Form 5183 - Plate/tab/decal Inventory Order Form License Offices

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MISSOURI DEPARTMENT OF REVENUE
DATE REQUESTED: ____________________________________________
FORM
MOTOR VEHICLE AND DRIVER LICENSING DIVISION
5183
OFFICE NUMBER: _____________________________________________
PLATE/TAB/DECAL INVENTORY ORDER FORM
(REV.11-2010)
OFFICE NAME: ________________________________________________
LICENSE OFFICES
DESCRIPTION AND CATEGORY
QUANTITY
DESCRIPTION AND CATEGORY
QUANTITY
PLATES
Use the drop-down buttons to select the description and category.
TABS
PERMITS
DECALS
PLACARDS
MISCELLANEOUS
Submit Form by E-Mail to MVB Tag Room
DOR DISTRIBUTION STAFF ONLY
ORDERED BY:
INVOICE NUMBER:
MO 860-2969 (11-2010)

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Parent category: Financial
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