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Mail Drop 553M Abandoned Vehicle Unit GOVERNING AUTHORITY Motor Vehicle Division PO Box 2100 TOW PERMISSION Phoenix AZ 85001-2100 46-1005 R12/13 azdot.gov This authorization must be attached to the 10 Day Report (Copy A) of the Abandoned Vehicle Report form, whenever the vehicle was towed from land controlled by one of the federal or state agencies listed below. This written permission must be obtained from the appropriate governing authority before towing the vehicle. See detailed listed on the reverse side. A separate letter of authorization is acceptable if attached to this form. Agency Governing Authority Arizona State Parks Park Manager, or designee Arizona State Land Department Protection and Compliance Manager, or designee U.S. Forest Service Forest Supervisor, or designee U.S. Bureau of Land Management District or Area Manager, or designee Vehicle Location (from which vehicle will be towed) Land Type State park State trust land Forest Service land Bureau of Land Management land Towing Company Name Vehicle Identification Number Year Make I authorize the towing company named above to remove the vehicle described above. Agency Name Authorized Person Name Title Authorized Person Signature Badge/Agent Number (if applicable) Date Arizona State Parks Kartchner Caverns State Park River Island State Park PO Box 1849 5200 Highway 95 Benson AZ 85602 Parker AZ 85344 Alamo Lake State Park 520-586-2283 928-667-3386 Box 38 Wenden AZ 85357 Lake Havasu State Park Roper Lake State Park 928-669-2811 699 London Bridge Rd 101 E Roper Lake Rd Lake Havasu City AZ 86403 Safford AZ 85546 Boyce Thompson SW Arboretum 928-855-2784 928-428-6760 37615 U.S. Hwy 60 Superior AZ 85273 Lost Dutchman State Park San Rafael Ranch Natural Area 520-689-2811 6109 N Apache Trail 2036 Duquesne Rd Apache Junction AZ 85219 Patagonia AZ 85624 Buckskin Mountain State Park 480-982-4485 520-394-2447 5476 North U.S Hwy 95 Parker AZ 85344 Lyman Lake State Park Slide Rock State Park 928-667-3231 Box 1428 6871 N Highway 89A St. Johns AZ 85936 Sedona AZ 86336 Catalina State Park 928-337-4441 928-282-3034 11570 N Oracle Rd Tucson AZ 85740 McFarland State Historic Park Sonoita Creek State Natural Area 520-6285798 Box 109 400 Lake Patagonia Rd Florence AZ 85232 Patagonia AZ 85624 Cattail Cove State Park 520-868-5216 520-287-2791 PO Box 1990 Lake Havasu City AZ 86403 Oracle State Park Tombstone Court State Historic Park 928-855-1223 3820 Wildlife Dr PO Box 216 Oracle AZ 85623 Tombstone AZ 85638 Dead Horse Ranch State Park 928-896-2425 520-457-3311 675 Dead Horse Ranch Rd Cottonwood AZ 86326 Patagonia Lake State Park Tonto Natural Bridge State Park 928-634-5283 400 Patagonia Rd PO Box 1245 Patagonia AZ 85624 Payson AZ 85547 Fool Hollow Lake Recreation Area 520-287-6965 928 476-4202 1500 N Fool Hollow Lake Show Low AZ 85901 Picacho Peak State Park Tubac Presidio State Historic Park 928-537-3680 PO Box 275 PO Box 1296 Picacho AZ 85241 Yuma AZ 85366 Fort Verde State Historic Park 520-466-3183 520-398-2252 Box 397 Camp Verde AZ 86322 Red Rock State Park Verde River Greenway State Natural Area 928-567-3275 4050 Red Rock Loop Rd 2011 B Kestrel Rd West Sedona AZ 86340 Cottonwood AZ 86026 Homolovi Ruins State Park 928-282-6907 928-639-0312 HCR 63 Box 5 Winslow AZ 86047 Riordan Mansion State Historic Park Yuma Quartermaster Depot Historic Park 928-289-4106 409 West Riordan Rd 201 N 4th Ave Flagstaff AZ 86001 Yuma AZ 85364 Jerome State Historic Park 928-779-4395 928-329-0471 Box D Jerome AZ 86331 Yuma Territorial Prison State Historic Park 928-634-5381 1 Prison Hill Rd Yuma AZ 85364 928-783-4771 Arizona State Land Dept. 1616 W Adams Rm 329 Phoenix AZ 85007 602-542-2119 U.S. Forest Service Apache Sitgreaves National Forest Coronado National Forest Prescott National Forest PO Box 640 300 W Congress St 344 S Cortez Springerville AZ 85938 Tucson AZ 85701 Prescott AZ 86303 928-333-4301 520-388-8300 928-443-8000 Coconino National Forest Kaibab National Forest Tonto National Forest 1824 S Thompson St 800 S 6th St 40202 Cave Creek Rd Flagstaff AZ 86004 Williams AZ 86046 Scottsdale AZ 85257 928-527-3600 928-643-8200 480-575-3300 U.S. Bureau of Land Havasu Resource Area Phoenix District 2610 Sweetwater Ave 2015 West Deer Valley Rd Management Lake Havasu City AZ 86406 Phoenix AZ 85027 928-505-1200 602-863-4464 Arizona Strip District Office 345 East Riverside Dr St. George AZ 84790 Kingman Resource Area Safford District Office 2475 Beverly Ave 711 S 14th Ave 435-688-3200 Kingman AZ 86303 Safford AZ 85546 928-757-3161 928-348-4400 .
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