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Get Application For Certification To ... - State Of New Jersey - State Nj

ION TO HANDLE OYSTERS, CLAMS OR MUSSELS Name and Mailing Address of Owner, Owners or Corp. Location of Establishment Telephone No. Telephone No. Fax No. County Federal ID/Social Security No. Fax No. Trade Name, if any President (Full Name) NAMES AND ADDRESSES OF OFFICERS Address City State Zip Code Vice-President (Full Name) Address City State Zip Code Secretary (Full Name) Address City State Zip Code Treasurer (Full Name) Address City State Zip Code New Jersey Regist.

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