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- Posts: 3
- Joined: Mon Jan 08, 2024 5:28 am
- Primary Assignment: N/A
By Lucy Serna -
- Tue Jan 09, 2024 6:11 pm
#485738
PART I.
To be completed by the business owner or authorized representative.
PART II.
VEHICLES TO BE REGISTERED FOR EXEMPTION:
Only vehicles that will be used in the capacity that the PASS Act ordains. No limit.
TYPE OF BUSINESS: PRIVATE MEDICAL
PURPOSE FOR TINT EXEMPTION
Reason: -We are a private, licensed medical service that handles patients, patient transport and currently own private ambulances. To ensure that our patients can have privacy while being transported for their treatment, and therapies. We've tinted our vehicles.
We're registered under Los Santos City Government for these activities.
PART III.
I certify and affirm that all information presented in this form is true and correct, that any documents, including supporting documentation that I have presented to the Los Santos Police Department are true, accurate, and genuine. I make this certification and affirmation under penalty of perjury and I understand that knowingly making a false statement or representation on this form is a criminal offense.
Signature of Business Registrant or Authorized Representative thereof:
Sign Name in Full
X Lucy Serna
Date:
09/JAN/2024
LOS SANTOS POLICE DEPARTMENT
TRAFFIC DIVISION
TRAFFIC DIVISION
APPLICATION FOR WINDOW TINT EXEMPTION
BUSINESS VEHICLE FORM
BUSINESS VEHICLE FORM
PART I.
To be completed by the business owner or authorized representative.
- FIRST NAME: Lucy
- SURNAME: Serna
- FULL BUSINESS NAME: Serna Consultancy LLC
- BUSINESS LOCATION: Augury Office Complex - Floor 6, Room 2
- STATE: San Andreas
- IF FORM IS COMPLETED BY AUTHORIZED REPRESENTATIVE, ATTACH WRITTEN CONSENT FROM BUSINESS OWNER: ACCESS
PART II.
VEHICLES TO BE REGISTERED FOR EXEMPTION:
Only vehicles that will be used in the capacity that the PASS Act ordains. No limit.
- Vehicle: Benefactor Imperial Passenger
Plates: QMC440 - Vehicle: Benefactor Imperial Passenger
Plates: WUH699
TYPE OF BUSINESS: PRIVATE MEDICAL
PURPOSE FOR TINT EXEMPTION
Reason: -We are a private, licensed medical service that handles patients, patient transport and currently own private ambulances. To ensure that our patients can have privacy while being transported for their treatment, and therapies. We've tinted our vehicles.
We're registered under Los Santos City Government for these activities.
PART III.
I certify and affirm that all information presented in this form is true and correct, that any documents, including supporting documentation that I have presented to the Los Santos Police Department are true, accurate, and genuine. I make this certification and affirmation under penalty of perjury and I understand that knowingly making a false statement or representation on this form is a criminal offense.
Signature of Business Registrant or Authorized Representative thereof:
Sign Name in Full
X Lucy Serna
Date:
09/JAN/2024