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Get CO DR 8545 2014

Es Current License Number (All Answers Must Be Printed Legibly or Typewritten) feras 1. Name of Business requesting changes or Person requesting duplicate badge 2. Trade Name 3. Business address or personal address if requesting a duplicate badge City State ZIP Select the Appropriate Section Below and Proceed to The Instructions on Page2. (Please refer to fee schedule on the website www.colorado.gov/revenue/med) Section A Duplicate License Section B Duplicate Business License $ Chang.

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