Free 18789-2.pdf - Indiana


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State: Indiana
Category: Government
Word Count: 77 Words, 553 Characters
Page Size: 792 x 612 pts (letter)
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http://www.state.in.us/icpr/webfile/formsdiv/18789-2.pdf

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INDIANA OPERATING FACILITY LISTING
Please make corrections, if this information has changed Date:
Location # Headquarters: Name City Bushel Capacity

Facilities: 1). 2). 3). 4). 5). 6). 7). 8). 9). 10).

TOTAL BUSHEL CAPACITY:

FORMAL CERTIFICATION I hereby certify that the information provided herein is true and complete, that the facility/facilities are suitable for the storage of grain under the provisions of the Indiana Grain Buyers and Warehouse Licensing and Bonding Law, IC 26-3-7, as amended.
Typed or printed name: Title: Signature: Date: