Certificate Form Of Limited Partnership - State Of Nevada Page 4

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ROSS MILLER
Customer Order
Secretary of State
202 North Carson Street
Carson City, Nevada 89701-4201
Instructions
(775) 684 5708
Website:
Service Requested:
24-Hour Expedite
Regular
(additional fee included)
USE BLACK INK ONLY - DO NOT HIGHLIGHT
SUBMIT THIS COMPLETED FORM WITH YOUR FILING
Date:
Name of Entity:
Return to:
Contact Name:
Phone:
FedEx: Account #
Return Delivery
(mark one):
Hold for Pick Up
Other
Mail to Address Above
(explain below)
Order Description
(include items being ordered and fee breakdown)*:
* PLEASE NOTE: this office keeps the original paperwork. The first file
Total Amount:
stamped copy ordered at the time of filing is at no charge. Each
additional copy is $2.00 per page (plus $30.00 for each certification.)
Method of Payment:
Check/Money Order
eCheck/Credit Card
Trust Account
(attach checklist)
Use balance remaining in job #
Nevada Secretary of State Customer Order Instructions
Reset
Revised: 7-1-08

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