Healy, John B. (2) Garage Sale
PApplicaeTmit tion
Return to: Town Clerk
Town of W appinger
20 Middlebush Rd.
Wappingers Falls,W 12590
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Name:
ak�
Address: t
(street Address)
Wappingers Falls NY_ 12590
(City) (5T) (zip)
Phone: �S
Address of Sale: (street Address)
(If different from above)
Wappingers Falls,NY 12590
(City) (5T) (Zip)
Date of Sale: From: ! &pin)until � (am&
( Y e) ('Gime Begin) (Time End)
From: (ani/pm)until (am/pm)
(Day Two) ETirn� TS gm)� (Time Eod)
From: (am/pin)until (wpm)
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Sign: I�/rl Datej
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FOR INTERNAL USE ONLY
Received by: Joseph P. Paoloni
Jessica Fulton
Date Received:
Serial #:
10-11ECIEVED
U-0
NOV 01 2019
TOWN OF WAPPINGER
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