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MACOMB COUNTY HEALTH DEPARTMENT Environmental Health Services Division 43525 Elizabeth Road Mount Clemens Michigan 48043-1078 Phone 586 469-5236 Fax 586 469-6534 EVALUATOR REGISTRATION RENEWAL Registration Number Name Company Name Address City/Village/Township State Zip Telephone E-mail Address Fax Signature Date Registration Fee 2017 - 168. 00 Make check payable to Macomb County Health Dept. FOR HEALTH DEPARTMENT USE ONLY Date Of Original Registration Type of Registration Yes Water...

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Registration number - macomb is a unique identifier assigned to entities in Macomb.

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