HomeMy WebLinkAboutAmalia CojocaruCITY OF DANIA BEACH
APPLICATION FOR
BEACH PARKING PERMIT
95+9244800 xsu{)i
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TODAYS DATE:
NA$E:
ADDRESS:
VEHICLE INFOR AIION (No camPeF pemitted)
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STATE TAG ISSUED BY:
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PRooFoFREs|DENcYlowNERsH|P:PLEASEshowTocAs}||ERw|THAuToxoB|LEREG|STRAT|oNoNEoFTHEFoLLow|NG:
CURRENT UTILITY BILL SHOWING DANIA BEACH
WATER ELECTRIC PHONE CASLE VOTE R'S RE GISTRA
P RO P ERTY OW ER: YES
For Offlcs Uae OnlY:
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YOUR PR€CINCT NUMBER EL NUMERO OESU BE0IIIO EIIOORAL
YOUR POLLIN6 LOCATION SU CENTRO DE VOTACIdN
Frost Park, City of Dania Beach
300 NE 2nd St. Dania Beach. FL 33004
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YOU A8E ELIGIBI.E TO VOTE fOR A REPNESENTATIVE III EACH DI5TRICT LISI'O
US|EO |IENE EL DERECHO DE VOTAF POR UN REPAISENIANIE DE
US CONGRESS STATE SENATE STATE HOUSE
CONGRESODELOSEEUU SEIIADOESiATAL CA'IARAESIAIAL
2s 97 101
COUNTY COMMIsSION SCHOOLEOARD MUNICIPALTTY
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6 I Dania Beach
REGISTRATION NO.1304046't8 No. DE tNscRtPctON
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ADA acc€ssible voting options are available upon request
Las opciones de votaci6n accesibles seg0n la ADA est6n disponibles a pedido'
O F F I C I AL f TT. ;.ELECTI0N MAIL.
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PRESORTED
fIRST-CTA5S MAIT
U5 POSTAGE PAID
PERMIT f 620
FT. UUDERDALE, TL
PO Box 29001
Forl Louderdole, FL 33302-9001
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130404618
VOTER INFORMATION CARD, BROWARD COUNTY, FL
'/'RTfiA DE INFOBMACI'N DEL ELECiOR'CONDADO DE BROWARD' FL
NTCISMTOI HUTU8EN RE6ISTRATION DATE PRECINCT
N'MEno DE Td6cnPtl6$ FEcttaDEluscqlPcldll 'EclufoElfcnn
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130404618 Me 14nO22 5002
Republican Party
Amalia Coiocaru
21'l SE Park St
Dania Beach FL 33004
Date lssued: 8/05/2022
Joe Scott, suPervisor of Eleclions
Mar/07/1983
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Retum Service Requested
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FLORIDA VEHICLE REGISTRATION
PLATE 78KRU DECAL 06582073
YRA,TK 2O1 5'INFI BODY 4DvrN J N t CV6ARXFif52a209
Plat€ Type ESR NET WT 3f]Z1
DI/FEID C226000835870
Dote Issued 31312022 ptate Issued 3,:ir:t022
AIALIACOJOCARU
398 E DANIA BEACH BLVD #167
DAt{lA, FL 3300,1
ESR . EI{DLESS SUI'IIER PLATE ISSUEO X
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IMPORTANT INFORMATION
I ne rrcnoa tlcense plate must rcmain wi|h tbe regishaut upoD sal€ ofvebicle.The regishatiotr dust bc delivered to a Tax Con"i- * r"i ag_i i* L;;il toa replacemeDt vehicle.
Yow registration rbusl be updaled to your rcw address within 30 days ofmovile_RegistratioD reoe*"ls are lhc rcspoDsftitity of th";6;;;;;ii;#";;fl"
!;19;!11m".q n1* to the expiration date sho"r; ,li. ,A;;;*il;;inotrces are provid€d as a cowtesy and are Dot req"ir"a ror *nJ*uf fu.poiir.
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T uDdentand that my driver license and tegistrations will be sugnenied,urnneotatety tt the rnsurer detries the iDsurance information submittedfor ihis regishation
co/AcY l0 / 7
Midnight Tue 3pl2023
16124't5373
2094867
l0l.l0 Class Code I
225.00 TaxMo hs 12
3.00 Back Tax Mos
Credit Class
Credit Motrths
329.10
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Expires
COLOR
TITLE
BLK
t4588E501
Reg- Tar
lnit. Reg.
Couty Fee
Mail Fee
Sales Tax
Voltmtlry Fees
Crand Total
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i.Action R€quested: ORIC usED TITLE
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LIEN INFORMATION DAIE OF LIEN
sr.nda: GA-MBUILT
NJ-SALVAGE
NAME OF FIRST LIENHOLDER:
SELLER INFORMAIION
,
NAME OF SETTER, FLORIDADEALER, OR OTHER PREVIOUS OWNER
I SALES TAX AND USE REPORT
TRNfSFER OF TIII,E L] PT'RCEASER SOI,DS l'lI.ID
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REAsoN (s) cmcreo El oraEn oTHER
OOOMETER / VESSEL MANUFACTURER
53,058 MrLES 03/012022 ACTUA.L
RECEIVED DATE FEID' OR FL/ OLANO SEXAND DATE OF BIRTH
S,qT\AGE TYPE
CONSUMER OR SAIES TAX EXEMPIION I
OMVACCOUNT'
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ADDRESS
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AODRESS
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DEALER I-ICENSE NO
tNDlcarE TorAL FURcitAsE pRlcE. lNcLUolNG ANY
UNPAID EAIANCE DUE SELIER, BANKOR OTHERS
INDICATE SAES OR USE TAX OUE AS PROVIDEO BY C}|APIER
212, FLORIOASTATUTES
UI{D€R PEIIALTIIS OI P€'UUII! I OECI RE THAI t i|AVE REAO IIIE FOREOOIf,C DOCUTCI|I AXO T}IAT TIIE FACII ITATED II{ IT AiE TRUE'
Signsbrc of APdidrt/CcoserSignaturc of Appllcar OMet
HSMV82o4r REVTSED 02106 SCAN CODE MVT
I UNDERSTAND ThAT MY DRIVER LICENSEAND REGISTMTIONS wlLL BE SUSPENOED IMMEDIATELY IF THE INSURER DENIES
THE INSUMNCE INFORMATION SUEMITTED FOR THIS REGISTMTION'
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IM HEREEY CERNFY IXAI T'IE VEHICLEruEB3E! TO BE NTLED WIIL I{O' AE OPEiATED UPO'{ THE PUBUC I{IOIIUAYA/I{,IrEiWAYA OF
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