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<br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br /> <br />Proposal for Towin~ Ser:yj~es. <br /> <br />City ~_.____ <br /> <br />__jip: <br /> <br />State type of business enterprise (eg corporation, association, partnership, organization, joint venture, <br />trust, foundation, firm, group. society, individual natural person, etc): --LDIpOYQ1l on <br />3_ NAME ALL OWNERS, OFFICERS, AND PERSONS HAVING AN INTEREST IN THE TOWING AGENCY <br /> <br />(Attach additional sheets if necessary) <br />a_ NAME-fil COlf'itfl-m_ ss# 12..2.-2~-qICL8 <br />ADDRESS \~3Q., Tll:J-cf 511'1:'(1=-_ . PHO_ NE e(6)v32. - q~l3 <br />CITY -tiGJlLJ IA.)O~____ STATE -X '-____BIRTHDATE ~ct38 <br />b NAME SS# <br /> <br /> ADDRESS ---.~--_.-._...-- PHONE <br /> CITY STATE BIRTHDA TE <br />c_ NAME ..----..--- SS# .------ <br /> ADDRESS PHONE <br /> CITY ----. ---_.~-- STATE BIRTHDA TE <br />d_ NAME SS# <br /> ADDRESS PHONE <br /> CITY STATE BIRTHDA TE <br />e NAME -~- SS# <br /> ADDRESS --------- PHONE <br /> CITY "------ STATE BIRTHDA TE <br /> <br />4. Has the business enterprise, or any person whose name appears in this application, ever been convicted of any <br />crime? _ <br />If so, list the name, the arrest and conviction record of each person: <br />(Attach Additional sheets if necessary) <br /> <br />5_ If a corporation, supply the following <br /> <br />A TT A rl--JMFNT "r'~ <br /> <br />25 <br />