E-mail Address: Yao- - tSh 01c e
gnrna, k . Corn
# of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: Tg►S� C G Male: __ Female: � Spayed or Neutered: Y !
(10 1.
Breed: CCc�alno�lg _ Color: -'SjP6& B 1 Z - - alt
2. Name of Dog: E17rikitr P&WM--t' NO Male: Y Female: Spayed or Neutered:0 N
Breed:'Swjdey Cb1k1 Au Color: i6kact l�in���,
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- SS 3.
Replacement Tag: Y / N (If replacement tag, then enter original tag number here: ]
Rabies Tag #
Date Information entered into database:
10113
By Whom: M z