Installer's Warranty Seal INSTALL NO. 31535 STATE OFNEWYORK
DEPARTMENT OF STATE f
ONE COMMERCE PLAZA
{'. _;_ • 99 WASHINGTON AVENUE
ALBANY,NY 12231
INSTALLER'S WARRANTY SEAL
THIS SEAL REMAINS THE PROPERTY OF THE DEPARTMENT OF STATE
❑ NEW MANUFACTURED(HUD CODE) ❑ RELOCATED MANUFACTURED(HUD CODE)
0
A. Manufacturer's name:
B. HUD label number: Pil..o Serial number: �--� 0 I 0,3 A
C. Retailer's name: nG_A 4)CjYt
D. Retailer's address: 23.�4_i) /,)jf f' ,)A rafm M „ is
E. Retailer's certification'#: 01 03 B L QO�- Telephone#: -=,10
io io 'mil' I
F. Installer's name: Vc� .I k"
G. Installer's address: ;u ur . j ._ i-, J ti
H. Installer's certification#: V I'L aDl Telephone it % >
I. Date installation completed:f4'_y����"' l Municipality issuing building permit
(City,Town,tngc)
J. Customer name and physical address(911)where home is installed:F o r
ek\lG tsU C 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 the Installer,whe ercontractually or by operation of law.
Printed Name of Person Signing Seat: %171 1-1 r k - ,�f� U Ai
Signature of Installer or (/
r
Limited Installer: *
If you have a probleh wiffi your home,-you should first con your installer or retailer.If the problem is not resolved by the Installer or
Retailer you can contact the Department of State at(518)474-4073.
DOS-1680(Rev 06118)
Yellow Copy—Department of State White Copy—Retain for Your Records Goldenrod Copy—Permitting Agency Seal—Affixto Home