"Vendor Annual Sales Report for Licence" - Newfoundland and Labrador, Canada

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Government of Newfoundland and Labrador
Department of Municipal Affairs and Environment
Vendor Annual Sales Report for Licence # ________
Sales Year Ending December 31,_________
Pesticide Name
PCP Act
Size and type of unit (i.e.
Number of
Registration #
100 ml, 25 g etc.)
units sold
I hereby certify that the information provided in this summary is accurate, to the
best of my knowledge.
Signature:_______________________________ Date:_________________________
P.O. Box 8700, St. John’s, NL, Canada A1B 4J6 Tel: 709-729-2565 Fax: 709-729-6969
Government of Newfoundland and Labrador
Department of Municipal Affairs and Environment
Vendor Annual Sales Report for Licence # ________
Sales Year Ending December 31,_________
Pesticide Name
PCP Act
Size and type of unit (i.e.
Number of
Registration #
100 ml, 25 g etc.)
units sold
I hereby certify that the information provided in this summary is accurate, to the
best of my knowledge.
Signature:_______________________________ Date:_________________________
P.O. Box 8700, St. John’s, NL, Canada A1B 4J6 Tel: 709-729-2565 Fax: 709-729-6969