companyofx00660069cerName the Ofx00660069cerss of Record for Corporation if applicable 1332A52 a2 Bona Fide Representative Reporting Responsibilities requiresHVACR 1332A52 a3 Bona Fide Representativ ID: 862981
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1 In order to register as a bona 昀
In order to register as a bona �de representative, you must be a licensed Master HVACR Contractor who company, of�cer. Name the Of�cers(s) of Record for Corporation (if applicable): . 13:32A-5.2 (a)2 Bona Fi
2 de Representative; Reporting Responsibil
de Representative; Reporting Responsibilities requires HVACR . 13:32A-5.2 (a)3 Bona Fide Representative; Reporting Responsibilities requires HVACRpenalty, suffered HVACR AFFIDAVIT HVACR Ventilating, (HVACR)Title Ventilating,(HVACR) Ventilating,(HVACR) Riw Nivwiy Sf�
3 ;gi sf xli Exxsvriy Girivep Division of
;gi sf xli Exxsvriy Girivep Division of Consumer Affairs State Board of Examiners of Heating, Ventilating, Air Conditioning and Refrigeration (HVACR) Contractors 124 Halsey Street, 6th Floor, P.O. Box 47031 Licensed Master HVACR Contractor (Available HVACR Busine