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Central Florida Equipment Rentals Inc - 2023 renewal 0, svgv, 'L ,. Local Business Tax Receipt Dept 7777 NW 72 Avenue ‘ Town of Medley Medley, Florida, 33166 Office:305-887-9541 i° • _ r "The Perfect Location for Industrial-Development" Fax:305-887-6928 Alarm Registration Form C-302 biztax@townofmedley.com You must notify your Alarm Company of the Please check one: NewRenewaI I Valid Permit Number for Police Response Office Use Only Location of Proper for Police to Res and 1 OhfiYGt { F{ r IdQ U{pfil rlfi Date: ' f / 2-Z Clerk: L' Name: I roil I. l� t L�1 U Decal No: Address: C1030 MA./ c i m T r vQ ce City: M€C,�(eV State: FL Zip: 3317g LBTR No: 2 ea� 3 Fees Payment Type Phone: ,�-�-t 34 n Alarm Fee: 57 Cash: Mailing Address (if not the same as above) Address: Late Fee: Check: �l'1`1f_'QS ni bOV>°• - Total: "•-17 CC: l City: State: Zip: Business Applicants Only: Name, Address, &Phone#of Landlord,If any. Name: N/A _ Phone:_ Address City: State: Zip: O er m r envy Contact, 30'(0M 42 02... Name: QQbert hoer _ Phone:3C •icke • q(007 Name: I C` Cii ClY der Phone: 3OG IMO 'Cf(oOq Alarm Company Servicing Alarm System Alarm Company:P rc e p►ICi r tY)Phone:305 (Ot75•13Q 1 Contact Name:J e r f icYCe services First time Alarm Permit Registration Fee $50.00 for each Alarm account, Renewal fee$35.00 for each Alarm. • And is subject to the following penalty schedule after October 1 o October 1, 10%=$38.50 o November 1, 15%_$40.25 o December 1,20%=$42.00 o January 1, 25%_$43.75 Email or Mail your completed application with the above fee to the Local Business Tax Receipt Dep. at the above address. You will receive a new yearly decal sticker to be placed on the top right corner of your front door. Make your check or money order payable to: The Town of Medley.