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t <br />No.16900 <br />MANUFACTURER'S STATEMENT OF ORIGIN <br />TO A MOBILE/MODULAR TRAILER <br />The undersigned <br />CORPORATION hereby <br />certifies that the <br />new trailer <br />described below, <br />the property of said <br />CORPORATION, <br />has been <br />transferred this 6th <br />day of October , <br />2006 on Invoice No. <br />16895 . <br />To PACIFIC MOBILE <br />PO BOX 1404 <br />CHEHALIS WA 98532 <br />Trade Name BLAZER Date of Manufacture 10/06 Year 2006 <br />Model Office Serial No. OSR1260-2PS0614661 <br />Other Data Mobile Width 12' Length 64' <br />No. of Wheels 8 Ship Weight 24,000 <br />The CORPORATION further certifies that this was the first transfer of <br />such new Trailer in ordinary trade and commerce. <br />BLAZER INDUSTRIES, INC. <br />SHIPPING ADDRESS: <br />945 Olney St. <br />Aumsville, OR 97325 <br />MAILING ADDRESS: <br />P.O. Box 489 <br />Aumsville, OR 97325-0489 <br />Authorized Signature <br />