361-411City of Yelm
905 Yehnn 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: �h� (lei S-hn� Owner Phone #: 20 (0
Physical Address: SAP U -MEAS S :� 0 (,J E-mail Address: S c g4(2ojrnQil<c
# of Dogs: I (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: ecko Male: _L Female: _ Spayed or Neutered.. N
Breed: 60rde r 00,11 t2, Color: lLc)j'1 k/ mu-tt
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 I
Date license(s) issued: Tag Numbers: 1. l 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
905 Yelm Ave. IN, Yelm, WA 98597
Phone: (360) 458-3244 Fax: (360) 458-4348
www.ci.yelm.wa.us
Application for Dog License
Fee Schedule:
Dog License: FREE
Replacement Tag: $2.00
Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070)
The City of Yelm requires all dogs to be registered annually and have current rabies inoculations.
Resaistrations cannot be issued unless proof of current rabies inoculation is provided with this
application. The dogs are required to wear the rabies tag issued by the veterinarian. (Yelm Municipal Code —
Chapter 6.12)
Owner Name: S� ��� Owner Phone #: ? G 0 ' `t eD ' '?drs
Physical Address: ,141703 1 r A/r (.6 l m _�{%l� �E m i Address:y���� •�Bl�/ �� C�-� ��•���,
# of Dogs: 2 (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: ���G `� Male: p Female: _ Spayed or Neutered/ N
Breed: C44[A4!tAtA4 Color:
2. Name of Dog: % (t // Male: _ Female: Spayed or Neutered/ N
Breed: w ed ' Color:
3. Name of Dog: / �� Male: _ Female: _ Spayed or Neutered: Y / N
Breed: Color:
Completed applications (including proof of rabies inoculations) may be mailed or delivered to Yelm City Hall,
105 Yelm Ave. W., Yelm, WA 98597. Incomplete applications will be returned. Applications may be obtained at
City Hall, Monday through Friday 8:00 am to 5:00 pm or by visiting our website at www.ci.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 efface use only
Date license(s) issued:q ' 5^ ad ) 7 Tag Numbers: 1. 14(--A 2. I 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
905 Yelena Ave. W., Yelm, INA 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: - / /,� /'� Owner Phone � � �� y63-'o;C1
Physical Address: r� App? i/e -S6-r-2 E-mail Address: 1;eL L�'
# of Dogs: 2 (Ma (7, of three allowed per YMC Chapter 6.08.030) 7 ' 4,0O1C`�
Name of Dog: W"/ Male: _ Female: V11- Spayed or Neutered: Y ( 2N
Breed: /,�n 0 e tvge ,U g ver 0/ Color: 1kT14`C 4 %tea
2. Name of Dog: // Male: _ Female: '--I Spayed or Neutered: i N
Breed: Al ;n t Aver gCl,s an cls Color: � R � 1-9 An
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.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. `lO b 3.
Replacement Tag: Y / N (If replacement tag, then enter original tag number here:
Proof of rabies enclosed: Yes_ No (please explain)
Date Information entered into database: By Whom:
Revised 05/05/10 sid
City of Yelm
105 Yelm Ave. W., Yelm, WA 98597
Phone: (360) 458-3244 Fax: (360) 458-4348
www.cl.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: e_ `-nzm 1 t I I! ) U Owner Phone
Physical Address: �� 10 " ° S} Sv E-mail Address:
# of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: 1 G, CA-�/
Male: X
Female: _
Spayed or Neutered N
Breed: &r-ee. ��
Color:
2. Name of Dog: Y 1 `1
Male:
Female: _
Spayed or Neutered: Y�i N
Breed: M ) X� U b reed
Color:
Name of Dog: P 1) Sk Male: (( Female: _ Spayed or Neutered6 N
Breed: _ t)A % Y e -G by-e'9J Color: r") V1 A l -(,
Completed applications (including proof of rabies inoculations) may be mailed or delivered to Yelm City Hall,
105 Yelm Ave. W., Yelm, WA 98597. Incomplete applications will be returned. Applications may be obtained at
City Hall, Monday through Friday 8:00 am to 5:00 pm or by visiting our website at www.ci.yelm.wa.us. Tags are
issued at City Hall. You may receive the tag by mail if requested.
To report a lost dog or if you have an animal complaint please call our
Public Works Department at (360) 458-8406.
For office use only
Date license(s) issued:
Tag Numbers: l.d 3.�
Replacement Tag: Y / N (If replacement tag, then enter original tag number here:
Proof of rabies enclosed: Yes_ No (please explain)
Date Information entered into database:
Revised 05/05/10 sjd
By Whom:
City of Yelm
105 Yelm, Ave. W., Yelm, VILA 98597
Phone: (360) 458-3244 Fax: (3f 0) 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 flag issued by the veterinarian. (Yelm Municipal Code —
Chapter 6.12)
Owner Name: e t Owner Phone #:
Physical Address': Wn c�w� �acsn '5ti I'OA -,V� E-mail Address:
# of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: �\6Wt
Male:
Female: _
Spayed or Neutered: a N
Breed: KO'% V&S�(O.VO.O 6)e06'IAColor:
'b )n
2. Name of Dog:
Male: _
Female: Z
Spayed or Neutered: N
Breed: M N. 1)
Color:
(O f o LO n
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 (350) 455-5405.
For ®face use only O � L b�
Date license(s) issued: Tag Numbers. 1. _ 2. l 3.
Replacement Tag: Y / N (If replacement tag, then enter original tag number here: )
Proof of rabies enclosed: Yes_ No (please explain)
Date Information entered into database: By Whom:
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
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: F�,%1� �i�P ,c� Owner Phone #: -&L0 M OU 3
Physical Address: k nTv= \L E-mail Address:jFj jrm I A D@
L7 n�
o # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) �1' oC ° M
A-5 ID019..
1. Name of Dog: ��(�3.1-L.p Male:
�Z oq-Zk-18
J
Breed: (�Y QG.� �QuV1Q S2,Y v 1'C
lfcolor:
57
�� 2. Name of Dog: n1Jt� Male: _
�rQBreed: Color:
3. Name of Dog: Male:
Breed: Color:
—Fee Schedule:
Dog License: FREE
Replacement Tag: $2.00
Annual Registration for Dangerous Dog
Female:` Spayed or Neut, red:@/ N
Female: / Spayed or N Rutrd%/
Female: _ Spayed or Neutered: Y / N
$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. �06
Replacement Tag: Y / N (If replacement tag, then enter original tag number here:
Rabies Tag #:
Date Information entered into database:
10/13
By Whom
2. �O 3.
City of Yelm
d M 105 Yelm Ave. W., YeIm, WA 98597
Phone. (360) 458-3244 Fax: (360) 458-4348
�,er�r�ar.ei.yel�n ��a.x�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 wwvv.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 fumish proof to a Yelm
Animal Control Officer, if requested. Current rabies tags are issued by a veterinarian
Owner Name: Doreen Pairer & Jasper Sage Owner Phone #: 505 215 505 and 505 333 5686
Physical Address: 9059 Thea Rose Ave Se, Yelm, WA 98597 E-mail Address: doreen.pairer@gmail.com
# of Dogs: 2 (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: Drago Male: x Female:— Spayed or Neutered: W N
Breed: Siberian Husky Color: white and black
2. Name of Dog: Desna
Male: _ Female: x Spayed or Neutered: Y/ Nc
Breed: Siberian Husky Color: white and black '
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) issue C>-tn I Tag Numbers: 1�� 3.
Replacement Tag: Y / N f replacement tag, then enter original tag number here: )
n
Rabies Tag #
Date Information entered into database:
By Whom:
City of Yelm
905 Yehn 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: �C�l�\� �1�� cf�Y1 Owner Phone #: S(00 '��S'71 b N
Physical Address: C'_ C-_� E-mail Address: r��e�Ima�C�c�rnce}� ,(rSY►-7
# of Dogs:
(Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: Z Male: _ Female:x_ Spayed or Neutered:Y / N
Breed:l X6-- \'k_Il)l& _ w11x Color: -Y(-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:
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 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:
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. lei"/., Yelm, INA 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 oroof of current rabies inoculation is provided with this
agnlication. The dogs are required to wear the rabies tag issued by the veterinarian. (Yelm Municipal Code -
Chapter 6.12)
Owner Name: (:�tIL/VIS /�- Owner Phone #: ✓ ry702-6' sg - 7b
Physical Address: �%/ P4/t/ 4 (,lw /0 /t)�.
# of Dogs:
E-mail Address:
(Maximum of three allowed per YMC Chapter 6.08.030) Z/C-
1. Name of Dog: X R Male: _ Female: �i Spayed or Neutered: Y LN
Breed: ,c� f0� Color: ZkM&7UZ(4j 7_&
2. Name of Dog: 4�3� Male: J.:��emale: _ Spayed or Neutered: Y / NO
Breed: 1W1 x Z.D Color: '6/cr Lk
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.velm.wa.us. Tags are
issued at City Hall. You may receive the tag by mail if requested.
To report a lost dog or if you have an animal complaint please call our
Public Works Department at (360) 458-8406.
For office use only
Date license(s) issued: Tag Numbers: 1. 2. 3.
Replacement Tag: Y / N (If replacement tag, then enter original tag number here: )
Proof of rabies enclosed. Yes_ No (please explain)
Date Information entered into database: By Whom:
Revised 05/05/10 sjd
City of Kelm
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: 66 c�Io& /c,,,f e, Owner Phone #: 3(G - gos'd - q3 4)
Physical Address: 1611 S5 vie e b fit' e� T4- g 1-
E -mail Address:
--
# of Dogs: 2 (Maximum of three allowed per YMC Chapter 6.08.030)
Name of Dog: 1A R�S Male: K Female: /Spayjed or Neutered: Y /
Breed: �Jk"-' L �j Color: _ 1atG�C / �ilJ �i 14e
2. Name of Dog: Lok f Male: )�- Female: _ Spayed or Neutered: Y / ly
Breed: Lo)`Q i Color: b l06c(e-
3. Name of Dog:
Breed:
Male: _ Female: _ Spayed or Neutered: Y / N
Color:
Completed applications (including proof of rabies inoculations) may be mailed or delivered to Yelm City Hall,
105 Yelm Ave. W., Yelm, WA 98597. Incomplete applications will be returned. Applications may be obtained at
City Hall, Monday through Friday 8:00 am to 5:00 pm or by visiting our website at www.ci.yelm.wa.us. Tags are
issued at City Hall. You may receive the tag by mail if requested.
To report a lost dog or if you have an animal complaint please call our
Public Works Department at (360) 458-8406.
For office use only
Date license(s) issued:
Tag Numbers: 1._�V
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.
Owner Name:""" �� C�Ck YN Owner Phone #:
Physical Address:\\4\ 0 �CQ��`�C� C,cRezk 1 ,a S/_= E-mail Address:
# of Dogs: I (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: Llac�_,l Male: _ Female: ✓Spayed or Neutered:GY / N
Azn
Breed:?a�,I�( 1`(��Q i sit 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:
--
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.� 9
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.
Owner Name: �M P Owner Phone #:
Physical Address: / S7 2 S �(5 ' 07 '26 y��5.. 1,U fl E-mail Address: 1 ' -e ('o t/ S j- zUl
jj uti4 0, C G rM
# of Dogs: 2_ (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: to a Male: A Female: _ Spayed or Neutered&/ N
Breed: l'O c ker Color: a /,-t c%
2. Name of Dog: .;ZD3 q y, i Male: x Female: _ Spayed or Neutered: N
Breed: int, -d /w Color: ,✓-acs c�
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: 3 ` I vl - 17 Tag Numbers: 1. S91 2. S903.
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. V/, Yelm, WA 98597
Phone: (360) 458-3244 Fax: (360) 4158-4348
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)
Owner Name: pe t'r �dK
ZS+a L;
J�ir j�_C
Owner Phone #: 7qO - 57C%2 - 7 -7415 -/YO -ac!/ -71 � 7
Physical Address: C/9S-7
GT�lea+- Zor,
SE y&(ri
UA c1XS'_017 E-mail Address: J— �290, 'GloL, i. co/"t
# of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: j,jnv Male: _ Female: _)L Spayed or Neutered: & N
Breed: �n� Color: %bac_ f nl 11 W k;
2. Name of Dog: A I1 C_
Breed:
3. Name of Dog: C e- p
Male: _ Female: _1 Spayed or Neutered: (9/ N
Color: 101 X I.rJ �jI4
Male: _ Female: )v Spayed or Neutered: (9/ N
Breed: Color:%\Gcy_, \'3a�Q t'A:�t
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) 453-6406.
For ®face use only
Date license(s) issued:
Tag Numbers: 1. � 2J
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:
3.33�
City of Yelm
105 Yelm Ave. W., Yelm, WA 98597
Phone: (360) 458-3244 Fax: (360) 458-4348
www.ci.yelm.wa.us
Application for Dog License
Fee Schedule:
Dog License: FREE
Replacement Tag: $2.00
Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070)
The City of Yelm requires all dogs to be registered annually and have current rabies inoculations.
Re-gistrations cannot be issued unless proof of current rabies inoculation is orovided with this
application. The dogs are required to wear the rabies tag issued by the veterinarian. (Yelm Municipal Code —
Chapter 6.12)
Owner Name:��(,� P�l�' bvAo Owner Phone
Physical Address: ' Ly � �V �Q� y, E-mail Address:tQuan o Q'6�
# of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030)2VL�� '
Name of Dog: ��kiR l.�_ Male: _ Female: Spayed or Neuter/ N
Breed: & e e _ Color: brc.D� 1l
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: :�' l U I� 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: Ali
Revised 05/05/10 sjd
City of Yelm
905 ;'elm Ave. W., Yelra, WA 98597
Phone: (360) 458-3244 l=ax: (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: 7 �'/���'�� �� Owner Phone #:
Physical Address: �7 o r% S�'���✓�j Sd' y �� E-mail Address:
# of Dogs: / (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog:Jl A'�J ��'7 `/ Male: _ Female: 'K Spayed or Neutere Y7 N
Breed: 5fy! LJ���� /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 , p,�
Date license(s) issued: .3 '� 9 ' (� Tag Numbers: l.- 0 -� 2. 3.
Replacement Tag: Y / N (If replacement tag, then enter original tag number here: )
Proof of rabies enclosed: Yes_ No (please explain)
Date Information entered into database: By Whom:
Revised 05/05/10 sld
uvU�
TIFICATE OF VACCINATION
Vaccination: 03-16-18
accination On: 03-15-21
CLINIC
y Clinic
ion Street W
8576
360-446-8933
Certificate No: 0
Previous Rabies Vaccination: 14295
OWNER OF ANIMAL
Tara Serrano
9936 Locust Ct SE
Yelm, WA 98597
County:
This is to certify...
THAT I HAVE VACCINATED AGAINST RABIES THE ANIMAL DESCRIBED BELOW.
Patient information...
PATIENT: Mae
SPECIES: Canine
SEX: S
Color and markings... Black
Signed
Ronald Overlie, DVM
Vaccinations clone...
TAG NO: 18082
WEIGHT: 47.20
AGE: 6 years
License: 4236
03-16-18 RO Canine Bordetella Intranasal Vaccination
03-16-19
03-16-18 RO Canine Rabies Vaccination 3 Year, #18082
03-15-21
03-16-18 RO Canine DA2PP Vaccination 3 Year
03-15-21
Rabies Vaccine Information...
City of Yelm
905 Yehn 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: ��"� J�� Owner Phone #:
Physical Address: LOCLLS4 &t7S-1C- I VC1 i/11 E-mail Address: !� If I -I? V70 Q&-3&
# of Dogs:
(Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: Ma I Q e Male: _ Female: Spayed or Neutered/ N
Breed: W& I I ke VAI I X- Color: 199'6 �- W( -Th til W (-A S7
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. ��N 2. 3•
Replacement Tag: Y / N (If repl cement 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
Your lost dog is a phone call away when they wear their registration tag. -
Applications and license tags can be obtained at City Hall, Monday through Friday, 8:00 am to 5:00 pm or by
printing the application from our website at www.ci.yelm.wa.us. Dog owners completing an application and
returning it to City Hall will be issued a license tag. If you prefer to mail in your application, a tag can be mailed
to you.
The City of Yelm requires all dogs to be registered annually and have current rabies inoculations.
Dogs are required to wear the rabies tag (Yelm Municipal Code - Chapter 6.12) and furnish proof to a Yelm
Animal Control Officer, if requested. Current rabies tags are issued by a veterinarian.
Owner Name: �� ,,�9�c.`Q ,GrN�r Owner Phone#: (9's -3Sa-
Physical Address: IS33 K4N19 S� Se. E-mail Address:
# of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: -Tr Z Male: Female: _ Spayed or Neutered: Y / N
Breed: A -r-1 Y M Y Color:
Name of Dog:Male: _V/ Female: _ Spayed or Neutered: CY) / N
Breed: if}' l�/V(5p- Color: eeac f; t.J�,1�-
Name of Dog: Male: ✓ Female: _ Spayed or Neutered: CXR/ N
1
Breed: co�`q-" e Color: "-Flqh 11A i
—Fee Schedule- — i _--
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: 1 (� (� Tag Numbers: L ljc63 2. 3
Replacement Tag: Y i&lf replacement tag, then enter original tag number here: )
Rabies Tag #:
Date Information entered into database:
10/13
tW
By Whom: "__'z
BREED:
SHIH TZU
ID #1:
GENDER:
MI
ID #2:
COLOR:
BUWH
Last Visit: 3/16/2018
BIRTHDAY:
10/31/2017
AGE:
19 weeks, 3 days
Item Description
Given
Due Date
Lot # Manufacturer
202 DAPP Vaccination
3/16/2018
3/15/2019
9160209A Boehringer Ingelhe
207 Rabies 1 yr. Vaccination
2/10/2018
2/10/2019
4150440A Boehringer Ingelhe
206 Bordetella Vaccination
2/10/2018
2/9/2019
116929 ZOETIS
204 Corona Vaccination
2/10/2018
2/9/2019
1470275A Boehringer Ingelhe
I hereby certify t at this animal has been vaccinated
in accordance with the
manufacturer's recommendation for the vaccine used on above date.
LAY mwP , 4 /+r 6-'
Date Issued 3/16/2018
Dr. James R.Keith DVM License: VT00003135
City of Yelm
9195 Yelm Ave. W., Yelm, INA 98597
Phone: (360) 458-3244 Fax: (360) 458-4348
www.cl.veIm.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: �l I SOY.( er Phone Lq l ^ a d Lo
Physical Address: "l �J� LOY1 C_�* , E-mail Address:
# of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: Ot I V"e_V Male: `� Female: _ Spayed or Neutered: Y /
Breed: �il) Color: ) (cc C*" "i L Q'1'Q -4--
2. Name of 'Dog: Ciay"o Male: j— Female: _ Spayed or Neutered:& N
Breed: �-�a Ski 0 � Color: W
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: c )' I U' cr�-o 1 Tag Numbers: 1. J D 2. S O a 3.
Replacement Tag: Y / N (If replacement tag, then enter original tag number here: )
Proof of rabies enclosed: Yes V/ No (please explain)
Date Information entered into database: By Whom: �V(
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
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
SRA -atm Sul'nMeV2 ; (�6'5) 380 -a-aoa
Owner Name: M A'rh'FVU S U_M M �' S Owner Phone #: 6 —Z) 4 to a"
//��/� '1II 1,_, r Sharif ee su►rmQrs {J "M
Physical Address: " 1"! 7 (JG lvcS �%� St E-mail Address: M0L4*fWSttMmers0-06) oyyy�m).
COm
# of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: M C* -I Male: _ Female: Spayed or Neutered N
Breed: _d M aif I - - Color: 73 LAV— -4 W t-f"11-er
2. Name of Dog:
CH-lW
Male: ')C Female: _ Spayed or Neutereoe5y N
Breed: POr1') E7 P—A'>\IIA-N Color:-3((nA)�l i/UFtIT
'I -X 3. Name of Dog: Male: _ Female: Spayed or Neutered: N
tiµ
Breed: Color: O lrItCk
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: 3' I (0' �d ) e Tag Numbers: 1. 2. 3 3. 5 D
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: V1Y Owner Phone #: `"1�1�^� 2_-�)-9 H q -1
Physical Address: Q1 illl/e Q vt� �� E-mail Address: � Y ���
# of Dogs: &V\2 (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: l -4pVO Male: �L Female: _ Spayed or Neutered Y
Breed:CQ Y- Color: INAtA6 �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: Tag Numbers: 1.3_7 2. 3.
Replacement Tag: Y / N (If replacement tag, then enter original tag number here: )
Rabies Tag #
Date Information entered into database: By Whom: _
10113
?am (,qtly r#W'
gY7 V � 9
,4,, -MV
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: ? z ISa L�lr� Owner Phone #: s6 -'&V -M(5
Physical Address: f' r70 /OD %U2 fE E-mail Address: rohh/ a_
# of Dogs: I (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: kashrn lr Male: _ Female: is Spayed or Neutered: Y /ON
Breed: - C7l1l&j3 dSP/ewY Color: O�D/K] P
2. Name of Dog:
Breed:
Male: _ Female: _ Spayed or Neutered: Y / N
Color:
3. Name of Dog: Male: _ Female: _ Spayed or Neutered: Y / N
Breed:
Color:
- ;-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: �J ' ' �� 1 Tag Numbers: 1.��7 (o2. 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. V/, Yelm, 101A 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 flag issued by the veterinarian. (Yelm Municipal Code -
Chapter 6.12)
Owner Name:LP
P f+!LL,0777�- S7-1 LC5, Owner Phone
Physical Address: _ 1 3� 7 ���/� S/ �/i9 L LL- pit E-mail Address:
# of Dogs: / (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: lI
J 1 L S 0/U
Male:.
Female:
Spayed or Neutered: (l N
Breed:
Color.
���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:
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 offlee use only
Date license(s) issued:
Tag Numbers: 1. 2
Replacement Tag: Y / N (If replacement tag, then enter original tag number here:
Proof of rabies enclosed: Yes_ No (please explain)
Date Information entered into database:
Revised 05/05/10 Sid
By Whom:
3.
City of Yelm
905 YeIrn "ve. W✓, Yelm, VIA 98597
Phone: (350) 458-32441 Fax: (360) 458-4348
www.c1.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)
I'V�1
Owner. Name: ame: �� KI es �� Owner Phone #:
Physical Address: % b2 �. Sf S - E m�'t,Address:
M 1 a Q'. 5�av`e S - --.� v''1et ) � C�
# of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: RbYV\E:L> Male: Female: _ Spayed or Neutered: Y / I�
Breed: P-0am-&a(MA/\1) Color: T
2. Name of Dog: F1 PC( Male:C Female: Spayed or Neutered: Y /dN
Breed: PC) Color:
3. Name of Dog: �� Male: rNoFemale: Spayed or Neuterec : �Y / N
Breed: - ���[, Color: v�1
Completed applications (including proof of rabies inoculations) may be mailed or delivered to Yelm City Hall,
105 Yelm Ave. W., Yelm, WA 98597. Incomplete applications will be returned. Applications may be obtained at
City Hall, Monday through Friday 8:00 am to 5:00 pm or by visiting our website at www.ci.velm.wa.us. Tags are
issued at City Hall. You may receive the tag by mail if requested.
To report a lost dog or if you have an animal complaint please call our
Public Works Department at (350) 458-8406.
For ®ice use only
Date license(s) issued:_] ' 01 Tag Numbers: 1. 2.� 3.
Replacement Tag: Y / Of 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
m 105 Yelm Ave. W., Yelm, WA 98597
.. °. Phone: (360) 458-3244 Fax: (360) 458-4348
www.ci.yelm.wa.us
Application for Dog License - 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 FS to l -
Physical Address: 0-7 5D Ali- SJqnP,-S ,-T- E-mail Address: e1r
# of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) ca,
1. Name of Dog: Ir' J ; e Male: �, Female: _ Spayed or Neutered: Y
Breed: 0ucyl �"1�,�Y�"� LX -J, V— Color: _ 191OLh
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 I
J
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)
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: C,r(,/ Cti/ S fia GI Owner Phone #:2_5_3 -/ JC)
Physical Address: %S �� y�/ � I E-mail Address: L do y,�,hvd ' c-nk--,
# of Dogs
(Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: '909 Z I'/ /ci Male: Female:
Breed: 60%VC-? Color: a(t-
2. Name of Dog:
Breed:
3. Name of Dog:
Breed:
Spayed or Neutered: (Y)/ N
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 2 /�
Date license(s) issued: Tag Numbers: 1. V 7D 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:
N\L�-
Revised 05/05/10 sjd
City of Yelm
905 Yelrn 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: V\ Owner Phone
Physical Address: /ii(,(J U�` j�P C41lNi� E-mail Address: Gv. C''/ `7
# of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030)
Name of Dog: & 2+" Male:
Breed: AQV` ,c (�- Color:
2. Name of Dog:
Breed:
3. Name of Dog:
Breed:
Female: �ayed or Neutere . Y � N
K21 C U=2 /,,, �. �Q -ICL-0-
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 c
Date license(s) issued: 0 > - 05 --'lo CK Tag Numbers: 1. 2. 3.
Replacement Tag: Y / N (If replacement tag, then enter original tag number here: )
Proof of rabies enclosed: Yes_ No (please explain)
Date Information entered into database: By Whom:
Revised 05/05/10 sid
City of Yelm
105 Yelm Ave. W., Yelm, WA 98597
Phone; (360) 458-3244 Fax: (360) 458-4348
www.ci.yelm.wa.us
Application for Dog License - 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 Nam�LC�)Awner Phone #:�""
Physical Address: ° E-mail Address:
# of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog:_D Male: 1 Female: _ Spayed or Neutered
OY/ N
Breed: Color:
fta-
2.
Name of Dog ` �Male: Female: _ Spayed or Neutered Y / N
Breed \MI�/ Q ` _ 0.;p Ca �Ml) (Q— Color: 0a A 23ffl(� �
3. Name of Dog:C-)\ -)\ I N1 ,0Q Male:Female: _ Spayed or Neutered/ Y n N
Breed: �� �� j� Color:
0
—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: 3 - • C; C Tag Numbers: I.2)(otP 2.3(0--) 3.
Replacement Tag: Y / N (If replacement tag, then enter original tag number here: )
Rabies Tag #:
r, N C1
Date Information entered into database:
10/13
By Whom:
City of Yelm
105 Yehm 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: ���c.1�S0. ��ib�1 Owner Phone
Physical Address: _� J U�� yS1-,rr1 �eSi�� 5�1� E-mail Address: vv\e\, D.uTk.CZIV,
# of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: Male: ✓ Female: _ Spayed or Neutered: Y@ N
Breed: Color: _Ayo �S-
2. Name of Dog: Male: _ Female: _ Spayed or Neutered: Y / N
Breed:
3. Name of Dog:
Color:
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.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.
F®r office use only rn�
Date license(s) issued: Tag Numbers. 1 �` 2. 3.
Replacement Tag: Y / N (If replacement tag, then enter original tag number here: )
Proof of rabies enclosed: Yes_ No (please explain)
Date Information entered into database: By Whom:
Revised 05/05/10 sid
City of Yelm
9115 Yelm Ave. W., Yelm, INA 98597
Phone: (360) 458-3244 Fax: (360) 458-4348
www.ci.yelm.wams
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:Ion Owner Phone #: (707) 1 F5 29 Z
Physical Address: %6 2 z GCCJ; z— St S E-mail Address:
# of Dogs: J— (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: I �- Male: _ Female: X Spayed or Neutered: Y /
Breed: Flne`An-An ! S �\ , k Color:
2. Name of Dog:
Breed:
3. Name of Dog:.
Breed:
Uk:+e. -
Male: _ Female: _ Spayed or Neutered: Y / N
Color:
Male: _ Female: _ Spayed or Neutered: Y / N
Color:
Completed applications (including proof of rabies inoculations) may be mailed or delivered to Yelm City Hall,
105 Yelm Ave. W., Yelm, WA 98597. Incomplete applications will be returned. Applications may be obtained at
City Hall, Monday through Friday 8:00 am to 5:00 pm or by visiting our website at www.ci.yelm.wa.us. Tags are
issued at City Hall. You may receive the tag by mail if requested.
To report a lost dog or if you have an animal complaint please call our
Public Works Department at (360) 458-8406.
For office use only
Date licenses) issued: Tag Numbers: 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) r /
Date Information entered into database: By Whom:
Revised 05/05/10 sjd
City of Yelm
105 Yehm Ave. V1, Yelm, WA 98597
Phone: (360) 458-3244 Fax: (360) 458-4348
www.c1.ye1M.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: CA ArQC I 7((IESe Owner Phone #: _(3 D—) sSu – 3�_l �1 3
/�
Physical Address: i u4 S 6a C_ f% E-mail Address: Oldnt�
# of Dogs: l (Maximum of three allowed per YMC Chapter 6.08.030) HCO1nco ` LC)(v
1. Name of Dog:s( /� cl fly(- Male: _ Female: Spayed or Neutered N
Breed: C)& VTjj�O�z�lCrweg A^rg � _Color: ��(ry`�(� �" b� llc
p0'� Nom
2. Name of Dog:
Breed:
3. Name of Dog:
Breed:
Male: _ Female: Spayed or Neutered: Y / N
Color:
Male: _ Female:
Color:
Spayed or Neutered: Y / N
Completed applications (including proof of rabies inoculations) may be mailed or delivered to Yelm City Hall,
105 Yelm Ave. W., Yelm, WA 98597. Incomplete applications will be returned. Applications may be obtained at
City Hall, Monday through Friday 8:00 am to 5:00 pm or by visiting our website at www.ci.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 offaee use only
n
Date license(s) issued: Tag Numbers: 1. J�3 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 Yellen
905 Yehn 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: -f14 d� �� `- �� Owner Phone #:
Physical Address:�02 C 766 j S !/�lX)g<, Ae� A E-mail Address:
# of Dogs:/ (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: O'N Cv C_ Male: _ Female: iC Spayed or Neutered: Y /0
Breed: 1P Color: R ! A)
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) 456-6406.
For office use only
Date license(s) issued:
Tag Numbers: 1.L,2 2
Replacement Tag: Y / N (If replacement tag, then enter original tag number here
Proof of rabies enclosed: Yes_ No (please explain)
Date Information entered into database:
Revised 05/05/10 sjd
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.
Owner Name: eV y -o' _ V" 000( Owner Phone #: :S�k) / 'C O
Physical Address: V QhtPVvv, r!J OqV C E-mail Address: [ytdra Le 4r/7g)iCc{r�v
# of Dogs: l (Maximum of three allowed per YMC Chapter 6.08.030)
1. Name of Dog: 010'01 f) f) l l Gl Male: _ Female: V Spayed or Neutered:&/ N
Breed: I D Color: l I�
2. Name of Dog:
Breed:
Male: _ Female: _ Spayed or Neutered: Y / N
Color:
3. Name of Dog: Male: _ Female: _ Spayed or Neutered: Y / N
Breed: Color:
----Fee Schedule:" — -- - -- - _ - -- -- -
J
Dog License: FREE
Replacement Tag: $2.00
Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070)
To report a lost dog or if you have an animal complaint please call our
Public Works Department at (360) 458-8406.
For office use only
Date license(s) issued:
Tag Numbers: 1. 2
Replacement Tag: Y / N (If replacement tag, then enter original tag number here:
Rabies Tag #:
Date Information entered into database:
10/13
3.
By Whom: V\ 1 l�