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02 <br /> IV . List each ambulance and rescue vehicle owned and operated by ',the <br /> applicant (see attached) . - <br /> V. Submit a financial statement indicating the net worth of the <br /> owner of applicant over and above all debts , judgments , claims <br /> and demands whatso ever . <br /> VI . List the title of all actions and unsatisfied judgments of iecord <br /> including the amount of judgments against such owner. <br /> VII . Submit the court record , if any, •of applicant . If applicant is <br /> a corporation, partnership, association or other organization, <br /> the court record of any of the officers , directors and supervising <br /> employees thereof, including the general manager or director. <br /> VIII . List liens , mortgages , or other encumbrances on such ambulances <br /> - -the amount and character thereof . <br /> IX . Describe the Insurance coverage of the applicant giving the. <br /> name and address of insuror and the depth of such coverage , <br /> X. Type of Ambulance Service Proposed : <br /> Emergency Transportation <br /> P7-7 Convalescent and Nonemergency Transportation <br /> .0 Rescue <br /> Z:=7 Other (Specify) <br /> • <br />