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JUNK AUTO INSPECTION FORM <br /> ADDRESS: <br /> viAI CM7,Vy 7 (o <br /> LICENSE NO. : y s/o� COLOR : -- <br /> MAKE: a VL !2W /'o 0 t69' LAST YEAR REGISTERED: a7 S/ <br /> CONDITION:—,, dp, 204 — 19✓ <br /> OCCUPANT'S NAME:_ <br /> v/�� � <e�� <br /> VEHICLE OWNER: �i a <br /> ADDRESS: '911 2/y.-,Z �c Sc/ L a 9cSJc1 <br /> TELEPHONE.: <br /> k * h * * * * * * * k R * h * h * h * h R * * * * * h k * * * k <br /> DATE OWNER NOTIFIED: <br /> REINSPECTION DATE: <br /> FORMAL LETTER TO OWNER: <br /> REMARKS: <br /> i <br /> I <br />