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[[pre-printed form with no information added]] PLEASE PRINT TRADE NAME OF ESTABLISHMENT____________ Check One: ___Partnership ___Corporation ___Single Ownership ADDRESS_________ TELEPHONE NO.____________ OWNER'S NAME______________ MGR'S NAME__________ FOOD ___Dry groceries ___Fresh fruits and vegetables ___Meats ___Kosher Meats ___Poultry ___Fish, fresh and frozen ___Milk, butter, cheese and eggs ___Bakery products ___Soft drinks (bottled) ___Beer (bottled) ___Distilled wines & liquors (pkgd.) ___Ice cream (bulk or packaged) ___Candy, nuts and food sundries TEXTILES AND APPAREL ___Shoes ___Furs ___Hosiery ___Women's underwear (lingerie, corsets, brassieres) ___Women's and Children's outerwear (coats, suits, skirts, dresses, hats, blouses, jackets, snow suits, leggings, slacks.) ___Men's haberdashery (ties, shirts, hats, etc.) ___Workmen's clothing ___Military uniforms ___Apparel accessories ___Yarn ___Linen ___Piece goods ___Domestics CONSUMER DURABLE GOODS (NEW AND USED) ___Furniture ___Bedding and bed springs ___Linoleum and other floor coverings ___Rugs and carpets ___Baby carriages ___China & pottery ___Trunks and luggage ___Bicycles ___Hand Tools ___Electrical appliances ___Ice boxes ___Musical instruments ___Umbrellas ___Jewelry ___Optometrists ___Furniture ___Hardware ___Pumps RESTAURANTS ___Lunch rooms ___Tea shops ___Boarding houses ___Cafeterias ___Grills ___Cafes ___Hotel dining rooms ___Taverns ___Taprooms ___Bar-rooms ___Soft drink fountains ___Sandwich stands ___All other eating establishments SERVICES ___Auto repairs (including washing, towing, lubrication) ___Automobile storage (garages) ___Automobile parking lots ___Auto rental agencies ___House and office building cleaning establishments (window cleaners, chimney cleaners, sanding, scraping, waxing, including the rental to perform these services.) ___Office equipment maintenance (rental of and repair) ___Clothing services, tailor (cleaning, dyeing, alterations) ___Hand laundries ___Power laundries ___Electrical appliances (repair and rental of) ___Furs (repair and storage of) ___Furniture maintenance (general repair and cleaning of) ___Radio and phonograph maintenance (rental and repair of) ___Shoes (repair, alterations, dyeing, waterproofing) ___Storage of household goods (packing, crating, storage, but not transportation.) ___Cabinet makers ___Carpenters ___Building contractors for houses ___Interior decorators ___Painters ___Wall paperhangers ___Plumbers ___Upholsterers FUEL ___Fuel oil retailers ___Kerosene peddlers ___Coal retailers ___Gasoline filling stations ___Firewood retailers ___Ice Dealers OTHER ___Drugs and sundries ___Fertilizer distributors ___Oil burners ___Lumber ___Tires and tubes ___Passenger automobile dealers (including used car dealers) ___Farm equipment dealers ___Ice ___Housing building supply yards ___Gift shops ___Antiques ___Stationers ___Commercial vehicle dealers (including used trucks) ___Automotive parts ___Automobile accessories
Transcription Notes:
pre-printed form with no information added