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STATE OF NEW JERSEY DIVISION OF TAXATION PPT-4 8-91 PETROLEUM PRODUCTS GROSS RECEIPTS TAX P. O. Box 189 Trenton NJ 08695-0189 EXPORT CERTIFICATE Name of buyer Employer Identification Number Address number and street or rural route City State Zip Code Buyer Information This certificate is for Single sale please complete the following Date of sale Date of delivery Type of petroleum Number of gallons Dollar amount of sale Blanket certificate CERTIF.

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