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587-637Fee Schedule: 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 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)y �y / Owner Name:a�l'Qasl . ��l Owner Phone #:(, Physical Address: I�-I�6l) 1.]�� �V 1��M � 554 E-mail Address: # of Dogs: _ I (Maximum of three allowed per YMC Chapter 6.08.030) Name of Dog: Male: Female: _ Spayed or Neutered Breed:kvL\Q�R' to 2. Name of Dog.- Breed: og:Breed: 3. Name of Dog: Breed: Y/(Q Color:Qmml�41L 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. ----T-o report -a lost -dozy -or if you have an animal-o-rnptaint-please-catl-aur 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: ) 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.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: V 01ML3 L»aS�l� Owner Phone #: �[ Physical Address: (0-90 E-mail Address: _fJ �Q ��_r, I'�rsIP "/boson, # of Dogs: I (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: Male: _ Female: Spayed or Neutered:JV Breed ,�j btj1 _ Color: G 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 ente7By timber here: Rabies Tag # Date Information entered into database: hom: _ Revised 02111 �� �� iiia p • City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci.yelm.wams Y' V, ITL 2+',f 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. 2,62 Zgq 1223 Owner Name: -RAVE OLY-) h�1 ba POW Yel Owner Phone #: 7 /0 9� Physical Address: 7-3 V nC d 1–o op Sf E-mail Address: Ye I m A 58597 r�►a�)1- Co rn # of Dogs: _ _ (Maximum of three allowed per YMC Chapter 6.08.03D} Name of Dog: �e ar Male_ Female: Spayed or Neutered: 0/ N Breed: 6jU t� Color: _50L[ 2. Name of Dog: n'Ktbo'– Male: Female: X Spayed or Neutered:/ N Breed: I�uy��i� )yi Color: Aw1� ch"d 61 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: l Replacement Tag: 1 N acement tag, Rabies Tag # Date Information entered into database: Revised 02/11 Tag Numbers: 1.5 N.' _ 2.-5 3. then enter original tag number here: By Whom: dfs Tme1' kp City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci.Velm.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) f] r Owner Name:�,�,� 1�C]� V Owner Phone Physical Address: ......... V1l� # of Dogs: , g (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog:l Q� ��C }dale: �` Female: ` Spayed or Neutered:t� N Breed:( �U jtititiJJJ Color: 2. Name of Dog: Woa� ` 2 Male: Female: Spayed or Neutered: Y / t Breed: Color: �� W1 LGt ��(—=�1�C�' l�•l�� L� 3. Name of Dog: Breed: Male:... Female: ! Spayed or Neutered: Y / N Color: Completed applications (including proof of rabies inoculations) may be mailed or delivered to Yelm City Hall, 105 Yelm Ave. W., Yelm, WA 98597. Incomplete applications will be returned. Applications may be obtained at City Hall, Monday through Friday 8:00 am to 5:00 pm or by visiting our website at www.ci.yelm.wa.us. Tags are issued at City Hall. You may receive the tag by mail if requested. To report a lost dog or if you have an animal complaint please call our Public Works Department at (360) 458-8406. For office use only Date license(s) issued: Tag Numbers: 1. (� . ( 2�. V 1 Replacement Tag: Y / N (If replacement tag, then enter original tag number here: ) Proof of rabies enclosed: Yes_ No (please explain) Date Information entered into database: By Whom: Revised 05/05/10 sjd City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci.yelm.wa.us Application for Dog License Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code - Chapter 6.08.070) The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Rei istrations 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 #: 4�ss Physical Address: !�o ( (o �� 61 4n i C+Z— 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: elje Color. jr VN 2. Name of Dog: Breed: 3. Name of Dog: Breed: Male: _ Female: Spayed or Neutered: Y / N Color: Male: r Female: _ Spayed or Neutered: Y / N Color: Completed applications (including proof of rabies inoculations) may be mailed or delivered to Yelm City Hall, 105 Yelm Ave. W., Yelm, WA 98597. Incomplete applications will be returned. Applications may be obtained at City Hall, Monday through Friday 8:00 am to 5:00 pm or by visiting our website at www.ci.yelm.wa.us. Tags are issued at City Hall. You may receive the tag by mail if requested. To report a lost dog or if you have an animal complaint please call our Public Works Department at (360) 458-8406. For office use only Date license(s) issued: Tag Numbers: 1.— 2. 3. Replacement Tag: Y / N (If replacement tag, then enter original tag number here-- Proof ere: Proof of rabies enclosed: Yes_ No (please explain) . Date Information entered into database: By Whom. "'A N I\i Z— Revised 05/05/10 sjd 4-0 TFiF. �,� City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 y •,.;:.. 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., elm, WA 98597. Tags are issued at City Hall and can be mailed to your address, if requested. ^� Owner Name: � a G uE'1 i ne—_�o-�ez Owner Phone #: 5� 325,3 _ Physical Address: _LKc4 CA_%4L_S .. _ _ ....... _. E-mail Address: J��j C r ca # of Dogs: cc!��3c'hoo •cam (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: �%Oe- _ Male: _,/ Female: _ Spayed or Neutered: Y / N Breed: 04IM -er l coin Jul <;4 _ Color: 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 " l� L 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: 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. Owner Name: Owner Phone #: !7- f 1 3 Physical Address: _'521C.ZE-mail Address: 17 7,f CC•s� # of Dogs:. _ (Maximum of three allowed per YMC Chapter 6.08.030) Name of Dog: I3��.Ga�� Male: _ Female: Spayed or Neutered`/ N Breed:7 Color: 2. Name of Dog: Male: _ Female: _ Spayed or Neutered: Y / N Breed: Color: 3. Name of Dog: Male: Breed: 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 Date license(s) issued: Tag Numbers: 1S 1. 2. 3. Replacement Tag: Y / N (If replacement tag, then enter original tag number here: ) Rabies Tag # f Date Information entered into database: By Whom: fl ,Y], 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. �,t�r �� ''- Owner Name: �' ��l�C `-' ` ��4 .�S Owner Phone #:�% nn Physical Address: o?05Do J-( .5 - (-C"e f- E-mail Address: bf a' A,e ul� L9�� # of Dogs. A (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: 1 or--Okan Male: Female: X Spayed or Neutered: N Breed: L- L ..Z.00, Color: Ve I I u 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: 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. . �Jr Owner Name: Owner Phone #: I_ d -oma Physical Address: E-mail Address: �`3'G.,> r f■R� f /fly # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: Male. Male. �Z Female: Spayed or Neutered: Y / Breed: Color: 4&2 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. 7-9 ? 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. 0� V a City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.cimelm.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: rOL Owner Phone #: Physical Address: q,'g E-mail Address # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: Male: Female: Spayed or Neutorc :4' Breed: }hin i t ,P Color: VV �C 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: tJ Tag Numbers: 1,]� 2, 3. Replacement Tag: Y/ t (If replacement tag, then enter original tag number here: ) Rabies Tag # `—% Date Information entered into database: By Whom: Revised 02/11 D t PVjAWk*pCity of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: mam 458-4348 P www.ci. elm.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: .�IIt(� �� �c�-1�7 r� Owner Phone #: Physical Address: L C e nd _ S _ E-mail Address: # of Dogs: 1 (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: 0 I`i /�5;_ 5 i Male. Female. Spayed ui Neuleiu-d. N Breed:Gk I CiJ GeJf�. Color: �� u. 9-- 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 1 Date license(s) issued: kJ5 _ Tag Numbers: 1.IC 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 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.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: 1€ss C `DI L€e.t.A Owner Phone #: $ti 1 - Physical Address: / yyft3 91'" wA-1 S,F E-mail Address: .1 di'iell'c # of Dogs: 1. Name of Dog Breed: 14,11Kf (Maximum of three allowed per YMC Chapter 6.08.030) Le or+, as s 2. Name of Dog: x 6"NA Breed: Pom - cal 3. Name of Dog: 0r'o Breed: POM Le%I.. v,fa AID Male: X Female: _ Spayed or Neutered: Y / Color: cAAy N, 140,70 - Male: Female: ZC Spayed or Neutered: Y / Color: .r AS Le' Male: X Female: Spayed or Neutered: 4�/ N Color: S-44 c er 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: (00-'), Tag Numbers: 1. (aM 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.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 movilded with this application. The dogs are required to wear the rabies tag issued by the veterinarian. (Yelm Municipal Code — Chapter 6.12) jS3- :is �- gZ3 \ Owner Name: [ I�.G,x� v .�� ?, �SL.O� Owner Phone #: a5 *'Z5` 3SS— a -T i C\ Physical Address: lQGQQzi`( �,,,,, �t _�STSL� t y�Q�. E-mail Address:iS"J *A to'CoL' # of Dogs: �z (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog:dd� Male: k' Female: _ Spayed or Neutered:QY ( N Breed: C> IT \%, c"\Qr Color:. '1lIN- elk 2. Name of Dog:Male: I/ Female: Breed: Color: A�4 L� 3. Name of Dog: Breed: Male: Female: Color: Spayed or Neutered: Y / 6D 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.s 2.-D( 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: '1W z 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 C -� h Owner Phone* Physical Address: 30 i /_0>1 -r_ E-mail Address: n '� OrrtjQ� �© Ci # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog:a Male: Female: __L_, -Spayed or Neutered: Y Breed: //i7 ti ,'�vy2 e c�G s 0/4 Color: r�i eon 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. Replacement Tag: Y ONIf replacement tag, Rabies Tag # Date Information entered into database: Revised 02111 Tag Numbers: 1.4 �j 2. then enter original tag number here: By Whom: 3. //w DF INVA City of Yelm a 105 Yelm Ave. W., Yelm, WA 98597 r . 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 w_ww.ci.y_elm_.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'Yt Owner Phone #: — Physical Address:, E-mail Address: . # of Dogs: CO- (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: &add Male: Female: _Spayed or Neutered(O N Breed: Color: 2. Name of Dog:%��'� _ Male: Female: _►,!f!- Spayed or Neutered N Breed: Color: 3. Name of Dog:Male: _ _ Female: Sp d or Neutered: Y / N Breed: Color: S 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: W % Replacement Tag: Y(I 1V W Xlf replacement tag, Rabies Tag # Date Information entered into database: Revised 02/11 Tag Numbers: IUIL 2. then enter original tag number here: By Whom: 3. Tkk�o-A City of Yelm 4m 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci.yelm.wa.us YrEr.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: P71 1 -Owner Phone #:,500 Physical Address: - �0.�1 1ru+�2Q # of Dogs: 1 1. Name of Dog. _ M\Nirz� Breed: -?i� �, \� 2. Name of Dog: Breed: 3. Name of Dog: Breed: E-mail Address:S ��LLoL'd . Coe_v\ (Maximum of three allowed per YMC Chapter 6.08.030) Male: /C Female: Spayed or Neutered iaY N Color: to`W`rl 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: 1,69 2. 3. Replacement TaQ: Y / N (If replacement tae, then enter orieinal tag number here: ) Rabies Tag # Date Information entered into database: Revised 02/11 By Whom: k1 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 j� v 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 #: Physical Address: 0? _ o E-mail Address: Ir -C.b�, _ t # of Dogs: 1 _ (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: I" `�Ci�Q� _ Male: k Female: _ Spayed or Neutered:N Breed: \\v rl I Nkk Color: _ 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. 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: SOF 3�Ik'A ti\ �o 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.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: R Owner Phone #: Physical Address: Z Ckea IAN _ # of Dogs: 2 E-mail Address: nOL\ - [XIC>1 - Cfltj (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: C_'_ � Male: 4 Female: Spayed or Neutered: Y N/ Breed: jc" Color:C1 2. Name of Dog: Breed: 3. Name of Dog: Breed: Male: _ Female: _ Spayed or Neutered: Y / N Color: Male: f 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: N n --- Tag Numbers: 1. 2. 3. Replacement Tag: ION (I f- replacement tag, then enter original tag number here: ) Rabies Tag # Date Information entered into database: By Whom. Revised 02/11 Qi p 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: Lf rAd c•. 4- 3oQ q Owner Phone #: Physical Address: `'9U I �Wktn br• sSF_ j& iA)A I&SI-1 E-mail Address: Ci,,,6p mu,e�5[ # of Dogs: 2— (Maximum of three allowed per YMC Chapter 6.08.030) V 1. Name of Dog: AY) nil Q Male: _ Female: X Spayed or Neutered;V N Breed: _ 1_ I_ 4f�( (, e c Color: A.VA "+ Lo 2. Name of Dog: �i�y _ Male: K Female:_ Spayed or Neutered:( N Breed:� A.�'� `l' VA10A E �,yy�pW }Ct Color: S 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. FIS— 2. 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: By Whom: Revised 05/05/10 sjd City of Yelm a 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci.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.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: 1rj t,]Owner Phone Physical Address: 162 L4 aO C0'v\0 ck-- C' �1 E-mail Address: {11 G�u o� c}Y1'�p�►'1 • C C.iY7 # of Dogs:. (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: lC�(a_� Male: )�_ Female: Spayed or NeutereY N 1 Breed: Color: 1C f' �� TGC1 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, 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.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. I f/ Owner Name: i-� &'A 4_ Owner Phone #: �/ Physical Address; � 5 }moi s� E-mail Address: ao�_-ZAc 4 O �IC A U Zeo # of Dogs: M Breed: �Z Name of Dog: Z�'` (Maximum of three allowed per YMC Chapter 6.08.030) i �mb.-I Male; V Color: I-emale: _ Spayed or Neutered:/ N' Male; X Female: _ Spayed or Neutered&/ N Breed: &d /7cze'* Color: a� 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: 1.6/2 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,cl.Yeln7,w,9.L1S. 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. T� c� Owner Name: ;f' _e 1,') ✓' 1' Owner Phone #: Physical Address. 'IP S E-mail Address: # of Dogs: ' (Maximum of three allowed per YMC Chapter 6.08.030)�t 1. Name of Dog: Breed: nl 2. Name of Dog: Breed: 3. Name of Dog: Breed: Male: _..Female: _ Spayed or W'ru_telr. 46P/ N Color: 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: I.j 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: 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.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. k. 1 Owner Name: 11v r ' Owner Phone #: �I J ]�1 Physical �Address C C, "��: �] � WkE-mail Address: r5 _ -Gun # of Dogs:...._.._I . (Maximum of three allowed per YMC Chapter 6.08.030) Name of Dog: ID Male:, Female: Spayed or Neutered (Y1' N Breed: n4Color:jr 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 Ta//g:: Y / N (If replacement tag, then enter original tag number here: Rabies Tag # V 22i 4- 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. Owner Name: I )� it _ r Owner Phone #: Physical Address; f��� �l�Yi E-mail Address: # of Dogs:. �. (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: HaU to Breed: 2. Name of Dog: Breed: ................ 3. Name of Dog: Breed: Male: l/ Female: ` Spayed or Neutered: Y /l�J Color: bI C2 ()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.� 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 rn 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. Reqistrations cannot be issued unless proof of current rabies inoculation is provided with this application. The dogs are recLuired t wea th rabies tag issued by the veterinarian. (Yelm Municipal Code — Chapter 6.12) A t' -'a: F L{ 4-] ,-- Q � C�/ E) g 19& r- g V C- C 1 Owner Name: rl-� 1 I uc' fC Owner Phone #: a f !-no Physical Address: 3"f �IUd V�OY�I �1 S E= E-mail Address: _MDCML� i r nAA # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: K 1'n (� Female: q Spayed or Neutered: Y Breed: C. Color: 2. Name of Dog: Male: _ Female: Spayed or Neutered: Y Breed: W1 X,A4 r- o -CA Color: I�L0.CAc 3. Name of Dog: Male: Female: Spayed or Neutered: Y / N Breed: Color: Completed applications (including proof of rabies inoculations) may be mailed or delivered to Yelm City Hall, 105 Yelm Ave. W., Yelm, WA 98597. Incomplete applications will be returned. Applications may be obtained at City Hall, Monday through Friday 8:00 am to 5:00 pm or by visiting our website at www.cyelm.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 ol.. � 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: pF releE, �l .� �City of Yelm As105 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 f1�t� Owner Namel�.�11(1�1 V1s�, Owner Phone (-- Physical Address:��Ta_ �� a�el� ��� As E E-mail Address- 1`� <<�V�� � �-! (�/Z� 1 1 •(bw J # of Dogs: _ (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog:. n Male: _ Female: Spayed or NeutereY 1 N Breed: _V� Color: _ Q f 2. Name of Dog:'t kQ c Xn Lk Male: & Female: _ Spayed or Neutered: Y /e Breed: A,, ll(�11NL t Color: B C', c 3. Name of Dog: ,((l �� Male: k Female: Spayed or Neutered: Y N J Breed�.�t �1�Y� wV� i'AI� 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. i 2.� 3. Replacement Tag: Y / N (If replacement tag, then enter original tag number here: Proof of rabies enclosed: Yes_ No (please explain) Date Information entered into database: Revised 05/05/10 sjd By Whom: f []� Vie" City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci_yelir3.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. Ronistration...s...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: S L o w Owner Phone #: �J3 T ``�� 6 l� �P 40 Physical Address: _i4H ` S q ] bo N <�l: E-mail Address: 0 D y,.hoc*��•- # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) -1. Name of Dog: {--f) oc_ i :Lr 1. i ( 100 2. Name of Dog: Breed: 3. Name of Dog: Breed: Male: _ Few@le: t` Spayed or Neutered60 N Color. —b1 n 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: Tag Numbers: 1.3 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. THE pq, City of Yelm a 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 a,. www.ci.veirn.wa.us 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) i Owner Name: C0. ���� Owner Phone #:( (fidY� Physical Address: f G'� _�_U _7 iM............. E-mail Address: # of Dogs: _ (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: /JCS Male: Female: ` Spayed or Neutered: Y / Breed. Z-4 Color: fv. L L� 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 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.Lis. 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.�-� 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 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci.velm.wa.us "YEx.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. 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) G Owner Name: �i Owner Phone #:.�" JCr'` Physical Address: I C6 I C-( 1AC.{ &��8 E-mail Address: -Ff2V_ r✓7 c— # of Dogs: _� (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: Lir I(Ahq Male: Female: Spayed or Neutered: Y 1�1� Breed: Color: Old i—I t� Name of D.og: �-- Male: Female: Spayed or Neutered: Y / N Breed: 3. Name of Dog: __ Breed: 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...elm.wa.ris. 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: - zol 7 Tag Numbers: 1. 2. 3. Replacement Tag: Y / N (If replacement tag, then enter original tag number here: ) Proof of rabies enclosed: Yes_ No (please explain) Date Information entered into database: By Whom: Revised 05/05/10 sjd City of Yelm 105 Yelm Ave. W., 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: Me -J; SSGi Mr Orth Q Y1 Owner Phone #: 3?�(PU � - .27G 4� Physical Address:%Ye_t;ijecJ Lexi °� ' E-mail Address: 7 O{ M0.0. 0_011A # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) Name of Dog: r Male: _ Female/: �L Spayed or Neutered�l N Breed e,S rl 0.-k)1 i Q Color: Li . 2. Name of Dog: Breed: 3. Name of Dog: Breed: Male: Female: Spayed or Neutered: Y / N Color: Male: ^ Female: Spayed or Neutered: Y / N Color: 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. G 2. 3. Replacement Tag: Y / N (If replacement tag, then enter original tag number here: ) Rabies Tag # Date Information entered into database: i0/13 By Whom: �/ qg TFl�p City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 .�, Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci.yelrn.wa.us Application for Dog License Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070) The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Registrations cannot be Issued unless proof of current rabies inoculation is provided with this applic_a_tion. The dogs are required to wear the rabies tagissuedby the veterinarian. (Yelm Municipal Code — Chapter 6.12) Owner Name: res --wr M, Me,,<.���S Physical Address: `7 S # of Dogs: & V -o ve Ra Owner Phone S E-mail Address: (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: C_\A1q j4c� Male: _ Female: Spayed or Neuterek. -Y) N Breed: rA41 Color: �Ovo'A_:�.-j 2. Name of Dog Breed: 3. Name of Dog: Breed: Male: _ Female: _ Spayed or Neutered: Y / N Color: Male: _ Female: Spayed or Neutered: Y / N Color: Completed applications (including proof of rabies inoculations) may be mailed or delivered to Yelm City Hall, 105 Yelm Ave. W., Yelm, WA 98597. incomplete applications will be returned. Applications may be obtained at City Hall, Monday through Friday 8:00 am to 5:00 pm or by visiting our website at www.ci.yelm.wa.us. Tags are issued at City Hall. You may receive the tag by mail if requested. To report a lost dog or if you have an animal complaint please call our Public Works Department at (360) 458-8406. For office use only Date license(s) issued: 13 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) Ig q3 Date Information entered into database: By Whom: Revised 05/05/10 sjd City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci.yelm.wa.us Application for Dog License - Free The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Your lost dog is a phone call away when your dog wears their registration tag. The dogs are required to wear the rabies tag issued by the veterinarian. (Yelm Municipal Code — Chapter 6.12). Applications can be obtained at City Hall, Monday through Friday 8:00 am to 5:00 pm or by printing the form from our website at www.ci.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 I Owner Phone #:, �J iJ'i(A Physical Address: Sk _ �Q . 5 E-mail Address: I +C11 Pq (y -v'_( L CA W# of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: _kj`l t: Male Female: ` Spayed or Neutered N Breed: Rn U Snn n,Color: ga t u a l 1 1$ � 2. Name of Dog: 90 _ale: Female: Spayed or Neutered Yy N Breed: _ � l� Color: Trn�r + )Wlf J 3. Name of Dog: Breed. Male: _ Female: Spayed or Neutered: Y / N Color: Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070) To report a lost dog or if you have an animal complaint please call our Public Works Department at (360) 458-8406. For office use only Date license(s) issued: Tag Numbers: 613_�__ 1 Replacement Tag: Y / N (If replacement tag, then enter original tag number here: Rabies Tag # Date Information entered into database: Revised 02111 By Whom: