Dog License

New Jersey Dog License
Borough of Rutherford	Bergen County
This license to own, keep or harbor

This Dog:____________________________	described below is issued to:
Name of Owner:________________________________________________
Address:______________________________________________

DESCRIPTION OF DOG

Tel. No.____________________

SEX:

Male
Female

AGE:__________

HAIR:

Long
Short

Breed		Color
Beagle Bichon Frise Cocker Spaniel Collie Dachshund Golden Retriever	Labrador Retriever Lhapso Apso Mixed Poodle Shepherd Terrier Other	Gray Brown Black Red Tan White Fawn Other

Rabies immunization expiration date:____________________

Not Altered: $8.00
Altered Fee: $7.00
Total:__________ ______________________________
Licensing Official
Chief of Police

Note: This license expires January 31, 2001 and is subject to renewal during January 2001 at the record bureau of the Rutherford Police Department. If the dog no longer resides in Rutherford or is deceased, the record bureau must be notified.

NUMBER:____________________

Rabies immunization expiration date:____________________
Not Altered: $8.00 Altered Fee: $7.00 Total:__________	______________________________ Licensing Official Chief of Police
Note: This license expires January 31, 2001 and is subject to renewal during January 2001 at the record bureau of the Rutherford Police Department. If the dog no longer resides in Rutherford or is deceased, the record bureau must be notified.
NUMBER:____________________

New Jersey Dog License