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Get IL MI-45

-9281 ILLINOIS DEPARTMENT OF AGRICULTURE Bureau of Meat and Poultry Inspection State Fairgrounds – P.O. Box 19281 Springfield, IL 62794-9281 Phone 217/782-6684 TDD 217/524-6858 OFFICE USE ONLY Lic # __________________ Issue Date ______________ Exp Date _______________ Check # _______________ Check amt $ _____________ Revenue Code ___150_____ Application for a License to Operate a Refrigerated Warehouse Non Transferable License Fee - $50.00 Please mark one: NEW or RENEWAL Name & Address.

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