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Get Vt Dmv Osd 002

Ce) 802.828.2064 (fax) 802.828.5418 (ttd) 800-253-0191 dmv.vermont.gov NAME STREET CITY STATE TELEPHONE # ZIP FAX # ISSUE DATE BILL TO ESCROW PID DOES THIS LOAD CONTAIN HAZARDOUS MATERIALS? (IF YES, LOAD MUST CONFORM TO CFR 49, PARTS 100-185) TRUCK MAKE REG. NO. TRAILER OR MOBILE HOME MAKE LOAD DESCRIPTION STATE REG. WEIGHT REG. # OR TRANSPORT # GROSS WGT OVERALL WIDTH STATE TRAILER LENGTH MOBILE HOME SERIAL # (LAST 4) OVERALL HEIGHT Loads with an origin or destination in Vermon.

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