Attachment D-Non Nebraska Licensed Vehicle Duplicate Park Entry Permit Example.pdf

PDF 235 KB Posted

Attached to
Printing of Annual and Duplicate Park Permits for the State of Nebraska and Non-Nebraska Licensed Vehicles
Solicitation number
124023 OR
Issued by
Blaine County, Nebraska

About this file

This document is a sample permit form and sales register provided by the Nebraska Game and Parks Commission (NGPC) as an attachment to a printing solicitation issued by the State of Nebraska, Department of Administrative Services, Materiel Division, State Purchasing Bureau. The attachment demonstrates the specifications for Non-Nebraska Licensed Vehicle Duplicate Park Entry Permits, which are components of the broader printing contract. The permit books contain 50 individual permits per book and include specific design requirements, including a sales register form where permit agents must record permit number, date issued, and issuing agent information for all 50 permits in sequential order. Permits must be affixed to the inside lower left-hand corner of vehicle windshields or to a readily visible area of the frame for vehicles without windshields, and permit agents are required to return completed permit books monthly with remittance reports to the NGPC.

The sample form specifies that duplicate permits may be issued only for non-Nebraska licensed vehicles, with one permit per application presented. Permit books are consigned to agent accounts and may not be transferred. All funds from permit sales must be remitted monthly to the NGPC, and accounts failing to remit after receiving special notice will be closed with no further books issued. The document indicates that the vendor printing these permits must number each book sequentially and print beginning and ending permit numbers as specified by the NGPC. The permit itself conveys access only to areas where such permits are required and does not entitle holders to any services, facilities, or activities requiring separate fees.

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Text version

Permit Agent

Address

City County ID Number

20XX

NON-NEBRASKA LICENSED

VEHICLE DUPLICATE PARK

ENTRY PERMIT

Fee: $00.00 Issuing Fee: $1.00

Book No. ________________________

Permit No. _ _____________________ to_____________________________

$____________ (_ _____ _) Permits Issued

$____________ (_ _____ _) Permits Remaining (50)

ATTENTION PERMIT AGENTS

DO NOT DESTROY THIS BOOK, return to the Game and Parks Commission when empty or at the end of the calendar year.

1. This book of Non-Nebraska Licensed Vehicle Duplicate Park Entry Permits is consigned to your account. Do not transfer.

2. Duplicate Permits may be purchased for non-Nebraska licensed vehicles. However, only ONE such permit may be issued for each Application for Duplicate Permit presented. The applicant MUST present an Application for Duplicate permit from an Annual permit.

3. This permit must be affixed to the inside, lower left-hand corner of the windshield (driver side). For vehicles without windshields, it must be permanently affixed to a readily visible area of the frame.

A permit may not be replaced for any reason.

4. Annual or Duplicate Park Entry Permits allow access to any area where such a permit is required. It conveys no other privilege or right. It does not entitle the driver or occupants to any service, facility or activity for which a separate fee is required. Signs are posted at the entrance to all areas where such permit is necessary.

5. Permit books from which all permits, stamps, or park entry permits have been issued are to be returned each month with the monthly remittance report.

6. All funds from the sale of these permits must be remitted monthly to the Game and Parks Commission. Any account that does not remit after a special notice is sent to them will be closed and no further books sent.

NEBRASKA GAME AND PARKS COMMISSION

2-9-2021tmr

2021 NonNeDupParkPermitCover.indd 12021 NonNeDupParkPermitCover.indd 1 1/16/2020 4:35:18 PM1/16/2020 4:35:18 PM

Sample Outside Front Cover number each book in sequential order.

Attachment D

NGPC

Text Box sample of outside front cover

NGPC

Text Box vendor to print beginning #

NGPC

Text Box vendor to print ending #

NON-NEBRASKA LICENSED VEHICLE

DUPLICATE PARK PERMIT SALES REGISTER

PERMIT NUMBERDATE ISSUEDISSUED BY
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50

Agents are requested to complete ALL columns on this Sales Register.

NonNeDupParkPermitINSIDE FRONT Cover.indd 1 4/11/2019 1:27:31 PM

NGPC

sample of inside front cover

VOID - SAMPLE ONLY

VOID - SAMPLE ONLY

VOID - SAMPLE ONLY

VOID - SAMPLE ONLY

VOID - SAMPLE ONLY

0000001 0000001

000002 000002

000003 000003

000004 000004

000005000005

"STUB"

VOID

VOID

VOID

VOID

VOID

NGPC

Backside of permit decals, printed on back of liner.

File details come from the government source that posted it. Updated .