Recycle Centeter PermitOFFICE USE ONLY - TOWN OF WAPP.INGER :: ~~,ubmlt~tjr,Ei-aail.;:
RECEIVED BY
.APPLICATION FOR RECYCLE CENTER PERMIT Permit Issued
~" Christine Fulton
PERMIT 7
Jessica Fulton
RESIDENT INFORMATION PERMIT2~~-
-,
FIRST NAME _.....~.~_`~. ~ ____ .. ~...~...~.. ~) MI ~; LAST NAME _ . 2 F(~ _._... _. _. _
STREET # ab~G STREET. NAME L (~ ~ i ,~ S' APT #
_. ..._._. _ ..~_ . _____ .._~_......_...... --.... _... ._.. _: L.. . _............
CITY t,J c~ ~, ~ ~ N' C~z c2S ~ (.~- ~ ~- ; STATE ~~ Y F .ZIP (2
HOME PHONE # --- ~~ c,~L S ~,~ .CELL PHONE # (o Clonal)
~' P
VEHICLE INFORMATION
VEHICLE 1 INFORMATION
MAKE ~~rry}~~ I MODEL- YEAR
LICENSE PLATE # _ TYPE OF VEHICLE
VEHICLE:2INFORMATION
MAKE MODEL ~ YEAR
LICENSE PLATE # ~- ! TYPE OF VEHICLE
REQUIRED PROOFS OF RESIDENCY/ VEHICLE OWNERSHIP
/ 6 POINTS PLUS REGI51'RATION REQUIRED
'~~ DRIVER'S LICENSE /NON-DRIVERS ID (6 POINTS) (- MAIL FROM ANY GOVERNMENT AGENCY (1 POINT)
(~ VOTER REGISTRATION CARD (6 POINTS) ~' .BANK RECORDS BEARING ADDRESS (1 POINT)
r TOWN TAX BILL {3 POINTS) ~"" SUPERMARKET.CARDBEARlNG ADDRESS (1 POINT)
(-" UTILITY BILL (3 POINTS)
~" W2 or 2 recent paycheck stubs {3 POINTS)
VEHICLE REGISTRATION (REQUIRED)
Use of the Recycle Center is limited to Town of Wappinger residents only. Residents are permitted to dump trash accumulated in the
normal course of home-ownership. Commercial use, to include uses associated with rental property, are not permitted. By signing below,
you are swearing to be a Town of Wappinger resident, to own the vehicles listed on this form andto use the Recycle Center to dispose of
your own trash, accumulated in the normal course ofhome-ownership.
SIGNATURE DATE
~~
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~$ 0
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-. .. ..
MV~93BTR (9/10) NEW YORK STATE REGISTRATION DOCUMENT
G PAS
FMZ8940
2002 GMC NONTRANSFERABLE
PICK RD 1GTDT13WX2K223393
004060 G 6 FP443455 OCT 11 201
wuse.~9 FDeI/Cyl p~ WFL958
Expires 10 / 10 / ~
ZFiANG, TING, JIN
2646 E MAIN ST 2ND F 32.5
WAPPINGERS FLS NY 12590
ANNUAL CH
AMT YAIO QNCL ADD
F P 4 4 3 4 5 5 VOID IF ALTERED EXCEPT FOR ADDRESS 21 O.
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