GOLD COAST CITY COUNCIL PO Box Gold Coast Mail Centre

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GOLD COAST CITY COUNCIL PO Box Gold Coast Mail Centre Powered By Docstoc
					GOLD COAST CITY COUNCIL
PO Box 5042, Gold Coast Mail Centre Qld 9729 goldcoastcity.com.au General enquiries (07) 5582 8211 Main Office Locations: Nerang Surfers Paradise 833 Nerang-Southport Road 135 Bundall Road Fax: (07) 5596 3653 (Nerang) Fax: (07) 5581 6346 (Surfers Paradise) Local Law No. 12 Control of Dogs

DOG REGISTRATION RENEWAL NOTICE / RENEWAL TAG NOT RECEIVED
Please complete the detail below if you have not received your renewal notice and/or new dog registration tag/s that has been issued. If you have changed your address, please complete your new details below. All enquiries should be referred to the Licensing Section on (07) 5581 6668

I, of

Have you changed address recently? Postal Address (if different from above) Phone Number (H) (other)

Yes

No

(B)

(M)

do solemnly and sincerely declare that I did not receive a renewal notice / tag. Signature of applicant/owner Date. Witness Office use only
Licence number Record no. Eg D01, D02 Primary breed Period 1yrs / 3yrs Tag no. issued on renewal notice Replacement tag no. Receipt no

Date

08/09 Renewal/Tag Not Received

Created 7/6/2008


				
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