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Attachment C <br /> Proposal for Towing Services <br /> 1. Business Name: Dolphin lore tncj 111), ItlCEmail address 61011*In-ltijw i n9- r-ec-Ove r9 c� i o fma'I . <br /> 2. Business Address: MO O NE 153 S+ree} <br /> Phone:68(o) 521- 1Sci3 City: North Miami &each'l zip: 33I (0Z <br /> Mailing Address: IMO NE 153 SfrC f <br /> City: North M tam i Beach Zip: 33 t l02_ <br /> State type of business enterprise (e.g.corporation,association, partnership,organization,joint venture, <br /> trust, foundation,firm, group, society, individual natural person, etc.): <br /> 3.NAME ALL OWNERS,OFFICERS,AND PERSONS HAVING AN INTEREST IN THE TOWING AGENCY: <br /> (Attach additional sheets if necessary) <br /> a. NAME Denise I . N.lodarse ss# <br /> ADDRESS no\ Cie 1cas+ tt3n PHONE (305) `IV/• 3438 <br /> ® CITY M,0-(`c\ STATE Fl_ BIRTHDATE I • 08 • lea <br /> b. NAME SS# <br /> ADDRESS PHONE <br /> CITY STATE BIRTHDATE <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? NO <br /> If so, list the name,the arrest and conviction record of each person: <br /> ® (Attach Additional sheets if necessary) <br /> 5. If a corporation,supply the following: <br /> ATTACH1, F.NT"C " <br />