Installer's Warranty Seal INSTALL NO. 30787 STATE OF NEW YORK
DEPARTMENT OF STATE
ONE COMMERCE PLAZA
tr, ,r i 99 WASHINGTON AVENUE
ALBANY,NY 12231
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' INSTALLERS WARRANTY SEAL
THIS SEAL RE-MAINS THE PROPERTY OF THE DEPARTMENT OF STATE
NEW MANUFACTURED(HUD CODE) ❑ RELOCATED MANUFACTURED(HUD CODE)
A. Manufacturer'sname: _.11 Ty .c
B. HUD label ntmnber. )) c ��� /'� ",/ Serial number:( ,)!7 ! C(: � � t1 `t° LLI(•�
C. Retailer's name: O S 1y6 ricri r l 1 f`-( j I 1r�/ I))( y) - (( t
D. Retailer's address: I ( fVCV IIICA V c(AU( f V t Q
E. Rctailer'scentification#: 1! j i (' \ 2- 1 'j Telephone#:
F. Installer'sname: \Y t t \ 4 r \ V'( AL r ✓ l
Cr. Installer's address: �` r i 'v�1 �t i � �T��fi 11Q �'(_ � . , ("0 U( k 1 1 l 0�
H. Installer's certification#: Telephone#: l ) �� _•`
I. Date installation completed: /J� z Municipality isslung building permit: C 1 l
(City,Town,village)
I / t
J. Customer name and physical address(911)where home is installed: I���f.1 rin f t1f' r1 t nn 1 6 � rnt f in i
I r' 14 f ( VJil UP/ (:V L`0'! NewYork.
By attaching this SEAL to this manufactured home,the undersigned Installer of this manufactured home warrants as follows:
1. That the installation of this manufactured home meets the standards of the New York State Uniform Fire Prevention and Building
Code.
2. That the Installer is certified as an installer by the New York State Department of State.
The foregoing warranties are in addition to and not in derogation of all other rights and privileges which the consumer may have under any
other law or instrument.The foregoing warranties are in addition to,and not in limitation of or substitution for,any and all other
warranties,express or implied given or made by e Installer,whether
/contractually or by operation of law.
Printed Name of Person Signing Seal: //dA,�,I/
Signature of Installer or
Limited Installer.
If you have a problem with your home,you should first contact your instal ter or retailer.If the problem is not resolved by the Installer or
Retailer you can contact the Department of State at(519)474-4073.
DDS-1680(Rev.06118)
Yellow Copy—Department of State White Copy—Retain for Your Records Goldenrod Copy—Permitting Agency Seal—Affix to Home