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Document Murray_doc_912955170c

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Murray City Animal License Application C/O Murray City Treasurer’s Office 5025 S State Street #118 Murray, UT 84107 Phone: 264-2649 Office Hours: M-F 8:00 AM to 5:00 PM Owner Information Owner’s Name: Home Address: City: State: Zip Code: Mailing Address: City: State: Zip Code: Home Phone Number: Alternate Phone Number: Pet Information Dog Cat Ferret Male Neutered Female Spayed Pet’s Name: Breed: Color: Microchip: Yes No Rabies Tag Number: Expires: *Proof of rabies vaccination issued by a licensed veterinarian required. License Fees Dog, cat or ferret: $5.00 Late fee: $10.00 (in addition to regular fee) Senior citizen owners (over 60): $4.00 Please mail or return this form in person along with proof of rabies vaccination and fees to: Murray City Treasurer’s Office 5025 S State Street #118 Murray, UT 84107 Phone: 264-2649 *Make checks payable to Murray City Corporation. Office Use Only Tag Receipt Amount Paid: