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Smoke/Carbon Monoxide Detector Certification

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  2. Millville Fire Department

    420 Buck Street Millville, NJ 08332

    Phone: 856-327-3334      Fax: 856-327-2319

  16. If something comes up and we can't make it, who do we call?
  18. This is Mandatory.

  22. Office Use Only

  24. Date Request Received: _____________________
  25. Received By: ______________________________
  27. Scheduled Date/Time: ______________________
  29. Amount Due:
  30. $45
  31. $90
  32. $161
  34. Date/Time Faxed to Accounts Receivable: _____________________

  42. Payment Schedule

    $45 - 10 or More Business Days

    $90 - 3 to 9 Business Days

    $161 - 2 or Less Business Days

    Days are calculated from the date that the request is received to the closing date.

    Failure to complete all requested information may delay the inspection.

    Note: Failure to submit payment prior to inspection will result in the inspection being cancelled!


  44. www.MillvilleFire.org

    Committment-Innovation-Excellence-Passion

    45. Leave This Blank:

  47. This field is not part of the form submission.