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Get CA INV 172A 2013

EAD THE ATTACHED BROCHURE BEFORE COMPLETING YOUR COMPLAINT. NOT ALL COMPLAINTS ARE INVESTIGATED. Instructions: Type or print the following information for the person iling the complaint and the Business/Seller the complaint is against. SECTION 1 — COMPLAINANT (Person Filing Complaint) NAME (FIRST, MIDDLE INITIAL(S), LAST) STREET OR P. O. BOX APT. NUMBER CITY STATE DAY TELEPHONE NUMBER EVENING TELEPHONE NUMBER ( ( ) SIGNATURE DRIVER LICENSE OR IDENTIFICATION NUMBER ZIP CODE ) DATE.

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