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Inv# 11677 - TAGS R US INC - 06/03/2021
. flILCS :[:ft'.Ill!,'J":: TAGS -R'- U5, INC.. l[T,!Ff..fi"nrr. Ruro In6t & llrrc S€nulccs 4804 S.llJ. 28ril lcnR. Fr. tauD€iDnlc, froRrDe tl3l2 rcL (954) e5r-ee7o NOTARY PUBLIC D.O.B.: . LICNS. <ens.lBU<l{s . BOnTS. MOtOi(Y(t€S . MOTG'B HC,MCS . MOA|(€ IOmCS . TfiNILCfis. t€nnP. ?ncs DAT€:SCX: NAM€: ADDR€5S: CITY:FL/ZIP: PHON€ #:TITL€ #: VIN #: Y€AR:MAKC:TYPC:COLOR: TAG #:",i D€CAL #: RCC€IVCD BY: CASH: CH€CK #: TOTAL: PAID: UND€R PCNALTY OF LAW THIS RECE|PT DO€S NOT CONSTITUTE A LICCNSC PLATC. BAL: D/L #: sALGs rAX' APPROVEST.T.*,