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L,icen5e Report <br />License Report <br />Print Date/71 e: 4/9/2014 1 :40:2'9 PM <br />License Number: 134923 <br />Issue Date: 6/26/2013 <br />Owner Information <br />Name: WIOTA, JAMES <br />Phonel: (541) 736 -6240 Type: - Residential <br />Phone2: (541) 461 -5591 Type: Residential <br />Street Address: _ (wiling Address: <br />1020 CINNAMON AVE same <br />Eugene, Oregon 97404 <br />License Details <br />Tag: <br />134923 <br />Type: <br />Dog <br />Issued By: Lane CountyAnlmaf Services <br />Jurisdictian: <br />LC <br />Issued: <br />6/2612013 <br />r - iE pires: <br />7/1/2014 <br />Years: <br />1 <br />fee-. —„"S-. <br />00 <br />Senior: <br />No Altered: No <br />Cancelled: <br />No <br />Rabies: <br />120569 <br />Expires: <br />7/3012015 <br />Animal Information <br />IVam <br />IQLLY <br />Species- Dog <br />Breed: <br />ENGLISH SPRINGER SPANIEL <br />Color: WHITE /LIVER <br />Eye Color: <br />Weight: <br />Sex: <br />F <br />Altered: N <br />Ear Type: <br />Tail Type: <br />Length:- — <br />Age: <br />Young Adult - 3 Years, 3 Months <br />Chip: <br />AVID - 068288038 <br />Vet: <br />http;U irisidelane/ pettrack/LicenseReport.aspx ?pid= 84525 4/9/2014 <br />