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MA DE LINE W E I N R I B S H OW R OOM S L L C 8 8 8 BROA DWAY, FL 6 City NE W Y OR K , NY State NY ZIP code 100 0 3 -1 2 8 0 Mark an X in the appropriate box: Single-use certi cate Temporary vendors must issue a single-use certi cate. City State ZIP code Blanket certi cate To the purchaser: You may not use this certi cate to purchase items or services that are not for resale. If you purchase tangible personal property or services for resale, but use or consume the tangible pe.

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