APPENDIX A: PRECIOUS METAL DEALER LICENSE

Town of Bremen Precious Metal Dealers License

Dealer Information:

Name: ______________________________________________________________________

(permanent place of business)

Address: ____________________________________________________________________

Bremen, Indiana 46506

Business telephone number: _____________________________________________________

Home telephone number: _______________________________________________________

Cell phone number: ____________________________________________________________

Employees                        Home or cell phone number

________________________________         _________________________________

________________________________         _________________________________

________________________________         _________________________________

________________________________         _________________________________

________________________________         _________________________________

________________________________         _________________________________

________________________________         _________________________________

Date license issued: ________________________________________________________________

Fee $50.00

 

(Ord. 3-2014, passed 2-24-2014)