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If application is made on behalf of a corporation, such information should be furnished and the other information shall refer to the operating manager of the business
Application is hereby made for a license to buy, sell, trade and otherwise deal in gold, silver and other precious metal.
Street #, Street Name, City, State
First, Middle, Last
Please list crimes with dates and places.
City and State
I UNDERSTAND THAT, IF I VIOLATE ANY OF THE PROVISIONS OF THE "ORDINANCE REGULATING THE SALE OF GOLD, SILVER AND OTHER PRECIOUS METALS", A COPY OF WHICH I HAVE RECEIVED AND IS ATTACHED, I AM SUBJECT TO THE PENALTIES PROVIDED THEREIN.
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