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034-118M - WIN 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 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 wwwTci.yelm.wa.us. Completed license applications may be mailed or delivered to Yelm City Hall, 105 Yelm Ave. W., Yelm, WA 98597. Tags are issued at City Hall and can be mailed to your address, if requested. Owner Name: L (12 Owner Phone #: C3 � 7- Owner Nametda(12e� ` Physical Address: � �� E-mail Address: # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: _ Male: Female:/ Spayed or Neutered l' Y 1! N Breed: _ .. Color: )Vlr 2. Name of Dog: �1 Male: )/ Female: Spayed or Neutered: !Y Y N Breed- Color: Cl C �J 3. Name of Dog: Breed: Male: _ _ _ Female: _ Spayed or Neutered: Y / N Color: Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code - Chapter 6.08.070) To report a lost dog or if you have an animal complaint please call our Public Works Department at (360) 458-8406. For office use only Date license(s) issued: _ Tag Numbers: 1. 21 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.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: ti "Dwner Phone #: - 7 - Physical Address: t613D C,39±0 n IX�T � E-mail Address: _l rxrC Z!^ dr>7 # of Dogs: _ -(Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: `V_Q_►_ Male: -�- Female: _ Spayed or Neutered: E' N Breed: �g, - �oAr-�' nc�a Color: 2. Name of Dog: �' moi - Male: k Female: _ Spayed or Neutered: Q� N Breed: I L-&YC'Q-T�017�e-r C)r:� j*k Color: his 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: 1.3 2.32_ 3 Replacement Tag: Y / N (If replacement tag, then enter original tag number here: ) Proof of rabies enclosed: Yes_ No (please explain) oc Date Information entered into database: By Whom: __ �w— Revised 05/05/10 sjd City of Yelm 105 Yehn Ave. W., Yehn, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci.yelm.wa.us Application for Dog License - Free Your lost dog is a phone call away when they wear their registration tag. Applications and license tags can be obtained at City Hall, Monday through Friday, 8:00 am to 5:00 pm or by printing the application from our website at www.ci.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 -71 Owner Name: Q t Owner Phone #: / u 3 � J -l& Physical Address: ! %, \ �f .� (Z �� E-mail Address: ffri (!- `l'Oft # of Dogs: I (Maximum of three allowed per YMC Chapter 6.08.030) ahCiU. CPA 1. Name of Dog: Male: _ Female: L Spayed or Neutered: 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 licenses issutcd: 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 aF rias p �� '�. City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 4' ,, . Phone: (360) 458-3244 Fax: (360) 458-4348 _ www.ci.yelm.wa.us 'SCELM 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: Ange 1 ina and Adam Wo j ack Owner Phone #: 661-333-0859 Physical Address: 302 Jefferson Ave NE Yelm WA _ E-mail Address: wolack@live.com # of Dogs: One (Maximum of three allowed per YMC Chapter 6.08.030) X 1. Name of Dog: Reggie Male: X Female: Spayed or Neutered: Y/ N Breed: Border Collie Color: Black and White Reggie already has vaccines and rabies tag 2. Name of Dog: _ Male: Female: Spayed or Neutered: Y/ N Breed: 3. Name of Dog: Breed: Color: Male: Female: Spayed or Neutered: Y / N Color: Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070) To report a lost dog or if you have an animal complaint please call our Public Works Department at (360) 458-8406. For office use only Date license(s) issued: Tag Numbers: 1. J 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 ov 'rliE , Al $� City of Yelm a i 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci.yelm.wa.us Y E I. x17[ 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.a.yelin.wams. 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 -V II i), O—Owner Phone #:3 9 2-> -Z Physical Address: U l,0(_3P 5 E-mail Address:ZGIQ.)Cc # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) GMCA 1. Name of Dog: '5-� LL _ Male: _ Female: Spayed or NeuterecO N Breed: ',Al2, M 1)( _ Color: W V'vAc)C 2. Name of Dog: ?-� G�6l 1 E Male: _X Female: Spayed or Neutereo1 / N Breed:. Sk--,A LtI COP -C-1 I Color: ?2- i w 1)C 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: Replacement Tag: Y / N (If replacement tag, then enter original tag number here: _ Rabies Tag # Date Information entered into database: Revised 02111 By Whom: �Of TFIF p.t� ,4 +� 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) Owner Name:.1.�. 5 , &-nctoce- S. _ Owner Phone #: -3 (a o -- Ll6d 117e" j est 1- Physical Address: I'�5p� Ci(]L,C; V"s l; Lr�QP 5 . �GlM-w E-mail Address: r,cC� Ltt;s EGam; . # of Dogs: "• (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: _Sr)o Male: )( Female: _ Spayed or Neutered; Y / N Breed: q°6e_t'�an l'IySN Color: '"R,,-iColof- 2. Name of Dog: ;;:S(x ,I p_ Male: Female: Y Spayed or Neutered:0 N Breed: ):'C?.n4; 0 ki I \�LOcf 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 1 f 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: Qg T lice .VIP, I City of Yelm LF M 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) Owner Name: ?/:�tv ass ti //fit" -ILL -D Owner Phone #: �2 3) 3 z -o —3S2S Physical Address: 073 A1 --,s a�S s-1-ASE� _ E-mail Address: N rs� .cF�C4YT- NES ' # of Dogs: _ _ (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: _ Llice y Male: Breed: -Loc?/4 _ 2. Name of Dog:Male: Female: i/ Spayed or Neutered: CY V N Color: tv 1417T Female: >/ Spayed or Neutered:/ N Breed: )-10/11 Color: 3. Name of Dog: Male: _ Female: Breed: 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. 2. 3. Replacement Tag: Y / N (If replacement tag, then enter original tag number here: ) Proof of rabies enclosed: Yes_ No (please explain) Date Information entered into database: By Whom: _ Revised 05/05/10 sjd City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci.yelm.wams Application for Dog License - Free The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Your lost dog is a phone call away when your dog wears their registration tag. The dogs are required to wear the rabies tag issued by the veterinarian. (Yelm Municipal Code - Chapter 6.12). Applications can be obtained at City Hall, Monday through Friday 8:00 am to 5:00 pm or by printing the form from our website at www.ci.yelm.wa.us. Completed license applications may be mailed or delivered to Yelm City Hall, 105 Yelm Ave. W., Yelm, WA 98597. Tags are issued at City Hall and can be mailed to your address, if requested. '�Au �'- Owner Name: Owner Phone #::2 ,._�i 03- Physical Address: lU 3 3 2 jm 6-F 5,5- Lia -I'm &14 E-mail Address: btc Al ►'� & Yµ NoZ I", ►• � V�9C.K /��IC��OfJCCA's+ # of Dogs: .2 (Maximum of three allowed per YMC Chapter 6.08.030) Name of Dog: CMale Breed; G1��•lG e 2. Name of Dog: 7_i A 66X' %0 Male: Female: ✓ Spayed or Neutereqo/ N Color:. T1_ ._ Female: ✓ Spayed or Neutere . Y / N Breed: Color: 3. Name of Dog: Breed: T� 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:' Replacement Tag: Y [replacement tag, Rabies Tag # Date Information entered into database: Revised 02/11 Tag Numbers: 1. • q2. !%3. then enter original tag number here: By Whom: City of Yelm 105 Yelm Ave. W., Ye/m, 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. Re istrations cannot be issued unless proof of current rabies inoculation is provided with this application. The dogs are required to wear the rabies tag issued by the veterinarian. (Yelm Municipal Code - Chapter 6.12) Owner Name: S y�fl Vl 1��Js� V iU V L Owner Phone #: %U4 - 5q 3- q y Physical Address: 414 C JS ca3 1G1Y1 E-mail Address: BVIAtlluvo1161 U;l,coO" # of Dogs: I (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: Nwie Male Breed: �,k;kvakviA 2. Name of Dog: Breed: 3. Name of Dog: Breed: Female: Spayed or Neutered: / N Color: J 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: � V � �� Revised 05/05/10 sjd �WOO,-, T HE A %A City of Yelm ar. 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:�}�"�� Y�C�� Owner Phone #: � 12- Physical 2Physical Address: <�1 r� E-mail Address:p l CX may j 7 # of Dogs. f_� (Maximum of three allowed per YMC Chapter 6.08.030) Yh" Name of Dog: I�Vt Male: � M M - &E I = A ME 2. Name of Dog: Breed: 3. Name of Dog: Breed: Female: i/ Spayed or Neutered: N Color: t 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: Revised 05/05/10 sjd �QF Ti1F 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 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: Nelth Owner Phone #: �r O U Physical Address: �(�� 2,Z)(�Q-S 1 1�f� �� . Z E-mail Address: w # of Dogs: 1 (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: , 1 h Breed: �)'l 2. Name of Dog: Breed: 3. Name of Dog: Breed: Male: Y— Female: _ Spayed or Neutered: Y � 5V-Y-�e— 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: 1. 2. 3._ Replacement Tag: Y / N (If replacement tag, then enter original tag number here: ) Proof of rabies enclosed: Yes_ No (please explain) Date Information entered into database: _ By Whom: Revised 05/05/10 sjd City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci.yelm.wa.us Application for Dog License - Free The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Your lost dog is a phone call away when your dog wears their registration tag. The dogs are required to wear the rabies tag issued by the veterinarian. (Yelm Municipal Code — Chapter 6.12). Applications can be obtained at City Hall, Monday through Friday 8:00 am to 5:00 pm or by printing the form from our website at www.ci,yelm,wa.us. Completed license applications may be mailed or delivered to Yelm City Hall, 105 Yelm Ave. W., Yelm, WA 98597. Tags are issued at City Hall and can be mailed to your address, if requested. Owner Name:' _ Owner Phone #: Physical Address: �](`} S F, m . PWil Y4 E-mail Address:, yy 1/113 Pt • // 3 Cv S h e f/ Co m # of Dogs: _ l (Maximum of three allowed per YMC Chapter 6.08.030) Name of Dog: -11L.1_C le Male Breed: _GkA r 2. Name of Dog: Breed: 3. Name of Dog: Breed: Female: Spayed or Neutered: Y /0 Color: _LL0111(� Male: Female: ^ Spayed or Neutered: Y / N Color: Male: _ Female: _ Spayed or Neutered: Y/ N Color: Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070) To report a lost dog or if you have an animal complaint please call our Public Works Department at (360) 458-8406. For office use only Date license(s) issued:__ , Tag Numbers: 1. ✓ 2. 3. Replacement Tag: Y / N (If replacement tag, then enter original tag number here, ) Rabies Tag # Date Information entered into database: By Whom: Revised 02/11 Dg TKe %A City of Yelm i 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.c1.ye1rn.wa.us L Application for Dog License - Free The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Your lost dog is a phone call away when your dog wears their registration tag. The dogs are required to wear the rabies tag issued by the veterinarian. (Yelm Municipal Code — Chapter 6.12). Applications can be obtained at City Hall, Monday through Friday 8:00 am to 5:00 pm or by printing the form from our website at www.ci.yelm.wa.us. Completed license applications may be mailed or delivered to Yelm City Hall, 105 Yelm Ave. W., Yelm, WA 98597. Tags are issued at City Hall and can be mailed to your address, if requested. Owner Name: �` `` Owner Phone #:I_ S Physical Address: - 4 [� �r1,r _ E-mail Address: ee_PtT� # of Dogs: i (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: Samoan Male: _ Female: V Spayed or Neutered.�l N Breed: �k �� 0��(1l],�1 M� Color: — -ao no & 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 clog or if you have an animal complaint please call our Public Works Department at (360) 458-8406. For office use only Date license(s) issued: Tag Numbers: 1. S's, 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.yglm.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: Srb} �asc Owner Phone #: e 66,) Physical Address: ��5� �((ec�lEwC IPE E-mail Address: # of Dogs: 1 (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: Luc e Breed: AV,T-A /mix 2. Name of Dog: Breed: 3. Name of Dog: Breed: Male: ✓ Female: _ Spayed or Neutered: S/ N Color: "'� 12 f ,v0n(_ C3?,0-- + all rye) 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: L'.. 1 3. rr � Replacement Tag: Y / N (If replacement tag, then enter original tag number here: Rabies Tag #__ Date Information entered into database: By Whom: 10/13 Oifi� P �Q City of Yelm a 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 did www.ci.velm.wa.us YELL 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) r Owner Name: �i1. Owner Phone � � �n Physical Address: -PUAID N<" W) E-mail Address:Cdj-cVa Cn VY'AI # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: (Zu–d�i Male:10— Female: _ Spayed or Neutered N Breed: -QJ✓' Color: 2. Name of Dog: Breed: 3. Name of Dog: Breed: Male: Female: Color: Male: Female: Color: Spayed or Neutered: Y / N Spayed or Neutered: Y / N 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 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 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: fima CA Qy t C K1 alr� Owner Phone #: � � �� n Physical Address: r�( �' E-mail Address. L,2.Wn CY gt_ i m & 01.Cp ni # of Dogs:. _ - (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: b� Male: Female: X Spayed or Neutered: Y /9 Breed: off MW.. .Od 1'l lbla(k LQifolor: b �Q_V)fj r1 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: l . 2. 1 Replacement Tag: Y / N (If replacement tag, then enter original tag number here: _ ) Proof of rabies enclosed: Yes_ No (please explain) Date Information entered into database: By Whom: Revised 05/05/10 sjd O'F TIfe �v City of Yelm a 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci.velm.wa.us `Y 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. Reciistrations_ cannot be issued unless proof of -current rabies inoculation is provided with this application. The dogs f required to wear e�rabbiiietag issued by the veterinarian. (Yelm Municipal Code — Chapter 6.12) Owner Name: • ►1 �} �!'r/ 'I Owner Phone #:� Physical Address: L�� Lc S� /T�✓�� E-mail Address: S S d7�r�� # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: U61 -41e -,l /��e7Male: V Female: Spayed or Neutered: Y / IC Breed: ekoc 6k 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: 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.yeim.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 159 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: A 4 , RAS —i nninr/in � i O f. 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. 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: ! ~ t3[ .-� 4 -e P,rr-► Av' 0 "COwner Phone 3(oO) Z a 6// Physical Address: J� A> ((J �'7 E-mail Address: ,� -� • ' �.,.. # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: r -C'r Male: ✓ Female: _ Spayed or Neutered: I N Breed: b0i KoCtV-e mac,. ,u-�, ,r Color: 51 � free I Sl c�lc_ 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. l Q� 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: Kevlsed Ub/Ub/1U std City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci. elm.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: Lom C -C ;'(' Uwner Phone #: 3- 2, y Physical Address:`[ 33 �ot AUe sF- N e,_ VYl X50 E-mail Address: LQ✓lCr- 55bC3 I # of Dogs Z (Maximum of three allowed per YMC Chapter 6.08.030) Name of Dog:: Oil . VMale Breed: L On l 'SV-1ePQ'r6 M C Female Spayed or Neutered/ N Color: l 1 U13 Name of Dog: 'V)0�► Male: Female: _'?('*, Spayed or Neutered:/ N Breed: -eM ! 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: 1.6 I 2. `" 3 - Replacement Tag: Y / N (If replacement tag, then enter original tag number here: ) Rabies Tag # Date Information entered into database: _ _ By Whom: Revised 02/11 �� rRf� p • City of Yelm a 105 Yelm Ave. W., Yelm, WA 98597 A Phone: (360) 458-3244 Fax: (360) 458-4348 www-ci.yeim.wa.us Y'7ELlk� -• 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: Q S = S IPf N W4 ti Owner Phone #: o 4 Physical Address. 100 t2 J` r'iSEi� b e k v'F- �Y1 u"AE-mail Address: V ite1'Z 16 f~ YAhoo , Lem gsSrq # of Dogs: t(Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: M k x Breed: C- -tI 1-icl F� t -f 2. Name of Dog: Breed: 3. Name of Dog Breed: Male: v/ Female: - Spayed or Neutered: Y /N Color: 6Cow N / ," (1 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. 0 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 V Typ A' City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci.yelrn.wa.us Application for Dog License Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070) The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Registrations cannot be issued unless proof of current rabies inoculation is_provided with this application. The dogs are required to wear the rabies tag issued by the veterinarian. (Yelm Municipal Code — Chapter 6.12) Owner Name:. +� �� t,C P, Owner Phone #: � U 3,9 0 ^ J �� Physical Address: /d % E-mail Address: 5 i 1 a /! �� i� (e �aI C # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: 06 5 Male: /, Female: _ Spayed or Neutered: / N Breed: _ l' �n � � at�.G t- "A\" <- Z (A Color: 816, ( I/,�t� %�� , � e 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: l.LS�� 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 or, THE City of Yelm a 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci.velm.wa.us V:LM Application for Dog License Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070) The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. 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) rr Owner Name: `1_]�a Owner Phone Physical Address: _ I �3a� 1, JV1�C�(' )X- 7 �P 11 j- E-mail Address: +l wL ,40ca _ Cpm # of Dogs: _ V (Maximum of three allowed per YMC Chapter 6.08.030) Name of Dog: OG 'S&t'lr<' Male. k-1.1 Female: Spayed or Neutered: Y/o Breed: Sn', h tz Color: 00 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: ter— . Revised 05/05/10 sjd �- Trig 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 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 vroo€ 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) D Owner Name: . r� �u Owner Phone #: Physical Address: 1 e,,&5 VIE LJ eD,,P- 7' _ E-mail Address: 0. %1J 7 r 26- # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: (0,961 'c� _ Male: Breed: _ a c k-- LF, h Color: 2. Name of Dog: Breed: 3. Name of Dog: Breed: Female: y-�J Spayed or Neutered& N /QC- �-- 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: Revised 05/05/10 sjd City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 S. Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci.Yelm.wa.us LM Application for Dog License Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070) The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Registrations cannot_ be issued unless proof of current rabies inoculation is provided with this application. The dogs are required to wear the rabies tag issued by the veterinarian. (Yelm Municipal Code — Chapter 6.12) Owner Name: (_�C�1�� [�IrY n Owner Phone #: C-� Physical Address: ��](–� � �� SE L�`u._ ; ;— E-mail Address: # of Dogs: 1 _ (Maximum of three allowed per YMC Chapter 6.08.030) Cory) 1. Name of Dog: Male: J Female: _ Spayed or Neutered N Breed: Color: �X"'Cil 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.cci.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. Replacement Tag: Y / N (If replacement tag, then enter original tag number here: ) Proof of rabies enclosed: Yes_ No (please explain) Date Information entered into database: By Whom: Revised 05/05/10 sjd City of Yelm a 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci.yelm.wa.us 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 is Rrovided 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�_f-ol,'voj _ L. _ r�r _ ;l�,r e r , Owner Phone #: Physical Address: r L2 t '2d� ly E-mail Address: # of Dogs: I (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: _ 1-u� ti� Male: _ Female: Spayed or Neutered: Y /61, Breed: _ Color: ,G� 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.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. 2. 3. Replacement Tag: Y / N (If replacement tag, then enter original tag number here: ) Proof of rabies enclosed: Yes No (please explain) T Date Information entered into database: By Whom: Revised 05/05/10 sjd Fee Schedule: City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci.yeim.wa.us Application for Dog License Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070) The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Registrations cannot be issued unless proof of current rabies inoculation is provided with this application. The dogs are required to wear the rabies tag issued by the veterinarian. (Yelm Municipal Code — Chapter 6.12) Owner Name: I T [ '(J J Owner Phone #: 2-� Physical Address: < �� E-mail Address: b 0')'k116VW t1r # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: G v ma Male: Female:'�1 Spayed or Neutered:cl N Breed: Color: U " �L 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: 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.yefm.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. W� 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.cl.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. jj ack Ccq / -5) C'yg - Oo �/ � Owner Name: 6\frSt-Ur1V.-( J"k Owner Phone #: 6(0c) S'$g 1 I `I —1 Physical Address: 2ZS Z I CXwv r\ CAS c P S E E-mail Address: # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: jlb" bo P4 f+ _ Male: Female: Spayed or Neutered: N Breed: Color:c.c 2. Name of Dog: Breed: 3. Name of Dog: Breed: Male: Female:._ Spayed or Neutered: Y / N Color: Male: Female: Spayed or Neutered: Y / N Color: Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070) To report a lost dog or if you have an animal complaint please call our Public Works Department at (360) 458-8406. For office use only Date license(s) issued: Tag Numbers: 1.76 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: W City of Yelm 905 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 W W1N.Ci.�J�li?}.VtiJ�.i;S Y �I.1Vx 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) 77 Owner Name: 2 i Owner Phone Physical Address: '7 �i gc4n n S,-, lei WJ, mail Address: KI I (7 K i Jul # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: l V) G� Male: Female: X Spayed or Neutered: Y 1 N Breed: & 1 G _OI I_irl 1 ZLy, I Color: a�'J W-t at 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 -I 11 I 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 City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 wwW'cLy_el111.k%'a.11S 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.y_elm.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: Get (� c C_ j jCj 1110 G.t_..t:. , Owner Phone #: r. GO _YS -& J49 Physical Address- -410$ A'�� Ace-, E-mail Address: w. # of Dog (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: [ V....... Breed: 2. Name of Dog: Breed: 3. Name of Dog. Breed: Male: _4 Female: _ Spayed or Neutered: Y / 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: Tag Numbers: 1.1 2. 3 Replacement Tag: Y / N (If replacement tag, then enter original tag number here: ) Rabies Tag #: Date Information entered into database: 10/13 By Whom:. .... 4 y, City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 $ www.ci.yeIm.wa.us A� 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) r Owner Name:•�C 0; r-. ��L�ns l ofn e� Owner Phone #: Physical Address:1 j C'. rlt/ C-- SE-- f # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) E-mail Address: ;-'F b-TMAJG - 1. Name of Dog: Cylc C'e- Male:? Female: _ Spayed or Neutered(D / N Breed: LN6/PO5 M 2. Name of Dog: Breed: 3. Name of Dog: Breed: Color: (,*T,e-/T?r•uyA— 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.yaIm.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: i Proof of rabies enclosed: Yes_ No (please explain) Date Information entered into database: Revised 05/05/10 sjd By Whom: �� of FSE p tC City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci.y_elm.wa.us ELM 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. 1 N Y-4�� Owner Phone #: - - 2 `I Owner Name: � � 1 i l� 7�� 5-12-LI Address:' C%wok' L rP��nE 4111 _, E-mail Address: # of Dogs: 1 (Maximum of three allowed per YMC Chapter 6.08.030) 4111 1. Name of Dog: Male: Female:.__ Spayed or Neutered: YCN7":..!� 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 s Date license(s) issued: ' Tag Numbers: 1. 7 2. 3. Replacement Tag: YOI F 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: 6Z10A L. CD,8>E. Owner Phone #:.14 S10 1125 Physical Address: LVA 1./MVajZ.IE e1AE SM/ E-mail Address: �,r icckrcazn[c.•++ce irtp�ta�:l.wm # of Dogs: k (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: 12uga Male Breed: ENegt.1s1A xA,;T1Ff_ 2. Name of Dog: Male: Breed: 3. Name of Dog: Male: Breed: Female: Y, Spayed or Neutered:1V/ N Color: FAWN Color: 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: �� Z Tag Numbers: 1.�;�� 2. 3. Replacement Tag: Y41N 111f 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.yclna." a.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.ras. 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:, kio ki _fr �'r�C%fC �e cvrc� Owner Phone #: S`03 Physical Address: /5,S(,...t CY�acir_�� ,�� y.� , 0A 'db�] 7 E-mail Address: fec4��"' %`V $�-cirri # of Dogs: / (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: sh L., _ Male: _ ✓ Female:-__ Spayed or Neutered:/ N Breed. Zc4rcjdor gea/r,ever Color: '6/C�C:/<' 2. Name of Dog:...._ Breed: 3. Name of Dog: Breed: Male. Female Color: Male: Female Color: Spayed or Neutered: Y / N Spayed or Neutered: Y / N Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070) To report a lost dog or if you have an animal complaint please call our Public Works Department at (360) 458-8406. For office use only Date license(s) issued D 12-01% 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: 10113 OF THEA ^ow City of Yelm a 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci.yehn.wa.us L r� 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.d.yeim.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. Owner Name: _XAl� �� l�A� l�2- Owner Phone #: Physical Address: 106'-1Z _V,4N Nt2/- c' P Sie S. [_. E-mail Address: # of Dogs: 7i_ (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: L ( LL` _.... _ Male: _ Female: L Spayed or Neutered:/ N Breed: ...�-A g to / y Color: l3 LA CX 2. Name of Dog: n , L � .... Male: Female: Spayed or Neutered: (DN � Breed. D A S C I�UN b _._...__ Color: R&bbl S 1696,111V 3. Name of Doggy 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 d a Date license(s) issued: � _ Tag Numbers: I� ?_ 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.ylm.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 'GV; c� f S �S ci ,i n r .�c� —_ Owner Phone #: ES Physical Address: IS'�Z 1,3 Cctr-ler C Oop Sq, _. E-mail Address: . .... # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) a 1. Name of Dog: ,S c'� °' /'1 r Male: _ Female. Sped or Neutered N Spayed _ Breed: /� U U ✓✓ Lg Color: Q L 0 1 d 'i 2. Name of Dog. Breed: 3. Name of Dog: Breed Male: __ Female: _ Spayed or Neutered: Y / N Color: Male: Female: Spayed or Neutered: Y / N Color: Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070) To report a lost dog or if you have an animal complaint please call our Public Works Department at (360) 458-8406. For office use only Date license(s) issued: 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.yel_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: �m �- kwc-, n 3 q -N OSS �% Owner Phone #: ,2 3,0d- i Physical Address: q V 41 �Z E'er C n S. e_ E-mail Address: -1(4r _ � g i t^ eon # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: K49 )! %Male - Female: `/ payed r Neutered: CYU N Breed: I H k � Ul A �\ j(i-L-j__ Color: '�6� Act A PA W� , f- 2. Name of Dog: c Male: X Female: Breed: { ,ham A h A I -c i, (�a,{t1 Color: I. -N �l ` —if; - 3. 3. Name of Dog: Breed: Male: Female: Color: Spayed orl euter 19 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% 3, Replacement Tag: Y N '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.=nra.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) f Owner Name: \f „�-�(1 Owner Phone #: i C� � 1_ Physical Address: ! �µ E-mail Address:, 4 _ 1 # of Dogs: �c l - cc'( Y (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: Male: Female: XJ S ayed or Neutered: Y N Breed: �£ 1 Color: 2. Name of Dog: Male: _ Female: _ Spayed or Neutered: Y/ N Breed: 3. Name of Dog: Breed: Color: Male: Female: Spayed or Neutered: Y / N Color: 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.y_elrn.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: W'VeCity apTHEA of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci.y_elm.wa.us L Application for Dog License - Free Your lost clog 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: ZS'Yi!)"6 MA) JAI Physical Address: ILti?be? g17W4 wiqq # of Dogs: Z_ 1. Name of Dog �Q A Owner Phone #:(� Y&�M E-mail Address: 6CO _ (Maximum of three allowed per YMC Chapter 6.08.030) Breed: It4l X 0 Male: )( Female: _ Spayed or Neutered: N Color: 1: l'ej14 LL 2. Name of Dog: A 0 X I to __ Male: Breed: A4 / XG-0 Color: 3. Name of Dog: Breed. Female: 4)—( Spayed or Neutered: & N 12 tl) 6cJ /V( 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 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: Owner Phone #: _ 1J:�27 r Z3,D-30q (e Physical Address: SL E-mail Address: AM12 ke'-, r Iof . Ct1vt�- # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: W (&))- _ Male: ✓ Female:. Spayed or Neutered: DY 1 N Breed: T')a(J'XS V\.1A1A— Color: -P j 2. Name of Dog: Male: Breed: 3. Name of Dog: Male: Breed: Color: 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. 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 TjlM"VA"-LC A 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.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. c Owner Name; �5 Owner Phone #: cj Physical Address: `�� I�� I - �� E-mail Address:G W� r��a +5• # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) Name of Dog: Male:.— Female: Spayed or Neutered: �Y / N Breed: -Tok�h�mColor: &( I.0, 2. Name of Dog: Male: )(- Female: Spayed or Neutered:/ N Breedl)aC�b- h ovt _ Color: s CC✓�• 3. Name of Dog: Male: (I Female: Spayed or Neutered: ©/ N Breed: 6W4.-C1-4h1w' 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 Q Date license(s) issued:_ Tag Numbers: LZ_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: N�� WE,, � ^QCity of Yelm 4YEL�3-� 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.c�el_m.wa.us 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: S ��hn I � �/`��5/�wner Phone #: _��- ��6 (/b Physical Address: Do-ndy, E-mail Address: ? 7- # # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: J,f} �� Male: _ Female: � Spayed or Neutered: 5' N Breed: Z/Hck v1 146i -o dw Color: 91,i4a 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:_ C, Tag Numbers: 1. 1 2, Replacement Tag: Y / N (If replacement tag, then enter original tag number here Rabies Tag IJ: _ -- 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: Physical Address: # of Dogs. 13r�7A j Z41111X _� Owner Phone #: Z53 31'/ —Z gO (s037 10 5-A Art- Sc - 10/13 c E-mail Address: -zee M")/ G..'— (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: S uz► r Male: Breed: rMcvr Sh%'4 fl."re 2. Name of Dog: Breed: 3. Name of Dog: Breed: Female:.. V Spayed or Neutered: Zig/N Color: 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: Tag Numbers: 1. - I V 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: 1 W�� Yii� p�� Wa e City of Yelm W1 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci.y_elm.wa.us EL 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: SkIC-7 Re� Owner Phone #:,3(,oD `it) Physical Address: 1�n V A) ( .4117-S E -mai! Add - ress: 1il1 nn k�1a'1- # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) Name of Dog Ldl l e-) Male: _ Female: , `�,. ` Spayed cr Neutered- lI N Color: 4 D '" 2. Name of Dog:Male: Female Spayed or NeuteredY N Breed: t�Y 1 ] k] [l� [ � �1. Color: �,t]� lr.J� �C] UVI 3. Name of Dog: L Male: _ Female: Spayed 0r Neuterec N Breed AQ nbin t Color: RJ'EWV1 .4. Loy A� 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. qk 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: C�� o� City of Yelm d 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. I Owner Name: _ i T ( t. � �� I t Owner Phone #: ; ` j C7 O .2 Physical Address:7�1� I +� 1 cx.r�-c. L �! E-mail Address: # of Dogs: ( (Maximum of three allowed per YMC Chapter 6.08.030) Name of Dog: ZS ��-T Sy. _. Male: Breed: 2. Name of Dog: Breed: 3. Name of Dog: Breed: Female: V---,S-payed or Neutered: &/ N Color: k)Y`elwYV Male: . Female: Spayed or Neutered: Y/ N Color: Male: Female: Spayed or Neutered: Y / N Color: Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070) To report a lost dog or if you have an animal complaint please call our Public Works Department at (360) 458-8406. For office use only Date license(s) issued: Tag Numbers: I. 2. 3. Replacement Tag: Y / N (If replacement tag, then enter original tag number here: f ) Rabies Tag #: Date Information entered into database: 10/13 By Whom: City of Yelm pawp 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: /7 #: L1% 16 -, ! Physical Address: C �! j i F= V L LQ y S"� .� f✓ E-mail Address: , r t1 i3 _P Cj W a s` tti' () #,of Dogs:. _ ` (Maximum of three allowed per YMC Chapter 6.08.030) J,�� 1. Name of Dog: M A D D 1 C Breed: ) A 0141 O U N b 2. Name of Dog: t `d t - Breed: 6A CHD404D Male: Female: %( Spayed or Neutered: 0/ N Color: C04 i T1' 41JD 7-44 Male: Female: X Color: 740 Spayed or Neutered: (9 N 3. Name of Dog: 4t1J0 kSS 1 Male: _ Female: )( Spayed or Neutered:/ N Breed: b g e N� H " D Color: 8 L1} o k "b T" 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 N:_ Date Information entered into database: 10/13 By Whom: _ W –,) — T"4r 5jsri'W@N)City� of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci.y_elm.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: 36 vv&c- k___"O-M�ee.5 Owner Phone #: Physical Address: If vb"o 515 _ E-mail Address: 9A 0 1/ # of Dogs: ' _ (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: �r _ _ Male Female: Spayed or Neutered 6l N Breed: A61 ToAa4jwL Color: !31WC'k_ 07At_j V 2. Name of Dog: _ Male: Female: Spayed or Neutered: Y / N Breed: 3. Name of Dog: Breed Color: Male: . Female:._ Spayed or Neutered: Y / N Color: Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070) To report a lost dog or if you have an animal complaint please call our Public Works Department at (360) 458-8406. For office use only Date license(s) issued: Tag Numbers: 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: I 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: _G Owner Phone #: Z Physical Address: 107,5 1L)W K, -J6' c/i 6-c-1 C,?_ E-mail Address: (;LEn1.J,, # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: Male: _ Female: X, Spayed or Neutered: N Breed:0f kg\e- 2. Name of Dog: LTV` Breed- v Male: Female: _i` Spayed or Neutered: N Color: E I—q u 3. Name of Dog. _ Male: _X, Female: Spayed or Neutered: / N Breed: �U � 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 G' /� f Date license(s) issued: Tag Numbers: 1. I 2. I D� 3. I v j 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: 'k6 4-avf 2?1,2P1'de 1 Owner Phone #: :? 60 -- Zga --'F 3 Z 5 Physical Address: I S 33) &AymA e jF_ E-mail Address: lMe_V\Aej @0AeAL. !ate # of Dogs: J (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog _ka � Ae'r Male 4 Female: Spayed or Neutered: � N Breed: '�K ku5seff l �►'lll e'rr Color: Wali ae 2. Name of Dog: Male:— Female:.—. Spayed or Neutered: Y/ N Breed: Color: 3. Name of Dog: Male: Breed: Color: Female: Spayed or Neutered: Y / N Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code - Chapter 6.08.070) To report a lost dog or if you have an animal complaint please call our Public Works Department at (360) 458-8406. For office use only Date license(s) issued:. � Q) 1 I ' (�) Tag Numbers: 1. I '� 3. Replacement Tag: Y / N' (If replacement tag, then enter original tag number here: _ ) Rabies Tag #: _ – V,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.cj.ye1m.wa.us Application for Dog License - Free 00 _-cs � o L) 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: _ � , ,n ca. 14 ��ylgr _ Owner Phone #: c7 7_ 0 Physical Address: C, S (A E-mail Address: # of Dogs: --3 (Maximum of three allowed per YMC Chapter 6.08.030) Name of Dog: Male: _ Female: X Spayed or Neutered:e) N Breed: LH t L4 (A da l-k%AA ! Ww( 1f' _ Color: ��5(u u 13 2. Name of Dog: Male: Female: Spayed or Neutered__<N Breed LLA'"'.,iL�_iye Color: rYr., ._ 3. Name of Dog: ,1 i Y l C� Male: _ Female:x_ Spayed or Neutere Y N Breed: EcpAL Color: LXA A 1!�. 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 clog 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. 6 V 3.� Replacement Tag: Y / N (If replacement tag, then enter original tag number here: j Rabies Tag # Date Information entered into database: Revised 02/11 By Whom: City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci.yelm.wa.us Application for Dog License - Free The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Your lost dog is a phone call away when your dog wears their registration tag. The dogs are required to wear the rabies tag issued by the veterinarian. (Yelm Municipal Code - Chapter 6.12). Applications can be obtained at City Hall, Monday through Friday 8:00 am to 5:00 pm or by printing the form from our website at www.ci.velm.wa.us. Completed license applications may be mailed or delivered to Yelm City Hall, 105 Yelm Ave. W., Yelm, WA 98597. Tags are issued at City Hall and can be mailed to your address, if requested. Owner Name: ice L j a M_ L �nR Owner Phone #: S C, 3 3 Physical Address .. 2C6 c, k 10 5= _&y _ E-mailAddress: # of Dogs: '�5 - (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: _Lfu _ Male: _ Female: -A Spayed or Neutered: (D N Breed: 61+1 Color: 2. Name of Dog: RLIL.4 Male -.Female: Spayed or Neutered:/ N Breed: 1aA (j Color: - ,� .. 3. Name of Dog: _J� Male: _ Female: Spayed or Neutered'l! N Breed: 6kppac 1 �� Color: G? ti .._....._ptil 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 clog or if you have an animal complaint please call our Public Works Department at (360) 458-8406. For office use only t 3 � O Date license(s) issued: l I Tag Numbers: 1 2. U Replacement Tag: Y / N (If replacement tag, then enter original tag number here: } Rabies Tag # Date Information entered into database: Revised 02111 By Whom: City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci.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: S 7 I �� Owner Phone #: �D (off k02 tG 7 Physical Address: E-mail Address: _ pck&Ga' (CnSo # of Dogs: _ I .... ......... (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: Q Male: _ Female: Spayed or Neutered: Y N Breed: `i,otJeX (c)66 1 BIC1CI[, l.u.I,U Color: B 16& �t jU4t /n 2. Name of Dog Breed: 3. Name of Dog: Breed: Male: Female: Color: Male: Female: Color: Spayed or Neutered: Y / N Spayed or Neutered: Y / N Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070) To report a lost dog or if you have an animal complaint please call our Public Works Department at (360) 458-8406. For office use only Date license(s) issued: Zd te> Tag Numbers: 1.06. 0( 2. 3 Replacement Tag: Y / Irl If replacement tag, then enter original tag number here: ) Rabies Tag #: Date Information entered into database: 10/13 By Whom: City of Yelm � J 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci.yellm.wa.us V Application for Do License - Free pP g The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Your lost dog is a phone call away when your dog wears their registration tag. The dogs are required to wear the rabies tag issued by the veterinarian. (Yelm Municipal Code - Chapter 6.12). Applications can be obtained at City Hall, Monday through Friday 8:00 am to 5:00 pm or by printing the form from our website at www.ci.yeim.wa.us. Completed license applications may be mailed or delivered to Yelm City Hall, 105 Yelm Ave. W., Yelm, WA 98597. Tags are issued at City Hall and can be mailed to your address, if requested. e" P-5-5-- LB��s �/3 -��L �. P.5 -5--/.1-y Owner Name: f r Z70 Owner Phone #: `G' 1'1, a %4 .S / hV- --e_ Physical Address: Z-5o�y� rl i1/P_. 5 E-mail Address: Kd /TOO" C'0 # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) Name of Dog: Male: ✓ Female: Spayed or Neutered:(9/ / 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 clog 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 3. Replacement Tag: Y( 17 replacement tag, then enter original tag number here: ) Rabies Tag # Date Information entered into database: By Whom: Revised 02/11 �R OF TlrpA� i 4� 9 City of Yelm a 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci.yelm.wa.us Application for Dog License - Free 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: Cava I lA ��'��_ Owner Phone #: 3u 11- "l . sa7 U Physical Address: 3()LQ Ed V\J11 rd S ] J\Nj E-mail Address: # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: )p1��}- Male: Female: —V Spayed or Neutered N Breed: 4�"� Y , � �� 1 Color: _N e RU05 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: &be-,�k K\ \ -k 1 e_ Owner Phone #: '-�L4 U "oZQ Physical Address: o,T E-mail Address: 2,1;Za6e V-kj wh ery,pre } # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: _(2 cd= Male: V/ Female: _ Spayed or Neutered: Y /�D Breed: Color: U jaA b6nd Ie 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: 10113 By Whom: _ t 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: �.\� V Owner Phone #: a� �� Z 1_3 5 �i Physical Address: 't;` lvU 1t E-mail Address: ill A C # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: l� l t �`� . _ Male: Female: '_ Spayed or Neutered / N Breed: (] `e r [y� I x Color: I P -A �i t� �jl b RA_ Name of Dog: &(y V� Ues Breed: Nl w ` e V\cL__') 3. Name of Dog: Breed: Male: _ J Female: Spayed or Neutered:/ Color: -f "-``b U) 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: l Replacement Tag: Y / N (If replacement tag, Rabies Tag M. Date Information entered into database: 10/13 Tag Numbers. 1 2. 3, then enter original tag number here: 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: ,�g Lekl I , _ Owner Phone #: 3� y /d`i� ` % / % E-mail. Add res s: Physical Address: I, t �' ,5 _ cPli?1� /✓ 9�7 rz�c f��rt� COP # of Dogs: — - - , 04' tMCO �;..oa.ed per Y,UIC Chapter 6.08.030) 1. Name of Dog: Breed. �- o_•.rti s �1 2. Name of Dog: Breed: 3. Name of Dog: Breed. Male: X Female: _ Spayed or Neutered:/ N Color. rs Male: _ Female: _ Spayed or Neutered: Y / N Color: Male: _ Female: Spayed or Neutered: Y / N Color: Fee Schedule: Dog License: FREE Tag- $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070) To ions' .1. ��Sv W s ;=i oL, 5 ` €: os C:e' .-r -A 1,58-8406. For office use Datc licc�isc(s) is r, i= I l Tag Nmi— rs: !. S 2 _ 3. •_E.s gag: i ; N (:z c_<`1c;;_-_ 01 tag, 1,henC91t:•'c iil`3gi=iaitag trulilbeihere: A ;'saes Tag # Date Intormatimi-iitQrCU into a7i,':1•'_z:>�' � - I�'j � l C�iil 10/13 wor me ';' City of Yelm a 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.cLyelm.wa.u_ 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: lu� h � I I S Owner Phone #: Physical Address. YO IL, L) rr) r'': L� E-mail Address: r # of Dogs: - 2 (Maximum of three allowed per YMC Chapter 6.08.030) Lfulm . CMIV) Name of D.. it LLQ Breed: Bre7ed:�JXj!iI C11 3. Name of Dog. Breed. Male: Female:' Spayed or Neutered: 9Y N Color: I, Female: —X) Spayed or Neutered: N Color: - 1 v5k) } 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. I IQ 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 QF TfiE p �P City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci.yelm.wa.us 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: \,wCALOwner Phone #: Physical Address `'l qq j;Yo1d C ' G4 V�r ] E-mail Address: lCm2r6YrtiG�ria�StLr C,6W1 # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) Name of Dog: W tw'� Breed: acfd�L cool l_ _ 2. Name of Dog: Breed: 3. Name of Dog Breed: Male: Female: Spayed or Neutered: Y /(N) Color: -BL _( �[i I L. rh ' V. 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.—A -i Replacement Tag: Y / N (If replacement tag, then enter original tag number here: Rabies Tag #: Date Information entered into database: 10/13 By Whom: