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Manuf or Importer Model: Serial #

Type: Caliber:

Manuf or Importer Model: Serial #

Type: Caliber:

Manuf or Importer Model: Serial #

Type: Caliber:

Manuf or Importer Model: Serial #

Type: Caliber:

Description

Date:

Name/Add or Name/FFL

Date:

Name/Add or Name/FFL

Date:

Name/Add or Name/FFL

Date:

Name/Add or Name/FFL

Firearms Acquisition And Disposition Record

Receipt

Date:

Name/Add or Name/FFL

Date:

Name/Add or Name/FFL

Date:

Name/Add or Name/FFL

Date:

Name/Add or Name/FFL

Page _____

Disposition

DOB

DOB

DOB

DOB

If non-licensee

Drivers License or Other ID

Drivers License or Other ID

Drivers License or Other ID

Drivers License or Other ID

Alien ID

Alien ID

Alien ID

Alien ID

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Page last viewedSat Dec 10 07:07:29 UTC 2016
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