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Smoke/Carbon Monoxide Detector Certification

  1. Millville Fire Department

    420 Buck Street Millville, NJ 08332

    Phone: 856-327-3334      Fax: 856-327-2319

  2. If something comes up and we can't make it, who do we call?

  3. This is Mandatory.

  4. Office Use Only

  5. Date Request Received: _____________________

  6. Received By: ______________________________

  7. Scheduled Date/Time: ______________________

  8. Amount Due:

  9. $45

  10. $90

  11. $161

  12. Date/Time Faxed to Accounts Receivable: _____________________

  13. Payment Schedule

    $45 - 10 or More Business Days

    $90 - 3 to 9 Business Days

    $161 - 2 or Less Business Days

    Days are calculated from the date that the request is received to the closing date.

    Failure to complete all requested information may delay the inspection.

  14. www.MillvilleFire.org

    Committment-Innovation-Excellence-Passion

  15. Leave This Blank:

  16. This field is not part of the form submission.