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HomeMy WebLinkAbout28355 / 76-03AUGliS^ 5, 1976 # RESOLUTION __ . _..__ _ _____ _ _.__._ __. ..__..a._.._.. __ ... _ .,_. _,._._..,._. 'r ..___._. _.._ - --- _ _ _ _ . .,�.. _ __ _- -�,iHE�aS, aio�lications :tox° l.�censes ha.ve been r.?ade$ fees dep�s;?;FC�, and all legal procedures have been taken as per ardinances of the Cit,y of Osnkosh, ?,pW, THE�rORE, BE IT RESOLVED by the Common Cauncil of f.he City of Oshkosh that the following licenses be granted: AMBULANCE LICENSE (EXPIRES: JUNE 30, 1977) Oshkosh Ambulance Servi.ce 2g68 Jackson Drive P. o. Box 79 Oshkosh, Wisconsin 5�+901 1.973 Dodge-Medicruiser a�bulance ID No. B35BF3x130o56 1974 Ch�vrol.et- �uperior Vanulance ID No. CGY354U152091 fJ�,�"�{c1{''1'f;?�'?) ��a� --...___-_...,-�---.,�..,.._.,.,..., �..,•�.e. � .... , , � � �"`�_.,. �� - ' '�^� � �. �. �.�.r,�.-�.,,r�. �_._—_ � , ., ," _ .: � . ...,�.,....,, � - =n��� ��� �� ; � � . `' t_y. <. � _ -� ,`. `. ��� ... �,__-+_ - —. -� ,-F_ '3" � �'y_ �� QSHKOSH HE�ILTH 0 I� tne ur:dersignedy h�ve eheckeci the o-�e3 by, � . �.ke : e_��-.�� I�.cense P:umber: C�3;i�:_._-�..—. ...::'r' ?."..'V'-. � :2'. �'.��c . . . .... . . .... . ,. ^ fl � � � V � � � `�a7� � DEPA �T3UfEN^1 �a�tcs � ; �s. ec�uic�r�ent in the vehicle � . ` . n l yehicle Identification Piumber: _ C' � y���� l� � Q �� aj.^•d fou,�d the equipnent thereins to be in the follo�ring condition: �� �' /% � _ �.. � . 0 Si.�na�u:�e : �ate : C�t4� � /�7 / Tiae : _�� � �'A'j, ?A-�� rks : ' ' � � ` r� ( %� �.�°� /�,�°� � ,,% �- ��C�l%�'�'-� � ��� � , � ..+� ' � �_ � � i ��� �''� ��`�.L�i ��''��;�'`'��i � ��� ��, � ��,.f� �f�A/'✓��D?��! , � l!S� � M J /�,,y7 t �'�l � � �i 7"` � � ' I � ,��r� "�� v�-� ''.?/� �?��Q�� /���"L� "' -�� r'�.".. ` �c2%�G�e%L" � ✓ d%��V� �� � � � � s 1 j _-� --__ •_�..-'.:.3�i- ��.'i`= DIAL �' s14-237-44f0 l P.O. BOX 1130 OSHKOSH, WISCONSI�1 54�01 v ��� ` �� �� , � .. ��.1'.1 -���, _ ._ . . � .. . ������� >y �..;:ll:f' _ ." . _ ._. ..'.i,. �.... ,., ,v��. ����y,,� � � (/_"�/ . �� J I,' �.✓ p / z '.l .- / .'' (:I QSHKOSH HEALTH DEP��T��;�;`�=-�.f� ��..� -r��r„ � �`�` JC: ^h -: I,, t�e.undersigned, have check�cl th� Emergency e�uipment in the vehi_cle c'�ar:e3 b�s �i.�;=�G.�''�'!�'-,�r G�:�1r,��,ir...cP�. Cl,� ?r_ .�_ e: Z�icense i�umber: .ehicle Identification r:umber: � 3 S �i �' 3X � �(�-� ` .6 - zr_d found the eouipment therein, to be in the follo•�r-ing condition: / /�� ' �% // // _L a n il w � w ..� _ _ /1 � � �r Si�n3t��e : � .� , 1 �ate: �� � -rS Ti.c�e: �YO� 1�.J'fj. , Re�arks : ��j�.�'�� , ��� GC� �oC,�L Q� �z,�� � ��C.la2�� ��KX.t.II� ���l-c�Il '" Z �V����.i�ilU � ' -• -- _. • � _ _='.�H �.`l�. DlAL �r 414-231-4410' P.O. BOX if30 OSH{OSH, NlISCON51^! 5,901 0 � Cl7"�, � ; a��.::. QSBKi�i1f �';, �?``;:.::_.. .' "4r�. ifCCIL-":1,4',;Ar.;��R ACt�,11P�1'.�7fi�1T{Oti OSHK OSH HEALTH DEPARTP�ENT I, the undersigned, have checked the Emer�e owned by, Make: � ec�uipment in the vehicle License Nu�►ber: �/ Vehicle Identification Number: ,� � � � � � x j� � t� �� and found the equipment therein, to be in the follo;�ing condition: n Si�r.ature : 0 f Dat e : � � ' , ��`� Tir.ie : �� ' � (� �. % . — Remarks : ,/G������ " �l.�l �'�i2�%�'�?,� % L�'� � ,��� 4 L:d� . �� L� � E1U (� 1 � 1�7f � CONVERSE C. MARK$ GITV CI.ENK OSHKOSH, WfS. _ - . _i. • :. . r-.,i_iirr.ri ... __. D;AL �'� 414-231 -�,4;0 �� P.C. SC�IX ' �.°,� ^v5rinC5H� 'vJiSCvivjiiv 5wyu1 '4 �: i T" � 4 �� � . �`y.��,,: .i `=�.�> . ` Y,.�:�:-.����' 0 �:0:.�.�:iL-t��,.��r.G�?, :+Ct.?ItJ:SiR.y�i:�i�: u C3SHKO�H H�A�.�H D�PART2�fENT 0 I� the unders%gned, hav� Gh�cked �h� owned bys .� _!��'�� Make : ency e�uipment a.� s;.k�e: vehicl� �� . . � � � I,�i.cense Number: (/ Vehicle Identification Number: _ �(y i�3$� j,t (� Zp � J and found the equipment therei.np to be in the follo�ring condition: r � S1gT23tUT'2: �� Dat e : Time : /Q : �� _A' %?f � Remarks : 1/ .-�� �,v�,,�v„�� >�LQ�,i� L.�c.�'.AaZ . ✓,��!�(�7�F t �.C_ r (�4i��j�.,/�?��E��,.Q%�/ r r,�rv u �...... . . ��:;i-,.,�i .a.yc, ������ ,�,� � 1 u � ��ln C>C)PJV�Rt1E G. P�ttlllk(;; � 4'lYY L"L_l'.ii:( � t�Si-(KOSH, tivia, L'��� l�?7'�v�'�i�v I�.V. �vi� ii�M VVii��v��-�� Y�YIJ4v1YJ1�Y JYJVI � o . < J.ti-c :SS+GNED :, - � ; �' ' ��������, .��.�-�.� ��,�s 733 N. VAN BUREN STREET – MILVVAUKEE, WISCONSIN 53202 TELEP'HONr 414-276-5476 DEPOSIT FEE ATTACHED s � s.�„��,,.� ";'' �;��1 itiant . . "-s:t�s�s`� -;'t':�>.r i ?:1�. ^ _. --r�.� ; : � . �•J. ✓OX �'-t ?9a�1 ,3ac���n �ri=aa . ��s�<flsr�, ;-ii5consir� �r��?�i � APPLIGANT PLAN FILE NO. � '? l � �eerit�rry �;°, Ciass 3�R �t�si �s I t3��5��; �� • ��5Elai�`( `itiC�C-`�'� i3."!c1Q�C � ;�=�t*.�a I Serv: �� �as�sal t� 1 r.5�rar��� �"o. � �SSIGt�lED CARRIER . ' igt9 ;�ni+�er,if� r�v�r�r�e !3i 1�i� divid�d �y 1.24 � 135 ' st. Pa .� . ..���.:s�ta � 5�i �� t ��/5�ti � f � 35 x i.�� x 1 a� -��3 2> P� I2� x T.2Q x 1.�5 = 2�9 `� -_' �fed ecai ��avid Je;�ni::-�, �"�i � U.�4. �'Jnffy �-4r,yP� I?15ti!""�ll�d3� I:�+�. �PRODUCEROFRECOP,D �;�7 ��r` �;��;,ic� �P.�. 3ax 2T�7 �s5kosh, '�#i sc�:�s's n 5#°t3� •��- -- .. • • NOTICE TC� PRODUCEF� QF RECORD ' as• Application submitted on behalf of the above far coverage under the Wisconsin Autamobile Insurance Plan has �een assigned and forwarded to the carrier designated above. Coverage on this assignment is effective at 12:01 A.M. on the day following the date of assignment, �as indicated in the caption of this NOTICE. If the application requests a later effective date, coverage shall begin at 12:01 A.M. on such date indicated on the application. AUG The assigned carrier will issue coverage at the earliest possible moment. � Upon policy issuance, or following binder delivery, if tl-ie assi�nment is not on the Installment Plan, both you and the applicant will be sent a FIFTEEN UAY premium notice from the assigned carrier. If this assignment is on the install- ment Plan, the premium balance is paid i�� 5 equal installments due the 2nd, 3rd, 4th, 5th and 6th months after t�ie effective date. Included in each of these payments will be a$2.00 installment charge. Failure to remit the balance due within such periods as described will result in cancellation of the binder or policy under the provisions of the Plan. This balance must be paid directly to the Insurance Company — NOT th� Plan. Yours very truly, L � 1 �1r ♦ i i> . � / i 0 7 ��1� .. ws• f 0 0 0 VEHICLE AMBULANCE INSPECTION SHEET DATE: !y '�" ?� VEHICLE MAKE: =-- - w. Glfc"v YEAR:� f`�� — ^--' . • � LICENSE NUMBER: �'�'��� ���SERIAL NUMBER OF` CIEHICLE: G.G .,�5_L%(�%S �O�'f� ���--" � - ' - 0:�1 THE ABOVE DAT�, THE DESCRIBED VEHICLE WRS INSPECTED FOR THE FOLLOWING: , i�F.ADLIGHTS, HIGH & LOW BEAI� PARKING LIGHTS DIRECTIONAIr LIGHTS Ei�1ERGENCY LIGHTS LICENSE LIGHT BRAKE LIGHTS ,aTNDSHIELD .;�.�`��`'=:; ALL WZNDOW GLASS HORN SIREN TIRES REAR VIEW MIRROit wigers �� �:, OK � -°-�__.��._ --�� � ______r EXHAUST SYSTEM ---�--__ � - Sign e��lnspecting - icer�� RE�IARKS : _ __ _ ____ ______ __ _ - -, � NEEDS REPAIR TB/7-75 � 0 VEHICLE AMBULANCE INSPECTION SHEET DATE:r �' �; 76 VEHICLE MAKE:�_ --_ J��;�� � YEAR:��% �a — LICENSE NUMBER• �,� c;��� _SERIAL NUI�3ER OF VF:HZCLE: ��S ���,�f ��l�S � CN THE ARnVE �R'TE, THE L�ESCRIB�'D V�HICL� WAS �NSPFCT�D k'OR THF FOLLOWING� OK NEEDS REPAIR HEADLIGHTS, HIGH & LOW BEAM � PARKING LIGHTS � �. DIRECTIONAL LIGHTS � Ei�IERGENCY LIGHTS LICENSE LIGHT BRAKE LIGHTS WINDSHIELD 1�_.�.' _�: wipe�s - - .�..�. . ALL WINDOW GLASS � HORN SIREN TIRES REAR VIEW MIRROR EXHAUST SYSTEM �e �;= '�. <_ � • ' �,s Slgn ��.�nspecting er�` RE�SARKS : _ _ __ _ . _- - - - - ---- - - -_ - - . i TB/7-75 � }� �� � }-� CD � � ��vv rYi �:a � � 0�2 � � ci' �-' N �"! � � � � � � � � � C� C'h � � �n � � N � � rn . , �-.: � P� K Fi Y• N P� � � m m rn � �N� o rn N� rn � ��� �• crno o N• � N � � � � .. rn c� �r c, • r• �, �r- o r� F-3 O � K O w O cy' m � tn O :.J O x' fv 'i� O '� ct U� '�d � • � O tn � (D � � �--� � `i � � � � C� Y N �U � C� N � O ci- Y• O � �3 O C 4v � O � m � �* � e�� �� �, ,, J r� ',� � � � W � C � � lD I-'� (D ; �$ � � � CD O N' '.� 1--' C� tn � (D CD ct . }�. ch O O � O c1' i1l O r�r' � O 'i3 � � • �' � 0 �� � rn � � � N� � � � � � n J--' N (D P� o0 � (� N