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Return to:
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(First),,
(MI)
)
(Sweet Address)
Wappingers Falls, NY 12590
(City) (ST) (Zip)
Phone:
Address of Sale:
(If different from above) (Street Address)
Town Clerk
Town of Wappinger
20 Middleb,ush Rd,
Wappingers Falls, NY 12590
Wappingers Falls, NY
12590
(Cit)') (ST)
(zip)
Date of Sale:
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From:
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Si' gn: Date:
--------------------------------------
FOR INTERNAL USE ONLY
Received by: Joseph P. Paoloni F.]
Lori McConologue
Grace Robinson F1
Date Received:
Serial #: