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Attachment C <br /> Proposal for Towing Services <br /> /4)6 0.1444,.lac <br /> 1.Business Name:d�(f+ 'ert'atac� wi#7 Email address a4I&' -76(Vi4' re riv.� co`t <br /> 2. Business Address: x002'- 4J E (5 / 5r-n.eArr <br /> Phone:305-a' '?-340o City: P. J41944( Fe.,14zip: 33/6 a-- <br /> Mailing Address: V• a. BOX- /83 8'106 <br /> City: 11141 e...4.4Zip: 3601 3 <br /> State type of business enterprise(e.g.corporation,association, partnership,organization,joint venture, <br /> trust, foundation, firm,group, society, individual natural person, etc.): (..&a., 0?.-ccr,ox) <br /> 3.NAME ALL OWNERS,OFFICERS,AND PERSONS HAVING AN INTEREST IN THE TOWING AGENCY: <br /> (Attach additional sheets if necessary) <br /> a. NAME LA/1./2•1 Saatu.,uz ss# Sq a 97- 64594 <br /> ADDRESS /0 (i4:0 Pto✓ed— 4-ifts" . PHONE 30.5 50b 5798 <br /> CITY kb $A#14LiGIS STATE BIRTHDATE Iola-01197g <br /> b. NAME (e-fit./5 LI Liu 4,3" ss# 695.- - 66 g� <br /> ADDRESS_ S -s? .vie) /I D 5.7"; PHONE <br /> CITY N/A-/egrA STATE BIRTHDATE ?/d6/67,6 <br /> c. NAME SS# <br /> ADDRESS PHONE <br /> CITY STATE BIRTHDATE <br /> d. NAME SS# <br /> ADDRESS PHONE <br /> CITY STATE BIRTHDATE <br /> e. NAME SS# <br /> ADDRESS PHONE <br /> CITY STATE BIRTHDATE <br /> 4. Has the business enterprise, or any person whose name appears in this application, ever been convicted of any <br /> crime? y63 <br /> If so,list the name,the arrest and conviction record of each person: <br /> ® (Attach Additionalsheets if necessary) <br /> c e (.6 <br /> ��� <br /> 6 7 8F-40i1 -a <br /> 5. If a corporation,supply the following: <br /> A TT A C..NMF.NT"C'." <br />