Fillable Dog License Application PDF (City of Warrensburg)

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Dog License Application PDF (City of Warrensburg)

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Country of origin: US
File type: PDF

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BROWSE CITY OF WARRENSBURG (MO) FORMS

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Updated 02/20/18
Dog License Application
►City Ordinance requires that all persons within the City Limits who own a dog must obtain a
dog license.
►Dog Licenses are needed to assure all dogs residing in the city limits have current rabies
vaccination.
Owner Information
Date of Application:
Name of Dog Owner:
E-mail Address:
Street Address of Dog Owner:
City ─ State ─ Zip Code:
Mailing Address (if different from above):
City ─ State ─ Zip Code:
Phone# of Dog Owner:
Dog/Vet Information
Dog’s Name & Breed:
Veterinarians Business Name:
Rabies Expiration Date & Tag#: (Please Provide a Copy of Rabies Information)
License Fees (check applicable line)
Spayed Female/Neutered Male
fee
$ 5.00
Unspayed Female/Unneutered Male
fee
$10.00
The undersigned certifies the above information to be true and correct according to the undersigned’s
best knowledge and belief.
_______________________________________
Applicant’s Signature & Date
License#:
Amount Paid:
$
City Tag#:
Date Paid:
Carl Larkerbrink, City Collector
carll@warrensburg-mo.com
102-A South Holden St. ─ Warrensburg, MO 64093
Phone: 660-747-9131 – Fax: 660-747-8927
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Dog License Application PDF (City of Warrensburg)

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Completed 17 July 2020

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