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LP#: AGENCY / PERSON REQUESTING TOW: ADDRESS: : PHONE: TDLR LICENSE NO: 001234567C DATE OF TOW: TIME OF TOW: AM PM LOCATION OF VEHICLE: LOCATION TOWED TO: TIME OF THE CALL REQUESTING VEHICLE RELEASE: INITIALS: REASON FOR TOW: YEAR MAKE MODEL COLOR STATE LICENSE # VIN TOW CHARGES STORAG.

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