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Get NY IRP-6 2017

CARD o TEMPORARY AUTHORITY o REPLACEMENT PLATES o OTHER o REPLACEMENT STICKER o SAFETY US DOT # CHANGE o WEIGHT INCREASE o WEIGHT DECREASE o RENEWAL o FLEET TO FLEET REGISTRANT/CARRIER INFORMATION 1. ACCOUNT # 2. FLEET # 3. REGISTRANT NAME: 4. DBA: 5. BUSINESS ADDRESS: (No P.O. Box Number Allowed) CITY: STATE: 6. CONTACT PERSON: 7. PHONE #: ( ZIP CODE: COUNTY: 8. FAX # ( ) ) 9. E.

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