Peddler's License
Mar 20, 2024
submission
#147
Peddler's License Application
Applicant Information
| First Name | Andrew |
| Last Name | Devore |
| Home Address (No PO Boxes) | --- |
| Mailing Address | --- |
| Phone Number | --- |
| Date of Birth | --- |
| Weight | --- |
| Height | --- |
| Sex | --- |
| Hair Color | --- |
| Eye Color | --- |
| Driver's License # | --- |
| DL State Issued | --- |
| DL Expiration Date | --- |
| Social Security # | --- |
| Have you ever been convicted of any crime, misdemeanor or violation of any municipal ordinance other than traffic violations? | --- |