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Dec 27 2816 17:88:39 CST FROM: F'4/50046389011 MSG# 1736935481-905-1 PAGE 824 OF 862 <br /> AL <br /> IU LAWN <br /> 1 <br /> I <br /> PJ.akUp Receipt Piab* Data, 09/21/2015 <br /> ZAT lmas.fist: 11014694.52 <br /> BBT Trip L41W: 634589 <br /> Store No: 015$4 <br /> Gea-.`g5Raulsr 94d2101 1 <br /> UML MART STOCnm LAKIN TIRE WZST, INC. <br /> 3223 E Twom,R LAAN& 15305 Spring Avo <br /> STOCKTON , CA 95212 Santa Fe Springs, CA 90570 <br /> 209/473-3430 TPIO: 2Q00659v0;1 <br /> TPIU: 1331982-d1 <br /> Truck: 423460 <br /> T-ailexs 935 <br /> l.a.centso Number: 9P34029 <br /> R¢givttation: 15-06936 <br /> Staro: CA <br /> It®an Qty <br /> 1'izea Pickod Up: Ind <br /> Confidentiality Claim: The information provided on this form should be <br /> cgn3idorod cora:identi,al, prapriatary, 4nd/or trode aocrot. in accordanco with .14 <br /> Titin 14, CCR, Section 17041 et.aeq, should Any membor Q: rho public requr,at flail <br /> dl.tGl.OalarC oaf tF1Ji� ].P1�Oxf1113�'wVlj, � LfrCjL16.1X tj]AL' Cca1RCCycle contactafa0 Elf it-he:addroem and telaphono nwnbar above. <br /> rs Actroiai.a Ropiortlang to COXV cycla: Uix in T1re Wept jjAa been authorixod by <br /> ca'A*Oyelc to lmrticIPAtO AA Cho tWaata dnd Used Ti,xc Manifeet EDT alactronic <br /> reporwinq proq:am. On behalf of tyle Cuatomor listed on thIs £.Arta, Lakin Tire <br /> went will el6ctroniO411y Crarsmit to CalR,LCyCla All required information from ! <br /> this rani oat. Calbtacycic hoz uppxovod the Lakin Tiro West EDT go= jor uao ; <br /> within thr, WA.1te Tire Manifest Systatt Ely,! program. `? <br /> Qu05t:ion37 Plv ase comcact your cuateYmer Service Repttaentative At 800-466-2752 or entail. f <br /> customessezvieo@lak�ntire.eom. f <br /> t <br /> F <br /> h <br />