NYS Pistol Permit Recertification
Thank you for submitting your pistol permit recertification.
Use the "Print" button below if you would like to save a copy of your recertification.
Your Recertification Number is: 3362589.
Please visit https://firearms.troopers.ny.gov/pprecert/ to check the status.

Personal Information
Last Name:	hazelSuffix:
First Name:	Mark
Middle Initial:	T
Gender:	Male
Date of Birth:	Mar 20, 1958
Last 4 SSN:	XXX-XX-0131
Race:	White
Height (feet/inches):	5' 11''
DMV Client ID:	258309431
Weight(lbs):	260
Eye Color:	Brown
Hair Color:	Black
Since being issued a pistol permit, have you ever been known by any name other than that currently appearing on your pistol permit?	No
Permit Information
County Of Issue:	Monroe
Permit Number:	995-85
Issue Date:	Oct 24, 1985
Have you ever transferred your permit from one county to another?	No
Contact Information
Physical Address:
214 Whittier Rd
Rochester, New York 14624
Mailing Address:
214 Whittier Rd
Rochester, New York 14624
Primary Contact Telephone Number:	5852813665
Email:	mthazel2151@yahoo.com
License Type
Carry Concealed (Includes restricted Or unrestricted)

Firearm Information
Do you have any pistols and/or revolvers listed on your pistol/revolver license (includes possessed, co-owned/co-registered)?  Yes

Co-Registered	Manufacturer	Firearm Type	Model	Caliber	Serial Number
No	
Springfield Armory
Pistol	XDS	45	XS535406
No	
Ruger (Sturm Ruger)
Revolver	security six	357	15344749
No	
Colt
Pistol	Combat Commander	45	CLW046500
No	
Ruger (Sturm Ruger)
Pistol	LC9	9	45161275
No	
Walther
Pistol	ppk	380	A054013
No	
Ruger (Sturm Ruger)
Revolver	single six	22	26219905
No	
Springfield Armory
Pistol	XDS	9	S3978507
No	
Connecticut Valley Arms
Singleshot	black powder	45	0051227
No	
Dan B. Wesson Arms
Revolver	744	44	B022001
No	
Ruger (Sturm Ruger)
Revolver	GP100	357	17687802
No	
Smith & Wesson (S&W / S & W / SW)
Revolver	500	50	CWV6120
No	
Thompson Center Arms Co.
Singleshot	contender	44, 223, 45, 410	277428
No	
Smith & Wesson (S&W / S & W / SW)
Revolver	M629	44	DJJ5295
No	
Gabilondo/Gabilondo & Cia
Pistol	IIIA	380	648335
No	
Ruger (Sturm Ruger)
Pistol	LCP II	380	380263525
No	
Ruger (Sturm Ruger)
Pistol	MK IV	22	500032159
No	
Beretta
Pistol	92F COMPACT	9	D87290Z

Request for Public Records Exemption
NYS Firearms License Recertification - Request for Public Records Exemption
Are you requesting to have information concerning your firearms license recertification exempt from public record?	No



 *  I certify that the information provided above is correct. I also hereby affirm that, to the best of my knowledge, I am not prohibited from possessing firearms. I understand that false statements made herein are punishable as a Class A misdemeanor. I further understand that upon discovery that I provided any false information, I may be subject to criminal penalties, my pistol permit may be revoked, and any request for public records exemption shall become null and void.