Form Rev-655 As - License To Resell Amusement Tickets

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REV-655 AS (03-11)
Start
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LICENSE TO RESELL
AMUSEMENT TICKETS
COUNTY OR CITY OF
THIS CERTIFIES THAT _______________________________________________________________ IS AUTHORIZED TO RESELL
TICKETS OF ADMISSION TO AMUSEMENTS IN ACCORDANCE WITH THE PROVISION OF ACT 62 OF MAY 2, 1947, AS AMENDED,
AT THE FOLLOWING DESCRIBED PLACE OF BUSINESS:
_________________________________________________________________________________________________________
County Treasurer or City Receiver of Taxes
NOTE: THIS LICENSE IS NOT TRANSFERABLE OR ASSIGNABLE.
POST LICENSE PROMINENTLY AT LOCATION OF BUSINESS NAMED HEREIN.
PRINT
RESET FORM

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