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735-268 ( -1 )STK# 300111PLATE TRANSFER FEEApplication for registration , renewal , Replacement or Transfer of Platesand/or StickersCOUNTER DATE STAMP / INITIALSSIGNATURE OF OWNER AS SHOWN ABOVESIGNATURE OF JOINT OWNER AS SHOWN ABOVEDATEDATETransaction Type:Disposition of Plates 2EG #ARDOR 3TICKERS:XX1 1 1 SURRENDEREDLOSTMUTILATEDSTOLENThis application cannot be used to change or correct the name(s) shown on the title or to change :PERMIT #HVUTMISCEXPIRATION DATENEW PLATE #STICKER #YEARMAKESTYLEFLEET ACCOUNT #FARM ID #WEIGHT / LENGTHEQUIPMENT #PRESENT OREGON PLATE #VEHICLE IDENTIFICATION NUMBER (VIN)OREGON TITLE #SPECIAL PLATESREPLACEMENT FEETOTAL FEE PAIDBATCH CODEREG / REN FEETRANS CODEVT%QORNGVG.

735-268 (4-1 ) STK# 300111Application for Registration, Renewal, Replacement or Transfer of Plates and/or Stickers DATE DATE Transaction Type: SIGNATURE OF OWNER AS SHOWN ABOVE

  Registration, Renewal

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