201-36101p TSA City of Yelm
In 105 Yelm Ave. W., Yelm, WA 98597
Phone: (360) 458-3244 Fax: (360) 458-ima
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: 1 Q'
lIV CSAr
E'.
QrVkM Owner Phone #:
.2 V 3— ?,4 0 "57 /
�
I
Ph
Physical Address: ten OOA E-mail Address:
# of Dogs , (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: 01.0 q l Male:. >'� Female: Spayed or Neutered: Y I N
Breed: _191'4('0 tQ f P PinSC 4 ICY Color:. /QA c `L C
2. Name of Dog:
Breed:
3. Name of Doggy
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) isszjed.
Tag Numbers
Replacement Tag: Y / N (If replacement tag, then enter original tag number here:
Rabies Tag #:__
Date Information entered into database:
10/13
By Whom:
�wof, THE., .Pt
City of Yelm
a 105 Yelm Ave. W., Yelm, WA 98597
Phone: (360) 458-3244 Fax: (360) 458-4348
w%v %,v.ci.yelm.wa.us
IV
r r.I07L
Application for Dog License - Free
Your lost dog is a phone call away when they wear their registration tag.
Applications and license tags can be obtained at City Hall, Monday through Friday, 8:00 am to 5:00 pm or by
printing the application from our website at www.ci.ye1m.%,va.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:
NZ L C eha"Pet ( Owner Phone #: Wb
Physical Address: "b"f (P jjA1 e ✓ -[MAcP �.'�' �C}� _.......... E-mail Address: � �� �;� yy
# of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: ��"�l I rnw� Male: Female: Spayed or Neutered: N
Breed: L) I u 0� - Color: —..1� .. f 1 aow n
2. Name of Dog: — `��n Female: % Male: _..... _ Spayed or Neutered. 6) N
y ��
Breed: ON nu�U�. .... _... _..... .............. _ Color: FAc*- gru ojn
3. Name of Dog:° ���y Male: Female: Spayed or Neutered: 0 N
Breed. lam" 1V 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. aO� 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 Lyelm.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: Psi ` S /2� c.1 ti "`� Owner Phone
(��ZS-c) � %fid 6 ys� 64V
Physical Address: ����/ L ci �/ . c� / � _ E-mail Address:
# of Dogs: _ I (Maximum of three allowed per YMC Chapter 6.08.030)
Name of
Dog: LT 0 S e Male
Breed:
'Female: 5 ayed or Neutered: ®/ N
Color: Lf, lez `
2. Name of Dog: Male: "male: payed or Neutered: Y / N
Breed: Color
Name of Dog: _ Male:"Female.Spayed or Neutered: Y / N
f�
Breed f' r Zolor: -
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.N�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: Ei t"I -c M o r9a �j
Physical Address: gcai c reweaf
# of Dogs:
1. Name of Dog: L 1 1i 1 e -
Breed: A u stvY0 (_Av\
Owner Phone #:
SE - VIM E-mail Address: Cmk wQ 3;2(POC)5Ma_1 .
corn
(Maximum of three allowed per YMC Chapter 6.08.030)
Male: Female: k_ Spayed or Neutered: ()Y/ N
ewe Heeler _ Color: RIV ( BIaCv, reV' whi-e
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: 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
OF THE
w $ City of Yelm
105 Yelm Ave. W., Yelm, WA 98597
Phone: (360) 458-3244 Fax: (360) 458-4348
WWW cii.yelmma.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 to000 pm on and or y
printing the application from our website at www.ci.yelm.wa.us. Dog owners completing an appIi
returning it to City Hall will be issued a license tag. If you prefer to mail in your application, a tag can be mailed
to you.
The City of Yelm requires all dogs to be registered annually and have current rabies inoculations.
Dogs are required to wear the rabies tag (Yelm Municipal Code — Chapter 6.12) and furnish proof to a Yelm
Animal Control Officer, if requested. Current rabies tags are issued by a veterinarian.
Owner Name: t tiK� �- i_� �� ��Q Owner Phone #: ( 6(7 ' �� }�
Physical Address: E)iiail Address: 1�F 7�2
# of Dogs: 6/t1',g57` A1� 7
9 (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: _1_ /�(� Male
Breed Cj ErA11An( -5kIZ-01C4D
2. Name of Dog:
Breed:
3. Name of Dog:
Breed.
XFemale: _ Spayed orrnNeutered�/ N
�
Color: -1 `Bf`("""1111kj
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:
aO.
Tag Numbers: 1. 2
Replacement Tag: Y / N (If replacement tag, then enter original tag number here: )
Rabies Tag #:_ _
Date Information entered into database: BY Whom:
111]163
3.
City of Yelm
105 Yelm Ave. W., Yelm, WA 98597
Phone: (360) 458-3244 Fax: (360) 458-4348
www,cLyelm.wa.us
Application for Dog License - Free
Your lost dog is a phone call away when they wear their registration tag.
Applications and license tags can be obtained at City Hall, Monday through Friday, 8:00 am to 5:00 pm or by
printing the application from our website at www.ci.yelm.wa.us. Dog owners completing an application and
returning it to City Hall will be issued a license tag. If you prefer to mail in your application, a tag can be mailed
to you.
The City of Yelm requires all dogs to be registered annually and have current rabies inoculations.
Dogs are required to wear the rabies tag (Yelm Municipal Code — Chapter 6.12) and furnish proof to a Yelm
Animal Control Officer, if requested. Current rabies tags are issued by a veterinarian.
Owner Name..SSI CGS 1
Physical Address
# of Dogs:
Owner Phone #: 953 33S C1�05 S
31 D C- VvW E-mail Address: ,P-SSICGtMCVo t
Q (Maximum of three allowed per YMC Chapter 6.08.030) cc-)%1C)+ma, t (.
1. Name of Dog: �6 6) (D Male: Female: 'K Spayed or Neutered:o N
Breed: (-,Vr '0 JJ1PZV\'1 e Color: bla CiK + -{-0_11111)
2. Name of Dog: Male: X Female: Spayed or Neuteredo N
-
Breed: ?� C OI\1e CC O M0W' J)6( 1^ Color: Y��aCY-t +O -X'\
YY)1 /I
3. Name of Dog: _ Male: Female: Spayed or Neutered: Y / N
Breed:
Color:
Fee Schedule:
Dog License: FREE
Replacement Tag: $2.00
Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070)
To report a lost dog or if you have an animal complaint please call our
Public Works Department at (360) 458-8406.
For office use only
Date license(s) issued: Tag Numbers: 1. 6W r2. _ 3.
Replacement Tag: Y / N (If replacement tag, then enter original tag number here: )
Rabies Tag #:
1
Date Information entered into database: By Whom:
10/13
C C 11'1
Fn'
•�� THS
s City of Yelm
105 Yelm Ave. W., Yelm, WA 98597
Phone: (360) 458-3244 Fax: (360) 458-4348
www.ci.yelm.wa.us
L
Application for Dog License - Free
Your lost dog is a phone call away when they wear their registration tag,
Applications and license tags can be obtained at City Hall, Monday through Friday, 8:00 am to 5:00 pm or by
printing the application from our website at www.ci.yelm.wa.us. Dog owners completing an application and
returning it to City Hall will be issued a license tag. If you prefer to mail in your application, a tag can be mailed
to you.
The City of Yelm requires all dogs to be registered annually and have current rabies inoculations.
Dogs are required to wear the rabies tag (Yelm Municipal Code - Chapter 6.12) and furnish proof to a Yelm
Animal Control Officer, if requested. Current rabies tags are issued by a veterinarian.
Owner Name: � U f- 1 S ck Gvf CA_' Owner Phone #: U -I -9b -3 � -7 �r
Physical Address:�q /
I I mail Address:
# of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: 1 0
Breed: L&-�
2. Name of Dog:
Breed:
3. Name of Dog
Breed:
Male:- Female:
Color: -�k L�
Male. Female:
Color:
Male: Female:
Color:
Spayed or Neutered: Q N
Spayed or Neutered: Y / N
Spayed or Neutered: Y / N
Fee Schedule:
Dog License: FREE
Replacement Tag: $2.00
Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code - Chapter 6.08.070)
To report a lost dog or if you have an animal complaint please call our
Public Works Department at (360) 458-8406.
For office use only
a
Date license(s) issued: Tag Numbers: 1.� 2. 3,
Replacement Tag: Y / N (If replacement tag, then enter original tag number here:. )
Rabies Tag #:
Date Information entered into database:
10/13
By Whom:
C1Y iH� F�
4w City of Yelm
105 Yelm Ave. W., Yelm, WA 98597
Phone: (360) 458-3244 Fax: (360) 458-4348
www.ci.velm.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: Aar ovn an 4izs CirL,4 [ Ca40 Owner Phone #: (YQ'7
) I-V Z 33��/a7) Y 7- 50y3
Physical Address: 16638 1151 /IUE _15E ughm WA d 41 E-mail Address: FTO4�,
# of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: Rropi
Breed:.4"gbrGa/er _l'i2Ve-Y'
2. Name of Dog:
Breed:
3. Name of Dog:
Breed.
Male. / Female:_ Spayed or Neutered: 0/ N
Color: VA k wWwl��
Male: Female: Spayed or Neutered: Y / N
Color:
Male:
Color:
Female: Spayed or Neutered: Y / N
Fee Schedule:
Dog License: FREE
Replacement Tag: $2.00
Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070)
To report a lost dog or if you have an animal complaint please call our
Public Works Department at (360) 458-8406.
For office use only
Date license(s) issued:
Tag Numbers: l .Q_ 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.
Tlip
City of Yelm
a s 905 Yelm Ave. W., Yelm, WA 98597
Phone: (360) 458-3244 Fax: (360) 458-4348
www.ci.� e#rj1.wa.L1s
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 l2roof 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: _ X 1 m-er Lo x -L
Physical Address: � LA q � L� 9 � ST kms- SC
# of Dogs:
1. Name of Dog:
Breed: L a b
2. Name of Dog: _ _ _
Breed:
Owner Phone #: 114 1 113 z` 60
E-mail Address: QAmeY(U�g zj 14 4� 9 Vko1.1011'�
(Maximum of three allowed per YMC Chapter 6.08.030)
Male: _ Female: X Spayed or Neutered: N
M \x /9 1A Vl (1 Color: C COlJ V\
-I
Male: _ Female: Spayed or Neutered: Y / N
Color:
3. Name of Dog: Male: T Female: Spayed or Neutered: Y / N
Breed: Color:
Completed applications (including proof of rabies inoculations) may be mailed or delivered to Yelm City Hall,
105 Yelm Ave. W., Yelm, WA 98597. incomplete applications will be returned. Applications may be obtained at
City Hall, Monday through Friday 8:00 am to 5:00 pm or by visiting our website at www.ci.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:
i
Tag Numbers: 1-
Replacement Tag: Y / N (If replacement tag, then enter original tag number here: )
Proof of rabies enclosed: Yes_ No (please explain)
Date Information entered into database: J By Whom:
Revised 05/05/10 sjd
dV TIS
OVAOwggCity of Yelm
105 Yelm Ave. W., Yelm, WA 98597
Phone: (360) 458-3244 Fax: (360) 458-4348
www.ci.yelm.wa.us
L
Application for Dog License - Free
Your lost dog is a phone call away when they wear their registration tag.
Applications and license tags can be obtained at City Hall, Monday through Friday, 8:00 am to 5:00 pm or by
printing the application from our website at www.ci.yelm.wa.us. Dog owners completing an application and
returning it to City Hall will be issued a license tag. If you prefer to mail in your application, a tag can be mailed
to you.
The City of Yelm requires all dogs to be registered annually and have current rabies inoculations.
Dogs are required to wear the rabies tag (Yelm Municipal Code — Chapter 6.12) and furnish proof to a Yelm
Animal Control Officer, if requested. Current rabies tags are issued by a veterinarian.
Owner Name: $d -op ,!" C,ar[ J -Pr4. , )�,Jj Owner Phone #:
Physical Address: Iq$1��� E-mail Address: cL,a1l�. G
jrg7n.w �'1
.
# of Dogs
N
(Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: 9a; 1'y Male: Female: X Spayed or Neutered: 01 N
Breed: Lai, A_'_L4 Color:
2. Name of Dog: j } -n-; Sk Male: _ _ Female: Spayed or Neutered: LY'/ N
Breed: /e [ [ p L,/ 1e, b Color: �/to I [al,I
3. Name of Dog:
Breed
Male: u Female: Spayed or Neutered: Y / N
Color:
Fee Schedule:
Dog License: FREE
Replacement Tag: $2.00
Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code - Chapter 6.08.070)
To report a lost dog or if you have an animal complaint please call our
Public Works Department at (360) 458-8406.
For office use only I ]] ff
Date license(s) issued: o l Tag Numbers: 1. >C l3 2.�L 3,
Replacement Tag: Y / N (If replacement tag, then enter original tag number here: }
Rabies Tag M
Date Information entered into database:
10/13
By Whom: Im L-,- _
City of Yelm
105 Yelm Ave. W., Yelm, WA 98597
Phone: (360) 458-3244 Fax: (360) 458-4348
www.ci.yelm.wa.us
Application for Dog License - Free
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.yeim.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 vYl �� � �� e_i(_ Owner Phone #: 2C)8 _7 cAG — Q -)q
Physical Address: 1 �cl t pet" �� �fE mil Address: ] uw�_ti Q neA( b r)
# of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: Male: Female: _ Spayed or NeutereG N
Breed: •PkSSLQ LkL@7-Io Color: ����� ' _ Pj �C__�I C L
Spm n �_ � J
2. Name of Dog: Male: Female: Spayed or Neutered: Y / N
Breed: Color:
3. Name of Dog
Breed.
Male:. . Female: Spayed or Neutered: Y / N
Color:
Fee Schedule:
Dog License: FREE
Replacement Tag: $2.00
Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code - Chapter 6.08.070)
To report a lost dog or if you have an animal complaint please call our
Public Works Department at (360) 458-8406.
For office use only
Date license(s) issued: d -o 1� Tag Numbers: 1. � S-1 3.
Replacement Tag: Y / N (If replacement tag, then enter original tag number here: )
Rabies Tag #:
Date Information entered into database: _ By Whom:.
10/13
Qr TRF,,
City of Yelm
a 105 Yelm Ave. W., Yelm, WA 98597
Phone: (360) 458-3244 Fax: (360) 458-4348
www.ci.yelm.wa.us
`Y LM
Application for Dog License - Free
Your lost dog is a phone call away when they wear their registration tag.
Applications and license tags can be obtained at City Hall, Monday through Friday, 8:00 am to 5:00 pm or by
printing the application from our website at wwvv.ci.ye1m w@ us. Dog owners completing an application and
returning it to City Hall will be issued a license tag. If you prefer to mail in your application, a tag can be mailed
to you.
The City of Yelm requires all dogs to be registered annually and have current rabies inoculations.
Dogs are required to wear the rabies tag (Yelm Municipal Code — Chapter 6.12) and furnish proof to a Yelm
Animal Control Officer, if requested. Current rabies tags are issued by a veterinarian.
Owner Name: ��5 r) Owner Phone #: :3 (PD —29z) —720 4 7
Physical Address —3yu� (`'1n+0 l a S £ • E-mail Address
# of Dogs: r (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog:r_ S -- Male:
Breed: h oC�7 4�TC L f�
2. Name of Dog:
Breed:
Male:
Female: Spayed or Neutered: Y / N
Color: $Qc W -n)
Color:
Female: . Spayed or Neutered: Y / N
3. Name of Dog. Male: Female: _ Spayed or Neutered: Y / N
Breed. Color:
Fee Schedule:
Dog License: FREE
Replacement Tag: $2.00
Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070)
To report a lost dog or if you have an animal complaint please call our
Public Works Department at (360) 458-8406.
For office use only
Date license(s) issued: Q o d Tag Numbers: 1. p� 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:
of, THE
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:Z:5� 031c Owner Phone #:[�`--'t�
Physical nddressgoI 1 �� LiEG_mail Address-j�11 ofl� X W
h �q
# of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) (i / 1 I , I�
1. Name of Dog: WD e)ud6�oale:
\� Female: _
Spayed or Neutere� N
Breed:
Color:h Ev
k�� r C� LA
I iQ
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
Tag Numbers: I. D `
Date license(s) issued:_ � 3. 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
Ofr THE p
'�• City of Yelm
as 105 Yelm Ave. W., Yelm, WA 98597
Phone: (360) 458-3244 Fax: (360) 458-4348
www.ci.yelm.wa.us
V E 1t..
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 #:� 3b15
Physical Address: �am E-mail Address: Of& he r
# of Dogs: _ {. (Maximum of three allowed per YMC Chapter 6.08.030) �lrna I -cc
1. Name of Dog: p�Q�17(�l�_l Male: Female: _ Spayed or Neutered: N
Breed: C7lQ'C- l�1 I) Q Color:
2. Name of Dog:
Breed:
3. Name of Dog:
Breed:
Male: Female
Color:
Spayed or Neutered: Y / N
Male: Female: Spayed or Neutered: Y / N
Color:
Fee Schedule:
Dog License: FREE
Replacement Tag: $2.00
Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070)
To report a lost dog or if you have an animal complaint please call our
Public Works Department at (360) 458-8406.
For office use only
Date license(s) issued: Tag Numbers: 1 2. 3.
Replacement Tag: Y / N (If replacement tag, then enter original tag number here: _ )
Rabies Tag #:
Date Information entered into database: By Whom: rnl%
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: Robb,l� e— I n. �i . CIt Owner Phone #: 3(oO
Physical Address: 6 / �) EIJ� tJ�t- v e- E-mail Address:
# of Dogs:. (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name ofA�x
6uatq
Breed: e
2. Name of Dog:
Breed:
3. Name of Dog:
Breed:
Male: X Female: Spayed or Neutered: Y !� N '1)
Color: JVI WWI
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: �U (j Tag Numbers: 1. 2. 3
Replacement Tag: Y / N (If replacement tag, then enter original tag number here: }
Rabies Tag #:
Date Information entered into database:
10/13
By Whom: Wy
City of Yelm
105 Yelm Ave. W., Yelm, WA 98597
Phone: (360) 458-3244 Fax: (360) 458-4348
www.ci.yelm.wa.us
Application for Dog License - Free
Your lost dog is a phone call away when they wear their registration tag.
Applications and license tags can be obtained at City Hall, Monday through Friday, 8:00 am to 5:00 pm or by
printing the application from our website at www.ci.yelm.wa.us. Dog owners completing an application and
returning it to City Hall will be issued a license tag. If you prefer to mail in your application, a tag can be mailed
to you.
The City of Yelm requires all dogs to be registered annually and have current rabies inoculations.
Dogs are required to wear the rabies tag (Yelm Municipal Code — Chapter 6.12) and furnish proof to a Yelm
Animal Control Officer, if requested. Current rabies tags are issued by a veterinarian.
Owner Name:_ [ 1 i�l A E � Owner Phone #:. -3Lo o —''i .5 " q 1 �e
'�cln'1 Wyk
Physical Address:\J' E-mail Address:
# of Dogs:
(Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: 5 _ _ Male:
Breed: j:e I lt�w �Z
Female: k Spayed or Neutered: ICY I.' N
Color: 1 e l b w
2. Name of Dog:. 70 '(_? Male: Female: X Spayed or Neutered N
Breed: Choco L Color: Chow le k I O k 6nw/d
3. Name of Dog: B e L14 Male:
Breed: 1 �--(_1 -
Female: � Spayed or Neutered: N
Color: low 1 $tiwdo
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
-PA
Date license(s) issued: ';�D_19 Tag Numbers: 1 2. C 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
V0 T. i�c
�` City of Yelm
105 Yelm Ave. W., Yelm, WA 98597
Phone: (360) 458-3244 Fax: (360) 458-4348
www.cLy_ehn.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: �'�� �_i�O f Owner Phone16 10�1
Physical Address: I LVJ Ck E-mail Address: _L'!( Q_ a
11
# of Dogs:_ (Maximum of three allowed per YMC Chapter 6.08.030) d/�
1. Name of Dog: Male: X_ Female: Spayed or Neutered) N
Breed: ��aCY M (& LLt C Color: V
2. Name of Dog:
Breed:
3. Name of Dog:
Breed:
Male: Female: Spayed or Neutered: Y / N
Color:
Male: _. Female: Spayed or Neutered: Y / N
Color:
Fee Schedule:
Dog License: FREE
Replacement Tag: $2.00
Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070)
To report a lost dog or if you have an animal complaint please call our
Public Works Department at (360) 458-8406.
For office use only
Date license(s) issued: _ Tag Numbers: 1. 2. 3.
Replacement Tag: Y / N (If replacement tag, then enter original tag number here: )
Rabies Tag #:
Date Information entered into database:
10/13
By Whom: l_'
KVAWp�iCity of Yelm
105 Yelm Ave. W., Yelm, WA 98597
Phone: 1360j,4158-3244 Fax: (360) 458-4348
www.ci.y_elm.wa.us
--m
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-djelmma.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.
F.._�17
Owner Name: V Owner Phone #: _
Physical Address: I 7-3 E-mail Address.
# of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) %'//'/�2
Name of Dog: t' _ X4;e'i�- Male: 2-1 Female:
Breed:
2. Name of Dog: —� Male:
Breed: -67
3. Name of Dog: CIL _ Male:
Breed: - Q
Fee Schedule:
Dog License: FREE
Replacement Tag: $2.00
Annual Registration for Dangerous Dog
Spayed or Neutered:
Color:
r
Female: Spayed or Neutered Y 11 N
Color: -1-, ly�"�r �l lr,�r ,��
dd /
Female: Spayed or Neutereddy/ N
Color: / 7
$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:
10/13
City of Yelm
105 Yelm Ave. W., Yelm, WA 98597
Phone: (360) 458-3244 Fax: (360) 458-4348
www.cLy_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.wams. Dog owners completing an application and
returning it to City Hall will be issued a license tag. If you prefer to mail in your application, a tag can be mailed
to you.
The City of Yelm requires all dogs to be registered annually and have current rabies inoculations.
Dogs are required to wear the rabies tag (Yelm Municipal Code — Chapter 6.12) and furnish proof to a Yelm
Animal Control Officer, if requested. Current rabies tags are issued by a veterinarian.
Owner Name: Owner Phone #: �" 3 �� _ t �u' 6-1
Physical Address: I Arid- i tA E-mail Address:3)'Mmlv"C�_ rQ LVcj �
�
# of Dogs. r C ��
(Maximum of three allowed per YMC Chapter 6.08.030) G.a�
1. Name of Dog: Male: ._ Female: Spayed or Neutered& N
Breed: Y2C>�CP_( Color:
2. Name of Dog: l Male:...__.. Female: Spayed or Neutered N
Breed:
3. Name of Dog:
Breed
Color`.Z,C.� 'L
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. C 2. C� U 3.
Replacement Tag: Y / N (If replacement tag, then enter original tag number here:
Rabies Tag 11:
Date Information entered into database:
10/13
By Whom:
bF THE
City of Yelm
a 105 Yelm Ave. W., Yelm, WA 98597
Phone: (360) 458-3244 Fax: (360) 458-4348
www.cLyelm.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.
Owner Name: 6&9 f 44k Owner Phone #: 3& Q &d -
Physical Address: A/ &dA9 0 6 2s4 E-mail Address:
# of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: JI r�D � Male: Female: _X_ Spayed or Neutered:L / N
Breed:L / (o �'k Color: 2. Name Name of Dog: �Gsu� Male: Female: Spayed or Neutered: 61 N
Breed: I q j I 44j2 0a.r Color:
3. Name of Dog-
Breed
-
Male: — Female: _ Spayed or Neutered: Y / N
Color:
Fee Schedule:
Dog License: FREE
Replacement Tag: $2.00
Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code – Chapter 6.08.070)
To report a lost dog or if you have an animal complaint please call our
Public Works Department at (360) 458-8406.
For office use only
Date license(s) issued:
Tag Numbers: 1.� 2.(� 3.
Replacement Tag: Y / N (If replacement tag, then enter original tag number here: )
Rabies Tag #:
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: r[ -C} 7� 46 4-r— r,•. Owner Phone #: A-// -2-- / 116 �J
Physical Address: E-mail Address: /� �L-3►/h��
# of Dogs: I (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: Zu C'k Male: _ Female:I Spayed or Neutered N
Breed& e-% l AOt> Color: g lc" C'k
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. ),3 \ 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. elm.wa.us
F x.
Application for Dog License
Fee Schedule:
Dog License: FREE
Replacement Tag: $2.00
Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070)
The City of Yelm requires all dogs to be registered annually and have current rabies inoculations.
Reciistrations cannot be issued unless proof of current rabies inoculation is provided with this
application. The dogs are required to wear the rabies tag issued by the veterinarian. (Yelm Municipal Code —
Chapter 6.12)
Owner Name: _ j _ Z.// )h'0 '2� I��� 1 Owner Phone #:
Physical Address: E-mail Address: r S f rJ rr�ycGc -
Carri
# of Dogs: _ _. (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: z Male: Female:,('- Spayed or Neutered:/ N
Breed: . Color:Q6'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:
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: _ ��1►r
OV THEO
City of Yelm
905 Yelm Ave. W., Yelm, WA 98597
Phone: (360) 458-3244 Fax: (360) 458-4348
www.ci.yelm.wa.us
.x.rn
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)
d I�
Owner Name: 1e� _ �]:L "'fQ
o u
Physical Address: `Z OY jY E-mail Address: n
. 1�
# of Dogs: � pO cc of three allowed per YMC Chapter 6.08.030) 11
1. Name of Dog: O ( aO ) Male:y Female: Spayed or Neutered: DY N
Breed: \ u akLICc X
2. Name of Dog:. -b CideA C- kn -e Male:
Color: )
Female: --�Z/ Spayed or Neutered/ N
Breed: ��C�k�.( C�n�e Color: ,p `G C.�C _
3. Name of Dog 0-n V -t i. Male: ✓ Female: _ Spayed or Neutered: 0 N
Breed: b u\� �,b o S x. i t Color: r 1nc1 /
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. L
i
For office use only
Date license(s) issued:
Tag plumbers: 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:
Revised 05/05/'10 sjd
By Whom:
t
,� 4 1 City of Yelm
a 105 Yelm Ave. W., Yelm, WA 98597
Phone: (360) 458-3244 Fax: (360) 458-4348
www.ci.yelm.wa.us�
LM
Application for Dog License - Free
Your lost dog is a phone call away when they wear their registration tag.
Applications and license tags can be obtained at City Hall, Monday through Friday, 8:00 am to 5:00 pm or by
printing the application from our website at www.ci.yelm.wa.us. Dog owners completing an application and
returning it to City Hall will be issued a license tag. If you prefer to mail in your application, a tag can be mailed
to you.
The City of Yelm requires all dogs to be registered annually and have current rabies inoculations.
Dogs are required to wear the rabies tag (Yelm Municipal Code — Chapter 6.12) and furnish proof to a Yelm
Animal Control Officer, if requested. Current rabies tags are issued by a veterinarian.
Ownerl�am Il%lC'��I�Owner Phone #.fUG�
Physical Address: Z& A191 E-mail Address: deAaalz
# of Dogs:._ (Maximum of three allowed per YMC Chapter 6.08.030) 'AZ ZY/177
Name of Dog: kr Male: Female: Spayed or Neutered: Y / N
Breed: 2Color:
-7
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.-a3— p 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
a 105 Yelm Ave. W., Yelm, WA 98597
Phone: (360) 458-3244 Fax: (360) 458-4348
www.ci.velm.Wa.us
I.. 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: W`{/ Owner Phone #: or -,L
Physical Address: 1� 1�2 ! V Ir „'" E-mail Address:
# of Dogs: L (Maximum of three allowed per YMC Chapter 6.08.030)
Name of Dog: Male
Breed: �A 6'r A ( Y
2. Name of Dog:
Breed:
3. Name of Dog:
Breed:
Male -
_L Female: _ Spayed or Neutered:6 / N
Color: t,Jy-aW (
Color:
Female: Spayed or Neutered: Y / N
Male: Female: _ Spayed or Neutered: Y / N
Color:
Fee Schedule:
Dog License: FREE
Replacement Tag: $2.00
Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070)
To report a lost dog or if you have an animal complaint please call our
Public Works Department at (360) 458-8406.
For office use only
Date license(s) issued:{ Tag Numbers: 1. 2. 3.
Replacement Tag: Y / N (If replacement tag, then enter original tag number here: )
Rabies Tag M
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.yeim.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.
Owner Name: G"+f�5��n � Bew ka( Owner Phone #: -20
Physical Address: ��u �Z G ire nE-mail Address: hao. r 6v�
# of Dogs —,�4 (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog. Male: Female: _
Breed: Qh.0 . 1 i c.n ^G i-, �' Color: Oi
2. Name of Dog: /,Y) 0 U
Breed: hl)aM
Male: Y Female:
Color: -7-o k\ -
Spayed or Neutered: @/ N
Spayed or Neutered: 0 N
3. Name of Dog: Male: Female: Spayed or Neutered: Y / N
Breed: Color:
Fee Schedule:
Dog License: FREE
Replacement Tag: $2.00
Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code – Chapter 6.08.070)
To report a lost dog or if you have an animal complaint please call our
Public Works Department at (360) 458-8406.
For office use only
Date license(s) issued: Tag Numbers: 1. C� J U 2. ? I 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:
City of Yelm
105 Yelm Ave. W., Yelm, WDA 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 V1- ; '_ lu1-C- f i+'� i Owner Phone #:
Physical Address: � . t ,r 01`.,1 E-mail Address:
# of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: Lia ci. _ _ Male: Female: _,)e _ Spayed or Neutered:`! N
V
Breed:-iColor: '4,i c- c-
2.
2. Name of Dog: ('1„ t.� �J) Male: `._ Female: Spayed or Neutered: Y /• N
Breed: i�, -1 G Color:
3. Name of Dog: -t-;(., t,� t• Male: /, Fernale: Spayed or Neutered: Y / N
Breed:'l Ji-, a I r �[ : j, ,� Color:
1• .z . °:., - ti/ 1. �;�; VI.,
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. 3L(Q 2. �L. 3._Q� a
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
THE, I
City of Yelm
105 Yelm Ave. W., Yelm, WA 98597
Phone: (360) 458-3244 Fax: (360) 458-4348
www.ci.ycl[n.tiva.us
5t L 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.
I ALIOwner Name: 121i(4� �1�U� Owner Phone #: _. to C( �-/ y ?m("
Physical Address: z- ' E E-mail Address:
# of Dogs. / (Maximum of three allowed per YMC Chapter 6.08.030)
J L,1. Name of Dog: 7 -CMC (3ea ct/,/ f J_ Male: X Female: _ Spayed or Neutered: Y /(N)
'% -►I h rz o Color: f
' ] Breed:. ... SSL
2. Name of Dog: _ ... Male: Female: Spayed or Neutered: Y / N
Breed: Color:
3. Name of Dog:
Breed:
Male: Female: _ Spayed or Neutered: Y / N
Color:
Fee Schedule:
Dog License: FREE
Replacement Tag: $2.00
Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070)
To report a lost dog or if you have an animal complaint please call our
Public Works Department at (360) 458-8406.
For office use only
Date 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: By Whom: _
10/13
3.
1
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:.- Q •� L �" l �A �� Owner Phone #: 3(-a Q -7 —0(0 13
Physical Address: q03 �j . E-mail Address: VrMtLL6t4 Q? c(*)' 1T7CZ(�
# of Dogs (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: 00 Wey
Breed: 1.JC C 111��
2. Name of Dog:
Breed:
3. Name of Dog.
Breed.
Male- -)(- Female: _ Spayed or Neutered: N
Color: 10 rotc 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: 1.4;�1
Replacement Tag: Y / N (If replacement tag, then enter original tag number here
Rabies Tag #:
Date Information entered into database:
10/13
0
By Whom- _ .� 1. —
pg THE
0%
City of Yelm
105 Yelm Ave. W., Yelm, WA 98597
Phone: (360) 458-3244 Fax: (360) 458-4348
www.ci.yel_m.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: ti`s[\ t�r�.
��V [ 5L Ll Owner Phone #: 3w% �As I 3ub3
Physical Address:
l E-mail Address: ��� r�� � '(�. C"
# of Dogs: 3
(Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog:
Male: _ Female: f Spayed or NeUtere N
Breed: Color:
2. Name of Dog:
Male:`� Female: Spayed or NeuteredQD N
Breed: �1�L
CoIor-1'6L N
3. Name of Dog: VN)`
Male: / Female: _ Spayed or Neutered: Y
Breed.
Color: �40 —
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. �-q� ?_. —� L1 ;. �Lj�
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
wwwAye u 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.us. Dog owners completing an application and
returning it to City Hall will be issued a license tag. If you prefer to mail in your application, a tag can be mailed
to you.
The City of Yelm requires all dogs to be registered annually and have current rabies inoculations.
Dogs are required to wear the rabies tag (Yelm Municipal Code — Chapter 6.12) and furnish proof to a Yelm
Animal Control Officer, if requested. Current rabies tags are issued by a veterinarian.
Owner Name: 1-0&� c�dn Owner Phone #: _ b
Physical Address(�b 5,5 P( -',,T se W'. n6 C'�) L E-mail Address:
# of Dogs:
(Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: t Male: "y- Female: _ Spayed or Neutered: Y /0
Breed: C h 1 u U 4 Color: Q� r , n a 1 e_
2. Name of Dog:
Nsail
Male: k
Female: _ Spayed or Neutered:
Y /(�5
Breed. G ccpjk7o
n.e_
Color:
_ h� QC k-
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. � q 1 2. 5nU 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:
Og Tilt
0w)
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.yeim.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: "�' `e� 1 Owner Phone #:
Physical Address: I� 1 ���a � ��� S E-mail Address: on(q)db ff lS6h 6'n y4d w,,
# of Dogs:
(Maximum of three allowed per YMC Chapter 6.08.030)
Name of Dog: ��PKi `- -.Male: Female: Spayed or Neutered: N
Breed: V Ve l ry\ q\I aw'ly Color:
2. Name of Dog:
Breed:
3. Name of Dog:
Breed
Male: Female: Spayed or Neutered: Y / N
Color:
Male:. Female- Spayed or Neutered: Y / N
Color:
Fee Schedule:
Dog License: FREE
Replacement Tag: $2.00
Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070)
To report a lost dog or if you have an animal complaint please call our
Public Works Department at (360) 458-8406.
For office use only
Date license(s) issued:
Tag Numbers:
Replacement Tag: Y / N (If replacement tag, then enter original tag number here: )
Rabies Tag #:
1
Date Information entered into database: By Whom:
10/13
0 0 TH[r A
d� 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.yelrn.wa.us. Dog owners completing an application and
returning it to City Hall will be issued a license tag. If you prefer to mail in your application, a tag can be mailed
to you.
The City of Yelm requires all dogs to be registered annually and have current rabies inoculations.
Dogs are required to wear the rabies tag (Yelm Municipal Code — Chapter 6.12) and furnish proof to a Yelm
Animal Control Officer, if requested. Current rabies tags are issued by a veterinarian.
Owner Name: O/"i { d Owner Phone #: C 10 I /�
Physical Address: I _F1 Vl fVV ST S E-mail Address:
# of Dogs:
Cohn
(Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: AVIUA Male:
Breed: l
2. Name of Dog: Male:
T; Breed: \/ ( E
3. Name of Dog: Male:
Breed:
Female: Spayed or Neutereac/ N
Color: ( 1/ hLt
r
Female: _ Spayed or Neutered -
'ON
Color:
Color:
Female: Spayed or Neutered: Y / N
Fee Schedule:
Dog License: FREE
Replacement Tag: $2.00
Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070)
To report a lost dog or if you have an animal complaint please call our
Public Works Department at (360) 458-8406.
For office use only
Date license(s) issued:
--
Tag Numbers: 1. 2.-S)') 3. 6,5q
Replacement Tag: Y / N (If replacement tag, then enter original tag number here
Rabies Tag #:
Date Information entered into database:
10/13
By Whom:V
City of Yelm
105 Yelm Ave. W., Yelm, WA 98597
Phone: (360) 458-3244 Fax: (360) 458-4348
ww w.c i.y 0..1 ai. %va m 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.c:i.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.
Z5��7J7—
Owner Name: I � �Owner Phone #:
Physical Address: E-mail Address:..5/i ed I 1mSe 6 7 -
#
of Dogs: I (Maximum of three allowed per YMC Chapter 6.08.030)
Name of Dog: 1LLEA Pfr �' (%SIL Male
Breed: LLQ 5 -AJ ) /X
2. Name of Dog:
Breed:
3. Name of Dog:
Breed:
Female: _ Spayed or Neutered) N
Color: LA
Male - Female:
Color:
Spayed or Neutered: Y / N
Male: Female: - Spayed or Neutered: Y / N
Color:
Fee Schedule:
Dog License: FREE
Replacement Tag: $2.00
Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070)
To report a lost dog or if you have an animal complaint please call our
Public Works Department at (360) 458-8406.
For office use only
Date license(s) issued:
Tag Numbers: 1j6 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: J
City of Yelm
105 Yelm Ave. W., Yelm, WA 98597
Phone: (360) 458-3244 Fax: (360) 458-4348
www. c i.y_e 11 l 1. w;1.11 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.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.
6a'brwl'
513 Clio (ajci
Owner Name: t ._Ji2I�, l�� ftVA1b4 Owner Phone #: U �j g U � �p
Physical Address: f 5 `3y G X awo� Sr a Tam o>4 99'07 E-mail Address:
# of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: ( ()Jon Ob Male:
1 C
Breed: �OuY%
n -p ! Cha' -L) i"af X Color:
2. Name of Dog:
Breed:
3. Name of Dog:
Breed:
Male
Color:
Female: Spayed or Neutered: ' Y'/ N
_ I 6LSV i
Female: Spayed or Neutered: Y/ N
Male: _ Female: . Spayed or Neutered: Y / N
Color:
Fee Schedule:
Dog License: FREE
Replacement Tag: $2.00
Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code - Chapter 6.08.070)
To report a lost dog or if you have an animal complaint please call our
Public Works Department at (360) 458-8406.
For office use only
Date license(s) issued: Tag Numbers: 1.(� 2. 3.
Replacement Tag: Y / N (If replacement tag, then enter original tag number here: )
Rabies Tag #: _ r
1
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.cLyel_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. pog owners completing an application and
returning it to City Hall will be issued a license tag. If you prefer to mail in your application, a tag can be mailed
to you.
The City of Yelm requires all dogs to be registered annually and have current rabies inoculations.
Dogs are required to wear the rabies tag (Yelm Municipal Code - Chapter 6.12) and furnish proof to a Yelm
Animal Control Officer, if requested. Current rabies tags are issued by a veterinarian.
Owner Name: (]�L__�'. 1 V��(( ]'1�1 ' 4]�'t t Owner Phone #: (ChA yO- SIOS
Physical Address: E-mail Address:VrxXV: (-CN b 'J9�'�t�
,C•C"
# of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog:.Male: Female: 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 license(s) issued:
Tag Numbers:. 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:
_ M�)
0W
dk T14EA
mow City of Yelm
a 105 Yelm Ave. W., Yelm, WA 98597
Phone: (360) 458-3244 Fax: (360) 458-4348
VEL
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.r_.i.yf)1111.wa.us. Dog owners completing an application and
returning it to City Hall will be issued a license tag. If you prefer to mail in your application, a tag can be mailed
to you.
The City of Yelm requires all dogs to be registered annually and have current rabies inoculations.
Dogs are required to wear the rabies tag (Yelm Municipal Code — Chapter 6.12) and furnish proof to a Yelm
Animal Control Officer, if requested. Current rabies tags are issued by a veterinarian.
Owner Name: 1�1 1 Y'(1Q r Owner Phone #:
Physical Address: I q U(O ( Lqj St A 4
E-mail Address:
# of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: Crass Male: Female Spayed or Neutered/ N
Breed: gC'O G ��fV Lx
2. Name of Dog
Breed:
3. Name of Dog:
Breed.
Color: i 1(Ak j 4 -an
Male: _ Female
Color:
Male, Female
Color:
Spayed or Neutered: Y / N
Spayed or Neutered: Y / N
Fee Schedule:
Dog License: FREE
Replacement Tag: $2.00
Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code - Chapter 6.08.070)
To report a lost dog or if you have an animal complaint please call our
Public Works Department at (360) 458-8406.
For office use only
Date license(s) issued:
Tag Numbers: 1. 2. 3.__
Replacement Tag: Y / N (If replacement tag, then enter original tag number here,-
Rabies
ere:
Rabies Tag #:
Date Information entered into database:
10/13
,r
By Whom:``'
Pioneer Animal Hospital
333 Warner Milne Rd.,
Suite B
Oregon City, OR 97045
(503) 657-3171
Rabies Certificate
Client ID: 13232
Client Name. Brandy Jones
Address: 20415 S. Indigo Drive
Oregon City, OR 97045
Phone. (503)890-5383
Patient ID: 11233
Patient Name: Luda
Species:
Canine
Breed:
PITBULL
Sex:
Neuter
Color:
Red.white
Markings:
Birthday:
06/16/2014
Weight:
67.20 pounds on 6/6/2017
Microchip ID:
981020013293780
Tag Number: 4170 Vaccination Date: 8/18/2017
Lot Number: 18336 Expiration Date: 8/18/2020
RABIES CANINE 3 YEAR BOOSTER
Producer: Merial Imrab 3
K / MLV / R: Killed Virus
Staff Name 6 4Terieichner, DVM
License Number: 5557
Pioneer Animal Hospital
333 Warner Milne Rd.,
Suite B
Oregon City, OR 97045
(503) 657-3171
Rabies Certificate
Client ID: 13232
Client Name: Brandy Jones
Address: 20415 S. Indigo Drive
Oregon City, OR 97045
Phone: (503)890-5383
Tag Number: 4169
Lot Number: 18336
RABIES CANINE 3 YEAR BOOSTER
Producer: Merial Imrab 3
K / MLV / R: Killed Virus
Staff Name: rip Leichne ,
License Number: 5557
Patient ID:
9921
Patient Name:
Penelope
Species:
Canine
Breed:
POINTER, MIX
Sex:
Spay
Color:
BROWN TICK
Markings:
Birthday: 05/16/2013
Weight: 68.00 pounds on 1/30/2016
Microchip ID: 982000356358197
Vaccination Date: 8/18/2017
Expiration Date: 8/18/2020
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: UrtiO OAe,; �11!'C� Ren na rd
Physical Address: V 6 6
# of Dogs:
3rQ� t 503.313 :s 2 g 3
Owner Phone #: P i CK o, 5*o y90. 37p g
E-mail Address:
pnQS .bran 3 ® ad. co/h
� � J/n
(Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: Male: _ Female: Spayed or Neutered/ N
71)
Breed: �IQ ,l R, butt _ Color: [A i ,+P—
J
2. Name of Dog: LC1d o�— Male: X Female: Spayed or Neutered/ N
Breed: Pl o Color: R e.-c� o Uht
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 ,l
Date license(s) issued:__ Tag Numbers: 1. a V 2. all 3.
Replacement Tag: Y / N (If replacement tag, then enter original tag number here: i )
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
LVwwxi.velill.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.cLyelm.wa.us. Dog owners completing an application and
returning it to City Hall will be issued a license tag. If you prefer to mail in your application, a tag can be mailed
to you.
The City of Yelm requires all dogs to be registered annually and have current rabies inoculations.
Dogs are required to wear the rabies tag (Yelm Municipal Code - Chapter 6.12) and furnish proof to a Yelm
Animal Control Officer, if requested. Current rabies tags are issued by a veterinarian.
Owner Name? $ �J `GL T > C� 1 Y-\ Owner Phone #: Y /l Z
:
Physical Address: �� �� 5� L q O51 E-mail Address: t Y► lv-CP • 0
# of Dogs: _ (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: / L q�C3'� Male: 'y_ Female- .. Spayed or NeuterecIG I N
Breed: _% i Color: &cL1QJy"\
2. Name of Dog:
Breed:
3. Name of Dog:
Breed:
Male: Female: ___ Spayed or Neutered: Y / N
Color:
Male: Female:
Color:
Spayed or Neutered: Y / N
Fee Schedule:
Dog License: FREE
Replacement Tag: $2.00
Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code - Chapter 6.08.070)
To report a lost dog or if you have an animal complaint please call our
Public Works Department at (360) 458-8406.
For office use only
Date license(s) issued: Tag Numbers: 1.'D 0 2. 3.
Replacement Tag: Y / N (If replacement tag, then enter original tag number here: )
Rabies Tag #: r
Date Information entered into database. By Whom:
10/13
OV, THe'O
'�� City of Yelm
A. 105 Yehn Ave. W., Yehn, WA 98597
Phone: (360) 458-3244 Fax: (360) 458-4348
www.ci.ye_l_m.wa.us
Y.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:alto sne, e t /jil S Owner Phone #: 3 - _5770 �
Physical Address: i � �� �GL�, �Gt �� _ E-mail Address: dJ1hSLryi U
# of Dogs. 1 (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog; _l�i�P� 1 E�G� Male: _ Female: }C Spayed or Neutered N
Breed: 4: 2l Color: -kad K
2. Name of Dog: _� Male: Female: _ Spayed or Neutered: Y / N
Breed: Color:
3. Name of Dog: Male:
Breed Color:
Female: _ Spayed or Neutered: Y / N
Fee Schedule:
Dog License: FREE
Replacement Tag: $2.00
Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code - Chapter 6.08.070)
To report a lost dog or if you have an animal complaint please call our
Public Works Department at (360) 458-8406.
For office use only
Date license(s) issued:
Tag Numbers: 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:
fag sHe �•
City of Yelm
105 Yelm Ave. W., Yelm, WA 98597
Phone: (360) 458-3244 Fax: (360) 458-4348
www.ci.yelm.wa.us
L
Application for Dog License - Free
Your lost dog is a phone call away when they wear their registration tag.
Applications and license tags can be obtained at City Hall, Monday through Friday, 8:00 am to 5:00 pm or by
printing the application from our website at www.ci.yelm.wa.us. Dog owners completing an application and
returning it to City Hall will be issued a license tag. If you prefer to mail in your application, a tag can be mailed
to you.
The City of Yelm requires all dogs to be registered annually and have current rabies inoculations.
Dogs are required to wear the rabies tag (Yelm Municipal Code — Chapter 6.12) and furnish proof to a Yelm
Animal Control Officer, if requested. Current rabies tags are issued by a veterinarian.
Owner Name: Shd ll TfN eI ra
Physical Address: I (P (09) C1 IC' PV C, ST-
# of Dogs: 1
Owner Phone #: 0 UL 3 D G' "i3 4 -2—
E -mail Address: q)cIIi f 6cIra 4&4&bo. co "1
(Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog. Rain Male: _ Female: _ Spayed or Neutered(y) N
Breed: ucksa GtSO poyylaC1YY , an Color: black Otr d White
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. 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.cjTdm.wa.us
Application for Dog License - Free
Your lost dog is a phone call away when they wear their registration tag.
Applications and license tags can be obtained at City Hall, Monday through Friday, 8:00 am to 5:00 pm or by
printing the application from our website at www.ci.yelm.wa.us. Dog owners completing an application and
returning it to City Hall will be issued a license tag. If you prefer to mail in your application, a tag can be mailed
to you.
The City of Yelm requires all dogs to be registered annually and have current rabies inoculations.
Dogs are required to wear the rabies tag (Yelm Municipal Code — Chapter 6.12) and furnish proof to a Yelm
Animal Control Officer, if requested. Current rabies tags are issued by a veterinarian.
Owner Name: t T kQ�/�GiA�{� Owner Phone #: 3�O�0
y S6 I�� �i�s�:7 l
Physical Address: ail Address: 3 �._ ,(py►
# of Dogs: _ 1 (Maximum of three allowed per YMC Chapter 6.08.030)
kCL; I A4. P u f3k4_ 1344 tiVL1 w 7
1. Name of Dog: _ 4.e U II �, __ Male
Breed: �i� lel k_1 �`�'.�H., t, _
Female: _X Spayed or Neutered N
Color: k ed / 11211
2. Name of Dog. Male: _ Female: i- Spayed or Neutered N
Breed: A,, Color: %.- It
�n �1 r(/��►
3. Name of Dog: Male: _X Female: _ Spayed or Neutered/ N
Breed:�f �(L Color: 811ij 7d rl
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. A 3. __C�
Replacement Tag: Y / N (If replacement tag, then enter original tag number here: , )
Rabies Tag #:
1
Date Information entered into database: By Whom.
10/13
W� o� r��� a
,a, '� City of Yelm
a 105 Yelm Ave. W., Yelm, WA 98597
Phone: (360) 458-3244 Fax: (360) 458-4348
4vww.vi.yelm.wa.us
Y�LM
Application for Dog License - Free
Your lost dog is a phone call away when they wear their registration tag.
Applications and license tags can be obtained at City Hall, Monday through Friday, 8:00 am to 5:00 pm or by
printing the application from our website at www.ci.yelm.wa,us. Dog owners completing an application and
returning it to City Hall will be issued a license tag. If you prefer to mail in your application, a tag can be mailed
to you.
The City of Yelm requires all dogs to be registered annually and have current rabies inoculations.
Dogs are required to wear the rabies tag (Yelm Municipal Code — Chapter 6.12) and furnish proof to a Yelm
Animal Control Officer, if requested. Current rabies tags are issued by a veterinarian.
Owner Name: A C c= S 1 lz/at-1 Owner Phone #: 360 35 0 9 q 110
Physical Address: S" 10 9-lat0.�� v A. ....... E-mail Address: _
# of Dogs:.__........_ _ ...! (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog:..S l" O K Qy
Breed: L.
2. Name of Dog:
Breed:
Male: Female: u Spayed or Neutere�' N
Color:.
Male: Female: . Spayed or Neutered: Y / N
Color:
3. Name of Dog: ..................... .... ._ Male: _ ..... Female.
Breed- 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.:tM_ 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: il z
City of Yelm
105 Yelm Ave, W., Yelm, WA 98597
Phone: (360) 458-3244 Fax: (360) 458-4348
www.ci.yelm.wa.us
Application for Dog License - Free
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: PLY f(d t a Owner Phone #:
Physical Address: I `j 9 R C)
# of Dogs:
E-mail Address: r),) �e. gra Oqe
C/ r
(Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog._ TO -X... ...... ..... ... _ Male
Breed: _ `rca-k-
ILj.rGIVI�Q S
2. Name of Dog: Male
Female: _ Spayed or Neutered: Y / NQ
Color: —W K(t- U
Breed: Color:
3. Name of Dog Male:
Breed.
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: 1. a(t 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
QF Tli,�,r P �
City of Yelm
IV
04 105 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: $500.00 (Yelm Municipal Code - Chapter 6.08.070)
The City of Yelm requires all dogs to be registered annually and have current rabies inoculations.
Registrations cannot .be. issued. unless proof of current rabies inoculation is provided with this
application. The dogs are required to wear the rabies tag issued by the veterinarian. (Yelm Municipal Code -
Chapter 6.12)
Owner Name: Owner Phone #:. 2 -5-5-'00
Physical Address: %(,,�$- _ a"&/;. C'10 ; ew 35 t E-mail Address: hlr o jt? ' y�4-1 "� . cc')M
# of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: /�r_,�. Male: Female: Spayed or Neutered: N
Breed: _/� Y- 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.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 rr`,
Date license(s) issued:,, Tag Numbers: 12,—
Replacement
.`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
O1V TRIP p
yqw City of Yelm
a 105 Yelm Ave. W., Yelm, WA 98597
Phone: (360) 458-3244 Fax: (360) 458-4348
www.ci.y_elm.wa.us
yEL
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: ire �1rQ �r�� ,tel �,n Owner Phone #: _ 3(or) - 9J)L - CJ
Physical Address: I Aq I I a ync2or)A4.1I e E-mail Address: _I rm d«r2e-Z5RCD ✓�C4wc)
elrn, L-vj:� g35c77 vim,
# of Dogs: _ (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: .2p Male: Female: Spayed or Neutered:(D N
Breed: ejji hon, h176 ! en i a4)j n,-- l Color: MQf k b r-.--) Lk Lo f�c,`rY�� v1
ynly-
2. Name of Dog: C6 r I Male
Breed:
3. Name of Dog:
Breed
Female; ) Spayed or Neutered: N
Color'Lack, Lmwn .t h - b Dir)
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 j
Date license(s) issued:_ Tag Numbers: 1. 2.� 1 3.
Replacement Tag: Y / N (If replacement tag, then enter original tag number here: )
Rabies Tag #:
Date Information entered into database: By Whom:
10/13
City of Yelm
105 Yelm Ave. W., Yelm, WA 98597
Phone: (360) 458-3244 Fax: (360) 458-4348
www.ci.yvhn.wa.us
Application for Dog License - Free
Your lost dog is a phone call away when they wear their registration tag.
Applications and license tags can be obtained at City Hall, Monday through Friday, 8:00 am to 5:00 pm or by
printing the application from our website at www.ci.yelm.wa.us. Dog owners completing an application and
returning it to City Hall will be issued a license tag. If you prefer to mail in your application, a tag can be mailed
to you.
The City of Yelm requires all dogs to be registered annually and have current rabies inoculations.
Dogs are required to wear the rabies tag (Yelm Municipal Code — Chapter 6.12) and furnish proof to a Yelm
Animal Control Officer, if requested. Current rabies tags are issued by a veterinarian.
Owner Name: I Va� d Q<'r \60L"<_ _ Owner Phone #:
Physical Address: E-mail Address: tVe,4,)
# of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030)
Name of Dog: M(,,; ) Male:
Breed: abe - skw�
Female: _X Spayed or Neutered/ N
Color: yec.v-.
2. Name of Dog: D ,l1 Male: ______
Breed: ��e �� �� �,TSsi�Color:
3. Name of Dog Male:
Breed:
Color:
Female: y Spayed or Neutered/ N
v
Female: Spayed or Neutered: Y / N
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 licenser_ 1s) issued: Tag Numbers: 1. 2. � 3.
Replacement Tag: Y / N (If replacement tag, then enter original tag number here: )
Rabies Tag /t:
Date Information entered into database:
10/13
By Whom: _A
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.yelmma.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: [ r) _Wit) F-1 r _.... Owner Phone
d#: &Q - 001 " `U) 612-
Physical Address: d Ye IM ��• t E� mail Address:
# of Dogs: '11- _ (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog Zo�� Male: _ Femalek Spayed or Neutered 0
N
Breed: hxi i� Color: i 60k—l_ /
2. Name of Dog:
Breed:
3. Name of Dog:
Breed:
Male:. Female: ___ Spayed or Neutered: Y / N
Color:
Male: Female: Spayed or Neutered: Y / N
Color:
Fee Schedule:
Dog License: FREE
Replacement Tag: $2.00
Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code - Chapter 6.08.070)
To report a lost dog or if you have an animal complaint please call our
Public Works Department at (360) 458-8406.
For office use only �]
Date license(s) issued: Tag Numbers: 1. ��`� 2. 3.
Replacement Tag: Y / N (If replacement tag, then enter original tag number here: i
Rabies Tag #:
Date Information entered into database: _ By Whom:
1
10/13
City of Yelm
105 Yelm Ave. W., Yelm, WA 98597
Phone: (360) 458-3244 Fax: (360) 458-4348
Ev ww.ci.y(, ni.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:�+ rCrs� _ Owner Phone #:
Physical Address: li 6311 107,{ 6 6f SC c YcAAl Ll; N WSS-' - E-mail Address: Zrn�► i c+.e .�a h�,}Ar�ii I ,,�,,
# of Dogs: _1 (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: AJ ke hCL _ Male: Female: ✓ Spayed or Neutered: Y /
Breed: SJ ect� i c .Y3 J Color: R e. MQ. Y P
2. Name of Dog:
Breed:
3. Name of Dog:
Breed:
Male: Female:
Color:
Male: _ Female:
Color:
Spayed or Neutered: Y / N
Spayed or Neutered: Y / N
Fee Schedule:
Dog License: FREE
Replacement Tag: $2.00
Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070)
To report a lost dog or if you have an animal complaint please call our
Public Works Department at (360) 458-8406.
For office use only
Date license(s) issued:_
Tag Numbers: 1.� l) 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
3.
City of Yelm
105 Yelm Ave. W., Yelm, WA 98597
Phone: (360) 458-3244 Fax: (360) 458-4348
wtvw.ri.velm.wa.us
Application for Dog License - Free
Your lost dog is a phone call away when they wear their registration tag.
Applications and license tags can be obtained at City Hall, Monday through Friday, 8:00 am to 5:00 pm or by
printing the application from our website at wwwxi.yelm.wa.us. Dog owners completing an application and
returning it to City Hall will be issued a license tag. If you prefer to mail in your application, a tag can be mailed
to you.
The City of Yelm requires all dogs to be registered annually and have current rabies inoculations.
Dogs are required to wear the rabies tag (Yelm Municipal Code - Chapter 6.12) and furnish proof to a Yelm
Animal Control Officer, if requested. Current rabies tags are issued by a veterinarian.
Owner Name: 1`� �U �-� Owner Phone #: L,0��
Physical Address lJ Wool E-mail Address: 5e • w e k es
# of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) c�J Sv , Po(v
1. Name of Dog:f0M4e_V__ Male:
Breed: :f= an 1 a �1
2. Name of Dog:
Breed:
3. Name of Dog.
Breed:
Male:
Female: � Spayed or Neutered: Y /�N�
Color:
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. (l 4 2. 3.
Replacement Tag: Y / N (If replacement tag, then enter original tag number here: )
Rabies Tag #:
Date Information entered into database: By Whom: 1 1
10/13
q�np Till p
-� City of Yelm
°p 105 Yelm Ave. W., Yelm, WA 98597
0.
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.d.yelm.wa.us. Dog owners completing an application and
returning it to City Hall will be issued a license tag. If you prefer to mail in your application, a tag can be mailed
to you.
The City of Yelm requires all dogs to be registered annually and have current rabies inoculations.
Dogs are required to wear the rabies tag (Yelm Municipal Code — Chapter 6.12) and furnish proof to a Yelm
Animal Control Officer, if requested. Current rabies tags are issued by a veterinarian.
Owner Name: C�ndi fi[A� Id ich Owner Phone #: _, i2V, `1�� -I `rq
`'
Physical Address: q�Dj T,p , 1s61c-16 G'f" Y61y) E-mail Address: kpvnA ' eg1e_a4 e5 @ q�,1
# of Dogs: p (Maximum of three allowed per YMC Chapter 6.08.030) J
1. Name of Dog- VA�5Male: Female: — Spayed or Neutered:/ N
Breed: &bjrjrA)]Z .r I e('Color: WhIle_
2. Name of Dog: Acc Male: Female: Spayed or Neutered: 65�/ N
Breed: c�C�11� Z2 le7 .......... Color: G I�
3. Name of Dog: _...
Breed:
Male:... Female: Spayed or Neutered: Y / N
Color:
Fee Schedule:
Dog License: FREE
Replacement Tag: $2.00
Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070)
To report a lost dog or if you have an animal complaint please call our
Public Works Department at (360) 458-8406.
For office use only
Date license(s) issued: Tag Numbers: 1. 1_� 1 2. C Y3
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_ mains
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.yeim.wa.us. Dog owners completing an application and
returning it to City Hall will be issued a license tag. If you prefer to mail in your application, a tag can be mailed
to you.
The City of Yelm requires all dogs to be registered annually and have current rabies inoculations.
Dogs are required to wear the rabies tag (Yelm Municipal Code - Chapter 6.12) and furnish proof to a Yelm
Animal Control Officer, if requested. Current rabies tags are issued by a veterinarian.
Owner Name: 1. ( t.S Cc, Sri
Owner Phone #: .360 5211 y �v
Physical Address: Ol'(0 ?� R e-4% E-mail Address:
2
c„- CL as co (f a x H c
# of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: Pe -C& h J Male:' Female: _ Spayed or Neutered& N
Breed: Do X'V Color: breA�
2. Name of Dog: d ZZy Male: -L Female: Spayed or Neutered:(7l)/ N
Breed- fy%, Y,4 Uy Color:5f!f `+ WS -e
3. Name of Dog:
Breed:
Male: _ Female: Spayed or Neutered: Y / N
Color:
Fee Schedule:
Dog License: FREE
Replacement Tag: $2.00
Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code - Chapter 6.08.070)
To report a lost dog or if you have an animal complaint please call our
Public Works Department at (360) 458-8406.
For office use only
Date license(s) issued: Tag Numbers: 1. 2.� 3.
Replacement Tag: Y / N (If replacement tag, then enter original tag number here: )
Rabies Tag #:
Date Information entered into database:
10/13
By Whom: ( Y - J
of TxE A
City of Yelm
a 105 Yelm Ave. W., Yelm, WA 98597
Phone: (360) 458-3244 Fax: (360) 458-4348
4" 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.U.s. 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: _Ancle r-A'k-L Owner Phone
Physical Address: 1 cjS - E-mail Address- 7 X 4-�`r iGctL[ -{z:�.
# of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: + - Male: %0 Female: _ Spayed or Neutered: 9/ N
Breed: _�ij Color: 012A&A)
2. Name of Dog: _ ! �� Male: _ Female: fC Spayed or NeuteredG7-N
Breed: LC4 to
Color: 1.; : - .'�. r- i
3. Name of Dog: :L, +ivy Male: fO Female: _ Spayed or Neutered:/ N
Breed: SAS Pet,'' �/
... Color: F:. 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. a 1 2. �� `� 3. ; x h �)
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_.d�
City of Yelm
105 Yelm Ave. W., Yelm, WA 98597
Phone: (360) 458-3244 Fax: (360) 458-4348
www.ci.yel m.wa, t i s
YELM
Application for Dog License - Free
Your lost dog is a phone call away when they wear their registration tag.
Applications and license tags can be obtained at City Hall, Monday through Friday, 8:00 am to 5:00 pm or by
printing the application from our website at www_ci.yeim.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.
l C
Owner Name:C S Owner Phone #: _S�b ��� d"�
�oy 1�
Physical Address: 1I lam' eCA (I(I cA t n �11f . '� E-mail Address:
# of Dogs:
(Maximum of three allowed per YMC Chapter 6.08.030)
J
1. Name of Dog: Male: Female: _ Spayed or Neutered: N
Breed:, Color:
2. Name of Dog:Male: _ Female: Spayed or Neutered: Y / N
Breed:
3. Name of Dog:
Breed:
Color:
Male: Female:
Color:
Spayed or Neutered: Y / N
Fee Schedule:
Dog License: FREE
Replacement Tag: $2.00
Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070)
To report a lost dog or if you have an animal complaint please call our
Public Works Department at (360) 458-8406.
For office use only
Date license(s) issued:
Tag Numbers: 1. 2. 3.
Replacement Tag: Y / N (If replacement tag, then enter original tag number here
Rabies Tag #:
Date Information entered into database:
10/13
By Whom:
City of Yelm
105 Yelm Ave. W., Yelm, WA 98597
Phone: (360) 458-3244 Fax: (360) 458-4348
www.ciy_e.lm.wa.us
Application for Dog License - Free
Your lost dog is a phone call away when they wear their registration tag.
Applications and license tags can be obtained at City Hall, Monday through Friday, 8:00 am to 5:00 pm or by
printing the application from our website at www.ci.yelm.wa.us. Dog owners completing an application and
returning it to City Hall will be issued a license tag. If you prefer to mail in your application, a tag can be mailed
to you.
The City of Yelm requires all dogs to be registered annually and have current rabies inoculations.
Dogs are required to wear the rabies tag (Yelm Municipal Code - Chapter 6.12) and furnish proof to a Yelm
Animal Control Officer, if requested. Current rabies tags are issued by a veterinarian.
Owner Name:, --aur \cArcl, f-Va'f-,i S
Physical Address: '15
# of Dogs:
Owner Phone #: 7-T-1 Z -- X15 1
r..
L _ E-mail Address:Q--
(Maximum of three allowed per YMC Chapter 6.08.030) 3r i Xq ) ,C,Q:,iM
1. Name of Dog: LAI Z[s, �e_ Li O Male:
Breed: PrkC. -Pt?_rYl6mu_ u �QW�_\.
Lc _r 6 -
2. Name off Dogw i I C 'zn Male
Breed: V o- / -6t:%1. n JA4n
3. Name of Dog:
Breed
Female: Spayed or Neutered: Y ON
Color:
Female: _ Spayed or Neutered:C N
Color: c4a
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.
�Gl SamGlr)4h�-
%e� 5 CA V -C*\ ca
For office use only
Date license(s) issued: Tag Numbers: 1. ) Q lJ �/ 2. 3.
Replacement Tag: Y / N (If replacement tag, then enter original tag number here: )
Rabies Tag #:
Date Information entered into database:
10/13
By Whom:
City of Yelm
a 105 Yelm Ave. W., Yelm, WA 98597
Phone: (360) 458-3244 Fax: (360) 458-4348
www.ci.yelm.wa._us
Y' L 1VI
Application for Dog License - Free
Your lost dog is a phone call away when they wear their registration tag.
Applications and license tags can be obtained at City Hall, Monday through Friday, 8:00 am to 5:00 pm or by
printing the application from our website at www.ci.yelm.wa.us. Dog owners completing an application and
returning it to City Hall will be issued a license tag. If you prefer to mail in your application, a tag can be mailed
to you.
The City of Yelm requires all dogs to be registered annually and have current rabies inoculations.
Dogs are required to wear the rabies tag (Yelm Municipal Code — Chapter 6.12) and furnish proof to a Yelm
Animal Control Officer, if requested. Current rabies tags are issued by a veterinarian.
7 e2
Owner Name: t-_ ,C,4tyilL� Owner Phone #: • ?✓
Physical Address: _ - r j t 66m�'-yz, E-mail Address: -
j eat
# of Dogs: _ (Maximum of three allowed per YMC Chapter 6.08.030) C yh
Name of Dog: A91Male:
Breed: I51n j Iq alar:
2. Name of Dog:_
Breed:
3. Name of Dog:
Breed
Male:
Color:
Femala, Spayed or Neutered Y 1
Female: _. Spayed or Neutered: Y / N
Male: Female: Spayed or Neutered: Y / N
Color:
Fee Schedule:
Dog License: FREE
Replacement Tag: $2.00
Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070)
To report a lost dog or if you have an animal complaint please call our
Public Works Department at (360) 458-8406.
For office use only llp 7
Date license(s) issued: Tag Numbers: 1. DC 0 ( 2. 3.
Replacement Tag: Y / N (If replacement tag, then enter original tag number here: )
Rabies Tag #:
Date Information entered into database: _ By Whom: me"
10/13
o THE p ��
�4w City of Yelm
a 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: M a c.�.n4 Owner Phone #: t 3 C" 0 1 te S -f — It 4- ` .
Physical Address: l a 3 3 U r
# of Dogs
2
E-mail Address: 1&4 t, awn-- -Va;
H ed
(Maximum of three allowed per YMC Chapter 6.08.030)
Name of Dog: ,JC -o 4 -t -V Male:),—,Female:_ Spayed or NeutereclAn N
Breed: ��r>r e.r Color: 1 V --o �►
2. Name of Dog: R t: Male: _ Female: Spayed or Neuteredol N
Breed: 7TG T -V-'4 !. Color: -• .Q-
3. Name of Dog:
Breed:
Male. Female: ^ Spayed or Neutered: Y / N
Color:
Fee Schedule:
Dog License: FREE
Replacement Tag: $2.00
Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code - Chapter 6.08.070)
To report a lost dog or if you have an animal complaint please call our
Public Works Department at (360) 458-8406.
For office use only
Date license(s) issued:__ Tag Numbers: 1. 2. 3.
Replacement Tag: Y / N (If replacement tag, then enter original tag number here: )
Rabies Tag #:
Date Information entered into database:
10/13
By Whom: l Y tl%
City of Yelm
105 Yelm Ave. W., Yelm, WA 98597
Phone: (360) 458-3244 Fax: (360) 458-4348
www.cii.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: TLLu `e--_Hab'trk-o,-rl _ Owner Phone #:
Physical Address: �3 4 4 (e RwrL 7 t -e C' S E E-mail Address: _ru_I 1- m"je _6,1
# of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: tri ' • GI, Male Female:Spayed or Neutered N
Breed:+ 4"4� zt Color: I}_I&i.
2. Name of Dog:Male: _ Female: Spayed or Neutered:oY / N
Breed: _ I()l IItL eo0 _ Color: 61 a 1{.
3. Name of Dog:
Breed. 1"U r
Male:. V Female: _ Spayed or Neutered: Y /®
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._ �C) C __ 2.... �` i 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.yelm.wa,us. Dog owners completing an application and
returning it to City Hall will be issued a license tag. If you prefer to mail in your application, a tag can be mailed
to you.
The City of Yelm requires all dogs to be registered annually and have current rabies inoculations.
Dogs are required to wear the rabies tag (Yelm Municipal Code — Chapter 6.12) and furnish proof to a Yelm
Animal Control Officer, if requested. Current rabies tags are issued by a veterinarian.
Owner Name: Owner Phone #:
Physical Address: % w{ o[:�[ LCA Ctiu l� !� ` �{= E-mail Address:
# of Dogs / (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: A V r I
Breed: E I (.rl.CIj�_ t (A-
2. Name of Dog:
Breed:
3. Name of Dog:
Breed:
Male: _ Female: XSpayed or Neutereco/ N
r
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- 2
Replacement Tag: Y / N (If replacement tag, then enter original tag number here:
Rabies Tag #:
Date Information entered into database: By Whom N\ ,
10/13
�pF Tj-!Fp`Y
�o City of Yelm
°s 105 Yelm Ave. W., Yelm, WA 98597
a
Phone: (360) 458-3244 Fax: (360) 458-4348
www.ci.y_(• E 1 )1. %V a. u s
MT - � 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:KAn�. Owner Phone #: a31- %3GZ 14 l(
Physical Address: ((:3-12__. c7S�� E-mail Address: -1 , CdM
# of Dogs: �...__ (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: ■) Male: )( Female: _ Spayed or Neutered: N
Breed 1.1 t1 _ Color:
2. Name of Dog:_ �► �0.
Breed: _ NFA
3. Name of Dog:
Breed:
Male: _ ___ Female: _'K Spayed orNeutered: / N
Color: � Er
( �_(-k `'�_e
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) is
Tag Numbers: 1.--M 2. aK 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
Df TH'E "
City of Yelm
105 Yelm Ave. W., Yelm, WA 98597
Phone: (360) 458-3244 Fax: (360) 458-4348
www.ci.yelm.wa.us
x 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:%�Q 11Y� �OrY/I G%Q�% Owner Phone #: /'dd !'"r
Physical Address:f�
E-mail Address
# of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog:_ Male: __ Female: Spayed or Neutereco N
Breed:,aj)��.C,p'� %'( f �,�{ Color:
2. Name of Dog
Breed:
3. Name of Dog:
Breed
-
Male: Female: _ Spayed or Neutered: Y / N
Color:
Male: Female:._ Spayed or Neutered: Y / N
Color:
Fee Schedule:
Dog License: FREE
Replacement Tag: $2.00
Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070)
To report a lost dog or if you have an animal complaint please call our
Public Works Department at (360) 458-8406.
For office use only
Date license(s) issued:
Tag Numbers: I . 2.
Replacement Tag: Y / N (If replacement tag, then enter original tag number here: _
Rabies Tag #:
Date Information entered into database: _ By Whom:
10/13
�S
0
�F TRE "'M
'�. City of Yelm
d 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. elrn.wa.us. Dog owners completing an application and
relurning 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.
bags 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
3(co- X50 - )310 cllore^aec
Owner Name: C lafe4rtCe *-A" � j� c��� Owner Phone #: Jtna - 4!;1-
physical Address. 0145
.# of Dogs: '
1. Name of Dog: AYj fd
Breed:
2. Name of Dog:
Breed:
3. Name of Dog:
Breed:
E-mail Address:a ler RPh �, ewQi
(Maximum of three allowed per YMC Chapter 6.08.030)
Male: Female: 61"� Spayed or Neutered:&/ N
Color:
Male: Female: — Spayed or Neutered: Y / N
Color:
Male: Female: ____ Spayed or Neutered: Y / N
Color:
Fee Schedule:
Dog License: FREE
Replacement Tag: $2.00
Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code – Chapter 6.08.070)
To report a lost dog or if you have an animal complaint please call our
Public Works Department at (360) 458-8406.
For office use only
Date license(s) issued: Tag Numbers: 1.W 2. 3
Replacement Tag: Y / N (If replacement tag, then enter original tag number here: )
Rabies Tag #
Date Information entered into database:. _ By Whom:
City of Yelm
105 Yelm Ave. W., Yelm, WA 98597
Phone: (360) 458-3244 Fax: (360) 458-4348
www.ci.yelm.wa.us
Application for Dog License - Free
The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Your lost dog
is a phone call away when your dog wears their registration tag. The dogs are required to wear the rabies tag
issued by the veterinarian. (Yelm Municipal Code – Chapter 6.12).
Applications can be obtained at City Hall, Monday through Friday 8:00 am to 5:00 pm or by printing the form
from our website at www.ci.yelm.wa.us. Completed license applications may be mailed or delivered to Yelm
City Hall, 105 Yelm Ave. W., Yelm, WA 98597. Tags are issued at City Hall and can be mailed to your address,
if requested.
Owner Name: L'fY
1A
c__21 yl
Owner Phone #:
Physical Address:
.C%(j
` (_.S.. r CYrii'�I
E-mail Address: { t+` 5ZL1 (N 10
# of Dogs:
(Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog:
Male:
Female:
Spayed or Neutered:/ N
Breed: �
�C( f)'A �(_
Color:
2. Name of Dog:
Breed:
3. Name of Dog:
Breed:
Male: Female: Spayed or Neutered: Y / N
Color:
Male: — Female: Spayed or Neutered: Y / N
Color:
Fee Schedule:
Dog License: FREE
Replacement Tag: $2.00
Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code – Chapter 6.08.070)
To report a lost dog or if you have an animal complaint please call our
Public Works Department at (360) 458-8406.
For office use only
Date license(s) issued: 5L ( Tag Numbers: 1.p�_ 2. 3..._....
Replacement Tag: Y / N (If replacement tag, then enter original tag number here: _ _ )
Rabies Tag # 1�3. 1
Date Information entered into database:
Revised 02111
By Whom: _
V SHS h�
City of Yelm
MM
,� 905 Yelm Ave. W., Yelm, WA 98597 AITI
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 rovided with this
aloplication. The dogs are required to wear the rabies tag issued by the veterinarian. (Yelm Municipal Code —
Chapter 6.12) ��
Owner Name: 0 W t -&1pj (jr�4 Owner Phone
Physical Address: � E-mail Address:
# of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: I Male: Female: Spayed or Neutere / N
Breed: Color:
2. Name of Dog: Male: Female:LIZ
Spayed or Neutere Y N
Breed: Color: -J
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: Lam_ �� 2. � 3 -` V 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
City of Yelm
105 Yelm Ave. W., Yelm, WA 98597
Phone: (360) 458-3244 Fax: (360) 458-4348
www.ci.yelm.wa.us
LW
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: rr(I L C as Owner Phone #: 67 3 - 2 3 ,� - O'5O.�
Physical Address: 1 q 59 50 L,rbo✓1 . 5r E-mail Address:
# of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: 5c) r l A C e- Male
Breed: j ! . b / P
r-en-0-4se
2. Name of Dog: &Xrt- Male
Breed: V)Ut 14 c6tr
3. Name of Dog _.
Breed:
_ Female: � Spayed or Neutered: fry / N
Color: yi? ( (Octel
✓ Female: ! Spayed or Neutered: �/ N
Color: -5-c' t'� t P'e t—
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. � 0� 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: MD, /
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 #: sut
Phvsiral Address: 110, 2'e) q kf AV -I. St [1`'L�III� CICS E-mail Address:
# of Dogs: _ 2— (Maximum of three allowed per YMC Chapter 6.08.030)
Name of Dog: l 5 Male: Female: \ Spayed or Neutereq�/ N
Breed: . G ') Color:
2. Name of Dog: � 6 0 Male:
Breed: f 1 Y \ 1 Color:
3. Name of Dog:
Breed:
Male
Color:
Female: Spayed or Neutered: Y nN
1W V' -A TOWA 1 o vt
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:
L.
Tag Numbers: 1 2. m
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
af
go. 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)
1
Owner Name: G. I' l Owner Phone #: _U O �� V
Physical Address: l�((- 1� E-mail Address:
# of Dogs:
(Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: Rom °� Male: Female: _ Spayed or Neutered: Y / N
Breed: /' {. I V1 I CA W Z- 1 L- Color: a L
2. Name of Dog:
Breed: LGL !�
Male
Color:
Female: Spayed or Neutered: Y / N
3. Name of Dog: Male: Female: Spayed or Neutered: Y / N
Breed: Zy -e YP P'ev CL— 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. 5 2. 30(� 3. -So
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: mo
1
Revised 05/05/10 sjd
City of Yelm
AL 105 Yelm Ave. W., Yelm, WA 98597
Phone. (360) 458-3244 Fax: (360) 458-4348
www.ci.y_elm.wa.us
YELM
Application for Dog License - Free
Your lost dog is a phone call away when they wear their registration tag.
Applications and license tags can be obtained at City Hall, Monday through Friday, 8:00 am to 5:00 pm or by
printing the application from our website at www.ci.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: Ke 01 iQ X200 (R Owner Phone #: 26�" '!5 7'
Physical Address: 15-? 620_5(J LEA -'F Se E-mail Address: 0_P64kV- V`d 66V141L. Gin—,
# of Dogs: f4— (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: Male: Female: _ Spayed or Neutered: Y t
Breed: $JAL.j_- Color: 1T` k)g- -r
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: 2. _ _ _ 3.
Replacement Tag: Y / N (If replacement tag, then enter original tag number here )
Rabies Tag #:_
Date Information entered into database:
10/13
By Whom:
City of Yelm
905 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: N N l k (7 k Ce ` Q eJ Owner Phone #:3(0 C 9�Q 0 -- R`7 -1,
Physical Address: Li✓ 3 } � i; E-mail Address:
L��r�l�l. (qU
# of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) c� pj�s+.a • �/Le `
1. Name of Dog: Male: _/__. Female: _ll Spayed or Neutered' / N
Breed: )e- Color: �1c1'.3 n � 1
2. Name of Dog: +L-� Male: _ Female: )! Spayed or Neutered(�l N
Breed:a`,Is Gc\� Color:
Lh
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: p�/ �� � Tag Numbers: 1.'309— 2. )l C) 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.cLyelm.wa.us
Application for Dog License - Free
Your lost dog is a phone call away when they wear their registration tag.
Applications and license tags can be obtained at City Hall, Monday through Friday, 8:00 am to 5:00 pm or by
printing the application from our website at www.ci.yelm.wa.us. Dog owners completing an application and
returning it to City Hall will be issued a license tag. If you prefer to mail in your application, a tag can be mailed
to you.
The City of Yelm requires all dogs to be registered annually and have current rabies inoculations.
Dogs are required to wear the rabies tag (Yelm Municipal Code - Chapter 6.12) and furnish proof to a Yelm
Animal Control Officer, if requested. Current rabies tags are issued by a veterinarian.
(3
Owner Name: �Q- � � IVB ilk Owner Phone #: 2:5 6 7(j2
Physical Address: W C S- E-mail Address: cfet.tjoc6S reLLC)�t�'C,
# of Dogs: - (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: `m as Male: -v/ Fernale Spayed or Neutered: 0/ N
Breed: f -Lr—r Color: Black Zmu.
2. Name of Dog:_
Breed:
3. Name of Dog:
Breed:
Male: Female: Spayed or Neutered: Y / N
Color:
Male: _ . Female Spayed or Neutered: Y / N
Color:
Fee Schedule:
Dog License: FREE
Replacement Tag: $2.00
Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code - Chapter 6.08.070)
To report a lost dog or if you have an animal complaint please call our
Public Works Department at (360) 458-8406.
For office use only
Date license(s) issued: Tag Numbers: I. A� 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:
OF YHA
o� City of Yelm �j1-f
� C_
a 105 Yelm Ave. W., Yelm, WA 98597 V L S l o .G
Phone: (360) 458-3244 Fax: (360) 458-4348
www.ci.Xelm.wa.us
OCtRI� L0.c.
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.yeim.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: uL 1. �, L I Owner Phone #: 995 --NIS
Physical Address: �f� 'E-mail Address: r[
# of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) v I C
_
1. Name of Dog: l �_ �{ L_�J Male: � Female: _J Spayed or Neutered/ N
Breed: d flM, Color:
2. Name of Dog: Nova-- Male. Female: J , Spayed or Neutered:CY / N
Breed: J, I AR 2 �?lolor:
Name of Dog: LOMA Male: _ Female Spayed or Neutered/ N
Breed: CA Color: _ Lud 1� L�
F .
Fee Schedule:
Dog License: FREE
Replacement Tag: $2.00
Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070)
To report a lost dog or if you have an animal complaint please call our
Public Works Department at (360) 458-8406.
For office use only
Date license(s) issued: Tag Numbers: 1. 3 2. 3.�_
Replacement Tagg N (If replacement tag, then enter original tag number here: }
Rabies Tag #
Date Information entered into database:
By Whom:
City of Yelm
105 Yelm Ave. W., Yelm, WA 98597
Phone: (360) 458-3244 Fax: (360) 458-4348
www.ci.yelm.wa.us
Application for Dog License - Free
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: Ni�i�L.'t�'.� Owner Phone
Physical Address: E-mail Address: L�tl
testi
# of Dogs: _ (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: ►r G V Mile: Female: �4_ Spayed or Neutered: (2) N
Breed: 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:
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: 0/Tag Numbers: 1.3 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.a.yornma.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��h H1,IC1 Owner Phone #
Physical Address: 1Zt1� �iV 1-��l� .i i l� E-mail Address: �,,
# of Dogs:
_ (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: "1�M l�ri!` Male:', -j Female.
Breed: Color:
Spayed or NeuteredGY N
2. Name of Dog:Male: _ Female Spayed or Neutered✓ Y N
_ &k� 7 ��
Breed: Nutc a�t 1& Color: K{L}`}, \ Wa 60"k
3. Name of Dog: q �14`L� Male -.)L Female: Spayed or Neutered: Y 1 N
Breed: Color:�� �Lh�
Fee Schedule:
Dog License: FREE
Replacement Tag: $2.00
Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070)
To report a lost dog or if you have an animal complaint please call our
Public Works Department at (360) 458-8406.
For office use only {
Date license(s) issued: Tag Numbers: 1.
Replacement Tag: Y / N (If replacement tag, then enter original tag number here: )
Rabies Tag #:
Date Information entered into database:
10/13
By Whom:`'
P�pl� S
City of Yelm
105 Yelm Ave. W. Yelm, WA 98597
QA
Phone: (360) 458-3244 Fax: (360) 458-4348
www.ci.yelm.wa.us
L
Application for Dog License - Free
Your lost dog is a phone call away when they wear their registration tag.
Applications and license tags can be obtained at City Hall, Monday through Friday, 8:00 am to 5:00 pm or by
printing the application from our website at www.ci.yelm.wa.us. Dog owners completing an application and
returning it to City Hall will be issued a license tag. If you prefer to mail in your application, a tag can be mailed
to you.
The City of Yelm requires all dogs to be registered annually and have current rabies inoculations.
Dogs are required to wear the rabies tag (Yelm Municipal Code - Chapter 6.12) and furnish proof to a Yelm
Animal Control Officer, if requested. Current rabies tags are issued by a veterinarian.
Owner Name. J Ci 7 Owner Phone #: _ 10 --_3 Cl I f 7':5(1 C
Physical Address: _ CI Gtl-0-1iIE-mail Address: *A �j 4„{
# of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: C 10 t )-e a_ Male: Female: -K Spayed or NeuteredGY / N
Breed:. —05-e -r.Color: -F-je-A[,1-1— I LDL- 4-,, e-,Ep,3
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: RcAjec-E- MaOe
Physical Address: I(o3Z-e,
# of Dogs:
1. Name of Dog: C r �A
Owner Phone #: 3 b 0/ 9 7 9— 2- 0S 3
E-mail Address: r-ry ovke ioG`l3a) ,-nsn. c:o+-
(Maximum of three allowed per YMC Chapter 6.08.030)
Male: _ Female: ✓ Spayed or Neutered: (D N
Breed: 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
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. 3a � 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
OF TFlE' p ��
-% City of Yelm
a 105 Yelm Ave. W., Yelm, WA 98597
Phone: (360) 458-3244 Fax: (360) 458-4348
www_.ci.yel_m.wa.us
XEL.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.
P&( -r C D f I0 &YI
Owner Name: 1��s� � � 1'1I� [1, � ��� ���I� Owner Phone #:. C L 7 &9'-&)'�.
Physical Address: IS -3q'3 CAW D S (✓ E-mail Address: C n�)tp l � Y1K9 @ `J' flcu I cm,
# of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: .Ian.1 ��I'. Male: U Female: Spayed or Neutered: (D N
Breed: �lhY i7 dol( jY �1�Ir' l� Color:
2. Name of Dog: lllttilC. �" My— Male: V . Female: Spayed or Neutered: Y /0
Breed:. I w (ly ftly1 gV Color: U_l0TkA(JL
3. Name of Dog:
Breed:
Male: Female: Spayed or Neutered: Y / N
Color:
Fee Schedule:
Dog License: FREE
Replacement Tag: $2.00
Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070)
To report a lost dog or if you have an animal complaint please call our
Public Works Department at (360) 458-8406.
For office use only
Date license(s) issued: Tag Numbers: 1. 2. 3.
Replacement Tag: Y / N (If replacement tag, then enter original tag number here:
Rabies Tag #:
Date Information entered into database:
10/13
By Whom:��
��4F iN�' A�7
City of Yelm
F4
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: ►'LiO0 AlnOe �lb, wner Phone #: �� � " (O/ t n
Physical Addre s: i- C! 'e)1 E-mail Address:
del 6-_ `l
# of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) `Cch(
Name of Dog: Male: _4"X Female: Spayed or Neutered: Y
Breed: 0 ' j G
�t.Ff ��'� ��]�� = Color: GG f'l r
2. Name of Dog:
Breed:
3. Name of Dog:
Breed:
Male: Female
Color:
Male: Female
Color:
Spayed or Neutered: Y / N
Spayed or Neutered: Y / N
Fee Schedule:
Dog License: FREE
Replacement Tag: $2.00
Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070)
To report a lost dog or if you have an animal complaint please call our
Public Works Department at (360) 458-8406.
For office use only
Date license(s) issued: Tag Numbers: 13 a3l__ 3,
Replacement Tag: Y / N (If replacement tag, then enter original tag number here: )
Rabies Tag #: `I
Date Information entered into database: _ By Whom: Y
10/13
OV ilii p
I/� '�•. City of Yelm
,�, 905 Yelm Ave. W., Yelm, WA 98597
Phone: (360) 458-3244 Fax: (360) 458-4348
VJ'Nw.CI.Ve1rn.wa.LIS
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.
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:
Physical Address: V V -L
# of Dogs:
M
Owner Phone #:
(.0e 8'D( 0S 1
E-mail Address:
(Maximum of three allowed per YMC Chapter 6.08.030) C �(M
1. Name of Dog: V_Cr'I, vt_ Male: 4 Female: Spayed or Neutered: Y /0
Breed: l V` %� l'�bIUU- Color: �/L_ Q t6
2. Name of Dog: VVP.t-Y'�- Male: A Female: ^ Spayed or Neutered:0 N
Breed: IY 1`14 We' 4 /,Ctk . Color: _ ( a -, L,�r ,
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: f Tag Numbers: 1 2. 3.
Replacement Tag: y
111 If replacement tag, then enter original tag number here: )
Proof of rabies enclosed: Yes_ No (please explain)
Date Information entered into database:
nevisea uo/ubri u spa
By Whom:
T
w City of Yelm
105 Yelm Ave. W., Yelm, WA 98597
Phone: (360) 458-3244 Fax: (360) 458-4348
www.ci.yeh-n.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.yeim.wa.us. Completed license applications may be mailed or delivered to Yelm
City Hall, 105 Yelm Ave. W., Yelm, WA 98597. Tags are issued at City Hall and can be mailed to your address,
if requested.
Owner Name: f Owner Phone #:
lip
Physical Address: l 6 4 3 a /03 r� S-6t_mai t Address:
1�
# of Dogs:
(Maximum of three allowed per YMC Chapter 6.08.030)
Name of Dog: �J Q i_Q, _ Male: Female: /\ Spayed or Neutered(Y) N
Breed: Lc�ip Color: _ Ltao IL
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: "! /--�'C)Tag Numbers: 1. J 3.
Replacement Tag: bY } N (If replacement tag, then enter original tag number here: )
Rabies Tag # Y
Date Information entered into database: 1911 /
911 By Whom -6F
Revised 02/11
City of Yelm
a 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:
Physical Address:
# of Dogs: _ -21-
Owner Phone #: 3 O S_Z�3 0`- 7
E-mail Address: AIS7149 _
(Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: - Male: Female: T Spayed or Neutered/ N
Breed: R2 Color: 96A_--1--
2.
CA_--1--
2. Name of Dog: 12esie_
Breed: 9 Tdle !
3. Name of Dog -
Breed:
Male:
Color:
Female:` Spayed or Neutered: N
1� Cf�-Gk- G✓Le � '7'�-r �/cam-.-�v.J
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: 13A9 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
W,'41h1h'
City of Yelm
105 YelmAve, W., Yelm, WA 98597
Phone: (360) 458-3244 Fax: (360) 458-4348
www.ci.yelm.wa.us
Y IE
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.
Reqistratiii_o_ns 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) C
Owner Name: VV -C, � -�5, z C I G Q. Owner Phone #: 36 2
Physical Address: o � 2-7 CLU A 04 E-mail Address:(}Y'Qr"c e d o(nr457
-
# of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: U 22 c-1 Male: >q Female: Spayed or Neutere&: 91 N
Breed �LtS (ra.vr 5� L.-.r� Color: 06LG •i['V.--
2. Name of Dog: � At _ Male: � i- Female:
Breed: �WColor:
3. Name of Dog:
Breed:
Male: Female:
Color:
Spayed or Neutered: ®/ 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: ON i Tag Numbers: 13U 2.�� 3,
Replacement Tag: Y /Zif 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. �y{
Owner Name: Ul1i - Owner Phone #: - I ` ��
Physical Address: ���� E-mail Address: �m
�
lm UD koa1
# of Dogs: (M imum of three allowed per YMC Chapter 6.08.030) Cbr\rZ W_�
Name of Dog: 1 Male: _ \% Female: Spayed or NeuteredoY N
Breed: Vbm—dn Color:
2. Name of Dog_0'S Male: V Female: _ Spayed or Neutered; �/ N
'C
Breed: li ` 7--U 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.a3c_� 2. 2
Replacement Tag: Y / N (If replacement tag, then enter original tag number here: )
Rabies Tag #
Date Information entered into database: By Whom:
Revised 02/11
City of Yelm
105 Yelm Ave. W., Yelm, WA 98597
Phone: (360) 458-3244 Fax: (360) 458-4348
www.ci.yelm.wa.us
Application for Dog License
Fee Schedule:
Dog License: FREE
Replacement Tag: $2.00
Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code - Chapter 6.08.070)
The City of Yelm requires all dogs to be registered annually and have current rabies inoculations.
Registrations cannot be issued unless 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 Owner Phone #: �� � � � C)
Physical Address: u E-mail Address:
# of Dogs. (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog- - 1 Male: Y-_ Female: Spayed or Neutered: Y /
Breed: �,� _k�Q�� 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:
Revised 05/05/10 sid
By Whom:
City of Yelm
105 Yelm Ave. W., Yelm, WA 98597
Phone: (360) 458-3244 Fax: (360) 458-4348
www.ci.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 #:
L
Physical Address: 1yyZ1 'fn_ a AAe SE E-mail Address:
# of Dogs: Z (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: Male: X_ Female: Spayed or NeuteredcY N
Breed:®���c1c\o� _ Color:
b\Clk
2. Name of Dog: jC Male: Female: Spayed or Neutered: Y / NO
Breed: E-:1CACc� OCNC CcA C_' 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.C�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:
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.
l
Owner Name: Owner Phone #: l +��
Physical Address.���`�L706Lfl�? .ccr , ca r E-mail Address:
# of Dogs:
1.
2.
(Maximum of three allowed per YMC Chapter 6.08.030)
Name of Dog: ix- Male: 1> -Female:
Breed: Color:
Name of Dog: Male: a/Female:
Breed:
3. Name of Dog:
Breed
-
Male
Spayed or Neutered: Y /
Spayed or Neutered:/ N
Color:,
Color:
Female: _ Spayed or Neutered: Y/ N
Fee Schedule:
Dog License: FREE
Replacement Tag: $2.00
Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code - Chapter 6.08.070)
To report a lost dog or if you have an animal complaint please call our
Public Works Department at (360) 458-8406.
For office use only
Date license(s) issued:
Tag Numbers: 1� 2.
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., Ye/rn, WA 98597
Phone: (360) 458-3244 Fax: (360) 458-4348
www.cLyelm.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:["MOwner Phone #:
Physical Address: 7 &feeAn e&0 A,;� & E-mail Address: C n��[��1��1 C7� ,�►'�no,�
r CV vv�
# of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: i \ Male: FernaleX Spayed or Neuteredo/ N
Breed: ���('. �7 14-�� Color: '��r1_ _ �� V\\ �
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 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. 3.
Replacement Tag: Y / N (If replacement tag, then enter original tag number here: )
Rabies Tag #
Date Information entered into database:
Revised 02111
By Whom:
City of Yelm
105 Yelm Ave. W., Yelm, WA 98597
Phone: (360) 458-3244 Fax: (360) 458-4348
www.ci.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.
Registratioros cannot be issued unless ioraof 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: �IAZII
e2 4 Owner Phone #:, l r -� %
57
Physical Address: (P h E-mail Address:iJ1,1jee,
# of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030)
Name of Dog: &&>
Breed: Z-1r11`�
2. Name of Dog:
Breed:
3. Name of Dog:
Breed:
Male: _ Female: Spayed or Neutered N
Color: (c°�
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.ciyelm.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:
Dili A
�a City of Yelm
a 105 Yelm Ave. W., Yelm, WA 98597
Phone: (360) 458-3244 Fax: (360) 458-4348
www.ci.yelm.wa.us
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: I1jalej'a Owner Phone #: 7 T ��^ �J✓
Physical Address: 11a A Lni'er_EA[.ci r E-mail Address:
# of Dogs:. { (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: f Male: Female: _)( Spayed or Neutere� N
Breed, \Yt,t� Color: ll�l�
2. Name of Dog.
Breed:
3. Name of Dog:
Breed:
Male Female:. Spayed or Neutered: Y / N
Color:
Male: Female: _ Spayed or Neutered: Y / N
Color:
Fee Schedule:
Dog License: FREE
Replacement Tag: $2.00
Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070)
To report a lost dog or if you have an animal complaint please call our
Public Works Department at (360) 458-8406.
For office use only
Date license(s) issued: ,Zg II lv I �� Tag Numbers: 1._ 2. 1
Replacement Tag: Y/ N (If replacement tag, then enter original tag number here: )
Rabies Tag #:15 19 ! 50
Date Information entered into database ' By Whom: b r ^ IVU/
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.velm.wa.us. Dog owners completing an application and
returning it to City Hall will be issued a license tag. If you prefer to mail in your application, a tag can be mailed
to you.
The City of Yelm requires all dogs to be registered annually and have current rabies inoculations.
Dogs are required to wear the rabies tag (Yelm Municipal Code — Chapter 6.12) and furnish proof to a Yelm
Animal Control Officer, if requested. Current rabies tags are issued by a veterinarian
Owner Name: vi, r_ t.. tdt M t~ jj" I it ^QS;._" r' Owner Phone #: z P 3
Physical Address: I ��� .��s� r� w� SC:� E-mail Address: I J W7
# of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog:
{
Male: _ Female:
Spayed or Neutereq! Y 1, N
Breed: /,61
ee% I ocA I e
Color: Ve- I
2. Name of Dog:
Breed:
3. Name of Dog:
Breed:
Male: T Female: _ Spayed or Neutered: Y / N
Color:
Male: T 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 10,,2. 3.
Replacement Tag: Y N f replacement tag, then enter original tag number here: )
Rabies Tag #
Date Information entered into database:
10/13
By Whom: Mr! 2 _
1 �-CV
HEpt�
, City of Yelm
a 1m 905 Yelm Ave. W., Yelm, WA 98597
Phone: (360) 458-3244 Fax: (360) 458-4348
www.ci.yelim.wa.us
YEL
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.
Reiistrations 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: er"V\ C�4 ('CJ By cn s Owner Phone4#: j 5 �"75 Z -3�y` j 757- 7SZ-�S/
Physical Address: [dot 5 �+ry, � �'�ca 5T Sr- lLe lvn. i/1/i1 �IBVE mail Address: Cbu✓'n 5 75-4) mad, c ow
# of Dogs:
2
(Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: Z� �et"Male: X Female: _ Spayed or Neutered: �/ N
aLl
Breed: ",1c cy— fit& arpj pC Color: ri �OL-GV'
2. Name of Dog: Male: Female- Spayed or Neutered:/ N
Breed: _ {\{j. C C'6 /L\�\-X Color: `Qe�j- G,n� 11J4�tk2
3. Name of Dog: _ _ _ Male: Female: _ Spayed or Neutered: Y/ N
Breed:
Color:
Completed applications (including proof of rabies inoculations) may be mailed or delivered to Yelm City Hall,
105 Yelm Ave. W., Yelm, WA 98597. Incomplete applications will be returned. Applications may be obtained at
City Hall, Monday through Friday 8:00 am to 5:00 pm or by visiting our website at www.ci.yelrn.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: *W Tag Numbers: 1 2. 3.
Replacement Tag: N N jlf 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
rfl
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.
Owner Name: Owner Phone #: I
_ _ _ Vbti-
Physical Address: 1-7 Sk � -TE-mail Address:
# of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: ) Male: Female: _ Spayed or Neutered: YON
Breed: C��j-p Color: P�C. 4zZa>-
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
r
Date license(s) issued. Tag Numbers; 12A 2. 3.
Replacement Tag: YkJ N (,f replacement tag, then enter original tag number here: )
Rabies Tag #
Date Information entered into database: By Whom:
Revised 02111
City of Yelm
105 Yelm Ave. W., Yelm, WA 98597
Phone: (360) 458-3244 Fax: (360) 458-4348
www.ci.yelm.wa.us
Application for Dog License - Free
The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Your lost dog
is a phone call away when your dog wears their registration tag. The dogs are required to wear the rabies tag
issued by the veterinarian. (Yelm Municipal Code — Chapter 6.12).
Applications can be obtained at City Hall, Monday through Friday 8:00 am to 5:00 pm or by printing the form
from our website at www.ci.yelm.wa.us. Completed license applications may be mailed or delivered to Yelm
City Hall, 105 Yelm Ave. W., Yelm, WA 98597. Tags are issued at City Hall and can be mailed to your address,
if requested.
Owner Name �(_-)V_o 'C7-��Cj- (--l— Owner Phone #: �d
Physical Address: E-mail Address:bmotem Siakc-r0001 Y c6n,
�1
# of Dogs: > (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: 1-1 O Male: Female: _ Spayed or Neutered:& N
Breed: 0. X Color:
2. Name of Dog: V1 Male: >C— Female: _ Spayed or Neutered-/ N
Breed: 'SCjr)1r ff) xXJ SWpe6y Color: �0
3. Name of Dog: Male:/ Female: . Spayed )or Neutered:(5) N
Breed: our1d MOS -(-V 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 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:
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
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 #:
)
Physicali
Address: U � � I"bU E-mail Address: I
�-
# of Dogs: I (Maximum of three allowed per YMC Chapter 6.08.030) �{f11
1. Name of Dog:l S
Breed:
2. Name of Dog:
Breed:
3. Name of Dog:
Breed:
Male: Femal+ Spayed or Neuterec N
Color:
-- U .
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: ���2,C)l 4 Tag Numbers: 1.� 2. 3.
Replacement Tag:. Yl / N (If replacement tag, then enter original tag number here., }
Rabies Tag # Y
Date Information entered into database: �� U By Whom: i G W 1pf l lD
Revised 02/11
City of Yelm
105 Yelm Ave. W., Yelm, WA 98597
Phone: (360) 458-3244 Fax: (360) 458-4348
www.ci.yelm.wa.us
Application for Dog License - 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.cLvelm.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:bQa 2`Gip �'l t� Owner Phone #: CSC
Physical Address: l�cJ ��\,�.�i Pct E-mail Address:�I,CI
# of Dogs: ] (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: _t Male: Femald�>( Spayed or Neutered: Y I N�
Breed: r Color: t
2. Name of Dog:
Breed:
3. Name of Dog:
Breed:
Male: Female: ` Spayed or Neutered: Y / N
Color:
Male: Female: Spayed or Neutered: Y / N
Color:
Fee Schedule:
Dog License: FREE
Replacement Tag: $2.00
Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070)
To report a lost dog or if you have an animal complaint please call our
Public Works Department at (360) 458-8406.
For office use only ry
Date license(s) issued:: 'C /'a jo Tag Numbers: 1S.6(2 2. 3.
Replacement Tag:b/ / 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.velm.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: �'�� ' S Owner Phone #:
3 � 0 9.60 _ C> ko \
Physical Address:.. 10 (7 7 J �e.V1r� L�c� � � �.� S� � � �. � E-mail Address:
# of Dogs: O U\-2
(Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: �(l t� I r Male: Female: Spayed or Neutered/ N
Breed. J�c�� Lkil5-.CJ1 CS�l.oIr� vlaly� Color: r VXOwL'�'
2. Name of Dog:
Breed:
Male: Female:
Color:
Spayed or Neutered: Y / N
3. Name of Dog: Male: Female: _ _- Spayed or Neutered: Y / N
Breed: Color:
Fee Schedule:
Dog License: FREE
Replacement Tag: $2.00
Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070)
To report a lost dog or if you have an animal complaint please call our
Public Works Department at (360) 458-8406.
For office use only
Date license(s) issued:
Tag Numbers: 1... _ 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.
a4 Trrep
,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 - 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 #:.I,(�
Physical Address: } E-mail Address: l
Ij
# of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: /4 i TTZ- Male:
Breed: '�-,bC�_- 1,LWi11, _ Color:
2. Name of Dog: Md I) L Male:
Breed:Color:
3. Name of Dog:
Breed.
Male
Color:
Female: Spayed or Neutered N
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: 1 2.3S33
Replacement Tag: Y / N (If replacement tag, then enter original tag number here: )
Rabies Tag #:_ _ _
Date Information entered into database:
10/13
By Whom:
uV He
RVAmp)City of Yelm
105 Yelm Ave. W., Yelm, WA 98597
Phone: (360) 458-3244 Fax: (360) 458-4348
Www-xi.yvhn.LVimis
*3L
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:weer Phone #: Q-0& S� ` -'5�
Physical Address: l �O_t 13 �l��1�LG ��,T- E-mail Address: Com+
# of Dogs:
3
C S� y
(Maximum of three allowed per YMC Chapter 6.08.030) Q
Name of Dog: E,MMale: — Female: k Spayed or Neutered:(DN
N
Breed: A�W_Vvl Color: -
2. Name of Dog--::[ 1"l Male: Female: X Spayed or Neutered N
Breed: ���_1� Color:
3. Name of Dog: 0 Y ('T� Male: �, Female: Spayed or Neutered: N
Breed: �� Color: rT�
0�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 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:
10/13
By Whom: _ yl�/_
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: -JESSE I.O%'A A
Physical Address: _ 1'5316 On"-) AvE SE
Owner Phone #:7" q-12 101Io I
E-mail Address: CJC.W)l oppA-C, S qM a� l • corA
# of Dogs: Z (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: Andes Male: X Female: ____ Spayed or Neutered: N
Breed: M t L ez, Color: -� c -K -r 960-0wt-1
2. Name of Dog: S' ��y _ Male: X'� Female: Spayed or Neutered:V N
Breed: SoQ-r)E(L C-Pv`-` Color: QPt f2aLa(2owN
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: $500.00 (Yelm Municipal Code - Chapter 6.08.070)
To report a lost dog or if you have an animal complaint please call our
Public Works Department at (360) 458-8406.
For office use only
Date license(s) issued: _ Tag Numbers: 1.��/ 3.
Replacement Tag: Y / N (If replacement tag, then enter original tag number here: )
Rabies Tag #:
Date Information entered into database: By Whom:
10113
of,
City of Yelm
105 Yelm Ave. W., Yelm, WA 98597
Phone: (360) 458-3244 Fax: (360) 458-4348
www.ci.yel_m.wa.us
Y L
Application for Dog License - Free
Your lost dog is a phone call away when they wear their registration tag.
Applications and license tags can be obtained at City Hall, Monday through Friday, 8:00 am to 5:00 pm or by
printing the application from our website at www.ci.yelm.wa.us. Dog owners completing an application and
returning it to City Hall will be issued a license tag. If you prefer to mail in your application, a tag can be mailed
to you.
The City of Yelm requires all dogs to be registered annually and have current rabies inoculations.
Dogs are required to wear the rabies tag (Yelm Municipal Code — Chapter 6.12) and furnish proof to a Yelm
Animal Control Officer, if requested. Current rabies tags are issued by a veterinarian.
Owner Name: �oc. L • gv,SSQ-A\ Owner Phone #: 7.S3 - Zl 2 a "7060
Physical Address: I S 7 Z$ g S+'^ CT S E-mail Address: JbSS LLLPrttoo -CO A^
# of Dogs: J, (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog
L Avwxy
Breed: 1)," C- V\V
2. Name of Dog:
Breed:
3. Name of Dog:
Breed:
Male: Z Female: _ Spayed or Neutered: Y�.I 1
Color:
_ _ Male: _-- Female: _ Spayed or Neutered: Y / N
Color:
Male: Female:
Color:
Spayed or Neutered: Y / N
Fee Schedule:
Dog License: FREE
Replacement Tag: $2.00
Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070)
To report a lost dog or if you have an animal complaint please call our
Public Works Department at (360) 458-8406.
For office use only
Date license(s) issued:- Tag Numbers: la � 2.
Replacement Tag: Y / N (If replacement tag, then enter original tag number here:
Rabies Tag #: _ _
Date Information entered into database:
10/13
By Whom.
3.
City of Yelm
105 Yelm Ave. W., Yelm, WA 98597
Phone. (360) 458-3244 Fax: (360) 458-4348
www.ci.yelm.wa.us
Application for Dog License - Free
Your lost dog is a phone call away when they wear their registration tag.
Applications and license tags can be obtained at City Hall, Monday through Friday, 8:00 am to 5:00 pm or by
printing the application from our website at www.ci.yelm.wa.us. Dog owners completing an application and
returning it to City Hall will be issued a license tag. If you prefer to mail in your application, a tag can be mailed
to you.
The City of Yelm requires all dogs to be registered annually and have current rabies inoculations.
Dogs are required to wear the rabies tag (Yelm Municipal Code - Chapter 6.12) and furnish proof to a Yelm
Animal Control Officer, if requested. Current rabies tags are issued by a veterinarian.
"\1 ]
Owner Name: -r-'Owner Phone #: �n
Physical Address:E-mail Address: 3 CL
# of Dogs:
_ _ (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: Male: Female:
Breed -� - Color:
2. Name of Dog:
Breed:
Spayed or Neutered:[ Y �/ N
Male: _ Female: _ _ Spayed or Neutered: Y / N
Color:
3. Name of Dog: _ Male: Female: Spayed or Neutered: Y / N
Breed: Color:
Fee Schedule:
Dog License: FREE
Replacement Tag: $2.00
Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code - Chapter 6.08.070)
To report a lost dog or if you have an animal complaint please call our
Public Works Department at (360) 458-8406.
For office use only
r
Date license(s) issued: Tag Numbers: 1._ ki 2. _ 3.
Replacement Tag: Y / N (If replacement tag, then enter original tag number here: )
Rabies Tag #: (VV 'el
,
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.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: L/ehd Y"(X Owner Phone #: _ � [� 57l[' V 13 R y
Physical Address: Ute(b y Vhn OAV tE-mail Address:k '),-Le ' e�7JGjiCc{
# of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: ! Male: Female: V Spayed or Neutered:/ N
Breed:- 1 0 Color: �1 1 !.
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 {E:
Date Information entered into database: _ By Whom: M.
10/13