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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�