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dog tags0� THE -b s - YELM City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.yelmwa.gov Application for Dog License - Free _ For City of Yelm Utility Customers Only Your lost dog is a phone call away when they wear their registration tag. Applications and license tags can be obtained at Yelm City Hall, Monday through Friday, 8:00 am to 4:30 pm or by printing the application from our website at www.yelmwa.gov. Dog owners completing an application and returning it to City Hall will be issued a license tag. If you prefer to mail in your application, a tag can be mailed to you. The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Dogs are required to wear the rabies tag (Yelm Municipal Code — Chapter 6.12) and furnish proof to a Yelm Animal Control Officer, if requested. Current rabies tags are issued by a veterinarian 11 i ( Owner Name: r cp\m \ Owner Phone #: 1 Physical Address: Q S ab . re (,- K S -LSE- E-mail Address: # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) Name of Dog: ter, Male: _ Female:. Spayed or Neutere " / N Breed: C'.�.�. �.�� Color:1�1�1 2. Name of Dog: Breed: 3. Name of Dog: Breed: Male: _ Female: _ Spayed or Neutered: Y / N Color: Male: _ Female: Spayed or Neutered: Y / N Color: Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070) To report a lost dog or if you have an animal complaint please call our Public Works Department at (360) 458-8406. For office use only Date license(s) issued: Tag Numbers: 1.�2. 3. Replacement Tag: Y / N (If replacement tag, then enter original tag number here: ) Rabies Tag # Date Information entered into database: By Whom: Revised 06/25/2018 City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.yelmwa.gov Application for Dog License - Free For City of Yelm Utility Customers Only Your lost dog is a phone call away when they wear their registration tag. Applications and license tags can be obtained at Yelm City Hall, Monday through Friday, 8:00 am to 4:30 pm or by printing the application from our website at www.yelmwa.gov. Dog owners completing an application and returning it to City Hall will be issued a license tag. If you prefer to mail in your application, a tag can be mailed to you. The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Dogs are required to wear the rabies tag (Yelm Municipal Code - Chapter 6.12) and furnish proof to a Yelm Animal Control Officer, if requested. Current rabies tags are issued by a veterinarian Owner Name: AluIld � Owner Phone #: X25 7 - 3o' 41 j 3q7 Physical Address: /SSSi„4 c2— (( E-mail Address: # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: Unor fes' Male: X_ Female: _ Spayed or Neutered/ N Breed: Color: 2. Name of Dog: 4z nr Male: _ Female: . Spayed or Neutered- / N Breed: t� A{'w74e- Color: k- 3. Name of Dog: n %I / C Male: Breed: V 61ek- , Color: Female: 2qq Spayed or Neutered: (9/ N Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code - Chapter 6.08.070) To report a lost dog or if you have an animal complaint please call our Public Works Department at (360) 458-8406. For office use only Date license(s) issued: Tag Numbers: 1. 2. G(� 3. l� Replacement Tag: Y / N (If replacement tag, then enter original tag number here: ) Rabies Tag # Date Information entered into database: Revised 06/25/2012 By Whom: City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.yehnwa.gov Application for Dog License - Free For City of Yelm Utility Customers Only Your lost dog is a phone call away when they wear their registration tag. Applications and license tags can be obtained at Yelm City Hall, Monday through Friday, 8:00 am to 4:30 pm or by printing the application from our website at www.yelmwa..qov. Dog owners completing an application and returning it to City Hall will be issued a license tag. If you prefer to mail in your application, a tag can be mailed to you. The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Dogs are required to wear the rabies tag (Yelm Municipal Code - Chapter 6.12) and furnish proof to a Yelm Animal Control Officer, if requested. Current rabies tags are issued by a veterinarian Owner Name: L�+'oa�CKw� (,. � Owner Phone #: �Lli7i (�j�. - O�_IJS' Q Physical Address: 892' ��1 r� S� , YC'Ivy E-mail Address: C bLxSz-_ # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: (\'Ncll.t' Male: )�_ Female: _ Spayed or Neutered: Q N Breed: l -JLy1-_ ;e-) 2✓ Color: C;oly 2. Name of Dog: Breed.- 3. reed:3. Name of Dog: Breed: Male: _ Female: _ Spayed or Neutered: Y / N Color: Male: _ Female: _ Spayed or Neutered: Y / N Color: Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code - Chapter 6.08.070) To report a lost dog or if you have an animal complaint please call our Public Works Department at (360) 458-8406. For office use only Date license(s) issued: Tag Numbers: I Replacement Tag: Y / N (If replacement tag, then enter original tag nu Rabies Tag 9 Date Information entered into database: Revised 06/25/2013 By Whc City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.yelmwa gov Application for Dog license - Free For City of Yelm Utility Customers Only Your lost dog is a phone call away when they wear their registration tag. Applications and license tags can be obtained at Yelm City Hall, Monday through Friday, 8:00 am to 4:30 pm or by printing the application from our website at rnnvw.yelmwa.gov. Dog owners completing an application and returning it to City Hall will be issued a license tag. If you prefer to mail in your application, a tag can be mailed to you. The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Dogs are required to wear the rabies tag (Yelm Municipal Code - Chapter 6.12) and furnish proof to a Yelm Animal Control Officer, if requested. Current rabies tags are issued by a veterinarian Owner Name: M) G J4 C% I 115 '51 caner Phone #: - O 55 — J Physical Address: / �- I iA�,G( b 1-5 EE: \ f) a,- L l 5& -E-mail Address: S!, e-1 f ; V'n 5 e (? 7 � # of Dogs: I (Maximum of three allowed per YMC Chapter 6.08.030) , ( c, Name of Dog:�f? �/�i �t)� Ong— Male: ✓ Female: _ Spayed or Neutere�Y / N Breed: L,4A m / Color: 1 LTf C < 2. Name of Dog: Breed: 3. Name of Dog: Breed: Male: _ Female: _ Spayed or Neutered: Y / N Color: Male: _ Female: _ Spayed or Neutered: Y / N Color: Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code - Chapter 6.08.070) To report a lost 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: l 2. ;. Replacement Tag: Y / N (If replacement tag, then enter original tag number here: ) Rabies Tag # Date Information entered into database: By Whom: Revised 00/25/2018 City of Yelm 105 Yehn Ave. W., Yehn, WA 98597 Phone. (360) 458-3244 Fax: (360) 458-4348 www.yelmwa.gov Application for Dog License - Free For City of Yelm Utility Customers Only Your lost dog is a phone call away when they wear their registration tag. Applications and license tags can be obtained at Yelm City Hall, Monday through Friday, 8:00 am to 4:30 pm or by printing the application from our website at www.yelmwa.gov. Dog owners completing an application and returning it to City Hall will be issued a license tag. If you prefer to mail in your application, a tag can be mailed to you. The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Dogs are required to wear the rabies tag (Yelm Municipal Code — Chapter 6.12) and furnish proof to a Yelm Animal Control.OffiieIr, if requested. Current rabies tags are issued by a veterinarian Owner Name:�c 1 ± , I �e 1 Q Owner Phone #: c� 0 gel Physical Address: ai l ;) Ave 06 # of Dogs: E-mail Address: c5GLSS L (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: 1�o�IItlIt Male: _ Breed: Color: 2. Name of Dog: Breed: 3. Name of Dog: Breed: Male: �••r Female: r/ Sp ayed or Neutered: (�l / N Female: _ Spayed or Neutered: Y / N Male: _ Female: _ Spayed or Neutered: Y / N Color: r \ Fee Schedule: a\ Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070) To report a lost dog or if you have an animal complaint please call our Public Works Department at (360) 458-8406. For office use only Date license(s) issued: Replacement Tag: Y N (If replacement tag, Rabies Tag # Tag Numbers: lb `� 1 2. then enter original tag number here: ) O Of 7FlL pA� `9 City of Yelm a 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.yelnnwa.gov YELM Application for Dog License - Free For City of Yelm Utility Customers Only Your lost dog is a phone call away when they wear their registration tag. Applications and license tags can be obtained at Yelm City Hall, Monday through Friday, 8:00 am to 4:30 pm or by printing the application from our website at www.yelmwa.gov. Dog owners completing an application and returning it to City Hall will be issued a license tag. If you prefer to mail in your application, a tag can be mailed to you. The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Dogs are required to wear the rabies tag (Yelm Municipal Code - Chapter 6.12) and furnish proof to a Yelm Animal Control Officer, if requested. Current rabies tags are issued by a veterinarian Owner Name: n2vid F /(fcr%?a( Owner Phone #: x/35--72o-7Z2? a, L/3 -s-2?, --SU3 Physical Address: / Sj VO 75jl- Cr Se S_ejW, Gytsh,7 / E-mail Address: # of Dogs: q- (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: /1,{ c4111 �� Male: _ Female: VSpayed or Neutered: D N Breed: A ridir colli P m, -X Color: _ &0 CAS 2. Name of Dog: AA Male: _ Female: Spayed or Neutered: (D N Breed: 10� PCOd% Color: j ,; otvh 3. Name of Dog: Breed: Male: _ Female: _ Spayed or Neutered: Y/ N Color: Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code - Chapter 6.08.070) To report a lost dog or if you have an animal .complaint please call our Public Works Department at (360) 458-8406. For office use only Date license(s) issued: Tag Numbers: 1.50 a- 2. 52- 3. Replacement Tag: Y / N (If replacement tag, then enter original tag number here Rabies Tag # Date Information entered into database: Revised 06/25/2018 By Whom: C4 of Yelm 105 YeSan Ave. W., Yelm, VIA 98597 Phone: (360) 4583244 Fax: (360) 4584348 wwvw.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 vroof 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 1 �� \ -li-� /Owner Phone Physics! Address:\ v E-mail Address `r� # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog:"'R k M l C, Male: Female: Spayed or Neutered: Y Breed: (X)' Yl Qoll r8�l 2. Name of Dog: �I.1� Male: _ Female: Spayed or Neutered: Y /l) Breed: 2 ( /\7j A Color: 11 per / b 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) 453-6406. For ®t'f ce use only �1 CCi Date license(s) issued: Tag Numbers: 1. SZ� 2. J UJ 3 Replacement Tag: Y / N (If replacement tag, then enter original tag number here: ) Proof of rabies enclosed: Yes_ No (please explain) Date Information entered into database: Revised 05/05/10 sjd By Whom: City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci.velm.wa.us Application for Dog License - Free Your lost dog is a phone call away when they wear their registration tag. Applications and license tags can be obtained at City Hall, Monday through Friday, 8:00 am to 5:00 pm or by printing the application from our website at www.ci.yelm.wa.us. Dog owners completing an application and returning it to City Hall will be issued a license tag. If you prefer to mail in your application, a tag can be mailed to you. The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Dogs are required to wear the rabies tag (Yelm Municipal Code — Chapter 6.12) and furnish proof to a Yelm Animal Control Officer, if requested. Current rabies tags are issued by a veterinarian. Owner Name: S Owner Phone #: D '�"219 Physical Address: 1� 33 g-- �t E-mail Address:'',, 1sq Pr I C # of Dogs: 2 (Maximum of three allowed per YMC Chapter 6.08.030, ) 1. Name of Dog -T, r 41 Male Female: _ Spayed or Neutered:/ N Breed: ��Yy� 1 �i� Color: 2. Name of Dog: © Male: Female: _ Spayed or Neutered: (@/ / N Breed: l 0.1"2 ! Color: _Trrtly 3. Name of Dog: Breed: Male: _ Female: _ Spayed or Neutered: Y / N Color: ---Fee S lied le: 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: 156� 2. S07 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. 1I E L PjA WASHINGTON City of Yelm 105 Yelm Ave. W., Yehn, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.yelmwa.gov Application for Dog License - Free For City of Yelm Utility Customers Only Your lost dog is a phone call away when they wear their registration tag. Applications and license tags can be obtained at Yelm City Hall, Monday through Friday, 8:00 am to 4:30 pm or by printing the application from our website at www.yelmwa.-gov. Dog owners completing an application and returning it to City Hall will be issued a license tag. If you prefer to mail in your application, a tag can be mailed to you. The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Dogs are required to wear the rabies tag (Yelm Municipal Code — Chapter 6.12) and furnish proof to a Yelm Animal Control Officer, if requested. Current rabies tags are issued by a veterinarian Owner Name: L u 1{c� v� .. ,rte Owner Phone #: 57 Physical Address: /-57 yo Ye I, T -e✓ -''C%- E-mail Address: f eyu„„«, $Za���9/ r/era;,., # of Dogs: 3 (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: C Male: K Female: _ Spayed or Neutered: Y / (R Breed: Color: 4 h 2. Name of Dog: �e Male: _ Female: Spayed or Neutered: ©/ N Breed: Color: 3. Name of Dog: Le, Male: _ Female: �. Spayed or Neutered: Y / Breed: �Lti / ,��,,� �r' Color: %✓d� �� Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070) To report a lost dog or if you have an animal complaint please call our Public Works Department at (360) 458-8406. For office use only Date license(s) issued: Tag Numbers: 1 �,�� 2. �V 3. 55l U Replacement Tag: Y / N (If replacement tag, then enter original tag number here: ) , Rabies Tag # Date Information entered into database: By Whom: � \ a,",/ City of Yelm 105 Yehn Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.yelmwa.gov Application for Dog License - Free For City of Yelm Utility Customers Only Your lost dog is a phone call away when they wear their registration tag. Applications and license tags can be obtained at Yelm City Hall, Monday through Friday, 8:00 am to 4:30 pm or by printing the application from our website at www.yelmwa.00v. 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 __\SCk(3 Physical Address: LIS i� # of Dogs E-mail Address: QasVx cv� (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: Dm r"„ Male: � Female: _ Spayed or Neutered: v 19, N Breed: U lx Color: (v '\),)I 2. Name of Dog: I I, Y) C.", + Male: _ Female: X_ (Y Spayed or Neutered: / N Breed: ((?A 'ado_ Q_ Color: �Lti � I Lt' L40' kat 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 I Date license(s) issued: / Tag Numbers: 1, l 2. ;. Replacement Tag: Y / N (If replacement tag, then enter original tag number here: Rabies Tag # Date Information entered into database: Revised 06/25120' 8 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.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: P a c 'M e S S b Ol rq C r Owner Phone #: 7?07. 2.9-h - �cl q4 V Physical Address: Cr�i�Cl�ris�ens�nl�@9'�c rn ��' ) rwn-. 1�rve t�h� ye,lm t�� E-mail Address: # of Dogs: I (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: Ch 0 V 11 JMale: _ Female: -X—Spayed or Neutereda/ N Breed: m i ll f 1 UISil-ollion S�����'I�,1�rr1 Color: )R'0.'n6 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 {� �j Date license(s) issued: Tag Numbers: 1.J,� 2. 3. Replacement Tag: Y / N (If replacement tag, then enter original tag number here: ) Rabies Tag # Date Information entered into database: 10113 By Whom: MO / City of Yelm 105 `helm, Ave. W, Ye1rn, WA 08597, Phone: (360) 458-3244 Fax: (360) 458-4348 www.cLyelm.wa.us Application for Dog License Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code - Chapter 6.08.070) The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Registrations cannot be issued unless proof of current rabies inoculation is provided with this application. The dogs are required to wear the rabies tag issued by the veterinarian. (Yelm Municipal Code - Chapter 6.12) Owner Name: L e)W ef' ���N q W; ��'a.�) Owner Phone #: 707- 631- 8 S Z y Physical Address: /0 33 Ll Pay' k u,'e 0 ko E-mail Address: # of Dogs: Z (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: L U Cy G�� f'�,y� Male: Female: Y qa e r 0/(Ij Breed: Do6er mAr✓ ��� Color: 8101o'- t -Mky 2. Name of Dog: M ,'�vk 1„�,� l«, > Male: _ Female: ZC a e r Neutered:/ N Breed: Dd b1e/MgW ^A Color: 6/-1 c /( g %4H/ 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) 458-8406. For office use only Date license(s) issued: I Tag Numbers: 1. l 2. C5 IS 3. Replacement Tag: Y / N (If replacement tag, then enter original tag number here: ) Proof of rabies enclosed: Yes_ No (please explain) Date Information entered into database: Revised 05/05/10 sjd By Whom: City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.yelmwa.gov Application for Dog License - Free For City of Yelm Utility Custoiners Only Your lost dog is a phone call away when they wear their registration tag. Applications and license tags can be obtained at Yelm City Hall, Monday through Friday, 8:00 am to 4:30 pm or by printing the application from our website at www.velmwa.gov. Dog owners completing an application and returning it to City Hall will be issued a license tag. If you prefer to mail in your application, a tag can be mailed to you. The City of Yelm requires all dogs to be registered annually andhave 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 O V/ l & VA Rj `V u(a' Owner Phone #: (2 5-5) - -'i W - (0-4-145 Physical Address: \ dUXAMOM& p{ -t SYS`W)Pr E-mail Address:wblAVey-a qq `'ate cwt # of Dogs: ' (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: I cow -2. t Male: _X_ Female: _ Spayed or Neutered: Y /0 Breed: Nh -7-<"a Color: bl)l d1?jn 91'tbyqy-\ _ 2. Name of Dog: Male: _ Female: _ Spayed or Neutered: Y / N Breed: 3. Name of Dog: Breed: Color: Male: _ Female: _ Spayed or Neutered: Y / N Color: Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code - Chapter 6.08.070) To report a lost dog or if you have an animal complaint please call our Public Works Department at (360) 458-8406. For office use only Date license(s) issued: Tag Numbers: 1. 2. 3. Replacement Tag: Y / N (If replacement tag, then enter original tag number here: ) Rabies Tag # i(\ Iv n Date Information entered into database: By Whom: City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone. (360) 458-3244 Fax: (360) 458-4348 . www.yelmwa.eov Application for Dog License - Free For City of Yelm Utility Customers Only Your lost dog is a phone call away when they wear their registration tag. Applications and license tags can be obtained at Yelm City Hall, Monday through Friday, 8:00 am to 4:30 pm or by printing the application from our website at www.yelmwa.gov. Dog owners completing an application and returning it to City Hall will be issued a license tag. If you prefer to mail in your application, a tag can be mailed to you. The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Dogs are required to wear the rabies tag (Yelm Municipal Code - Chapter 6.12) and furnish proof to a Yelm Animal Control Officer, if requested. Current rabies tags are issued by a veterinarian Owner Name: �O u c-Vn e_u jr\nZ�Q)n Owner Phone #: 7J (a Physical Address: u OR LA )0SV-- 1 --%4o r-) A-ve E-mail Address: Q pLkv- S\'on 2t1 7 'lelnn, UJA a85cl-I hOtrma+l. co # of Dogs: 2 (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: 1A J i h Male: _)(_ Female: _ Spayed or Neutered: & N Breed: 2 . • • /. 2. Name of Dog`: _T k -&IS Male: � Female: _ Spayed or Neutered: &/ N Breed: 6' ' Y��uo, Color: b1("(N� r t P 3. Name of Dog: Breed: Male: _ Female: _ Spayed or Neutered: Y / N Color: Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code - Chapter 6.08.070) To report a lost dog or if you have an animal complaint please call our Public Works Department at (360) 458-8406. For office use only Date license(s) issued: Tag Numbers: 1. 2.� 3. Replacement Tag: Y / N (If replacement tag, then enter original tag number here: ) Rabies Tag # Date Information entered into database: By Whom: City of Wm 305 Yehan Ave. W., Yelm, VIA 98597 Phone: (360) 458-3244 Fax. (360) 458-4348 usrWW.ci.yelrn.Wa.us AppAlcatlon 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 aoolication. The dogs are required to wear the rabies tag issued by the veterinarian. (Yelm Municipal Code — Chapter 6.12) ` \ Owner Name: Owner Phone #: Physical Address: 9D6W5 amn)//'� E-mail Address: �t!'!G+/c,� � ccPa'� hoo # of Dogs: C�21' (Maximum of three allowed per YMC Chapter 6.08.030) Name of Dog: ` (xa re / k Male Breed: �►'Pl� 7, Female: _ Spayed or Neutered: Y Color: RT, -n Ile 2. Name of Dog: Male: _ Female: X Spayed or Neuterec�6' N Breed: 151'%1 Color: 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) 456-6406. For office use only P� �( r Date licenseNi s) issued: I �'� l� Tag Numbers: l.'S 2. 5&b 3. Replacement Tag: Y / N (If replacement tag, then enter original tag number here: �i ) Proof of rabies enclosed: Yes_ No (please explain) rt''A 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.yelmwa.gov Application for Dog License - Free For City of Yelm Utility Customers Only Your lost dog is a phone call away when they wear their registration tag. Applications and license tags can be obtained at Yelm City Hall, Monday through Friday, 8:00 am to 4:30 pm or by printing the application from our website at www.yelmwa.gov. Dog owners completing an application and returning it to City Hall will be issued a license tag. If you prefer to mail in your application, a tag can be mailed to.you. The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Dogs are required to wear the rabies tag (Yelm Municipal Code — Chapter 6.12) and furnish proof to a Yelm Animal Control Officer, if requested. Current rabies tags are issued by a veterinarian Owner Name:E , 1 V a,4X 1_ ft �. Owner Phone Phvsical Address:l ✓fit t h t,Y1 1/ I\P N �� F -mail Aririracc # of Dogs: (Maximum of three avowed per YMC Chapter 6.08.030) 1. Name of Dog: LMale:/K Female:_ Spayed,or Neutere / N Breed:l > RQ,i„s�-v��� Color: 2. Name of Dog: Breed: 3. Name of Dog: Breed: Male: _ Female: _ Spayed or Neutered: Y / N Color: Male: _ Female: _ Spayed or Neutered: Y / N Color: Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070) To report a lost dog or if you have an animal complaint please call our Public Works Department at (360) 458-8406. For office use only Date license(s) issued: I /oil Tag Numbers: 1.5� 1 2. 1 Replacement Tag: Y / N (If replacement tag, then enter original tag number here: ) Rabies Tag # Date Information entered into database: By Whom: Revised 06/25/2018 AUG/14/2018/TUE 03;35 PM FAX No. P.001 I Ov F K`�L. -7 Vff-Tt KI KY.' ... . :i�lOSrITAL :4 9111346th Street, Suite 5 Roy, WA 98580 Phone M (360) 458-2600 Fax M 1(866) 494-8156 From: Horse Cart Vet Fibs ital Regarding: XY10. -"1rr" n Message: Fax: Number of Pages: AUG/'14/2018/TUE 03:36 PM FAX No, P. 002 Morse Cart Small Animal Hospital 9111 346th Street South #5 Roy, WA 98580 360-458-2600 Printed: 08-1418 at 3:29p PLJENT J.NFQRMATIQN. Name Noelse Jordan (3879) Address PO Box 1465; 38013 28th Ave S., Roy Spouse Russel Jordan McKenna, WA 98558 PATIENT INFORMATION Name Rocky Species Canine Sex Male, Neutered Breed Great Dane Birthday 11-04-10 Age 7y ID Rabies 178196 Color Black and White Weight 116.00 lbs Reminded 03-05-18 Codes Rocky's weight history (in lbs) Serial: 228165B 03-16-18 116.00 Mfg: PFIZE Admin: SQ 06-07-17 119.20 DT BORD 03-23-17 124.00 10-12-16 131.00 Serial: 144247E 09-24-16 129,80 Mfg: PFiZE Admin; SQ 10-27-15 127.00 DA3 03-26-15 121.20 02-09-15 123.20 Serial: 157286 MEDICAL HISTORY- Vaccination View Patient Chart Date By Code Description Qty (Variance) 03-16-18 EL 80RD Canine Bordetella Vaccination ID; Serial; 221884B Expires: 20MAY20 Type: EXT Mfg: PFIZE Admin, SQ LEPA Annual Leptospirosis Vaccine ID: Serial: 228165B Expires: 6NOV18 Type: KIL Mfg: PFIZE Admin: SQ 03-23-17 DT BORD Canine Bordetella Vaccination la: Serial: 144247E Expires: 20MAR19 Type: EXT Mfg: PFiZE Admin; SQ DA3 Canine DA, Distemper Vaccine, 3 yr ID: Serial: 157286 Expires: 26DEC17 'Type: MOD Mfg: PFiZE Admin: SQ LEPA Annual Leptospirosis Vaccine IG: Serial: 161968B Expires: 19DEC17 Type: KIL Mfg: PFiZE Admin; SQ 03-26-16 JM BORD Canine Bordetelfa Vaccination ID: Serial: A413084A Expires: 11/22/17 Type: EXT Mfg: PFiZE Admin: SQ LEPA Annual Leptospirosis Vaccine . ID: Serial: A516443C Expires: 19JUL16 Type: Kit. Mfg: PFIZE Admin: SQ PARV3 Canine Parvovirus Vaccination, 3 yr ID: Serial: A410805 Expires: 03152016 Type: MOD Mfg: PFIZE Admin: SQ 10-27-15 DT RAB3 Rabies Vaccination, Canine 3 yr, #178196 11): 178196 Serial: 541032B Expires: 06/06/16 Type: KIL Mfg: PFIZE Admin: SO 03-26-15 TEC BORD Canine Bordetella Vaccination AUG/14/2018/TUE 03:36 PM Horse Cart Small Animal Hospital 9111 346th Street South #5 Roy, WA 98580 360-458-2600 Patient Chart for Rocky Date: 08-1418, Time: 3:29p Date By Code ID: Serial: A406840A 02-09-15 DT DAPP5 ID: Serial: A402515 02-17-14 LEPA ID: Serial: A300356B 10-31-12 RA83 ID: Serial: 5406513 FAX No, P.003 Client: Noelee Jordan Page: 2 Description Qty (Variance) Expires; 05/31/17 Type: EXT Mfg: PFIZE Admin: SQ Adult DAPPL Vaccine Expires: 09/12/15 Type: MOD Mfg: ZOETI Admin: SQ Annual Leptospirosis Vaccine Expires: 07/22/15 Type: KIL Mfg: PFIZE Admin: SQ Rabies Vaccination, Canine 3 yr Expires: 12/08/15 Type: KIL Mfg; PFIZE Admin: SQ City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.yelnawa.gov Application for Dog License - Free For City of Yelm Utility Customers Only Your lost dog is a phone call away when they wear their registration tag. Applications and license tags can be obtained at Yelm City Hall, Monday through Friday, 8:00 am to 4:30 pm or by printing the application from our website at www.yelmwa.gov. Dog owners completing an application and returning it to City Hall will be issued a license tag. If you prefer to mail in your application, a tag can be mailed to you. The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Dogs are required to wear the rabies tag (Yelm Municipal Code - Chapter 6.12) and furnish proof to a Yelm Animal Control Officer, if requested. Current rabies tags are issued by a veterinarian Owner Name: e\ Rte. 2 � WfA-, t� Owner Phone #: 1 © 02 coo 3 Physical Address: _I I s L1 LO C � s A C� -SE E-mail Address: S c,4 mcg, I , or{)� # of Dogs: N (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: C-) f Male: i<- Female: _ Spayed or Neutered ) N Breed: oc)o(IL W Color: \ni �( C C, J -k 2. Name of Dog: J_ UU Male: Female: ><-Spayed or Neutered / N Breed: CAJ \alt +F _ / I�rC wri Pc- S Coo : -S� � t Zy m i 3. Name of Dog: Breed: Male: _ Female: _ Spayed or Neutered: Y / N Color: Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code - Chapter 6.08.070) To report a lost dog or if you have an animal complaint please call our Public Works Department at (360) 458-8406. For office use only Date license(s) issued: Tag Numbers: 1 �7c�� 2. 5�3: D_ 3 Replacement Tag: Y / N (If replacement tag, then enter original tag number here Rabies Tag # Date Information entered into database: By Whom: Revised 06/25/21018 City of Yelm 905 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci.yelm.wa.us Application for ®®g 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 Physical Address: �,� j �f E-mail Address:( --70( -a # of Dogs: a (Maximum of three allowed per YMC Chapter 6.08.030) ol /9 1. Name of Dog: W cq 4 Male: Female: _ Spayed or Neutered.(Y / N Breed: �__ILQA Color: �oac, 2. Name of Dog: Male: jz Female: _ Spayed or Neutered/ N Breed: Color: bn6 /f 3. Name of Dog: ^f Male: _ Female: V Spayed or Neutered: (D/ N Breed: 294::L� 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. rt-a-tos ogo-ri€-boa at c-o�-ptaint-p*ase call o-rr Pubtac Works Department at (360) 458-8406. For office use _on1 ---- - -._ ._._.........._ ._ `� �_l Date license(s) issued: 1 Tag Numbers: 2.� 3. Replacement Tag: Y (N(�f replacement tag, then enter original tag number ) Proof of rabies enclosed: Yes _ No (please explain) Date Information entered into database: By Whom: Revised 05/05/10 sjd City of Yelm 305 Yelm, Ave. ti',, Yelrn, VIA, 98597 Phone: (360) 458-3244 Fax: (3f 0) 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) LIde, �+�iOwner Name: �2 .` e Owner Phone #: Iya .65C, S - ( 3 Physical Address: tc d eGl 6L -P[ d '�'f S6 E-mail Address: ,) L fi Cow. # of Dogs: J (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: d LU- e `�u� 5 Male: emale: Spayed or Neutered: Y /'lam Breed: /� 0(S 5 / Color: `k Q L -1V 2. Name of Dog: Q�' //y C-< Male: Female: Spayed or Neutered: Y /O Breed: 4.. 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) 453-6406. For office use only Date license(s) issued: Tag Numbers: 1.5 �3b 2-5-J / 3 Replacement Tag: Y (If replacement tag, then enter original tag number here Proof of rabies enclosed: Yes_ No (please explain),Ao-I.Vu 0 UrAx L Date Information entered into database: By Whom: City of Yelm 905 Yelm, Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.cl.yelm.wa.us Application for ®®g License u� \ 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 goof 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: �nm,- VQOwner Phone Physical Address: l �Y.����`E-mail Address: # of Dogs: `.') (Maximum of threeI(owed per YMC Chapter 6.08.030) 1. Name of Dog: Male: _ Female: Spayed or Neutered: N { 1 Ua Color: Breed: 2. Name of Dog: e Male: Female: Spayed or Neutered: Y /N ! Breed: Ua Color: BAID On lk)/ 3. Name of Dog: B Male: Female: Spayed or Neutered: Y k h,� h Breed: (�1.� Color:l� )l �- W/61_0 wn 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. Foir office use only Date license(s) issued: Tag Numbers: 1. 2.5 � 3.6 3 y Replacement Tag: Y /If replacement tag, then enter original tag number here: ) Proof of rabies enclosed: Yes_ o lease explain) Lk—),( 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.yelmwa.g®_v Application for Dog License - Free For City of Yelm Utility Customers Only Your lost dog is a phone call away when they wear their registration tag. Applications and license tags can be obtained at Yelm City Hall, Monday through Friday, 8:00 am to 4:30 pm or by printing the application from our website at www.yelmwa.gov. Dog owners completing an application and returning it to City Hall will be issued a license tag. If you prefer to mail in your application, a tag can be mailed to you. The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Dogs are required to wear the rabies tag (Yelm Municipal Code - Chapter 6.12) and furnish proof to a Yelm Animal Control Officers if requested. Current rabies tags are issued by a veterinarian .,�* �i Owner Name: �CG - ��Owner Phone #: �7 76 - c� SO Physical Address: a Q (l "� �-"P Al -/e ATE -mail Addres4b R P/" 1-0 I y' C�, # of Dogs: / (Maximum of three allowed per YMC Chapter 6. 8 030) T° N e Name of Dog: C4- e Male: _ Female: spayed or Neutered:/Y,/ N Breed: oJt�4 Color: 2. Name of Dog: Breed: 3. Name of Dog:, Breed: Male: _ Female: _ Spayed or Neutered: Y / N Color: Male: _ Female: _ Spayed or Neutered: Y / N Color: Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code - Chapter 6.08.070) To report a lost dog or if you have an animal complaint please call our Public Works Department at (360) 458-8406. For office use only [� 2 Date license(s) issued: I Tag Numbers: 1. D ZJ 2 Replacement Tag: Y �f replacement tag, then enter original tag number here: ) Rabies Tag # V q C C (�_Q 'D� Date Information entered into database: By Whom: Revised 06/25/2018 City of Yelm 105 Yehn Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 YELM Application for Dog License - Free For City of Yelm Utility Customers Only Your lost dog is a phone call away when they wear their registration tag. Applications and license tags can be obtained at Yelm City Hall, Monday through Friday, 8:00 am to 4:30 pm or by printing the application from our website at . Dog owners completing an application and returning it to City Hall will be issued a license tag. If you prefer to mail in your application, a tag can be mailed to you. The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Dogs are required to wear the rabies tag (Yelm Municipal Code — Chapter 6.12) and furnish proof to a Yelm Animal Control Officer, if requested. Current rabies tags are issued by a veterinarian ,L Owner Name: l� ai ttn Lashes /?Xth '(� Owner Phone #: ( _3(¢0) Physical Address: . te_\jQX1 S 0.\/Z NF E-mail Address: 5CL5S iR0-- "1 'LRO YY1 i (.0 Orr) # of Dogs: VA (Maximum of three allowed per YMC Chapter 6.08.030) Name of Dog: 7V e. Male: V Female: _ Spayed or Neutered: 0 N Q Breed: [�Urder Ci6 t t l e, Color. taC,k 2. Name of� Dog: I " O-66 Male: _ Female: V Spayed or Neutered: Ya N Breed: DC)Y& 1- Co 17- Color: & SLC k_ W h 1 3. Name of Dog: Breed: Male: _ Female: _ Spayed or Neutered: Y / N Color: Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070) To report a lost dog or if you have an animal complaint please call our Public Works Department at (360) 458-8406. For office use only �) Date license(s) issued: - � `7 J 7 Tag Numbers: 1.� 2. � 3. Replacement Tag: Y /0N (If replacement tag, then enter original tag number here: ) Rabies Tag # Date Information entered into database: LCI By 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: �, l ess , ky 1,e, Owner Phone #: S 6 " 31 O ' CQ 7 77 Physical Address: 5�} d $ ( b 9'+k \A) u E-mail Address: ,�pp •Care # of Dogs: JL (Maximum of three allowed per YMC Chapter 6.08.030) Name of Dog: kJ lm o k--e-L i Male: _ Female: -4 Spayed or Neutered/ N Breed:2LA �`2�¢.� e le ,oi )C sm&I)Color: R41—is 1nyawh- h?11L Ck LA14-,,- 2. f{ 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: e zpeauie: Do Licen REE 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. SU 2. Replacement Tag: Y / N (If replacement tag, then enter original tag number here: ) Rabies Tag #: Date Information entered into database: By Whom: M" - 10/13 City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci.yelm.wa.us Application for Dog License - Free Your lost dog is a phone call away when they wear their registration tag. Applications and license tags can be obtained at City Hall, Monday through Friday, 8:00 am to 5:00 pm or by printing the application from our website at www.ci.yelm.wa.us. Dog owners completing an application and returning it to City Hall will be issued a license tag. If you prefer to mail in your application, a tag can be mailed to you. The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Dogs are required to wear the rabies tag (Yelm Municipal Code — Chapter 6.12) and furnish proof to a Yelm Animal Control Officer, if requested. Current rabies tags are issued by a veterinarian. Owner Name: _ v �v Owner Phone Physical Address: l � wi-f E-mail Address:,la VI boclAG # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: u"' v Male Female: Spayed or Neutered: Y / Color:- 2. Name of Dog: / Male: _ Female: Spayed or Neutered: l'J' N Breed: G U_C, 5 U 0 W e Color: '✓�' C 3. Name of Dog: Male: _ Female: _ Spayed or Neutered: Y / N Breed: Color: Dog License: FREE Replacement Tag: $2.00 j 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. 53� 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: NU City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 4584348 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: 3K t Y` !ice' Owner Phone #: 9-53/ (00(O- $L4 1 Physical Address: 10LI34 %IruVf, l .5C \141Wd E-mail Address:5l4f'AM G -kW # of Dogs: i(Maximum of three allowed per YMC Chapter 6.08.030) Name of Dog: A" �f � Male: I Female: _ Spayed or Neutered& N Breed: yaiiCfimn ,, -r40 ,t - Color: U awk. a nal. To 2. Name of Dog: Breed: 3. Name of Dog: Breed: Male: _ Female: _ Spayed or Neutered: Y / N Color: Male: _ Female: _ Spayed or Neutered: Y / N Color: Fee Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code - Chapter 6.08.070) To report a lost dog or if you have an animal complaint please call our Public Works Department at (360) 458-8406. For office use only Date license(s) issued: Tag Numbers: 1. 2. Replacement Tag: Y / N (If replacement tag, then enter original tag number here Rabies Tag # Date Information entered into database: 10/13 By Whom: 3 City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci.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:—"0- owhone— Physical Address: h!�; E-mail Address: # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: Male: �_ Female: S payed or Neutered: Y N Breed: J�%%jL//���'C_ Color: 2. Name of Dog: Male: _ Female: _ Spayed or Neutered: Y / IN Breed: Color: 3. Name of Dog: Male: _ Female: _ Spayed or Neutered: Y / Breed: Color: Fee Sch-edu e: Dog License: FREE -- — — — - — - Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code — Chapter 6.08.070) To report a lost dog or if you have an animal complaint please call our Public Works Department at (360) 458-8406. For office use only Date license(s) issued: Tag Numbers: I.SU 1 2. 3. Replacement Tag: Y / N (If replacement tag, then enter original tag number here: ) Rabies Tag #: Date Information entered into database: 10/13 By Whom: City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.ci.yelm.wa.us Application for Dog License - Free Your lost dog is a phone call away when they wear their registration tag. Applications and license tags can be obtained at City Hall, Monday through Friday, 8:00 am to 5:00 pm or by printing the application from our website at www.ci.yelm.wa.us. Dog owners completing an application and returning it to City Hall will be issued a license tag. If you prefer to mail in your application, a tag can be mailed to you. The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Dogs are -required -to wear -the -rabies tag (Y -elm Municipal Code— Chapter 6.12) and -furnish proof to_a Yelm___ Animal Control Officer, if requested. Current rabies tags are issued by a veterinarian. QrA CIA Owner Name: QQLQ £�QAJ)VJqWe_ I e`[[J Owner Phone #: l� d 7" /d 0 O y 7��of ��i9 N N� ®�r � A Physical Address: E-mail Address: # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: A Am b 8 e_'4� Male: [" Female: _ Spayed or Ne.uteredo N Breed: Ef ( h (,Q,a.{'[.u':r _ Color: . P 2_GL-Gl� 2. Name of Dog: ge l ClL Male: _ Female: k'� Spayed or Neutered N nn � r nnJJ Breed: l� L P C�� � Color: /�L �< 1121 ,� k -,0&)-A1 "�- & 3 -Name of Dog: -- Breed: ­_ _ - --Male: -- Fee Schedu e: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog Color: emale: = Spayed or-Neuiered: Y / IV I $500.00 (Yelm Municipal Code - Chapter 6.08.070) To report a lost dog or if you have an animal complaint please call our Public Works Department at (360) 458-8406. For office use only Date license(s) issued: Tag Numbers: 1._ Replacement Tag: Y / N (If replacement tag, then enter original tag number here: Rabies Tag #: Date Information entered into database: 10/13 By Whom 2. 3:" City & 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 Nam4'1"9'qr'1 /,f.L(L9 /.SS0 9 Owner Phone -z Physical Address: E-mail Address: # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: 7 Male: Y Female: _ Spayed or Neutere6/ N Breed: `cj ;�'?_,GC Color: 2. Name of Do g: � ./�}/'�'[C��Pi Male: -_x Female: Spayed or Neutered, Y// N act- c Breed: 6L.�UkY1711Color: 3. Name of Dog: Breed: 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 complaintple a call our Public Works Department at (360) 458-8406.7 For office use only Date license(s) issued: Tag Numbers: 1. 2. V �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: V�\' '� 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. weA U r _;� a � � �� �� Owner Name:PI �J61 00,�11� v' , Owner Phone #: ,310 - S alp 9 -73 L7 Physical Address: I6 )3t Pra,I r i f e O .Gg LOU 5—F-- E-mail Address:A;j-_ ielle1 7,001n q,54. of �M / W f i 05-c1 % # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) 1. Name of Dog: A0110 Male: _ Female: Z Spayed or Neutered:/ N Breed: SCh f� (,� 'Z�� Color: 09 rQ 1 2. Name of Dog: W /'/7 ✓%/� Male: _ Female.k Spayed or Neutered: Y PN Breed: 3Ch gaze - Color: l) 3. Name of Dog: CCL Male: _ Female: Z Spayed or Neutered: Y / Breed: Si t/. h T 2 Color: 131' ole Lyb 4f Fee 5cNe—cfule: 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. 74TV 3. Replacement Tag: Y / N (If replacement tag, then enter original tag number here: Rabies Tag #: Date Information entered into database: 10/13 By Whom: City of Yelm 105 Yehn Ave. W., Yehn, WA 98597 Phone. (360) 458-3244 Fax: (360) 458-4348 www.yelmwa.gov Application for Dog License - Free For City of Yelm Utility Customers Only Your lost dog is a phone call away when they wear their registration tag. Applications and license tags can be obtained at Yelm City Hall, Monday through Friday, 8:00 am to 4:30 pm or by printing the application from our website at www.yelmwa.gov. Dog owners completing an application and returning it to City Hall will be issued a license tag. If you prefer to mail in your application, a tag can be mailed to you. The City of Yelm requires all dogs to be registered annually and have current rabies inoculations. Dogs are required to wear the rabies tag (Yelm Municipal Code – Chapter 6.12) and furnish proof to a Yelm Animal Control Officer, if requested. Current rabies tags are issued by a veterinarian Owner Name: 39-170f A -+ AwA SEL- WE F? Owner Phone #: g35-(_olq-3.')G? Physical Address: 164091 (;KEEnlQRie[LST SC, YELK 98697 E-mail Address: # of Dogs: a (Maximum of three allowed per YMC Chapter 6.08.030) Name of Dog: EARL Male: X Female: _ Spayed or Neutered: 0 N Breed: 2. Name of Dog: RE A Color: 3vacK Male: _XFemale: _ Spayed or Neutered: I/ N Breed: LAG m ix Color: 31 LA l- 3. Name of Dog: Breed: Male: _ Female: _ Spayed or Neutered: Y / N Color: Fee Schedule: , Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog: $500.00 (Yelm Municipal Code – Chapter 6.08.070) To report a lost dog or if you have an animal complaint please call our Public Works Department at (360) 458-8406. For office use only Date license(s) issued: Tag Numbers: 1. SS0 2. y 3. Replacement Tag: Y / N (If replacement tag, then enter original tag number here: ) Rabies Tag # Date Information entered into database: Revised 06/25/2018 By Whom: City of Yelm 105 Yelm Ave. W., Yelm, WA 98597 Phone: (360) 458-3244 Fax: (360) 458-4348 www.-d.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: A-V'7e la s E���1( t j Owner Phone #: Physical Address: i! - E -ma g dress 4 of Dogs: (I►fllaX/M tot ree aMe6d of YMC Chapter 6.08.030) 1. Name of Dog:} �(C�� It ��/t V I ,Male: _ Female: Spayed or Neutered: Y /6 Breed: - ` \ Color: 2. Name of Dog: Male: _ Female: _ Spayed or Neutered: Y / N Breed: Color: 3. Name of Dog: Male: _ Female: _ Spayed or Neutered: Y / N Breed: Fee—Schedule: Dog License: FREE Replacement Tag: $2.00 Annual Registration for Dangerous Dog Color: $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: 1.5's 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: tc ""/) — 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: l" YA b'l + Owner Phone #: �S(,,o —q S ( -- S i�; '-_43 Physical Address: �'P�ia (—A X 1" Se E-mail AddressSC cD # of Dogs: (Maximum of three allowed per YMC Chapter 6.08.030) maII Cov Name of Dog: moi' 1LdbL51. Male Female: -I_ Spayed or Neuteref�i: Yy N Breed: 10do i� ry Color: v 2. Name of Dog: ��� Male:y_ Female: _ Spayed or Neutered: Y n N Breed: Color: P)ICI CSC--�P,tA� �kD� Lt 3. Name of Dog: Breed: Male: _ Female: _ Spayed or Neutered: Y / N Color: -Fee Schedu e: '�j6rh c i��, on Rwacoo 4 o6,ar Dog License: FREE Replacement Tag: $2.00 qac cvis :C-5 "-eA 1'ti'1 V_e� 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: 1.5S 2. Replacement Tag: Y / N (If replacement tag, then enter original tag number here: ) Rabies Tag #: Date Information entered into database: 10/13 By Whom: \0",/