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VEHICLE PURCHASE / LEASE JUSTIFICATION FORM Agency Person Completing This Form Telephone Number This Vehicle Request is a ADDITION REPLACEMENT SALVAGE VEHICLE INFO VIN License Year Make Model Current Mileage Date Beginning Fiscal Year Mileage Miles Driven This Fiscal Year Who will drive the vehicle Position/Title Other than the driver how many passengers will the vehicle normally transport Positions/titles New Vehicle DAS authority New Vehicle exempt Reason Give approximate number of miles to...

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