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LICENSE FEE: $16.00
GOOD UNTIL JAN. 31, 2009!







 Make Checks or Money Orders Payable to: Cuyahoga County Treasurer

Mail check or money order AND completed application to:

The Cuyahoga County Animal Shelter
9500 Sweet Valley Drive
Valley View, Ohio
44125.

You may also take this application to your nearest substation. Call (216) 525-PUPS for the location of the closest substation.
A penalty equal to the cost of your dog license will be assessed if license is not obtained before January 31, 2008.
2008 CUYAHOGA COUNTY DOG LICENSE APPLICATION
LICENSE FEE DUE BY JANUARY 31, 2008
THIS LICENSE EXPIRES JANUARY 31, 2009
NEW LICENSE NUMBER
 
DATE ACQUIRED
OUTSIDE OHIO
BECAME 3 MONTHS
FOR AUDITOR'S USE ONLY
If you no longer own your dog, check here [ ]
FRANK RUSSO
CUYAHOGA COUNTY AUDITOR
CURRENT LICENSE NUMBER AGE SEX: M/F COLOR HAIR BREED
SPAYED OR NEUTERED FEE PAID PENALTY
DOGS NAME
Name
Address
City -State -Zip
Home Phone Number
(216) _ _ _ - _ _ _ _		 Work Phone Number
(216) _ _ _ - _ _ _ _		 e-mail
Applicant Signature Date Deputy or Agent Date
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