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OREGON WEIGHT RECEIPT AND TAX IDENTIFIER APPLICATION CONTINUATION SHEET FORM 735-9076A (10-14) OREGON DEPARTMENT OF TRANSPORTATION MOTOR CARRIER TRANSPORTATION DIVISION 3930 FAIRVIEW INDUSTRIAL DRIVE SE SALEM OR 97302-1166 PH (503) 378-6699 FAX (503) 378-6880 ACCOUNT NUMBER SUB BUSINESS NAME EFFECTIVE DATE OWNED LEASED SOLO AXL COMB #4 AXL COMB #3 AXL COMB #2 AXL COMB #1 AXL HUB KM REASON FOR APPLICATION ADD VEHICLE RENEW VEHICLE AMEND VEHICLE (LIST VARIABLE BEING AMENDED) BASE LICENSE NO LESSOR ODO READING ST/PROV YEAR MAKE COMPLETE VEHICLE IDENTIFICATION NUMBER FUEL UNIT NUMBER VT FEE BASIS BD CANCEL VEHICLE OWNED LEASED SOLO AXL COMB #4 AXL COMB #3 AXL COMB #2 AXL COMB #1 AXL HUB KM REASON FOR APPLICATION ADD VEHICLE RENEW VEHICLE AMEND VEHICLE (LIST VARIABLE BEING AMENDED) BASE LICENSE NO LESSOR ODO READING ST/PROV YEAR MAKE COMPLETE VEHICLE IDENTIFICATION NUMBER FUEL UNIT NUMBER VT FEE BASIS BD CANCEL VEHICLE OWNED LEASED SOLO AXL COMB #4 AXL COMB #3 AXL COMB #2 AXL COMB #1 AXL HUB KM REASON FOR APPLICATION ADD VEHICLE RENEW VEHICLE AMEND VEHICLE (LIST VARIABLE BEING AMENDED) BASE LICENSE NO LESSOR ODO READING ST/PROV YEAR MAKE COMPLETE VEHICLE IDENTIFICATION NUMBER FUEL UNIT NUMBER VT FEE BASIS BD CANCEL VEHICLE OWNED LEASED SOLO AXL COMB #4 AXL COMB #3 AXL COMB #2 AXL COMB #1 AXL HUB KM REASON FOR APPLICATION ADD VEHICLE RENEW VEHICLE AMEND VEHICLE (LIST VARIABLE BEING AMENDED) BASE LICENSE NO LESSOR ODO READING ST/PROV YEAR MAKE COMPLETE VEHICLE IDENTIFICATION NUMBER FUEL UNIT NUMBER VT FEE BASIS BD CANCEL VEHICLE OWNED LEASED SOLO AXL COMB #4 AXL COMB #3 AXL COMB #2 AXL COMB #1 AXL HUB KM REASON FOR APPLICATION ADD VEHICLE RENEW VEHICLE AMEND VEHICLE (LIST VARIABLE BEING AMENDED) BASE LICENSE NO LESSOR ODO READING ST/PROV YEAR MAKE COMPLETE VEHICLE IDENTIFICATION NUMBER FUEL UNIT NUMBER VT FEE BASIS BD CANCEL VEHICLE OWNED LEASED SOLO AXL COMB #4 AXL COMB #3 AXL COMB #2 AXL COMB #1 AXL HUB KM REASON FOR APPLICATION ADD VEHICLE RENEW VEHICLE AMEND VEHICLE (LIST VARIABLE BEING AMENDED) BASE LICENSE NO LESSOR ODO READING ST/PROV YEAR MAKE COMPLETE VEHICLE IDENTIFICATION NUMBER FUEL UNIT NUMBER VT FEE BASIS BD CANCEL VEHICLE

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Page 1: OREGON WEIGHT RECEIPT AND TAX IDENTIFIER … weight receipt and tax identifier application. continuation sheet. form 735-9076a (10-14) oregon department of transportation motor carrier

OREGON WEIGHT RECEIPT AND TAX IDENTIFIER APPLICATIONCONTINUATION SHEET

FORM 735-9076A (10-14)

OREGON DEPARTMENT OF TRANSPORTATIONMOTOR CARRIER TRANSPORTATION DIVISION 3930 FAIRVIEW INDUSTRIAL DRIVE SE SALEM OR 97302-1166 PH (503) 378-6699 FAX (503) 378-6880

ACCOUNT NUMBER SUB BUSINESS NAME EFFECTIVE DATE

OWNED

LEASED

SOLO AXL COMB #4 AXLCOMB #3 AXLCOMB #2 AXLCOMB #1 AXL

HUB

KM

REASON FOR APPLICATION

ADD VEHICLE RENEW VEHICLE AMEND VEHICLE (LIST VARIABLE BEING AMENDED)

BASE LICENSE NO

LESSOR ODO READING

ST/PROV YEAR MAKE COMPLETE VEHICLE IDENTIFICATION NUMBER FUEL UNIT NUMBER VT

FEE BASIS BD

CANCEL VEHICLE

OWNED

LEASED

SOLO AXL COMB #4 AXLCOMB #3 AXLCOMB #2 AXLCOMB #1 AXL

HUB

KM

REASON FOR APPLICATION

ADD VEHICLE RENEW VEHICLE AMEND VEHICLE (LIST VARIABLE BEING AMENDED)

BASE LICENSE NO

LESSOR ODO READING

ST/PROV YEAR MAKE COMPLETE VEHICLE IDENTIFICATION NUMBER FUEL UNIT NUMBER VT

FEE BASIS BD

CANCEL VEHICLE

OWNED

LEASED

SOLO AXL COMB #4 AXLCOMB #3 AXLCOMB #2 AXLCOMB #1 AXL

HUB

KM

REASON FOR APPLICATION

ADD VEHICLE RENEW VEHICLE AMEND VEHICLE (LIST VARIABLE BEING AMENDED)

BASE LICENSE NO

LESSOR ODO READING

ST/PROV YEAR MAKE COMPLETE VEHICLE IDENTIFICATION NUMBER FUEL UNIT NUMBER VT

FEE BASIS BD

CANCEL VEHICLE

OWNED

LEASED

SOLO AXL COMB #4 AXLCOMB #3 AXLCOMB #2 AXLCOMB #1 AXL

HUB

KM

REASON FOR APPLICATION

ADD VEHICLE RENEW VEHICLE AMEND VEHICLE (LIST VARIABLE BEING AMENDED)

BASE LICENSE NO

LESSOR ODO READING

ST/PROV YEAR MAKE COMPLETE VEHICLE IDENTIFICATION NUMBER FUEL UNIT NUMBER VT

FEE BASIS BD

CANCEL VEHICLE

OWNED

LEASED

SOLO AXL COMB #4 AXLCOMB #3 AXLCOMB #2 AXLCOMB #1 AXL

HUB

KM

REASON FOR APPLICATION

ADD VEHICLE RENEW VEHICLE AMEND VEHICLE (LIST VARIABLE BEING AMENDED)

BASE LICENSE NO

LESSOR ODO READING

ST/PROV YEAR MAKE COMPLETE VEHICLE IDENTIFICATION NUMBER FUEL UNIT NUMBER VT

FEE BASIS BD

CANCEL VEHICLE

OWNED

LEASED

SOLO AXL COMB #4 AXLCOMB #3 AXLCOMB #2 AXLCOMB #1 AXL

HUB

KM

REASON FOR APPLICATION

ADD VEHICLE RENEW VEHICLE AMEND VEHICLE (LIST VARIABLE BEING AMENDED)

BASE LICENSE NO

LESSOR ODO READING

ST/PROV YEAR MAKE COMPLETE VEHICLE IDENTIFICATION NUMBER FUEL UNIT NUMBER VT

FEE BASIS BD

CANCEL VEHICLE

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ACKNOWLEDGEMENT OF RECEIPT I acknowledge receipt of …

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GTM Level 1 Proposal · 2008. 4. 6. · –locator (subject locator) –identifier (subject identifier) –itemid (item identifier) • Datatypes fixed to “uri” foo:organization

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Data Identifier and Application Identifier Standard _CM_201… · v20140305 i American National Standard Data Identifier and Application Identifier Standard Approved: 18 May 2010

clinicaltrials Identifier: NCT00699998

Identifier ses déchets dangereux :Identifier ses déchets dangereux …©rence-pharmacie... · 2009. 11. 16. · DANGEREUX. Pour identifier ses déchets dangereux, le producteur

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ClinicalTrials.gov Identifier: NCT02099864