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This document is an application for refund of aviation fuel tax paid at the Salt Lake International Airport. It consists of 3 parts: 1. Part A outlines the conditions for qualifying for the refund, including being a federally certified air carrier. 2. Part B requires the applicant to provide the total gallons purchased that qualify for refund, and calculates the total refund amount. 3. Schedule A is attached for the applicant to itemize the date, vendor, and number of gallons purchased at the airport.

