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%,%I.y VA A =1141 105 Yelm Ave. V6, Yelm, WA 98597 Phone; (360) 458-3244 Fax: (360) 458-4343 A -iv r.ci.ve€era.vwa.Baa Application for Dog License Fee Schedule: tt((� �V 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. Reclstrations cannot_ be issued unlessyroof of current rabies inoculation is orovided with this application. The dogs are required to wear the rabies tag issued by the veterinarian. (Yelm Municipal Code - Chapter 6.12) -J Owner Name: �s���� - ` �_ Owner Phone : 17—%� l - �o � 9 Physics! Address: L o S E-mail Address: K� I e(' n (�� (/a �nv rI. # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) 1. Mame of Dog: Male.- y` Female: Spayed or Neutered: Y/ r7 Breed: JIB Color: I.S I a 2. Name of Dog: Male: ^ Female: _ Spayed or Neutered: Y/ N Breed: 3. Dame of Dog: Breed: Color: Male: _ Female: _ Spayed or Neutered: Y / N Color: Completed applications (including proof of rabies inoculations) may be mailed or delivered to Yelm City Hail, 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 wwx.ci.yelm.wa.us. Tags are issued at City Hail. You may receive the tag by mail if requested. To report a lost dog or if you have an animal complaint please call our Public Works Department at (3650) 458-8406. For office use only Date license(s) issued: Tag Numbers: 1. ' � 2. 3. Replacement Tag: Y / N (If replacement tag, then enter original tag number here: ) Proof of rabies enclosed: Yes_ No (please explain) Date Information entered into database: Revised 05/05/10 Sid hom - val.Y VI A Cilll 105 Yelm. Ave. W, 'helm, WA 98597 Phone, (3160) 458-32€4 Fax: (360) 458-4348 W'WM.CL' eirra.Wa.Us z. 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. Rawstrations ca-nnot be issLied unless proo3 e; currant rabies inoculation is orovided with this appllcation. The dogs are required to wear the rabies tag issued by the veterinarian. (Yelm Municipal Code – Chapter 6.12) 1 I f Owner Marne: Kac 11LVIj `� N. � V' LtW A\U LLS f Owner Phone #: ',�,, lJ `� a�f ' J���1 � `� 1 li�•� �� gyp[ �( Physical Address: `7' .. lLEC� . Cr l eLti.�. E-mail Address: V�� tG4 by—C1c�� # of Dogs 1. Mame of Dog: j(KT\e (Maximum of three allowed per YMC Chapter 6.08.030) Male: X Female: _ Spayed or Neutered: 6f N Breed: �'���CC'Cl _ Color: LLLL 2. Dame of Dog \I.f✓ Male: Female: %( Spayed or Neutered:0 RI Breed: Myy'e"\ Color: 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. VAI., 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.yelnnma.us. Tags are issued at City Hall. You may receive the tag by mail if requested. To report a lost slog or if you have an animal complaint please call our Public WQrlss Department at (360) 458-8406. For o-Tf ce, use only Date license(s) issued: / (-C/ / Tag Numbers: 1. 4 2.4W 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: / l ' ( l� By Whom: Revised 05105/10 sjd e+siy %if a =1141 105 Yelm Ave, W., Yelm, WA 98597 Phone (3160) 458-3244 Fax: (360) 458-4348 Application for Dog License Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code - Chapter 6.08.070) The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Registrations cannot be issued unless :proof of current rabies inoculation is provided with this application.. The dogs are required to wear the rabies tag -issued by the veterinarian. (Yelm Municipal Code - Chapter 6.12) Owner Name 1-FC�II� oon' r'I�"`"1 Owner Phone #: c ] 6 Physical Address:-" r 1'0 _(21 A)L)_ E-mail Address: 'k ✓ l(,fa; � Fl r # of Dogs:_ (Maximum of three allowed per YMC Chapter 6.08.030) Marne of Dog:r tf- Male: _ Female: Spayed or Neutered: Y 1 �p � Breed: _ +� ._ Color: L^J�14 �,! Name of Dog: rggeChS L Male: _ Female: �_/ Spayed or Neutered: Y 1� Breed: _ CJs. Q�r �/� �9 _ Color: f it 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, USIA 98597. Incomplete applications will be returned. Applications may be obtained at City Hall, Monday through Friday 8:00 am to 5:00 pm or by visiting our website at www.ci.velm.wa.us. T ags 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 (350) 458-8406. For office use only Date license(s) issued: , Q - �`� Tag Numbers: 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: ; _ ( v By Whom: Revised 05/050 0 sid P'agqhh" City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci.velm.wa.us. mo 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.a.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: LV1 C D tr Owner Phone #: SLZ, 5th . I IZ5 Physical Address: L4 RC1 PPV_akZ_V5 A9E: Ski E-mail Address: tfr cz c oble.. mc4rl0� # of Dogs: l (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: Breed: _ �i!Sh M_k5M F, 2. Name of Dog: Breed: 3. Name of Dog: Breed: Male: _ Female: X_ Spayed or Neutered:/ N Color:. .FAwn 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._ 1` ` 2. 3. r+. � Replacement Tag: Y / N " (It replacement tag, then enter original tag number here: ) Rabies Tag #: DD LA Date Information entered into database:. _ _ By Whom: 10/13 VA w City of Yelm A. N 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 wwwxLyelm.wa.us L Application for Dog License - Free Your lost dog is a phone call away when they wear their registration tag. Applications and license tags can be obtained at City Hall, Monday through Friday, 8:00 am to 5:00 pm or by printing the application from our website at www.ci.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: a '% �J Q� 1'� ttl h Owner Phone #: 3�� Physical Address: SC cam.t{.ti cum %41w. wri 9 591 C? E-mail Address: # of Dogs: _ t (Maximum of three allowed per YMC Chapter 6.08.030) Sh-e TOT(AIIy .l)ea_� 1. Name of Dog: Dot Ko)- kA Male: _ Female: Lpaye or Neutered: 0/ N Breed: TW YnC4 "r"i UV\ Color: al 0tC K � L )kl T -P, 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: 10/13 By Whom: f\N City of Yelm �, 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.ciTyelm.wa.us L Application for Dog License - Free Your lost dog is a phone call away when they wear their registration tag. Applications and license tags can be obtained at City Hall, Monday through Friday, 8:00 am to 5:00 pm or by printing the application from our website at www.ci.yelm.wa.us. Dog owners completing an application and returning it to City Hall will be issued a license tag. If you prefer to mail in your application, a tag can be mailed to you. The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Dogs are required to wear the rabies tag (Yelm Municipal Code – Chapter 6.12) and furnish proof to a Yelm Animal Control Officer, if requested. Current rabies tags are issued by a veterinarian. Owner Name: Owner Phone #: 206-- _7'4 9 —U 9 i0 0 Physical Address: Tj 14'�'i 1C)E3- ty) Nd -C 'YE E-mail Address: # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) �a�O O. C 1. Name of Dog: �2�� " jr,•, ,_ Male: (_ Breed: n1 1 01 NASSC l fQ V-1 oior: 2. Name of Dog. Breed: 3. Name of Dog: Breed: Female: _ Spayed or Neutered: O N Male: Female Color: Spayed or Neutered: Y / N Male: Female: Spayed or Neutered: Y / N Color: Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code – Chapter 6.08.070) To report a lost dog or if you have an animal complaint please call our Public Works Department at (360) 458-8406. For office use only Date license(s) issued: Tag Numbers: 1. 2. 1 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.d,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: _.) L) i'LV1� '�( J �-� �� Owner Phone #: O ��- 3 Physical Address: �jzC—Ug C I C- E-mail Address:e<2t�.-� C� !tid �►�, i , t utiv- # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog !uu`i9 e_ Male: Ferrule; / Spayed or Neutered:& N Breed; 3pV '^S L?'r Color: &-oo-v- 2. Name of Dog: 8'e C'r- Male: i- Female: -_ Spayed or Neutered: 0/ N Breed: Lab /j5_e.+r; ever- Color: /3)a CP_ i,/J Lg""e 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 /0-540 Date license(s) issued: 0 Tag Numbers: IJ L{ Replacement Tag: Y / N (If replacement tag, then enter original tag number here: Rabies Tag #: _ 5— / ( Date Information entered into database:A 0)5— Whom: 10/13 2- City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.c�elm.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: _ a Q. Owner Phone #: 0 C,) I Physical Address: 16#2 E-mail Address:,. _12 # of Dogs: 1. Name of Dog: -.T . 1 Breed: 2. Name of Dog: Breed: 3. Name of Dog: Breed: (Maximum of three allowed per YMC Chapter 6.08.030) Male: _�— Female: _ Spayed or Neutered: 0 N Color: 1�1"I2l CC,:7� 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 i Date license(s) issued:/—C - Tag Numbers: 1. 2 _,�--_.... - Replacement Tag: Y / N (If replacement tag, then enter original tag number here: Rabies Tag #: Date Information entered into database: W7193 1 a -5- /� 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 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: ��(t t , IUB 0.S1�a QV►SOwner Phone #:� '2�1 �r1(��� 5�i -33-2-721 Physical Address: Ave, Alyy\ I WA E-mail Address: RkA1 tiLY_bow :S',t 35�O voltl.Cgr # of Dogs: __ '2-1 (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: V=0 K 0 Male: K Female: _ Spayed or Neutered: (9/ N Breed: 5 w)l �' Color: t''T0,111, 2. Name of Dog: Male: _ Female: 'k Spayed or Neutered: Y Breed: Color: iL... 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 onlyl Date license(s) issued: / '-) - �5- / Tag Numbers: 1. 77 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 ��nY rreg n ,o City of Yelm W105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci.yelm.wa.us YruL1A+I Application for Dog License - Free Your lost dog is a phone call away when they wear their registration tag. Applications and license tags can be obtained at City Hall, Monday through Friday, 8:00 am to 5:00 pm or by printing the application from our website at www.ci.yelm.wa.us. Dog owners completing an application and returning it to City Hall will be issued a license tag. If you prefer to mail in your application, a tag can be mailed to you. The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Dogs are required to wear the rabies tag (Yelm Municipal Code - Chapter 6.12) and furnish proof to a Yelm Animal Control Officer, if requested. Current rabies tags are issued by a veterinarian. Owner Name: N\ l ( Owner Phone #: Q . J -}--CIA- I Physical Address: _ jj�{� E-mail Address:A . 1 L5 b # of Dogs: _ (Maximum of three allowed per YMC Chapter 6.08.03 } n L 1. Name of Dog:.���� _ Male: Female: ` Spayed or Neutered: Y N ti Breed: Lill' _ Color: Name of Dog: . . - ITT Ve - -Male: Female: Spayed or Neutered: Y N Breed.: --*n l Color: ` 3. Name of Dog: Breed: Male: Female:. Spayed or Neutered: Y / N Color: Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code - Chapter 6.08.070) To report a lost dog or if you have an animal complaint please call our Public Works Department at (360) 458-8406. For office use only Date license(s) issued: Tag Numbers: 1. _ 2SIO . Replacement Tag: Y / N (If replacement tag, then enter original tag number here: Rabies Tag #: Date Information entered into database: 10113 By Whom: 3. City of Yelm 105 Yelm Ave. W., Yelm, CNA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci.y_elm.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. AS-; a���7Owner Name: ��-..��yy ���L\jp_loe)�Owner Phone #: J r Physical Address:a '-T :--w �� � E-mail Address: c {CJt [ ��v� C( J� V' # of Dogs: I (Maximum of three allowed per YMC Chapter 6.08.030) C t4� . 1. Name of Dog: -z--LQ Male: Female: Spayed or Neutered YJ/ N Breed: Color: 2. Name of Dog: Breed: 3. Name of Dog: Breed: Male: Female: ` Spayed or Neutered: Y / N Color: Male: Female: Spayed or Neutered: Y / N Color: Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code - Chapter 6.08.070) To report a lost dog or if you have an animal complaint please call our Public Works Department at (360) 458-8406. For office use only 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 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:,Lne'3 C i'Yl LtyS_ Owner Phone #: qS� Physical Address: 1_5309 (A. E-mail Address:mas q� # of Dogs c7:,2 (Maximum of three allowed per YMC Chapter 6.08.030) V\jj%'rt ex &C) 1. Name of Dog: _ ffl G i =5 0 r—) Male: Breed: 1e_rryna.n te� 2. Name of Dog: ALA ` -� 1 10 Male: Breed: I' &�_ 3. Name of Dog: Breed: Male: Female: \4 Spayed or Neutered:' / N Color: Ck-C�� Female: X Spayed or Neutered: (�) N Color: C_ 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: 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.wams 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: Owner Phone #:�'G� - Physical Address: 16/37 # of Dogs: E-mail Address: ' �cf�' alo7's/x (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: Male: _ Female: Spayed or eater CY_l / N Breed: Color: &ez e � C:zy 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 Date license(s) issued: Tag Numbers: 1, 942. 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: V ixe City of Yelm a 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:. 5 5 1 L a Owner Phone #: Physical Address: I as ,,,-. fidf4, 5' E-mail Address: # of Dogs: / _ (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: _1`;91n r� Male: _4 Female: _ Spayed or Neutered: Y / Breed: �R1 S�cL�I_ �� Color: _ /BROW/) 9= l �,`74ff 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: 10/13 By Whom: 3. City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci.ye_lm.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: ''+d -4— A46 A, Owner Phone #: '?o Physical Address: /6ZS Al J .6A/GS Llil—uJ C_T_ E-mail Address: 62&td, O&Ox4ke C-smkk, Cd.-, # of Dogs: _S (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: rq L S'S 7 &114'lr— Male: _ Female: ;!�— Spayed or Neutered:(�5 N 2. Name of Dog: 9 77 Male: _ Female: , Spayed or Neutered: (Z) N Breed: 616 Color: ' [ 3. Name of Dog: Male: ,_ Female: _ Spayed or Neutered: (D/ N Breed: h'" u , _ _ Color: 6 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 2 �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: 10113 By Whom: M„/ City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.c�elm.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: _ Rv""__1 ML) L Owner Phone 0) Physical Address: ��)'1 �( )nCMC C E-mail Address: CCS ��MCL(_ @2MCL11co n% # of Dogs. _ I (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: �IYI _ Male: �C Female. ` Spayed or Neutered.Y�� N C�1-i t �.-- m Breed: _ _ Color: i -U 2. Name of Dog. Male: _. Female: Spayed or Neutered: Y / N Breed: Color: 3. Name of Dog: Breed: Male: . Female:._ Spayed or Neutered: Y / N Color: Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070) To report a lost dog or if you have an animal complaint please call our Public Works Department at (360) 458-8406. For office use only Date licenseTag Numbers: 1 s) issued: 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 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.ye1m.wa.tis. 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. i Owner Name: I D vv l�q �F_ ( ^ N rel ��.� Owner Phone #: Physical Address: `3'i 19 $ r -r)4 CT. S. e,.rel �,, � � `�k� 97 E-mail Address lyw�- N K?t T- = C �"Wcft5 • �1 # of Dogs. 1_X (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: Ido K o Male: Female: Spayed r Neutered:10/ N Breed: u va b, V -1t Color: pjIV::) �]�- I �� � 1 �' �i�P) 2. Name of Dog C_ 1i % ccs Male:> Female: Spayed or eutere N}7 N" Breed: i; I„, w bkl(a6r, Color: L,) IT -A V 3. Name of Dog. Breed: Male: Female: Spayed or Neutered: Y / N Color: Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070) To report a lost dog or if you have an animal complaint please call our Public Works Department at (360) 458-8406. For office use only Date license(s) issued: Tag Numbers: 1. 2., 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.y_elm.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. 7�� 340 350 fS 10 Owner Name: / IZ �k L1 Owner Phone #: hh �a�� CS; 1zl�tj £� �.C4) Physical Address: ` S d v�. N� _� _ E-mail A ress: # of Dogs: 1 (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: .S ki 42 V, 4 �1 Male: _ Female: Spayed or NeutereQQ) N Breed: L /a %= Color: 2. Name of Dog: Breed: 3. Name of Dog: Breed: Male: Female: Spayed or Neutered: Y / N Color: Maley . 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. C 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: 3. City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci.y_elm.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: " �,f Owner Phone #: y 1 rl 1 Physical Address: f l 1 (�e�V�f;•�r.2_Ave-,- E-mail Address: C��✓yd�%%7t�l�a� ►r # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) Name of Dog: v'.0 Breed: M r v, . ,/ a et i -e- Male. ZFemale: Spayed or eutere N Color: 2. Name of Dog: S✓%0v'j t' Male: V Female: Breed: `~ r -L r ©� Color: WtA 3. Name of Dog: Breed: Spayed o eutere ['1 N a 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 d� y Tag Numbers: 16? 2. 3. — - Replacement Tag: Y / N (If replacement tag, then enter original tag number here: ) Rabies Tag #: Date Information entered into database: By Whom: 10113 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:y4 �� ('�) ij �� S Owner Phone #: 30/6 7 lI in Physical Address: �� . 2C-7 E-mail Address: rl # of Dogs:. (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: Q@Q r Male. i/ Female: _ Spayed or Neutered/ N Breed: /4NSt(0_/;0 h SL2_P kP f d Color: c_ k ':_9 ■�� Gr� I �' 2. Name of Dog: J /l a a/p eJ Male: _ Female: Y Spayed or Neutered -y N Breed: G�' V Pj t4/ Color:._Mct c �a h 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 l _ �/� Date licenses issued: Y Ta Numbers: 1. 2. q 3. Replacement Tag: Y / N (If replacement tag, then enter original tag number here: , ) Rabies Tag #: Date Information entered into database: 10/13 By Whom: City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci.yelm.wa.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: -Tu Owner Phone #: Physical Address: IZ 1 C' E-mail Address: # of Dogs (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: . 4 Breed: -7�� _ � 2. Name of Dog: O IL--VrVC1.0 f - Breed: L 3. Name of Dog: Breed: Mal Female: Spayed or Neutered/ N Color:lc�c^__l� Mald— Female: _ Spayed or Neutered: Y /(N Color: cmrlc- � yecx-t . �Q 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. I 2. 3._ Replacement Tag: Y / N (If replacement tag, then enter original tag number here: ) Rabies Tag 0: Date Information entered into database: 10/13 By Whom: A ,-FILM %is a v4111 105 Yelm Ave. W., Yelm, WA 98597 Phone: (369) 458-3244 Fax: (360) 4.58-4348 WjVW-C1.v6Jrrd. a.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 rallies inoculations. Registrations cannot be Issued unless proof ofcurrent 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) p Owner Name: G,' L,^ iW Owner Phone �: � �3 :31/8 8 C Q Physical Address: I / Ll-'ekL CC E-mail Address: e- 1 # of Dogs: 'P 1. Name of Dog.. [ Breed: Ljob wix 2. Name of Dog: Breed: 3. Name of Dog: Breed: (Maximum of three allowed per YMC Chapter 6.08.030) Male: Female: :0Y� _ Spayed or Neutered Color: 221 -Ci 0�/ 1�-)Ilq/llie fl 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 (-fall. You may receive the tag by mail if requested. To report a lost dog or If you have an animal complaint please call our Public Works Department at (360) 458-8406. For office use only �l Date license(s) issued: I �� ! 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 05/0511 0 sid 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: I Le oe- Physical Address: -6 `1 c [daw+ % f. S # of Dogs: I Owner Phone #: —Lo C, E-mail Address:_ PC66t #' 'Ct uoo- C OA (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: Male:_ — X Spayed or Neutered: N Breed: Color: f 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: `�,�_� Q16 Tag Numbers: 1.�) 00 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: v,Ly Vi l =1111 NN 105 Yelm Ave, W Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 Application for Dog License Fee Schedule. - Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code – Chapter 6.08.070) The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Registrations cannot be issued unless goof of current rabies inoculation is vroaided with this application. The dogs are required to uvear the rabies tag issued by the veterinarian_ (Yelm Municipal Code – Chapter 6.12) Owner Name: Owner Phone �: 2S –� � 2�!> Physical Address: 'F— E-mail Address: ► I ot ir�d It I2C- ## of Dogs 2 (Maximum of three allowed per YMC Chapter 6.08.030) Name of Dog: Male: _ Female: Spayed or Neutered:/ N Breed:. j� J1� Color: 2. Name of Dog: at � � Male: Female: Spayed or Neutered:y I N Breed: 14o I _ Color: 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 `marks Department at (350) 458-8406. For of -flee use only Date license(s) issued: Tag Numbers: 1.fa I 2. Replacement Tag: Y / N (I£ replacement tag, then enter original tag number here: Proof of rabies enclosed: Yes_ No (please explain) Date Information entered into database: By Whom: Revised 05/0511 0 sjd �_Fluy WA a 'rA&11 105 Yelm Ave. W., Yelm, WA 98597 Phone_ (.3350) 458-3244 Fax: (360) 458-4348 Application for Dog License Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070) The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Registrations cannot be issued _unless Rrav_f 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 Marne: Owner Phone Physical Address: ! `� 5 % e/x7-/A wcL.y yE�..fiir VV X74? WE -mail Address: ;he vLi n•a " ,� # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) 1. dame of Dog: '�)n, _ Male: _ Female: Spayed or neutered: 6 N Breed: kA Color: 2. Name of Dog: Breed: 3. Dame of Dog:. Breed: C ko cc 1 ck_-� r 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 w+lv+,v.ci. elm.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 (350) 458-8406. For office use only Date license(s) issued: Tag Numbers: 1. 2: 3. Replacement Tag: Y / N (If replacement tag, then enter original tag number here Proof of rabies enclosed: Yes_ No (please explain) Date Information entered into database: By Whom: LNO"-� Revised 05105i'(0 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: �j(I �1 (� �G-'y�r`T Owner Phone #: Physical Address: ��( %s�'2� E-mail Address: # of Dogs I (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: �t Male: _ Female:6 Spayed or NeuteredGY / N Breed:&J-Cpt f reZ Color: )64 W 2. Name of Dog: Male: ^ Female: _ Spayed or Neutered: Y/ N Breed: Color: 3. Name of Dog: Male: Female: Spayed or Neutered: Y / N Breed: Color: Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code - Chapter 6.08.070) To report a lost dog or if you have an animal complaint please call our Public Works Department at (360) 458-8406. For office use only Date license(s) issued: Tag Numbers: 1. 1 DLI 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: V_��z City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci.ye_1_m.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: +- L( Owner Phone #:.31, 0 -. 1( 0 '6' / ';;� 4 Physical Address: 030` Q ' E-mail Address: L n1 -L" 1 (Q 190 Q & maa4-' int # of Dogs: ,:2 _ (Maximum of three allowed per YMC Chapter 6.08.030) j 1. Name of Dog: ( I ja Male: _ Female: eX Spayed or Neutered:0 N Breed:�1� lne Sa f 5� is �ecii-t a tl Color: � e � �-Q, Name of Dog: X. Male: _2k\ Female: _ Spayed or Neutered: W/ N r Breed: t r-_ 1L t£Yl} ester Color: ��tf k - 1�� K IAO /I "'1-L�15�!ax`1� 3. Name of Dog: Breed: Male: Female: Color: Spayed or Neutered: Y / N Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code - Chapter 6.08.070) To report a lost dog or if you have an animal complaint please call our Public Works Department at (360) 458-8406. For office use only Date license(s) issued: Tag Numbers: 1. ; 2. 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 wwwci.y_elm.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: C-4- 4 rz.L4 Physical Address: /h 2- 3.h /',"Z a/ lair # of Dogs: Owner Phone #: 300416—K-3-366 E-mail Address: (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: P/ PP/ A) Breed: 0 14 u A 14 u A 2. Name of Dog: Breed: Male: Female: V Spayed or Neutered N Color: L,4[I,/- / 7-4 U ir 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 s 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: °pT-W 6&'awk,p)City of YeIm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci.yelm.wa.us L Application for Dog License - Free Your lost dog is a phone call away when they wear their registration tag. Applications and license tags can be obtained at City Hall, Monday through Friday, 8:00 am to 5:00 pm or by printing the application from our website at www.ci.yelm.wa.us. Dog owners completing an application and returning it to City Hall will be issued a license tag. If you prefer to mail in your application, a tag can be mailed to you. The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Dogs are required to wear the rabies tag (Yelm Municipal Code — Chapter 6.12) and furnish proof to a Yelm Animal Control Officer, if requested. Current rabies tags are issued by a veterinarian. Owner Name: �j r��,� I Vtr[ � 1 y tASf_1 1 Owner Phone #: 17D - &07 - 5' 54/q6L�-r7 Physical Address: Ave- SC E-mail Address: CSrc�tic, mases, L1 ,��ho�, r� , # of Dogs: _ _ - (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: _� Dck4 Male: _ Female: v Spayed or Neutered: &/ N Breed: V, �6kJ k Color: r4LL4 2. Name of Dog: Male: _ Female: .i Spayed or Neutered: 4/7/ N Breed- 3. Name of Dog: Breed: Male: Color: '%&_ 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: 1. 2. 3 Replacement Tag: Y a tag, then enter original tag number here: Rabies Tag #:. Date Information entered into database: 10/13 By Whom: f� L pF 1CNk A City of Yelm a 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: mam 458-4348 www.ci.yelm.wa.us L Application for Dog License - Free Your lost dog is a phone call away when they wear their registration tag. Applications and license tags can be obtained at City Hall, Monday through Friday, 8:00 am to 5:00 pm or by printing the application from our website at www.ci.yelm.wa.us. Dog owners completing an application and returning it to City Hall will be issued a license tag. If you prefer to mail in your application, a tag can be mailed to you. The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Dogs are required to wear the rabies tag (Yelm Municipal Code — Chapter 6.12) and furnish proof to a Yelm Animal Control Officer, if requested. Current rabies tags are issued by a veterinarian. Owner Name: Owner Phone #� 5't9 l — ( �+2, Physical Address: 111 1:) � ���r. � J E-mail Address: �Y1 �1r Irk �LP # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: Male: Breed: �eir�Vi�f Color: 2. Name of Dog: Breed: 3. Name of Dog: Breed: Male: Color: Female. L Spayed or Neutered/ N �y i Yld- Female: _ Spayed or Neutered: Y / N 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 #: Me Date Information entered into database: By Whom: 10/13 City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci.yelm.wa.us Application for Dog License - Free Your lost dog is a phone call away when they wear their registration tag. Applications and license tags can be obtained at City Hall, Monday through Friday, 8:00 am to 5:00 pm or by printing the application from our website at www.ci.Yelm.wa.us. Dog owners completing an application and returning it to City Hall will be issued a license tag. If you prefer to mail in your application, a tag can be mailed to you. The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Dogs are required to wear the rabies tag (Yelm Municipal Code — Chapter 6.12) and furnish proof to a Yelm Animal Control Officer, if requested. Current rabies tags are issued by a veterinarian. Owner Name: jIZ L -),4,v 6;As Owner Phone #: ZT 3 — M -7~ Physical Address: 2y�3 (9_i ty4bo1ee Si5 SE E-mail Address: SS }PrOLKAL&jh 4;). Led yr, # of Dogs: .- . (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: Nd 4t -A Male: Female: _ Spayed or Neutered:/ N Breed: AColor: 13(6J _0 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 Date license(s) issued: --PI Tag Numbers: 1. _ 1 { I 2. Replacement Tag: Y / N (If replacement tag, then enter original tag number here Rabies Tag #:_ Date Information entered into database: 10113 By Whom: 0 QF r�P City of Yelm a 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci.ye_lm.wa.us ELS S 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 ` caner Phone #: ca 5a :�(T)l �i��YtLQ'� QS �aO� Physical Address: DOrG, . W6 E-mail Address:.- 0ov-Xe.1rS0,R7C0 VVve'l� # of Dogs: (Maximum of three alowed per YMC Chapter 6.08.030) 1. Name of Dog: n DAA Male: Female: X Spayed or Neutered: Y /U Breed: -�me_y\�lavk_ SU I'Lu rAj)�Color: 2. Name of Dog:17�� 1� �,'� Male: a Female: Spayed or Neutered: IJY / N Breed: � �( Color: Z W r"_ 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: I I Tag Numbers: 1. 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: 10/13 City of YOM 105 Yelm Ave. W., Yelm, WA 98597 Phone; (360) 458-3244 Fax: (360) 458-4348 www.ci.yelm.W2.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: rk j ✓�e �{ a Owner Phone #: .3 23-3j —:3 S 6 y f Physical Address: I �i�� �R SL° 0. �� Gi 0 live l E-mail Address: _4 9517u 9 61:v , Co 119 # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) 12 1. Name of Dog. 3'G S f C� (z Male. _X Female: Spayed or Neutered N Breed: 0 ;h U q u Cz. Color: '6 Aq e k , W A �' rp- 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 I n Date license(s) issued: , I �J 7� Tag Numbers: 112 / 2. 3. Replacement Tag: Y / N (If replacement tag, then enter original tag number here: ) Rabies Tag #: Date Information entered into database: 10/13 By Whom: City of Yelm 105 Yelm Ave. W, Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.cLyelm.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 he 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,,l Owner Name:��� r l Y !� �l�l,� 1 Owner Phone #: ���I Physical Address: i�? S �����"1 _ J E-mail Address: # of Dogs: I (Maximum of three allowed per YMC Chapter 6.08.030) r 1 1. Name of Dog: i)" I - I•(r Male: -�- Female: _ Spayed or Neutered.N/ N Breed: lIVlrl tlI 1 9" �.�.I+lr' lnd Color: 2. Name of Dog: Breed: 3. Name of Dog: Breed: Male: Female: Spayed or Neutered: Y / N Color: Male: Female: Color: Spayed or Neutered: Y / N Completed applications (including proof of rabies inoculations) may be mailed or delivered to Yelm City Hall, 105 Yelm Ave. W., Yelm, WA 98597. Incomplete applications will be returned. Applications may be obtained at City Hall, Monday through Friday 8:00 am to 5:00 pm or by visiting our website at www.ci.yelm.wa.us. Tags are issued at City Hall. You may receive the tag by mail if requested. To report a lost dog or if you have an animal complaint please call our Public Works Department at (360) 456-8406. For office use only Date license(s) issued: Tag Numbers: Replacement Tag: Y / N (If replacement tag, then enter original tag number here: ) Proof of rabies enclosed: Yes_ No (please explain) Date Information entered into database: Revised 05/05/10 sid By Whom: City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.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: w ll�Q" 1 Owner Phone #: 2K-3 a Physical Address: 2C)j ) 1,C., 6A)to YC,f_m WAE-mailAddress: # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) Name of Dog: , Male Breed: ` (rAy _"k 2. Name of Dog: Breed: 3. Name of Dog: Breed. Female: � Spayed or Neutered: Y 16 Color: _ lG C'L d- t,LJ_L. 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: 10/13 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 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:fro Owner Phone #:� A My C o Physical Address: G3';�!K rag; ra Al aLA E-mail Address: kolrnw l Le -':L H # of Dogs: Maximum of three allowed per YMC Chapter 6.08.030 �(ou/40C: c, 60VL? 1. Name of Dog:_ A Male: --'—Female. Spayed or Neutere . Y / N Breed: _ �� f� + 1 I ,�C Color: a CL- 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. I 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: r\X"X 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:` "` O er P one #: Physical Address:9 E-mail Address. # of Dogs. _ (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: o Male. Female: J Spayed or Neuters N (� v 'K V Breed kJ� L��r4�1 "���� 1� Color: 2. Name of Dog:. ATT 11'cMale: Y Female: Spayed or Neuteredgl N io Breed: `�'elll`� Color: 3. Name of Dog: Breed - Male: _ . Female: _ Spayed or Neutered: Y / N Color: Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070) To report a lost dog or if you have an animal complaint please call our Public Works Department at (360) 458-8406. For office use only Date license(s) issued: Tag Numbers: 1. 2. 3. Replacement Tag: Y / N (If replacement tag, then enter original tag number here: ) Rabies Tag 11:_ Date Information entered into database: _ By Whom: 10/13 City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci.yelm.wa.us Application for Dog License - Free Your lost dog is a phone call away when they wear their registration tag. Applications and license tags can be obtained at City Hall, Monday through Friday, 8:00 am to 5:00 pm or by printing the application from our website at www.ci.yelm.wa.us. Dog owners completing an application and returning it to City Hall will be issued a license tag. If you prefer to mail in your application, a tag can be mailed to you. The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Dogs are required to wear the rabies tag (Yelm Municipal Code — Chapter 6.12) and furnish proof to a Yelm Animal Control Officer, if requested. Current rabies tags are issued by a veterinarian. Owner Name: { 1 �� h4 � l � I 3` � _ Owner Phone #: SLP4 -o400�d D Physical Address: l5(OLU q�[A_,"�oE-mail Address: on � "CA hw- Cm # of Dogs: _ 7_ (Maximum of three allowed per YMC Chapter 6.08.030) Name of Dog: Y1 IU0hV Male: )(- Female: Spayed or Neutered:/ N Breed:111' Color: 2. Name of Dog: Breed: 3. Name of Dog: Breed: Male: Female- Spayed or Neutered: Y / N Color: Male: Female: Spayed or Neutered: Y / N Color: Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070) To report a lost dog or if you have an animal complaint please call our Public Works Department at (360) 458-8406. For office use only Date license(s) issued:_ Tag Numbers: 1. 1�0 2. 3, Replacement Tag: Y / N (If replacement tag, then enter original tag number here: ) Rabies Tag #: Date Information entered into database: 10/13 By Whom: � Z. Ol T►3� A � City of Yelm a 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci.yelm.wa.us L 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: I4 (' &4 e1A;\ � ie,Ai— Owner Phone #: I 2 �5 3 Physical Address: 15 Vra i (" r ��-LG Loo_�_ E-mail Address: C44 w� # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.03 0) 1. Name of Dog: 14 r1c l Male:-4-4_Female: Breed: Ldb(_G..t1jW 1C Color: La 2. Name of Dog: Breed: 3. Name of Dog: Breed: Male: Female: Color: Spayed or Neutered/ N Spayed or Neutered: Y / N Male: Female: Spayed or Neutered: Y / N Color: Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070) To report a lost dog or if you have an animal complaint please call our Public Works Department at (360) 458-8406. For office use only Date license(s) issued:_ _ Tag Numbers: 1. 2. 3. Replacement Tag: Y / N (If replacement tag, then enter original tag number here: } Rabies Tag #: Date Information entered into database: By Whom: tl� 110/13 City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www,ci.yelm.wa.us Application for Dog License - Free Your lost dog is a phone call away when they wear their registration tag. Applications and license tags can be obtained at City Hall, Monday through Friday, 8:00 am to 5:00 pm or by printing the application from our website at www ,ci.iLelai a.us. Dog owners completing an application and returning it to City Hall will be issued a license tag. If you prefer to mail in your application, a tag can be mailed to you. The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Dogs are required to wear the rabies tag (Yelm Municipal Code - Chapter 6.12) and furnish proof to a Yelm Animal Control Officer, if requested. Current rabies tags are issued by a veterinarian. Owner Name: J cocas t,Jc�11 Owner Phone #: % bU % s�d - F7 3 2 Physical Address: Cl)-q'l) S�, _?; F _ 1-7 tJ4 E-mail Address:, �c�.5o✓I�,clw1�,� �Zcr�zd y��ho�, # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: ._DtP_5el Male: )( Female: _ Spayed or Neutered: 0 N Breed: .Dctc.�) w,o( Color: 15fazJ�2 2. Name of Dog: -111,15 l/ Male: _ Female: )( Spayed or Neutered:/ N Breed. C �Ihcl-ri- w" /M 1 3f Color: 131cle k LA__K2L, -r1 3. Name of Dog: /)//+ Male: — Female: = Spayed or Neutered: Y / N Breed: /yA 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: `� (5� Tag Numbers: 1. / �" 2.)2-53.— Replacement Tag: Y / N (If replacement tag, then enter original tag number here: 4q � ` V Rabies Tag #: Date Information entered into database: By Whom: 10/13 City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci.yelm.wa.us Application for Dog License - Free Your lost dog is a phone call away when they wear their registration tag. Applications and license tags can be obtained at City Hall, Monday through Friday, 8:00 am to 5:00 pm or by printing the application from our website at www.ci.yelm.wa.us. Dog owners completing an application and returning it to City Hall will be issued a license tag. If you prefer to mail in your application, a tag can be mailed to you. The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Dogs are required to wear the rabies tag (Yelm Municipal Code — Chapter 6.12) and furnish proof to a Yelm Animal Control Officer, if requested. Current rabies tags are issued by a veterinarian. Owner Name: �,Z 77 S 9UI61170').e-Llti' Owner Phone #: Physical Address: 14-�� /A_ 'S .�- SL E-mail Address: (J/nsOn336P1J/1' `V`` # of Dogs: ___/ (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: S/rt'eC'/"P_�— Male: Female: Spayed or Neutered:f-) N Breed: �jyt l Z�c� Color: 2. Name of Dog Breed: 3. Name of Dog: Breed. Male: Female: _ Spayed or Neutered: Y / N Color: Male: _ Female: .. Spayed or Neutered: Y / N Color: Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070) To report a lost dog or if you have an animal complaint please call our Public Works Department at (360) 458-8406. For office use only Date license(s) issued: Tag Numbers: 1. lQ�'_ 2. 3. Replacement Tag: Y / N (If replacement tag, then enter original tag number here: ) Rabies Tag #: Date Information entered into database: 10/13 By Whom: City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci.yehn.wams. 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.wams. Dog owners completing an application and returning it to City Hall will be issued a license tag. If you prefer to mail in your application, a tag can be mailed to you. The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Dogs are required to wear the rabies tag (Yelm Municipal Code Chapter 6.12) and furnish proof to a Yelm Animal Control Officer, if requested. Current rabies tags are issued by a veterinarian. Owner Name:-- Physical ame:—Physical Address: 0133 # of Dogs: Owner Phone #: �'-y - �sS 2 - `f 3 CJS l_ yXn 2G n�.�S Cit SE E-mail Address: rV i Ckvt-. 6,u Gk�2 CJ- hvu , (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: g-Q.i-N�jn U�— Male: Female: Spayed or Neutered: % N Breed: � C�iL� �� S�-� , �c _ Color: i — C blor wiJ� 2. Name of Dog: Male: Female: i Spayed or Neutered: Y / N Breed: 3. Name of Dog: Male Color: 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 J Date license(s) issued:_ Tag Numbers: llas _ 2. 3. Replacement Tag: Y / N (If replacement tag, then enter original tag number here: ) Rabies Tag #: Date Information entered into database: 10/13 By Whom: City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 Www,ci.yelm.wams 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: Ztyk),4 IJ G Owner Phone #: -���� �5 g . 3 Physical Address: CP13� gr y e jM 4-6� E-mail Address: ,C�ka� e- # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: �e,y� Male: k,"" Female:., Spayed or Neutered N Breed: Color: 2. Name of Dog: Breed: 3. Name of Dog: _ Breed: Male: Color: Male: Color: Female: Spayed or Neutered: Y / N 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: I. 1Xn 24 __ Replacement Tag: Y / N (If replacement tag, then enter original tag number here: Rabies Tag #: Date Information entered into database: By Whom: 10/13 W�P'dah, City of YelmW. 105 Yelm Ave. , Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci.yelm.wa.us y L Application for Dog License - Free Your lost dog is a phone call away when they wear their registration tag. Applications and license tags can be obtained at City Hall, Monday through Friday, 8:00 am to 5:00 pm or by printing the application from our website at www.ci.yelm.wa.LIs. Dog owners completing an application and returning it to City Hall will be issued a license tag. If you prefer to mail in your application, a tag can be mailed to you. The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Dogs are required to wear the rabies tag (Yelm Municipal Code — Chapter 6.12) and furnish proof to a Yelm Animal Control Officer, if requested. Current rabies tags are issued by a veterinarian. "UN Awl Owner Name,1i[�cl`;,]��L' �' Owner Phone #: -1 'i i Lj Physical Address: ���it'�' iAnA , E-mail Address: ML4& 1_o # of Dogs:, (Maximum of three allowed per YMC Chapter 6.08.030)��� 1. Name of Dog: Pa& Male: Female: sZ Spayed or Neutered: & N Breed: �('�[, �, ell&. Color: 21 /" y 2. Name of Dog:Male: �� Female: ` Spayed or Neutered:CYJ N Breed: �_ AIJ lA0ffijkjt-11�)� Color: bx 3. Name of Dog: Q,&V1 Male: Female:✓ Spayed or Neutered: DY N Breed: lvtlml�v�t-• - Color: - 'ZC -17 iC_64e�i 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 / 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: �IL 10/13 Michelle Christin From: Quill [info@quill.com] Sent: Wednesday, December 14, 2016 11:09 AM To: Michelle Christin Subject: Return Order Confirmation: # Hello Lori Mossman, 9 Your return request has been accepted Please follow the return instructions below to receive your credit RETURN INSTRUCTIONS To return your items you will receive a separate email from InfoA uili _rflm with your prepaid shipping label(s). Please follow these 3 steps once you download and print your label(s): L__! e _ _ _ » - - - - - - E- -- - - - - -- - - - -- - - . =11 Package your items Prepare Package Mail Your Return Securely pack your return Before Affix your prepaid shipping label to Bring your return to any location sealing the box, please include a your box Remove any existing listed in your prepaid return label copy of your packing list, invoice or tracking labels or stickers instructions or, if you have a this email. regularly scheduled pickup, give your return to the driver You will receive an email when your credit has been issued. If you requested a replacement, you will receive your order confirmation shortly. To check the status of your return, please visit the Return History page at any time. Item Qty Amount 5650 6 -PRT W-2 LASER FORMS 2 $25.99 Item #: 5650 CREDIT DETAILS - -- Order Number: 98359259 Merchandise: $51.98 Account Number: 1524141 Handling: $0.00 Invoice Number: 2642193 Shipping: $0.00 Tax: $4.52 TOTAL CREDIT: $56.50 Have a question? Visit our Help Center My Account Free Returns Easy Reorder I Track your order, create 100% satisfaction is�1—ISAarch our ever-expanding account alerts, pay your M.� uaranteed. Online online assortment or use easy invoice ... do that and much returns are free and reorder tools more easy. 1 Michelle Christin From: Quill [info@quill.com] Sent: Wednesday, December 14, 2016 11:09 AM To: Michelle Christin Subject: Return Order Confirmation: # Hello Lori Mossman, To return your items you will receive a separate email from infoCcD-guill.com with your prepaid shipping label(s). Please follow these 3 steps once you download and print your label(s): Your return request has been accepted Please Quillo follow the return instructions below to receive your rom. credit. — RETURN INSTRUCTIONS To return your items you will receive a separate email from infoCcD-guill.com with your prepaid shipping label(s). Please follow these 3 steps once you download and print your label(s): Item 5650 6 -PRT W-2 LASER FORMS Item #: 5650 CREDIT DETAILS Order Number: 98359259 Merchandise: Account Number: 1524141 Handling: Invoice Number: 2642193 Shipping: Tax: TOTAL CREDIT: Have a question? Visit our Help Center My Account Free Returns Track your order, create 100% satisfaction is account alerts, pay your guaranteed. Online invoice—do that and much returns are free and more, easy. 1 Qty Amount $2599 $51.98 $0.00 $0,00 $4.52 $56.50 Easy Reorder Search our ever-expanding online assortment or use easy reorder tools. Package your items Prepare packapa Mail Your Raturn Securely pack your return. Before Affix your prepaid shipping label to Bring your return to any location sealing the box, please include a your box. Remove any existing listed in your prepaid return label copy of your packing list, invoice or tracking labels or stickers. instructions or, if you have a this email, regularly scheduled pickup, give your return to the driver. You will receive an email when your credit has been issued. If you requested a replacement, you will receive your order confirmation shortly, To check the status of your return, please visit the Return History page at any time. Item 5650 6 -PRT W-2 LASER FORMS Item #: 5650 CREDIT DETAILS Order Number: 98359259 Merchandise: Account Number: 1524141 Handling: Invoice Number: 2642193 Shipping: Tax: TOTAL CREDIT: Have a question? Visit our Help Center My Account Free Returns Track your order, create 100% satisfaction is account alerts, pay your guaranteed. Online invoice—do that and much returns are free and more, easy. 1 Qty Amount $2599 $51.98 $0.00 $0,00 $4.52 $56.50 Easy Reorder Search our ever-expanding online assortment or use easy reorder tools. 0110 Tfuftp City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci.yelm.wa.us L Application for Dog License - Free Your lost dog is a phone call away when they wear their registration tag. Applications and license tags can be obtained at City Hall, Monday through Friday, 8:00 am to 5:00 pm or by printing the application from our website at www.ci.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: , V tf" Owner Phone #:. /1011 T I V Gl � Physical Address: 1�[� I []�-L �1V L E-mail Address: # of Dogs: _ l (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: Male: Female: _ Spayed or Neutered:(Y) N Breed:�� )�.Y/ Color: 1�1�� ✓► UVv� 2. Name of Dog: Breed: 3. Name of Dog: Breed. Male Male: Female: Spayed or Neutered: Y I N Color 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: 1.130 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: PQg xNE A 4�` City of Yelm A 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci yelm.wa.us L 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..yclm.wa.us. Dog owners completing an application and returning it to City Hall will be issued a license tag. If you prefer to mail in your application, a tag can be mailed to you. The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Dogs are required to wear the rabies tag (Yelm Municipal Code — Chapter 6.12) and furnish proof to a Yelm Animal Control Officer, if requested. Current rabies tags are issued by a veterinarian. Owner Name:/Owner Phone #: &-7-3 �13 Physical Address: �.�vG i•�i���i I E-mail Address: # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) - 1. Name of Dog: Male: Femal'e� Spayed or Neutered: N Breed:0111C r- 1q-L6n' Mi A" Color: - 2. Name of Dog: L6C(LLMale: Female: Spayed or Neutered/ N Breed:&� I Color: 3. Name of Dog: Breed: Male Female: Spayed or Neutered: Y / N Color: Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070) To report a lost dog or if you have an animal complaint please call our Public Works Department at (360) 458-8406. For office use only 1 -;D:l I. l-�� 1-)-1 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: _ 10/13 City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci.yelm.wa.us Application for Dog License - Free Your lost dog is a phone call away when they wear their registration tag. Applications and license tags can be obtained at City Hall, Monday through Friday, 8:00 am to 5:00 pm or by printing the application from our website at www.ci.yelm.wa.us. Dog owners completing an application and returning it to City Hall will be issued a license tag. If you prefer to mail in your application, a tag can be mailed to you. The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Dogs are required to wear the rabies tag (Yelm Municipal Code — Chapter 6.12) and furnish proof to a Yelm Animal Control Officer, if requested. Current rabies tags are issued by a veterinarian. Owner Name: N61-q'6v ner Phone # 0) 3 Physical Address:,?C/qC%i� ��Lf _�� - E-mail Address: # of Dogs: _ ! (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: fLi !1e— Male: X Female: — Spayed or Neutered - (,f! N Breed:/�( nly",/Ie_s C I%1 je r Color: li , te- 1�7n fir' , ;) t:- 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:) _6J__�_TagNumbers: 1. f �j 7j 2.— 3. Replacement Tag: Y / N (If replacement tag, then enter original tag number here: ) Rabies Tag #: 'i r Date Information entered into database: By Whom: �L_ V 10113 City of Yelm j'5'!!rP41105 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.wams. Dog owners completing an application and returning it to City Hall will be issued a license tag. If you prefer to mail in your application, a tag can be mailed to you. The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Dogs are required to wear the rabies tag (Yelm Municipal Code – Chapter 6.12) and furnish proof to a Yelm Animal Control Officer, if requested. Current rabies tags are issued by a veterinarian. Owner Name: oal-e Owner Phone #: 3(o6 Physical Address: VSjOq QUad fi erLc�Qw T C,'1 SE E-mail Address: �T # of Dogs: d• (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: Male: I*— Female: Spayed or Neutered: N Breed: , Color: SI�e.Fve 2. Name of Dog: Male: Female: Spayed or Neutered:& N Breed: [C _It lor: 1_S1 h e'0Xec'd- 3. Name of Dog: Breed: Male: Female Color: Spayed or Neutered: Y / N Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code – Chapter 6.08.070) To report a lost dog or if you have an animal complaint please call our Public Works Department at (360) 458-8406. For office use only Date license(s) issued: Tag Numbers: 1. I (" 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: lofflnMahwSs105 vary ssi a =11AI Yelm Ave. W, 'Ve%�1, A 98597 Phone: (350) 458-3244 Fax: (380) 458-4348 i►I'�1'1V:1Gd.� �af3�.YU�.iiS maw 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 Frith this application. The dogs are required to wear the rabies tag issued by the veterinarian. (Yelm Municipal Code — Chapter 6.12) TZ -3713 -Z.36 3 Owner Marne: S�wvl . f J���, �� ��^�� D-0 Physical Address: M'�;) -f�3?CjLL # of Dogs: .Z 1. Name of Dog: Breed: 2. Name of Dog: Owner Phone #: 707-e-01 -�%7,'d E-mail Address: GV DI' 232rn�'110d (Maximum of three allowed per YMC Chapter 6.08.030) ;SLS,. r 4 - Breed: M00 f C_ ; C -- 3. Name of Dog: Breed: Male: _ Female: it Spayed or NeuteredO / N Color: w�•� e Male: X Female Color: ?51161--)"') Spayed or Neutered:0 N Male: Female: _ Spayed or Neutered: Y / N Color: Completed applications (including proof of rabies inoculations) may be mailed or delivered to Yelm City Hall, 105 Yelm Ave. W., Yelm, WA 98597. Incomplete applications will be returned. Applications may be obtained at City Hall, Monday through Friday 8:00 am to 5:00 pm or by visiting our website at ww=iv.ci. el .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) 456-6406. For office use only Date license(s) issued:. Tag Numbers: 1. ' i 3j 3. Replacement Tag: Y / N (I£ replacement tag, then enter original tag number here: ) Proof of rabies enclosed: Yes_ No (please explain) Date Information entered into database: Revised 05/05/10 sid By Whom: City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www,ci.velm.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: 1 ' 0'++ �f w ok I S Q YY�_ Owner Phone #: c)-OY – 3 1 (�O – q 6) 4 9 q 8597 Physical Address: R04031;)103r`�Aje 5E VQjy,^ (JA E-mail Address: i # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog. -Be.-I 10, Male _ Female: _/—. Breed: La I Color: tg fQcl, 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 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 Q Date license(s) issued: _ Tag Numbers: I . _I 0U 2. _ 3. Replacement Tag: Y / N (If replacement tag, then enter original tag number here: ) f 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.cYelm.wa.us Application for Dog License - Free Your lost dog is a phone call away when they wear their registration tag. Applications and license tags can be obtained at City Hall, Monday through Friday, 8:00 am to 5:00 pm or by printing the application from our website at www.ci.yelm.wa.us. Dog owners completing an application and returning it to City Hall will be issued a license tag. If you prefer to mail in your application, a tag can be mailed to you. The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Dogs are required to wear the rabies tag (Yelm Municipal Code — Chapter 6.12) and furnish proof to a Yelm Animal Control Officer, if requested. Current rabies tags are issued by a veterinarian. Owner Name: Owner Phone #: ` f 1 Physical Address: 303, KaamJr_'i- f E-mail Address: # of Dogs: z2 (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog vrr,�Yin n Male: X Female: _ Spayed or Neutered: Y /0 Breed: �{(�.gel 't& Color: 2. Name of Dog: �,� r�� Male: V Female: _ Spayed r Neutered N Breed: , _41 Color: . FkAnk 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: I. 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: 3. i City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www,c_ i.y_elm.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: ACe) Owner Phone #: p �" Yldle.�Nl((( Physical Address: `� Ji E-mail Address: # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) Name of Dog: l LTAN Male- v Female: _ Spayed or Neutered: y N Breed: 1P� Color: Name of Dog: TU Cl cic Male: _✓ Female: Spayed or Neutered Gl 1 N j {{� l n % 1 kf1 �yi�11 I� Breed: (` f if V L e K "C M'* lj Color: R )< 3. Name of Dog: 1y Uy1z�D male: Breed:WCA'SOA(A T1 �O t &L_M_1\/_ Female: _ Spayed or Neutered: Y / a Color: k Y — VV /'()N� I - 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: l.__ { �I I 2. 1 ��L 3. I L_`1 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.ciyelru.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 2L1.-- Owner Phone #: _901-411 -14 U gn 443--o 4(Q( Physical Address)(01 9 t) UMj"&'"t_ Ste- Sr, E-mail Address: QAA±1 i „r, r JLL0.. # of Dogs: C (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: __� g S, gMale. Female. v/ Spayed or NeuteredoY N Breed: Ono Color: 2. Name of Dog: Breed: 3. Name of Dog: Breed. Male: Female: Spayed or Neutered: Y / N Color: Male: Female: Spayed or Neutered: Y / N Color: Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070) To report a lost dog or if you have an animal complaint please call our Public Works Department at (360) 458-8406. For office use only Date license(s) issued: _ -:: t_!( 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: City of Yelm 105 Yelm Ave. Ill/, Yelm, INA 93597 Phone: (360) 453-3244 Fax: (360) 458-4348 Application for Dog License Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070) The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Registrations cannot be issued unless proof of current rabies inoculation is Provided with this apRiication. The dogs are required to wear the rabies tag issued by the veterinarian. (Yelm Municipal Code — Chapter 6.12) Owner Name: 1-rec. ei-jC r7-�Aat W I Jri(,-4, s -X? i,, At r, _ Owner Phone #: `] V -� 1 ] - � -31 /eO - `�75 57 -D Physical Address: ISS � SL: s 1,),4 q 2SIq 7 E-mail Address: rc )/9 A .rx kA4 cow # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: S1velte ; Male: )� Female: Spayed or Neutered: Y /N Breed: L Ar"A"', /'e.11-1ever> Color: / /gc - 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.yelmma.us. Tags are issued at City Hall. You may receive the tag by mail if requested. To report a lost clog or if you have aro animal complaint please call our Public Works Department at (360) 456-6406. For office use only Date license(s) issued: 1212 1/2o l Tag Numbers: 1. o i `0-2. 3. Replacement Tag: Y / N (I£ replacement tag, then enter original tag number here: ) Proof of rabies enclosed: Yes_ No (please explain) te�j c:_VV Date Information entered into database: By Whom: Revised 05/05/10 sid City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci.yelm.w8.us Application for Dog License - Free Your lost dog is a phone call away when they wear their registration tag. Applications and license tags can be obtained at City Hall, Monday through Friday, 8:00 am to 5:00 pm or by printing the application from our website at www.ci.yelm.wa.us. Dog owners completing an application and returning it to City Hall will be issued a license tag. If you prefer to mail in your application, a tag can be mailed to you. The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Dogs are required to wear the rabies tag (Yelm Municipal Code — Chapter 6.12) and furnish proof to a Yelm Animal Control Officer, if requested. Current rabies tags are issued by a veterinarian. Owner Name: Owner Phone #: Physical Address: ����1 1✓u IA (nt pf E-mail Address: # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog:c Breed: VV6 w'yA iicr 2. Name of Dog. Breed: 3. Name of Dog: Breed: Male: Female: I Spayed or Neutered: Y9j/ N Color: �!" W Male: Female: Spayed or Neutered: Y / N Color: Male: _ Female:._ Spayed or Neutered: Y / N Color: Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070) To report a lost dog or if you have an animal complaint please call our Public Works Department at (360) 458-8406. For office use only Date license(s) issued: Tag Numbers: 1. Replacement Tag: Y / N (If replacement tag, then enter original tag number here: ) Rabies Tag #: Date Information entered into database: 10/13 By Whom: \rte way r'��n City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 WPhone: (360) 458-3244 Fax: (360) 458-4348 www.ciyelm.wa.us Application for Dog License - Free Your lost dog is a phone call away when they wear their registration tag. Applications and license tags can be obtained at City Hall, Monday through Friday, 8:00 am to 5:00 pm or by printing the application from our website at www.c elmym 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: l / U C 'jjs[)� Owner Phone (] q ��iv JU Physical Address: + —r U � �.(�� LiD � , E _V_ _ E-mail Address: # of Dogs:. _�_ (Maximum of three allowed per YMC Chapter 6.08.030) Name of Dog: L6? VAY), Male: _ Female: JZ Spayed or Neutered N Breed: Af/15If �it i� i .GtV)S��IfI�Color; 2. Name of Dog: Breed: 3. Name of Dog: Breed: Male: Female:, Spayed or Neutered: Y / N Color: Male: Female: Spayed or Neutered: Y / N Color: Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070) To report a lost dog or if you have an animal complaint please call our Public Works Department at (360) 458-8406. For office use only Date license(s) issued: Tag Numbers: 1.� 2. 3. Replacement Tag: Y / N (If replacement tag, then enter original tag number here: ) Rabies Tag #: Date Information entered into database: 10/13 By Whom: City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci.yelm.wa.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: �11,�t`� -��Pir IC �rr� Owner Phone #: Physical Address. �� t'(� ��P rH c..4 E-mail Address:} It i `� M a.r-ry, # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) Name of Dog: Male: Ir Breed:QLr'ka,4,j Color: 2. Name of Dog: _� _ Male: Breed: GLG ih( J olor: 3. Name of Dog: Breed Male Color: Female: _L/Spayed r Neutered& N 6 '-K";n I 1 f a.rA_ Female:payed r Neutered/ N IS [ajL, 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: 1. 114 D 2. 1 q1. 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: _ M�zz