I certify that I am submitting this request for vehicle information based upon United States Code, Title 18, Section 2721. I certify that the gasoline in question is legally owned by the business listed above, and the vehicle for which I am requesting information has obtained said amount of gasoline without proper payment. I understand that the information requested is to be used for the sole purpose of recovering a debt owed for gasoline, and for no other purpose.
In requesting and using this information, I acknowledge that this disclosure is subject to the Federal Driver's Privacy Protection Act (Public Law 103-322) and the North Dakota Law.