CITY
OF FORT CALHOUN
110 South 14th Street
Fort Calhoun, NE 68023
dog
license
Dog Licenses must be
purchased annually by May 1 and are valid until May 1 of the following year.
Proof
of vaccination must accompany all license applications.
FEES:
$2 for spayed or neutered pets. $4 for unaltered pets.
Owner's Name: ______________________________________________________________________ Date: _______________
Address: __________________________________________________________________________________________________
Name of Animal: ______________________________ Markings: _________________________________________________
Male: ___________ Female: ___________ Unsexed? Yes___________ No ___________
Breed:
Boxer
Bull
Chihuahua
Chow
Collie
Dachshund
Great
Dane
Hound
Mixed
Breed
Pekingese
Poodle
Setter
Shepherd
Spaniel
Terrier
Other (describe) _____
Enclose fee payment and proof of vaccination with application.
Mail or deliver to :
Fort Calhoun City Hall
110 S. 14th St.
Fort Calhoun, NE 68023