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VERIFICATION OF VEHICLE COMMISSARY <br /> I'Irctzrp+�.j'�li(n t�� ,nr:n�- rn .tr•t�ul•al4.1 <br /> -vollCLE 1Nr-cRMATlQN — <br /> 4) Year-, <br /> V��i�i��.� �IrlrvFr� Ir�r-UF;�r1A llc:�r� <br /> �• i 1r <br /> ' 1 fit;r M,t« City <br /> The rt',!(71b11f$1 fo*d MC14ty 'Rl all OPStA110 cut Of a cerrnmssllry anal shall report 1G tiff] c,c mml'sa ry at te"I oris*ditreh <br /> ollm,rating day for ni. and *er+rleing (CaFCode se►tdcifts 114296 & 114294 11 tiro fibs 01 the 1:017n nris"ry tik <br /> l:GcD"101W&d: thG q r must 60uh IN* offoro to r dko rM# noc ry Chappas Failure to r1OUN this <br /> e�tfbe t tayr lion and I ,'.r.•ri ,--, <br /> r ...... ',rte r ._� [�a►t� - <br /> 41 w <br /> r t•1 i1L Srim�: Cite <br /> lllr r.-o;rimjh%ary owetcor, earl arta mill pfr-.Yld-P iiia ncc"spry tacilltiaS r-or the above magitiomd vchirle at my <br /> �u'tltl+l;'�tlry+ �� c1�n::kt�U t)�le�w <br /> 1--7j 1Z+:7dMl,r-:y*& r r'IC!r'7�} �a_ + ah".illi' C i,'i!S i L-_i Amqjmo 6 <br /> ': ...,i�{1!'r i;{ !r','11•t�^,:45-ar'�' +'r'►l�fl�+i�f.'f �G' Dive <br /> HEALTH DEPARTMIWNX <br /> tf the cr>mmessary,10ad establishm nt Ila euIf.ldc $latn Joagxllei 001.1111ty, IM" iutiAl llrtitilll-r �ttr1��_il.rS,,Tb !111%',l V21i <br /> C111rent heath, permill by signing below. Comnfissary,rooj c5lah.li-s amenl Is 11% <br /> Cort nty- <br /> :n9nature o Ct un1y BEMs --- 1. IR'- -- --- <br />