Registered Owner Information: |
|
{:6} {:8}, {:93}{:7} {:8}, {:94} {:9} {:10} {:11} {:12}, {:13} {:14} {:16} County {:17} Parish {:18} Borough |
1st Firearm |
|
Type: |
{:21} |
|
Make: |
{:22} |
|
Model: |
{:23} |
|
Caliber: |
{:86} {:87:value} |
|
SN: |
{:25} |
|
Barrel: |
{:26}” |
|
OAL: |
{:27}” |
2nd Firearm |
|
Type: |
{:30} |
|
Make: |
{:31} |
|
Model: |
{:32} |
|
Caliber: |
{:88} {:89:value} |
|
SN: |
{:34} |
|
Barrel: |
{:35}” |
|
OAL: |
{:36}” |
3rd Firearm |
|
Type: |
{:39} |
|
Make: |
{:40} |
|
Model: |
{:41} |
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Caliber: |
{:90} {:91:value} |
|
SN: |
{:43} |
|
Barrel: |
{:44}” |
|
OAl: |
{:45}” |
Destination Address: |
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{:51} {:52}, {:53} {:54} {:56} County {:57} Parish {:58} Borough |
Returning to Original Location: |
|
{:59} |
Reason for Transporting: |
|
{:60} |
Mode of Transportation: |
|
{:61} |
Date Leaving: |
|
{:70} |
Date Returning: |
|
{:71} |
Date Finished Traveling: |
|
{:72} |
Send Approved 20 to: |
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{:6}{:7}{:8} {:73} {:74}, {:75} {:76} |
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