Installer's Warranty Seal INSTALL NO. 31538 STATE OF NEW YORK
DEPARTMENT OF STATE
ONE COMMERCE PLAZA
A 99 WASHINGTON AVENUE
ALBANY,NY 12231
„.,..w- INSTALLER'S WARRANTY SEAL
THIS SEAL REMAINS TIIE PROPERTY OF THE DEPARTMENT OF STATI_
NEW MANUFACTURED(HUD CODE) ❑ RELOCATED MANUFACTURED(HUD CODt
A. Manufacturer's name: A t C) F1 (r� n ' ^—7 > —p
B. HUD label number: Serial number: D— � 7q LJ / tD 1.
C. Retailer's name: 65 ham_ o vry 5 ��
D. Retailer's addres I kvk�4-ar h u1 lq a r sn th eT MItj AM YS iN
E. Retailer's certification#: + �Tb�� �` Telephone 772
F. Installer's name: .a 1� I e u V
G. Installer's address: s6o tz r 1r,),i, _ k ). 6X)t 1F A j / /..1 qpN
H. Installer's certification#: I 174rT13MTq L 001 Telephone#:
I. Date installation completed: ylln'; 1 Municipality issuing buildingpennit: L) S1
� ) p (City,Towa;Village)
J. Customer name and physical address(911)where home is installed: c Y
T� T, y� r �, 1yo ()t Icy nsl,( }Y i 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,whether contractually or by operation of law.
Printed Name of Person SigaingSeal: L�. L �11')y y-
Signature of Installer or —
Limited Installer:
If you have a problem with your home,you should first Conta our installer or retailer.If the problem is not resolved by the Installer or
Retailer you can contact the Department of State at(518)47440
DOS-1680(Rev.06118)
Yellow Copy—Department of State White Copy—Retain for Your Records Goldenrod Copy—Permitting Agency Seal—Aftzto Home