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469-494City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360).458-4348 www.yelmwa.gov Application for Dog License - Free For City of Yelm Utility Customers Only Your lost dog is a phone call away when they wear their registration tag. Applications and license tags can be obtained at Yelm City Hall, Monday through Friday, 8:00 am to 4:30 pm or by printing the application from our website at www.yelmwa.gov. 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-TMEVV Owner Phone #: Zq LO S Physical Address: ��aZ( sf (}VE S� ytL�A, W% E-mail Address: ILtua, UP"W@ ICA-ho0 # of Dogs: 1 (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: S kA KDD C3'(L' kA h W Male: 7'- Female: _ Spayed or Neutered: 0 N' Breed: SB1.H Tfi-_y Color: _MkA \N)[ -6k01Gkc_ o20trd 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 numbc Rabies Tag # Date Information entered into database: Revised 06/25/2018 By Whom: City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.yelmwa.gov Application for Dog License - Free For City of Yelm Utility Customers Only Your lost dog is a phone call away when they wear their registration tag. Applications and license tags can be obtained at Yelm City Hall, Monday through Friday, 8:00 am to 4:30 pm or by printing the application from our website at www.yelmwa.gov. 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 ). ` Ml)Owner Phone #: Z(an'Lj Physical Address: C� r S E-mail Address: # of Dogs: (Maximum of three allowed per Y Chapter 6.08.030) 1. Name of Dog: Ucl� Male: _ Female: Spayed'or Neutered: Y / N Breed: Color: CXC ✓WJ . /_4 'Z' "j P 2. Name of Dog: Breed: 3. Name of Dog: Breed: Male: _ Female: _ Spayed or Neutered: Y / N Color: Male: _ Female: _ Spayed or Neutered: Y / N Color: Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070) To report a lost dog or if you have an animal complaint please call our Public Works Department at (360) 458-8406. For office use only Date license(s) issued: Replacement Tag: Y / N (If replacement tag, Rabies Tag # Date Information entered into database: Revised 06/25/2018 Tag Numbers: 1.� 2. 3. then enter original tag number here: ) By Whom: City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.yelmwa.gov Application for Dog License - Free For City of Yelm Utility Customers Only Your lost dog is a phone call away when they wear their registration tag. Applications and license tags can be obtained at Yelm City Hall, Monday through Friday, 8:00 am to 4:30 pm or by printing the application from our website at www.yelmwa.gov. 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 ControlO icer, if requested. Current rabies tags are issued by a veterinarian 1 ` Owner Name: , C. Owner Phone #: Physical Address`(- I ;����/� E-mail Address: /tel # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) Name of Dog: ('<� c7-] e�A Male: ' Female: Spayed or Neutered( i N Breed: G��l O'L �P ��� Color: �ZZz'e 2. Name of Dog: Breed: 3. Name of Dog: Breed: Male: _ Female: _ Spayed or Neutered: Y / N Color: Male: _ Female: _ Spayed or Neutered: Y / N Color: 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.q � I 2 Replacement Tag: Y / N (If replacement tag, then enter original tag number here: Rabies Tag # Date Information entered into database: Revised 06/25/2018 By Whom: City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.yelmwa.gov Application for Dog License - Free For City of Yelm Utility Customers Only Your lost dog is a phone call away when they wear their registration tag. Applications and license tags can be obtained at Yelm City Hall, Monday through Friday, 8:00 am to 4:30 pm or by printing the application from our website at www.yelmwa.gov. 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 „�c �., Owner Phone #: 3 90 7S i .SYa Physical Address: _k3oZ G- -e -e 616x: c✓ 9- 5 E -mail Address: c,400,co--, # of Dogs: " (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: r�v',(,t Male: _ Female: 2!� Spayed or Neutered: d/ N Breed: Color: Vi4t-i-c- 14-;17 2. Name of Dog: Hot,ev / Male: _ Female: 114- Spayed or Neutered: Y / Breed: 611C14 Color: h o'rey (_0('--eCf 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.I12.1�3 3. Replacement Tag: Y / N (If replacement tag, then enter original tag number here: ) Rabies Tag # Date Information entered into database: Revised 06/25/2018 By Whom: City of Yelm 905 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.cLyelm.wa.us Application for Dog License Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070) The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Registrations cannot 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) Physics! Address: �%(,j�ljt�. 1j r�/� � E-mail Address: # of Dogs: / (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: , �/ QG�% /a9;1 � Male: _ Female. Spayed or Neutere<5 N Breed: A(/ 1%��(c� Color: %r 2. Name of Dog: ,/ Male: _ Female: _ Spayed or Neutered: Y / N Breed: / Color: 3. Name of Dog: / Male: Female: _ Spayed or Neutered: Y / N Breed: Color: 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 elm. City Hall, Monday through Friday 8:00 am to 5:00 pm or by visiting our website at www.ci.ywa.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: (� L Tag Numbers: 1. 1 2. 3. Replacement Tag: Y / N (If replacement tag, then enter original tag number here: Proof of rabies enclosed: Yes_ No (please explain) Date Information entered into database: Revised 05/05/10 sjd By Whom: City of Yelm 105 Yelum Ave. 1V/9, Yelm, WA 98597 Phone: (360) 4583244 Fax: (360) 458-4348 VnfwW.ci.yelM.wa.us Application for Dog License Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070) The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Registrations cannot be issued unless proof of current rabies inoculation is provided with this application. The dogs are required to wear the rabies tag issued by the veterinarian. (Yelm Municipal Code — Chapter 6.12) Owner Name: r ctk& "�yaC\'(— Owner Phone #: S09-- 19i1 Physical Address: y�J 4�$ 2 E-mail Address: -0,A1P-6- 0A45 (-7 II I-lokv�a:j . CGv✓C # of Dogs: l (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: z 2 UCSMale: _ Female: X Spayed or Neutered Y N Breed: -rju l �� 1��X Color: `/V► bkcc.l� 2. Name of Dog: Breed: 3. Name of Dog:. Breed: Male: _ Female: _ Spayed or Neutered: Y / N Male: _ Female: _ Spayed or Neutered: Y / N Color: Completed applications (including proof of rabies inoculations) may be mailed or delivered to Yelm City Hall, 105 Yelm Ave. W., Yelm, WA 98597. Incomplete applications will be returned. Applications may be obtained at City Hall, Monday through Friday 8:00 am to 5:00 pm or by visiting our website at www.ci.yelm.wa.us. Tags are issued at City Hall. You may receive the tag by mail if requested. To report a lost dog or if you have an animal complaint please call our Public Works Department at (350) 458-5405. For office use only t Date license(s) issued: Tag Numbers: 1. 2. 3. Replacement Tag: Y / N (If replacement tag, then enter original tag number here: ) Proof of rabies enclosed: Yes_ No (please explain) Date Information entered into database: By Whom: Revised 05/05/10 sjd City of Yelm 105 Yelm Ave- W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 Application for Dog License - Free For City of Yelm Utility Customers Only Your lost dog is a phone call away when they wear their registration tai;. Applications and license tags can be obtained at Yelm City Hall, Monday through Friday, 8:00 am to 4:30 pm or by printing the application from our website at www.velmwa.cov. 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\ -CV S cwxl ('O Owner Phone #: Physical Address: 1 b4b,!� Cast '%o vt Nye- E-mail Address: v do • 6oLV voSaileyJVt0 # of Dogs: 0 (Ma)imum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: SOf evo Male: X Female: _ Spayed or Neutered: Y Breed: Color. 7\1'0-A C�.VAa W T` %k 2. Name of Dog: L.A. Ct S-ZiMAD Male: _ Female:CZ Spayed or Neutered: Y / N� Breed:1�lnS�� Color (37,f�y 3. Name of Dog: Male: _ Female: _ Spayed or Neutered: Y / N Breed: Color: Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code - Chapter 6.08.070) To report a lost dog or if you have an animal complaint please call our Public Works Department at (360) 458-8406. For office use only, ` Date license(s) issued: I( 7 Tag Numbers: 1. 1 /� 2. 3. Replacement Tag: Y / N (If replacement tag, then enter original tag number here: Rabies Tag Date Information entered into database: Revised 06/25/2018 By Whom: City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.yelmwa.gov Application for Dog License - Free For City of Yelm Utility Customers Only Your lost dog is a phone call away when they wear their registration tag. Applications and license tags can be obtained at Yelm City Hall, Monday through Friday, 8:00 am to 4:30 pm or by printing the application from our website at www.yelmwa.gov. 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 veterin/a'rian\ Owner Name: (iV� R(A f �/ Owner Phone #: 1 ;6 1 �� -�1� Physical Address: r qg)�3 Fd"cw(g VQa Lf E-mail Address: 06rik-1 i-(e✓ei/ (9 W4 ctry, # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: N, 1z k Male: \ Female: v Spayed or Neutered:/ N Breed: u Color: )sat/ h 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 onlPreplacement Date license(s) issuedTag Numbers: 1. 3. Replacement Tag: Y tag, then enter original tag number here: ) Rabies Tag # Date Information entered into database: Revised 06/25/2018 By Whom: q\ -O,/ City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.yelmwa.gov Application for Dog License - Free For City of Yelm Utility Customers Only Your lost dog is a phone call away when they wear their registration tag. Applications and license tags can be obtained at Yelm City Hall, Monday through Friday, 8:00 am to 4:30 pm or by printing the application from our website at www.velmwa.gov. 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 — — -- - - 5 ► 7 -7 - Owner Name: t Owner Phone #: Physical Address: q] S 5�1� E-mail Address: 1roSe�o 7 G l 5 `fLrvt 9J # of Dogs: I (Maximum of three allud per YMC Chapter 6.08.030) Name of Dog: C -a0 L— Male: ✓Female: _ Spayed or NeuteredeY N Breed: L-A- /i/j j( 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: VRe; Licens -1=— acement Ta $2.0 ual egistration 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 + 1 Date license(s) issued l 6 Replacement Tag 0Y / N (If replacement tag, Rabies Tag # Date Information entered into database: Revised 06/25/2018 Tag Numbers: 1. q1 q 2. then enter original tag number here: By Whom: �\V 3. City of Kelm 105 Ye/m, Ave. VI., Yelm, , VVA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci.yelM.wa.us Application for Dog License Urgd 3UL132018 By:.............. ......... 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:UKAV C-RUMPA(Y-De, Owner Phone ZO 1-7 9 O0 Physical Address: 9 Z -SZ- CAP—Y-0, S`T # of Dogs i E-mail Address: (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: -Ft=PPt--2 -POS Breed: LA -0 M 2. Name of Dog: Breed: 3. Name of Dog: Breed: Male: _ Female: 4 Spayed or Neutered N Color: C� Male: _ Female: _ Spayed or Neutered: Y / N Color: Male: _ Female: Color: Spayed or Neutered: Y / N Completed applications (including proof of rabies inoculations) may be mailed or delivered to Yelm City Hall, 105 Yelm Ave. W., Yelm, WA 98597. Incomplete applications will be returned. Applications may be obtained at City Hall, Monday through Friday 8:00 am to 5:00 pm or by visiting our website at www.ci.yelm.wa.us. Tags are issued at City Hall. You may receive the tag by mail if requested. To report a lost dog or if you have an animal complaint please call our Public Works Department at (360) 458-6406. For offfface use only Date license(s) issued: ' Tag Numbers: I. q70. 2. 3. Replacement Tag. / (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 wat:k105 City of Yelm Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.yelmwa.gov Application for Dog License - Free For City of Yelm Utility Customers Only Your lost dog is a phone call away when they wear their registration tag. Applications and license tags can be obtained at Yelm City Hall, Monday through Friday, 8:00 am to 4:30 pm or by printing the application from our website at www.yelmwa.gov. 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#: (Lt) .22-? — 5.30- 1 4577 Physical Address: ���� C7E � ct�� ��vP t'�Z��t E-mail Address: r�ejsVcc/<2 # of Dogs: Z (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: �%4 �� Male: �< Female: _ Spayed or Neutered: / N Breed: C/111 -4,11 -MA Color: v1Li/c' 2. Name of Dog G;/)1- r -(7A) 6 Male:4 Female: _ Spayed or Neutered:/ N Breed:f �;��7��wi�4iLJ Color: 3. Name of Dog: Breed: i3L6gf 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.� 63 2. Lq6 U 3 Replacement Tag: Y / N (If replacement tag, then enter original tag number here: Rabies Tag # Date Information entered into database: Revised 06/25/2018 By Whom: &0 City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.yelmwa.gov Application for Dog License - Free For City of Yelm Utility Customers Only Your lost dog is a phone call away when they wear their registration tag. Applications and license tags can be obtained at Yelm City Hall, Monday through Friday, 8:00 am to 4:30 pm or by printing the application from our website at www.yelmwa.gov. 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\Gtlle'� Le.CCL, Owner Phone #: �V� COs ' �a� ( Physical Address: , c� , SC E-mail Address: IS�a� 9a�1 1�� ° K 1 - ��I.��� # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) Name of Dog:: - ,7 Male: Female: _ Spayed or Neutered: lb N Breed: P&'kpao Color: Ca Z�1��e f C7(ey 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:] 113 I I k Tag Numbers: l.b b y t5 �C 2. 3. Replacement Tag: Y / N (If replacement tag, then enter original tag number here: ) Rabies Tag # Date Information entered into database: Revised 06/25/2018 By Whom: W Q"'� City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.,yelmwa.gov Application for Dog License - Free For City of Yelm Utility Customers Only Your lost dog is a phone call away when they wear their registration tag. Applications and license tags can be obtained at Yelm City Hall, Monday through Friday, 8:00 am to 4:30 pm or by printing the application from our website at www.yelmwa.gov. 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 Z 56�- K6 i Owner Name: W LJcxva 1, 'An kinS' Owner Phone #: /� � ���'� 3a5 Physical Address: Itic, S �° E-mail Address: u, -J ra L-er /V �Yakoo # of Dogs: a (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: Z % Male: _ Female: Breed: 6A, i4u re_ Color: 2. Name of Dog: -T. t5_ 9 ( ac -k Spayed or Neutered: Y /0 Male: Female: _ Spayed or Neutered: Y /N Breed: ���by Color: 6 rc 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: Revised 06/25/2018 By Whom: City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.yelmwa.gov Application for Dog License - Free For City of Yelm Utility Customers Only Your lost dog is a phone call away when they wear their registration tag. Applications and license tags can be obtained at Yelm City Hall, Monday through Friday, 8:00 am to 4:30 pm or by printing the application from our website at www.velmwa.gov. 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 C vilL r' �r,A (Av i Co" r � Owner Phone #: 3 � O ` oZ I a - S Physical Address: /0 7 ZU I/a 0 C-1 E-mail Address: # of Dogs: I (Maximum of three allowed per YMC Chapter 6.08.030) Name of Dog: Male: _ Female: k" Spayed or Neutered: Y� Breed: VM 1"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: Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070) To report a lost dog or if you have an animal complaint please call our Public Works Department at (360) 458-8406. For office use only Date license(s) issued: Replacement Tag: Y / N (If replacement tag, Rabies Tag 9 Date Information entered into database: Revised 06/25/2018 L Tag Numbers: 1. 2. 3. then enter original tag number here: ) By Whom: 6 City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.yelmwa.gov Application for Dog License - Free For City of Yelm Utility Customers Only Your lost dog is a phone call away when they wear their registration tag. Applications and license tags can be obtained at Yelm City Hall, Monday through Friday, 8:00 am to 4:30 pm or by printing the application from our website at www.Velmwa.gov. 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: pie: Owner Phone #: S03" f,7S-- %y�V Physical Address: 1337 ��sf` S E-mail Address:�ffc��1rr�h�s� Ejy�•,<,;�4,y # of Dogs: ( (Maximum of three allowed per YMC Chapter 6.08.030) Name of Dog: %��.�a4 Male: X Female: '!�- Spayed or Neutered: N Breed: _���r�i/•� Color: ASG 41 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: l . S� 2. Replacement Tag: Y / N (If replacement tag, then enter original tag number here Rabies Tag #. Date Information entered into database: Revised 06/25/2018 By Whom: 3. City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.yelmwa.gov Application for Dog License - Free For City of Yelm Utility Customers Only Your lost dog is a phone call away when they wear their registration tag. Applications and license tags can be obtained at Yelm City Hall, Monday through Friday, 8:00 am to 4:30 pm or by printing the application from our website at www.yelmwa.gov. 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: sr.,. -1v +ore- I ktrVio Owner Phone #: ,5 3 Lj&.SR' U ci,11 Physical Address: 11(0 o s c J eti, S X"e 'Sp E-mail Address: rC.7 rvSvy ,-f, # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: N4,,,n Male: X Female: _ Spayed or Neutered:'Y N Breed: CLC, /C vSSz Color: T; co IL, 2. Name of Dog: r AA Male: _ Female: X Spayed or Neutered/ N Breed: 3c�. c,� IC Color: 3. Name of Dog: Male: _ Female: _ Spayed or Neutered: Y / N Breed: Color: Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070) To report a lost dog or if you have an animal complaint please call our Public Works Department at (360) 458-8406. For office use only Date license(s) issued: Tag Numbers: 1. 2. I I I 3. �r Replacement Tag: Y / N (If replacement tag, then enter original tag number here: ) Rabies Tag # Date Information entered into database: Revised 06/25/2018 By Whom: City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.yelmwa.gov Application for Dog License - Free For City of Yelm Utility Customers Only Your lost dog is a phone call away when they wear their registration tag. Applications and license tags can be obtained at Yelm City Hall, Monday through Friday, 8:00 am to 4:30 pm or by printing the application from our website at www.yelmwa.gov. 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 ©_ K p Owner Name:ll-f 1 Q.� l(1S��Owner Phone #: "1 f % _r -C��� Physical Address: GE-mail Address: -�s # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) Lcl Name of Dog:}=ClMale: _ Female:_Z-( paye or Neutered:(q/ N �� 1 t �� T�.� j BreedZI , 6aZkr C , Color: ( C.�1 "3 � b'l Name of Dog: l Male: G' Female: _ Spayed oreutered- (i/ N Breed: r Cot I I e 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 ip Date license(s) issued: � � � Tag Numbers: 1. 7 ! 2. lJ l�Z- 3. Replacement Tag: Y / Nrr ,,(If replacement tag, then enter original tag number here: Rabies Tag # �' % `7' 1 O (D a I j/ Date Information entered into database: R 1 send 0",6,`25120'8 By Whom: `9w� City of Yelm t' a 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.yelmwa.gov Application for Dog License - Free For City of Yelm Utility Customers Only Your lost dog is a phone call away when they wear their registration tag. Applications and license tags can be obtained at Yelm City Hall, Monday through Friday, 8:00 am to 4:30 pm or by printing the application from our website at www.yelmwa.gov. 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: Qm j -CrA �o (nn AL i C j Owner Phone #: PAT 12irnfi S Celt Physical Address: j"a?,1_-t Cz j i e P1Jei'1 L1P � E-mail Address: - _ cm2 i COO # of Dogs: j (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog:�1 i �l i�P�+rl Male: _Female: X payed o�N�eutered-.�('W/ N Breed:anc 1Ce.c Color: 2. Name of Dog: Breed: 3. Name of Dog: Breed: Male: _ Female: _ Spayed or Neutered: Y / N Color: Male: _ Female: _ Spayed or Neutered: Y / N Color: Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070) To report a lost dog or if you have an animal complaint please call our Public Works Department at (360) 458-8406. For office use only Date license(s) issued: Tag Numbers: 1. �qq Replacement Tag: Y / N (If replacement tag, then enter original tag number here: Rabies Tag # Date Information entered into database: Revised 06/25/2018 By Whom: RABIES VACCINATION CERTIFICATE NASPHV FORM 51 (revised 2007) Owner's Name & Address Print Clearly RABIES TAG # 1562 MICROCHIP # LAST FIRST M.I. Moriarty Amy TELEPHONE # (413) 331-3020 NO. STREET CITY STATE ZIP 15375 Callie Ave SE Yelm WA 98597 SPECIES Dog Q Cat ❑ Ferret ❑ Other:X❑ (specify) AGE 7 Months0 Years ® SIZE Under 20 Ibs. 20 - 50 lbs. Over 50 lbs. PREDOMINENT BREED SPANIEL, COCKER PREDOMINANT COLORS/MARKINGS Red SEX ❑ Male Female ® Neutered ANIMAL NAME LYLA Animal Control License IlYr )(3 Yr Other o months DATE VACCINATED 03/29/17 Product Name: lmrab 3 TF Veterinarian's Name: Robin J. Karlin, D.V.M. Manufacturer: (First 3 letters) M e r 1 Yr USDA Licensed Vaccine 43 Yr USDA Licensed Vaccine 14 Yr USDA Licensed Vaccine ❑Initial dose ©Booster dose 12624 012818 Month / Day / Year License Number: 3248 NEXT VACCINATION DUE BY: 03/29/2099 Veterinarian's Signature Address: Family Veterinary Center Main St. Haydenville, MA 01039 Hayd 2 ville, 7 Month / Day / Year Vaccine Serial (lot) Number Application for Dog License QYELM WASHINGTON Al , ..,,ns and license tags can be obtained at City Hall Monday through Friday, 8:00 am to 4:30 pm. Dog owners will be issued a license tag from City Hall. The City of Yelm requires all dogs to be registered annually and to have current rabies inoculations. Dogs are required to wear their 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. Fee Schedule o Dog Liscense: FREE • Replacment 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 Owner Name:* BRENDA AND PAUL MCkINNEY Owner Phone #:* 253 882-8343 Address* Street Address 9915 JENSEN DR SE Address Line 2 City State/ Rovince / Fbgion YELM WA Fbstal / Zip Code Country 98597 THURSTON Maximum of three dogs per YMC Chapter 6.08.030 Name of Dog* M/F* Spayed/Neutered* Breed Color* KINKO Male r Spayed GREYHOUND BRINDLE r Neutered r Other HARRIET Fema r Spayed GREYHOUND RED le r Neutered r Other Dog Tags: Dog Name: Dog Tag #: Rabies Tag # KINKO 0481 HARRIET 0482