| Montgomery County | |
| 501 North Thompson, Suite 101, Conroe, Texas 77301 | |
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| FOOD SERVICE PERMIT TO OPERATE | |
| Display Prominently for Public View | |
| This is to certify that the holder of this certificate: | |
| [Operator Name] | |
| is granted permission to operate | |
| [Establishment Name] | |
| Located at | |
| [Establishment Address] | |
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Date: [Month XX, XXXX]
Expiration: [Month XX, XXXX] Class: [Insert Class #] {{-- [Blank space to insert note] --}} |
Director of Health |