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Precious Metal and Gem Dealer
In accordance with Chapter 862 of the Codified Ordinances of the City of Howell, enacted pursuant to Act 95 of the Public Acts of 1981 of the State of Michigan, this certificate, duly signed and authorized by the Police Department for the City of Howell, is issued to __________________________________________.
This certifies that such person is registered as a dealer in precious items in accordance with such chapter and statute within the City.
This certificate is not assignable and expires automatically at such time as the holder ceases to be a dealer in precious items or ceases to do business within the Howell City limits.
Howell Police Department
Dated:
By
Certificate Number
TO BE POSTED IN A CONSPICUOUS PLACE
(Ord. 415. Passed 9-8-81.)
Dealer certificate No. No.
(Printed on form) (Transaction number printed
on form)
(1) Description of property -
(2) , 19___ (3)
(Date) (Name of dealer/employee)
(4) , 19____
(Name of customer) (Date of birth)
,
(Driver's license no./ (Street address)
Mich. personal ID no.)
____________________
(City & State) (Zip)
(5)
(Price paid)
(6)
(Check number, bank draft
number, money order number
or cash)
Thumbprint
(Signature of customer)
(Ord. 415. Passed 9-8-81.)