Laserfiche WebLink
0 <br /> ® Attachment C <br /> • <br /> ® Proposal for Towing Services <br /> Prestige Auto Transport <br /> 1.Business Name: Towing& Recovery, inc_ Email address prestigeautotransayahoo.com <br /> 2.Business Address: 1491 NE 130 Street <br /> Phone:. 305-947-1100 City: North Miami Zip: 33161 <br /> Mailing Address: <br /> ® City: Zip: <br /> State type of business enterprise(e.g.corporation,association,partnership,organization,joint venture, <br /> ® trust, foundation,firm,group, society, individual natural person,etc.): Corporation <br /> ® 3_NAME All OWNERS,OFFICERS,AND PERSONS HAVING AN INTEREST IN THE TOWING AGENCY: <br /> (Attach additional sheets if necessary) <br /> ® a. NAME Nechelle Morales SS# 263-91-4604 <br /> ADDRESS 19940 West Dixie Highway PHONE 954-880-5566 <br /> CITY Miami STATE FL BIRTHDATE 08/23/1979 <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 /> ED 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,fist the name,the arrest and conviction record of each person: <br /> (Attach Additional sheets if necessary) <br /> 0 <br /> ® 5. If a corporation,supply the following: '`� I <br /> ATTAt AMF.NT <br /> KrM <br /> fes-Vkc,ke -Auk) -Thcot Pct- Vec-G, ,-I .44 <br />