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Get OR 735-9002 2014

NTH OF: YEAR ACCOUNT NUMBER SEE INSTRUCTIONS ON BACK CHANGE OF NAME, ADDRESS OR TELEPHONE (PLEASE PRINT) CARRIER NAME AND ADDRESS BUSINESS NAME MAILING (IF P.O. BOX ALSO GIVE LOCATION ADDRESS) LOCATION CITY STATE TELEPHONE DATE ZIP SECTION 1 A B LICENSE PLATE OR PASS NUMBER C STATE/ PROV. D UNIT NUMBER MONTHLY ODOMETER READINGS E MAKE OF VEHICLE DECLARED WEIGHTS F BEGINNING G H ENDING I TOTAL MILES OPERATED J OREGON TAXABLE MILES NO. OF AXLES IF USING TABLE "B" K L TAX .

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