Schedule O - License Notice For New Business - Jacksonville, Alabama printable pdf download

Schedule O - License Notice For New Business - Jacksonville, Alabama

CITY OF JACKSONVILLE

320 Church Avenue SE

Jacksonville, Alabama 36265-2651

(256) 435-7611

FAX (256) 435-4103

Schedule O/

License Notice for New Business

DATE:

TO:

Customer #

Code

NAICS

License #

This is to notify you that your business license for the year 2009 for engaging in the business of

VENDING within the City of Jacksonville, Alabama, or within the Police Jurisdiction thereof, is due.

The City License is delinquent after the 15

day of business. A penalty of 15% is levied after the 15

day of business (provided for in Section 2 of Ordinance 454).

PEANUT PRODUCT VENDING MACHINES @ $1.00 EACH . ..$

OTHER VENDING MACHINES @ $10.00 EACH . . ……….. . . .$

ARCADE MACHINES @ $10.00 EACH . . . ……………… . . . . .$

Please complete the following statement and submit it together with your payment based

on the above schedule.

TO:

City of Jacksonville

DATE:

320 Church Ave SE

Jacksonville, Alabama 36265

Based on an estimated gross annual receipts of $ __________________, I hereby

enclose my payment of $ __________________ (based on the above schedule) plus the

issuance fee of $10.00.

Owner or Authorized Signature

Base fee

Please Print Name

Issue fee

$ 10.00

TOTAL

$___________

Name of Company

City, State & zip code

(

)

Telephone

Schedule O - License Notice For New Business - Jacksonville, Alabama