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ANIMAL LICENSE Animal Information: Species (circle one) DOG CAT Pet’s name: Pet’s breed(s): Pet’s color(s): Pet’s age: Pet’s DOB: / Pet’s gender: Has pet been sterilized (spayed/neutered)? YES NO Owner’s name: Owner’s physical address: City Owner’s mailing address: City Owner’s home phone: Owner’s Cell phone: Owner’s Email Address: DOG LICENSE-Required by County- 1 Year Sterilized $10 3 Year Sterilized $25 1 Year Unsterilized $30 3 Year Unsterilized $75 CAT LICENSE- Optional by County- 1 Year Sterilized $5 3 Year Sterilized $15 1 Year Unsterilized $15 3 Year Unsterilized $40 Veterinarian Information: Dr. and clinic Name Address: Phone: Attach Rabies Vaccination record to this form. FOR OFFICE USE ONLY: Tag Number: Officer: Entered: Payment Date: Received by: Receipt Park County Sheriff’s Office PO Box 604 Fairplay, CO 80440 [PHONE REDACTED] Sheriff Tom McGraw