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Dec 27 2016 17:05:07 CST FROM: F'4/50046309011 MSG# 1736935401-905-1 PAGE 043 OF 062
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<br /> Pickup Receiptuj� Data: 4sl31/2016
<br /> T Manifest: 1101628109
<br /> Bax rry 1.00- sr'9235
<br /> scone loot 01554
<br /> Beessrlligx Hp&gejr and Rnd Vag Ta�`-�lJtV
<br /> VA1L MART'ST0CXT0W iukin TiX0 Woot
<br /> 3223 G =0MR XANB 15305 Sprinq Ave
<br /> STOCKTw , cA 95212 Santa re springz' CA 90670
<br /> pSOVZ^: 205-473-3410 !HONE! 000-488-2752
<br /> 1'P7Di 1331982^01 =PIn: 1000659-01
<br /> Truck: 42396E
<br /> Txa2.1®rt $3723
<br /> S,icenae Number: 9F34829
<br /> Rcyxatraricn: 7,6.•1234 5
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<br /> Tires %cked Up: 113
<br /> DRIVER: SOTBLO, J01ka N
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<br /> ���Sat�rCosa1.'!&xatdalit3' Clalia: The info.rsaation provided on Chia form should be
<br /> Co»3ldesxed ConfidCrlt' iol, pzoptiotar7Cx a
<br /> y, gndlor t.xridc aoarot, 4eoxdarkca with �
<br /> Title 14, c+CR, Sact$.M 17091, at.tam'q, OhOuld dny asmiD'ox of. tha p,ub."c zequNat
<br /> ., diaoloauso of tNl1d inforisl�ti.on, Z xeCjuear chnG CalAvtayelo cor,r.nct mo att *1x1
<br /> addroaa and telepD000 number, above,
<br /> E160=0nie 11oosli,ng to CalRbecyale: Lakin Tira meat hoa been authosizod by
<br /> CalRaeyK:le to paxts.clpalto In thea KaAta a,nd. Uabd Tiro manilost EDT alaott©nlC
<br /> reporting progxam. on behalf of the custonex listed on tniz form, Lakin Tire
<br /> West will altrctrorllmally trafamlt to CelReayalo axl requixod ilmroxmatiOn ircm i
<br /> ahis maniles�t, CalRscyrle has appcovt-d the Lakin Tir® Pest EDT form for %-.50i
<br /> wl:1'Jn the Waote 'rice Menifest Syt9CL�111 EDI' program. },
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<br /> Quontiona? ploaae contact. yeltlr Custtomot sos vlE4 Stop_oriCltlr7tivo At 800^989-1791 or amaal
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