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EST � MANIFEST NUMBER: 1000575RETURNS MANIF _-__.____.______ Leave this form with the merchandise to be returned. DATE: 01/31/2017 E ..........-.. .._...._... _ ..-......._..- _.._..... .....-.._-. ........_... ................ ..........._. -. ._,,..,......_-.. ...__....._.. .. ..... ._._- ....._..... ._ .. ........_._....... ....--......... _. ...__. ............. FROM: OREILLY AUTO PARTS 2567 TO: OZARK AUTOMOTIVE - STK 1440 EAST HARDING WAY 3412 PERLMAN STOCKTON CA 95205-3104 STOCKTON CA 95206 (209) 466-3193 (209) 983-8454 c s RETURNS NO,OF PACKAGE IWEIGHT STOCK NO.0 PACKAGE1 PIECESI DESCRIPTION { TYPE (LBS) RETURN,,TRANSFER PIECES TYPE I DESCRIPTION ___-- _ .. — .. _ _ 2UN2794 BATTERIES,WET,FILLED PLASTIC 75.20 X TOTE NEW MERCHANDISE WITH ACID,8,PG III,(WARR) BOX i 1 � � TOTE CORE MERCHANDISE _...._ _._. ....._....— -.. ......... — TOTE WARRANTY MERCHANDISE ................. ... -------- ..._._ EACH ENGINE NEW,CORE EACH...__.._ _ ____.._ ._ N .._..__RE. .. ._ ...._. CRANKSHAFTNEW,CO WARRANTY , 4 ...-- _.._.. -......- -- 1 i i i l -___ I eo , 82 11 STOOK TRANSFERS NON-HAZMAT REPAIR ITEMS $ NO.OFi TO NO.OF i _PIECES DESCRIPTIONSTORE PIECES DESCRIPTION CRANKSHAFTS ENGINES CYLINDER HEADS .._._ . ..___-.._.. .._...._...-_ __..____.._. .-.._.. ......_. .__.. __._ ......_.._.._..___ ..�.__ __._.__._ _._. ..__. l.. _.___._.___ _ ._.._...._ _._...__._._ i STORE#WHERE MACHINE SHOP IS LOCATED: MANIFEST,CFRT 01tAT10N 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 PREPAREDROSEMARY MEDIA DATE; 01/31/17 - - - TOTAL- 7 TOTAL COUNT OFFILLE - � BY: PIECES: GAYLORDSIPALLETS: PICKED UP WAREHOUSE DRIVER DC BY: UNLOADER: COUNT: COUNT: 1 / 1 PRINT DATE/TIME: 1/31/2017 12:56:51