HomeMy WebLinkAboutMonique BourgeryCITY OF DANIA BEACH
APPLICATION FOR
BEACH PARKING PERiIIT
DANIA BEACH ss+s2.+soo xgrl
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Contact Phone l{umber:
VEHICLE INFOR]{ATION (No campets permltied)
LICENSE PLATE #:STATE TAG ISSUED BY:
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PROOF OF RESIOENCY/O$IERSHIP: PLEASE SHOW TO CASHIER WITH AUTOIIOBILE REGISTRAIION ONE OF THE FOLLOIi'NG:
CURRENT UTILITY BILL SHOWING DANIA BEACH ADDRESS
/WAIER ELECTRIC PHONE CABLE VOTER'S REGISTRATION
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PRO P ERrY OWNER(jgs/ NO
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For Office Use Only:
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FLORIDA VEHICLE REGI STRAfl ON
PLATE JWKIUO1 DECAL 12739100 Expires
co/AcY l0 /
Midnlghl Wed 8,18/2023
T# 1681921397B# 5769824
YR,/MK 2OI9/VOLK BODY UTvrN 3w3B7AXXK[115tt58
Plale 'Il,pe RGS NET WT 361 t
DL/IEID 8626540G87960
Date l$ucd 7n3n022 Plate Issucd tfi0r2018
MONIQUE BOURGERY
tI7 SE IS? TER
DAN|A, FL 33004.3614
43.10 Class Codc
Tax Months
3.00 Back T8r Mos
0.90 Credit Class
Credit Modths
47.00
IMPORTANT INFORMATION
The Florida licensg plste must remai[ wi& the legisbant upon sale of vehicle.
The r.gisnaiion must be d€liv€red to I Tlx Coltector or Tag Ag€ot for lrans{br to
a rcplac{rneot vchicb.
Your rcgistration ntust be updat€d to your new oddress withitr 30 days of moving.
Regishation rcnewals are the responsibility ofthe rcgistrant and shall ocour duri;B
thc 30-day period prior to thc cxptatisn datc sho$,n on this l€gishatiorn. Rcnc*ai
notic€s ale paovided 8s a councsy and arc not requircd for renewal purposes.
I understand ftaI my d.iver licensc 8nd registrations will be suspended
immediately ifthe insu.er denies the insur8nc€ inform8tion $brnitted
for flis rsgisearioD.
COLOR
TITLE
BLI(
134828.00
Rcg. Tax
hit. R€9.
Couoty lce
Mail Fc€
Sales Tax
\r'olutrtary Fecs
Crrad Total
I
0
0
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5.
SEA IT.
LIVE IT.
LOVE IT.
CITY OF DANIA SEACH
lOO W DANIA EEACH EOULEVARO
DANIA BEACH, FL 33004
UTILITY 5TATEMINT TNCIOSED
For papede3s
ebillin& ch.nge ot
addagt or
automalic
bankdraft, see
back of coupon.
543/A-m3
-s114.43
561.4s DUEBY 70/06/2022
-s52.98
Please do not send cash through the mail oa drop box. We are not
responslblc for lostcash. Make checks Davable to:
ATTN: City of Dania Beach Lockbox # 919789
P. O. Box 919789
Odando, FL 32891-0001
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MONIQUE BOURGERY
117 SE 1ST TER
DANIA BEACH FL 33004-3614
FLORIDA VEHICLE REGISTRATION
PLAIE JWKt0l DECAL 12739100 Bxpires
co/AGY l0 / ll
Mldntghr wed 8r1E m23
T*
B#
t63t927397
5769824
YR/MK 2OIg'VOIT BODY UTvrN $/l/38? Xx|(m 6556
Plste lhc RGS NET WT !6lt
DI-/FED A62G6a0687980
COLOR
TTTLE
BLX
t3a820a00
Reg. TNx
lnit. Rcg.
CoDrty F€e
Mail Fc.
Ssles Tbx
43.10 Chss Codc
Tlx Morths
3.00 Brct Tax Mos
0.90 Crcdit Clrg
Crcdit Monrhs
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1t
0
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