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Certificate Of State Board Registration 76 - Missouri
| Certificate Of State Board Registration Form. This is a Missouri form and can be used in Profit Corporation Secretary Of State . |
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State of Missouri D WE S T ITE D AN DIV Jason Kander, Secretary of State X ESTO LE ED WE FA ID E PLURIB M UNU SALUS PO MDC PUL I SUPREM CCXX Professional License No. This is to certify that each of the persons named below, as incorporators and/or shareholders of a proposed Professional Corporation named Name of Corporation are duly licensed or registered to practice the profession of Name of Profession in the State of Missouri with Name of Board Name of Incorporator The above name(s) of Incorporator(s) are hereby approved by this State Board. Authorized Signature of State Board Name and address to return filed document: Name: Address: City, State, and Zip Code: Corp. 76 (12/2010) American LegalNet, Inc. www.FormsWorkFlow.com LL US A Corporations Division PO Box 778 / 600 W. Main St., Rm. 322 Jefferson City, MO 65102 UN Certificate of State Board Registration . Registration or License Number Date Licensed or Registered Address City or Town Printed Name Title Date
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