Form 08-4251b - Professional Reference

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STATE OF ALASKA
DEPARTMENT OF COMMUNITY AND ECONOMIC DEVELOPMENT
DIVISION OF OCCUPATIONAL LICENSING
BOARD OF VETERINARY EXAMINERS
P.O. BOX 110806
JUNEAU, ALASKA 99811-0806
(907) 465-5470
E-mail: license@dced.state.ak.us
PROFESSIONAL REFERENCE
I do certify that I was professionally associated with
(Name of Applicant)
from
, ___ _ , to
,
___
. I recommend the
applicant as being professionally capable, reliable, and worthy of confidence.
PERSONAL STATEMENT:
Signature
Printed Name
Title
Address
Date
SUBSCRIBED AND SWORN before me, a Notary Public in and for the State of
,
this
day of
____
.
Notary Public
NOTARY SEAL
My Commission Expires:
08-4251b (Rev. 11/00)
(5)

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