This government document is issued by AGRICULTURE for use in Montana
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https://www.google.com/url?client=internal-element-cse&cx=013380590290877010950:sn1mxs_6qe0&q=https://agr.mt.gov/_docs/pesticides-docs/complianceenforcement/Daily-Pesticide-Dealer-App-Rec-Form.pdf&sa=U&ved=2ahUKEwiMocrLjt6JAxVe-wIHHaMaL3g4KBAWegQICxAB&usg=AOvVaw1KHrr_b4WdAieL2vGntf8A