Loading...
001-033City of Yelm I 105 Yelm Ave. W., Yelm, WA 98597 �l Phone. (360) 458-3244 Fax. (360) 458-4348 I www.ci.yelm.wams Application for Dog License - Free The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Your lost dog is a phone call away when your dog wears their registration tag. The dogs are required to wear the rabies tag issued by the veterinarian. (Yelm Municipal Code — Chapter 6.12). Applications can be obtained at City Hall, Monday through Friday 8:00 am to 5:00 pm or by printing the form from our website at www.cLyelm.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:51alux.*1 �_:' v bu Owner Phone #: _ s If, U c Physical Address: p f _ rrr- n tori -r Sh r-�r �e E-mail Address: .'"J 1 06M L Vtc 9 6 5P 7 �-t- # of Dogs: 1 (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: G t Male: Female: Spayed or Neutered/ N Breed: Com(, Y -o 1� Color: � i dJ-P 2. Name of Dog: C'y ua I ( _ Male: _ X Female: Spayed or Neutered: fl / N Breed: _6L4.r 3. Name of Dog: Breed: Color[A) w Male: Female: Spayed or Neutered: Y / N Color: Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070) To report a lost dog or if you have an animal complaint please call our Public Works Department at (360) 458-8406. For office use only Date license(s) issued: Tag Numbers: 1. V 4 l 2. o 3. Replacement Tag: Y / N (If replacement tag, then enter original tag number here: ) Rabies Tag # Date Information entered into database: Revised 02111 By Whom: MQ_Z City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci.yelm.wa.us Application for Dog License - Free ao i$ 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� _ Owner Phone #: L_ 'C- Physical Address: 15'n S �'O_ 4 11 1-� r r{:, Loa S- E-mail Address: �'�e 6 t CQ ve �l � # of Dogs: _ (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: -'l C L Male: _ Female: n Spayed or Neutered: Y ( N) Breed: 9:'U d6__4_ Color: Yow 1'" T- 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: j 6 Revised 02111 By Whom: faV THE City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 • Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci.yelm.wa.us Application for Dog License 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) '7 G Owner Name: I�1 Owner Phone #: _ �� �l 9 S- V Physical Address: �y�l� 9t� _ E-mail Address: t_Lb�G! CDn, # of Dogs:. Z (Maximum of three allowed per YMC Chapter 6.08.030) i Name of Dog: Gtr Male: �11 Female: Spayed or Neutered: Y /O Breed: J1n�,'�Zy+ Color:W&L�[C Name of Dog: 0/611 Male: _ _ Female: -�c Spayed or Neutered:/ N Breed: _�'1� Color:64 �iDi J VX}e 3. Name of Dog: Breed: Male: Female: Spayed or Neutered: Y / N Color: Completed applications (including proof of rabies inoculations) may be mailed or delivered to Yelm City Hall, 105 Yelm Ave. W., Yelm, WA 98597. Incomplete applications will be returned. Applications may be obtained at City Hall, Monday through Friday 8:00 am to 5:00 pm or by visiting our website at www.ci.yelm.wa.us. Tags are issued at City Hall. You may receive the tag by mail if requested. To report a lost dog or if you have an animal complaint please call our Public Works Department at (360) 458-8406. For office use only Date license(s) issued: Tag Numbers: 1. 661-1 26D5 3 Replacement Tag: Y / N (If replacement tag, then enter original tag number here: ) Proof of rabies enclosed: Yes_ No (please explain) Date Information entered into database: _.... _ By Whom:' Revised 05/05/10 sjd oaf Tilt' .� City of Yelm a 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci.yelm.wa.us V r. I- M Application for Dog License Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070) The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Registrations cannot be issued unless proof of current rabies inoculation is provided with this application. The dogs are required to wear the rabies tag issued by the veterinarian. (Yelm Municipal Code — Chapter 6.12) Owner Name: Adu"rl GoveV GaveOwner Phone #: ? 5 d ��71 p % Physical Address: .._/I7,2 , <t E-mail Address: # of Dogs: .1 (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: S•ati,w. V Male: 1/ Female: _ Spayed or Neuteredo'/ N Breed: rr:t��Ir(�ett Color: 2. Name of Dog: Breed: 3. Name of Dog: Breed: 4"W4ec Male: _ .. Female: Color: Male: Female: Color: Spayed or Neutered: Y / N Spayed or Neutered: Y / N Completed applications (including proof of rabies inoculations) may be mailed or delivered to Yelm City Hall, 105 Yelm Ave. W., Yelm, WA 98597. Incomplete applications will be returned. Applications may be obtained at City Hall, Monday through Friday 8:00 am to 5:00 pm or by visiting our website at www.ci. eim.wa.L1S. Tags are issued at City Hall. You may receive the tag by mail if requested. To report a lost dog or if you have an animal complaint please call our Public Works Department at (360) 458-8406. For office use only Date license(s) issued: Tag Numbers: 1. 2. 3 ................. Replacement Tag: Y / N (If replacement tag, then enter original tag number here: ) Proof of rabies enclosed: Yes_ No (please explain) Date Information entered into database: By Whom: Revised 05/05/10 sjd ��y Tripp? City of Yelm a Q� 105 Yelm Ave. W., Yelm, WA 98597 ti Phone: (360) 458-3244 Fax: (360) 458-4348 IFy,i www.ci.yelm.wa.us Application for Dog License Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070) The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Registrations cannot be issued unless proof of current rabies inoculation is provided with this application. The dogs are required to wear the rabies tag issued by the veterinarian. (Yelm Municipal Code — Chapter 6.12) Owner Name:-�3nsk Gy,�"Sof Owner Phone #: 3G O 34?— 55 Physical Address: a, f -ad C' S E-mail Address:>rL rcl l f yAAeo # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: /Ke- n� _ Male: _ Female: 1` Spayed or Neuteredds" Breed. Color: ge'A1901w 2. Name of Dog: Zhu Male: &= Female:_ Spayed or Neutered: Y 1 Breed: eVColor: ak- /-/-A 3. Name of Dog: Breed: Male: Female: Color: Spayed or Neutered: Y / N Completed applications (including proof of rabies inoculations) may be mailed or delivered to Yelm City Hall, 105 Yelm Ave. W., Yelm, WA 98597. Incomplete applications will be returned. Applications may be obtained at City Hall, Monday through Friday 8:00 am to 5:00 pm or by visiting our website at www.ci.yelm.wa.us, Tags are issued at City Hall. You may receive the tag by mail if requested. To report a lost dog or if you have an animal complaint please call our Public Works Department at (360) 458-8406. For office use only Date license(s) issued: Tag Numbers: 1. C� 2. L! 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: p� Tfie P City of Yelm ,°P,'tn 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci.yelm.wa.us Y�ZI+Q 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: &111Vt.eM v\ cj ji Are/InWA Owner Phone #: ; C;Lf � F Physical Address: (°)21240 FAL4 th,y-_f1j CE , Wl✓\ E-mail Address: # of Dogs: Z (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: �V —� Male: X Female: _ Spayed or Neutered. N Breed:bu __ Color: ELAL"t-- f_V 2. Name of Dog: V Y111 Male: X Female: _ Spayed or Neutere Y / N Breed: RAaA Color: TDMI� 3. Name of Dog: N!{rl� Male: _ Female: Spayed or Neutered: Y / N Breed: Color: Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070) To report a lost dog or if you have an animal complaint please call our Public Works Department at (360) 458-8406. For office use only Date license(s) issued: Tag Numbers: 1 2. " 3. Replacement Tag: Y / N (If replacement tag, then enter original tag number here: 1 Rabies Tag # Date Information entered into database: By Whom: i]M �f ❑k 'rH� H t� aq City of Yelm a 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci.yelm.wa.us 7t'EI.M Application for Dog License Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code - Chapter 6.08.070) The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Registrations cannot be issued unless proof of current rabies inoculation is provided with this. application. The dogs are required to wear the rabies tag issued by the veterinarian. (Yelm Municipal Code - Chapter 6.12) Owner Name: , Owner Phone #: 6-7// — 0 � �A Physical Address: 6 � 1/ � 06C C' c xC� ) li f 26 E-mail Address:57 # of Dogs: / (Maximum of three allowed per YMC Chapter 6.08.030) Name of Dog: , Ol s e Male: __X Female: ` Spayed or Neuteredo N Breed: �1T, Color: C.t' C K -.6-U-y t r C` 2. Name of Dog: Breed: 3. Name of Dog: Breed: Male: Female: __ Spayed or Neutered: Y / N Color: Male: Female: Spayed or Neutered: Y / N Color: Completed applications (including proof of rabies inoculations) may be mailed or delivered to Yelm City Hall, 105 Yelm Ave. W., Yelm, WA 98597. Incomplete applications will be returned. Applications may be obtained at City Hall, Monday through Friday 8:00 am to 5:00 pm or by visiting our website at www.ci.yelm.wa.us. Tags are issued at City Hall. You may receive the tag by mail if requested. To report a lost dog or if you have an animal complaint please call our Public Works Department at (360) 458-8406. For office use only Date license(s) issued: Tag Numbers: 1 2. 3. Replacement Tag: Y / N (If replacement tag, then enter original tag number here: ) Proof of rabies enclosed: Yes_ No (please explain) Date Information entered into database: By Whom: Kevised 05/05/10 sjd Jnr TIII- City of Yelm M 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci.yeliii.wa.us YELM 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 RtSr� 1-7k ou(- Owner Name: 6��'"�- Owner Phone #:1� IW l Physical Address: 1(J57c71 fiy yl aac LCA01 E-mail Address:Yl'l� j 0 # of Dogs: [ (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog:6�n � LLL Male: _ Female-)"—' Spayed or Neutered ,y 1 N Breed: l 10�[' 110C� 1` 'Td� v�!� Color: fjrft4.M 2 Name of Dog' Male: Female. _ Spayed or Neutered: Y / N Breed: Color: ' 3. Name of Dog: Male: Breed: 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. 0 2 Replacement Tag: Y / N (If replacement tag, then enter original tag number here: Rabies Tag 9 T)ntP Tnfnr ntinn Pntarari intn rintnhnca• R'i AE/hnm- �pR THS A City of Yelm a. 1 105 Yelm Ave. IN, Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci.yelm.wa.us Application for Dog License Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070) The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Registrations cannot be issued unless proof of current rabies inoculation is provided with this appiica#ion. The dogs are required to wear the rabies tag issued by the veterinarian. (Yelm Municipal Code — Chapter 6.12) ` �, / Owner Name: M. GC U L. ✓L l`f Owner Phone #:1 Physical Address:[;��d�� �j�T�l i7✓ l� U...._._.__ E-mail Address:'(_]-_iYL # of Dogs:. __ _ (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: _i&i_!_—___._. Male: _ Female: _4 Spayed or Neutered �s/ N Breed: ( Se'TT m p% 3 Color:V M —T f 2. Name of Dog: Breed: 3. Name of Dog: Breed: Male: Female: Color: Male: Female: Color: Spayed or Neutered: Y / N Spayed or Neutered: Y / N Completed applications (including proof of rabies inoculations) may be mailed or delivered to Yelm City Hall, 105 Yelm Ave. W., Yelm, WA 98597. Incomplete applications will be returned. Applications may be obtained at City Hall, Monday through Friday 8:00 am to 5:00 pm or by visiting our website at www.ci.yelm.wa.us. Tags are issued at City Hall. You may receive the tag by mail if requested. To report a lost dog or if you have an animal complaint please call our Public Works Department at (360) 458-8406. For office use only Date license(s) issued: Tag Numbers: 1. 2. 3, Replacement Tag: Y / N (If replacement tag, then enter original tag number here: ) Proof of rabies enclosed: Yes No (please explain) Date Information entered into database: _ By Whom: Revised 05/05/10 sjd �wp� ray p$ City of Yelm a 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci.yelm.wa.us �V 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. Registration 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: Physical Address: /5838' /U 5��✓E s # of Dogs: Owner Phone #: 36 U' 796 — 70/ 0 E-mail Address: &1wP4/r!. EAS /79/ r—,' At (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: D ir!! dLEG Male: _ Female: ✓ Spayed or Neutered:/ N Breed: ,-51-1 S Color:N 2. Name of Dog: Breed: Male: _ Female: _ Spayed or Neutered: Y / N Color: 3. Name of Dog: __ Male: Female:. _ Spayed or Neutered: Y / N Breed:Color: 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.Eelm.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 4., Date license(s) issued: Tag Numbers: 1. 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: 7VI CERTIFICATE OF VACCINATION Date of Rabies Vaccination: 07-06-17 Next Rabies Vaccination On: 07-05-20 VETERINARY CLINIC Brady Veterinary Hospital - PPS 450 Monte Brady Road Montesano, WA 98563 360-249-3700 This is to certify... Certificate No: 0 Previous Rabies Vaccination: OWNER OF ANIMAL John Shea 347 Middle Satsop Rd. Montesano, WA 98563 County: THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW. Patient information... PATIENT: Demi Bleu TAG NO: 15626 SPECIES: Canine WEIGHT: 51.00 SEX: S AGE: 15 years MICROCHIP: Color and markings... White & Grey Diane Pinkers, DVM License: VT4978 National Accreditation Number: 31297 Vaccinations done... 07-06-17 DKP Paw Plan - Canine VCR3 - Rabies - Canine 07-05-20 06-13-17 DKP Paw Plan - VCL - Leptospira Booster Vacc 06-13-18 06-13-17 DKP Paw Plan - VCB - Bordetella Intranasal 06-13-18 06-15-16 AW Paw Plan - VCD3 - DHPP - 3 Year - Booste 06-15-19 07-02-15 AW Leptospira Booster Vaccine 06-13-18 07-22-14 **k Bordetella - Canine -Intranasal 06-13-18 07-22-14 *** Rabies - Canine - 3 Year 07-05-20 07-16-13 *** DHPP - 3 Year - Booster 06-15-19 07-07-08 *** DHPP Vaccination - Booster 08-23-07 *** Leptospira Primary Vaccine 07-24-07 *** Rabies - Canine - 1 Year City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci.velm.wa.us Application for Dog License Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070) The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Registrations cannot be issued unless proof of current rabies inoculation is provided with this application. The dogs are required to wear the rabies tag issued by the veterinarian. (Yelm Municipal Code — Chapter 6.12) Owner Name:i'�%'�'` G/�• -"' f// Owner Phone 1 Physical Address:V2�� Ldv E-mail Address: # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) Name of Dog: A/'// l-- Male Breed: &r-- 2. Name of Dog: Breed: 3. Name of Dog. Breed: r'F Female: Spayed or Neutered: Y I Color: Male: Female:. Spayed or Neutered: Y / N Color: Male: Female: Spayed or Neutered: Y / N Color: Completed applications (including proof of rabies inoculations) may be mailed or delivered to Yelm City Hall, 105 Yelm Ave. W., Yelm, WA 98597. Incomplete applications will be returned. Applications may be obtained at City Hall, Monday through Friday 8:00 am to 5:00 pm or by visiting our website at www.ci.yelm.wa.us. Tags are issued at City Hall. You may receive the tag by mail if requested. To report a lost dog or if you have an animal complaint please call our Public Works Department at (360) 458-8406. For office use only Date license(s) issued: Tag Numbers: L 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: By Whom: Revised 05/05/10 sj -TH °YEACity of Yelm 105 Yelm Ave. W., Yelm, WA 98597 j.€ 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. Reciistrations 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: ��o �3 � /� /I '*����� L Owner Phone #: 3� - �/ s- 3 Physical Address: //�.2 c- t1irj iJ✓� , E-mail Address: # of Dogs: U le-) _ 1. Name of Dog: Breed: G.'J 'f� 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: Y K Color: /,D"-, /< Male: _ Female: Spayed or Neutered: Y / N Color: Male: Female: Spayed or Neutered: Y / N Color: Completed applications (including proof of rabies inoculations) may be mailed or delivered to Yelm City Hall, 105 Yelm Ave. W., Yelm, WA 98597. Incomplete applications will be returned. Applications may be obtained at City Hall, Monday through Friday 8:00 am to 5:00 pm or by visiting our website at www,ci.yelm.wa.us. Tags are issued at City Hall. You may receive the tag by mail if requested. To report a lost dog or if you have an animal complaint please call our Public Works Department at (360) 458-8406. For office use only / l Date license(s) issued: (�-/ Tag Numbers: 1 2. Replacement Tag: Y / N (If replacement tag, then enter original tag number here: Proof of rabies enclosed: Yes_ No (please explain) Date Information entered into database: f 1� By Whom: Revised 05105/10 sjd 3. tOT ret 3Q� City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 a Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci.yelm.wa.us V U1.M Application for Dog License Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070) The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Registrations cannot be issued unless proof of currenni 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 NameW �� I 1 ` wner Phone #: `�"� '`T �-t J �5f SOS Owner �.� Physical Address: 4o q CC [. t C C PVi 6 E-mail Address: `i -- Y -4- o # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: d ` ` Male:.._._, Female: Spayed or Neutered: Y /I Breed: QhJ L Color: _ (0�) 1'+-e' 2. Name of Dog: p % 1 e, Male: Female Spayed or Neutered: Y / Breed:] CK !! i, Color:—by'�Ctce. 3. Name of Dog: Breed: Male: Female: Spayed or Neutered: Y / N Color: Completed applications (including proof of rabies inoculations) may be mailed or delivered to Yelm City Hall, 105 Yelm Ave. W., Yelm, WA 98597. Incomplete applications will be returned. Applications may be obtained at City Hall, Monday through Friday 8:00 am to 5:00 pm or by visiting our website at www.ci.yelm.wa.us. Tags are issued at City Hall. You may receive the tag by mail if requested. To report a lost dog or if you have an animal complaint please call our Public Works Department at (360) 458-8406. For office use only Date license(s) issued: Tag Numbers: 1. —? 2. _� 3. Replacement Tag: Y / N (If replacement tag, then enter original tag number here: Proof of rabies enclosed: Yes_ No (please explain) Date Information entered into database: Revised 05/05/10 sjd By Whom: VolTF« t\ V City of Yelm a :m 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458.4348 www.ci.velm.wa.us YFI M 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: 9&d, Owner Phone #:� �DUU "IJ Physical Address: l�'� E-mail AddresssIlnlAliflonr�11(11��1I�a # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) �t�b11. Corn 1. Name of Dog:12Q Male: _ Female: -X- Spayed or Neutered:) N Breed: TII"Si �� C [)l�] �i Color: �b ) u 2. Name of Dog: Breed: 3. Name of Dog: Breed: Male: Female: Spayed or Neutered: Y / N Color: Male: Female: Spayed or Neutered: Y / N Color: Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070) To report a lost dog or if you have an animal complaint please call our Public Works Department at (360) 458-8406. For office use only Date license(s) issued: Tag Numbers: 1.6 jq - 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: %L 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: �Vl� V �tlL� C Owner Phone #:D`� Physical Address:. C)2- CUW A'�. LJ!-, E-mail Address: \th) -Vl� Mc'V# # of Dogs:n. — (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: +--c V e- Male: _ Female: -L Spayed or Neutered: Y Breed: C�4��ut� Color: �J 2. Name of Dog:Male: y_-^ Female: ` Spayed or Neutered: Y / Breed:i7��'1 l�S�k cS 1 Color: 6 �`- 3. Name of Dog: Male: _ Female:. 4 Spayed or Neutered: Y / N Breed. Color: Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code - Chapter 6.08.070) To report a lost dog or if you have an animal complaint please call our Public Works Department at (360) 458-8406. For office use only Date license(s) issued: Tag Numbers: 1. / (� 2. Replacement Tag: Y / N (If replacement tag, then enter original tag number here: Rabies Tag # Date Information entered into database: Revised 02/11 By Whom: 3. City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci.yelm.wa.us Application for Dog License 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. Re istrations cannot be issued unless proof of current rabies inoculation isrovided with this application. The dogs are required to wear the rabies tag issued by the veterinarian. (Yelm Municipal Code - Chapter 6.12) Owner Name: Gc., A- lt�! .l !C �C f �-�_ Owner Phone #: U 0X13 ] ^ Physical Address: _y % R R -CA t f I -e— LJt S f"ck, LC)O f L -mail Address: # of Dogs: If 1. Name of Dog: AD (Maximum of three allowed per YMC Chapter 6.08.030) Breed: Ao'5 kV�� SPat,f A 2. Name of Dog: Breed: 3. Name of Dog: Breed: Male Female: Spayed or Neutered: 6) N Color: Male:. _ Female: Spayed or Neutered: Y / N Color: Male: Female: _ Color: Spayed or Neutered: Y / N Completed applications (including proof of rabies inoculations) may be mailed or delivered to Yelm City Hall, 105 Yelm Ave. W., Yelm, WA 98597. Incomplete applications will be returned. Applications may be obtained at City Hall, Monday through Friday 8:00 am to 5:00 pm or by visiting our website at www.ci.yelm.wa.us. Tags are issued at City Hall. You may receive the tag by mail if requested. To report a lost dog or if you have an animal complaint please call our Public Works Department at (360) 458-8406. For office use only Date license(s) issued: Tag Numbers: 1._�j 2.' _ 3. Replacement Tag: Y / N (If replacement tag, then enter original tag number here: ) Proof of rabies enclosed: Yes_ No (please explain) Date Information entered into database: Revised 05/05/10 sjd By Whom: y�°� ��► City of Yelm a M 105 Yelm Ave. W., Yelm, WA 98597 ;K Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci.yelm.wa.us VELM Application for Dog License Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code - Chapter 6.08.070) The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Reqistrations cannot be issued unless proof of current rabies inoculation is provided with this application. The dogs are required to wear the rabies tag issued by the veterinarian. (Yelm Municipal Code - Chapter 6.12) Owner Name:"' ��b"� Owner Phone #: Physical Address:x'73•-�'��� �� S '' �' ''- �� E-mail Address: �°•-�r-F�-�----- ice' �r f co... # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: R7 R Breed: 2. Name of Dog: Breed: G✓� / (cPr �o A..•�r Male: _ Female:( Spayed or NeuteredaY '' N Color: ; �•�r/�^rd�,� Male: K Female:_ Spayed or Neutered: ©/ N Color: wA, Fc - 3. Name of Dog: _JZ'� Male: _ Female: Spayed or Neutered: Y / iV Breed: L-a� Color: e e - 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_ ww_ .ci.yelm.wa.us. Tags are issued at City Hall. You may receive the tag by mail if requested. To report a lost dog or if you have an animal complaint please call our Public Works Department at (360) 458-8406. For office use only Date license(s) issued: _ Tag Numbers: 1. _ 2. d 3. Replacement Tag: Y / N (If replacement tag, then enter original tag number here: ) Proof of rabies enclosed: Yes_ No (please explain) Date Information entered into database: By Whom: Revised 05/05/10 sjd City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci.veirri.Wa-us Application for Dog License Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070) The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Registrations cannot be issued unless proof of current rabies inoculation is provided with this application. The dogs are required to wear the rabies tag issued by the veterinarian. (Yelm Municipal Code — Chapter 6.12) Owner Name: E-Ly/I ma',Z Owner Phone #: '2z) 2), 20a Physical Address:�E-mail Address: ` �a",Cr # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: ch -10e, Male:. Female: 1✓ Spayed or Neutered/ N Breed: 'tlt Of mix Color: ?JLU 2. Name of Dog: Breed: 3. Name of Dog: Breed: Male: Female: ____. Spayed or Neutered: Y / N Color: Male: Female: Spayed or Neutered: Y / N Color: Completed applications (including proof of rabies inoculations) may be mailed or delivered to Yelm City Hall, 105 Yelm Ave. W., Yelm, WA 98597. Incomplete applications will be returned. Applications may be obtained at City Hall, Monday through Friday 8:00 am to 5:00 pm or by visiting our website at www.ci.yelm.wa.us. Tags are issued at City Hall. You may receive the tag by mail if requested. To report a lost dog or if you have an animal complaint please call our Public Works Department at (360) 458-8406. For office use only Date licenses issued: Tag Numbers: I d�2 2. 3. Replacement Tag: Y / N (If replacement tag, then enter original tag number here: ) Proof of rabies enclosed: Yes_ No (please explain) Date Information entered into database: Revised 05/05/10 sjd By Whom: 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 p_r_ao_f_o_f_curre_nt_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) Z 1� Owner Name: D"rO A-JWd +k�OL Owner Phone #: 209 Slc'0 ' �3 Physical Address: `M''q Joisc4i A2- Se. '/ A E-mail Address: Jio� S'r ��'srnc� I5i7 17d s'9 I # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: Irk Breed: 0-NtA 0QA-kUA- 2. Name of Dog: Breed: 3. Name of Dog. Breed: Male: k Female: _ Spayed or Neutered: (9 N Color: &OV/i cIG- kcw/? ' �LIJG Male: Female Color: Spayed or Neutered: Y / 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 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: l.4V 2. 3. Replacement Tag: Y / N (If replacement tag, then enter original tag number here Proof of rabies enclosed: Yes_ No (please explain) Date Information entered into database: Revised 05/05/10 sjd By Whom: City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 r: ... Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci.yelm.wa.us Application for Dog License 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. Recalstrations 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: ! 6" Owner Phone ]#: y Physical Address: `��_ _l�� E-mail Address: # of Dogs: .,}_ (Maximum of three allowed per YMC Chapter 6.08.030) Name of Dog: �� Male: u Zle: � Spayed or Neutered: Y / I� Breed: ii�lirG 1 �`i��fh ! own �yi Color: ", 2. Name of Dog: 0� Breed: Ch I 3. Name of Dog: Breed: Male: _ Female: Spayed or Neutered: �/ N Color: �� aGL• 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.b.yelmma.us. Tags are issued at City Hall. You may receive the tag by mail if requested. To report a lost dog or if you have an animal complaint please call our Public Works Department at (360) 458-8406. For office use only Date license(s) issued: Tag Numbers: 1. C 2. 3, Replacement Tag: Y / N (If replacement tag, then enter original tag number here: Proof of rabies enclosed: Yes No (please explain) Date Information entered into database: By Whom: Revised 05/05/10 sid o� City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci.yelm.wa.us x' E 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. Reclistra#ions 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: 1G�.p C�r()')Q' Owner Phone #: 56y ?aG- Physical Address: I&W 7 r ,���i r ��� t 1�A E-mail Address: SEs a s ra"�(� # of Dogs: f _ 1. Name of Dog: Breed: ugk 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: N Color: wX.Ic a- j�c� /�e Cf' Male: Female: __ Spayed or Neutered: Y / N Color: Male: Female: Color: Spayed or Neutered: Y / N Completed applications (including proof of rabies inoculations) may be mailed or delivered to Yelm City Hall, 105 Yelm Ave. W., Yelm, WA 98597. Incomplete applications will be returned. Applications may be obtained at City Hall, Monday through Friday 8:00 am to 5:00 pm or by visiting our website at www.ci.yelm.wa.us. Tags are issued at City Hall. You may receive the tag by mail if requested. To report a lost dog or if you have an animal complaint please call our Public Works Department at (360) 458-8406. For office use only Date licenses issued: Ta Numbers: () _ g e 36. 2. 3. Replacement Tag: Y / N (If replacement tag, then enter original tag number here: ) Proof of rabies enclosed: Yes_ No (please explain) Date Information entered into database: By Whom: Revised 05/05/10 sjd of Tur'N City of Yelm 105 Yelm Ave. W., Ye/m, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 ■ www.ci.yelm.wa.us Application for Dog License Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070) The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. 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: c� f in e.% t(j Owner Phone #: l —IJ lel - 0,; Physical Address: d) ;L!! Y LAr .s .L �•IF'1 w iYf'I� E-mail Address:"be, # of Dogs: 12 (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: 0;'; Male: Breed: 2. Name of Dog: 13/1, Breed: LQ � 3. Name of Dog: Breed: Female: Spayed or Neutered:aY / N Color: A-14A4 Male: ,� Female: _ Spayed or Neutered: Y / N Color: 0-r e- /C. - Male: Female: __ Spayed or Neutered: Y / N Color: Completed applications (including proof of rabies inoculations) may be mailed or delivered to Yelm City Hall, 105 Yelm Ave. W., Yelm, WA 98597. Incomplete applications will be returned. Applications may be obtained at City Hall, Monday through Friday 8:00 am to 5:00 pm or by visiting our website at www.ci.yelm.wa.us. Tags are issued at City Hall. You may receive the tag by mail if requested. To report a lost dog or if you have an animal complaint please call our Public Works Department at (360) 458-8406. For office use only Date license(s) issued: Tag Numbers: 1. 2.33 3. Replacement Tag: Y / N (If replacement tag, then enter original tag number here: ) Proof of rabies enclosed: Yes_ No (please explain) l� Date Information entered into database: _ By Whom: Revised 05/05/10 sjd of Tilt p �� City of Yelm 4 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci.yelm.wa.us 1' L 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. Re istra#ions cannot be issued unless roof 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: Physical Address # of Dogs: 1 Owner Phone #: / C( / D Vr'/l= zv � S --e E-mail Address: �T"'rG� r Ifa�r� ��"� •soh (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: S A'S) -/-� Breed: C14 -c, c `t- 5 2. Name of Dog: Breed: 3. Name of Dog: Breed: Male: _ Female: v Spayed or Neutered N Color: ►`.P 'e.ti `"-' 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.velm.wa.us. Tags are issued at City Hall. You may receive the tag by mail if requested. To report a lost dog or if you have an animal complaint please call our Public Works Department at (360) 458-8406. For office use only Date license(s) issued: Tag Numbers: 1.�O Replacement Tag: Y / N (If replacement tag, then enter original tag number here Proof of rabies enclosed: Yes_ No (please explain) Date Information entered into database: Revised 05/05/10 sjd By Whom: _ 2. 3.