HomeMy WebLinkAboutBroward County Occupational License TaxBROWARD COUNTY REVENUE COLLECTOR
115 S. Andrews Avenue, Governmental Center Annex
FORT LAUDERDALE, FL 33301
www.broward.org/revenue
7 gt rr r:+ 1'tR:ahlSils'S%1'A i3::: i! 3• Bdatd of County Commissioners, Broward County Florida
BROWARD COUNTY OCCUPATIONAL LICENSE TAX
FORM NO.
401-280/AC 25-06
a RENEWAL ❑ TRANSFER SEC # i3.L / 32
❑ NEW • DATE BUSINESS OPENED t+i f /924.
STATE OR COUNTY CERT/REG #
Business Location Address:
4WEI. NW 9 AVE i*S
FT 1-.AUC.'+ERr ALE 3330,
ISUSINESE PHONE., (0$17:4•)739--wool
THIS LICENSE MUST BE CONSPICWUSLY DISPLAYED
TO PUBLIC VIEW AT THE LOCATION ADDRESS ABOVE.
FOR PERIOD OCTOBER 1, 2005 THRU SEPTEMBER 30, 2006
TAX
BACK TAX
PENALTY
T.C. FEE
TRANSFER
TOTAL
150.0'C
1.50.410
PENALTIES IF PAID
OCT. - 10% I NOV, • 15%
*DEC. - 201/4 *After DEC. 31 - _
• Plus Tax Cotlection Fee of up to $25.00
Based on Cost of License if Paid
On or After November 30.
ACCOUNT NUMBER
32 3t— 0001 G'irk
SIGNAL COML UN3:CtaTXONS SERVICE
I N+^
FRANI.LXN-JONATHAN
.425E6 NW 9 AVE *IOC
gy FT LAUDERDALE Pl. 393209
B si. ARU L TYPE Of LICENSE TAX PAID
ummummamma COUNTY TWO WAY Rrd'.O
17 UNITS
2005 - 2006
PAYMENT RECEIVED AS VALIDATEDABOVE
PAID 09/02/06 7012042.0001
REPAIRS
'SEE INSTRUCTIONS ON BACK OF LAST COPY