Eltoukhy, HelalFOR INTERNAL USE ONLY
Received by:
Date Received:
Serial #:
M
Joseph P. Paoloni H
Grace Robinson 11
2010-01-15 JCM
Town of Wappinger
Application for Hawkers
ce"�sj Ok Peddler's Lisense
11?1e
� lak
0.
does hereby apply to the Town of Wappinger Town Clerk for a
RENEWAL
TEMPORARY
(I weekend only)
license for Hawking and Peddling pursuant to Town of Wappinger Local Law No. 10 of 1992,
regulating Hawkers and Peddlers in the Town of Wappinger, and in connection with such
application, does state the following: M0021=11
1) Applicant:
NAME: AGE:? -Z
CURRENT ADDRESS:
(St #) (Street) (City) (State) (ZIP)
PHON (4 3f,�
PERMANENT ADDRESS (if different):
(St #) (Street) (City) (State) (ZIP)
If Applicant is an Agent or Errigiower oyer:
Home Reffodelin
Applicant's Employer __,:g Group
Address of Employer 60 Commerce Dr Trumbull CT 06611
(St. #) (Street) (City) (State) (ZIP)
Proof of Employment Attach to alication)
2) Nature of Business:
FretJoy W f, Sr J rM oo f ejo rs
W
Tape a YX 2"
color photo (less
than 60 days Old)
M Motor Vehicle (circle one): car truck van
Li On Foot &/or with vehicle drawn by hand or animal
Vehicle Info: Vehicle Make A'j- A k, — Vehicle Model
Y -)J q State of Registration
License Plate # -h
Operator's License Number (26-06�C)17
0 Weights & Measures Certificate Certificate 0 n
n Dutchess County Health Dept Permit Permit 4 n
New York State Department of Taxation and Finance
Certificate of Authority
�iflcatian number
r �
23-3030708
(Use this number on aff returns and correspondence)
POWER HOME REMODELING GROUP, LLC
2501 SEAPORT DR STE 8110
CHESTER PA 19013-2249
3/2612014
Dept of Tax
and Finance
is authorized to collect safes and use taxes under Articles 213 and 29 of the New York State Tax Law.
Nontmnsferable
This certificate must be promInontiy displayed at your place of business,
Fraudulent or other Improper use of thls certificate will cause k to be revoked.
The ceriifirate may not be photocopied or reproduced.
phabgmphs • a0wight of NYa Empim State 00"10pment
4020109100098 1D88 - 0860635 P0000236-01 DTF-1?,A (9110)
14