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H Dealer s name and address D Delewtive liyleiazw Accessories I Owner s name and address l Motor number 1 New nici es s 2 fies found to be defective before or after in K Parts removed stallaizion cute to be handled in the same manner as a new L Labor parts policy adjustment as outlined in Para C 2 M Dealer s signature and address Eflch Purtlslwuld be mgg d with GSD 4ii Relum Goods E Allen 3lCt alloys have expired dealer may apply for T g Slmwmq authorizatimmi ma return such goods as Surplus Stock A Quantity B Pull number 1 Applnccztticzm should lee completed on Form PC 659 as in Cl DQSCUPUOHZ B l and IEP except all tour copies should be mailed to the D GSD 17 number Zone Oflicce and material held by dealer lor disposition E Nature ot defect M l 1 i l Shimld be P l 9d I 1llY d l1i1T D 5 iljl REPAlI7 2 The nuinlznexs 3 and 4 copies of ihe application will be to General Motors Parts Division Warehavaizte to which the ratum d C me dealer Shcwing disposmon to be mode dealer normally returns detective service m i erial O me I mE Uu J 3 The numbers l 2 and 3 copies of GSD 17 are to he mailed to the Zone Sewice Mcmqq n The numbm A COIN is O be 3 Ori re eipt ol the numbers 3 and 4 copies the dealer will used as a packing slip and the number 5 copy retained lnumile the return ct items coded R in accordance with as the dealer s record ot shipment jpro e lure mitliried in paragraph B 2 A C D E l 657