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Get Fl Fdacs-08176 2018-2024

Ule 5B-54.010, F.A.C. Remit online payment at www.FreshFromFlorida.com -orCheck or Money Order payable to: FDACS P.O. Box 6720 Tallahassee, FL 32314-6720 P. O. Box 147100, Gainesville, FL 32614-7100 / Phone: (352) 395-4700 / Fax: (352) 395-4624 (New) (Continuing) (Reactivation) (Company Name or Partnership) (Owner(s) Name) (Mailing Address) (City) (State) (Zip Code) (County) (Zip Code) (County) (Physical Address if different from above) (City) (State) or (Phone Numbers) __________.

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