Permit Registration New Moving User UID # 14101
App. Status: Approved
 

Information

Contact Information:
Name:
Kevin Trettel
Phone:
(555555 - 5555
Mailing Address:
115 2nd Street NE
Little Falls MN 56345
Insurance Company: acme
Certificate of Insurance Policy Number: 123
Certificate of Insurance Amount: $123.00
Certificate of Insurance Expires:
07/31/2033
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