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MANIFEST NUMBER: 1000584 <br /> MANIFESTRETURNS _- <br /> , <br /> € <br /> Leave this form With the merchandise to be returned. DATE: 02/13/2017 <br /> ...... .._ ....._........___ ..................._...._.... . ---- - <br /> FROM: OREILLY AUTO PARTS 2567 T0: OZARK AUTOMOTIVE - STK <br /> 1440 EAST HARDING WAY 3412 PERLMAN <br /> STOCKTON CA 95205-3104 i STOCKTON CA 95206 <br /> (209) 466-3193 (209) 983-8454 <br /> I <br /> f <br /> o ® RETURNS <br /> NO.OF PACKAGE WEIGHT STOCK NO,OF PACKAGE <br /> PIECES DESCRIPTION E TYPE (LBS) RETURN TRANSFER PIECES TYPE DESCRIPTION <br /> ( ? 1 �I EACH 60-5298 <br /> E <br /> EACH 305-0119 <br /> j <br /> 4---' EACH 103-0134 <br /> { ( EACH WARNTY 432712 <br /> I j A"" EACH 1431508 <br /> --- - — _ -..__...---- <br /> i <br /> EACH COMPUTER MOUSE&KEY PAD <br /> 36 CTN FLORECENT LIGHT WASTE <br /> ----------------—-- -- -.. ._...._ <br /> i I <br /> f � <br /> _..._..... ........._. . 3..... ;.__... .._¢ <br /> f �- <br /> i .-................- —--------- <br /> STOCK <br /> ----STOCK T NSF R$ NON-HAZMAT REPAIR ITEMS <br /> NO.OF. TO NO.OF I <br /> PIECE$ --- _.._. -DESCRIIPTION.._._. _STORE._..._. .PIECES ._._..- _. DESCRIPTION -- <br /> -------- <br /> ---------------___.___.._..____-- —. _-... .. <br /> 1 <br /> ...... --..._ _. -.._.._... ......._....... ..................,.._.... .. <br /> ......__......_._.. <br /> STORE#WHERE MACHINE SHOP IS LOCATED: <br /> M4INIFES TE> I BCATION <br /> 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 <br /> applicable regulations of the Department of Transportation. <br /> PREPAREDROSEMARY MEJIA DATE: 02/13/17 TOTAL 60 TOTAL COUNT OF FILLED 2 <br /> BY: PIECES: GAYLORDSIPALLETS: <br /> PICKED UP WAREHOUSE DRIVER DC <br /> BY: LL UNLOADER: COUNT: COUNT: <br /> 2/2 PRINT DATEITIME: 02/1 kOl7 11:21:04 <br />