Kirk, Bonnie i
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t*sarage Sale Perm*
ion
Return to: Town Clerk
Town of Wappinger
20 Middlebush Rd.
Wappingers Falls,NY 12590
Name: � ric G kY) ►('
(Last T- ( i�rst®)
Address:
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Wappingers Falls,NY 12590
(City) (ST) (Zip)
Phone: 9-9Y- 0 -3147.
Address of Sale: .q�yv1
(If different from above) ZStreet dress
Wappingers Falls,NY 12590
(City) (ST) (Zip)
Date of Sale: 5-11 From: (am/pm) until 3 (am/pm)
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Sign: Date: �n
FOR INTERNAL USE ONLY
Received by: Joseph P. Paoloni C
Grace Robinson L
Date Received:
Serial#: