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Application for Bulk Milk Hauler / Sampler Permit

State Form 1242 (R6 / 4-18)

INDIANA STATE BOARD OF ANIMAL HEALTH
DAIRY DIVISION
Discovery Hall
1202 East 38th Street, Suite 100
Indianapolis, IN 46205-2898
Telephone number: (317) 544-2
400
Fax number: (317) 974-2011