SouthTowns Specialties, LLC
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                Part Number: 
 Make & Model & Year of Truck:
           Tank Size & Type:
                       Material :     Shape:    Gallons:  
                          Height:   x  Width:    x  Length:

  Company:
  Address:
        City:    State:    Zip:

     Name:
     Phone:
         Fax:
     E-Mail:

Notes:
 

Southtowns Specialties, LLC, 5651 Cole Road, West Valley, NY 14171, 
Phone: (716) 592-4993            Fax: (716) 592-4991
E-Mail: Rick Kramer 
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Revised: May 12, 2010 .