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State of Delaware CERTIFICATION FOR LISTING ON DELAWARE DIRECTORY (TITLE 29, CHAPTER 60D of the DELAWARE CODE) – INSTRUCTIONS JUS-TPM1 Page 1 of 14
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Document Date: 2014-04-24 11:21:56


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Country

United States / /

Facility

Manufacturing Plant Phone Number / Manufacturing Plant Facsimile / Manufacturing Plant / /

IndustryTerm

tobacco product / manufacturing facility / manufacturing / state law / tobacco product seller / tobacco products / /

MarketIndex

CERTIFICATION / /

Organization

USC Chapter / Department of Justice Licenses/Permits / Government Entity’s Street Address Department of Justice Date of Reclassification Attach / Federal Trade Commission / RETAILERS Brand Families Distributor Street Address Department of Justice Telephone Number Attach / Tobacco Tax Bureau / Division of Revenue for the State of Delaware / Department of Justice Agreements Regarding Compliance / Renewal Department / Division of Revenue / Department of Justice / U.S. Treasury / Qualified Escrow Fund / Department of Justice Provide / Department of Justice Health Warning Rotation Plan For / /

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Position

Treasurer / wholesaler / government attorney / Secretary of Health / Prime Minister / attorney general / U.S. Surgeon General / President / Secretary / U.S. Secretary / /

ProvinceOrState

Delaware CERTIFICATION / Delaware / /

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