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Get Randolph County Concealed Carry Permit

He below named applicant, swear/affirm, under penalty of law, that the information contained within this application is true and correct to the best of my knowledge. DATE OF SUBMISSION: APPLICATION TYPE / / Initial Honorably Discharged Law Enforcement Officer Renewal A. APPLICANT'S NAME: Last First Middle B. ADDRESS: City Street C. D.O.B. / S.S. # / - HT: - Ft. State In. WT: Zip Code SEX: M RACE: F EYES: HAIR: D. SCARS, MARKS, AND/OR TATTOOS (Description and location):.

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