TRANSFER OR STATUS CHANGE OF EQUIPMENT(DOT-91)
FORM DOT-91
(REV.12/2007)
WEST VIRGINIA DEPARTMENT OF TRANSPORTATION
TRANSFER AND/OR STATUS CHANGE OF EQUIPMENT
|DOCUMENT DATE |DOCUMENT NUMBER |PREPARING | | |
| | |ORGANIZATION |REQUESTED BY |DATE |
| | |NUMBER | | |
| | | | | |
|CLASS |E.D. |FROM: | |TO: |EQUIPMENT DESCRIPTION |INITIATOR/ |
| |NUMBER | | | | |DATE/TIME REQUESTED |
| |ORG. NUMBER |STATUS |METER READING | |ORG. NUMBER |STATUS | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
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