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Daniel Berbeci (pgwd71)
CITY OF DANIA BEACH APPLICATION FOR BEACH PARKING PERMIT 95,1-92,1.5800 x3(''l Please print leglbly, fill in or clrcle rll itema DANIA BEACH S€A IT. LI!€ IT LOVE IT- TOOATS DATE: NAlrlE: ADDRESS: vEHICLE INFORiIATION (No camp.r! p€rmitted) LICENSE PLATE #: 65 OR OLDER: YES NO ctrY, ,{)orl)Q -_-' sttte: F/ aPi 3?oo q enair. / ben^fu"1 f9f€ q. nc!4onracr phona r{umrer:95Q, qE3. rzsL/ P6\Y/ 0+ |^ /t , sraTE TAG ISSUEO BY: t-%nid o {FL,nJ.nY.ou...., * *., - FOR D--ifoDEL: F 79O "nn r 2DR 4DR VAN IiIC} PK}{ suv TRK ( sw uP) cv) .oro, /lorl ,nn,/ FT-^Xt DT4L€ be2? g d PROOF OF RESIDENCYIO\IVI{ERSHIP: PLEASE SHOW TO CASHIER WTH AUTOIOBILE R€GISIRATION ONE OF THE FOLLOWING: For Otlice lJse Only: sRf-l """"-1(oq CURRENT UTILITY BILL SHOWI G OANIA BEACH AOORESS WATER ELECIRIC PHONE CABLE PROPERTY OWT{ VOTE R'S RE GISTRATION u/s4 FLORIDA VEHICI,E REGTSTRATION PLATE PGWO7, DECAL 19729848 *1'* ?g3gfoRo BoDY rx J;N r._- I FI8/rBoT/.t_EDs2298 _ -__ ,rr! ^rro NET WT 7lg2 DT./FEID . Dat€ Issucd lfiOr?022 EOL GEI{ERAL IIIC 222 tfE 2itD PL DANIA, FL ltOO4{EI6 RGg - SUI{SHII{E STATE Pldc I$u.d $f t/:t020 COLOR BLKIIIII r3e850782 t/O00 Expires lf idnigh t Set 12t31t2}22 co/AGY l0 / ll T# B# I JAn3420l9 54095t6 Rcg. T.x Itrit. Rcg- Courty Fe€ Mail Fcc Sslcr Trr rrbhlrtdy Fcas Gted Toirl 187.10 Clsls Codc Tlx Months 3.00 Back T.r Mos 0.85 CrEdit Cl.ss CrEdit Motrtbs 190.95 4l t2 0 0 'IOUR PRSCINCT NUMDER S'flU TRODf SUN€d'fiOSICIOR'I' ie"tt"d."$l}"l,iffi#:F il- s002 yo,r ARE ELlGrBr.E ro voi€ F-oR A L':f.1H#1:2:ffi;l;ft |;;;l STATE HOtiSE u5 collGRESS TA]E SENAIE SEl]r'.DO ESTATAL 37 SCHOOL BOARD 'UI{|A EIr.OLAR 1 cAM RiEsfAt \ 101' MUNTCIPAUTY Republican Party Mar/l3/1969 ?#"'f'"3ffffi **.CONGSESOOE LOS EEUU zs couNTY COi{M|S5|ON CO,/(/SIOIDEL CONDADO t/)::lH".FH'xa ;ffg ;:#;lH'#,' Date'|ssued:uosr2oz2o$,ur,",=.E'|""'i-" }"k linr;R lh:FORMA-ilOi{ CARD' B'tO$/ARD COUf ll Y'1:L - - -' ,".titji l"llitiiilfi" " it- tictoa' co uo aoo ":-*':=#arysp-.gry-q RECIsTRA;flON NO.12112a957