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FS-5103 Rev. 2-07 Oklahoma Department of Agriculture Food Forestry FOOD SAFETY DIVISION Poultry Egg Organic Foods Section OFFICE USE ONLY RECEIPT P. O. Box 528804 Oklahoma City OK 73152-8804 PH 405 522-5924 FAX 405 522-1060 DATE SHELL EGG INSPECTION REPORT LOCATION PHONE ADDRESS CITY STATE ZIP In accordance with OKLAHOMA EGG LAW 2 O. S. 10-81 a financial report is required on a monthly basis I hereby certify that the number of dozen eggs noted b...
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