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CS1014 DEA Authorized Purchasers Request Form
www.theplazagrp.comDEA Authorized Purchasers Request Form Doc no: CS1014 Version: 002 Date: 5/2/2012 Page: 1 / 3 The Plaza Group, Inc. 10375 Richmond Ave., Suite 1620, Houston, TX 77042 www.theplazagrp.com