"Milk Tester's License Application" - Alabama

Milk Tester's License Application is a legal document that was released by the Alabama Department of Agriculture and Industries - a government authority operating within Alabama.

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Download "Milk Tester's License Application" - Alabama

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1445 Federal Drive ● Montgomery, Alabama 36107-1123
Rick Pate
Commissioner
MILK TESTER’S LICENSE APPLICATION - $1.00
January 1, 2019 - December 31, 2019
(
Please see enclosed letter regarding due date and LATE PENALTY.)
Attached is a license fee in the amount of $1.00 and application is hereby made for license in accordance with
Chapter 13, Article 1, Section 2-13-9, Code of Alabama 1975, to operate a Testing Apparatus for the purpose of testing
dairy products for the butter fat content for the period of January 1, 2019 and ending December 31, 2019.
*WE DO NOT ACCEPT CASH - ONLY CHECKS OR MONEY ORDERS*
(Please see enclosed letter regarding remittance information.)
PLEASE PRINT:
NAME OF APPLICANT: ______________________________________________________
DAIRY EMPLOYED BY: _____________________________________________________
MAILING ADDRESS: ________________________________________________________
(TO SEND PERMIT)
__________________________________________________________
CONTACT PERSON: ___________________________ PHONE: (
) ________________
SIGNED: __________________________________ DATE: _________________________
FOR FOOD SAFETY’S OFFICIAL USE ONLY
CERTIFICATE OF APPROVAL
This certifies that the above-named applicant has passed oral and written examination to show proper qualifications for
testing and is hereby permitted to operate testing apparatus for the purpose of testing for butter fat content. This permit grants
certification for the period of January 1, 2019 until December 31, 2019.
__________________
: $____________________________
APPROVED BY:
AMOUNT PAID
DATE: _________________________
( ) CHECK # ______________________________
PERMIT NO: ____________________
#________________________
(
) MONEY ORDER
www.agi.alabama.gov ● Phone 1-800-642-7761
“We provide employment & services without discrimination.”
1445 Federal Drive ● Montgomery, Alabama 36107-1123
Rick Pate
Commissioner
MILK TESTER’S LICENSE APPLICATION - $1.00
January 1, 2019 - December 31, 2019
(
Please see enclosed letter regarding due date and LATE PENALTY.)
Attached is a license fee in the amount of $1.00 and application is hereby made for license in accordance with
Chapter 13, Article 1, Section 2-13-9, Code of Alabama 1975, to operate a Testing Apparatus for the purpose of testing
dairy products for the butter fat content for the period of January 1, 2019 and ending December 31, 2019.
*WE DO NOT ACCEPT CASH - ONLY CHECKS OR MONEY ORDERS*
(Please see enclosed letter regarding remittance information.)
PLEASE PRINT:
NAME OF APPLICANT: ______________________________________________________
DAIRY EMPLOYED BY: _____________________________________________________
MAILING ADDRESS: ________________________________________________________
(TO SEND PERMIT)
__________________________________________________________
CONTACT PERSON: ___________________________ PHONE: (
) ________________
SIGNED: __________________________________ DATE: _________________________
FOR FOOD SAFETY’S OFFICIAL USE ONLY
CERTIFICATE OF APPROVAL
This certifies that the above-named applicant has passed oral and written examination to show proper qualifications for
testing and is hereby permitted to operate testing apparatus for the purpose of testing for butter fat content. This permit grants
certification for the period of January 1, 2019 until December 31, 2019.
__________________
: $____________________________
APPROVED BY:
AMOUNT PAID
DATE: _________________________
( ) CHECK # ______________________________
PERMIT NO: ____________________
#________________________
(
) MONEY ORDER
www.agi.alabama.gov ● Phone 1-800-642-7761
“We provide employment & services without discrimination.”