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Registration #: 198606038
Name: KWIK STAR #468
Address: 90 S MAIN ST
City: Charles City
Zip: 506160000
Field Office: 2
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Tank:*
--Choose Tank--
17523
Compartment:*
--Choose Tank--
Type:*
--Type--
Renewal
Permanent
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Temp Closed
Permanent-Small
Old Permanent-Small
Renewal Year:
*
Numeric value only
Val. Date:
*
MM/DD/YYYY
Issue Date:
*
MM/DD/YYYY
Fee Due:
*
Invalid value
Fee Rec'd:
Invalid value
Total Fee :
Invalid value
Tot Fee Rec'd:
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Tag No.:*
Comment:
Temporary:
4.1.525.13227
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