Transcription of COMMERCE AND COMPLIANCE DIVISION 3930 FAIRVIEW …
{{id}} {{{paragraph}}}
Example: bachelor of science
COMMERCE AND COMPLIANCE DIVISION 3930 FAIRVIEW …
ACCOUNT NUMBERBUSINESS NAMELOCATIONSTATECITYZIPTELEPHONEDATEIBC DKLGJFELOCATION OF RECORDS1 NAME OF AGENT OR REPORTING SERVICEDATEADDRESSTELEPHONE3 STZIPCITY4 SIGNATURE OF CARRIER, EMPLOYEE, OR POA (MUST HAVE POA ON FILE)6 DATETITLE7 FORM 735-9002 (2-15) STK# 320001 STATE/ COMMENTSCARRIERAGENT OR REPORTING SERVICEOREGON STATE FUEL TAX IF PAID DURING THIS PERIODCOPIES OF FUEL INVOICES MUST BE ATTACHEDTAX REPORTSEE INSTRUCTIONS ON BACKTOTAL FROM COLUMN L( )ENTER TOTAL OF BOX1 MINUS BOX 2 MINUS BOX 3 CHANGE OF NAME, ADDRESS OR TELEPHONE (PLEASE PRINT)MONTHLY ODOMETER READINGSNO. OF AXLES IF USING TABLE "B"LICENSE PLATE OR PASS NUMBEROREGON HIGHWAY USE TAXTOTAL MILES OPERATEDOREGON TAXABLE MILESTAX RATE PER MILE (Decimal)UNIT NUMBERMAKE OF VEHICLEDECLARED WEIGHTSBEGINNINGENDINGCERTIFICATION: THIS REPORT HAS BEEN PREPARED FROM THECARRIER'S ORIGINAL RECORDS AND I CERTIFY IT IS CORRECTOPERATIONS DURING THE MONTH OF:SECTION 2 SECTION 1 XMONTHLY MILEAGEMAILING (IF BOX ALSO GIVE LOCATION ADDRESS)AHTOTAL PAYMENT - ONLY25 OTHER PAYMENT PER ATTACHED DOCUMENTSLATE PAYMENT CHARGE 10% OF BOX 4 OTHER CREDITS
commerce and compliance division 3930 fairview industrial drive se salem or 97302-1166 . monthly mileage. tax report. operations during the month of: , year ccd account number. see instructions on back. do not write in space above. change of name, address or telephone (please print) carrier name and address business name
Tags:
Information
Domain:
Source:
Link to this page:
Please notify us if you found a problem with this document: