Fillable Deposit. Slip. New (North Dakota State Electrical Board)

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Deposit. Slip. New (North Dakota State Electrical Board)

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E-Cert Deposit Slip
Name of Contracting Master/Class B Electrician: ______________________________________________________
License Number of Contracting Master/Class B Electrician: __________________________________________
Amount Deposited: $____________________ Check/Money Order #: __________________________________
Submit with check/money order to: North Dakota State Electrical Board
PO Box 7335
Bismarck, ND 58507-7335
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Deposit. Slip. New (North Dakota State Electrical Board)

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Completed 21 April 2021

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