| Email: |
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| Last Name: |
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First Name:
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Phone:
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| City: |
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| State: |
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| Model: (ie M37, M43, M56 ) |
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Delivery Date: (on data
plate on glove box door)
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| Engine: (stock type is 230 cu.
in.) |
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| Tranny: (stock type is 88950
to '55, NP420 after) |
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| Purchase Date: |
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| Purchase Price: |
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| Frame# (left front frame rail
in front of steering box) |
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| Serial# (on data plate on glove
box door) |
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| USA# (on hood or tailgate) |
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| Contract# (on data plate on glove
box door) |
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| Cowl# (inside engine compartment, on passenger
side firewall) |
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| Bumper# (on front and rear bumperettes)
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| Branch: (Army, Navy, Marine Corp.,
Air Force) |
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| Winch: (stock type is Braden
LU-4) |
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| NSN or ORD# (on data plate on glove box door)
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| Tire Size: |
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| Tire Brand: |
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Gear Ratio: (stock is 5.83 to 1)
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| Accessories: |
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| Comments, Website: |
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| Data Plate material (Brass or
Aluminum) |
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| Inspector stamp description: |
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| Responsible Agency: |
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