MISCCity 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.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:KM( '� Owner Phone #: ���� 21-�
���"1 ► 3 211') - 0
Physical Address: _�C .LI1?j uV1�+ GC'��('_ E-mail Address:
# of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) OL a pec Lj
. Name of aoi]: " Male-. Female: ` Spayed or Neutered: 0) N
Breed: Color: _ Lt
2. Name of Dog: \r ckVP_ _ Male: a_ Female: Spayed or Neutered: Y / Cl
Breed:—ti'�L`L�� �A _ Color: 'i'
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:
10/13
By Whom: _
City of Yelm
105 Yelm Ave. W., Yelm, WA 98597
Phone: (360) 458-3244 Fax: (360) 458-4348
www.ci.xelm.wa.us
Application for Dog License - Free
The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Your lost dog
is a phone call away when your dog wears their registration tag. The dogs are required to wear the rabies tag
issued by the veterinarian. (Yelm Municipal Code - Chapter 6.12).
Applications can be obtained at City Hall, Monday through Friday 8:00 am to 5:00 pm or by printing the form
from our website at www.ci,velm.wa.us. Completed license applications may be mailed or delivered to Yelm
City Hall, 105 Yelm Ave. W., Yelm, WA 98597. Tags are issued at City Hall and can be mailed to your address,
if requested.
Owner Name : .
Owner
ePr horn'
e #:GP 0-
Physical
Address: E-mail Address :......................
# of Dogs:
(Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: a !a'
f/ & 0 Male:
Breed:
2. Name of Dog:
Breed:
3. Name of Dog:
Breed:
Female: Spayed or Neutered: Y / N
Color: - 119-4-)� &
Male:....... Female:. W Spayed or Neutered: Y / N
Color:
_ Male
Color:
Female: Spayed or Neutered: Y / N
Fee Schedule:
Dog License: FREE
Replacement Tag: $2.00
Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070)
To report a lost dog or if you have an animal complaint please call our
Public Works Department at (360) 458-8406.
For office use only
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:
Revised 02/11
By Whom:
U� Tipp t
City of Yelm
m 105 Yelm Ave. W., Yelm, WA 98597
Phone: (360) 458-3244 Fax: (360) 458-4348
www.ci.yelm.wa.us
z. zyx
Application for Dog License - Free
The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Your lost dog
is a phone call away when your dog wears their registration tag. The dogs are required to wear the rabies tag
issued by the veterinarian. (Yelm Municipal Code — Chapter 6.12).
Applications can be obtained at City Hall, Monday through Friday 8:00 am to 5:00 pm or by printing the form
from our website at www.ci.yelm.wa.us. Completed license applications may be mailed or delivered to Yelm
City Hall, 105 Yelm Ave. W., Yelm, WA 98597. Tags are issued at City Hall and can be mailed to your address,
if requested.
Owner Name: '.a it hLG q1 JAPM � �5?�'O.Ei`' OZX Owner Phone #:
Physical Address: / "-( 12-7 P�1g-i-��E V -TS -FA. E-mail Address: 61V 5P -(C�('-f 5 _�T v/}/00, (Oil
# of Dogs:
2
(Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: 'T -A nl 14,
MaIP: _�_( Female: _ Spayed or Ne Iutered: ' // N IA
Breed _ SfJ EPP f } Color: /�L � C � g g o
2. Name of Dog: Male: _/� Female. _ Spayed or NeuteredCY)/ N
hl 0
Breed: ®% � GULL Color: z 4 G(3011
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 licenses issued: Tag Numbers: I��V � ._VS 3.'�
Replacement Tag: Y I f replacement tag, then enter original tag number here'` )
Rabies Tag it
Date Information entered into database: L By Whom:
Revised 02111
City of Yelm
105 Yelm Ave. W., Yelm, WA 98597
Phone: (360) 458-3244 Fax: (360) 458-4348
www.ci.yelm.wa.us
Application for Dog License - Free
The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Your lost dog
is a phone call away when your dog wears their registration tag. The dogs are required to wear the rabies tag
issued by the veterinarian. (Yelm Municipal Code — Chapter 6.12).
Applications can be obtained at City Hall, Monday through Friday 8:00 am to 5:00 pm or by printing the form
from our website at www.ci.yelm.wa.us. Completed license applications may be mailed or delivered to Yelm
City Hall, 105 Yelm Ave. W., Yelm, WA 98597. Tags are issued at City Hall and can be mailed to your address,
if requested.
Owner Name: 8 4ALA'1�' �t�_AA 9- Owner Phone #: 9� 0 — 6-9b — a5too,
Physical Address: � 8��J 1'� ] Wim. E-mail Address: 0
POUM.
M. fit_
# of Dogs: �]
(Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of D.. ►r ,
t
2. Name of Dog:
Breed:
3. Name of Dog:
Breed:
Male:
Color:
Female: )�_ Spayed or Neutered(5)N
Female: Spayed or Neutered: Y / N
Male: Female: Spayed or Neutered: Y / N
Color:
Fee Schedule:
Dog License: FREE
Replacement Tag: $2.00
Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070)
To report a lost dog or if you have an animal complaint please call our
Public Works Department at (360) 458-8406.
For office use only(�
Date license(s) issued:"�q 1 Tag Numbers: 1.uL3� 3.
Replacement Tag: Y( ONIf replacement tag, then enter original tag number here:
Rabies Tag #
Date Information entered into database:
Revised 02/11
By Whom:
City of Yelm
105 Yelm Ave. W., Yelm, WA 98597
Phone: (360) 458-3244 Fax: (360) 458-4348
www.ci.yelm.wa.us
Application for Dog License - Free
The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Your lost dog
is a phone call away when your dog wears their registration tag. The dogs are required to wear the rabies tag
issued by the veterinarian. (Yelm Municipal Code — Chapter 6.12).
Applications can be obtained at City Hall, Monday through Friday 8:00 am to 5:00 pm or by printing the form
from our website at www.ci.yelm.wa.us. Completed license applications may be mailed or delivered to Yelm
City Hall, 105 Yelm Ave. W., Yelm, WA 98597. Tags are issued at City Hall and can be mailed to your address,
if requested.
Owner Name: i ' cD 1 1 -S °�'� ` Owner Phone #: ? C5
Physical Address: / t z Ty '� E-mail Address:
# of Dogs: « �— ✓'� (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: L
Breed: c x
2. Name of Dog:
Breed:
3. Name of Dog-
Breed:
Male: Female: A _ Spayed or Neutered/ N
Color: -t A
Male: Female: _ _ Spayed or Neutered: Y / N
Color:
Male: Female:
Color:
Spayed or Neutered: Y / N
Fee Schedule:
Dog License: FREE
Replacement Tag: $2.00
Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070)
To report a lost dog or if you have an animal complaint please call our
Public Works Department at (360) 458-8406.
For office use only
Date license(s) issued: Tag Numbers: 1 ( � 2. 3.
Replacement Tag: Y / N (If replacement tag, then enter original tag number here: )
Rabies Tag #
Date Information entered into database: By Whom:
Revised 02/11
City of Yelm
105 Yelm Ave. W., Yelm, WA 98597
Phone: (360) 458-3244 Fax: (360) 458-4348
www.ci.yelm.wa.us
Application for Dog License
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 REgof 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: knw,,-_51M"r Owner Phone #:.5M 172,'--),(,G7 3
Physical Address: 10032- CT 5 � E-mail Address: C^5iC� � rA )(n 1 fa000/
# of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: Lr"s � A Male: , Female: `V Spayed or NeuteredGY / N
Breed: �!.P �, O l [ r`` Color: �0�(�Lk
2. Name of Dog: CMale: Female: V Spayed or Neutered: Y ! N
Breed: �o�Gt P til & -Lr( r P I)&- V"' Color: D LA1
3. Name of Dog:
Breed:
Male: Female: _ Spayed or Neutered: Y / N
Color:
Completed applications (including proof of rabies inoculations) may be mailed or delivered to Yelm City Hall,
105 Yelm Ave. W., Yelm, WA 98597. Incomplete applications will be returned. Applications may be obtained at
City Hall, Monday through Friday 8:00 am to 5:00 pm or by visiting our website at www.ci.yelm.wa.us. Tags are
issued at City Hall. You may receive the tag by mail if requested.
To report a lost dog or if you have an animal complaint please call our
Public Works Department at (360) 458-8406.
For office use only
Date license(s) issued:
Tag Numbers: 13 q 9 2.
Replacement Tag: Y / N (If replacement tag, then enter original tag number here:
Proof of rabies enclosed: Yes_ No (please explain)
Date Information entered into database:
Revised 05/05/10 sid
By Whom:
3.
IN
°Y City of Yelm
a 105 Yelm Ave. W., Yelm, WA 98597
Phone: (360) 458-3244 Fax: (360) 458-4348
www.cl.yelm.wa.us
rr,M
Application for Dog License - Free
The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Your lost dog
is a phone call away when your dog wears their registration tag. The dogs are required to wear the rabies tag
issued by the veterinarian. (Yelm Municipal Code — Chapter 6.12).
Applications can be obtained at City Hall, Monday through Friday 8:00 am to 5:00 pm or by printing the form
from our website at www.ciyelm.wa.us. Completed license applications may be mailed or delivered to Yelm
City Hall, 105 Yelm Ave. W., Yelm, WA 98597. Tags are issued at City Hall and can be mailed to your address,
if requested.
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Owner Name:dSaS f Owner Phone #: _o��3�
Physical Address: [ '� V � l�� S� lY'n E-mail Address: L� b Iy!6t; �• Cir,,
# of Dogs: _Q (Maximum of three allowed per YMC Chapter 6.08.030)
Name of Dog:_���� Male: _ Female: _W Spayed or Neutered N
Breed: Color: rz prv5\A E51 �s
Name of Dog: �- Male: "� Female: _ Spayed or Neutered N
Breed: - #�b Color: R8 5 12k
3. Name of Dog:
Breed:
Male:
Color:
or Neutered: Y / N
Fee Schedule:
Dog License: FREE
Replacement Tag: $2.00
Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070)
To report a lost dog or if you have an animal complaint please call our
Public Works Department at (360) 458-8406.
For office use only
Date license(s) issued: �.
Replacement Tag: Y N (1 replacement tag,
Rabies Tag #
Date Information entered into database:
Revised 02/11
Tag Numbers: 1.!;Ia 2. 3.
then enter original tag number here:
By Whom:
City of Yelm
a 105 Yelm Ave. W., Yelm, WA 98597
y x Phone: (360) 458-3244 Fax: (360) 458-4348
www.ci.yeim.wa.us
J
Yrx x
Application for Dog License - Free
The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Your lost dog
is a phone call away when your dog wears their registrafion tag. The dogs are required to wear the rabies tag
issued by the veterinarian. (Yelm Municipal Code — Chapter 6.12).
Applications can be obtained at City Hall, Monday through Friday 8:00 am to 5:00 pm or by printing the form
from our website at www.ci.yeim.wa.us. Completed license applications may be mailed or delivered to Yelm
City Hall, 105 Yelm Ave. W., Yelm, WA 98597. Tags are issued at City Hall and can be mailed to your address,
if requested.
Owner Name: _ P111114 ariK.4Pe Owner Phone #: _; [5 q2-( S 1-3 ?—
Physical
Physical Address: I '(6d ef/ x;/'e `f/ d� _S .___....... E-mail Address: (41vPa"4 Pr$Kr10t0Jad�L'yf. coin
# of Dogs:
(Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: ' 'VD)UF
Breed: l(C-e-fle , etb, H' 494.
2. Name of Dog:
Breed:
3. Name of Dog: _
Breed:
Male: Female: X
Color: Mlkk—
Spayed or Neutered 0/ N
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:..___ I Tag Numbers: 1. ✓� 2. _ 3.
Replacement Tag: Y / N (If replacement tag, then enter original tag number here: _ ]
Rabies Tag #
Date Information entered into database: ! By Whom:
Revised 02111
City of Yelm
105 Yelm Ave. W., Yelm, WA 98597
Phone: (360) 458-3244 Fax: (360) 458-4348
www.ci.yelm.wa.us
Application for Dog License - Free
The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Your lost dog
is a phone call away when your dog wears their registration tag. The dogs are required to wear the rabies tag
issued by the veterinarian. (Yelm Municipal Code — Chapter 6.12).
Applications can be obtained at City Hall, Monday through Friday 8:00 am to 5:00 pm or by printing the form
from our website at www.ci.velm.wa.us. Completed license applications may be mailed or delivered to Yelm
City Hall, 105 Yelm Ave. W., Yelm, WA 98597. Tags are issued at City Hall and can be mailed to your address,
if requested. �1
Owner Name: � n ofY ner Phone #: _ LES 5- U 77(e Q
Physical Address: JU5-1X-fvw-eSt (-r S- j orn -mail Address: n'l -e V C ri Ul (�
# of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) 9 ril0 -0(�
1. Name of Dog: Q ro f cA Male:
Breed: S i Ct h +fK � �� Color:
2. Name of Dog:
Breed:
3. Name of Dog _
Breed:
Female: zSpayed or Neutered: Y tJ
Male:._ Female:
Color:
Male: . Female:—
Color:
Spayed or Neutered: Y / N
Spayed or Neutered: Y / N
Fee Schedule:
Dog License: FREE
Replacement Tag: $2.00
Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070)
To report a lost dog or if you have an animal complaint please call our
Public Works Department at (360) 458-8406.
For office use only
Date license(s) issued:
Tag Numbers: 1. 2.
Replacement Tag: Y / N (If replacement tag, then enter original tag number here:
Rabies Tag #
Date Information entered into database:
Revised 02/11
By Whom:
3.
1
�1�OQ Tti� p�
City of Yelm
105 Yelm Ave. W., Yelm, WA 98597
'r .. Phone: (360) 458-3244 Fax: (360) 458-4348
www.ci.yelm.wa.us
EEM
Application for Dog License - Free
The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Your lost dog
is a phone call away when your dog wears their registration tag. The dogs are required to wear the rabies tag
issued by the veterinarian. (Yelm Municipal Code - Chapter 6.12).
Applications can be obtained at City Hall, Monday through Friday 8:00 am to 5:00 pm or by printing the form
from our website at www.ci.yelm.wa.us. Completed license applications may be mailed or delivered to Yelm
City Hall, 105 Yelm Ave. W., Yelm, WA 98597. Tags are issued at City Hall and can be mailed to your address,
if requested.
Owner Name: V�l>�, YV�tiS'�� Owner Phone #:
Physical Address: _ two -w�r 5't,e�l- E-mail Address:
# of Dogs:
(Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog _kv1 n y` ..
Breed: q44--4_
2. Name of Dog:
Breed:
3. Name of Dog:
Breed
Male: -;I- Female: Spayed or Neutered, N
Color:—_—
Male: _ Female: Spayed or Neutered: Y / N
Color:
Male: Female-.___ Spayed or Neutered: Y/ N
Color:
Fee Schedule:
Dog License: FREE
Replacement Tag: $2.00
Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code - Chapter 6.08.070)
To report a lost dog or if you have an animal complaint please call our
Public Works Department at (360) 458-8406.
For office use only
Date license(s) issued:. q,
a 1' �� Tag Numbers: 1. 5 a� 2. _ 3.
Replacement Tag: Y / N (If replacement tag, then enter original tag number here: )
Rabies Tag #
Date Information entered into database:
Revised 02/11
BY Whom:
J� ��/