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IS-109 (12-13) Person Making Complaint Subject of ... - MVA

Motor Vehicle Administration 6601 Ritchie Highway, N.E. Glen Burnie, Maryland 21062 IS-109 (12-13) Investigative Division Complaint Report Type of complaint: q Unlicensed Sales q Dealer Complaint q Foreign Registration q General Complaint Person Making Complaint Your Name:_________________________________________________________________________________________ Date:________________________ Address:________________________________________________________________________________________________________________________ City:_____________________________________________________________ State:_____________________________ Zip Code:___________________ Phone (Home):________________________________Phone (Business):________________________________ Other (cell):________________________ Signed: ________________________________________________________________________________________________________________________ I certify under penalty of perjury that the information contained herein is true and correct to the best of my knowledge, information, and belief. Subject of Complaint Subject’s Name:___________________________________________________ Phone #:______________________________________________________ Address:________________________________________________________________________________________________________________________ City:______________________________________________________________ State:_________ Zip Code:____________ Placard #__________________ Vehicles Involved: Year____________________ Make_____________ Color_________________ Tag #__________________________________________ Year__________________Make_______________________Model__________________ Color___________________ Tag #___________________________ Place of Employment for Subject (if known):________________________________________________________________________________________ Time of day/night when subject is mostly at home or work (if know):___________________________________________________________________ Additional Comments:____________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________________ Additional Information On Complaint _______________________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________________ Use Back Of Form MVA USE ONLY Complaint received by: Agent/Employee:___________________________________________________________________________________________ Complaint Forwarded To:__________________________________________________Date Forwarded:_________________________________________ Action Taken (Remarks, Forwarded to, Conclusion Reached, Etc): _______________________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________________ Signature:________________________________________________________ Title:______________________________ Date:________________________ For more information, please call: 410-768-7000 (to speak with a customer agent). TTY for the hearing impaired: 1-800-492-4575. Visit our website at: www.MVA.Maryland.gov Investigative Division Complaint Report ... Subject of Complaint ... Type of complaint: ❑ Unlicensed Sales ❑ Dealer Complaint ❑ Foreign Registration ❑ General ...

Form 4683 Complaint - Missouri Department of Revenue

Reset Form Print Form Form Vehicle Information Information on Complainant 4683 Missouri Department of Revenue Complaint Name Address City State Home Phone Fax Work Phone (___ ___ ___) ___ ___ ___ - ___ ___ ___ ___ (___ ___ ___) ___ ___ ___ - ___ ___ ___ ___ (___ ___ ___) ___ ___ ___ - ___ ___ ___ ___ Year Make Model Zip Code May we contact you at work? r Yes r No Date of Purchase (MM/DD/YYYY) ___ ___ / ___ ___ / Mileage Vehicle Identification Number ___ ___ ___ ___ Amount Name of Person or Business Address City State Zip Code Have you contacted the owner or agent about the problem? If so, what was the outcome? Complaint Against Nature of complaint (Describe in detail. Use reverse side if necessary). What form of relief are you seeking? Any other agencies contacted: Signature Have you contacted an attorney or filed a lawsuit? r Yes r No Important:  Enclose copies of all documents relevant to your complaint including but not limited to advertising material, titles, contracts, warranties, receipts, cancelled checks, etc. Under penalties of perjury, I declare that the above information and any attached supplement is true, complete, and correct. Signature Title Printed Name Date (MM/DD/YYYY) ___ ___ /___ ___ /___ ___ ___ ___ Form 4683 (Revised 02-2014) Mail to: Motor Vehicle Bureau P.O. Box 43 Jefferson City, MO 65105-0043 Phone: (573) 526-3669 E-mail: dealerlic@dor.mo.gov Visit dor.mo.gov/motorv/ for additional information. Form 4683 (Revised 02-2014)

RV Insurance in Killeen
by shawncamp 0 Comments favorite 14 Viewed Download 0 Times

For Progressive RV (Recreational Vehicle) insurance in Killeen TX, consult the agents at Shawn Camp Insurance Inc. The agents offer insurance to cover all companions and goods in the RV. The insurance coverage insures all sorts of recreational vehicles including motor homes, motor coaches, camper vans, travel trailers, toy haulers, pop-ups, folding camper trailers, truck campers, etc. For details on RV insurance in Killeen, visit - www.shawncampinsurance.com

Datasheet english - ARP
by damina 0 Comments favorite 14 Viewed Download 0 Times

100% Jam Free Laminator High Performance Large Office Laminator For Heavy Use •Unique heated belt-driven technology for ultimate jam-proof laminating •The only laminator that allows instant changes between different pouches without heat-up or cool-down time •AutoLam pouch detection and speed adjustment automatically sets the optimum speed/heat combination •CleanMe auto-glue sensor alerts the user to clean the laminator belt if glue or dirt has built up •Accepts all pouch types up to 250 microns Unique features •2 year full warranty. SPECIFICATIONS Item Number Model Name Laminating mechanism Entry width Heat up time Temp adjustment Speed Max micron 5704201 Voyager A3 Belt drive 330mm 4mins AUTO 90cm/min 250micron ® FELLOWES Voyager A3 Unique Features Automatic pouch detection and speed adjustment ensures best laminating results Unique heated belt driven technology for ultimate jam free laminating Reduces the surface temperature of the laminator by up to 50% Allows user to open up the laminator to clean and maintain the rollers for consistent quality results Laminator switches to standby or mode off during periods of inactivity to reduce energy consumption.

Motor Club of America - Effective Marketing Strategies to Automate and Simplify your MCA Business

Develop an effective marketing strategy to market, automate and simplify your Motor Club of America Business paving the way for you to build a lucrative and successful business and brand that you love. Visit: http://kelitakellman.com/motorclubofamerica-mca

Global Pressure Sensor Market worth $7.34 Billion by 2017

The value of pressure sensor market was $5.11 billion in 2011 and is expected to reach $7.34 billion in 2017, at an estimated CAGR of 6.3% from 2012 to 2017. In terms of volume, the total number of pressure sensors shipped was 8.7 billion in 2011 and is expected to reach 16.37 billion units by 2017, at an estimated CAGR of 11.3% from 2012 to 2017.

GENERATOR EU2600i • EU3000is - Honda.com - Colby College

The engine exhaust from this product contains chemicals known to the State of California to cause cancer, brrth defects or other reproductive harm. The generator is a potential source of electrical shock if misused. Do not expose the generator to moisture, rain or snow. Do not let the generator get wet, and do not operate it with wet hands. Keep this owner’s manual handy, so you can refer to it at any time. This owner’s manual is considered a permanent part of the generator and should remain with the generator if resold. The information and specifications included in this publication were in effect at the time of approval for printing. Honda Motor Co., Ltd. reserves the right, however, to discontinue or change specifications or design at any time without notice and without incurring any obligation whatever. No part of this publication may be reproduced without written permission.

JEGS 15913 Fuel Pump Electric Installation Instructions

The best location for mounting any electric fuel pump is the rear of the vehicle. The inlet and outlet of the pump must be mounted below the lowest point of the tank. This is necessary to allow for an adequate fuel supply. The pump is designed to push fuel and not designed to suck fuel out of the tank. It needs to be gravity-fed or if it’s pulling from the top of the tank, it needs to develop a siphon feed to the pump. The pump should be mounted on the chassis, in a vertical position with the pump motor on top. Avoid exposure of the pump and fuel lines to moving parts and to any hot areas, such as the exhaust. The pump should not be mounted in a closed area, such as the vehicle’s trunk. Follow the steps below for mounting the pump. 1-800-345-4545 jegs.com WARNING! THE PUMP MUST BE LOCATED SO THAT INTERFERENCE BETWEEN THE VEHICLE’S BODY AND ITS CHASSIS MOVEMENT IS AVOIDED. THE PUMP AND ITS CONNECTING HOSES MUST NOT BE SUBJECTED TO LOW GROUND CLEARANCE, WHERE ANY FLYING ROCKS OR ROAD DEBRIS CAN CAUSE DAMAGE. FAILURE TO AVOID THESE HAZARDS WILL LEAD TO PUMP DAMAGE, WHICH COULD RESULT IN FIRE, PROPERTY DAMAGE, SERIOUS INJURY, AND/OR DEATH.

Buy Parliament Coach
by bricestowe22 0 Comments favorite 18 Viewed Download 0 Times

In these days, there's a flourishing number of people for guys to hide motor homes because of everyday holiday breaks or perhaps an everlasting the location of frequent.You can find a lot more for you on http://panterracoach.com/.

Buy Parliament Coach
by bricestowe22 0 Comments favorite 16 Viewed Download 0 Times

In these days, there's a flourishing number of people for guys to hide motor homes because of everyday holiday breaks or perhaps an everlasting the location of frequent.You can find a lot more for you on http://panterracoach.com/.

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