REPUBLIC OF THE PHILIPPINES CITY OF MANILA ‘BUREAU OF PERMITS APPLICATION FOR NEW BUSINESS NO Bin: [ALT -OTo)-] 100000 Dare ot appication: (L]-LLJ-L1L) nm. COCA Oo o-Oo meen (NONE OOOCLOCO oor oo CLL Coo |" (Taxpayers Address tose[-m[ toa Tian rophaoe) oa] Foote [Be Mame a —— —— BESS Business Nome COCO [Business Address Yew ct|Bos to [ae erro) ort, [ae Ware aoe [=m aa [Kind of Ownership singe Propretonip Dtermertip corporation Fires of Business Eniablishment ov m1 No.of Employees Css NOTE: CONTINUATION IS WRITTEN AT THE BACK HEREOF.Co ontinaryeaceypee neon mas ana prapmies oun Chespaciat (mecha, vo ret sn Lc0/Computer “othe lems of ordnaryadverteemonte| ese too iverzemeat 24 the Be, (eg 1 xe _ ft,» _ag. erg: _ xg feat. | dociaro under he panalttos of PERJURY that | have cemplied with the regutatory laws/ ordinances governing maintenance atid ‘operation of my businessies; Furhet, the foregoing statements are true and ‘ty ma, and to the best of my ‘knowledge aréabilly, pursuant othe provisions ofthe Revenue Code of tha City Bs amended. Tanpayers Signature Bes Completely tted-sp Applicaton for New Business in two (2) copies (Community Tax Certificate (CTC) ofthe eurrent your aranoay Arsinest Clanranen DTI Rogistration (tor Singlo Proprietor) 5 SECRegistration (or Corporation) {6 BIR Taxldontifiestion Number (TIN) 8S Number Public Liability Insurance, it applicable thers. (snecitvh CocoooocG ‘Subsetibed and sworn before methis _day of _affiant exhiaited to me his/her community tax certificate no, oc. no. PaGeNo, pooKNo.—— ‘Semucs or. ‘Aainstoring OFicer