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Of 3 BTFR 12/2013 DEPARTMENT OF PUBLIC SAFETY BENSALEM FIRE RESCUE CONTRACTOR LICENSE APPLICATION INFORMATION OF RECORD 1. Names of Owners, Partners, etc. & Business Trade Name: 2. Statements regarding any other municipalities having refused to issue a license within the last two years: 3. If licensed in other municipalities, please list at three along with license number: 4. List all convictions within last two years: 5. List all unsatisfied civil judgments in any jurisdiction against.

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