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2. City Clerk's Office

   712-890-5261

4. Business Name
6. Owner/Manager First Name
7. Owner/Manager Last Name
9. Location of Business
11. City
12. State
13. Zip
15. Affidavit
    I, being duly sworn on oath depose and say, that I am the Owner/Manager of said business and that the principal place of business which location is stated above; that for and on behalf of said company, I make this affidavit in compliance with Chapter 3.44 of the Municipal Code of Council Bluffs, Iowa; a license to engage in the pawn brokerage business at the location stated above, in connection with business now conducted. I further state that we will faithfully observe and carry out all the provisions and requirements of any ordinance now in force or that may be hereafter passed, with relation to pawnbrokers and their business.
17. Signature
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20. Email address

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