5
CERTIFICATE OF ORIGIN
LICENSING INFORMATION
DEALER
:
___________________________Business
___________________________Contact
___________________________Address
________________________
___
City, State, Zip
SOLD TO
:
___________________________Business
___________________________Contact
___________________________Address
________________________
City, State, Zip
TENDER MODEL #_________________________________________________________
TENDER WEIGHT_______________________
___________________________________
TENDER SERIAL
#__________________________________________________________
(One serial number is issued on complete
tender packages. Those trailers do not receive a serial number.)
TRAILER MODEL
#:_________________________________
TRAILER SERIAL #________________________________________
TRAILER WEIGHT
:_________________
801
96
1,004#
Tender 11
2
BST Wagon
Tender 11
2
BST-T (trailer included)
801
97
1,830#
Tender 225 R
ST Wagon
80131 1733#
Ten
der 225 RST
-BH
80601 3375#
Tender 225RST -GN 80602 4097 #
Tender 225RST -BWT -BH 80603 3577#
Tender 225RST -BWT -GN 80604 4299#
Tender 240RT6
80249 2,545#
Tender 240RT6 -BWT -BH 802 53 4,475#
Tender 240RT6 -BH 802 50 4,174#
Tender 240RT8
802 51 2,604#
Tender 240RT8-BWT
-BH 80248 4,534#
Tender 240RT8
-GN
8025
5 4,232#
Tender 240
RT8
-BWT
-GN 80243 4,491#
Tender 375RT6 Wagon
80381 3,094#
Tender 375RT6
-BH 80324 5,636#
Tender 375RT6-BWT
-BH 80337 5,942#
Tender 375RT6
-GN 80338 6637#
Tender 375RT8
80382 3476#
Tender 37 5RT8 Wagon
80376 3106#
Tender 375RT8 –BH 80326 5760#
Tender 375RT8
-GN 80327 6441#
Tender 375RT8
-BWT
-BH 80339 5990#
Tender 375RT8 -GN 80340 6672#
240 –Rear Facing (BH trailer included)
80121 3720#
240 –Fr ont Facing (BH trailer included)
80136 3720#
Tender 375 (no trailer)
80349 4207#
Tender 375 -BH 80345 6071#
Tender 375 -GN 80346 6721#
Tender 375 -BWT -BH 80347 6079#
Tender 375BWT -GN 80348 6729#
Tender 375RT8 -BWT (trailer included) 80377 5,913#
Tender 375RT8 -T (trailer included)
80379 5,607#
Tender T itan 2SE -T (trailer included)
80201 2,254#
Tender Titan 2SE -BWT
80616 2302#
Tender T itan 2-T (11 ’ 1 0” discharge)
80134 1820#
Tender Titan 2 -T (15 ’ 6” discharge)
80135 1868#
Tender T4SE Wagon
80401 2,803#
Tender T4SE
-T (trailer included) 80402 4,431#
Ten
der T4SE
-BWT (trailer included) 80403 4,833#
Tender T4SE
-T
-GN 80609 4893
#
Tender 4SE
-T
-GN
-BWT 80608 5235
#
Tender 400
-6SLD 80352 3375
#
Tender 400BH
-6SLD 80353 5040
#
Tender 400GN
-6SLD 80354 5690
#
Tender 400
-8SLD 80355 3530#
2902 E xpansion Blvd .
S torm Lake , IA 50588
PH# 712 -732-1780
FAX# 712 -732-1028
Date:
____
/_
_
__/_______
Tender400BH
-8SLD
80356
5195#
Tender 400GN
-8SLD
80357
5845
#
Tender 405GN-8SLD BASE 40297
4554#
Tender 405GN-8SLD TRIPLE AXLE 80191 6247#
Tender 405BN-8SLD TRIPLE AXLE 80192 5679 #
Tend
e
r
40
5GN
-8SLD
TANDEM AXLE
80193
6243
#
Tender 405BN-8SLD TANDEM AXLE
8
0194 5715
#
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Summary of Contents for 112BST
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