Image (38)CONSUMER FIREWORKS RIETAIL
SALES (CFRS) FACILITY
SUPPLEMENTAL SUPPLIER CA"
Supplemental Supplier Cards are NOT to be considered a Retailers License on their own
and cannot be used to permit the operation ofany CFRS Facility. These cards are only used
when purchasingproductfrom a Licensed Fireworks Wholesaler to supply a single specific
stand A single retailer location may use multiple suppliers, so may therefor have multiple
THIS DOCUMENT IS NOT VALID FOR
WHOLESALE PURCHASE WITHOUT EVIDENCE
OF THE .
LICENSE___________~,,.
Licensee:
Got Fuse Fireworks
License Number:
VV8PFL'02065
Stand Number:
SN-15898
CFRS Operator:
Ken Kersey
OperatorCFRS Email:
kers.--^l~~g—_--_m
Actual License Expires:
January 31, 2025
Licensee nrOperator Signature
_
NOT A LICENSE. DO NOT ISSUE A PERMIT