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I MANIFEST NUMBER: 1000560 RETURNS (FEST Leave this form with the merchandise to be returned. DATE: 01/11/2017 ..... .. ... _....... _............. .... . FROM: OREILLY AUTO PARTS 2567 E TO: OZARK AUTOMOTIVE- STK I 1440 EAST HARDING WAY 3412 PERLMAN STOCKTON CA 95205-3104 i STOCKTON CA 95206 (209) 466-3193 f (209) 983-8454 I . i e ® RETURNS NO.OF 3 PACKAGE VEIGHT STOCK NO.OF PACKAGE PIECES DESCRIPTION TYPE (LBS) RETURNTRANSFER PIECES TYPE —il — v DESCRIPTION TOTE NEW MERCHANDISE TOTE ..CORE MERCHANDISE _... TOTE I WARRANTY MERCHANDISE EACH ENGINE NEW,CORE EACH-- CRANKSHAFT NEW,CORE WARRANTY . _._ .._.. .. .......: 1 f EACH 8899 POWER STERRN REPAIR KIT --—._._. .__.... .. .. _._.._...... ....... I .... _.._ ................._— i � ! .............._._........_............_...._......_...............___...... . .. ........... ........ t f I, i E j 1 • ® p STOCK TRANSI=ES:fdN-I-0AMA7' REPAIR ITEMS NO.OF TO NO.OF, PIECES, _ DESCRIPTION __,.. STORE-_-_ _PIECES _ DESCRIPTION CRANKSHAFTS -------------- ENGINES CYLINDER HEADS _. .._. ......_.__.. . _ _ . _. I STORE#WHERE MACHINE SHOP IS LOCATED: ........... .... ........._.,_........ ...1.._.. MANIFEST'CERTIFICATIO This is to certify that the above named material is properly classified,described,packaged,marked,and labeled and is in proper condition for transportation according to applicable regulations of the Department of Transportation. PREPARED ROSEMARY MEJIA DATE; 01/11/17 TOTAL 1 TOTAL COUNT OF FILLED 1 BY: PIECES: GAYLORDSIPALLETS: ---- --- - - - --- ----- --- ---------------- --- PICKED UP WAREHOUSE DRIVER DC BY: UNLOADER: COUNT: COUNT: 1 / 1 PRINT DATE/TIME: 01/11/2017 12:14:05