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CERTIFICATE OF ORIGIN
LICENSING INFORMATION
DEALER:
___________________________Business
___________________________Contact
___________________________Address
___________________________City, State, Zip
FUEL TRAILER MODEL # _________________________________________________________
FUEL TRAILER WEIGHT __________________________________________________________
Fuel Trailer Bone White
Fuel Trailer Red
Fuel Trailer Grey
Meridian Manufacturing, Inc.
Date: ____/___/_______
SOLD TO:
___________________________Business
___________________________Contact
___________________________Address
___________________________City, State, Zip
October 2014 | Revision 1.0
2902 Expansion Blvd.
Storm Lake, IA 50588
Phone: 712-732-1780
Fax: 712-732-1028
1-5
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