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Class 3 - Cylinder Transport License

  1. List all terminal(s) the cylinder delivery trucks are dispatched from
  2. List all cylinder delivery trucks operating in Kansas and license tag numbers
  3. Read and initial the following.
  4. By typing my name and date below, I certify that this information is true and correct. Any false or fraudulent statement or failure to comply with the rules and regulations promulgated by the Office of the State Fire Marshal or K.S.A. 55-1812 shall be cause for suspension or revocation of the license held.
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  6. This field is not part of the form submission.