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1 Municipal Plaza – Room 109 Bloomfield, New Jersey 07003-3487
Tel. (973) 680-4024 Fax. (973) 680-4825
1. Complete all information requested above, INCLUDING telephone numbers. Your application will not be processed if any information is missing.
2. Mail a check or money order made payable to the “Township of Bloomfield” in the appropriate amount to:
Bloomfield Municipal Health’s Office
Room 109 1 Municipal Plaza Bloomfield, New Jersey 07003
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