ATTENTION LE HAVRE RESIDENTS
KEEP YOUR APARTMENT
By now you have received
this form in the mail.
This form is crucial for
collecting information about
the SAFETY of this building.
Please take the time t o
respond as it is law and it
makes sure that we're being
on top of the laws that k eep
you SAFE.
Check out b elow how easy it
is to respond.
5
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EASY WAYS
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NOTIFICACION ANUAL PROTEJA A SU NINO OEL ENVENENAMIENTO POR PLOMO YOE LAS CAiDASPOR LAS VENTANAS
La le-f de la Culdad de Nueva Yon: requie,e q ue los inq uilinos que vlven en edifici os co n 3 apartamenlos o mAs debencompletar y devolverle este formulario
antesdel15delebferode cadaai'io.
SI usted no devuelve estelormulario, Sllpropkltatlo esta obllgado a wlsltarSII apartamen to para averlguar sl har nliios que ,t,en con usted.
• 11,. �� ....... . . .... ..
FEIH\\Ji>-R'C
5 WAYS TO RESPOND:
MAIL��
COMPLETE ANO MAJL THIS FORM TO:
FIRE SAFETYFORMPROCESSINGCENTEA
14 7PRINCESTREET-1s1FLOOR
BROOKLYN.NY11201-3007
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Using a pen (not a pencil), please mark all boxes that apply with an J(
Elu solle unboligralo(no un!Apiz).porfavormarquetodaslascasl lasqueconespondanconuna)(
A child under 6 years of age (5 years or younger) liv es in my apartment
Un m��o o una niiia menor de 6 anos (de5 aflos deedad o menos:1 vive en mi apartamento
A child under 11 years al age (10 years or younger) lives in my apartmenl and:
IJfl n1rlo o una nii\a menor de 11 ailos (de ID aflos de edad o menos) vive en nll apartamento y.
Windowguardsarelnstalledln allwlndowsasrequired
Lasre1asdese{lundadobliga1oriashan stdo1rista1a<1asen todaslasventanas ■ D Windowguardsneed repalr
Lasrn1asdesegundadneces11anre��raci6n D Window guards are NOT installed In all windows a s required
L.asrn1asdesegundad obhga toriasNOhan s1domstaladas
Nochildunder11 yearsolage(10yearsoryounger)livesinmyapartmentand:
N1ngjjn niiloo niia me oor de 11 aim(de 10ai\osdeedad o menosJvive en ffilapartamenlo:
I w ant window guards installed anyway
Ot11ero ter r11sreiosdeseguridad1nstaladasde todosmoclos D I have window guards but they need repair
Ten��olSreiasdesegundadpero��·11anreparac10n
I HAVE a child 1nderage Sil residing 10 my apa rtment, and YES, I do NO, I do NOT
want sto ve kf'IOb covers or replacement stove knob covers lor my stove
I DO NOT have I thlld Uldtr .,. six residing in my apartment. and L...J YES, I do
want s tove knob covers or r eplacement stove knob covers tor my stov e.
NO,ldoNOT
First
Name
)Uombmlep11i)
Lasl
Name
Telephone Number (NUmero de telefono)
□ CALL
(Ap11111d0Nombre)
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Signature 1foma)
Dale(Ftch.i ___ _ ■
14 LEHAVRE COURIER | FEBRUARY 2020 | WWW.QNS.COM
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