Rabies tag order form

For office use only

Date:

Receipt #

St.

Louis County Department of Public Health

Annimal Care & Control

Rabies Tag Order Form

Indicate supplies needed

 Certificates

 Envelopes

 “O” rings

This form will be used as an internal receipt. Before any other tags can be issued, this tag order must be paid in full.

Date ordered:

Date Processed:

Signature:

Today’s Date:

Mailed