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AIITHORIZATION FORT'�i <br /> I, hereby authorize the <br /> c�.= or �� <br /> release of the motor vehicle, , <br /> �m.,�.i�a.�i�� <br /> VIN� , License � , <br /> currently stored by Prairieiand Towing, Inc. , to <br /> I am the leqal owner of such ! <br /> c�•� <br /> vehicle, and am unable to pick up the same due to my . <br /> at <br /> (incarceracioa, hospital±zat_oa, atc.) (nams o! instit�=oa) � <br /> I understand that storage and/or towing costs are accruing and have <br /> accrued, for which I am liable. I further understand that <br /> Prairieland Towing, Inc. shall require payment of such costs in <br /> full, prior to the person named herein, being allowed to retrieve <br /> said vehicle. I understand that in the event that the person named <br /> herein as my agent should procure the release of my vehicle through <br /> fraudulent or deceptive means (i.e. , insufficient funds check, stop <br /> payment, etc. ) that any remedy wh=ch Prairieland Towing, Inc. , may <br /> have to enforce the collection of that amount, against the maker, <br /> it shall also have agains,� me, including the collection of any <br /> costs or attorney's fees from the same. <br /> I absolve, indemni�fy, release, quit claim, and hold harmless <br /> Prairieland Towing, Inc . , from any and all damages, losses, <br /> accidents or theft, which may occur as a result of the release of <br /> any vehicle to the person named herein. Prairieland Towing, Inc. , <br /> may rely upon any picture form of identification, when determining <br /> ! E�IBIT D <br />