HomeMy WebLinkAbout1969_VILLAGE OF POTOSIFORM D. L.-1
N. C. MILLER CO.. MILWAUKEE
WISCONSIN STATE DEPARTMENT OF AGRICULTURE
DOG REPORT BY ASSESSOR
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WHITE -LOCAL TREASURER'S COPY
CANARY -COUNTY CLERK'S COPY
PINK -FILE COPY
DATE / / 99(2L,
NAME OF OWNER OF DOGS
(OR PERSON WHO KEEPS OR HARBORS DOGS)
ADDRESS OF OWNER
CITY AND STREET
NO. OF DOGS
COLOR
"
BREED
MALE
SPAYED
FEMALE
UY-
SPAYED
FEMALE
2
f
i
3
��
k
4
6
7
/[
X
9
I
10
11
j
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
Date Returned Signed Assessor
Assessment District of
County of