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RETURNED TAXICAB DECAL ACKNOWLEDGEMENT
The following ____________ decals have been returned by __________________________
(Color) (Taxi Business Name)
Decal Numbers: _______________________________________________________________
Decal Returned on _____________________________________________________________
(Year) (Make) (Last 5 of VIN)
Printed Name of Person returning decal: ____________________________________________
Signature of Person returning decal: _______________________________________________
This vehicle is being removed from the fleet.
(affix decals to sheet; file stamp and initial; provide copy to person returning decal)
Rev6/21
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